Guildowns Group Practice Standard Reporting Template – Patient Participation DES14/15 Surrey & Sussex Area Team Practice Name Guildowns Group Practice Practice Code H81010 Signed on behalf of practice Signed on behalf of PPG Date 30th March 2015 Fiona Morris Ginny Willis Date 4th March 2015 Zina Tooes 1. Prerequisite of Enhanced Service – Develop/Maintain a Patient Participation Group (PPG) Does the Practice have a PPG? YES / NO Method of engagement with PPG: Face to face, Email, Other (please specify) Number of members of PPG: YES Face to face Email Website Social media Friends and Family Test Practice Survey Practice Comments and Suggestions drop boxes 72 members 433 subscribers to the newsletter Detail the gender mix of practice, population and PPG: % Male Female Practice 49.5 50.5 PPG 45 55 Detail of age mix of practice population and PPG: % Practic e <16 17-24 25-34 35-44 45-54 55-64 6574 13.41 32.43 17.43 11.02 8.94 7.07 4.69 1.74 PPG 2.78 15.28 18.06 12.5 16.6 6.94 12.5 1.39 >75 Detail the ethnic background of your practice population and PPG: White % British Irish Practice PPG 9579 51 159 1 Mixed/ multiple ethnic groups Gypsy or Irish Traveller Other white White Black & Caribbean 3597 White & black African 371 1 White & Asian 240 2 Other mixed 209 Black / African / Caribbean / Black British Asian/ Asian British % Indian Pakistani Bangladeshi Chinese Practice PPG 575 2 227 80 1 1399 5 Other Asian African Caribbean 1032 565 48 2 Other Other Black Arab 43 12 Any Other 602 7 Describe steps taken to ensure that the PPG is representative of the practice population in terms of gender, age and ethnic background and other members of the practice population: We actively recruit across our demographic. The group is broadly representative of our patients; see above. We involve our staff in promoting the group face to face as well as via our website, social media, locality forums, local stakeholder meetings, community groups and carers This year we had a huge uptake in feedback and services via the website; No. unique of website hits 16000 14000 12000 10000 8000 6000 No. of website hits 4000 2000 Mar-15 Feb-15 Jan-15 Dec-14 Nov-14 Oct-14 Sep-14 Aug-14 Jul-14 Jun-14 May-14 Apr-14 0 Are there any specific characteristics of your practice population which means that other groups should be included in the PPG? e.g. large student population, significant number of jobseekers, large numbers of nursing homes or a LGBT community? YES Yes we have a large student population and we have a Health Centre on campus at the University of Surrey. If you have answered yes, please outline measures taken to include those specific groups and whether those measures were successful: By mutual agreement with the University and the Student Union we have the Student Union VP Welfare role as our representative and have done for the last 10 years. This year the incumbent is Munya Mudarikiri We involve ourselves in Student focus groups jointly with the University of Surrey and the VP welfare attends our patient group meetings and the wider CCG forums 2. Review of patient feedback Outline the sources of feedback that were reviewed during the year: We implemented the Friends and Family test in November 2014 We introduced new Patient comments and suggestion boxes in September 2014 We received feedback via social media and our website on a daily basis We conducted a formal Patient survey via the website in January 2015 We resurrected our face to face group in February 2015 We maintained our lead from each Surgery who attended CCG Forum meetings on or behalf How frequently were these reviewed with the PRG? Regularly via email with virtual group and quarterly going forwards with the Face to face group* *the face to face group felt bi-monthly to begin with for 2015 as lots to address including recruitment of new members and quarterly meetings thereafter 3. Action plan priority areas and implementation Priority area 1 Description of priority area: Continuity of Care; in particular part time GPs and Practice Nurses. Despite previous campaigns to address awareness of GPs individual work rotas and availability we are still receiving lots of feedback on the difficulty of regular appointment booking with part time staff. This is sometimes made worse by our set up on four sites where team members work across multi sites. What actions were taken to address the priority: After review with the team and patient group; we agreed to move staff across sites only where absolutely necessary (unless covering sickness or absence) try to have a 2 site maximum for each staff member (unless specialist clinics) undertake further publicity via our staff (including the clinical team), website, practice booklet and to introduce a quarterly patient newsletter written by the PPG* *see also priority area 3 below) Result of actions and impact on patients and carers (including how publicised): We have just begun to implement and although we have received very positive initial comments it is still too early to judge and we will need to keep reporting back. It was