PATIENT PARTICIPATION GROUP MEETING MINUTES Date: 3rd November 2014 Chair: Present: Peter Bainbridge Dr K Tew and 6 members of the group. Apologies: There were 5 apologies Subject Previous Minutes These were accepted as true and correct Matters Arising & Updates Action Plan from Previous Meeting Action Amend the newsletter and publish Review the number of lines to accept incoming calls. A request to be made to the clinical system provider to look into this to give greater flexibility to patients to enable them to book at a time to suit them. Review the type of nurse appointments that could potentially be booked on line. Comments Completed Still 4 lines accepting incoming calls. This was due to long term absence which has now ended. This will be increased to 5 an evaluated after 4 weeks. Request sent and awaiting a reply. Each appointment that is available to book on-line has to be specific in terms of time. As the nurse appointments vary depending on what type of review/procedure it would not be possible to make all types of appointments available. To start this development all types of respiratory disease review appointments will be available to book on line. Amend the practice brochure to include how patients can obtained their test results & how to book on Following discussion with our clinical team we will be asking patients if they would like to review line Minutes of the meeting to be made available in the surgery Web site to be amended to improve access to leaflets and information Complete a patient survey and the results to be reviewed by the group and an action plan to be agreed. their results via our web site if the tests they are having are straightforward. There will be no change to the way patients are informed of abnormal results and pregnancy tests results. Completed. Completed To be completed. It was agreed: the minutes of this groups meeting should be placed on a notice board within the surgery as 2 members of the group have resigned replacements should be sort AGENDA FRIENDS & FAMILY TEST RESULTS Results Responses November 2014 120 100 80 60 40 20 0 Extremely Likely Likely Neither Likely or Unlikely Unlikely Extremely Unlikely Age Range November 2014 50 45 40 35 30 25 20 15 10 5 0 0-15 16-24 25-44 45-64 65-74 75-84 85+ ETHNICITY 140 120 100 80 60 40 20 0 White Mixed/ multiple Asian/ Asian ethnic groups British Black/ African/ Caribbean/ Black British Gender 75 74 73 72 71 70 69 68 67 Male See Appendix 1 for patient comments from survey Female Other Ethinic Group The following points were agreed from the discussion about the comments made by patients: inform patients how they can book ahead i.e. up to 8 weeks in advance amend the telephone answering to inform patients how many are in the queue staff do have flexibility in making appointments if they are aware of patients special circumstances a partner to write “A day in the Life Of a GP” for the patients news letter to improve their knowledge of what goes on in a typical day. Make patients aware of who is working that day Announce the waiting times for the patients appointment in the waiting room. Review of waiting lists to improve the availability of appointments Prompts in all communications e.g. are you aware you can….. Improve the patient newsletter by making it more user friendly Promote the newsletter e.g. sent in all communications to patients, send texts to inform patients it is available on the web site. HOW TO PROMOTE PATIENT ACCESS TO THEIR RECORDS Before the 1st April 2015 patients must have access to a minimum of: Their demographics Repeat medications Allergies and sensitivities See Appendix 2 for an example of what information would look like. This facility should be promoted at every opportunity e.g. web site correspondence, notice boards within the surgery and the Jayex board. CARE QUALITY COMMISSION INSPECTION All practices will be inspected by the end of March 2016 and they will be looking to speak to someone from this group. Standards to be Reviewed (a) care and treatment must reflect service users’ needs and preferences; (b) service users must be treated with dignity and respect; (c) care and treatment must only be provided with consent; (d) all care and treatment provided must be appropriate and safe; (e) service users must not be subject to abuse; (f) service users’ nutritional needs must be met; (g) all premises and equipment used must be safe, clean, secure, suitable for the purpose for which they are being used, and properly used and maintained; (h) complaints must be appropriately investigated and appropriate action taken in response; (i) systems and processes must be established to ensure compliance with these Fundamental Standards; (j) sufficient numbers of suitably qualified, skilled and experienced staff must be deployed to meet these standards; (k) persons employed must be of good character, have the necessary qualifications, skills and experience, and be capable of performing the work for which they are employed. All of the members of the group would be