Craven Road Medical Practice 60 Craven Road Leeds LS6 2RX Telephone: 0113 2953530 Fax: 0113 2953532 Patient Participation Report 2011-2012 1. Establishing the Patient Reference Group (PRG) How the PRG was established In April 2011, the Practice undertook a patient consultation exercise seeking patients opinions on the movement of its branch surgery to the current premises in Headingley. This was seen as an excellent opportunity to engage with patients both for the premises development and for the establishment of a PRG. All patients received a letter informing them of the changes and inviting them to join the PRG. The practice held a drop-in session regarding both subjects on Saturday 7th May. A second letter and newsletter was sent to all patients in July, this informed them of the details of the move and how to join the PRG. During the period April – September 2011, a newsletter was available at both practice premises inviting patients to join the PRG. Over 50 patients expressed an interest in taking part and all of these patients were invited to attend the first meeting which took place on the 3 rd August 2011. 9 patients attended the first meeting and a further 5 patients expressed an interest in being kept informed of the outcome of meetings and are receiving information by mail. Practice Profile Age/Sex The total registered practice population is 9720. This is made up of 5255 (54%) males and 4465 females (46%). Age/Sex Profile 1400 1200 Numbers 1000 800 Males Females 600 400 200 0 0-4 5-16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 85-89 90+ Years Figure 1: Age/Sex profile of the patients registered with Craven Road Medical Practice Patient Reference Group Profile Age/Sex The PRG currently has 14 members. There are 2 (15%) males and 12 females (85%). Patient Reference Group Age/Sex Profile 6 5 Number 4 Males 3 Females 2 1 0 0-4 5-16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 85-89 90+ Years Figure 2: Age/Sex profile of the Craven Road Medical Practice PRG Ensuring representative membership 93% of patients have an ethnicity and language recorded, of these 72% have classed themselves as British or Mixed British. The remaining patients are from other ethnic groups with the largest of these being Pakistani (3%), Chinese (1.5%), Indian (1.5%) and African (1.5%). All of the members of the PRG are white British. The Yorkshire Public Health Observatory determined Craven Road Medical Practice to be “Above average list size. A practice population that is predominately aged 1544 years old and urban dwelling. Above average percentages of patients who are Asian and Black or of mixed race”. In addition it showed that 23.7% of the practice population are students and young professionals and 8.4% of the practice population are disadvantaged multi ethnic younger adults, with high levels of smoking. The PRG is currently not reflective of its patient profile in terms of age and ethnicity. All patients registered with the Practice are eligible to join the PRG and the Practice will continue to advertise this throughout the next year. At the first meeting, methods of engaging patients to ensure that the group was representative were discussed. The following actions were agreed: Allow “virtual” representation to engage patients who could not access the face to face group either because of work or carer commitments or because of mobility or disability problems To ask clinicians to discuss the PRG with focused groups of patients and in particular clinics eg Baby Clinic to increase the representation of young parents and ethnic minorities To include “sign-up” to the PRG on the full patient survey To change the time of the next meeting to an evening to allow all the above groups better access To continue advertising the PRG and methods of joining Despite clinicians personally inviting patients to the second meeting and changing the time of the meeting no additional members attended and the late time caused problem for the original group. It was therefore agreed to revert to the original meeting time. 2. Establishing priority issues At the first meeting of the PRG an “h-form” exercise was undertaken. This considered: What the Practice was currently doing well What the Practice could do better The priorities of the PRG At the second PRG meeting, the group agreed: 3. the questions for the patient survey, which incorporated some of the priorities established during the “h-form” exercise the method of distribution of the survey the duration of distribution of the survey Collecting the views of the wider Practice population Once the survey had been agreed by the PRG, the survey was distributed within the Practice for a month. Patients attending the surgery for any purpose were asked if they would complete the survey. During that period a total of 125 surveys were completed and returned. The Practice and PRG were disappointed with the uptake of the survey and it was agreed that for future surveys, clinicians would hand out the survey when the consultation had been completed as many patients no longer attend the reception desk as they use the automated arrival screen. Despite the low uptake the Practice felt that the survey results were credible as in previous years the national GP Patient survey results had received similar uptake. 4. Survey Results The results of the survey were collated and distributed to the PRG and discussed at a meeting. The PRG were invited to comment and feedback their ideas to incorporate in to an action plan. Strongly Disagree Disagree Neither agree nor disagree Agree Strongly Agree The following is a summary of the survey results: If I need an urgent appointment I am usually seen the same day 6% 15% 18% 36% 17% If I need a non-urgent appointment I am usually seen within one week 2% 12% 12% 41% 23% I am happy with the current appointment system 4% 12% 12% 41% 23% The practice is open at times when I can attend an appointment 2% 3% 1% 52% 37% I think the current opening times are about right 0% 1% 1% 48% 34% The practice is easy to get to 2% 0% 1% 50% 43% Reception staff are friendly and approachable 0% 1% 2% 48% 45% The practice is clean and tidy 0% 0% 1% 42% 54% Overall I think the practice is welcoming 1% 0% 4% 48% 42% I like music in the waiting area 8% 11% 34% 25% 18% I feel listened to by the clinical staff 0% 1% 7% 47% 32% Clinical staff treat me with dignity and respect 0% 0% 4% 47% 35% The clinical staff communicate their message clearly and effectively I am confident in the treatment I receive from the clinical staff I am happy with the clinical care I receive 0% 0% 4% 47% 30% 1% 0% 7% 44% 32% 0% 0% 6% 46% 33% I did not have to wait too long in the surgery to see the GP 3% 11% 16% 36% 19% Appointments Opening Times Our Surgery Clinical care 5. Development of an action plan The three priority areas shown as a result of the survey were regarding urgent same day appointments, music in the waiting room and waiting times within the surgery. These issues were discussed at a PRG meeting and as a result, the following actions have been agreed: Action Continue to advertise the Patient Reference Group to patients To use the TV screen (patient call boards) to display information about the practice and minimise the number of features containing music To increase the number of same day urgent appointments in a form of “open” surgery Reason To ensure the Patient Reference Group is representative of the Practice Population Survey results showed this as an area that people felt most strongly about Survey results showed that a small minority of patients felt unable to be seen urgently the same day. To advertise the reasons why appointments might be delayed and patients have to wait to be seen Survey results showed this to be an area for concern Aim to improve the midwifery service running in the Practice Patient and Practice satisfaction with the service is poor. Reflects badly on the practice as patients often think this is an area that the Practice provides and controls. To continually monitor and improve satisfaction To produce another survey in approximately 1 years time 6. Updating the plan following achievement of actions The Practice will also advertise the action plan and update this report as actions are achieved. A summary of the progress as at 31st March 2012 is: You said: You were not happy with the amount of time spent in the waiting room You were not happy with the ability to obtain same day urgent appointments We did Display information on the reasons why clinicians may be running late Discussed with the Practice clinicians and agreed a trial system which will commence in May For information purposes: Our current opening hours Monday Tuesday Wednesday Thursday Friday Saturday 8.00am to 7.00pm 8.00am to 7.00pm 8.00am to 7.00pm 8.00am to 7.00pm 8.00am to 7.00pm 8.30am to 11.30am Patients can make appointments by telephoning or calling in to the practice. The Practice also offers online facilities to book appointments and request repeat prescriptions. Extended opening hours We currently open on Saturday mornings to offer appointments for those patients who find it difficult to attend during normal opening hours. A Practice Nurse is available the first Saturday of every month with the remaining sessions being provided by GP’s.