Kingsclere Medical Practice Patient Group Patient Participation DES Report 2012-2013 Step 1: Develop a Patient Reference Group (PRG) Kingsclere Medical Practice is a rural practice covering Kingsclere and the surrounding villages in North Hampshire we have 5581 registered patients. Our practice profile is: Age / Sex breakdown Description Practice Population Under 16 17-24 25-34 34-44 45-54 55-64 65-74 75-84 Over 84 Male patients Female patients Count 5581 986 464 513 781 1007 807 561 298 102 2870 2711 Percent 100 17.7 8.3 9.2 14.0 18.0 14.5 10.1 5.3 1.8 51.4 48.6 Ethnicity Breakdown Description Count Percent Practice Population 5581 100 British or mixed British 1537 27.5 Irish 15 .3 White & Black Caribbean 4 .1 White & Black African 3 .1 White & Asian 7 .1 Other mixed 6 .1 Indian 16 .3 Pakistani 1 .0 Bangladeshi 0 0 Caribbean 1 .0 African 4 .1 Chinese 3 .1 Any Other 3 .1 We understood that our Patient Participation Group (PPG) would be best served by representation from the various villages which make up our practice area. We started the process by inviting a Parish and Borough Councillor in Oct 2009 to discuss how we might get representation to the group. We also became a member of the NAPP (National Association of Patient Participation) and invited a representative to come and talk to us about their experience. We have a poster in the waiting room for the “Ethnic minorities Carers Group” which represents carers of ethnic minorities in Basingstoke. The Kingsclere Medical Practice PPG was formed in December 2009 by asking the various local Parish Councillors if they would like to send us a representative from their area. To ensure our group was representative we continue to ask for anyone interested in joining the Group to contact the Practice Manager. The Group is made up as follows: Len Potts Cathy Osselton Ian Cameron Tony Forward Judy Henry Sue Elliott Alison Collington Dr Still Win Harfield Chairman Vice Chairman & Representative for the Alliance PPG Practice Manager & Secretary Kingsclere Kingsclere Ecchinswell Greenham Hannington/Ibworth Parent representative Parent representative Representative from the Practice Representative from the Practice We are still keen to hear from anyone in the, Bishops Green or Burghclere areas who may be interested in joining our group. We have a representative who attends the North Hampshire Alliance PPG meetings, a strategic group which serves Basingstoke and the surrounding areas. The members discussed forming a reference group (PRG) and decided that we should open the survey to ALL patients, this was made available on line and in paper at the practice, the survey was also sent out to patients with repeat prescriptions. The Group have been active in looking at ways to improve car parking, assisting with looking at the DNA (did not attend) rates and suggesting improvements to the appointments system. They are going to hold a Health Fair in 2014 and will be forming a project group of practice staff and PPG members to take this forward. The PPG met on 15th August 2012 where plans for this year’s Flu clinics were discussed. The PPG agreed they would have a display at the clinic to promote the work of the PPG this was a time when a large number of patients would be attending and was a good opportunity to ask patients by questionnaire what they would like us to focus on in the 2012-2013 survey. The results and actions from the previous year’s survey would be on display and the PPG agreed that they would like to keep the survey similar to last years so that comparisons could be made. Step 2: Agree areas of priority with PRG An e mail was sent to the PPG on the 11September 2012 and a volunteer met with the Practice Manager to finalise areas to be included in the questionnaire. The areas chosen were taken from the most common areas of patient experience with the option to state any others areas which patients wished to include. The display at Flu Clinic was manned by volunteers from the PPG and a paper questionnaire was available to all patients visiting the practice during the October and November 2012 period. There was also information shown on the TV screen to promote the event. There were 125 responses: Description Total responded 0-25 26-45 46-65 66-75 Over 76 unstated age Male Patients Female patients Unstated gender Count 125 5 4 28 42 35 11 48 69 8 Percent 100 4 3.2 22.4 33.6 28 8.8 38.4 55.2 6.4 Patients were asked to rank in order of priority, the graph indicates the responses where patients had picked as number 1 priority The PPG met on 21st November 2012 to review the questionnaire undertaken during the Flu70Clinic period which showed that the majority of patients wished us to focus 60 questions on clinical care and the telephone service, these topics were both included in the 2012-2013 patient survey. It was agreed that the clinical questions would be 50 the same as last year which would enable doctors and nurses to make comparisons 40 with the previous year. The telephone service questions were aimed at seeing what could be 30 done to improve the service to patients. The survey document was forwarded to the PPG by e mail on 24th January 2013 for final approval. 