Patient Participation Groups

1. Patient Participation Groups First Meeting Wed. 21st September 2011

2. Introductions • Doctors – Dr Anthony Hartley • Dr Charlotte Doig • Dr Jeff Haddon • Dr Kate Phillips • Dr Tom Miller • Practice Manager – David Doig • IT Manager – Ann Sellors

3. Welcome to Buxton Medical Practice • 7680 Patients • 5 GP Partners (4 full time and one ¾ Partner) plus part time Locum GP (4/9ths) • 3 Practice Nurses • 15 Administration Staff (mainly part time) • Attached staff include 3 District Nurses, plus Nurse auxiliary, 2 Health Visitors and a Nursery Nurse, Practice Counsellor, Midwife, Phlebotomist.

4. Some Figures • The GPs provide approx. 21000 appts. pa (face to face and telephone). An appointment is 10 mins. • The nurses provide approx 12000 appts. pa (face to face and telephone). An appointment is 15 mins • Last year 5475 patients had at least 1 prescription • We Prescribed 113 009 items in one year (447 items each working day) • We spent nearly £60 000 of our own money on extra Doctors last year to help provide a better, quicker service. • We are open 8am to 6.30pm Monday to Friday plus 8am to 11.45am Saturday (for booked appointments, prescriptions and appointment booking)

5. More Figures • The Practice has a higher than average prevalence of illness in all recorded areas. • Particularly in • Heart Failure • Depression • COPD • Atrial Fibrillation • Cancer • Stroke / TIA • Dementia • Very Good monitoring and recording allows us to stay ahead of the field in disease prevention (but high workload)

6. In Addition • We are a GP Training Practice • We are actively involved in the new Commissioning Group for the High Peak • Dr Doig is a GP Appraiser (outside of the Practice time). • We are investing heavily to look to provide the best services possible for our Patients.

7. There are some Issues • Appointments System • Seeing a Doctor of your choice • On occasions getting an appointment within a day or two. • Funding reduction and possible service cut backs • New Technology failing – booking in system

8. What is a PPG? • Patient Participation Group, PPG is a group of Volunteers looking to support the Practice provide the best services possible for the whole patient population. • The main functions for this group are • Run by Patients to both inform the Practice and the Patients • Looking at issues in a way that finds solutions • Support and get involved in information gathering and understanding eg surveys • Fund Raising for items outside of the NHS remit • Provide Patient support advice and services • The role can have some, all or more responsibility, it is up to you

9. Today • Look at terms of reference (rules of a group) • What the committee comprises of. • What sort of tasks you would like this group to look into • First proper meeting date. (& possibly the first tasks)

10. Terms of Reference • 1. contribute to practice decision-making and will consult on service development and provision; • 2. provide feedback on patients’ needs, concerns and interests and challenge the practice constructively whenever necessary; • 3. serve as a ‘safety valve’ for dealing with grumbles and complaints about the practice – representing patients but also helping them to understand the practice’s viewpoint; • 4. assist the practice and its patients by arranging voluntary groups/support within the community; • 5. communicate information about the community which may affect healthcare; • 6. give patients a voice in the organisation of their care; • 7. promote good health and higher levels of health literacy by encouraging and supporting activities within the practice and promoting preventive medicine; • 8. influence the provision of secondary healthcare and social care locally; • 9. monitor services, eg hospital discharge and support when back in the community; • 10. give feedback to NHS trusts on consultations; • 11. fundraise for medical equipment or other facilities to improve the practice and/or fund the activities of the PPG; and • 12. liaise with other PPGs in the area.

11. Ground rules • This meeting is not a forum for individual complaints and single issues. • We advocate open and honest communication and challenge between individuals. • We will be flexible, listen, ask for help and support each other. • We will demonstrate a commitment to delivering results, as a group. • Silence indicates agreement – speak up, but always go through the chair. • All views are valid and will be listened to. • No phones or other disruptions. • We will start and finish on time and stick to the agenda.

12. Committee • Chair Person • Vice Chair person • Treasurer • Secretary • Up to 8 others with a voting right • Open to all to observe and comment.

13. Tasks • Methods of Communication • Notice board • Newsletters • Website • Minutes • Presentations • Survey and resultant Actions • Standard Survey • Other topics • Reporting system • Agreeing actions. • Care Pathways / Services • Commissioning • Practice

14. Meeting • When • How often • Where • How Long for • Other work groups • What Presentations would you like to hear?

15. Resources to Help • The Practice • National Association of Patient Participation, NAPP (www.napp.org.uk) • Sue Pogson, Derbyshire County PCT