Annex D: Standard Reporting Template Yorkshire and Humber Area Team 2014/15 Patient Participation Enhanced Service – Reporting Template Practice Name: Dr Longfield & Partner Practice Code: B83043 Signed on behalf of practice: Date: 26/03/15 Signed on behalf of PPG: Date: 26/03/15 1. Prerequisite of Enhanced Service – Develop/Maintain a Patient Participation Group (PPG) Does the Practice have a PPG? YES – The PPG was established in 2007 when it was a joint PPG with Dr Fenwick & Partner. Since 2011 the group has been solely for Dr Longfield & Partners patients. Method of engagement with PPG: Face to face and email Number of members of PPG: 7 members of the group at present Detail the gender mix of practice population and PPG: % Practice PRG Male 52 66.5 Female 48 33.5 Detail of age mix of practice population and PPG: % Practice PRG <16 32.8 17-24 11.11 25-34 16.4 35-44 14.06 45-54 10.31 55-64 7.65 65-74 4.15 > 75 3.36 Detail the ethnic background of your practice population and PRG: % British Irish Practice PRG 68% 85.72% 3% White Gypsy or Irish traveller 3% % Indian Pakistani Practice PRG 2.3 54 3% Other white 9% 14.28% Asian/Asian British Bangladeshi 03 White &black Caribbean 4% Chinese 02 Mixed/ multiple ethnic groups White &black White African &Asian 1.5% 3% Other Asian 12.3 Other mixed 8.5% Black/African/Caribbean/Black British African Caribbean Other Black 2 3.2 0.3 Arab 0.1 Other Any other 25.3 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: The Practice actively seeks to ensure that the PPG is representative of the practice. Actively encourage membership by displaying registration information on the patient display screen. There is a dedicated notice board in the waiting room and in the corridor inviting patients to join the PPG and informing patients of PPG news Patients are invited to join by staff members and also following complaints Informing on repeat prescriptions counterfoils New patient health checks questionnaires including information on membership We publish details of our PPG including minutes, reports and information on our practice website and we advertise our virtual group for those that cannot attend. www.drlongfieldanddehaar.co.uk We publish details of the PPG on our practice leaflet which we give to all new patients when they register. Are there any specific characteristics of your practice population which means that other groups should be included in the PPG? e.g. a large student population, significant number of jobseekers, large numbers of nursing homes, or a LGBT community? NO –Although the practice has a growing Easter European population. We feel that this group is underrepresented in out PPG and we have therefore actively sort members from this population through visiting local community services and local eastern European shops in the community to advertise. 2. Review of patient feedback Outline the sources of feedback that were reviewed during the year: PPG Action Plan - agreed 8/4/14 Feedback from practice survey Feedback from the ideas / suggestions boxes in reception area Feedback from PPG itself How frequently were these reviewed with the PRG? At each PRG meeting any new feedback was presented 3. Action plan priority areas and implementation Priority area 1 Description of priority area: Prescribing of Paracetamol and other OTC drugs and its impact on appointment system What actions were taken to address the priority? Discussed the need for education for patients on the impact on appointments of high demand of patients wanting appointments for minor illness and the prescribing of paracetamol and other OTC drugs. Health promotion in the waiting room – the Health Care Assistant will work in conjunction with the PPG to chat to patients in the waiting room about minor illness and OTC drugs. District CCG have commissioned Pharmacy First which will start 30th march 2015. Pharmacy First is a service where the patient will be referred to the Pharmacist who will discuss their condition and provide advice and where applicable medication. The practice has taken the decision to stop prescribing paracetamol acutely and simple linctus The PPG are to design a poster which shows the savings to the NHS by patients buying Paracetamol rather than obtaining free prescriptions. Result of actions and impact on patients and carers (including how publicised): We have not had chance to see the results of our changes as yet as it was decided to run campaigns concurrently from end march 2015 Priority area 2 Description of priority area: Appointments – how to address the issues around demand – Feedback the results of the patient survey showed that appointments were still very much an issue, particularly book on the day. The demand out ways capacity. What actions were taken to address the priority? The practice had already put in place a minor illness clinic and retained a prescribing pharmacist to triage and prescribe for minor illness on a Monday morning. However this has not alleviated demand therefore we propose to pilot the scheme below. Appointments system - the practice will pilot a sit and wait appointment rota for morning surgery, pre bookables in the afternoons. Hopefully if the Pharmacy First scheme is used correctly, the patients booking appointment should have acute or long term conditions, not minor illness and demand should meet capacity. The practice is to employ a Nurse practitioner part time to assist with demand. Priority area 3 Description of priority area: –.Health promotion – How do we educate patients re minor illness. What actions were taken to address the priority? We ordered a range of self help leaflets in different languages particularly on coughs and colds The Health Care Assistant arranged a display of leaflets and posters in the waiting room and a questionnaire to ask what type of leaflets the patients would like to have to help with information around particularly coughs and colds , childhood illness. The Health Care Assistant would keep these up to date and gradually incorporate other health care educational ideas. Result of actions and impact on patients and carers (including how publicised): Unfortunately the patients did not seem to want to participate in the questionnaire and we found that many of the leaflets were not taken or were used by young children for drawing on. We are going to re display the leaflets when the Pharmacy First scheme begins and the clinical and non clinical staff will actively promote the information displayed. The staff feel more supported in their task to educate patients now that we have the support of the Pharmacy First scheme, particularly where the CCG has NOT commissioned Simple Linctus for cough as there is no supporting clinical evidence. 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): Action plan agreed by the Practice and the Patient Group Reduce waiting times when arrived for consultation Telephone system patients not happy with the 0844 number and requested a land line number Self Help leaflets particularly coughs and colds Same day appointments Increase the PPG membership Access Saturday opening Health promotion in the waiting room Progress made to date : December 2014 survey suggested that this is not a large problem anymore. The Staff always tell the patients when the doctor is running late. Telephone system – the practice now has a new telephone system which has been in place for the last year. The patients do not like the new system because they cannot always get through, but there have been no formal complaints. We have altered the amount of calls being held in the queue to try suit those that complain, but then find this creates other complaints. We hope to educate patients as to why they have to queue on the phone system. Self Help leaflets – as above we will reintroduce this idea as it was unsuccessful previously. Same day appointments – introduction of new sit and wait system and Pharmacy First. Increase PPG membership. Our membership has now increased and we have successfully met quarterly. Access Saturday opening. – The practice has just completed the winter pressures pilot in which the practice opened every Saturday for 22 weeks. The patients found this very successful. However there is no funding to continue this project at present by the CCG. 4. We are still looking at different ways of promoting health education in our waiting room for patients. PPG Sign Off Report signed off by PPG: Date of sign off: 23/03/15 YES How has the practice engaged with the PPG: ”Yes - you have done your best – not sure if it has made any difference!! For example you still need more doctors – but you have done your best” How has the practice made efforts to engage with seldom heard groups in the practice population? Yes 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? Yes Do you have any other comments about the PPG or practice in relation to this area of work? “The district wide activity needs more action and coordination (e.g the training meeting for PPG members – not properly communicated – and only 20 places available – need more dates or more places.”