20 Step 3:10 Collate the views through the use of a survey 0 Opening th March Getting a Reception Getting ato 5Phone Other2013 the survey was The surveyClinical was run from 28th January 2013 test result service prescription Care times available in paper in the waiting room and on line on our website. A total of 209 58 50 24 29 24 54 4 Series1 patients took part. Kingsclere Medical Practice Patient Survey 2012-2013 Number of Responses: 209 Kingsclere Medical practice Patient Group The patient group would like your views on a number of issues. We would be grateful if you could please take a moment to complete this brief survey. The replies will be anonymous and it will not be possible to identify individual patients from the answers given. Q1) Opening Times I am happy with the standard opening times 8.30am to 6.30pm Yes 81% No 1% No response 18% If answer NO please select from the following I would like to be able to attend before 8am Monday 7% Tuesday 4% Wednesday 5% Thursday 5% Friday 5% Saturday AM 14% And/Or After 6.30pm Monday 10% Tuesday 9% Wednesday 11% Thursday 9% Friday 10% Q2) Reception How helpful do you find the receptionists at your GP practice? Very helpful 78% Fairly helpful 17% Not very helpful 0% Not at all helpful 0% Don’t know 0% No response 5% Q3) TV Screen in waiting room Have you found the information on our screen helpful Very helpful 29% Fairly helpful 39% Not very helpful 11% Not at all helpful 2% Have not seen it yet 13% No response 6% Is there a topic you would like us to include in our information to you Q4) How good was the last GP/Nurse you saw or spoke to at each of the following If you know the name of the GP/Nurse you last saw or spoke to please write it here: Giving you enough time Very good 77% Good 16% Fair 4% Poor 1% Very poor 0% Does not apply 0% Listening to you Very good 75% Good 15% Fair 6% Poor 0% Very poor 0% Does not apply 0% Explaining tests and treatments Very good 69% Good 16% Fair 6% Poor 0% Very poor 0% Does not apply 5% No response 4% Involving you in decisions about your care Very good 67% Good 16% Fair 7% Poor 0% Very poor 0% Does not apply 4% No response 6% Treating you with care and concern Very good 70% Good 19% Fair 4% Poor 2% Very poor 0% Does not apply 0% No response 5% Did you have confidence and trust in the GP/Nurse you saw or spoke to? Yes, definitely 82% Yes, to some extent 14% No, not at all 0% Don’t know / can’t say 0% No response 4% Q10 Our Telephone Service Choose the time you prefer to phone 8.30am to 9am 47% 9am to 1pm 35% 2pm to 4pm 4% 4pm to 6.30pm 7% No response 7% When you last phoned the practice what was the reason for your call Book Appointment 58% Order Prescription 29% Get Test result 2% Other 2% No response 9% How quick were we in answering your call Very good 31% Good 42% Fair 19% Poor 4% Very poor 0% No response 4% How well was your call handled by Reception Very good 66% Good 25% Fair 3% Poor 0% Very poor 0% No response 6% Any Other Comments So that we can analyse the answers give by all the people in this survey it would help us if you could provide the following information, it will not be possible to identify you from this information. Male 29% Female 69% No response 2% Age Group 0-25 2% 26-45 12% 46-65 41% 66-75 27% over 76 13% No response 5% First 5 digits of your postcode ( ie RG25 8 ) Thank you for completing this survey. If you would like us to contact you about future surveys please leave your email address/contact details at reception Step 4: Provide the PRG with the opportunity to discuss the findings and reach agreement with the PRG on changes to service The results of the survey were collated by My Surgery Website with input of the paper copies by practice staff. The results were discussed at a PPG meeting on 5th March 2013 and a full staff meeting on 11th March 2013 These results are available on the Kingsclere Medical Practice website, NHS choices website and in paper in the waiting room. The PPG congratulated the Practice on improved results in all areas. The areas for change were taken after discussion with the practice and PPG and taking into account comments from the survey. Step 5: Agree action plan with PRG and seek PRG agreement to make changes The PPG and Practice agreed the following actions to improve telephone services to patients: 1) Maximising the number of staff able taking calls in the morning, this will be monitored by regular review of reports from our telephone system currently 85% of calls in the morning 2) Advise patients to phone after 10am for test results or ordering prescriptions, the Practice will change the message on our phone system within the next three months 3) Continue to promote on line services, 339 patients are already signed up for these services thus reducing the number of calls taken. There is a slide on our TV screen to promote on line services 4) Enabling a dedicated line for appointment cancellations, the Practice will look at the various options with our telephone supplier These actions have been communicated to patients by an article in local parish magazines which goes to all households. Changes to our telephone system will be made to incorporate the changes above by 30th June 2013 Kingsclere Medical Practice is open as follows, you may access our services by telephone on 01635 296000 or in person during the core hours. Day Monday AM CORE HOURS 08:30-13:00 PM CORE HOURS 14.00 -18.30 Tuesday Wednesday Thursday Friday 08:30-13:00 08:30-13:00 08:30-13:00 08:30-13.00 14.00-18.30 14.00-18.30 14.00-18.30 14.00-18.30 Extended Hours Practice is closed Access for extended hours is by appointment only check with reception for availability 18.30-19.30 GP & Nurse