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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 VW 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 JS VW 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 VW