publicised via the website, email and social media and will be going into newsletter as above Priority area 2 Description of priority area: Ease of telephone access during peak hours This remains a problem despite regular ‘real time’ communication via the staff and social media/website. The demand for appointments has risen dramatically over the last few months, we are currently conducting an audit of the same and will be reporting back in due course. We also experienced significant problems with our telecoms supplier. What actions were taken to address the priority: We continued to actively promote online bookings and query submission via the website and email We increased web admin staffing hours to ensure all queries answered ASAP We update the website and social media immediately if we are experiencing high call volume We are in the process of auditing both our Triage system and call volumes We wrote to all our patients (see below) explaining our Triage system We have issued bypass numbers to all our community stakeholders thereby freeing up all switchboard lines for patients Our secretarial team now leave extension based messages; again to free up incoming switchboard lines We amended our auto message to encourage people to call back when appropriate-e.g.results are now given out between 2 and 4pm We have formally complained to our supplier and had complaints with lines rectified. We will continue to monitor this very closely. We have a tracking tool that all staff use to record any problem. Triage letter-FM version.doc Result of actions and impact on patients and carers (including how publicised): All publicised by letter, email, website, social media and staff Feedback will also be included in the new patient newsletter Online queries and appointments are increasing month on month There is less call back in general Non urgent queries and results are naturally starting to filter towards quieter times of the day Priority area 3 Description of priority area: Communication of new services, initiatives, changes to existing ones etc. e.g. we have recently set up an outreach Citizens Advice Bureau and Age UK counsellor to our Oaks and Stoughton Surgerys What actions were taken to address the priority: Wherever possible we make use of front line staff (including clinical) our website, email, and social media After discussion with our face to face group it was decided that the group itself should produce a quarterly newsletter which would update patients on new developments and could give hints and tips on how best to make use of local services. The first meeting to discuss this new project is set for May 2015 with an aim of the first edition being produced in June Result of actions and impact on patients and carers (including how publicised): We have had fantastic feedback from our patient group through the usual channels and the new FFT (friends and family test) for our new and amended services We will poll users after our first edition of the new Guildowns newsletter Progress on previous years If you have participated in this scheme for more than one year, outline progress made on issues raised in the previous year(s) Free text –from 2104 Outcome Action FURTHER UPDATES Increase online appointment bookings and online services in general. Especially as our website traffic has increased dramatically (see table above) Alternating extended hours clinics; Further patient awareness of our Triage system-(supporting outcomes from our last 2 patient reports) Significant increase on online registration during 2014. Receptionists continue to actively prompt patients to register for the new system. We have also enabled patients to register online without the need to come into the surgery We continue to publicise via Social Media We now offer extended hours clinics across all four sites. We introduced a ‘rolling’ flu clinic this year with great In addition to all of our good work last year, we wrote to our patients to further underpin the system Triage letter-FM version.doc Publicise what day, time and site our part time GPs are available, especially as our Senior Partner is now retiring. We will continue to promote via all of our usual channels. This remains particularly pertinent as was raised under the continuity of care aspect of this year’s feedback 4. PPG Sign Off Report signed off by PPG: YES / NO YES 4th March 2015 Date of sign off: By email, telephone and face to face How has the practice engaged with the PPG: How has the practice made efforts to engage with seldom heard groups in the practice population? Has the practice received patient and carer feedback from a variety of sources? Was the PPG involved in the agreement of priority area and the resulting action plan? How has the service offered to patients and carers improved as a result of the implementation of the action plan? Do you have any other comments about the PPG or practice in relation to this area of work? Actively; via staff , registered Carers and Patient representatives Yes –see above Yes- agreed on 4th March 2015 Yes and ongoing