South Southwark Locality Patient Participation Group
Minutes of meeting held on Tuesday 5 May from 5.30 to 7.30
at Cambridge House.
Patient name
Practice represented
Ela Kwasny-Spechko (EK-S) Camberwell Green Practice
John King (JK)
Hambleden Clinic and Engagement and Patient Experience
Committee rep
Darret Tomlin
Camberwell Green Practice
Leslie Boscheratto (LB)
DMC Chadwick
Margaret Hughes (MH)
Camberwell Green Practice
Helen Pearson (HP)
Hambleden Clinic
Bob Skelly (BS)
Elm Lodge Surgery
Barbara Meilink
St Giles Surgery
Alma Gray (AG)
Dulwich Medical Centre – Crystal Palace Road
Jane Hopkins (JH)
Hambleden Clinic
Raymond Cole (RC)
St Giles Surgery
Angela Buckingham (AB)
Concordia Parkside Medical Centre/Melbourne Grove
Rev Emmanuel Oyewole
Dr Hossain Surgery
Ambulai Siafa
Aylesbury (visitor)
Apologies
Helen Chown
DMC – Crystal Palace Road
Delia Morgan
Forest Hill Surgery
In attendance
Rosemary Watts (RW)
NHS Southwark CCG, Head of Membership, Engagement
and Equalities
Laura Brannon (LM)
NHS Southwark CCG Membership and Engagement
Manager
Nina Martin (minutes)
NHS Southwark CCG, Locality Programme Officer
David smith
NHS Southwark CCG, Head of Transformation - Integration
Glossary of Terms
CCG, Clinical Commissioning Group
EPEC, Engagement and Patient Experience Committee**
PPG, Patient Participation Group
PPI, Patient and Public Involvement
**The south Southwark practice reps on EPEC are Ela Kwasny-Spechko
John King, Peter Offord and Delia Morgan
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1. Welcome and Introductions
All welcome and introductions were made and apologies noted.
2. Minutes of the last meeting and matters arising
The minutes of the last meeting were agreed as an accurate record subject to the
following amendments:
 P1 Attendance – Helen Pearson appears twice
 P4 Feedback from Practice PPGs – Melbourne Grove: Angela Buckingham
(AB) advised that 9 people attended the last PPG and not 4-5 as stated by
the PPG rep who was present.
 Minor Ailments Scheme – AB asked to include in the minutes that the
scheme has been running for a while in Lambeth and Lewisham. Rosemary
Watts (RW) confirmed that the scheme has been successfully running in
both these boroughs for a number of years.
Nina Martin (NM) added that the running of the scheme in Lambeth and
Lewisham was discussed at and already included in the January 2015
minutes.
Alma Gray (AG) asked for clarification on co-commissioning in order to give
feedback to her PPG. RW clarified that Southwark CCG will be co-commissioning
services with NHS England (NHSE). She advised that in taking this forward, three
options were proposed by NHSE:
1.
2.
3.
Greater involvement in NHS England (NHSE) decision making (Greater
Involvement)
Joint decision making by NHS England and CCGs (Joint Commissioning)
CCGs taking on delegated responsibilities from NHS England (Delegated
Commissioning)
She advised that the CCG has agreed to and has been approved for level 2, joint
commissioning for one year with the view of learning about the process and its
practicalities. How this option works during the year will determine if the CCG will
pursue option 3 of full commissioning.
RW advised that updates on the working of co-commissioning will be brought to
future meetings.
Actions:
Extended access service - breakdown of service usage per practice for May
meeting – RW advised that this will be discussed during the extended access
service item of the agenda.
Are patient care plans for mental health patients sent to their GPs – RW
reported that she has liaised with mental health colleagues and confirmed that
plans are sent to GPs. These are known as recovery and support plans. They are
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sent both to the patients and their GPs and are more detailed than discharge
summaries
In response to question, the group was advised that we will find out from CCG
colleagues if care plans for disabled patients are sent to GPs.
Action: Find out from CCG colleagues if care plans for disabled patients are
sent to GPs (David Smith)
King’s Discharge Audit – RW updated that a second audit was carried out in
March and will be reported on at the May Care Quality Review Group (CQRG).
She also informed that that a joint Trust discharge summit is planned for June
(date TBC). The aim of the summit is to further progress the improvement work
around discharge summaries.
Update of Pharmacy First Scheme – RW updated that the scheme formally
launched on 1 April and that currently 55 pharmacies have signed up to deliver the
scheme.
Posters and leaflets have been sent out and these should now be displayed in GP
practices, King’s and Guy’s Urgent Care Centre as well as in all pharmacies.
Emmanuel Oyewole (EO) confirmed that he has seen the posters displayed in at
least two pharmacies.
All were advised to discuss with their relevant practices if the posters or leaflets
are not on display.
John King (JK) queried whether the service has an age criteria. RW advised that
she will confirm with the project lead and feedback.
Action: Determine if there is an age criteria for eligibility to accessing the
pharmacy first service (RW)
Raymond Cole (RC) queried whether headaches should be listed as a minor
ailment since it can be indicative of more serious conditions. RW advised that the
pharmacist would recommend the patient sees their GP if they considered the
complaint to be more serious.
