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Report on The Bristol General Practice Solutions Website Review &
Planning Meeting
21st September 1pm Academic Centre Room 1 Frenchay Hospital
Terry Paterson, Pippa Staples, Graham Rawlinson, Terry Kemple, Freya
Scott & Mandy Price, Mary Welsh
Agenda to include
- How far have we gone in achieving the original
criteria (see Terry Kemple’s report below)?
- What are the successes of the site?
- What feedback have we had?
- What works well?
- What problems have been
identified?
- What needs fine tuning?
- What changes are necessary
- To content?
- To process?
- To management?
Terry Kemple’s Report 2004-2006
The original plan dates from July 2004
A- The aims (in italics) and results (underlined) were
- Make the BristolGPsolutions website the first
point of contact or ‘homepage’ for educationalists and GP learners in the
Bristol area. The site will be the main portal for GP education and news
in Bristol with some information and a lot of sign posting. This
has been achieved
- Make the BristolGPsolutions website and its email
alerts a frequently used source of information for all GPs and GP
educationalists in the Bristol area. The website is frequently used
but the email alerts have not developed
- Provide leadership in learning. Arguably
this is happening.
- Increase the efficiency and effectiveness of
communication in the Bristol area of the deanery. Arguably this is
happening
- Encourage a community of GPs and educationalists
who actively contribute to the planning and content of the website, and
influence local planning for learning. Arguably this is happening
- Encourage creativity and feeling of success in
GPs and educationists by providing a site where they can publish their
ideas, opinions, audits, innovations, and research. Published work can be
referenced in their CVs and appraisal documentation. This has
happened a bit, but has not been widely used
- Develop the BristolGPsolutions website so that it
or its successor is a sustainable source of high quality information on
learning. Arguably this is happening
- Ensure that any information on the website can be
accessed by a maximum of 3 mouse clicks. This has happened.
B- The following (in italics) stated success criteria and
results (underlined) were
- Record requests to be added to the email alert list, the total
number on email list and any requests to be removed from email list.
Consider asking those who want to be removed why? Success would be to
include all GP trainers and an increasing number of other subscribers.
The email alerts have not been developed. The channelling of news from
the deanery and the GP education teams has not been coordinated and
developed into an email alert service. We have sent out only one newsletter
alert.
- Use ‘hit counter’ to website to record traffic levels. Success
would be an increasing number of hits month by month, achieving roughly 1000
hits/users in May 2005. The first BristolGPsolutions website had
uncertain success. It was started in Sept 2003. In May 2004 it had 577
unique users and 10,000 hits each month. Jonas Andersson provides summary
website statistics each month. The last available month (July 06) show that
after an initial rapid increase in users this has settled to roughly 1,500
unique users, 2-3,000 visits and 40-50,000 hits each month. There is another
source of website statistics which is up to date and available online and
shows which pages are the most popular
http://www.bristolgpsolutions.org.uk/logs/logs.cgi. There is a wealth of
information such as peak use is 11am-5pm with a smaller peak 7pm-9pm, and
VTS pages and training practice pages are usually the most popular pages.
-
Survey the emailing list users at the
end of the 12m to include questions to ask if they have found the email
alert useful (and ask for examples), see if they want it to continue to be
on the mailing list (and why) if they want the website to continue (and
why), ask for suggestions for improvements. Success would be the majority
wanting the site to continue, and a list of suggested improvements.
This was done but received no feedback!
-
Ask for feedback from the Deanery on
perceived impact, value for money, successes, failures, and suggested
improvements. Success would be for Deanery to want to continue to fund the
project (beyond 2 years) with a reasonable budget. This has not been
done.
-
Email or other feedback on the site
is 5 or more per day. There is virtually no email feedback about the
site
-
Interactive learning takes place on
the site. There is no information about whether this happens
-
Deanery and VTS can offer all forms
via the website. These are available via the website.
-
The website is personalised with at
least 6 named contributors and their responsibilities and associated
photographs. This has been done.
-
Other VTS ask us ‘how to do it?’
No one has asked us ‘how to do it?
-
Local VTS, HPE and CME presentations
are referenced to the website and lecture information is available on the
website. The ‘whats on’ side of this has been developed but apart
from research page and med chi there is no lecture information on the site.
C- What did we know about the subject?
- There are more changes and challenges in general
practice, including the changing deanery, new GP school, changing roles of
GPs, changing workforce of GPs, MMC, need for PLP, PDPs, appraisals,
revalidation, and recruitment crisis for educationalists and GPs
- Education for GPs locally is a busy market (see the
‘whats on’ page for the evidence) but it fragmented and not underpinned by
a sound theoretical basis for assessment and learning
- There is no local and very little national research
on learning in medicine
- Arguably there is poor leadership in learning both
nationally and locally, exemplified by the confusion of processes and
outcomes associated with learning plans, appraisals and revalidation.
- There is a need to simplify access to up-to-date
news and knowledge about learning
- There have been deanery funds available to support
the development and maintenance of an esolution (webpage etc). The deanery
in April 2005 had plans to incorporate local websites into its website,
but I have seen no further information about this plan.
- The BristolGPsolutions website has had some success
(according to its success criteria and compared to the previous website),
and appears to be unique – in that it provides one structured gateway to
access most things relevant to local general practice. There is increasing
local expertise in the team keeping the site up to date and developing it.
- Severn & Wessex Deanery after a slow start (roughly
a year) have developed a useful website with increasing but not
comprehensive content. The SW peninsula website is underdeveloped by
comparison
- The place of our website in the development of local
GP education team, the new GP school and the changed deanery is uncertain.
