LOCAL PATIENT PARTICIPATION REPORT (LPP) This report summarises the development and outcomes of Quorn Medical Centre’s Patient Participation Group for 2013/14. Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 1. Profile of practice population and Ethnicity Breakdown Profile of PPG Process of Recruitment Priorities for the survey and how they were agreed Results of patient survey Resulting action plan based on this years’ survey and how it was agreed Progress made with the previous years’ action plan Confirmation of our opening times. Health Promotion Practice population summary as at 6th January 2014. AGE AND SEX PROFILE 8504 patients 50.65% male 49.35% female Ethnicity: Code Term Ethnic category - 2001 census British or mixed British - ethnic category 2001 census White British - ethnic category 2001 census Irish - ethnic category 2001 census Other White background - ethnic category 2001 census English - ethnic category 2001 census Cypriot (part not stated) - ethnic category 2001 census Greek - ethnic category 2001 census Italian - ethnic category 2001 census Polish - ethnic category 2001 census White and Black Caribbean - ethnic category 2001 census 7 7706 35 44 112 6 1 1 1 1 9 White and Black African - ethnic category 2001 census White and Asian - ethnic category 2001 census Other Mixed background - ethnic category 2001 census Chinese and White - ethnic category 2001 census Indian or British Indian - ethnic category 2001 census Pakistani or British Pakistani - ethnic category 2001 census 8 4 8 1 75 14 Bangladeshi or British Bangladeshi - ethnic category 2001 census 6 Other Asian background - ethnic category 2001 census Mixed Asian - ethnic category 2001 census Other Asian or Asian unspecified ethnic category 2001 census 25 1 2 Caribbean - ethnic category 2001 census African - ethnic category 2001 census Other Black background - ethnic category 2001 census Chinese - ethnic category 2001 census Other - ethnic category 2001 census Arab - ethnic category 2001 census Ethnic category not stated - 2001 census 3 6 5 28 22 1 14 2. PPG profile Our Patient Participation Group commenced in December 2011. Our group size has increased and decreased during the last 12 months. The patient group currently comprises of 14 members; attendance, gender, ethnicity and age are broken down as follows: - Attendance Gender Ethnicity Age In addition to this we have a Virtual PPG group, currently standing at 30 members. 3. Process of Recruitment Steps Taken to Ensure PPG Is Representative Poster displayed in both waiting rooms at the Practice Information displayed on the Practice Website Verbal explanation of Group to patients on an ad-hoc basis Application packs available on reception Application packs available to download from our website· An advertising campaign continues to run within the Practice and on our Practice Website, recruiting patients for our PPG. In addition to the PPG, we also have a Virtual PPG, formed at the same time, although the numbers are smaller; we currently have 30 members. The Virtual PPG is for those patients who wish to make suggestions and engage with the Practice, but do not wish to attend meetings; although some do. These suggestions can be made by e-mail via our Practice website or in writing to the Practice; these are then passed on to the PPG Panel for discussion. Since commencement of the group, there have been some patients who have since left the Practice or who have decided to move to our virtual PPG due to commitments elsewhere. We now have 14 patients on our PPG panel and this has proved to be fairly representative of our registered patients in terms of gender and a mixed age group, however, none of our current panel fall into an ethnic minority, but we continue to actively seek to resolve this by in-house and website advertising and encouraging the GPs to mention our group to their patients. We continue to advertise the PPG and if numbers drop we will attempt to recruit further additional members. We have displayed posters at 2 local colleges, local groups, local pharmacies and the Parish notice-board. We have provided information leaflets for our Community Midwife to hand out. Mrs Liz Wells, Practice Manager and Ms Karen Festa attend every meeting. Dr CR Barlow attends as and when he is available and Dr MF Frost attends in his place providing he has no prior commitments. 4. Priorities for the survey and how they were agreed The group met on the 11th July & 5th September to discuss the survey questions. The PPG agreed to keep the same questions with some slight changes in how they read, in order to make a comparison. The survey was made available in paper format and online from our Practice Website. Once again, we placed the surveys on the seats in the waiting room as this has been shown to have a benefit in terms of returns. The survey ran from 1st October 2013 – 31st December 2013. 5. Results of the patient survey The data analysis was automated by our website, as each survey was completed and submitted. Our results are now available to read on our website and a paper copy can be found on our PPG notice-board in the downstairs reception waiting room. 6. Action Plan Based on the 2013/14 Patient Survey Our last meeting was held on Thursday 16th January 2014. This was attended by 7 of out 14 PPG members, 1 Virtual PPG member, Mrs Liz Wells, Practice Manager, Ms Karen Festa, Practice Secretary and Dr Barlow, Senior Partner. We reviewed the minutes of our last meeting and for the remainder of the meeting we used to discuss the Patient Survey. 330 patients completed the survey this compared to 192 last year. These were presented to the group in a paper format. Prior to the meeting, the results had been e-mailed to the group, to enable them to consider which areas they felt were a priority. We discussed our plan of action and identified 6 areas where improvement could be made, based on the survey results. These were as follows: 1) We received several comments on the survey about the lack of ease to attend appointments upstairs. We do have a downstairs consulting room for this purpose. We will however advertise this service more, both on the PPG notice-board and on our website. Please let the receptionist know if you need to be seen downstairs. It is worth noting that once our premises development has been completed, we will have 2 downstairs consulting rooms available. 