1 Agenda Item No: 6.1 Which Strategic Objective Does the Report Relate To
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Agenda Item No: 6.1 REPORT TO: PRIMARY CARE COMMITTEE MEETING DATE: 20th June 2016 REPORT TITLE: Extending GP Access - consultation on proposed new model of care – update SUMMARY OF REPORT: This report provides the Primary Care Committee membership with an update regarding the consultation. REPORT RECOMMENDATIONS: To note the report. FINANCIAL IMPLICATIONS: None REPORT CATEGORY: Tick Formally Receipt X Action the recommendations outlined in the report. X Debate the content of the report Receive the report for information x AUTHOR: David Rogers Head of Communication and Engagement Report supported & approved by your Senior Lead Y PRESENTED BY: David Rogers Head of Communication and Engagement OTHER COMMITTEES/ No GROUPS CONSULTED: EQUALITY ANALYSIS (EA) : Has an EA been completed in respect of this report? Y AN EIA has been completed for the consultation. RISKS: No risks have been identified that have not already been N the subject of mitigation plans, as such there are no risks identified. CONFLICT OF INTEREST: Potentially GP members may have a conflict of interest. Y PATIENT ENGAGEMENT: This is a report providing an update regarding patient Y engage3.ment and the consultation PRIVACY STATUS OF THE REPORT: Can the document be shared? Y Which Strategic Objective does the report relate to Tick 1 Commission the right services for patients to be seen at the right time, in the right place, by the X right professional. 2 Optimise appropriate use of resources and remove inefficiencies. X 3 Improve access, quality and choice of service provision within Primary Care X 4 Work with colleagues from Secondary Care and Local Authorities to develop seamless care X pathways 1 Agenda Item No: 6.1 NHS EL CCG – Primary Care Committee 20 June 2016 Extending GP Access - Consultation on Proposed New Model of Care - Update 1. Introduction 1.1 This report provides an update regarding the consultation on the proposal for extending GP access. 2. Purpose / Background 2.1 This report seeks to provide members of the Primary Care Committee with an update regarding the progress and position of the consultation regarding extended access to GP services. 3. New Model of Care Consultation – update 3.1 Background and context The CCG launched its consultation on a proposed new model to improve access to GP services in East Lancashire from April 2016. This followed a month of pre-consultation engagement, particularly with clinical staff, patients and stakeholders; mainly in the Hyndburn area. It should be noted that the CCG has engaged with patients and the public including work to co-produce a vision and principles for GP access over a period of time from 2014 onwards. 3.2 Consultation materials The materials for the consultation included a poster depicting the proposed new model of care and information detailing how patients can obtain more information and inform the CCG of their views, two infographics depicting primary care “now” and with the envisaged proposed model. Patients told us that wished to see visual representations of the proposals so we created these infographics to help and we have received positive feedback about these. In addition we created a survey questionnaire, and an information sheet. A standard presentation was created and has been used throughout the consultation with various groups. Fifty-eight GP practice “starter” packs (representing a briefing for each locality, 200 paper questionnaires and pre-paid envelopes, with supporting information sheets) have been distributed to every one of the 58 GP practices in East Lancashire. In addition, the packs included posters and leaflets for each practice. This amounts to over 13,000 questionnaires, prepaid envelopes and information sheets in circulation in East Lancashire. In addition, GP practice staff, patients and stakeholders have been able to contact us to obtain more copies and we have distributed up to 300 more questionnaires. A standardised presentation has been created, which we have distributed to every group we have attended. We have also created an animation about the consultation. 2 3.3 Online All the materials, including the online survey, went live on the CCG website from the beginning of April: www.eastlancsccg.nhs.uk/improving-gp-access/. In addition, Healthwatch Lancashire have promoted the consultation: http://healthwatchlancashire.co.uk/news/primary-care-consultation-launched-across-east- lancashire/ Many GP practices used the information to upload or link the CCG website to their GP practice website, an example of this is the website for Peel House in Accrington: https://peelhouse.gpsurgery.net/ All of our local newspapers have included advertising links to our CCG webpage and information about the consultation, as well as to the survey itself. These are prominently placed on the newspaper website homepage and follow visitors as they read articles, and example is: http://www.burnleyexpress.net/ 3.4 Survey itself To date we have received an exceptionally good response to the survey, which closes on the 8th July. We continue to promote the consultation but are delighted that we have had a very positive response. A verbal update regarding the response will be provided at the meeting. 