Patient Participation Group Meeting 26 October 2016

Patient Participation Group Meeting – 26 October 2016 Minutes

Present: Linda Bennett, Practice Manager. Sandra Smith, Assistant Practice Manager. Sue Dorrington, Secretary. Katherine McClay, Patient Services Manager Greg Yates – Chairperson. Joy Verrier – Vice Chairperson. Rob Beacham, Marian Fellows, Alison Lee, Ian Gould, Dominika Sadczuk, Karen Partington, June Byrne, Jane Bignell, Jenny Rivers.

Greg and the Group welcomed Jane and Jenny to the Patient Participation Group.

1. Minutes The minutes from the meeting of 27 July 2016 were approved.

2. Matters arising  The Group had heard from the Parish Councils. Ian had received notification from Boughton Parish Council that they would not be liaising with Heath Lane Medical Centre’s PPG. The reason given was that they could not show favouritism to Heath Lane Medial Centre above other surgeries. However, Huntington Parish Council were receptive and will liaise regarding advertising surgery information, and PPG information on their website.

 A representative from Boughton Health Centre will be contacting Sandra Smith in the near future to organise an observational visit to Heath Lane Medical Centre.

 Ian has had no further contact with Mr Young from Young’s Pharmacy. Greg had spoken to him on the day of this meeting and asked if he would be attending again, but this would not be possible for the forseeable future

 The Facebook page is in the early stages of development. An unofficial Facebook page has been found for Heath Lane Medical Centre which has two negative comments posted on it. We have had to adopt this unofficial page as our own to be able to remove the comments. The Facebook page will be an information only forum with no facility to post comments. Dominika and Olivia would be happy to provide advice on Facebook usage when the surgery start to develop this further.

 The phlebotomy service is being developed further. We provide a phlebotomy service in surgery and it is planned that the Extended Hours Service will also provide this service. Phlebotomy access is also available at the Countess.

3. NHS England 5 Year Forward Report The basis of this report recognises that Primary Care is under increasing demand which is leading to a workforce crisis. There are not enough new GPs to meet the current demand. The government recognises this and they are going to be putting more resources into Primary Care.

1. There will be 3,000 practice based mental health therapists 2. Recruit and train 5,000 more GPs 3. There will be 1,500 co-funded practice based pharmacists 4. Nationally funded support for developing practice nurses and healthcare assistants 5. Practice manager and receptionist training 6. A fund will be set up for struggling practices 7. CQC inspections will be streamlined 8. There will be support for GPs suffering from stress 9. They will help to redesign care taking an MDT approach, making sure the patient is seen by the correct person for the problem 10. More funding for Out of Hours access

The overall final summary is that General Practice will not look the same as it does now by 2020. Practices will work to a higher scale and the workforce will have expanded. There will be better premises and more signposting for patients with a big emphasis on self-care.

4. Public consultation regarding service provision There is going to be a public consultation regarding service provision. PPG members were invited to respond in their own right. Some services may not be supported any longer. A broad example includes some ENT, dermatology, fertility treatment, sterilisation, musculoskeletal, urology, urogynaecology treatments. A link to the survey is https://www.westcheshireccg.nhs.uk/newsitem.aspx?storyID=6488.

5. Repeat Prescribing Project Linda explained that the surgery will be participating in a pilot project regarding repeat prescribing. During the month of November the surgery are going to get all repeat prescriptions back from pharmacies and will look at every prescription. The aim is to identify if a patient still requires all of the drugs that are prescribed, thereby cutting down on drug wastage. A clinical review with the patient may need to take place. Linda explained that the CCG send a quarterly report identifying the prescribing expenditure of each practice. Some areas of prescribing have been discontinued. There is a ‘softly, softly’ approach to non-compliance at the moment but this will change and the CCG will soon start to individually focus on outliers. 6. HR Update (Clinical) The surgery now have four Advanced Nurse Practitioners (ANP). Two work every day for acute on-the-day demand with GP back-up. The ANPs can refer a patient to the GP if necessary. The surgery will be conducting a survey in the next few weeks to assess how many patients are passed onto the GP by the ANP. This will identify any training and learning issues. During the patient survey, a couple of cases of people with established conditions had been fed back to the surgery, where the patients felt that by virtue of their condition, it would have been more appropriate to go straight to the doctor. Perhaps this would be a refinement which could be developed after the review.

A new female GP is starting on 1 November. Her name is Dr Jo Cleeton. She has done a couple of locum sessions for us recently and will be able to do minor operations and joint injections and women’s health.

Practice nurse, Sara, is back working at the surgery and has had a good outcome from her surgery. Another practice nurse has also been appointed, increasing our nursing capacity. Her name is Louise Johnson and she will be working two days per week.

7. HR Update (Non-clinical) Sandra explained that we have appointed a new Patient Services apprentice called Sophie. We also have a further new apprentice starting at the end of November. The surgery have had some good customer service feedback. Fiona, the Patient Service Supervisor, Katherine and Sandra will be liaising to put together a plan to move forward into 2017.

The surgery have appointed an IT Manager which we will share part-time with Boughton Health Centre. He starts in November.

8. Chairs Update The Chairman had attended the Cheshire Chairs meting the previous week. A survey of the types of PPG had been carried out. Only fourteen out of thirty-seven patient groups had responded, and the results showed that Heath Lane PPG was fairly typical. A presentation about the new joined up medical records systems was made, and despite this seeming to be a very good idea, there had been a lot of caution demonstrated. Ian, Rob and Marian attended a meeting in the afternoon which dealt with the coast saving plans for the CCG. The documentation provided seemed to be already out of date. It was also confirmed that despite a recent rumour, that the Countess of Chester Hospital is definitely not going to close.

9. Park Medical Centre Heath Lane Medical Centre’s PPG are going to meet with representatives from Park Medical Centre (part of our “cluster” of practices) as soon as it can be arranged with their chair and deputy.

10. AgeUK A representative is going to meet with the PPG on 11 November at 9:30am in the meeting room at Heath Lane Medical Centre, to explain her work.

11. Macmillan Coffee Morning There was a very good response from patients to the Macmillan Coffee Morning and the involvement of the PPG. A large sum had been raised for Macmillan, and there was an overall positive response from patients regarding the surgery and the PPG survey, Some very useful feedback had been obtained from this fairly limited time period. The PPG would like to do something like this again, on a more extended and regular basis, and plans were being drawn up. The PPG are drawing up a summary of suggested actions form the feedback at the patient interviews which we can consider implementing.

12. AOB A comment was made that it would be helpful to summarise, on the leaflet introducing the new way of operating via Advanced Nurse Practitioners, the advanced qualifications and experience of the ANPs. Linda will action this.

Is there a late-night pharmacy open anywhere is Chester? Where is the information accessed? Katherine will investigate.

PPG members will make cards detailing their role for use when introducing themselves to other patients.

Katherine showed the group new name badges with lanyards. These were approved.

A large print newsletter would be a good idea for those patients with poor vision. Paige can print this on specific request.

Dominika will look around the practice from a young persons’ perspective. She will liaise with Katherine regarding this.

The Community Hub will be hosting outside agencies, for example, AgeUK and the Carers Link.

The barrier at the end of the car-park is to be installed week beginning 7 November.

Date of next Heath Lane PPG meeting: Wed 25 January 2017 5:00 – 6:30pm Heath Lane Medical Centre Meeting Room Informal Pre-meeting of just PPG at 4:00 pm