PATIENT PARTICIPATION GROUP (PPG) PATIENT SURVEY REPORT – 2013/14 1 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Contents Page Introduction 3 Background 3 Survey Results 4 Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Are you Ethnicity How old are you Patients Comments 11 Suggestions Included 11 Annex 1 12 Conclusion 13 Appendix 1 14 Opening Hours 15 How to Book Appointments 16 Appointments Times 17 Nurses and HCA’s Surgery Times 18 Appendix 2 19 2 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Introduction In 2011 at the Humber Road and Sunrise Avenue Surgeries a Patient Participation Group (PPG) was formed to encourage and give you a voice in how things are run at the practice. In order to attract volunteers we put details on our website, posters and leaflets in our Waiting Room. The purpose of this is to provide patients of Humber Road and Sunrise Avenue Surgeries with an insight into the activities that the Practice and PPG have taken during the year 2012/13 through regular meetings and patient’s surveys. Conducted to aid the understanding of Practice performance and perception, identifying and highlighting areas for discussion of which they felt required service improvements, and share views and opinions. The group currently meets regularly and discusses subjects reflecting their views of the surgery services. We are currently still taking on new members and continue to promote the Patients Participation Group form both surgeries. Information available from our practice brochure, posters and leaflets available on waiting room, newsletters and practice website where we also email and post the meetings minutes. We welcome your opinions involvement in decisions about the range and quality of services provided and commissioned by their Practice. Background In 2011/12 the first patient survey took place which resulted in numerous services improvements across the surgeries. Following on from that survey we wanted to see if the same outstanding levels reported in 2012/13 have continued, and also to gain further ideas and recommendations for future improvements. The results and recommendations from 2012/13 allowed us to work on service improvements throughout the year. Seven significant changes were implemented including the introduction of Blood Test clinics, modernisation of Sunrise Avenue surgery, purchase and fitting of electric door to improve access and bike rack installation. Humber Road and Sunrise Avenue Surgeries Patients Participation Group Action Plan for 2012/13 enclosed. Please see Appendix 2 The 2013/14 survey followed in a similar format amended with additional columns for free texting, also added in the questions relating to age, gender and ethnicity. This allows us to gain results in this section for the surgery location and response detail. Having received a poor response last year regarding the awareness of our group’s newsletter we decided to ask the same question again asking if patients were aware of the newsletter and also what subjects they would like to be discussed. 3 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 In order to gain a good response from patients, past evidence indicates that no more than fifteen questions should be asked, and these should predominantly be asked in short simple sentences. We also gave patients the opportunity to view their opinions by expanding upon any of the answers and by asking the question of: ‘What single thing would you like to see changed to improve the surgery?’ By opening up the question this would help us to gain patients individual views further rather than by highlighting other areas that require service improvement. The survey was available from December 2013 – March 2014, over 3 months in total. We anticipated a response rate of around 200 patients and had in fact received a response rate of 421 which was highly satisfactory. The survey was available from the surgery reception areas and online. Survey Results 421 responses were received combined both in paper and online –This is a significant increase in last year’s response rate and the Patients Participation Group and staff from the Humber Road and Sunrise Avenue Surgeries have increased this awareness. This year we noticed that we had received a much larger response within free text from patients and many had taken this opportunity to voice new ideas. From a Patient Participation Group perspective this is a fantastic response and opportunity for improvements and new ideas forums. The Humber Road and Sunrise Avenue Surgeries received very little criticism this year. Year after year we see the satisfaction percentages increase from patients. I will report upon each question asked individually. Q1 – How satisfied are you with the present booking system? 79% of patients are ‘ Fairly Satisfied’ or ‘Very Satisfied’ - This is a very high figure of satisfaction even though this was the largest subject commented on for improvements within the additional comments section. From the 3% that were ‘Very Dissatisfied’ - this equates to approximately 13 patients. We received 23 comments from patients venting their dissatisfaction with the booking system and the majority related to the length of time spent waiting on the phone lines. 