Ambulai Siafa (AS) asked if the leaflets were available in an appropriate format for
the visually impaired. RW advised that not at the moment but added that there is
audio technology on the Southwark CCG website which may prove helpful.
Darin Tomlin (DT) further queried if the leaflets will be translated for those for
whom english is not their first language. RW responded that there is a google
translate option on the CCG website which can translate information into relevant
languages.
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Action: Discuss with CCG colleagues the potential for making the leaflets
accessible for the visually impaired and those for whom English is not their
first language (RW)
3. Extended Primary Care Access Service
RW updated that the leaflets for promoting the service are now available. The
main messages being communicated are as follows:
 Additional money has been made available for more GP and nurse
appointments in Southwark.
 The service is not a separate service but is an extension of the GP service
 Referrals are made by the practice. There will be a telephone triage system
at practices. A nurse or GP will return calls within 1 to 2 hours to determine
if a same day appointment is needed.
 The service has only been operational for a few months and there are
inevitable teething problems. Improving Health, GP Federation is visiting
practices to address these.
RW further referred to the practice usage table and added that while some
practices were referring more than others all south practices had referred to the
service as of March 2015. However, the service is still not operating at full
capacity.
Discussion ensued around the breakdown of usage per practice of the service
(table was circulated). Some suggested that sight of the table can allay the
hesitancy of patients to use the service. However, it was agreed that the
document was not for wider circulation but can be used as a point of reference at
PPG meetings when discussing the service. All were urged not to view the data as
a league table.
RW further advised that a targeted communications outreach programme to
promote the service has been planned over the coming months. This outreach will
also be a good opportunity to get patient feedback and experience.
RW invited suggestions from the group on other possible venues or groups to
extend the communications outreach to. Suggestions included:
 Lambeth Country Show
 Southwark Council/ Youth Council. RW added that she and Laura Brannon
(LB) has already made links with this group.
 Faith groups via the Multi-faith Coordinator at Southwark Council
4. Developing Local Care Networks
David Smith (DS) presented on and led discussion on the development of Local
Care Networks (LCNs).
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He drew the meeting’s attention to the diagram depicting Southwark’s population
and it’s needs, to explain why the LCNs are being developed. The higher up the
diagram, the higher the financial health investment.
He informed that Southwark’s strategy for dealing with this includes the creation of
GP federations who are able to work at scale. These have already been set up
with one each for the north and south of the borough.
The next step involves developing the LCNs. These are a body of health and
social care providers including the voluntary sector. The aim is to look at patients
holistically and work towards linking GP services with other health, social and
community services.
He drew the meeting’s attention to how the patient’s voice can influence the
development of LCNs by saying how they would like to be involved, ensuring they
are involved and what they feel LCNs should focus on in their first year.
Discussion ensued and some of the comments included supporting the proposal
to invest in prevention.
There was also a discussion on how the LCNs will be funded. DS responded that
there is no new money and the strategy will be to look at how to work differently in
order to use finance more efficiently.
It was acknowledged that prevention may be a low priority with GPs. The CCG is
looking to invest new money in prevention as an incentive to GP practices.
The meeting agreed to keep LCNs as a standing agenda item and any further
comments should be emailed to the Membership and Engagement team
souccg.southwark-ccg@nhs.net .
5. Feedback from practice patient members on patient experience and
engagement issues
5.1 DMC – Crystal Palace Road
Alma Gray (AG) updated on key messages and feedback from their PPG:
 The practice has sorted out the suggestion box system.
 The Pharmacy First Scheme was discussed and members and the practice
manager were pleased to hear of the setting up of the scheme.
 The PPG only received the NAPP DES feedback form the day before it was
due to be returned. This was filled in and submitted by the deadline but the
application was rejected because the PPG did not fulfil all the necessary
meeting criteria.
 The PPG had invited Edith Todd from the NAPP to attend a PPG meeting
but she was unable to do so and suggested that it might be more feasible
to meet a cluster of PPGs.
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5.2 DMC – Chadwick Road
Leslie Boscheratto advised that there was no feedback from their PPG but would
welcome an opportunity to liaise with other PPG representatives.
5.3 Elm Lodge Practice
Bob Skelly (BS) updated that the next meeting is scheduled for next week. The
agenda items for discussion include:
 Pharmacy First Scheme
 Extended Primary Care Service
 South Southwark Locality PPG meeting
 Other patient identified issues.
5.4 The Hambleden Clinic
Jane Hopkins and John King updated on the key messages and discussions as
follows:
 Their DES form was completed and submitted
 The group has drafted their first newsletter and this will be in an A3 folded
format. This has been sent to the practice manager for copies to be made
but he wants to check the wording before it is circulated. RW added that it
is good practice that the newsletter be a collaborative effort.
 JK added that they are having some problems agreeing dates going
forward but will be meeting with the head of AT Medics and this hopefully
will help resolve the situation.
5.5 Camberwell Green
Ela Kwasny-Spechko (EK-S) informed that their PPG meeting was postponed to
accommodate attendance at the 29 April CQC Inspection training for patients.