3.5 Face to face engagement A team of staff comprising communication and engagement, primary care, and locality support staff have been meeting with the public in a variety of settings (GP practices and health centres) to talk through the proposals and encourage patients and the public to share their views either using paper or via the online survey. Ten face to face sessions have taken place across East Lancashire, resulting in approximately 300 questionnaires being completed. The general sentiment towards the proposal has been broadly supportive although as with other forms of engagement, patients have queried aspects of delivery and the value of “walk in” options. 3.6 Podiums (fixed plinth computer access to survey) We have 4 podiums which can enable members of the public to complete the survey if they do not have access to a smartphone or a computer. These have been circulated around East Lancashire and sited in waiting areas, adjacent to reception desks at GP practices and in health centres – 10 locations in all, covering each of the districts of East Lancashire. Although not utilised as much as other channels, this has offered another means for the public to share their views. 3.7 Media We launched the consultation in April and this was supported with good coverage in all local media, social media and online, as well as with face to face meetings. The Burnley Express, Nelson Leader, Barnoldswick and Earby Times, and Colne Times all covered the consultation as front page stories; while other publications (Rossendale Free Press, Clitheroe Advertiser, Accrington Observer and Lancashire Telegraph) featured the consultation with notable prominence in the early pages of their editions. The coverage has broadly been factual (promoting the proposal and encouraging responses); and balanced. In addition the consultation was featured in Asian Image and Northern Life Magazine. In June we ran an advertising campaign in our print media. This included supplements in all of the borough-based newspapers, Asian Image and the Lancashire Telegraph. This has 3 generated a good response. All of the newspapers have run adverts on the home page of their websites, as well as the online articles about the consultation. All three radio stations (BBC Radio Lancashire, 2BR, and thebee) have covered the consultation, with BBC Radio Lancashire featuring an interview with Dr Phil Huxley on the Graham Liver breakfast show. 3.8 Social Media On FB our survey article with links to the survey reached 16,351 people with east lancashire postcodes. In addition, the article was “liked” by 90 people, and shared 100 times. A number of individuals have posted comments on the page, and we have responded to those comments requiring factual information; and noting for the record other comments. The comments have been drawn into the feedback log for analysis as part of the consultation feedback. We posted the article, and regular updates about the consultation on Twitter. We currently reach 3,854 followers. 3.9 Stakeholder Engagement We have undertaken presentations at Hyndburn Council OSC and Health and Wellbeing Committee, Pendle OSC, Ribble Valley Council, and Parish Council network, with presentations to Lancashire OSC, Rossendale OSC and Burnley OSC scheduled. In addition we have presented to all the Locality Steering Groups, Practice Manager network, Practice nurse network and groups and locality forums. The proposal and consultation has been considered by the Patient Partners Board of the CCG since January, with a full presentation and healthy discussion in May. Following this, we have presented and engaged with Hyndburn, Burnley, Ribblesdale, Rossendale and Pendle PPG networks. In addition, we have presented and engaged with a number of specific PPG groups across the area. 3.10 Engaging with specific groups, including those with protected characteristics As part of our efforts to reach those individuals and groups with protected characteristics we directly contacted groups representing BME communities, people with disabilities, older people, people with learning disabilities, young people networks, carers and the voluntary, faith and community sector. We have shared the materials for dissemination and offered to present to these groups. We have presented to STIR – seniors together in rossendale, and we have supported individuals from the BME communities and with disabilities to complete the survey. 3.11 The Walk in Centre, Hyndburn In Hyndburn there is significant opposition to the proposed ending of the Walk in Centre. In essence the hub model is appreciated, but the loss of Walk in options is a significant concern. Local MP Graham Jones is not supportive and he has written about his opposition to this on his blog http://hhgrahamjones.blogspot.co.uk/2016/04/will-closure-of-accrington- victoria.html?m=1.