Patient Participation Directed Enhanced Service
Puddletown Surgery
Report Proforma
1.
Puddletown Surgery already has an active Patient Participation Group, which meets quarterly and plays an
important role in the design of services here. We introduced the PRG DES to the PPG committee in April
2011. Please see the attached minutes:
PPG Minutes 6th April
2011.doc
The DES was discussed in more detail at our June meeting.
PPG minutes 8th
June 2011.doc
We acknowledged that the PPG committee is too small, mostly elderly and British and hence not
representative of our practice population and so we agreed that a Patient Reference Group needed to be set
up that was separate from the PPG
We proposed that our Patient Reference Group be set up to reflect the age/sex register of our practice
population. Once this was complete, we then asked the doctors to identify patients who could be added to
ensure that we had included representative sample of men and women with disabilities and chronic conditions.
We further ensured that we have included patients from non-British backgrounds and Carers. We don’t
necessarily know our patients’ working status, so on this occasion this was not considered.
As the practice has few or no patients who are drug users, nursing or care home residents or university
students these groups were not considered. We have no patients with learning disabilities.
2.
Please give a description of the profile of the members of the PRG which should be representative of the
practice population.
The PRG membership has representation from the following groups:
DES
component
1
Establish a
PRG
comprising
only of
registered
patients and
use best
endeavours to
ensure PRG
is
representative
Payment
Year 1 – 22p
Year 2 – 0p







Patients who work
Patients who don’t work
Patients who are retired
Patients from Polish community
Carers
Patients with chronic disease
Patients with disability
It was not possible to get representation from the following groups:
 Drug users
 University students
3.
Please outline the steps taken to ensure that the PRG is representative of the practice registered patients.
The practice age/sex register was used as a basis for establishing the numbers of patients included in each
age range. We then added representatives of Carers, Patients from the Polish community, patients with a
chronic condition and patients with a disability. Having thus identified our PRG, we e-mailed to this group.
Please see that attached message.
DES
component
1
Establish a
PRG
comprising
only of
registered
patients and
use best
endeavours to
ensure PRG
is
representative
Payment
Year 1 – 22p
Year 2 – 0p
E-mail message to
Icontacts.rtf
4.
Where a category of patients is not represented, please outline the steps taken to attempt to engage with that
group(s).
Work is being undertaken with LINks/ voluntary organisations to engage with the vulnerable groups in the area
so that we have an improved PRG for next year.
We also noted that no questionnaire responses were received from those under 24, so we propose to consider
DES
Facebook, Twitter and other means to access the view of this section of our population.
component
1
Establish a
PRG
comprising
only of
registered
patients and
use best
endeavours to
ensure PRG
is
representative
Payment
Year 1 – 22p
Year 2 – 0p
5.
Please give details of the steps taken to determine and reach agreement on the issues which had priority and
were subsequently included in the local practice survey.
The PPG committee and staff were asked what they considered to be the priority areas we needed to address
in the practice. Please see the attached questionnaire (with the fully logged responses) and minutes of the
meetings where these were discussed.
Consultation
questionnaire.xls
PPG minutes 8th
June 2011.doc
DES
component
2
Agree with the
PRG which
issues are a
priority and
include these
in a local
practice
survey
Payment:
Year 1 – 22p
Year 2 – 11p
6.
Having agreed the priorities with the PRG, the questions were drawn up by a sub committee of 5 members of
the Patient Participation Group. These were then presented to the PPG committee and to the Full practice
staff team. Please see minutes attached.
PPG Minutes 14th
September 2011.doc
8-3rd August
2011.rtf
Once the survey was agreed (See attached) it was sent out to the PRG using the survey facility on our
IContacts software.
Puddletown Surgery
Patient Survey Autumn 2011.dot
7.
The practice recognised that it would be really useful, not only for this DES, but for other matters on which the
we might wish to harvest the opinions of a representative sample of patients, to have a group who could be
readily contacted by e-mail. As we have for a number of years, been collecting our patients’ e-mail contact
addresses, we had a goodly number of patients who could be contacted in this way. It was for these reasons
that we decided to send out the questionnaire by e-mail. Additionally the software we chose to use also
provided a useful report upon receipt of the completed questionnaires.
DES
component
3
Collate patient
views through
local practice
survey and
inform PRG of
the findings
Payment:
Year 1 – 22p
Year 2 – 22p
DES
component
3
Collate patient
views through
local practice
survey and
inform PRG of
the findings
Payment:
Year 1 – 22p
Year 2 – 22p
8.
The PPG Committee met to discuss the findings. The full practice team also met to discuss the findings.
Minutes of both these meetings were taken and the action plan developed.
DES
component
4
The minutes of the PPG meeting containing the action plan are here:
Provide PRG
with
opportunity to
comment and
discuss
findings of
local practice
survey
practice
survey. Reach
agreement
with PRG of
changes in
provision and
manner of
delivery of
services.
Where the
PRG does not
agree
significant
changes,
PPG Minutes 7th
December 2011.doc
agree these
with the PCT
Payment:
Year 1 – 22p
Year 2 – 33p
9.
Please see below details of the action plan:

Improve contact with patients under 25 years of age. Consider Facebook, Twitter and local sports and
youth groups. Also contact LINKs to see if they could help us to find other organisations locally where
young people can be consulted over health matters

Improve internal communication between GPs and Dispensers

Examine information provided by the practice to see if we can find out how where the information
provided by is not be as good as it could be and change it.

Adopt a dress code and ensure that any refreshments are enjoyed out of sight of the public

Consider installing an island unit in the dispensary so that dispensers don’t have their backs to the
patient serving hatch.
DES
component
5
Agree with the
PRG an
action plan
setting out the
priorities and
proposals
arising out of
the local
practice
survey. Seek
PRG
agreement to
implement
changes and
where
necessary
inform the
PCT.
Payment:
Year 1 – 22p
Year 2 – 33p
10. 200 Questionnaires were sent out and 63 were returned.
Here is the report compiled from the completed questionnaires.
11. Please give details of the actions which the practice intend to take as a consequence of discussions with the
PRG in respect of the results, findings and proposals arising out of the local practice survey.

Improve contact with patients under 25 years of age. Consider Facebook, Twitter and local sports and
youth groups. Also contact LINKs to see if they could help us to find other organisations locally where
young people can be consulted over health matters

Improve internal communication between GPs and Dispensers

Examine information provided by the practice to see if we can find out how where the information
provided by is not be as good as it could be and change it.

Adopt a dress code for frontline staff and ensure that any refreshments are enjoyed out of sight of the
public

Consider installing an island unit in the dispensary so that dispensers don’t have their backs to the
patient serving hatch.

Conduct a review of public transport to Puddletown from villages in our practice area and check the fit
DES
component
5
Agree with the
PRG an
action plan
setting out the
priorities and
proposals
arising out of
the local
practice
survey. Seek
PRG
agreement to
implement
changes and
where
necessary
inform the
PCT.
Payment:
Year 1 – 22p
Year 2 – 33p
with the timings of our surgery clinics.
12. Where any changes will have contractual implications have these been discussed with the PCT? If not please
describe your proposals for discussion.
None of these changes have contractual implications
13. Please detail the opening hours of the practice premises and how patients can access services throughout the
core hours.
The practice is open 8.30 – 6.30 Monday to Friday and 8.30 – 11.00 on Saturday. Patients can access GPs in
morning (open) and evening (appointment) clinics. The doctors are also available by telephone 8.30 – 9.00
and 3.30 – 4.00 daily. They also receive e-consultations sent in via our website.
Patients can access Nurses, Counsellors, Physiotherapist, Chiropodist, Health Visitors by appointment at
clinics during the core opening hours.
Patients wishing to receive a visit may telephone to request one.
The Practice has an on-line appointment system for those who wish to use it.
14. If the practice offers extended hours, please give the times at which individual healthcare professionals are
accessible to registered patients.
The doctors provide an open morning surgery (no appointment needed) every Saturday between 8.30 and
10.00am.
15. Publicise the Local Patient Participation Report on the practice website
The Patient Survey is (has been since December 2011) on our website at www.puddletownsurgery.co.uk.
DES
component
6
Publicise the
Local Patient
Participation
Report on the
practice
website and
update the
report on
subsequent
achievement
Payment:
Year 1 – 0p
Year 2 – 11p