4 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Very satisfied 40% Fairly satisfied 39% Neither satisfied or dissatisfied 8% Fairly dissatisfied 7% Very dissatisfied 3% No response 3% The sub question to Q1 asked if patients were aware that pre-bookable appointments were available on-line. Doctors and staff from the surgery have confirmed that these pre-bookable appointments are often available and are sometimes not filled until the early morning. Therefore if the awareness of these online appointments is increased, this could reduce the call flow at peak times. Are you aware that pre-bookable appointments are available on-line? This received a very positive 80% feedback with no dissatisfaction raised on this subject. Yes 33% No 62% No response 5% 5 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Q2 – How Satisfied are you with the reception area at the Surgery? Very easy 65% Fairly easy 25% Neither satisfied or dissatisfied 5% Fairly difficult 1% Very difficult 0% No response 4% Q3 – Are you normally able to see your preferred Doctor? Again a very positive 96% satisfaction received with answers to this subject. Always 18% Mostly 58% Sometimes 20% Not often 2% Never 0% No response 2% 6 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Q4 – Are you aware of the all the times the surgery is open? 88% of patients surveyed are aware or fairly aware of the times the surgery is open. Very aware 34% Fairly aware 54% Neither satisfied or dissatisfied 3% Not really 5% Not at all 0% No response 4% Q5 – Related back to the appointments subject and asked: ‘How satisfied are you with the present booking system for appointments at the clinic’ This received a 71% positive satisfaction response, with the remainder of patients either being non responsive, or ‘neither satisfied nor dissatisfied’ indicating that they may not even attend any clinics at the surgeries and thus unable to comment. Very satisfied 34% Fairly satisfied 37% Neither satisfied or dissatisfied 21% Fairly dissatisfied 4% Very dissatisfied 0% No response 4% 7 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Q6 – How useful and informative do you find the noticeboards and displayed pamphlets in the surgery? Again, a high level of satisfaction at 73% indicating that the current format is excellent and requires no further action. This is a credible increase from last year and due to staff and patient involvement in improving the noticeboards from recommendations made from the PPG results report. Very useful 33% Fairly useful 40% Neither satisfied or dissatisfied 23% Not very useful 1% Not at all useful 0% No response 3% Q7 – when you arrive for your appointment, how satisfied are you with the time you have to wait? 89% of patients are fairly satisfied or very satisfied with this subject matter. Again. Some excellent positive feedback to the Doctors and staff at the surgeries Very satisfied 47% Fairly satisfied 42% Neither satisfied or dissatisfied 7% Fairly dissatisfied 0% Very dissatisfied 0% No response 4% 8 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Q8 – Do you find the surgery newsletter helpful? This question once again is the subject matter that gives us cause for concern, The Patients Participation Group members spend a significant amount of time and effort producing the newsletter and 63% of patients are not aware of its production. On a positive note however, we did receive significant comments regarding ideas and recommendations for inclusions for future newsletters. The Patients Participation Group will discuss details for raising awareness and circulation for this newsletter. Very helpful 11% Fairly helpful 11% Neither helpful or unhelpful 6% Unhelpful 0% Wasn’t aware of the newsletter 63% No response 9% Q9 – What other topics would you like the newsletter to cover? Please see Annex 1 Q10 – What one thing would you like to see changed to improve services at the Surgery? (If you need to expand on any of your answers above, please add your comments here.) Please see Annex 1 9 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Are you? Male 27% Female 59% No response 14% Ethnicity – 62% white British 1% Asian 3% other 34% no response How old are you? Under 16 0% 16 – 44 24% 45 – 64 26% 65 – 74 20% 75 or over 11% No response 19% 10 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 (Please only use this form for comments about the practice and suggestions as to how we can improve our service to you. Medical matters and official complaints cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.) Patients Comments This area of the survey is always full of recommendations and can be very proactive and beneficial for the Patients Participation Group. We asked patients in this section what they would like to see in future newsletters and there was a significant response. This indicates that’s patients do want to read a newsletter and hopefully these ideas will allow the Patients Participation Group to review the current format also to make it more attractive to patients. Suggestions included: Information on any changes at the surgery. Information about a different Doctor Each production and any specialisations Community help, welfare, care and financial implications Mental illness, self-checks & awareness Sports injuries, current topical stories, epidemics etc. And any changes made to clinics. These suggestions and the Patients Survey Results were discussed at the recent Patients Participation Group Meeting and a separate core team are working on these subjects. 