MUSTERS MEDICAL PRACTICE

www.mustersmedicalpractice.co.uk

214 Musters Road  West Bridgford         Nottingham                NG2 7DR

Tel: 0115 9814124  Fax: 0115 9813117

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MUSTERS MEDICAL PRACTICE

PATIENT PARTICIPATION GROUP

Minutes of the meeting held on Tuesday 10th January 2012

 

Present:

Paul Midgley, Jenny Newman, Ronald Chard, Janet Rayner, Richard Barnsley, Val Wright, Linda Lowne, Kathy Brummell

Apologies:

Anne Toler, Phil Locking, Hannah Kennedy

 

Minutes of the meeting held on 8th November 2011

The minutes of the last meeting were accepted as an accurate record.

Matters arising not elsewhere on the agenda

2 PPG members would be present at the QPDM meeting on Thursday 19th January 2012

Val Wright was planning to present the results of the Telephone Survey to the QPDM.

Paul had sent the amended copy of the Patient Survey to Val and he had also written an article for the Newsletter. The questionnaire would be given to patients during January and results published on the practice website by the end of March.

Musters Medical Practice proposed relocation and premises plan update

Information Boards were placed within the surgery advertising the proposed relocation. Verbal concerns were mainly over the location, access to the site and parking issues.

The official consultation had ended on 5th January and two large community events had taken place at West Bridgford Community Centre and Easthorpe House. There were a high percentage of older people attending the Community Centre event and many said they currently walked to their respective GP surgeries. The evening event at Easthorpe House was well attended and with a number of local Councillors attending as well Wilford Lane residents. PEDALS, a local cycling lobby group had agreed to work with the development team to create new cycling routes if the proposals were approved.

3,000 questionnaire responses had been submitted and initial analysis was expected by 9th January.

The PCT would be holding a funding meeting w/c 16th January which would also include consideration of new detailed architect plans, and travel and access issues.

Currently there were 71 parking spaces available for staff and patients which were not considered adequate for demand and there was only one way in and out, so further investigative work including barrier control and the purchasing additional land was under way.

The PCT Planning Group would meet on 28 January 2012, when it was hoped the approval decisionwould be given.

The PPG viewed the current architect plans and it was the intention for Musters Medical Practice tobe located to the right of the building.  There would be 4 consulting rooms, 3 registrar rooms, 2 nurses’ rooms, 1 treatment room, 1 healthcare room and 1 minor procedures room which would be a shared resource.

Additional services would include Phlebotomy, ECGs and 24 hour blood pressure monitoring.

PPG members were asked to give consideration to other services and facilities that they would like to have available on site to date these included a buggy park, mother and baby room, Physiotherapy, Counselling, Podiatry and Osteopath services.

It was suggested that discussions should be held in the future with the Derby Road GP Practice who had recently relocated or the city LIFT/Joint Service Centres such as Clifton Cornerstone or Mary Potter to assist with problem solving.

Both NCT and Barton buses had given a commitment to developing new bus routes if demand was sufficient.  It was suggested that it would be beneficial to link and new routes in with the Medilink service available on the two Nottingham University Hospital campus sites.

Practice Service Questionnaires

Val reported that only 9 Practice Service Questionnaires had been returned since the beginning of December. Receptionists were to be asked to distribute the questionnaires more widely over the next few weeks. The results would be published by the end of March.

Out of Hours GP Questionnaire

PPG members felt the OOH GP questionnaire was too long, but those members who used the Nottingham Emergency Medical Services (NEMS) were encouraged to completeit.

Musters Medical Practice QP targets progress and update

The QP targets were to run between January and March 2012 and were focussing on prescribing and good practice. Practices were being encouraged to reduce the usage of antibiotics that can lead to C Diff, as well as a reduced usage of Diclofenac as there was an increased cardiac risk.

The Practice was not considered to be a high referrer but was considering other alternative Pathways into Primary Care Services to avoid hospital referral.

9 patients were found to have not have received treatment when they presented at A&E and Walk –in Centres.

From April 2012, the practice will be awarded points for patient A&E avoidance. The practice had carried out a survey 18 months ago on A&E usage and the majority of the patients presenting could have been treated during day/practice hours by practice staff.

