Annex D: Standard Reporting Template
Yorkshire & Humber Area Team 2014/15 Patient Participation Enhanced Service – Reporting Template
Practice Name: The Lister Surgery, The City Medical Practice & The Family Practice
Practice Code: B83604, B83642 & B83617
Signed on behalf of practice: Dr Aamer Khan Date: 30/03/2015
Signed on behalf of PPG: HS Date: 30/03/2015
1. Prerequisite of Enhanced Service – Develop/Maintain a Patient Participation Group (PPG)
Does the Practice have a PPG? YES
Method of engagement with PPG: Face to face, Email, Other (please specify) Face to Face meeting arranged at the Practice
Number of members of PPG:
Detail the gender mix of practice population and PPG: Detail of age mix of practice population and PPG:
% Male Female % <16 17-24 25-34 35-44 45-54 55-64 65-74 > 75 Practice 7 2 Practice 1 1 0 1 3 1 2 PRG PRG
Detail the ethnic background of your practice population and PRG:
White Mixed/ multiple ethnic groups British Irish Gypsy or Irish Other White &black White &black White Other traveller white Caribbean African &Asian mixed Practice 0 0 0 0 0 0 0 0 PRG
Asian/Asian British Black/African/Caribbean/Black British Other Indian Pakistani Bangladeshi Chinese Other African Caribbean Other Arab Any Asian Black other Practice 1 8 0 0 0 0 0 0 0 0 PRG
Describe steps taken to ensure that the PPG is representative of the practice population in terms of gender, age and ethnic background and other members of the practice population:
The practice is always on a mission in recruiting new members to the group. We regularly advertise within the surgery to encourage group membership. We have a dedicated lead called Mustafa Ahmed who is very passionate about the service we offer our patients and ensures all patients receive the best quality of care. The practice also is involved in promoting the services through our Healthly Living Initiatives. We are trying to recruit members from the European Union into our group; unfortunately none have taken the invites up. We will continue to attract different members into the group.
Are there any specific characteristics of your practice population which means that other groups should be included in the PPG? e.g. a large student population, significant number of jobseekers, large numbers of nursing homes, or a LGBT community? /NO
If you have answered yes, please outline measures taken to include those specific groups and whether those measures were successful:
2. Review of patient feedback
Outline the sources of feedback that were reviewed during the year:
We receive regular comments from our patients through thank you cards to individual members of staff, verbal feedback directly to staff/GP’s and also with the introduction of the recent Friends & Family questionnaires; this has proved to be a very positive indeed. We also receive feedback via the practice website and NHS Choices/ negative & positive.
How frequently were these reviewed with the PRG?
We hold 4 meetings per year and various discussions take place within the forum. All positive/negative feedback is shared within the group. The minutes of these meetings are attached for review. We have also group photos that were taken at the healthly eating events, which can be reviewed on the surgery premises or the practice Website.
Patient Participation Group Meeting Minutes of Meeting
Date: 19/06/14 Time: 18:00
Chair Person: Dr Aamer Khan & Susan O’Donoghue
Minute Taker: Susan O’Donoghue
Attendees: Dr Aamer Khan, Susan O’Donoghue,Dr Usman Akbar, Haleema Iqbal, Mustafa Ahmed, SA, MA, ZA, RA, SC, MH.
Apologises: Javid Khan & Qudrat Shah
1. Introduction and Apologises
The group introduced themselves to the group. Dr Aamer Khan & Susan O’Donoghue both welcomed the group & thanked them for attending the Patient Participation Group Meeting.
2. Minutes from last meeting
Susan O’Donoghue handed out a copy of the last Minutes of the Meeting with a copy of today’s agenda. Susan gave a brief overview of the points & issues discussed in the last meeting by referring to the last Minutes of the Meeting. The group agreed that the last Minutes given were accurate and correct.
3. Appointments
The group wanted to discuss appointment availability and telephone access to the surgery.
Once again Susan & Dr Khan explained that appointments at all 3 surgeries had increased. Several members of the group suggested we operate ‘Open Sessions’ where patients would sit and wait for appointments. The pro’s and con’s of this was discussed in great detail. Dr Khan explained that he is very flexible when all appointments have been filled and adds extra appointments to the end of his session or sees extra patients at the end of his session.
Susan confirmed we had undertaken a Productive Primary Care Audit of our appointment system for all 3 surgeries. She confirmed we would be providing a breakdown of the reports from the Productive Primary Care Audit when these have been given to the surgeries.
