NHS Southwark Clinical Commissioning Group Engagement and Patient Experience Committee Minutes of meeting held on 20 November 2014 5-8pm Room GO2B, 160 Tooley Street SE1 2QH PRESENT Jacques Mizan JM GP Clinical Lead/ NHS Southwark CCG – Acting Chair Rosemary Watts RW Head of Membership, Engagement and Equalities NHS Southwark CCG Abimbola Puddicombe AP Borough and Walworth Locality Patient Participation Group Ela Kwasny-Spechko EK-S Peckham and Camberwell Patient Locality Participation Group Nadia Crichlow NC Bermondsey and Rotherhithe Locality Patient Participation Group John King JK Dulwich and Nunhead Patient Locality Patient Participation Group Barry Silverman BS Borough and Walworth Locality Patient Participation Group Malcolm Hines MH Chief Financial Officer – NHS Southwark CCG Obi Ezeji OE GP Clinical Lead/ NHS Southwark CCG Rhiannon Hughes RH Blackfriars Advice Centre IN ATTENDANCE Nina Martin (minutes) NM Locality Programme Support Officer, NHS Southwark CCG Nigel Smith NS Head of Pathway Commissioning Laura Brannon LB Membership and Engagement Manager – NHS Southwark CCG APOLOGIES Rosemarie Barber RB Bermondsey and Rotherhithe Locality Patient Participation Group Diane French DF Peckham and Camberwell Locality Patient Participation Group Andrew Rice AR Forum for Equality and Human Rights in Southwark Andrew Bland ABl Chief Officer – NHS Southwark CCG Yvonneke Roe YR GP Clinical Lead/ NHS Southwark CCG Adam Bradford ABr GP Clinical Lead/ NHS Southwark CCG Paul Jenkins PJ Director of Integrated Commissioning - NHS Southwark CCG 1 1. Introduction and Apologies The Committee was advised that Jacques Mizan (JM), clinical lead and member of the Governing Body will chair today’s meeting as apologies received from Diane French (EPEC Chair). Meeting Chair welcomed members and attendees to the meeting and all apologies were noted. The process and the ground rules for the meeting were explained. All were reminded that they could make comments or feedback on ‘Post It’ notes if there was not enough time to ask questions when discussing an item. These would be collected at the end of the meeting and incorporated into the minutes. All members were asked to declare any conflicts of interests relating to the business on the agenda or changes to the conflict of interest register. The declaration of interest register was circulated for members to update as necessary. No conflicts of interests were declared to any of the business on the agenda. 2 Minutes and Matters Arising: Our healthier South East London Malcolm Hines (MH) advised that a new format for logging and tracking actions has been developed and this will be used from today and for future meetings. The minutes of the meeting were agreed subject to the following corrections: P2 Introduction and Apologies - Declarations of Interests updates– Barry Silverman is now a member of the NHS England London Primary Care Transformation Board P2 – Introduction and Apologies – Last line of last paragraph to read: “BS expressed concerns that this way forward had previously been proposed but had not had too much support”. Health and Wellbeing Board - Rosemary Watts (RW) updated that she will soon be making contact with the new Officer leading the 1000 lives project. She advised the Committee that the new Head will be invited to present at either the January or March EPEC meeting. Post-it note comment on ensuring patients’ rights are fed into the review of the patient referral service– BS enquired of the timescale for presenting of this review to EPEC. Pursuant to discussions, MH assured that the report will be presented to EPEC and further clarification will be provided if needed. 2 Actions: Circulate the review of the patient referral service accompanied by an executive summary to EPEC (CCG). Invite Jill Solly – Head of Primary/Secondary care interface to EPEC – The Committee was updated that this action has been postponed as it was felt that a broader understanding of the issues needed to be more fully explored. The Committee was informed that a discharge audit is presently being conducted at King’s. We are presently awaiting the findings and actions which may arise from the audit. If after reviewing the findings there are still issues, Jill Solly will be invited to the meeting. All agreed that the main issue around discharge summaries relates to variation in the correspondence between primary and secondary care and that the communications trail should end with patients being informed of all aspects of their care and discharge. Developing the patient voice in Southwark – RW advised that dates will soon be agreed to resume this training and the aim is to carry this out in either February or March. BS suggested opening up the training to sixth formers in order to motivate and equip a younger audience to lend their voice to shaping health services. RW updated that outreach is part of the remit of the new Membership and Engagement Manager, Laura Brannons’ (LB) workplan who will explore how to engage with younger people Rhiannon Hughes (RH) put