|
The next PPG meeting will be Wednesday 26/11/08.
On the agenda:-
 | Election of new Chair person & Vice Chair person. |
|
Review of the "Prostate Problems" Open Health Education event. |
|
Plans for further Open Health Education meetings: Early spring 2009. |
|
Review of funding of the PPG. |
|
Practice news. |
|
PPG news |
|
PCT news. |
|
AOB. |
I hope to see you there!
_________________________________________________________
PPG....
...Patient Participation Group.
This page is dedicated to the themes and work of the PPG.
The group ethos: -
| Meets every 2 months: The fourth Wednesdays of odd-numbered months (...misses August holidays
and Christmas). |
| Learns more about how Primary Care in general, and this practice in
particular, works. |
| Provides feedback on developments and general matters of concern. |
| Suggests ways to improve the service. |
Remaining dates for 2008.
|
14/10/08 (Health Education Event @ St. Andrews - See
below)
|
|
26/11/08
|
If you are unable to attend but you would like to be involved, please
email us using the Contact facility above indicating your interest.
Thank you.
__________________________
News!
This Patient Participation Group is now a member of
the National Association for Patient Participation (N.A.P.P.), affiliation
No. 667.
Their latest newsletter, April '08, can be read by
clicking here.
__________________________
The last PPG was: -
Tuesday 14/10/08:
|
The open Health Education Event on "Prostate
Problems" with speakers Mr. Mike
James,Consultant
Urologist & Nicky James, Urology Nurse
Consultant at St.Andrews' Church Hall.
|
|
Everyone enjoyed an interesting and informative evening about the diagnosis and
treatment of prostate problems including prostate cancer (the most common
form of cancer amongst men) with a question and answer session and
patient/wife testimony.
|
Wednesday 26/09/08:
|
Refining plans for the Heath Education event:
"Prostate Problems":
|
2nd round of press releases to go out.
|
|
Other groups contacted.
|
|
Room hire deposit paid - balance & keys to be
collected on 14/10/08.
|
|
Posters: Recalled because of a typo; more to be
produced & circulated.
|
|
|
Funding:
|
A verbal offer from a local charitable group to fund
the next but one event.
|
|
Still awaiting f/b from the PCT.
|
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Annual accounts presented by the treasurer.
|
|
Will be opening an HSBC Community A/C shortly - Free
of charge.
|
|
|
PPG news:
|
C&KL attended a PCT event on relative health
priorities and decision making - Excellent.
|
|
Further events planned and recommended. Next in
Buxton.
|
|
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Practice website:
|
REB to update as some aspects outdated.
|
|
|
Chairperson:
|
To be discussed and elected next meeting.
|
|
REB stepping aside for others to take the reins.
|
|
Dr. Turner will be attending the meeting in REB's
absence.
|
|
|
Practice news:
|
Quality Practice Award submitted 30/06/08.Some minor
details need refining. Assessors will be visiting end-October 2008.
|
|
New opening time proving very popular with patients,
especially evening sessions until 8:30pm. The practice are starting to get
used to the "change in rhythm" of the new working arrangements. A few
minor changes will be taking place from 1/11/08 as the working programme
is too tight. We hope to have a few PN sessions in the evening too from
the New Year.
|
|
The two new receptionists, Helen & Debbie, are
proving an asset and settling in well.
|
|
Two other receptionists, Carol & Sarah, are currently
training to take over the Phlebotomy clinic. From 1/10/08, we will offer
two clinics per week, Tuesday and Thursday mornings, instead of just the
one.
|
|
|
Future Health Education events:
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"Stress, Anxiety & Depression" early spring 2009.
|
|
Aim for Tuesday 31/03/09; same venue.
|
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Perhaps "Caring for the Carers" after that?
|
|
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Future PPG meetings:
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Clinical & ethical scenarios: January 28/01/09.
