Adapting 20 Keys to General Practice or PPORGP (Practical Program of Revolutions in General Practice)
Please use the menu to navigate to each key. Keys will be added as they are adapted.
Other actions identified for implementation of the process or improvements already identified.
- Simplify protocols, distil them till they are set in stages, have separate document to state why they are important but no more than that
- Process mapping.
- Grouping work to maximise contact with services
- Recreate the 20 key relations diagram
- Ask all employees to score each key 1 to 20
- Input these into the radar diagram to identify improvement areas.
- Recreate 5S audit sheet
Below is the 20 Keys Diagram for PPORPP

The 20 Keys for General Practice are
Key 1 – Cleaning and Organising
Key 2 –Rationalising the system/ Management of Objectives (For managers)
Key 3 – Small Group Activities
Key 5 – Quick Changeover Systems
Key 6 – Value Analysis of Practice Operations
Key 9 – Maintaining Machines and Equipment
Key 10 – Work Floor Time Policies
Key 11 – Quality Assurance System
Key 12 – Developing External Services
Key 13 – Eliminating waste with a Treasure Mountain Map
Key 14 – Empowering Employees to make improvements
Key 15 – Skills Versatility and Cross Training
Key 16
Key 17
Key 18
Key 19
Key 20