- There is a great deal of content on our website and
mostly it is up to date. Many of the facilities currently on the website
seem relatively underused.
- The website needs weekly maintenance to keep it
relevant and up to date.
- The website review meeting scheduled for 2005 was
cancelled, and due to time pressures not rescheduled till 2006
D- What could we actually do?
- Make the annual budget for this project (the
maintenance & development of the website) explicit and protected for at
least 3 years.
- Ensure that the budget includes sufficient resource
to develop, maintain and renew the content of the website on a regular and
continuing basis. If budget is insufficient then make a new plan.
- Ensure administrative support. A named person who
will receive emails about the site, field questions to the relevant staff
to answer and coordinate the updating of the site.
- Ensure there is an educational lead for developing
the site. Currently TK is employed for one session/week.
- Relaunch BLAG Bristol learning alerts in General
Practice in October 2006. This is an email alert/newsletter sent on a
regular basis (monthly or seasonally as necessary) to a mailing list of
those interested in learning. ‘To keep your learning
up-to-date in just a few minutes’. The audience is likely to be GP
educationalists, Trainers, registrars and anyone else who requests the
alert. It is a free service resourced by the deanery.
- Use BLAG as the preferred method of contact with
trainers etc, i.e. there is no other routine emailing/post mailing to the
trainers.
- Model the email alerts and web page on
http://www.globalfamilydoctor.com/JournalAlerts2004/Mar.htm#31
- Add additional pages to the BristolGPSolutions web
site to reflect the different area of interest.
- Widen educationalist involvement and interest by
recruiting journal, book and conference reviewers of the academic learning
education and training journals, books and conferences to provide a
summary after each issue, or event and provide links from the web page
- Make each part of the website the responsibility of
a named person with their name & photo attached to their part of the site.
- Removed underused parts of the website
- Concentrate on developing the successful parts of
the site
- Continue to be innovative
- Arrange early access to new books for the reviewers.
These books can then be added to VTS library.
- Conference reports egg Trainers conference. Arrange
that main outcomes of good processes in conferences are reported. Delegate
or support local educationalist to attend national and international
conferences and report back
- Ensure that this report & review work is accredited
for appraisals, revalidation or reaccreditataion as educationalist.
- Develop the concept of an educationalist career by
providing information about the different options, demystify what it is to
be a GP teacher, lecturer, Trainer, tutor, adviser, dean, international
teacher
- Trawl the experience of GPs and educationalist for
contributions to the Frequently unanswered question in General Practice
section, FUQ GP.
- Provide a lively forum for ediscussion for
educationists.
E- How can we continue this cycle of action, question and feedback?
- During the 12m learn from and respond to comments
from contributors and users of the website
- Review the site at the end of 12months and write a
new CQI plan by 30/9/07
F- Terry Kemple’s opinions and suggestions
for the future.
- My belief is that an up to date
comprehensive website serves a useful purpose for the local GP education
team and the GP community by making access easy to important information.
- We have established a unique
website, recognizably different from other websites that is regularly used
by 1500 users, which has a lot of content and links, is easy to use and up
to date, but flexible in that it is easy to change the squares and
content. The website is an important tool for promoting educational
leadership locally.
- I don’t think we can rely on
others to provide this website service for us because the impending
organisational changes make our links with other
organizations uncertain.
- I feel we should continue the
current website design until all the organization changes have become
settled. In the meantime the website can be rebadged and accommodate
changes in the deanery, the GP school and still be a reliable easy to use
website
- Some of the underused squares can
(when the need arises) be changed to provide new access to other services
(e.g. Somerset and Gloucester VTS)
- The ‘whats on’ page can be
developed as a local listings service to increase the usefulness of the
site to providers of education and GP learners. We have an archive of all
the known providers in the past year and we can publicize the service to
providers to try to better coordinate the provision of education and
gradually improve the quality and quantity of education
- If the website continues and we are resourced
appropriately it may be more efficient and effective to enable one of our
administrative staff to make changes to the website directly, rather than
route everything through Jonas. It may be more efficient and effective to
enable one of our administrative staff to administer the site rather than
TK
- The website will continue to need someone to
coordinate and develop it rather than just administer it (not necessarily
TK).
The discussion concluded that
- Maintain the independence of the site (i.e. separate from deanery site)
- Site design- move quick links to the left and add most used pages to
quick links. Move the most used squares to the top left of the board,
reconsider how columns and colours are organised to improve ease of access
- Add interactivity to educational sites like CPD by adding pre and post
course information pages, so that course participants can log their learning
needs or questions and follow up what happens after the course
- Explore on line payments for courses with pay pal etc
- Update trainers and training practice profiles, which are not available
on the new deanery website and are out of date
- Improve visibility of site - ways to make the site a must and a want to
visit
- Explore raising the sites profile with the practice manager’s forum
- Explore income generating potential to increase sustainability of the
site e.g. after the ‘whats on’ page is developed and widely used, charge
small amounts to advertisers for the service
- Administrator time needed - need to decide what type of person needed in
the longer term to run the site.
- There is some inefficiency in updating the site, need to explore ways to
allow contributors to update site directly and quickly
- Make sure trainer workshops have sent their current membership to Mandy
Hall and list and outline of their educational activities for 2006-7.
Next review June 2007
If you have any suggestions about how we can improve this section email
them to
contact@bristolgpsolutions.org.uk
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