happy to speak the members of the CQC inspection team if they were available. WINTER NEWSLETTER SUGGESTED CONTENT Update on flu vaccinations Winter advice from NHS England Attendance & non-attendance rates to include separate figures for doctors and nurses Pharmacy First Early Diagnosis of Dementia One of the group volunteered to produce the winter edition. Any Other Business Action Points Action Complete the outstanding items form last meeting Review appointment system with doctors and staff Amend the message on the phones to inform patients they are in a queue Action all the agreed points from the Friends and family discussion By Whom PB PB PB PB Deadline Date 31/12/14 31/12/14 15/12/14 15/12/14 Appendix 1 IF WE COULD CHANGE ONE THING ABOUT THE CARE OR TREATMENT YOU RECEIVE TO IMPROVE YOUR EXPERIENCE, WHAT WOULD IT BE APPOINTMENTS TELEPHONES faster appointments with less waiting More recently it has time been difficult speaking to someone in a timely fashion when I have called the surgery. This needs to improve asap it is difficult to get appointments quickly avoid the 8.30 call for appointments queuing system WAITING TIMES waiting time MISC medical reports passed on to patients by receptionist backed up by advice please not only abnormal or abnormal Could you have a ensure all shorter periods phone line in the appointments are more often follow morning where people on time and up for older people get put into a queue? It people don't have particularly seems more fair to wait up to an hour for their appointment sometimes more telephone lines waiting not keen on it’s so hard to get telephone through at 8.30 consultations appointments on not to have a time serious medical condition that needs constant treatment Positive Comments first class can't think of anything different other than keep it as it is nothing I am very happy with the service APPOINTMENTS TELEPHONES WAITING TIMES MISC Positive Comments easier appointments change the time of appointments nothing nothing Not having to call 8.30am to arrange a same day appointment. unlikely to change they are very good appointment system nothing at all been with same surgery > 20 years reception staff are great none nothing more appointments readily available Same day appointments - difficult to get through on phone because everyone phones at 8.30 – solution?? excellent staff keep doing what you're doing you do it very well APPOINTMENTS TELEPHONES WAITING TIMES MISC been unable to make appointments on the phone the day before required and not having to phone on the morning and staying on the phone at least 20 mins before getting through more telephone lines it’s so hard to get through at 8.30 easier booking for immediate or close appointments appointments times difficulty in getting make it more convenient to phone for an appointment Saturday surgeries each week More pre-bookable appointments more FLE For all doctors to be in agreement over current treatment of asthma. Mu prescribed treatment has been changed significantly during the course of the last few years and this can become confusing. Positive Comments nothing to change Michelle and Wendy are the best continue as you are not one thing happy the way things are none nothing it is a great service APPOINTMENTS TELEPHONES improve access to same day appointments ability to book appointments further in advance only the system for phoning in for same day appointments it’s hard to get through appointments available - being able to book in advance for near future able to book on day appointments more easily not just at 8.30 easier to arrange an appointment being able to pre book appointment better way to make appointment Change system to book appointments. Tried online still no available appointments at 8.40am. Tried phone ongoing engaged. Had to drive here in person to get an appointment on the day. System unsuitable for many ill/older people who can't jump in the care at 8.30 to get doctor’s appointment WAITING TIMES MISC Positive Comments Appendix 2 Mr Mickey Mouse-TestPatient "Mickey" Date of birth: 01 Sep 2005 3 Biddlestone Road Newcastle upon Tyne NE6 5SL Biddlestone Health Group Biddlestone Road Newcastle upon Tyne Tyne and Wear NE6 5SL Prescriptions: 0191 2650785 General: 0191 2655755 My Summary Patient Record Allergies and Sensitivities Start Date End Date Description Supporting Info Sensitivity to PHENOXYMETHYLPENICILLIN 07 May 2014 Acute Medication (issued in the last 12 months) Date Medication Item Dosage Quantity Prescribed: 19 Sep 2014 Metformin 500mg tablets take one 3 times/day 84 tablet Current Repeat Medication Date Medication Item Dosage Quantity Last Issued: 06 Oct 2014 Methotrexate 2.5mg tablets 7.5mg (three tablets) to be taken weekly 12 tablets Last Issued: 25 Apr 2014 Atenolol 25mg tablets take one daily 28 tablet Past Repeat Medication (discontinued in the last 6 months) Date Medication Item Dosage Quantity Discontinued: 11 Sep 2014 Metformin 500mg tablets take one 3 times/day 84 tablet
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