4. DNA Report
Susan presented the group with the current DNA Analysis as follows:
• Lister Surgery had 371 DNA appointments, which is equivalent to 87.2 hours of wasted appointment time.
• City Medical Practice had 67 DNA appointments, which is equivalent to 17.25 hours of wasted appointment time.
• The Family Practice had 54 DNA appointments, which is equivalent to 14 hours of wasted appointment time.
5. Patient Engagement Scheme
Susan & Dr Khan introduced the new Patient Engagement LIS to the group. The patients were enthusiastic & most of them were interested in joining. They also provided names of other organisations we could approach for further assistance, so we could refer our patients and sign post them onto other Organisations, which would be able to help them & offer guidance etc. We discussed having an open day and also looking into Gym membership for our Asian Ladies.
6. AOB Several members of the group complained that other members were not allowing them to speak & contribute to the meeting. Susan asked the group to be considerate & respectful of the members and asked for only one member to speak at a time. Also confirmed all members would be given a chance to speak.
Dr Akbar, Dr Khan & Susan thanked the whole group for taking time out of their schedules to attend the meeting. Also confirmed we would be having another meeting, however we had yet to finalise the date. Then we would contact patients and personally invite them to the next meeting.
Next meeting TBA
Patient Participation Group Meeting Minutes of Meeting
Date: 02/10/14 Time: 18:40
Chair Person: Dr Aamer Khan
Minute Taker: Mustafa Ahmed
Attendees: Dr Arshid Khan, Dr Usman Akbar, SC, RA
Apologies: SO, HKI, ZH, HB, SD, QS, MS, NH
1. Introduction and Apologies
Dr Khan welcomed all attendees for attending to our Quarterly Patient Participation Group Meeting & for attending it. Dr Khan introduced Dr Arshid A Khan (new partner).
2. Meeting Rules & Etiquettes
Dr Khan told the group we needed to abide by some basic rules and etiquettes when participating in future PPG Meetings. He identified the following mistakes from past meetings:
• Mistake 1: No clear objective
Current meetings do not have a clear objective of what we want to achieve as a whole (Patient & Practice) and confirmed we would have set objectives.
• Mistake 2: No focused agenda
The group keep drifting away from the topics being discussed in meeting’s and confirmed there was no focused agenda in meetings.
• Mistake 3: Not hearing from everyone in the room
People who are speaking don’t get a chance to finish speaking due to inconsiderate people talking over & voicing their opinions. In future everybody is going to let patients finish what they are saying before anyone else will be allowed to speak. All patients are going to be given an opportunity to speak and contribute in meetings as they haven’t been able to do so in the past.
• Mistake 4: Debates that don’t go anywhere
We discuss issues and highlight problems but we are not looking at what solutions we have to resolve or improve problems or the result of taking certain actions. Also we don’t take into account the whole picture. We keep going around in circles & not coming up with a plan to resolve the issues.
• Mistake 5: Not reaching consensus on a course of action
We are not agreeing upon the best course of actions to take in future with regards to improving the practice, its services & overcome the problems we face. We need to agree upon the best courses of action patients would like us to implement, so we can put this into practice.
• Mistake 6: Missing the opportunity to remind people of the big picture
The group don’t seem to be looking at the big picture of improving our services, for example to improve patient services, continue effective patient’s journey, to improve communication channels between patients & the practice. Also want to speed up waiting times etc with a view to achieving patient satisfaction.
Action Point: Dr Khan to make sure nobody makes any of the mistakes listed above (1 to 6) in any of the future meetings.
The whole group agreed with the list of 6 mistakes & agreed not to make any of them in future meetings.
SC suggested that patient’s shouldn’t be allowed to hog the floor space when addressing their concerns & expressing their personal opinions. They should be considerate, respectful & should only discuss a maximum of two points, which will result in giving other patients the opportunity of sharing & addressing their points. This will save a lot of time in the long run.
3. Access reports for all three practices
Dr Khan confirmed we had conducted access research on our appointment’s system for the three practices & compiled a report; however City Medical Practice’s report was still being processed. Dr Khan asked the group if we could discuss the results of the access report at the next meeting’s agenda, so we could compare all three reports. The group agreed to discuss the reports at our next Patient Participation Group meeting.