|
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Wednesday 23/07/08:
|
Review of the open Health Education Event: Bowel
Cancer Screening:
|
What Worked Well (WWW):
|
Good venue |
|
Excellent presentations |
|
Audience interest |
|
Good ideas for future events |
|
Learning experience for future events |
|
|
Even Better If (EBI):
|
Too few in audience |
|
Dronfield Advertiser article published a week
too late |
|
Derbyshire Times didn’t publish the article at
all |
|
Some couldn’t hear the speakers |
|
Some people couldn’t hear questions |
|
Ticket system possibly off-putting |
|
Ticket system did not give accurate information
regarding turn-out |
|
|
|
Funding & accounts:
|
Accounts show a balance of ~£109. |
|
Cannot continue without funding streams. |
|
PPG members shouldn’t be expected to fund events
themselves. |
|
Practice investing heavily in patient services. |
|
Ideally, PPG needs external funding sources:
|
PCT? |
|
Pharmaceutical companies? |
|
National Association of Patient Participation –
or recommendations from them |
|
National associations or bodies could sponsor
certain topic events: E.g. British Heart Foundation for basic life
support. |
|
Local organizations; e.g. Rotary. |
|
|
Members assigned to research/explore
possibilities. |
|
We have enough to fund another Open Health
Education Event, however! |
|
|
Next Open Health Education Event:
|
Venue: St.Andrews. |
|
Frequency: Aim for x2/year (April/May &
September/October) initially, possibly going to 3 events/year. |
|
Topic: Prostate problems. |
|
Advertising:
|
Dronfield Eye |
|
Dronfield Advertiser |
|
Dronfield On-line |
|
News & Views (Parish magazine) and CTDD event
email system |
|
Notification/invite to specified local clubs &
associations |
|
In-practice advertisement via TV screen |
|
Posters (including pubs?) |
|
|
Organization:
|
Refreshments to be served. |
|
Usual functions of key fetch & return, setting
up/putting away, PA, MC. |
|
(Note: MC - REB if on Tuesday night, otherwise
another PPG member.) |
|
|
|
Practice News:
|
New PN-led allergy clinic started. |
|
New working arrangements from 1/09/08. |
|
FairTrade organization |
|
QPA application submitted 30/06/08 after 18
months work by the practice. |
|
|
Breaking Bad News:
|
Review of “Ten steps” guidelines from Peter
Kaye’s research, 1996. |
|
Discussion. |
|
|
PPG news:
|
National Patient Safety Agency are looking for
patient “Champions”. |
|
Doctor magazine Patient Participation Award:
£3000 competition held yearly. |
|
NAPP monthly bulletins. |
|
Derbyshire County PCT day event: “Decision Making
in the PCT”. |
|
NAPP membership folder – A resource for all the
PPG. |
|
|
Date of next meeting:
|
September 24th, 2008 @ 7:30pm. |
|
Entry via Reception & sign-in. |
|
__________________________________________________________
Wednesday 28/05/08:
|
Open Health Education meeting on Bowel Cancer
Screening @ St. Andrew's Church Hall 7:30-9:00pm:
|
Dr. Sophia Makki, Public Health specialist, gave an
overview of the screening programme; it's structure, organisation and the
rationale for the programme.
|
|
Mr. Mike Simms, Consultant Colorectal Surgeon, gave a
presentation on the screening programme from the operational perspective.
|
|
Kaeron Kerr, Specialist Screening Practitioner, gave
a presentation of her role regarding patient support.
|
|
Ian Fretwell, Nurse Consultant, helped answering
questions in support of all the above speakers.
|
|
|
Their presentations can be accessed by clicking on
the link below:
|
Dr.Makki
|
|
Mr. Simms (yet to be uploaded)
|
|
Kaeron Kerr (yet to be uploaded)
|
|
__________________________________________________________
Wednesday 26/03/2008:
|
Matters arising
from last meeting: Posters distributed to 16-17 public sites/notice
boards around Dronfield. No more attendees than usual, but continue to
publicise meetings. |
|
Health Education evening @ St.Andrew’s church hall 28/05/07:
|
Advertise via: |
|
o
Posters out for 7/05/07:
Usual 16-17 sites plus 3 other GP practices (All)
o
Press release to Dronfield
On-line, Dronfield Eye and Dronfield Advertiser; both taster and main
articles.
|
Hall arrangements: |
o
Hall already booked: Access
from 6:30pm.
o
Open to public from 7:00pm
o
Meeting starts 7:30pm
o
“Meeters & greeters” on main
door.
o
Access to kitchen and its
resources. To bring tea-towels and black bags.
o
Refreshments (to be
purchased) to be served at suitable “mid-point” of meeting.
o
Caretaker to lock up.
|
Meeting content: |
o
Welcome.
o
Sophia Makki (Public Health)
(10’) -> Q&A
o
Ian Fretwell (Nurse
Consultant) (10’) -> Q&A
o
Refreshments break (20’)
o
Mike Simms (Consultant
Surgeon) (10’) -> Q&A
o
Subjects for future events.
