CASKGATE STREET SURGERY PATIENT PARTICIPATION REPORT MARCH 2013 The patient reference group (PRG) of Caskgate street surgery consists of 339 registered patients, this is slight increase from last year of 18 patients. The PRG has been formed as a virtual group, the group does not hold meetings but communication is carried out electronically and in paper format. The members are recruited by advertising the group on the website, in the newsletter, posters in the waiting areas and by the reception team handing out recruiting forms to patients as they attend for appointments. All new patients are also informed of the group’s existence via information sent to them after registration. The key objective of forming a PRG is to seek the views of the patients through a survey. Following last year’s survey the action points were to increase uptake of younger male patients and to consider sending out the survey by post. The practice had agreed to investigate buying out of the 0844 telephone contract but found this not to be a financially viable option. Thirdly the request to develop an in-house minor surgery service and pharmacy were not possible in our current premises. We have spent many months attempting to secure new premises but to date nothing has been possible in part due to the recent restricting of the NHS and lack of NHS funding. In an attempt to recruit more young patients an invitation to join the group was sent by post to a random sample of 10% of the younger (16- 25 age group) male population, 41 Patients, and only received 1 reply to date. The table below details PRG members (339) age groups 80 70 60 50 40 30 20 10 0 PRG Age 0-16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 PRG comprises 119 males (35%) and 220 (65%) females and has 338 White British and 1 Black Caribbean patients in the group, in comparison the practice currently has 4912 males (49%) and 5059 (51%) females. 9138 (92%) of the patients have given their ethnicity as White and the remaining 833 (8%) do not have their ethnicity recorded on their computer record. The PRG would appear to be representative of practice population. The practice emailed the registered PRG on 23rd October 2012 asking what the group would like to see included in the survey, the same question was put in paper format and given to patients attending for an appointment. The practice received 5 responses, these included: How quickly can a patient see their GP? Lack of routine appointments Opening hours The telephone system The survey was carried out using these suggestions. The survey was emailed to the PRG on 4th February 2013, paper copies distributed via reception and a number mailed to a random selection of patients. A reminder was also emailed out to the PRG on 11 th March and more paper copies distributed. There were 117 completed surveys returned, the responders represented 65% female, 33% male and 2% not indicated and these patients fell into the age groups as detailed below Age group Under 16 17-24 25-34 (%) 0 5 10 35-44 45-54 55-64 65-74 75-84 No response 9 18 26 20 7 5 The survey asked: The average wait for a routine appointment, with the following results: Waiting time Less than 1 week 1-2 weeks 2-3 weeks 3-4 weeks 4-5 weeks Number of responses 11 30 16 7 1 Satisfaction with current opening hours, with the following results: Very satisfied 34% Satisfied Not satisfied No response 56% 8% 2% Satisfaction with the telephone system and ease of getting through to the surgery, with the following results: Very satisfied 32% Satisfied Not satisfied No response 49% 16% 3% Are you aware you can cancel appointments on line, with the following results: Aware and have used 4% Aware but haven’t used 28% Not aware but will use in future 52% Not aware and wouldn’t use 15% Are you aware you can order medication on line, with the following results: Aware and have used Aware but haven’t used Not aware but will use in future Not aware and wouldn’t use 41% 24% 18% 14% Would you recommend the practice to family and friends, with the following results: Extremely likely likely Neither likely or unlikely unlikely Extremely unlikely 37% 30% 19% 6% 5% The practice also asked for comments on the use/value of the Nurse Practitioner clinics and received 58 comments, including: Excellent, very good, adequate, satisfied, not ideal and never used. The practice also asked for any other comments, 46 were received. Generally these comments reflected total satisfaction; Very good practice with very good doctors Brilliant services The best in town A few comments addressed specific areas, such as: The wait for routine appointments too long Reception area not private enough high cost of dialling 0844 from mobiles The survey results were emailed out to the PRG members and made available in paper format asking for feedback and suggestions of areas for improvement. Unfortunately the practice didn’t receive any suggestions within the one week allocated. The practice discussed the survey results at a meeting and it was decided to address the wait patients are experiencing for routine appointments with the GP of their choice. Once this had been decided and emailed to the PRG and 5 responses were received agreeing with this suggestion and welcoming the idea. The practice will be looking to increase routine appointment availability in an effort to reduce the waiting times. We have agreed to provide extra routine appointments within each morning surgery in an effort to improve capacity. With reference to the comments about the reception area lacking privacy this is something which we have already been looking into over the past few months. Unfortunately the current building limits us somewhat and especially with its listed status. However we have introduced paper slips and pens at the reception desk so that patients with sensitive issues can communicate in writing with the receptionist. We have also put up signs to indicate that patients wishing to discuss issues in confidence can request a private room with a receptionist. We have looked again into the 0844 telephone number and currently investigating a change of supplier to use a local number. It is hoped that this change can be made in the near future. The surgery is open between 8:00am and 6:00pm Monday to Friday; the surgery does not close for lunch. The surgery can be contacted by telephone (08445 769377) between 8:00am and 6:30pm Monday to Friday. All patients are seen by appointment and emergencies are seen the same day. The practice is closed on Saturday, Sunday and bank holiday. When the practice is closed patients who require urgent care can telephone the Lincolnshire out Of Hours service by dialling 111. This information is available on the practice website and in the leaflet. All of our doctors hold routine surgery thorough out the week offering standard 10 minute appointments. We aim to provide continuity of care by strongly encouraging our patients to book with their own GP. We do not currently hold back appointments on embargo, so there are always appointments available with one’s own doctor. If patients have a problem which they feel cannot wait to be seen by their own GP, then they can see an advanced nurse practitioner on the day of calling on a first come first served basis. There is no restriction of the number of nurse practitioner appointments on a given day. Many thanks to those patients who have provided the practice with survey responses, many encouraging and positive comments,