4. Healthy Living Open Day Event
Mustafa confirmed we held a Health Living Open Day Event on 27th August 2014 & pointed out that 60 patients from all three surgeries attended (City Medical & Lister Surgery), however this did not include Dr Basu’s Patients. Saroj from Manningham Healthy Living Initiative helped us to arrange and organise our open day. The following organisations attended:
• Diabetes Service
SK arranged for a Diabetes representative to set up an informative stall with regards to raising patient’s awareness about diabetes. The representative explained what diabetes is, explained the signs to look out for and explained the differences between diabetes 1 & 2. He offered advice upon how to manage diabetes by exercise, with or without medication & promoted the use of a weekly local walking club.
• Kalasangam
A South Asian Art’s Charity which focuses upon making people aware of South Asian Culture & Arts. Representatives from Kalasangam helped to setup a healthy living stand where they had various leaflets about looking after your health to maintaining or losing weight and eating healthier. They promoted healthy eating & engaged with our patients to show how easy it was to prepare & make fruit appealing & appetising. Some of the representatives created fruit platters, sculptures & baskets. Patients were also given the opportunity to participate in designing their own fruit baskets, which they were given as a token to take home for participating in the event. Also had an arts & crafts Stand where they engaged with patients and showed them how to make fancy cards for different occasions. Then patients were given the opportunity of making cards.
Photographs of the various stalls & patient’s attending the open day. Mustafa apologised to the Doctors & Patients as he was having problems down loading the pictures onto his PC but confirmed the Pictures would be shown on our Practice website before the next meeting. All patients agreed that we would be taking photos of the event.
• The Curve Gym
A representative from a local ladies gym spoke to patients and promoted their services. Also told patients re the advantages of exercising & explained their gym services & membership levels.
• Stop Smoking Service
MI (Stop Smoking Advisor) interacted with our patients & discussing the various treatments available to patients in between his Stop Smoking Clinics. He confirmed the service was based on voluntary participation & not mandatory. MI took some patients into the consulting rooms to discuss his services in great detail & carry out some of his tests.
Dr Khan confirmed we would arrange another Open Day Event in the New Year.
RA confirmed he didn’t know about the Open Day Event especially in his Community Centre. Mustafa told RA that we advertised the event in all three Practices waiting areas, handed leaflets to patients coming to the Practices and details were printed on repeat side of prescriptions. Also gave posters to Community Centres, Libraries, and Mosques and Pharmacies to display.
RA wanted to know if we could hold the event for the public. Dr Khan confirmed the Open Days were for patients only & not the public. To hold public events we had to contact a different group (NAPPS).
RA requested Mustafa to contact him next time we hold a future open day so he can meet up with Mustafa at Girlington Community Centre. Also confirmed he would introduce Mustafa to a few of the staff and help to promote the Open Day.
5. New Services
Dr Khan confirmed there was going to be a lot of innovative changes to improve & enhance our services for patients in the next few weeks, for example Mediscan was going to be working in a partnership with the three Practices to conduct in-house ultrasound scans. This would benefit the Practice & Patient by speeding up the process of having scans, whilst reducing waiting time & time taken to receive results back, so Doctors could deal with the best plan of care/treatment.
Eventually Doctors in the three Practices were going to be able to perform in-house minor operations/procedures. Also going to operate an in-house Level 2 Diabetic Clinic.
6. AOB
SC suggested that Dr Khan & the Management should look at merging all three practices (City Medical Practice, Family Practice & Lister Surgery) together as it would save a lot of money in the long term by streamlining & centralising certain departments & tasks. Dr Khan confirmed that he has already looked at this option and discussed this with his Partners. This would take place in the future, however there were a lot of processes that needed addressing before this could be done and we had to adhere to NHS England’s rules and procedures.
RA wanted to know why the Practice didn’t give the staff time off for Eid as said Haleema & Mustafa always works on Eid. He suggested that the Practice should employee temporary staff, who don’t celebrate Eid to work Eid days. Dr Khan confirmed we had to open up on Eid for emergency appointments. Also confirmed Haleema & Zahid took a day off for Eid this year; however Mustafa didn’t want any time off.
RA pointed out that we needed to target patients of all age groups to attend & especially target female patients, so they could share their views & ideas.