o
Date of next PPG.
o
Evaluation forms and other
information leaflets/literature.
o
Close.
|
Numbers: |
o
Admission by ticket: Free
from GVMC: Collect in person from GVMC reception, on the door, or by SAE.
o
This will inform seating
arrangements and refreshments.
|
Miscellaneous: |
o
Laptop & data projector from
REB/practice.
|
Doctor news: |
|
Dr. Belfitt:
Passed all of her external examinations, and just needs to complete
her in-house assessments by the end of August 2008. |
| Dr. Chriss Ashmore has passed all
her F2 examinations and has been accepted onto a GP training scheme in
the East Midlands Deanery area. |
|
Out of Hours developments: |
|
Dr. Bull updated
the PPG regarding the practice plans to open additional hours. |
| Opening
reception 18:00-18:30 Monday-Friday from 1/4/08. |
| Opening for GP
surgeries 18:30-20:30 each Tuesday from 1/4/08. |
| When
appropriate (no date/list size agreed), we shall be opening
reception across the lunch period. |
| We will be
increasing our receptionist numbers in order to staff the additional
hours. |
| Other
developments were discussed in confidence and PPG feedback received. |
|
Improving Practice Questionnaire results:
|
The results &
interim report were distributed to PPG members ahead of the meeting
and the excellent results were discussed point by point. |
|
The PPG and staff
comments were combined to create a final report which is available to
read. Click here. |
|
|
PPG Treasurer:
| We have been issued with £100 per
annum by the PCT. |
| Chris Lord was elected PPG
Treasurer. |
| Helen Jenkinson would now go ahead
and join our PPG to the National Association of PPGs (£25.00) |
| Funding of other events would be
discussed at the next “in-house” PPG. |
|
|
Moss Valley Medical Practice’s
PPG are holding an open meeting with Natasha Engel MP about the new
contract impositions and patient concerns. They have formally requested
representation from GVMP’s PPG.
|
Venue: MVMP on
Gosber Road, Eckington. |
|
Time: 7:00pm |
|
__________________________________________________________
Wednesday 23/01/2008:
|
Matters arising:
No minutes required, just webpage notes.
In absence of Dr. Bull, Vice-Chair (HJ) to lead &
another practice member to attend.
Posters: Need 16 laminated + extras for outlying
areas. Surgery to produce & PPG to distribute posters >1week in advance.
Chair (REB) to chase PCT Re. £100 PPG allowance.
Publish the last PPG notes in practice newsletters
for those who do not access the website.
|
|
Health Education Evening:
Small public survey conducted by MK/EK: Public
positive about a meeting but with qualifications. Many ideas for topics
generated.
Open invitation to the public.
Free.
28/05/08 19:30-21:00hrs.
Venue: St. Andrews church hall? EK to make booking.
Subject: Bowel Cancer Screening: Topical as just been
introduced locally.
Speakers: REB to get Public Health Consultant, Nurse
Consultant & Consultant Surgeon to give 3 short public-targetted
presentations.
Press: CL to organise a press release to advertise.
Bookings: Practice to produce free tickets/keep note
of No.s & contact details. PPG to assume responsibility to contact in face
of cancellation.
Refreshments: CL/KL to kindly contribute £20; TM/YM
to organise purchase and serving on the night.
|
|
Dr. Rebecca Belfitt: Q&A.
|
|
Green issues: Walking to surgery wording for TV
screen:
"Walk your way to health: Your Practice is keen to
encourage as green & healthy approach to attending the medical centre as
possible. Have you thought of walking? Besides improving your health and
fitness, this would also free up space in a congested car-park for those
who do need to attend by car. Thank you."
|
|
Out of Hours:
Practice will need to open until 18:30hrs from
1/4/2008. The additional half an hour will be for reception functions and
genuine emergency consultations only. The PPG broadly agreed this was a
pointless exercise and practice expense.
The Government also want practices to stay open
across the lunchtime period. There is an exemption for smaller practices,
which the GVMP intends to adopt, as this provides for lunch-time breaks,
administration without interruptions and staff meetings. The PPG supported
this approach.
We were considering opening late one day per week
until 8pm, should the PCT fund this (cost ~£12K p.a.). However, te
Government are seeking to impose this without additional funding, a move
the practice will be resisting. The PPG understood the issues involved.
