PATIENT REFERENCE GROUP
Thursday 10 April 2014
2.00 – 4.00 pm
Present:
Jeff Gosling
Helen Smith
Pat Snowdon
Peter Bennetts
Bob Wilson
Clare Allom
Apologies:
Doreen McAllister
Maureen Elliott
Arthur Whitfield
Shirley Ford
Ian West
Howard Becke
Terry Blackburn
Ann Lyons
Mick Lyons
Toni Sambridge
In attendance: Christine Briggs, Director of Operations
Lucy Topping
Jane Leighton, PA to Chief Officer (Minutes)
1.
STCCG
NHS England
STCCG
Notes
Notes of previous meeting – 6th February and matters arising
These were agreed as a true record with the following matters arising:-
1.1
Helen Smith confirmed that Lucy Topping will present on the NHS
Constitution and feedback on primary care at today’s meeting.
1.2
Helen Smith confirmed that Kate Hudson, Chief Finance Officer is
scheduled to attend June’s meeting to feedback on end of year
accounts.
1.3
Accessible information for visually impaired – Peter Bennett had
previously raised this matter at the December meeting in the presence
of Amanda Healy and Sue Collins when it was agreed that a meeting
with Sight Services, RNIB and the Local Authority will be arranged.
Peter Bennett expressed his disappointment that despite making
contact with Sue Collins no suggested date has been received for a
meeting. Noted that action has now been passed to Amanda Healy’s
PA in order to progress. Members also shared disappointment in
relation to their previous experiences regarding lack of communication;
Howard Becke specifically expressed disappointment regarding the
lack of communication/no response following face to face meetings
with individuals at the Council and CCG.
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Actions
June agenda
item
ACTION: Jeff Gosling agreed to take on board comments and
encourage colleagues to respond to outstanding matters.
1.4
Screening services – Clare Allom to approach Sue Collins to request a
presentation to the diabetes group. Noted that this may not take place
anytime soon due to the amount of business the diabetes group is
currently undertaking.
1.5
Practice forums – Jeff Gosling confirmed that a conversation had taken
place with appropriate CCG colleagues in relation to the apparent lack
of interest in some patient forums. Representatives for Marsden Road
reported that a practice forum meeting had taken place since the last
PRG in February, following which an extra-ordinary practice forum
meeting had also taken place with excellent attendance and
organisation. Forum meetings for Marsden Road will now take place
every two months.
Agreed that Jeff Gosling and Helen Smith will discuss ways around
how to enthuse other practices.
J Gosling
Clare Allom
J Gosling/H
Smith
Jane Leighton advised that confirmation has been received to say that
there is no reason why minutes cannot be uploaded onto individual
practices websites.
1.6
Pioneer status model update – standing item - Helen Smith confirmed
that Sue Collins was not invited to today’s PRG meeting as the agenda
had already been set. Helen Smith to invite Sue Collins to future
meetings.
Helen Smith also confirmed that the new Chief Executive of NHS
England, Simon Stevens, recently visited South Tyneside during which
he was pleased to receive information on the pioneer bid.
1.7
Northumberland, Tyne & Wear NHS Mental Health Trust consultation Confirmed that the consultation period finished in March. Comments
have been received via various sources which will be collated by
Caroline Latta, Senior Communications and Engagement Locality
Manager, and a report will be produced. Helen Smith advised that Dr
Gordon has met with North East Commissioning Support (NECS)
colleagues in relation to commissioning decisions. A report will be
presented to the Governing Body on 15th May.
2.
STCCG Five Year Plan
Christine Briggs, Director of Operations attended to present on the
CCGs plans over the next five year. Presentation slides attached.
Christine Briggs confirmed that an Integration Board has been
established which includes membership from the Council, South
Tyneside Hospital, the Mental Health Trust and third sector
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H Smith
organisations. Explained that the Integration Board links to the Health
& Wellbeing Board. Members noted the vision of the Integration Board
which is to ensure the ‘person’ is at the centre.
Howard Becke enquired as to whether there is patient representation
on the Integration Board; Christine Briggs advised that this was not the
case at the moment as the Integration Board is still in its early days.
However, this will be considered for the future.
Christine Briggs explained that an engagement group has been
established to look at how we maximise communication and work with
people in the community in the most meaningful way. She also went
on to explain that a Better Care Fund has been set up which will see
budgets pooled; noted that finance planning will take around a year.
There are 4 key areas of work identified as follows:
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Development of integrated community teams that will work in a
geographical way, for example social work, mental health and
NHS professionals. A number of workshops have been arranged
to look at this closer;
Integration Hub – relates to dementia and reablement. The
Council are currently procuring this work;
Pioneer – is around self-care;
Change for Life programme.
Christine Briggs confirmed that she would be happy to share more
information around the work programmes with members at their
request.
Peter Bennetts expressed an interest in receiving further detailed
information on the programme of work which involves sight loss.
Christine Briggs reiterated that they are committed to ensuring that
people with sight loss do have access to the services they need.