5.6 Parkside Concordia
AB advised that there has been no meeting since February and that the next
meeting is scheduled for this month.
5.7 Melbourne Grove
AB updated on the key messages as follows:
 One receptionist has left the surgery.
 There was a discussion on the Southwark CCG engagement pyramid.
 The group discussed the need to nominate a new PPG Chair.
 The Pharmacy First Scheme leaflets and posters are displayed and
available at the practice.
 They propose suggesting to the practice that photos and names of PPG
members be displayed on the practice notice board.
 She advised that leaflets of pharmacies giving a late night service are
available at Parkside and will suggest to the practice that this information
also be available at Melbourne Grove.
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
The meeting was updated that the practice has performed well on the
Quality and Outcomes Framework (QOF).
5.7 St. Giles Surgery (Dr Patel)
Barbara Meilink (BM) updated as follows:
 The group held their first meeting since March 2014 in February of this
year. They will meet again next week and meetings have been scheduled
in advance to February 2016.
 Raymond Cole has been nominated Chair of the PPG going forward.
 One of the GPs, Dr Patel has now retired.
 A walking group is being set up.
 The group has approached the practice about improving the leaflet and
information stand.
 The meeting was updated on the results of the Friends and Family Test
(FFT). The FFT was circulated to over 170 people of which there were 48
respondents. 92% of those responding stated that they would refer the
practice to friends and family.
 Phone access at the practice has been improved.
 The website needs to be more user friendly
 BM added that their group would welcome any ideas from their peers on
increasing membership.
5.8 Dr Hossain’s Surgery
EO updated the meeting as follows:
 Appointment waiting times at the surgery is being monitored.
 The PPG will be working together with the practice to develop an action
plan for the practice to implement improvements.
 Their PPG is presently working on setting quarterly meeting dates. One of
the meetings will take the format of an open evening where a clinician will
be present to answer questions raised by patients.
6. Messages to EPEC
No messages were noted to feed up to EPEC.
AB advised that she is unable to access EPEC papers electronically.
Action: Circulate EPEC papers to AB (for information only) (NM)
7. Feedback from Engagement and Patient Experience Committee
RW updated that the following items were discussed:
 Draft leaflet for the Pharmacy First Scheme
 Draft Extended Primary Care Access Service
 EPEC Terms of Reference and ways of working of the Committee going
forward.
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8. Any other business
RW updated as follows:
 Two further patient training sessions have been planned. In June there will
be “The role of patients in shaping the NHS” and in July, “Skills for
successful meetings”.
 The 1-6 June is National PPG week and we are hosting an event on 1 June
in view of this. All were invited to give suggestions and ideas on what to
cover at the event.
 Further to the 29 April CQC inspection training for patients, RW asked all to
note an amendment to the presentation that CQC gives practices two
weeks’ notice of an inspection and not two days as stated at the training.
An amended presentation to reflect this will be circulated to attendees and
uploaded to the CCG website.
 The Our Healthier South East London has produced their issues paper and
all advise to take away copies. RW advised that the paper highlights the 6
areas of work being focussed on by the programme and the issues facing
these. She further advised that an easy read summary will be produced.
Pursuant to discussion the meeting was advised that they can ask their practice
about the FFT.
JK added that he is happy to assist peers having difficulty using the website to
access resources and papers.
9. Date of next meetings
7 July, 8 September, 10 November, 5.30-7.30pm, all at Cambridge House.
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Actions from May 2015 meetings
Agenda item
Matters arising
Matters arising:
Pharmacy First
Scheme
Matters arising:
EPCS and
Pharmacy First
Scheme
Messages to
EPEC
Action Point
Update
Determine from the CCG
whether there are care plans for
disabled patients and if these
are sent both to patients and
their GP
Determine if there is an age
criteria for eligibility for the
pharmacy first service
Discuss with CCG colleagues
the potential for making the
leaflets accessible for the
visually impaired and those for
whom English is not their first
language
Circulate EPEC papers to
Angela Buckingham for
information
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Date to be
completed
Lead
Status
July 2015
DS
Action in
progress
May/June 2015
RW
Action
complete
May/June 2015
RW
Action in
progress
May 2015
NM
Action
complete
Actions from 10 March 2015 meeting
Agenda item
Matters arising:
Extended access
service
Matters arising
Action Point
Bring breakdown of service
usage per practice for May
meeting.
Determine from the CCG Mental
Health Commissioning team if
patient care plans are sent to
their GPs
Our Healthier
South East
London Focus
Group discussion
Circulate the stories to south
Southwark practices (RW)
Our Healthier
South East
London Focus
Group discussion
Circulate focus groups “my
wish”, “my story” template to the
group for use in capturing other
patients’ stories
CQC Inspection
Circulate CQC publication to
locality PPGS (LB)
Update
Information tabled and discussed
These are known as recovery and
support plans. They are sent both to
the patients and their GPs and are
more detailed than discharge
summaries
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Date to be
completed
Lead
Status
May 2015
RW
Action
closed
May 2015
RW
Action
closed
May 2015
RW
Action
complete
March 2015
LB
Action
complete
March 2015
LB
Action in
complete