However, there are 3 months of negotiations between
now and 1/4/08, so watch this space.
|
|
Patient Satisfaction Questionnaire:
This will involve 400 questionnaires this year, 50
for each GP and Practice Nurse.
Results will be fed back to the PPG at the next
meeting.
|
________________________________________________________________
Wednesday 28/11/07:
|
Discussion: "How we develop in the light of Moss
Valley PPG's experience".
|
Agreed to explore the potential to run events
x3/year.
|
|
Topics to be decided.
|
|
Utilize suitable venues (St.Andrew's church hall?)
|
|
Enlist suitable Health Care Professionals to present
topics.
|
|
|
Practice's Green Issues policy.
|
Agreed good idea (for health & environment) to
encourage patients to attend surgery by walking where appropriate.
|
|
To educate the practice patients via the TV
presentation.
|
|
To design a suitable health information message.
|
|
|
Dates for 2008.
|
23/01/08
|
|
26/03/08
|
|
22/05/08
|
|
23/07/08
|
|
24/09/08
|
|
26/11/08
|
|
|
Chair for 2008.
|
Dr. Richard Bull for a one year term.
|
|
Chair reverts back to patient member for 2009.
|
|
|
Finances.
|
Agreed to accept PCT grant of £100.
|
|
Practice to apply for funding and issue cheque to PPG
treasurer.
|
|
|
AOB.
|
Plans of new patient services for 2008.
|
|
__________________________________________________________
Past meetings:
1/ Wednesday 28/9/05:
An
Introductory presentation
was followed by a wide ranging discussion covering aspects of Primary Care
as diverse as: -
| Finances |
| What affects prescribing decisions |
| Missed appointments |
| Welcoming patients into consultations |
| Security at the GVMC & measures to reduce antisocial behaviour and
vandalism |
| Web-based on-line access to appointments, email consultations,
repeat prescriptions and pre-registration |
| Resource utilization |
2/ Wednesday 23/11/2005 to discuss "What the
Practice does & how it gets paid". A short powerpoint is available (Click
here) outlining the key points.
3/ Wednesday 25/01/2006 to discuss "Medical Ethics".
Members of the PPG discussed a range of scenarios that GPs and patients
might encounter during a typical working day! The scenarios are
available on-line (Click
here).
As each scenario unfolded, members realised that their
decisions/choices were perhaps more influenced by their live experiences
(subjective approach) whereas the GP must endeavour to remain unbiased and
work according to a code of ethics (objective approach).
The discussion was reported to be lively, thought provoking and
enjoyable.
The scenarios are available on-line (Click
here).
4/ Wednesday 15/03/2005 to discuss the Improving Practice
Questionnaire performed in December by 300 patients. Members
of the PPG discussed the results. The final report has been sent to the
North Eastern PCT for their information.
Click here for report.
5/ Wednesday 24/5/06 to discuss "Choose & Book", the computer
technology, the potential ethical problems and possible benefits.
The Department of Health power-point presentation can be accessed by
clicking here. Please note, this is
the DH's propaganda and is about 1 year old, so this isn't necessarily
what happens in practice, but it's near enough!
6/ Wednesday 26/7/06: "Practice Based
Commissioning (PBC)" and to discuss both the pros and cons of
involvement, and the voice of the public (Patients) in commissioning
healthcare services.
7/ Wednesday 27/09/06: The recent Health
White Paper: "Our Health, our care, our say: A new direction for community services".
Dr. Bull also presented the Practice's
recently PCT approved Practice Based Commissioning (PBC) strategic plan for consultation & comment.
Both presentations can be viewed by clicking:
White
paper & PBC.
8/ Wednesday 22/11/06: PALS: "Patient
Advice & Liaison Service". A presentation by Sue Pogson, the
Patient & Public Involvement Manager for the PCT.
Please see: PALS leaflet
& Sue's
presentation.
The new Derbyshire County PCT website can be accessed at:
www.derbyshirecountypct.nhs.uk/
And PCT Board agendas/papers at:
www.derbyshirecountypct.nhs.uk/board-meetings/agenda-and-minutes.asp
PALS is actually based in the Medical Centre, and the office includes:
| Sue Pogson: Patient & Public Involvement Manager |
| Jackie Ward: PALS/Complaints Co-ordinator. |
Either can be contacted by: -
Telephone: 01246 296025/296026
Email:
Letter:
Patient Advice & Liaison Service (PALS)
Gosforth Valley Medical Centre,
Gorsey Brigg,
Dronfield,
Derbyshire,
S18 8UE.