forward some suggestions for reaching out to younger audiences. She advised that Blackfriars Advice Centre (BAC) have recently started producing radio programmes with the aim of giving their clients a voice to speak out and educate and inform the general public. BAC works with resonance radio 104.4 http://resonancefm.com/ For engaging with younger people she also suggested Reprezent radio http://www.reprezent.org.uk/,. Other suggestions she put forward for reaching out to a younger audience included via art colleges and the Peckham Platform. She also added that the South London Gallery engages with young people through a variety of youth work programmes that they run and it may be worth linking in with this organisation as well. 3 Action: CCG Engagement team and BAC representative to meet to discuss ways of taking these suggestions forward (LB, RH) John King (JK) also suggested targeting young people contemplating healthcare as a profession. 3. Issues from member groups and organisations. 3.1 Dulwich and Nunhead and Peckham and Camberwell JK updated on the key discussions and observations at their last meeting The last meeting was not very well attended. There are still two south locality vacancies on EPEC. The aim was to hold elections at the September locality meeting, but due to low attendance there was not a wide enough practice representation to make this feasible. The group received an update on neighbourhood working and the extended access service from David Pink – Operations Manager of Improving Health Limited. A representative from Improving Health will again update at the South Southwark Locality PPG on 25 November 2014. The key issue for the locality is increasing its EPEC representation. Ela Kwasney-Spechko (EK-S) updated as follows: There remains the ongoing concern about practices not notifying patients of results of tests when these come back negative. EK-S expressed concern that her practice does not notify patients when tests return normal or negative. There was a general consensus from the group that patients would like to be notified either way. Obi Ezeji (OE) updated that general practice will find it highly resource intensive to notify patients when results are normal. A robust discussion ensued around this matter. Patient representatives agreed that all tests should not be treated the same. The meeting agreed that clinicians need to see this issue from the patients’ perspective as waiting for certain test results can provide some anxiety to patients. Not hearing back either way only serves to prolong this anxiety. The Chair advised that this concern forms part of the on-going discussion on out of hospital diagnostics and further advised that a system is presently being rolled out that will allow patients to access their test results online. He updated that Patient Online will soon be rolled out in Southwark. 4 BS cautioned about patients who may not be able to use the electronic system. 3.3 Bermondsey and Rotherhithe NC fed back the key discussions at the 12 November joint north Southwark locality PPG. The Committee was updated that the Bermondsey and Rotherhithe and Borough and Walworth localities will be meeting jointly going forward. Key messages from the this meeting: Low turnouts at PPGs remain a prime concern. Strategies for increasing participation at PPGs were discussed. The group continued discussion on electronic and virtual engagement. Discussion ensued around this and committee felt that this might encourage participation from a younger age group. The group received an update on neighbourhood working and the extended access service from Carol McPaul, Quay Health Services representative. The joint north Southwark locality has agreed to meet four times per year rather than six. 3.4 Healthwatch Southwark RW updated on behalf of Healthwatch and advised as follows: Healthwatch are holding their public forum meeting on Saturday 22 November and advised that both herself and Paul Jenkins, the CCG’s Director of Integrated Commissioning will be attending. The event is entitled ‘Healthwatch Southwark: One Year On’, the venue will be Pembroke House, 80 Tatum Street, SE17 1QR. Post meeting note: Healthwatch Southwark submitted update on present and future work via email post meeting: Aarti Gandesha the new Healthwatch Southwark Manager has started HW Southwark hosted a public forum event in November to mark ‘Healthwatch One year On’. This was well attended with great feedback on our work and our priorities. Priorities: around GP access to wind down report due. We are carrying forward our other priorities: o Mental Health (with a focus on CAMHS) o Sexual Health and HIV testing and care o Social Care We have been targeting engagement activities borough wide by holding information stalls in different localities, promoting HW Southwark and inviting members of the public to share their experiences of using health and social care. 5 Our engagement plan includes an engagement event once a week, a focus group once a quarter and Public Forums once a quarter.