Christine offered to meet with Mr Bennetts in order to provide more
information around the work programme.
CCG outcome trajectories were noted; Bob Wilson highlighted that
there appears to still be a high number of lung disease in the locality
which may contradict the figures presented. Bob Wilson confirmed that
the evidence figures are available to share and will do so via Helen
Smith.
Christine Briggs concluded by explaining that the five year plan is
system wide and not just for the CCG and as a result the CCG is
developing an understanding with the Hospital, Mental Health Trust
and Council. Christine confirmed that she would be happy to be invited
back to present to the group at a later date in order to share progress.
3.
NHS Constitution and feedback on primary care
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Bob Wilson
Lucy Topping attended for this item and explained that since her last
attendance at the PRG some suggestions received from the group
have been progressed such as visiting groups and reminding people
about the Constitution. However, some suggestions have not been
progressed such as the production of posters.
Lucy advised that a Transforming Participation Forum has been
established, involving CCGs, Healthwatch, education organisations
and other healthcare provider organisations, which will ensure the
system joins up, encourage best practice and look at work that needs
to be done at a local level. Noted two meetings have taken place so
far. A document has been published highlighting three key themes
being 1) individual involvement, 2) community engagement, 3) insights
(understanding people’s experiences).
A bid has also been submitted to secure some funding for three work
streams, namely
1. Patient leaders
2. Developing workforce
3. Measurement of patient experience
It was suggested that some members of the PRG may be interested in
taking part in the patient leaders work stream and to therefore let Helen
Smith know who will advise Lucy accordingly.
Work will also be undertaken for primary care – the four areas being
GP services, pharmacy services, optometrist services and dental
services and again, some members may be interested in participating
in this work. Lucy reiterated that the CCG has a statutory duty to
improve quality within primary care and therefore it is essential that the
CCG and NHS England are working together. Noted that a Quality
Surveillance Group has been established which also includes the Care
Quality Commission.
Queries have been raised by South Tyneside’s Overview & Scrutiny
Committee regarding access to primary care, thus Lucy expressed an
interest to understand areas of importance for patients and what
members/others experiences have been in primary care which is part
of the NHS patient experience feedback programme.
Feedback was received as follows: Privacy and dignity
 Integration
 Information, communication, education – is key but not very
accessible for partially sighted people
 Physical comfort – clean comfortable surroundings
 Emotional support - welcoming involvement of family and friends
 Transition and continuity – patients being able to care for
themselves away from clinical setting / self care
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 Access to care – time waiting, access to appointments can be
problematic; seems to be variable satisfaction regarding care
received; complicated and confusing system to make appointments
in some practices.
Lucy Topping will feedback comments to primary care commissioners.
It was recognised that a Health Champions Team (Altogether Better)
are working with some practices to receive better outcomes and
agreed that the CCGs link and a Practice Manager, from one of the
four surgeries already participating, be invited to a future meeting to
talk more about the scheme and how successful it has been. In the
meantime, it was suggested that colleagues gather examples of best
practice from their respective practices, such as patient surveys to
bring to the next meeting; also suggested that a Practice Manager
attends a future meeting to share survey responses and examples of
best practice.
Lucy Topping
Helen Smith
All
Terry Blackburn mentioned that certain surgeries do not wish to take
part in schemes, consequently how do you develop improvement in GP
services with these particular practices.
Lucy explained that if a practice is not honouring their contract there
are contractual implications and levers in place to address this,
however many schemes are undertaken are not at the practices
discretion. Confirmed that requirements for practices are noted in the
Direct Enhanced Service (DES) which is an optional incentive scheme
and are accessible within the public domain.
Lucy agreed to discuss with the contracting team what level of scrutiny
is in place and the contractual position for 2014/15 in terms of the DES.
Following discussion it was agreed that the PRG should have more of
a relationship with Practice Managers. Helen Smith to discuss with
Ros Whitehead, Practice Manager lead regarding Practice Manager
representation at the PRG meeting.
Helen Smith referred to ‘Change Makers’, working with practices and
young people. Helen will be meeting with a representative shortly,
following which Helen will feedback to the PRG.
4.
Date of next meeting
Thursday 5 June, 2 – 4 pm, Monkton Hall.
5.
5.1
Any other business
Resignation - Unfortunately the group’s Ellison View surgery
representative is unable to commit to regular attendance and therefore
has decided to step down. Helen Smith to discuss with Ros Whitehead
regarding alternative representation.
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Helen Smith
Helen Smith
Helen Smith
5.2
5.3
Howard Becke raised interest regarding 2014/15 designated GP
responsible for the care of people 75 and over and how this may work.
Helen Smith confirmed this will be covered in the five year plan and will
endeavour to obtain more information in readiness for the next
meeting.
Terry Blackburn confirmed that he had attended a recent cancer
workshop – noted that there will be a revised programme for 2014/15.
It was agreed that Bill Hall, Cancer Lead will be invited to give a
presentation on wider issues relating to cancer to the group in June.
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Helen Smith
Helen Smith