9/ The PPG group met on Wednesday 24/01/07 to discuss the handing over to
the Patient Chair, the future vision of the group and to discuss two
patient issues: -
a) Whether to add dissent codes to all patient records regarding the
forthcoming upload of notes from the practice computer system to the NHS
Care Record Spine (NCRS).
At present, patients are able to inform the Practice Manager in writing
requesting that their records are not uploaded to the NCRS. The patient's
computer notes are then tagged with the relevant dissent code, effectively
blocking the upload.
This would effectively convert the Government's "opt out" to an "opt
in" approach. The practice's patients would be contacted advising them of
the situation and patients would then inform the Practice Manager should
they wish to opt-in. The dissent code would then be removed.
The pros and cons of this proposal were discussed, and the PPG voted to
maintain the status quo: I.e. The system is still one of "opt out".
So if patients do not wish for parts their computer records to be
uploaded to the NCRS, they should contact the Practice Manager in writing
to request otherwise.
b) "Best for you, best for your baby?". This is the consultation
on proposals for community midwifery services being conducted by
Chesterfield Royal Hospital.
Please see:
www.chesterfieldroyal.nhs.uk/news/midwifery/index
Essentially, there are 4 proposals for the service reconfiguration (but
do read the full consultation document (takes about 15 minutes):
Location:
To improve the care women receive before they have their baby, CRH are
looking to set up four new maternity bases.
These will provide dedicated antenatal care services (postnatal care
will continue to be provided as it is now). To make sure women across
North Derbyshire have fair access, CRH propose that the four bases should
cover the areas of: -
| Chesterfield |
| North East Derbyshire |
| Derbyshire Dales and High Peak* |
| Bolsover |
Births:
The focus of our midwifery and maternity service is around safe care for
both 'mum' and baby.
To ensure CRH can provide women with the safest clinical service
throughout labour and delivery we propose to offer a choice of: -
| Home births, or |
| Births at Chesterfield Royal Hospital |
To enable CRH to offer the choice of home birth (for women where this
is considered an appropriate clinical option) midwives will provide
mums-to-be with more education and support.
Staffing:
To provide community midwifery services in this way CRH will need 41 posts
- a net decrease of around nine from the current establishment.
The biggest change in staffing is a proposal to introduce a new role -
trained maternity care support workers. These members of staff will
relieve midwives of routine tasks and administrative duties – freeing up
time for specialist midwifery care.
Caseloads:
By adopting these new ways of working CRH
will be able to make sure midwives are all working to a more balanced
caseload – and one that compares to similar community midwifery services
elsewhere (between 80 and 100 cases for each midwife).
The proposals were discussed and it was agreed that the PPG would
consult widely with a cross section of society for a range of views,
before discussing more fully at the next PPG meeting.
If you want to have your say, either: -
10/ Wednesday 28/03/207: -
| Matters arising from the previous meeting. |
| The Improving Practice Questionnaire (IPQ) results. |
| A discussion around telephone confidentiality relating to the
leaving of messages. |
The full IPQ report, including the PPG comments, can be read or
down-loaded from here.
They will also be forwarded to the Derbyshire County PCT.
The PPG discussed the issue of telephone confidentiality and decided
that it was both morally reasonable and practical to leave a message for a
person to call back, so long as no medical details were disclosed (breach
of confidentiality).
There may be a few occasions where some distress might be caused, but
this was considered minimal and preferable to the levels of distress
likely if details (including number) withheld, or if people were not in
receipt of information quickly.
11/ Wednesday 23/05/207: -
| "Matters arising" |
| F2 doctor Q&A |
| Review progress of the NHS Spine and patient
confidentiality |
| Media reports of tagging the elderly and reporting potential
criminals |
| Drug abuse in Dronfield |
| Patient computer access to notes. |
12/ Wednesday 25/07/2007: -
| "Matters arising" |
| Moss Valley Patient Participation Group. |
| Practice Based Commissioning plans for 2007/8. |
| The Department of Health's GP Patient Experience Survey (PES). |
| Media reports of "Polyclinics". |
| Plans for a Drug Abuse educational evening in Dronfield. |
| Miscellaneous. |
13/ The meeting on Wednesday 26/09/07 was cancelled.
14/ Wednesday 24/10/ | 