11 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Annex1 Patients provided some very useful and proactive comments for further discussion. These have been sectioned into subjects. In addition to the comments below there were over 60 comments thanking and congratulating the staff at the surgeries for the excellent care provided. Physical requirements / Purchases Makeover / Paint / Pictures to make surgery ‘Brighter’ New magazines / reading material Play Area For Children TV Screen in waiting area Appointments Urgent slots for Saturday Morning Surgery More Pre-bookable appointments Walk in appointments explained Extended Hours - More awareness of the later appointments each week All receptionists/admin staff on phones at busy time Other Ability to use both surgeries Regular health checks for the elderly ‘Ask the Dr’ evening talks Book via text Coffee Machine Review the booking system Better Comms system Use of garden area Something for children 12 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Conclusion Throughout the report I have tried to identify ways in which the results can be presented to gain optimal benefit for the on-going improvement of services at these surgeries. As previously identified the survey results were very hard to analyse as the surgeries provide such a high standard of care. Within the NHS there are often reasons for a positive response within surveys. A small percentage of patients feel that they are being treated and cared for by the NHS and therefore receiving a service to improve their standard of health and thus grateful for the time professionals are providing. However, it is evident from the responses and comments within the survey that patients are receiving a very high standard of care from Humber Road and Sunrise Avenue Surgeries. The recommendations outlined above identify some areas that can be discussed within the Patient Participation Group and where possible implemented to improve services further. These issues will be prioritised, discussed and owned by individuals to achieve where possible an outcome. Further newsletters and surveys will be produced to identify and communicate the improvements made. The recommendations log can be reviewed below. This will be updated at every PPG meeting. In conclusion, the staff at Humber Road and Sunrise Avenue surgeries should be congratulated for the level of service provided and satisfaction of their patients. 13 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Appendix 1 Action Plan for 2014/15 Recommendation & Actions Table Action No. Action Owner Recommendation Status Review Date Current Position 1 Current wait time on phonelines between 8.15 & 9.15 is too long. Additional staffing required Practice Manager Red - Immediate AB currently working on for peak times and all 3 PC Next PPG - 10/4/14 AB & PPG Chair - AD Action additional staffing being trialed. stations manned 2 Newsletter recommendations to be reviewed Clive B Sub group to be formed & areas recommended discussed with outcome Could a wall activity unit for Green - No children be implemented ? immediate No additional cleaning Action - Review would be required? 3 Childrens area - Wall mount TBA 4 Humber Road to be painted / modernised AD 5 Coffee / Water Machine TBA 6 Awareness of Online booking AB &PPG Member 7 Saturday Am surgeries to have emergency slots ALL PPG to discuss what funded is required and if action is a priority This requirement has been commented on in all 3 surveys. Do other surgeries have them? PC Station to be present in waiting room to demonstrate online booking. Newsletter to detail procedure & posters in waiting room Discussion on possibility 14 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Amber Recommended Sub group formed & members Next PPG - 10/4/14 volunteered detailed and CB to arrange meeting for sub group. Green - No immediate Next PPG - 10/4/14 Discuss at next PPG Action - Review Green - No immediate Next PPG - 10/4/14 Discuss at next PPG Action - Review Amber Recommended Next PPG - 10/4/14 Discuss at next PPG Green - No immediate Next PPG - 10/4/15 Discuss at next PPG Action - Review Humber Road and Sunrise Avenue Surgery - Opening Hours Opening Hours @ Humber Road Surgery Monday Tuesday Wednesday Thursday Friday Saturday Sunday 08:15 – 12.15 08:15 – 12.15 08:15 – 12.15 08:15 – 12.15 08:15 – 12.15 CLOSED CLOSED Opening Hours @ Sunrise Avenue Surgery & & & & & 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 08:15 – 13.00 08:15 – 13.00 08:15 – 13.00 08:15 – 13.00 08:15 – 13.00 CLOSED CLOSED & 16.00 – 6.30 ----------& 16.00 – 6.30 & 16.00 – 6.30 & 16.00 – 6.30 Emergencies Out Of Surgeries Hours Our Out Of Hours (OHH) provider is Prime Care in case of emergency or need medical advice please ring NHS 111 free of charge form you land line or mobile. They are taking calls Monday – Friday from 6.30pm – 8am, all day Weekends and Bank Holidays. Prime Care direct line 08456413227 In case of emergency please call 999 such as: Chest pains and / or shortness of breath constitute an emergency. 