DAVENAL HOUSE SURGERY PARTNERSHIP PATIENT PARTICIPATION GROUP MEETING Tuesday 23rd June 2015, 6.30pm, Stoke Prior Surgery Present: Patient Participation Group Members Libby D’Arcy, Davenal House Surgery Partnership Dr Marion Radcliffe, Davenal House Surgery Partnership Kate Smith, Davenal House Surgery Partnership Welcome & Introductions Dr Radcliffe welcomed everyone to the second Patient Participation Group meeting. Patient Feedback Dr Radcliffe discussed patient feedback including the Friends and Family test and the National GP Patient Survey. Unfortunately there have been some difficulties in encouraging patients to complete the Friends and Family test as many do not actually come into the surgery which reduces the opportunity for them to complete the paper forms available in surgery. Dr Radcliffe asked members for suggestions on ways increase the response rate. Members suggested that at the end of telephone consultations clinicians direct patients to the website or patients are able to complete via an automated telephone survey at the end of the telephone call. It was agreed the possibility of introducing an automated telephone survey would be further investigated. It was also suggested that IT tablets are installed in the waiting room or utilising the automated check in system to include the Friends and Family test. It was unknown how many patients use the automated check-in service and it was agreed to investigate this. Members suggested that the boxes for paper responses are made more attractive and moved to a more prominent site in the waiting rooms and more of a display is made of the survey within the practice. The results from the National GP Patient Survey which is sent out by the Department of Health were circulated. Dr Radcliffe commented that the number of surveys sent out is very small in comparison to the number of registered patients within the practice. Some of the scores from the survey are published on NHS choices website; Overall Satisfaction was 75%; Recommending someone to the surgery who was new to the area was 65%. One member commented that he had never been asked to recommend a GP, however, other members upon moving into the area had asked members of the community which GP they would recommend. It was agreed that the results of the survey would be emailed with the minutes for attendees to review further. Dr Radcliffe asked members to pay particular attention to why they felt the score on recommending the surgery was low. Members commented that it could be that patients didn’t want to recommend the surgery as they didn’t want the surgery to become overcrowded with patients. It was felt that in general patients were more likely to recommend a consultant rather than a GP. A discussion was held regarding the new government initiative where upon surgeries can have patients registered outside their practice area. Dr Radcliffe explained that these patients would have to agree to not having any home care from the GP surgery they were registered with and that home care would have to be provided by the local oncall surgery, which could mean in a lack of continuity of care. The other score published on NHS choices is if patients are satisfied with the opening hours. Patients had scored that they wish the surgery to be open for longer. Dr Radcliffe explained that Davenal House is the only surgery in the area which offers extended hours; 7.30am – 7.30pm on Thursdays and two Saturday mornings a month. However, we scored lower that other practices in the area. It was thought that maybe this was the feeling of Stoke Prior patients, Dr Radcliffe pointed out that the Stoke Prior surgery which is our branch surgery is open more than the other local practices branch surgeries. Members suggested a mailshot is sent out to all patients to highlight this to them. Dr Radcliffe commented that the practice receives only £69.00 per year for each patient and therefore there was a limit to the amount of funding available. Members suggested that the spare page of the prescriptions is used as a marketing tool to promote the services available to patients. One member asked if we knew the demographic of the working hours of our patients so that we could amend our opening hours. Dr Radcliffe commented that an audit of the use of the extended hours showed that 65% of working patients used these appointments and there was no correlation with the late evenings and Saturday mornings being used by working patients and were often utilised by retired patients. One member asked if patients could be asked what the appointment was for and another member confirmed that this was already done by the receptionists. One member asked how many patients were dealt with via the phone and Dr Radcliffe confirmed that two thirds of our patients are telephone consultations. Progress report on previously agreed key priority areas 2014/15 1. Improved patient knowledge of services available and ways of accessing these. Following on from the last meeting and the agreement of this key priority area a new leaflet was produced which was circulated. 2. Improved access to services within the practice A new telephone system has been installed at Davenal House and will shortly be installed at Stoke Prior. Kate Smith commented that following discussions as the last meeting the number of options was kept to a minimum to help improve the patient experience of calling the practice. It was agreed that the possibility of more tiers within each option would be investigated which would help patients access the different services and would also free up receptionists to deal with patients in surgery. The new phone system at Stoke Prior will be linked to Davenal House so patients will be able to be transferred between surgeries and not need to redial. 3. Increase the age mix of the PPG population Following on from the last meeting copies of the How to Join the Patient Participation Group leaflet had been distributed amongst the care homes in effort to recruit a wider mix of patients. It was noted that these patients would probably only be virtual members. The leaflet is also included in all letters inviting parents to bring their children for their second set of vaccinations in an effort to enrol younger patients. It was agreed that attendees would encourage younger family members of the family or friends to join the group. One member expressed frustration in having to share the papers which had been circulated at the meeting and after further discussion it was identified that there had been a communication issue with the email system. It was agreed that a separate email account would be used in the future to communicate with the Patient Participation Group and that reminders and where possible papers would be sent out prior to any meetings. Recent Developments Dr Radcliffe highlighted recent developments within the practice. The Bromsgrove district surgeries had recently formed a Bromsgrove Primary Care Network. This group will be providing medical input into the Princess of Wales Hospital. We will be recruiting an additional doctor in order to cope with the additional workload. It is hoped that this will maintain the high standard of medical care patients receive. One member asked about succession planning amongst the GPs and Dr Radcliffe commented that these initiatives encourage doctors to join the practice due to the variation of inpatient and community work. One member highlighted the role of Physician Assistants, training takes three years and it is hoped that these will be introduced in Bromsgrove in the future. Dr Smith has recently been presented with an award from the Royal College of Physicians for her work in education and Dr Radcliffe is now on the board of the local Clinical Commissioning Group. Future Priority Areas It was agreed that communication and marketing should be the main priority areas. Including: Investigating the possibility of installing a TV screen in Reception to market the various services within the practice. Investigating joint marketing with other practices in the area including approaches builders to include information in their new build literature and advertising in the local parish newsletter. Reducing the amount of information on the practice noticeboards and making them more practice only focussed. Introducing marketing promotion for practice services utilising the prescription slips One member kindly offered help in the future with regards to publishing/promotional material. Another member asked about sending clinical information into the practice as they had been informed that the practice was unable to receive emails. Dr Radcliffe confirmed that clinical information such as hospital letters can be emailed to the Davenal House generic email davenal.house@nhs.net and it was agreed that this would be confirmed to all staff. Redditch and Bromsgrove Clinical Commissioning Group membership scheme for patients and public A representative from the group gave a brief introduction into the Redditch and Bromsgrove Clinical Commissioning Group membership scheme for patients and public. There are three types of membership: Level one members receive surveys, newsletters and information on the NHS locally. Level two members as level one members plus opportunities to attend CCG public meetings, forums and focus groups. Level three members as level one and two members plus the opportunity to be involved in the planning, purchasing and monitoring of health services. The group is also working on involving younger members of the community and looking at working with the education system to increase knowledge on health. Judy circulated an information leaflet on the scheme which is also on display within the practice. There is currently availability to join as level one or level two members.