2) Clinics that run late: As a result of the recent experience of one patient, it was decided that we would invest in a white board to inform patients if GPs/Nursing team are running late. This has proved successful. We are currently using a temporary board, but a white board will eventually be fixed on the wall behind the receptionists. 3) Question 20: How well do you know which days of the week your GP is available? 42% of patients said ‘not well at all’. Based on this, it was agreed at our PPG meeting held on 16th January 2014, that a master rota would be placed on the PPG notice-board and on our website. However, it must be noted that these rotas are subject to change to reflect annual leave/sickness. 4) 6 out of 330 patients suggested weekend opening or holding flu clinics on a Saturday. For the past 2 years we have held flu clinics on a Saturday and this year it was over 4 Saturdays and very well attended. Unfortunately, we are unable to open every Saturday due to limited NHS funding at this time. 5) Several comments have been about the type of music played on our radio in the upstairs waiting room. We contacted PRS to confirm if our licence allowed us to use an IPod instead of a radio and this was confirmed. An IPod will be purchased and some more suitable music provided. 6) 11 patients out of 330 commented on the telephone system and in particular the expense. The system was sold on the basis of not costing patients any more than they would normally pay. Since that time, however, changes on technology and phone rates means that many people get free local calls under contracts which don’t include 0844. The Practice does not keep people on the phone in order to speak to a doctor or nurse and operates a very effective ring back system. This is not a requirement but is carried out as good practice (and costs the Practice c£3,500 per 4 months). We are however working with our existing provider and another provider with a view to getting out of the contract, but there are cost implications to that, which we have previously informed NHS England about. A copy of this Action Plan was then emailed to the PPG and the Partners for comments and approval and a ‘You said, We did’ poster placed on our website and on the PPG notice-board n the downstairs waiting room. 7. Progress Made With the previous years’ Action Plan (2012-13) You said….. Some patients were unhappy that other patients could overhear what they were saying in reception. Last year the figure dropped to 15%. However as promised we are in the process of arranging some premises alterations. We will look into sound dampening as part of the project. This is long-term project as we have applied for Section 106 money to enable us to make changes to our premises. Our intention is to bring the reception area forward, thereby creating an additional consulting room downstairs. Last year we noticed that a lot of patients had hand written comments on their survey We did….. We still plan to go ahead with our premises development, and we have been working with 3 different builders. Result…… We are just waiting for one more quote and then all 3 quotes will be sent to NHS England for consideration. It was therefore agreed that This proved to be this year our survey will extremely beneficial. A include a comments box. high number of patients left comments on the survey this year and we were incredibly pleased with the high number of positive comments about all our staff, reception, nursing, management and GPs alike. Last year, there appeared to be a We agreed to provide further lack of awareness of our opening in-house and online times and online appointments. advertising and to include this information in our Practice Leaflet and in the quarterly Quorndon magazine. We continue to offer extended hours 2 mornings per week and our GPs now work concurrently with our Practice Nurses during these times; Thursday and Friday 7am – 8am. The comments also highlighted some areas that we could improve on and these form part of our action plan above. This has had a positive effect on our survey results as 52% of patients are ‘very satisfied’ with the opening hours, compared to 42% last year and 29% of patients are fairly satisfied compared to 27% last year. For more information, please read our full patient survey results, which can be found on our website at www.quornmedicalcentre.co.uk or on our PPG notice-board. 8. Confirmation of our opening times The surgery is open at the following times: - Monday: 08:30 to 18:00 Tuesday: 08:30 to 19:30 Wednesday: 08:30 to 18:00 Thursday: 07:00 to 18:00 Friday: 07:00 to 18:00 Weekend: Closed all day Telephone contact is available between 8.30am - 6.00pm Access to pre-bookable appointments and extended hours appointments are available by telephone, online and in person. NB We may be closed on specific afternoons, for Practice training/education updates arranged by the Clinical Commissioning Group or the Practice. Notices will be displayed on those days, along with the appropriate contact number for anything that cannot wait until the following day. This number will also be given on our telephone greeting message. Please see the 'Closure Dates' tab on the right for more information. ** We are closed on all public/bank holidays ** 9. Health Promotion Displays Our PPG continue to be Patient Health Awareness led and during the next 12 months we will provide in-house displays for the following health awareness weeks/months: Ovarian Cancer Awareness Month 1st – 31st March 2014 Allergy Awareness Week 28th April – 4th May 2014 National Walking Month 1st – 31st May 2014 Carer’s Week 9th – 15th June 2014 Events A Pre-Diabetes event will be held on Monday 17th February 7pm – 8.30pm. There will be two speaker; Dr Barlow, Senior Partner and Alex Cook, Dietician. The event will be held at Quorn Village Hall. This event has been advertised on the PPG noticeboard, our Practice Website, Quorn Village website, in local shops, village notices boards and in the Loughborough Echo. Patients wishing to attend must contact the surgery to book their place.