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NOTES OF THE PATIENT PARTICIPATION GROUP
HELD ON FRIDAY 13TH JANUARY 2012 AT 12.30PM,
FIRST FLOOR, THE OCTAGON, WALKER STREET, HULL
Present
1. Apologies
2. Notes of
previous
meeting &
matters
arising`
Victoria Wilton, Practice Manager
Sara Emmett, Practice Manager
Denise Wilkinson, Practice Manager
Claire Ripper, Head of Service
Colin Watson, Riverside
John Crook, Kingston
Robert Horsfall (with Helen), Quays
Louise Wakefield, Practice Nurse
Christine Ebeltoft, NHS Hull Engagement Team
Jo Scholes, CHCP Engagement Team
Nicholas Power, Calvert
Michael Shakesby, Kingston
Susan Raetigg (new member Calvert)
Janet Sabin, Quays
Janice Harrison Quays
Joyce Rowlands (new member Kingston)
Lynne Rusling (new member Kingston)
Item 2 – Terms of Reference. Vicky reported that Colin had sent
in an amended TOR. Christine confirmed that these
amendments can be incorporated into the TOR and that the
document can be changed depending on the member/practice
wishes. It was agreed that the amended TOR be brought to the
next meeting to firm up before circulating to members for
signing.
Christine explained to the group about NAPP (National
Association of Patient Participation) and that there was a useful
website (found on the back of the leaflet handed out at the first
meeting). If anyone needs a further copy please ask Vicky.
Christine reiterated that the purpose of the groups is not to
discuss personal health issues and also not a forum for praising
individual GPs. That is was about improving communication
between practices and patients, increasing patient satisfaction
and achieving objectives.
Christine confirmed that out of 58 practices, 52 had or were
working towards a patient group. 27 practices had a patient
group up and running. Compare this to 18 months ago when
there were 4 PPGs.
Action
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3. Patient
Survey
results 2011
Clarity on the Quorum members was raised. It was confirmed
that 4 would be the Quorum.
Jo Scholes circulated handouts to the group. The results were
fantastic in the main. Out of the 48% return less than 1% was
negative feedback. It was highlighted that there are some
challenging patients and patients with high expectations which
could account for some negativity.
Mr Shakesby raised the point that for Kingston there are a large
number of non English speaking people and that there could be
a lack of understanding/miscommunication of the questions
asked and also they may not have had an interpreter to assist
them.
Robert raised a valid point that communication problems could
be a problem should a European directive come in whereby
treatment is spread across Europe.
Christine reported that she had done some work with ethnic
minority groups and that when the 2012 census comes out it
will give us more accurate numbers of patients in each of the
ethnic minority groups. It was suggested that it may be
beneficial to bring current ethnicity figures to the next meeting.
Practice
Managers
Christine also reported to the group that she had worked with
gypsy traveller groups and found the outcome very interesting
in that their main issues were not about healthcare but with the
environment, local councils etc.
4.DNA rates
It was agreed that results from the survey be prepared for the
practices’ notice boards that shows the responses received and
also were improvements can be made.
Following on from the last meeting, Vicky circulated practice
information showing the numbers of DNA’d appointments and
associated wasted minutes for the last 6 months. Vicky
reported that she had researched the NHS Institute for
Innovation and Improvement website which provided tools and
techniques for tackling DNA’s. The first thing we need to assess
is whether our DNA’s are higher than acceptable by assessing
levels over the last 2 years as a percentage of total
appointments. Once assessed compare them to other practices
within the area/health authorities. Vicky explained that the
information identifies there are 2 main reasons for DNA’s. 1.
Patients forgetting and 2. Clerical errors or communication
failures which mean the patient was unaware of the appt. Vicky
explained that the practice have a good system of reminding
patients via SMS texting (reminder sent when appt is booked
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and also on the day prior to the appt). Patients sometimes ask
for their appts to be written on appointment cards also. Other
factors why patients don’t attend include no longer need to
attend, too unwell to attend, childcare etc etc. The point was
raised that the onus should be on the patient to cancel their
appt if they cannot attend for whatever reason.
Vicky circulated a draft table which would be given to admin
teams at all 4 practices to capture the reasons why people DNA.
A month’s worth of data will be brought back to the next
meeting to aid ongoing discussions.
Practice
managers
Discussion took place on whether the practices could charge for
DNA’s. However Claire confirmed that we could not change for
this.
Mr Crook raised whether there could be a practice for regular
patients that DNA in kind of a “bad boys Surgery”. It was agreed
that this approach would not be feasible.
Robert raised an idea to have a target for the number of DNA’s
and how much the practice would wish to see them cut by in
timescales.
5. Name for
PPG
6.
Constituted
Groups
It was agreed that a patient’s charter be prepared illustrating
the expectations of the practice and also of the patients.
Members would write the patient expectations and the
managers the practice expectations. To be brought to the next
meeting.
Colin suggested Patient Champions as a name for our group. It
was agreed that it would need to be more specific to our area of
work, it was therefore agreed that the name would be “APMS
Patient Champions”.
Christine gave an overview of the term constituted groups,
handed out a paper and explained that a group would need to
appoint a chair, secretary and treasurer. Christine explained
that there was one constituted group in Hull, North point
Practice. This means that they can apply for funding. They
have applied for funding to run the Citywide Patient Group
networking event which was to be held in January however this
has now been put back to February. Christine explained that
there was a pot of money NHS Hull (although this will cease in
2013), however CHCP also have a pot of money for the purpose
of fundraising. Christine explained that this PPG needs to be
autonomous and that the group can invite the managers
present today, using the managers as support for their group.
Other groups in Hull have different set ups in regards their
meetings and it’s up to the members to decide how they run
Members
/Practice
Managers
Members
7. Practice
Newsletter
8. Any Other
Business
9. Date and
Time of next
meeting
this. Christine asked the members to have a think about
whether they wish to move in this direction and she will come
back in a few months time to discuss further, once this group
had had the opportunity to gel.
Vicky handed out a copy of the January newsletter. This will be
posted in surgeries and onto practice websites. It was agreed
that the members should have a regular slot on the newsletter
Members
for them to update patients about the group. The next
newsletter is due out middle of March. Could members please
provide Vicky with an article for submission at the next meeting
(2 March).
Michael queried as to the costs associated with interpreters. CR
explained that the practice does not pay for this service and that
the PCT provide the service.
The members wished to have all members email addresses.
Vicky will circulate this information with the minutes.
Friday 2nd March 2012, 12.30pm, First Floor, The Octagon,
Walker St, Hull
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