Annex D: Standard Reporting Template Taken from; GMS Contract 2014/15, Guidance and Audit requirements, NHS England Gateway reference: 01347 East Anglia Area Team 2014/15 Patient Participation Enhanced Service Reporting Template Practice Name: Cornford House Surgery Practice Code: D81012 Signed on behalf of practice: R Sims Date: 11/3/15 Signed on behalf of PPG/PRG: By email Date: 11/3/15 1. Prerequisite of Enhanced Service Develop/Maintain a Patient Participation Group (PPG) Does the Practice have a PPG? YES / NO Yes Method of engagement with PPG: Face to face, Face to face and by email Email, Other (please specify) Number of members of PPG: Detail the gender mix of practice population and PPG: % Male Female Practice 48.5% 51.5% PPG 35% 71 Detail of age mix of practice population and PPG: % <1 6 1724 2534 3544 4554 5564 6574 >7 5 Practice 20 % 7% 15 % 16 % 10 % 13 % 15 % 10 % 20 % 9% 10 % 17 % 65% PPG 38 % Detail the ethnic background of your practice population and PPG: Practice PPG British Irish 67% 89% .3% White Gypsy or Irish traveller N/A Other White 11% Asian/ Asian British Indian Practic 3.5% e PPG Pakista Banglade ni shi .6% .7% Chines Other e Asian 2.3% 3.2% Mixed/ multiple ethnic groups White & White & White & Other Black Black Asian mixed Caribbea African n .2% .2% 1% .6% Black/African/Caribbean/Bl ack British African Caribbe Other an Black .7% .2% .1% Other Arab .2 8% 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 reviewed our practice profile from APHO General Practice Profiles http://www.apho.org.uk/pracprof/ From the practice clinical system we searched on ethnicity to also help identify the practice profile Wrote to patients, offered leaflets to patients attending the Practice, publicised the PRG on the Practice website www.cornfordhouse.org We displayed a message inviting applications from patients using the automated check in desk and included an article on the work of the PRG in our quarterly patient newsletter Are there any specific characteristics of your practice population which means that other groups should be included in the PPG? 1415 Patient Participation Annex D Page 2 of 8 Any Other 8.2% 3% e.g. a large student population, significant number of jobseekers, large numbers of nursing homes, or a LGBT (Lesbian Gay Bisexual Transgender) community? NO If you have answered yes, please outline measures taken to include those specific groups and whether those measures were successful: 2. Review of patient feedback Outline the sources of feedback that were reviewed during the year: Real time feedback over a 3 month period from patients attending the surgery. Use of touch screen kiosks in each waiting room for patients to give feedback following a consultation. How frequently were these reviewed with the PPG? The views of the PRG were sought by email. 1415 Patient Participation Annex D Page 3 of 8 3. Action plan priority areas and implementation Priority area 1 Description of priority area: Appointments – Quantity, convenient timing and ease of booking What actions were taken to address the priority? Plan ahead and review monthly appointment rota’s to arrange extra cover through locums if necessary to maintain numbers. Monitor number of unused free GP and nurse appointments each week to identify any issues Continue to monitor DNA’s (Patients who did not arrive for their booked appointment 15289 appointments arranged in last 3 months with 667 DNA’s, roughly 50 per week) and discuss with patients who regularly do this to advise us if they can’t make it so that the appointment can be made available for other patients Display DNA rates in waiting rooms Continue availability of appointment booking online, review how many available online and how many by ‘phone on a regular basis Continue to monitor in line with BMA guidance on Doctor:Patient ratio to enable a fair number of appointments available Result of actions and impact on patients and carers (including how publicised): We recognise that this is a difficult area and especially so in the present stretched environment. 1415 Patient Participation Annex D Page 4 of 8 Priority area 2 Description of priority area: Patient education group What actions were taken to address the priority? Smoking advice drop in clinics arranged to coincide with national no smoking day Have spoken to nursing team and will organise an education event for patients in the coming year Result of actions and impact on patients and carers (including how publicised): Smoking advice clinics advertised by personal invitation, posters in waiting rooms and publicity on website. Education event to be similarly advertised Priority area 3 Description of priority area: 1415 Patient Participation Annex D Page 5 of 8 Waiting time in waiting room for appointment What actions were taken to address the priority? Continue to circulate quarterly the individual clinicians waiting times for them to benchmark themselves against their peers and seek to improve. Result of actions and impact on patients and carers (including how publicised): Our patients do recognise and appreciate that we will spend time with them when it is needed with 95% advising that the clinician gave them sufficient time in the consultation. They say that it is therefore reassuring that when needed we are not rigid with timings. The BMA and the Royal College of Physicians would like to see resources in General Practice to allow for longer appointment times, but the current levels of workload and demand unfortunately make this impossible. If patients have more than one concern/problem, we ask them to please help the doctors to keep to time by booking a double appointment. Having said that there is certainly room for improvement. Tracking the waiting times for individual clinicians and publishing them internally for them to benchmark themselves against their peers has seen an overall reduction in most doctors average waiting times over the last year although the nurses average waiting times have slightly increased, we will continue to work on this area. 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): Cornford House Surgery is dedicated to providing the best possible service to our patients within the resources at our disposal. I hope that you will feel that by starting to tackle the areas outlined above we will improve on what we do at the moment. Please do not hesitate to let us know what you feel 1415 Patient Participation Annex D Page 6 of 8 4. PPG Sign Off Report signed off by PPG: YES Date of sign off: by email 11/3/15 How has the practice engaged with the PPG: 1415 Patient Participation Annex D Page 7 of 8 All of the members of the PRG were sent the results of the patient feedback collected over a 4 month period highlighting the issues raised and seeking their opinions as to what were their priority areas. How has the practice made efforts to engage with seldom heard groups in the practice population? Membership of the PRG includes those from seldom heard groups. Has the practice received patient and carer feedback from a variety of sources? Yes Was the PPG involved in the agreement of priority areas and the resulting action plan? Yes How has the service offered to patients and carers improved as a result of the implementation of the action plan? Continual concentration on key areas resulting in Patient’s view of us giving them enough time, listening, treating them with care and concern and taking their problem seriously has improved since the last survey. There has also been individual praise for some doctors, nurses and receptionists. Patients appreciate the option of having more choice by being able to book appointments at either surgery. Patients appreciate the ability to use the online services. More patients would recommend the surgery to friends and family than in the last national survey Do you have any other comments about the PPG or practice in relation to this area of work? 1415 Patient Participation Annex D Page 8 of 8