15 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Humber Road and Sunrise Avenue Surgery is CLOSED Weekends and Bank Holidays. How to book appointments You can contact reception after 8.15am to make an appointment. You will be offered an appointment within 2 working days. If appropriate, you may be offered a pre-booked telephone consultation with your usual doctor. If you have an urgent problem you will be seen on the day, but please ring for an appointment time. You will still be able to pre-book an appointment up to one month in advance with your usual GP. The Practice Nurses provide a wide range of services; reception staff will advise you whether your appointment should be with the Doctor or a Nurse. Please book one appointment for each person that needs to be seen and one appointment per problem, if you have more than one problems please ask reception to book a double appointment Please cancel your appointment if it is no longer needed. All doctor appointments are for 10 minutes, unless a double appointment is booked. 16 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Appointment Times for Patients Surgery Times @ Humber Road Surgery Monday Tuesday Wednesday Thursday Friday Saturday Sunday 08:15 – 11.25 08:15 – 11.25 08:15 – 11.25 08:15 – 11.25 08:15 – 11.25 CLOSED CLOSED Surgery Times @ Sunrise Avenue Surgery & & & & & 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 13.00 – 6.30 or or or or or 15.00 – 18.20 15.00 – 18.20 15.00 – 18.20 15.00 – 18.20 15.00 – 18.20 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 08:15 – 11.25 08:15 – 111.25 08:15 – 11.25 08:15 – 11.25 08:15 – 11.25 CLOSED CLOSED & 15.30 – 18.20 ----------& 15.30 – 18.20 & 15.30 – 18.20 & 15.30 – 18.20 Extended hours Under the extended hours scheme we provide late evenings and Saturday morning appointments @ Humber Road Surgery for prebooked by appointments only. This service is routinely provided by two Partners, every other Tuesday or Wednesday or Thursday from: 18.30pm – 20.00pm. & Saturday morning from 8.00am – 10.30am (15min appointment) 17 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Nurses and Healthcare Assistants - Surgery Times @ Humber Road and Sunrise Avenue Surgery Surgery Times @ Humber Road Surgery Monday Tuesday Wednesday Thursday Friday Saturday Sunday 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 CLOSED CLOSED Surgery Times @ Sunrise Avenue Surgery & & & & & 14.30 – 18.20 14.30 – 18.20 14.30 – 18.20 14.30 – 18.20 14.30 – 18.20 Monday Tuesday Wednesday Thursday Friday Saturday Sunday The Practice also offers Phlebotomy Clinics Monday, Wednesday and Thursday mornings - times as follow: Monday 9.00am – 11.15am - @ Sunrise Avenue Surgery Wednesday 9.00am – 11.15am - @ Humber Road Surgery Thursday 9.00am – 11.15am - @ Humber Road Surgery 18 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 08:30 – 11.50 CLOSED CLOSED & 16.00 – 18.00 --------------------& 16.00 – 18.00 ----------- Appendix 2 2012-13 Action Plan SUMMARY & RECOMMENDATIONS Issue Raised Funding Required Length of time waiting on the phone to book an appointment at 8.15am is too long Availability to use either Surgery Saturday Morning Surgery Recommendations Could further receptionists be made available between 8.15am & 9.30am purely to take calls? For discussion at PPG Discussions to be made with PPG to determine policies and procedures. Could the Saturday Morning openings be split between HR & SA. Affected Would further PC’s / Phone lines Both be required? For discussion at PPG Unsure Both Unsure HR Water Machine Could a water machine be installed? Funding required – Are there on-going maintenance costs for the water machine? HR Disappointment with number of different nurses/ midwifes seen. There is often the requirement to see a particular nurse but patients often see different nurses for the same requirement and this means that the patient has to discuss the same details again. Have a patient information request box. Patients write down what information they would like and this information can be requested and mailed to them. None . HR Children’s area There were 10 comments regarding the removal of the children’s' play area. If there is a reason for the removal - can alternatives be met? I.e. posters in the room? A computer? Minimal HR Booking of appointments online is not readily known to patients Further communication and promotion of online bookings and website to be made None 19 Patient Survey Report – Nathalie Wright & Annie Bailey V1.0 – 19.03.2014 Both