Date of Next Meetings: 1st December 2014 – 6.30pm
Patient Participation Group Meeting Minutes of Meeting
Date: 01/12/14 Time: 18:30
Chair Person: Dr Aamer Khan
Minute Taker: Mustafa Ahmed
Attendees: Dr Arshid Khan, Dr Usman Akbar, Dr A Khan & Mohammed Shaid
Apologies: SO, HKI, ZH, HB, SC, RA SD, QS, MS, NH
1. Introduction and Apologies
The Patient reference meeting was arranged, however due to the adverse weather conditions on the day our patients cancelled the meeting at short notice. The senior partner Dr A Khan did a risk and risk assessment and felt appropriate to cancel the meeting and re-arrange for another day.
Date of Next Meetings: 12th February 2015 – 6.30pm
Patient Participation Group Meeting Minutes of Meeting
Date: 12/02/15 Time: 13:30
Chair Person: Dr Arshid Khan & Mohammed Shaid
Minute Taker: Mustafa Ahmed
Attendees: Dr Arshid Khan, Mohammed Shaid & Mustafa Ahmed, HS MA &, ZH
Apologises: Dr Aamer Khan, RA, QS, MH& SC
1. Introduction and Apologises
Mustafa welcomed all patients for attending the PPG Meeting and introduced them all to the group. Also handed out the agenda for the meeting with the DNA figures for December 2014 and January 2015.
2. DNA’s
Mustafa told the group that the DNA figures for all three practices were high and confirmed we needed to reduce the number of wasted appointments as it was wasting the Practice’s time and costing the NHS and draining their resources.
Mustafa explained the DNA figures for the month of December 2014 and January 2015 as follows:
Patient Did Not Attends for the period of December 2014 City Medical Family Practice Lister Surgery Appts Mins Appts Mins Appts Mins Diabetic Nurse 12 235 4 105 78 971 Advanced Nurse Practioner 9 120 0 0 0 0
Clinicians * 78 971 72 915 104 1393
Total 99 1326 76 1020 182 2364
Total appointments wasted for December 2014 was 357, which is equivalent to 4710 minutes
Patient Did Not Attends for the period of January 2015 City Medical Family Practice Lister Surgery
Appts Mins Appts Mins Appts Mins
Diabetic Nurse 9 175 1 15 0 0 Advanced Nurse Practioner 10 150 0 0 0 0 Clinicians * 51 793 62 900 84 1250
Total 70 1118 63 915 84 1250
Total appointments wasted for January 2015 was 217, which is equivalent to 3283 minutes * Includes Doctors, Nurses & HCA Appointments
MA requested we interpret the DNA figures into percentages & how many available appointments we offer in a month. This is to give patients a better understanding of the percentages of missed appointments compared to available appointments in a month. Also wanted to know what the age group demographics of the persistent DNA patients.
Action Point: Mustafa to provide the DNA figures in terms of percentages & confirm how many appointments are available each month for the next meeting.
MS explained the DNA Policy as follows:
• 1st DNA - patient is sent first letter, which explains our NHS DNA policy
• 2nd DNA - patient is sent a second letter explaining our DNA Policy
• 3rd DNA - patient is sent an assertive letter explaining if they miss another appointment then they will be permanently removed from the Practice.
• 4th DNA - patient is sent a final letter confirming they have been permanently deducted from the practice’s list & have to register with another practice. Letter also explains they cannot register with us in the near future. WYCSA (West Yorkshire Central Services Authority) are then notified patient has been removed from the practice list as they have consecutively missed four appointments in 12 months.
MS confirmed the practice policy to remind patient’s about their appointments the night before by phoning or texting them. Also confirmed that a minority of patients booking their appointments 2 hours prior to their appointment missed them.
MS confirmed there was no DNA policy set in place until he started employment at all three Practices (The City Medical Practice, Family Practice & Lister Surgery). Before patients couldn’t get appointments as in the past many patient’s missed 9 appointments resulting in other patients not being able to get an appointment, however if they phoned to cancel their appointments in good time then we would be able to offer the appointment to other patients.
MA confirmed he had been registered with City Medical Practice for over 20 years & pointed out that the Surgery had improved a lot since Dr Aamer Khan took over it. Also confirmed he was able to get appointments when he needed it. Also confirmed that patient etiquettes were very poor.
Dr Arshid Khan confirmed we had to improve our DNA levels and the appointment systems in general as patients complained they never get appointments. Also confirmed that he always saw extra patients every day.
