MINUTES OF MEETING OF RUSHEY MEAD PATIENT REFERENCE GROUP Held on 14 OCTOBER 2015 Present: Kash Bhayani (Chair) Robert Bent-Fossey Kumud Sankada (minutes) Ali Master Gwen May Chris Pearson, Business Manager, The Practice Group Geraldine Ryan – Acting Practice Manager Beena Mistry – Deputy Acting Practice Manager Ramesh Kanani – Guest speaker 1. Welcome and Apologies for absence Action Introductions took place for the guest speaker Ramesh. Ramesh thanked the group for inviting him. Ramesh represented LSIP (Local Survivors in Partnership) as a volunteer. He is also a carer of two family members. Apologies were received Cheryl. 2. Minutes of the previous meeting held on 9 September 2015 The minutes were approved as a true record. 3. Matters arising from the previous meeting of 9 September 2015 a. Electronic prescription service – There was nothing to report on online services. b. Telephone Triage – Efforts with Triage have been ongoing. Geraldine will contact IT consultants so that it can be available online. c. Computer training at Rushey Mead Library- NHS England will take this further with the library. d. Online appointments– Doctors’ names are not stated and it is difficult to know who the appointment is with. Locum 1, Locum 2 labels will be put right for online appointments once it is known which doctor will work on which day and a doctors’ rota has been compiled. e. “Hello, my name is....” Campaign – Except for Geraldine, this is not being practised by other receptionists. It was recognised that this would be a good practice to adopt and there will be some ownership on part of the receptionist answering the call. f. Telephone answering time – Responses are taking much longer. Geraldine stated that this depends on what time of the day the calls come through. However a new practice, in this regard, will be trialled. The surgery will be fully staffed the following week which will also make a difference. Feedback on telephone response time will be provided at the next PRG meeting. g. Dr Tank – Works Thursdays, Fridays and Saturdays on a regular basis. h. The surgery procurement process – Kash stated that Chairs of PPGs were invited to a meeting with NHS England to look at the actual procurement process itself, at this stage, the process rather than appointment of companies that would run the surgeries. Some questions arose from the meeting. Rushey Mead Patient Reference Group/14 October 2015/K. S. GR GR GR GR 1 4. PRG Update 4.1 Development Kash informed of a forum Leicester City PPG Forum, mostly attended by chairs of PPGs, however, PPG members can attend and he asked members if they would like to get involved. 4.2 Guest Speaker from LSIP (Local Survivors in Partnership) Ramesh Kanani from LSIP stated that he represented carers in Leicester and Leicestershire under the mental health group – LSIP. He outlined LSIP’s mission statement; highlighting raising awareness of mental health problems and eradicating stigma and discrimination surrounding mental health problems as the main issues. Ramesh stated that the whole objective of the group was to improve the quality of life for patients suffering from mental health problems and providing support to carers. The group would give proper directions to individuals concerned by working with different agencies. Therefore there is support for carrying out preventative work not only for the patients but also for their family and carers. The group would like to do more work with communities such as temples etc and raise awareness. They are financially supported by Clinical Commissioning Group. There is no cost to the participating surgeries. Surgeries’ support is needed in contacting patients with mental health problems to come forward for support provided by LSIP. Some surgeries have adopted this support mechanism for their patients. A pilot was started at The Highfields Medical Centre in the city whereby an event was organised which focused on stigma and front-line staff. He stated that the front-line staff play a key role in communicating with patients, suffering from mental health issues. They would advise of the patients/carers of the awareness event and ensure that the patients participate in the event. It is important that front-line staff deal with issues with confidence and discretion. This is a patient-led service. LSIP do not have access to patient information and would need support from surgeries to provide data so that support can be provided to patients before, during and after to each service user. The first step is to organise an event. Ramesh would like to link the Rushey Mead surgery with another surgery to make the project more viable, with GPs from both surgeries present. CP/GR The Practice Rushey Mead expressed interest and will speak to Ramesh to take this forward. The next event, in participation with the surgery, may take place sometime in February. Bob suggested that the event may or may not take place due to the future of the surgery not being known. However the surgery will commit to proceed. 5. Practice Update 5.1 Staffing update - Dr Betts is not now joining the surgery. - Names of doctors are now displayed on the surgery board and the online service once this has been put right. - Nursing: Janet has now left the surgery. Rushey Mead Patient Reference Group/14 October 2015/K. S. 2 - District nurse, Dawn, is settling in well. - Helen Ryan, who worked for Dr Fry, is now doing some work for the surgery. - Hinna Shah undertakes responsibility for vaccines, immunisation and disease management - Kirsty, HCA, currently works for 2 days but will extend services to 3 days - There is a new Receptionist, Deepak It was noted that - Late night appointments can be arranged with some surgeries in Belgrave area which patients from this surgery can make an appointment and attend. Regular sessions are provided to care homes. Long term locums who work at the surgery are all self-employed. Geraldine is still under the current placement arrangements. 5.2 Compliments and complaints Geraldine and Beena reported on the Friends and Family survey results. There were more ‘likely’ or ‘extremely likely’ outcomes whereby patients would recommend the surgery to friends and family. However there were a couple of ‘Unlikely’ test results. Apparently patients are expected to help themselves to surveys placed on the reception counter. Bob had a complaint from a patient regarding not enough patients had been GR picked for flu jab which meant the nurse could not come out to vaccinate too few patients. Geraldine advised that the surgery is trying to compile a list of such patients. 5.3 Procurement process The process is underway with timescale and engagement letter in place. The Practice Rushey Mead contract ends in September 2016. Patients have been contacted and notified of 3 meetings arranged by the Clinical Commissioning Group which they can attend as well as the facility to complete a survey online. Kash updated the group on the main points coming through these meetings namely encouraging patients to complete the questionnaire and whether they are happy with the two surgeries merging. Some debate took place on the benefits of the surgeries merging and the members appeared to be in favour of the merger. Geraldine will send a text to patients reminding of the third meeting, headed by the CCG, taking place on the morning of 19 October 2015. The questionnaires are available from reception to complete. Kash also reported that the NHS England would like to attend any key clinics arranged by the surgery. More than 120 patients have been booked for flu jabs on following Saturday morning and Kash will inform NHS England of this. KB 6. Any other business 6.1 The Practice and patients group working together was an issue. Kash extended invitation to the surgery staff to attend PRG meetings, by getting Rushey Mead Patient Reference Group/14 October 2015/K. S. 3 involved, and establish better communication and iron out any issues. Ramesh suggested allowing a small slot for doctors to attend these meetings, if they cannot attend a full meeting 6.2 DNA (Did not Attend) figures - There is a poster on display in the surgery on wasted appointments. Ali suggested keeping a trend of DNA to get a better idea. Kash asked the practice to seek help from PRG with this if needed. 7. Date of Next Meeting 16 December 2015 at 5.30 pm at the surgery. Rushey Mead Patient Reference Group/14 October 2015/K. S. 4