Ruston Street Clinic

Research and QI

SUMMIT STUDY (University College London)

In 2019 Ruston st clinic has enrolled to take part in the study run by UCLH for early detection of lung cancer. It is the largest ever lung cancer screening project in the UK.

The aim is to enrol 50,000 people in the age group of 50-77 yrs.

The at risk individual will get the standard low dose CT (LDCT) and there will be development of a blood test for early detection of cancers.

Eligible patients with significant smoking history will be offered a free lung check a respiratory health assessment and smoking cessation referral. With consent one group will received the LDCT and the ones with less significant smoking history will be offered the blood test.

View Summit Information Booklet for GPs

Perspecitves on Suspected Cancer Referrals (Kings College London)

IN 2019 we are partaking in a focus group comprising of clinical and non clinical staff with a facilitator from KCL.

The research is looking at how practice organises and impact on the suspected cancer referral and quality improvement initiatives in this area.

The focus group is 45-60 minutes involving Gps, Practice manager, Nurse, HCA.

At Ruston St we have created a robust system of monitoring and tracking 2 week urgent cancer referrals and have the necessary fail safes in place.

View the Kings College London Professional Information Sheet

QI (Quality Improvement) is here at Ruston St Clinic

In 2018 we saw the inception of QI being adopted in looking at referral patterns of clinicians at Ruston St. We received referral data for our practice in comparison to the other practices in Tower Hamlets. Funnel plots would help us identify the area where we were outliers and it seemed to be ‘cardiology’ for us.

We then created a project on the Life QI website, and looked at cardiology referral patterns.

Overall the outcome of this project was to create a template that we can use prior to referring to cardiologist.

This could include getting investigations done first in community eg echo, 24 hr ecg, and then using RAS services to see if patient actually needs a cardiology opinion.

In 2019 this analysis on referral patterns will continue to optimise the patient pathway in the community prior to secondary care outpatient referrals.

News

  • GP @ Hand is dismantling General Practice!

    Patients this is the time to show your support by joining the NHS staff in a demo on 21st Nov 2pm outside Newby Place Health Centre.

    GP @ Hand AKA BABYLON is a private organisation which is being given the support by NHSE to use the technology in the NHS.

    However the patients are not aware of the real truth about how they provide a restricted service to patients, unlike your local GP who will not ‘cherry pick’ the patients registered with them and deal with simple and complex patients. GP @ Hand have a different business model and clearly profit in mind.

    The threat is now and real with GP @ Hand like many private providers do not have to tender for NHS services and will be provided with NHS contracts with ease.

    Please help us to save the traditiona but modernised General Practice, JOIN US AT THE DEMO!

    Please click here for more information

  • Flu vaccines

    The first wave of delivery for the over 65 year old patients will be on 27th sept and patients will receive SMS to book appointments. (only eligible if on a chronic disease register)

    The second wave of delivery for the under 65 year old patients will be on the 10th October. ( again upon eligibility criteria)

    The children’s flu vaccines will also be ordered mid October. This is a live nasal vaccine for only a specific age group and again parents will receive an SMS inviting them in.

  • AVOID WASTAGE IN THE NHS!

    We are fully aware that the NHS is free at source service, but all of us should take responsibility for our actions.

    We are constantly being told by unhappy patients we had to wait 2 weeks for an appointment at our clinic. This may be the reason

    September data

    • 100 Did NOT ATTEND appointments at Ruston St Clinic and failed to cancel.
    • 10 Did NOT ATTEND hospital appointments and failed to cancel, this would have cost £150 per appointment.

    October data

    • 105 DNA at Ruston St Clinic
    • 16 DNA hospital appointments
  • Get Emis Online Access

    We are aiming for as many patients to have online access to their records.

    Emis Online access allows you to book appointments, view your medications, order medications and view your records.

    A consent form will need to be signed and you will receive a pin.
    All our newly registered patients will automatically offered this, our existing patients can make enquiry with reception.

  • Primary Care Network/ Bow Health Network

    RSC is one of 5 practices in the Bow area forming our network serving 31,000 patients.

    The government is encouraging all areas across London to work in networks to improve in service delivery.

    Lots of local projects are run via the network. Recent inhaler recycling project, nasal flu vaccine in young children delivery, Diabetes prevention programme.

    Check out the website for upcoming projects.

    http://www.bowhealthnetwork.com

  • Cervical Smear result Delays in results (National Issue)

    Laboratory turn-around times have been declining in London and across the country with many women not receiving their result letters within two weeks. To address this, several laboratories are now testing cervical samples using HPV primary screening. It is expected that all cervical samples will be tested using HPV primary screening by December 2019.

    The GP practices will not have the information either to help you with your results.

     

  • Intermittent slow internet connectivity and N3 line upgrade

    We experience drop in internet connection at the clinic from time to time. Many practices in the area are due to get an upgrade shortly. We shall keep patients updated when problems occur and we hope you will understand if econsult, EPS or online bookings are temporarily affected and our advised is to revert to telephone call to the practice or walking in and booking appointments in these circumstances.

     

  • Need a fit note, GP letter or test result?

     

  • Online services

    It is not necessary to always book a face to face appointment to see a GP.

    Use our e-consult blue banner to make contact with practice staff whether for admin purpose or to seek medical advise. Photographs of conditions can also be uploaded. The Gp will make a decision to call you with advise or ask reception to book an appointment for you or sign post to another service provider.

    Often patients are left frustrated that they have long waiting times on the telephone to book appointments. Did you know by downloading the Patient Access app you can book appointments, request for medications and view your medical records.

    WATCH THIS SPACE- online registration is soon coming!

  • How we use your medical records

    Important information for patients

    • This practice handles medical records in-line with laws on data protection and confidentiality.
    • We share medical records with those who are involved in providing you with care and treatment.
    • In some circumstances we will also share medical records for medical research, for example to find out more about why people get ill.
    • We share information when the law requires us to do so, for example, to prevent infectious diseases from spreading or to check the care being provided to you is safe.
    • You have the right to be given a copy of your medical record.
    • You have the right to object to your medical records being shared with those who provide you with care.
    • You have the right to object to your information being used for medical research and to plan health services.
    • You have the right to have any mistakes corrected and to complain to the Information Commissioner’s Office. You can click to read the practice privacy notice here or speak to a member of staff for more information about your rights.
  • HUBS

    Walk in centres no longer exist, however some practices around Tower Hamlets offer extended evening and weekend appointments. Our reception staff may offer you appointments for emergency or new symptoms at these HUB practices especially if we have no appointments to offer. Please consider taking them up.

    Hub practices are: Harley Grove Surgery (E3 2AT), Blithehale medical centre (E2 6JA), Strouds Place (E2 7QU), East One Health Centre (E1 2QA).

    Click here for more information

  • Mental health

    If you are feeling suicidal and having a mental health crisis call the Tower Hamlets crisis number 02077715807.

    If you would like to speak to a therapist please contact Tower Hamlets Talking Therapies 0208 475 8080 and self refer.

  • DRUGS and ALCOHOL self referral

    Based at Mile End Hospital they accept self referral telephone 02081215301.

    Click here for more information

  • Registering now!

    Our list is open for new patients. Contact our reception on 020 8980 1652 for details.