3. Pharmacy First Scheme
Mustafa informed the group that the CCG had introduced & developed the ‘Pharmacy First Scheme’ in partnership with local Pharmacies, who could prescribe/dispense medication for minor conditions, for example colds, coughs flu’s, temperatures, anti fungal infections etc without patient’s having to see a GP wasting their time & the GPs. Confirmed only then would GP’s be able to see & deal with patients suffering from major conditions, who don’t get appointments, for example suicidal patients, mental health issues, heart disease, breathing problems, uncontrolled diabetes, cancers etc. Confirmed trying to educate Patients into using the right service (Dr’s appointments, Pharmacy First Scheme, 111 Service or A&E).
Mustafa confirmed Sahara Pharmacy, Singh’s Pharmacy, Rehmans Pharmacy, Rowland’s Pharmacy, Lister Pharmacy & Horton Grange Pharmacy operated the Pharmacy First Scheme.
Explained to patients that they had to take responsibility for their own health and they couldn’t blame the Surgery. They had to try ‘over the counter’ medication first or go to the pharmacy for coughs, flu’s, temperatures etc; however they just emphasise the blame and ownership on the practice. Many times patients don’t try ‘over the counter’ medication for conditions they have only had for a day or two and that it is hard to educate them.
MA suggested we should educate patients that the freebie days have gone. We needed the local community to change the system and that we had a fantastic NHS service. The problem was that we need to take responsibility for our own health, people were living longer, and not a lot of people were working and not enough money going back into the system. MA confirmed we needed to promote Pharmacy First Scheme as the English community will buy & try medication, however Asian community won’t. Also confirmed we shouldn’t bring ethnic groups into it but the whole community.
HS confirmed he didn’t know anything about the Pharmacy First Scheme and stated how his wife would know about going to Pharmacy first. Mustafa pointed out we did promote the Pharmacy First Scheme by informing patients over the telephone, face to face and by handing out leaflets. Also displayed posters in the reception area. Shaid pointed out that the information was also displayed on the repeat slips of prescriptions & displayed on our patient callboard.
Mustafa explained it was hard to educate patients into using the appropriate service (Clinician appointments, Pharmacy First Scheme, NHS 111 Service) instead of going to A&E. Patients were not interested in using the service & argued the Doctor was there to see patients and that the reception staff were not Doctors. I have told patients on many occasions that Doctors were here to deal with patients suffering from major conditions, who don’t get appointments, for example suicidal patients, mental health issues, heart disease, breathing problems, uncontrolled diabetes, cancers etc.
Action Point: Dr Khan confirmed it would be a good idea if we contacted Pharmacists and ask them to give us Pharmacy First leaflets in detail, which we would be able to staple to forms, leaflets & prescriptions.
HS confirmed he worked in a Radio Station which was requesting local community to raise and donate money for various charities. For the month of April the Radio Station were raising money and donating it to the Bradford Royal Infirmary Hospital.
HS offered to assist us by promoting the Pharmacy First Scheme to the community over the Radio when he presented his programmes.
4. NHS 111 Service
Mustafa informed the group that patients who couldn’t get appointments on the day could contact the NHS 111 Service 24 hours a day, 7 days a week, 365 days a year. Also explained that the NHS 111 Service was previously known as Local Care Direct. Advised patients could contact NHS 111 Service for advice upon medical conditions and general advice before deciding to go to A&E and wasting their time for minor conditions and non emergency situations. Confirmed we needed to educate patients into using the appropriate service in order of reducing the number of people wasting A&E’s time and resources.
5. Saturday Clinics
Mustafa informed patients about our Saturday clinics and confirmed we were open from 8.30am to 12pm. Advised patients that the Saturday clinics was very successful and that Lister Surgery and City Medical Practice’s appointments was most of time 100% booked up whereas the Family Practice appointments was only 80% booked up. Mustafa confirmed that Saturday clinics were helping those patients, who worked to get an appointment to see Doctor outside their working hours. This helped to prevent patients from unnecessarily going to the Hospital and be put on a huge waiting list to be seen. We believe the Saturday service is good for patients.
6. Update re Mediscan Diagnostic Services
Mustafa confirmed we provide in-house Ultrasound Scans, thus saving Patients/Doctors times by speeding the whole appointment/result process up. Patients now don’t have to wait for Hospital appointments or be put on waiting list for the next available appointments due to no available appointments. Also they don’t have the trouble of finding car parking or pay for parking.
