Helen Griffiths Principia Support and Implementation Manager helen.griffiths@nottspct.nhs.uk

1. Helen Griffiths Principia Support and Implementation Manager helen.griffiths@nottspct.nhs.uk www.principia.nhs.uk Wednesday 21st January 2009

2. Principia Partners in Health • Principles of organisation • Structure and accountability • Relationship with Patient Opinion • Experiences • Future potential

3. Principia Partners in Health New corporate entity • Not for profit community benefit society (formed April 2006) • Company Limited by Guarantee • Three key classes of stakeholders: • 118,000 public and patients • PCT provided community services • 16 General Practices • Lay - clinical board with lay majority • APMS contract with commissioning PCT • Staff supply agreement with PCT ALMO to secure NHS pension • Freed up resources re-invested in services • DH Social Enterprise Pathfinder Why a social enterprise? • Local • Shared understanding • Values to community and people • Cultural - in the NHS but not like it • Partnership - joint ownership of problems and successes

4. Principia community engagement structure Principia Company Board • Principia Company Board • Lay Chair • 6 Lay members • 3 Community services members • 3 PBC members • Co-opted members • Management executive • PCT and LA representatives • Multi-professional clinical reference group with lay representation • Task and Finish groups with lay representation • Principle of every pathway redesign has one provider, one GP and one patient • Patient’s take business cases to PBC approvals committee • Patient information leaflets co-written by patients and clinicians • Cancer service - leaflet written by patient group supported by community matron • Health network of over 700 patients • Fun run and healthy living festival every year – jointly with Borough council Patient Reference Group Locality based Principia Rushcliffe Health Network Patients who commit to undertake an activity and local practice based involvement groups Beneficiaries All patients registered with general practices who join Principia

5. Why Patient Opinion? Values • Shared principles • Step change in community involvement • Commitment to meaning engagement • Vibrant and accountable • Better information • Personalised and approachable • New form of independent feedback • Variety of methods to contact Patient Opinion • Opportunity to provide feedback to comments • Facilitates evidence based discussion and leverage • to secondary care and PCT Feedback

6. How has Patient Opinion been introduced? • Launch at Principia wide CPD event • Practice led initiative to send out SAE questionnaires • Sign up through Principia Success Scheme • Local promotion at practice level

7. Opinions received - posted between 1 November 2007 and 14 January 2009 The chart shows how rapidly the amount of feedback within our subscription is increasing over time. The line shows the total amount of feedback over the period. The bars show the number of additional postings arriving each month.

8. Opinions received - posted between 1 November 2007 and 14 January 2009

9. Opinions received – sample postings for Keyworth Surgical Dermatology Service Keyworth is a credit to the NHS Thank you to Dr Shroff and team at Keyworth Medical Practice “I visited my GP regarding a mole on my forehead which I had had for some years and he referred me to the Keyworth Medical Centre, where I saw Dr Schroff. He removed my mole in minutes and the site is now healing well. My prompt referral and the excellent treatment I received from Dr Schroff and his staff at the Keyworth Medical Centre was simply brilliant, so thank you for that. I am happy to say there were no worst bits and I can't think of a single thing I'd want to change. Keep up the good work, an absolute credit to our NHS”. Kind and caring treatment in my local health centre

10. Future development Additional information • Add local services • Add community services • Other PBC clusters in Nottinghamshire to subscribe Analysis of data • Monitor and review SLAs • Feedback directly into secondary care • Directly feedback to staff Feedback to partners • Secondary care • PCT • Community services • Local services Engagement with patients • Seldom heard groups • Support/signpost patients • Feedback to be asked for at point of booking hospital • appointment

11. www.principia.nhs.uk