Patient Participation Group at West Gorton Medical Centre – Jan 2014 3rd Feb 2014: Report prepared by Jo Protheroe and Julie Jefferson West Gorton Medical Centre started an online Patient Reference Group (PRG) in October 2011 which patients could opt into via the practice website. At the start of this project (Sept 2012) we had 28 patients registered as part of the on-line reference group and 3 who had registered manually (who did not have internet access) as a result of posters in the waiting room. By the beginning of 2013 we had increased this number to 106 members. As part of our on-going patient participation work we plan to engage regularly with the PRG and conduct an annual patient survey to obtain the views of the wider practice population. Aims a) b) c) d) Agree priority areas for patient views using our Patient Reference group (PRG). Conduct a survey of patient views in these identified priority areas Provide feedback to the PRG as a result of this survey and agree areas for action Publicise action plan with practice population. Methods a) Agree priority areas for patient views using our Patient Reference group (PRG). We contacted our current PRG in Oct 2013 to obtain their views for priority areas to cover in our upcoming patient survey. An area of interest to our current PRG is the prospect of a new practice and the changes that may result. Therefore suggested priority areas included the use of the internet to book appointments; the potential use of a ‘touch screen’ check-in in Reception and provision of patient information. These priority areas, plus space for open comments, were developed into a brief patient survey (see Appendix 1) b) Conduct a survey of patient views in these identified priority areas We designed a survey for patient feedback in line with the priority areas identified by the PRG (See Appendix 1) with space for open feedback to allow patients to write comments. We advertised the survey widely within the practice and on-line, emailing the survey to all our patients who had left email contact details with us. This took place in Dec 2013. In January 2014 the reception staff handed out a paper version of the survey to all patients attending the practice during 3 consecutive weeks. We intend to use the improved PRG as a mechanism for on-going feedback from patients to the practice. In addition we plan to develop a ‘Comments Box’ system in reception for those patients who prefer not to access, or who are unable to access the website or email. c) Provide feedback to the PRG as a result of this survey and agree areas for action Once the results of the survey have been analysed, they will be emailed out to the PRG for comment and to agree areas for action. In addition they will be presented to the practice staff at a Monthly Practice meeting. d) Publicise action plan with practice population. One of the tasks of the practice meeting will be to consider how best to publicise the findings and action plan to the wider practice population. It is anticipated that we will produce some posters for the waiting room in the first instance. Results Patient Reference Group a) Demographics of our on-line PRG New patient participation group age profile New patient participation group - ethnicity 1 1 3 11 17 - 24 25 - 34 25 1 35 - 44 1 45 - 54 10 55 - 64 1 65 - 74 1 2 2 2 5 w hite british black british Black Indian Irish 75 - 84 White Asian 6 85+ American 12 African 12 White European 54 Pakistani other ethnic group New participation group - gender - 28 female male 47 Our new PRG is a combination of the group formed in October 2011 and the new recruits obtained in 2012 which now has a combined total of 106 members b) Demographics of practice population Practice List - ethnicity breakdwon african black british british mixed race English white british caribbean chinese other asian other white irish pakistani/british pakistani white & balck african british asian filipino british indian iranian latin american middle eastern other black other mixed polish scottish white asian white & black caribeean not recorded 557 32 959 2368 582 47 2123 913 73 29 8687 4357 104 118 67 762 54 Practice List - Gender breakdwon 2832 3109 female male Survey of patient population We received 224 completed surveys over 3 week period. 1. Do you have access to the internet? 2. Would you use on-line booking for appointments? 3. Would you use a touch screen check-in point? 4. If not – why not? Of the 35 patients (16%) who would not use a touch screen, 10 did not give a reason why not. There were varied reasons given by others including wanting to speak to a person (9/25); uncertain of technology or unable to use (10/25); concern it would break down (3/25) and concern about hygiene (germs) (3/25) 5. Have you ever used our patient information leaflets? Have you ever used our Patient Information Leaflets? 1 51 Yes No Not answered 172 6. Do you find the patient information leaflets useful? Do you find the Patient Information Leaflets useful? 1 14 21 Yes No 19 Not answered Not applicable 169 Sometimes 7. If you have not used patient information leaflets (PILs), why not? The most common reason given for not using PILs was that they were not needed (9/33). Other reasons given included that they were unaware that there were any available; that there were none that were useful to them or their condition; there are too many leaflets to choose from; that more information was available on the internet or that they were unable to read. 8. Are there any topics you would like to see PILs on? Bone conditions Hiatus hernia/stomach problems Cluster headaches Autism ADHD Special needs I didn't get any help from the McMillan service so other options may help Leaflets on events and meetings for people and groups - eg elderly Childrens problems Not enough for younger patients IBS leaflets 9. General feedback General feedback was varied, and mostly related to Reception in view of questions on touch screen and on-line booking. They included several comments that they like the staff on Reception and some people prefer to continue to use the phone to book appointments with a concern that changes may be more complicated. Other comments included a suggestion for a larger Reception area with better disabled access, difficulty parking locally, more evening appointments, better seating and a better system for calling in to appointments. Summary and Feedback We have successfully maintained our PRG – we need to continue to encourage patients to become a part of this group and encourage ongoing feedback. The results of this survey will be reviewed at the monthly Practice Meeting in February and feedback will be sent out to the PRG. This will be used to decide what actions will be taken which will be publicised to the wider practice population. Appendix 2 10 patients didn't say why they wouldn't use one I want to deal with people not personal for details of illness like one to one unreliable from previous experience Have seen this in other surgeries and when it crashes it causes havoc prefer to speak to someone i'm not competent very poor concentration I'm not good with touch screen gadgets I prefer personal treatment If I don't bring my glasses I couldn't see it in case it goes wrong (doesn't register me) it would be confusing too much messing germs (I know it sounds silly but not everyone washes their hands) not up to date with technology too complicated too stressful too impersonal the old way is the best germs - if everybody touches it can pass on illness germs not taught
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