The process is quite quick, smooth and efficient as once Doctors complete the referral form it is faxed immediately to Mediscan Diagnostic Services, who book the appointments and notified patients by telephone or in writing. When patients have had their appointment Mediscan Diagnostic Services faxed the results within 1 week. This would speed the process of Doctors being able to act upon urgent situations quickly whereas it usually takes Hospitals 7-10 days to send results.
7. AOB
Dr Khan told the group he was studying a diploma in diabetes and that there was going to be big changes coming to improve our service in the next 12 months. Dr Khan confirmed they were going to be operating a level 2 diabetes clinic in house, so we would be able to continue providing a high level of service to our patients and we wouldn’t have to refer them to other clinics.
MS confirmed we have already started an in-house Warfrain Clinic held every Wednesday, which is excellent news for patients as they would be able to get their bloods checked at the surgery. This would benefit patients as it would save their time, parking money, parking problems and we would get patient results quicker.
Date of next meeting: TBC APRIL 2015 3. Action plan priority areas and implementation
Priority area 1
Description of priority area:
Action Point: Mustafa to provide the DNA figures in terms of percentages & confirm how many appointments are available each month for the next meeting. Our members are requesting this information. In addition to this regular DNA figure are provided and advertised on a monthly basis to our patients across the practices.
What actions were taken to address the priority? Figures will be available for review at our next PPG meeting for analysis.
Result of actions and impact on patients and carers (including how publicised): All DNA Figures are published in the practice and the practice notice boards. These do impact our patients as it prevents other patients and carers in booking patients of their appointments. The practice is in discussion with the PPG Group in addressing these concerns so we can deal with these head on.
Priority area 2
Description of priority area: Pharmacy First Initiatives
What actions were taken to address the priority?
Action Point: Dr Khan confirmed it would be a good idea if we contacted Pharmacists and ask them to provide the practices with Pharmacy First leaflets in detail. This would save valuable appointments and give those patients who required general advice.
Result of actions and impact on patients and carers (including how publicised):
Pharmacy First initiatives have reduced the amount of unnecessary routine appointments. We are going to continue with this initiative going forward as it’s a service the patients at our practice are requesting.
Priority area 3 Description of priority area: The New Patient Engagement Scheme
What actions were taken to address the priority?
Susan & Dr Khan introduced the new Patient Engagement LIS to the group. The patients were enthusiastic & most of them were interested in joining. They also provided names of other organisations we could approach for further assistance, so we could refer our patients and sign post them onto other Organisations, which would be able to help them & offer guidance etc. We discussed having an open day and also looking into Gym membership for our Asian Ladies.
Result of actions and impact on patients and carers (including how publicised):
We believe this as a positive for all patients and will impact our patients in a positive way.
Progress on previous years
If you have participated in this scheme for more than one year, outline progress made on issues raised in the previous year(s):
The progress we have made over the years has been fantastic. We continue to engage with patients from all different ethnic backgrounds and we have more members that have expressed an interest to join the group as they feel they have something to contribute. We are also attracting a younger audience which we believe is very positive in shaping the future delivery of services.
We also believe the systems have improved immensely in terms of more appointments we are offering, flexible clinic times, in house ultrasound clinics, the newly arranged anticoagulant clinic, the benefits advisory service & stop smoking service. In addition to this we are also going to be offering the Level 2 Diabetes clinics within the surgery in the near future. We believe this will enhance our patient care to the next level. We will continue to promote and engage with all our patients and we hope the patient reference group continues. 4. PPG Sign Off
Report signed off by PPG: YES / HS
Date of sign off: 30/03/2015
How has the practice engaged with the PPG: YES
How has the practice made efforts to engage with seldom heard groups in the practice population? Has the practice received patient and carer feedback from a variety of sources? Was the PPG involved in the agreement of priority areas and the resulting action plan? How has the service offered to patients and carers improved as a result of the implementation of the action plan? Do you have any other comments about the PPG or practice in relation to this area of work?
The practice engages with all the community team in the locality. This includes, the Health Visiting teams, the safeguarding, Adult / Children, palliative care representatives as well as members of the mental health teams across the city.
We regularly liaise with the members of the group and share best practice in the strictest of confidence. We enjoy having this group as we feel they can reach out to the other members of the community and improve our services we offer our patients. This is a truly positive engagement with members that represent patient interests.