Correspondence

An email had been sent to the Practice Manager and PPG via the practice website regarding patient treatment. The Practice Manager had already acknowledged receipt of the complaint and a collective practice discussion had taken place. The PPG asked if all consultations had been recorded on the computer records and if on reflection  the practice felt the complaint was due to a breakdown in communication or language barrier then practice staff needed to resolve the issue appropriately

Any Other Business

There was no other business.

  • Date and time of next meeting
  • Tuesday 6th March 2012 @ 7pm

MUSTERS MEDICAL PRACTICE

Patient Participation Group

Minutes of the meeting held on 08.11.11

Present:  

Paul Midgely, Jenny Newman, Ronald Chard, Janet Rayner, Richard Barnsley, Val Wright,

Clare Routledge, Linda Lowne, Ian McCulloch

Apologies:

Anne Toler

ITEM                                                                                 ACTION

 

1. MINUTES

The minutes of the meeting held on 6th September were agreed

An additional extra-ordinary meeting had taken place on October 26th regarding the proposed new premises. Linda will circulate the minutes she took at the meeting.                                                                                                                                                       LL

 

2. MATTERS ARISING

2.1 There had been no volunteers to collate the results of the telephone survey so Val agreed to do it.                                         VW

2.2 Sandra Coker had informed the group that she was resigning and so a new Secretary was required. Claire Routledge agreed to take over the minute taking for the next few meetings.                                                                                                                             CR

    

3. New Premises

Paul had that day attended an overview and scrutiny meeting regarding the proposed new premises. The meeting had gone well and there is now to be a public consultation until January 5th 2012. During this time the public will be informed of the proposal and their views obtained.

This includes 30,000 letters going out next week – one to each patient currently registered at the practices involved.

Paul and Janet will attend a meeting on 15.11.11 with members of the staff and PPG’s of the other practices. This is to prepare the individuals for the response of the public following the letters.

Claire informed the group that she has done some work on Community Cafés and volunteered to have some input regarding the café at the new premises if appropriate. The NHS Nutrition team would also be able offer advice.

The PPG will contribute a piece for the practice Newsletter to be published imminently regarding their involvement in the new premises.                                                                                                                                                                                                                 PM

Val will communicate with Lisa Sullivan regarding a list of anticipated questions plus answers, regarding the project, to also go in the newsletter.                                                                                                                                                                                       VW

 

4. The Patient Survey

was discussed, a couple of amendments suggested then agreed. The results of the survey are to be published on the practice website by the end of March. The questionnaire will be given to patients who attend during January. Paul will send a copy of the updated document to Val.         PM

5. The dates for PPG meetings in 2012 are as follows:

January 10th, March 6th, May 8th, July 10th, September 11th, November 6th.  Starting at 7pm

The next QPDM (Quarterly Practice Development Meeting) will be held on January 19th.

It may be necessary to hold additional meetings in connection with the premises. Members will be informed by email if this is the case.

6. Correspondence

There were no feedback forms in the post-box.

7. AOB

None

NEXT MEETING

Tuesday January 10th at 7.00 p.m.

 

MUSTERS MEDICAL PRACTICE

Patient Participation Group

Minutes of the meeting held 06.09.11

Present:                                                                                                  Apologies:

Val Wright, Richard Barnsley, Paul Midgely,                                       Phil Locking

Jenny Newman, Sandra Coker, Ronald Chard,                                   Kathy Brummell

Janet Rayner, Clare Routledge, Hannah Kennedy,

Anne Toler, Jacqui Lea

 

ITEM

ACTION

1. MINUTES

The minutes of the meeting held on 14.6.11 were agreed.

 

2. MATTER ARISING

 

5) A patient survey with reference to contacting the surgery by phone and booking of appointments.  Detailed feedback is still to be analysed.

 

7) Paul had contacted Helen and they had arranged to meet.

 

 

 

PM/AT

 

 

PM

3. CORRESPONDENCE

 

There was no correspondence.

 

 

 

4. PATIENT PARTICIPATION DES (to include FAQs doc)

 

  • money will be available to support the setting up of PPGs
  • PPGs must be functional and agree objectives and issues
  • recruitment must reflect the community PPG serves
  • a cycle of audit/survey and feedback
  • MMP PPG has ongoing feedback through correspondence box
  • frontline staff will recruit a representative virtual group via email
  • Next steps for MMP include:
  • More detail re telephone/ appointment booking survey.
  • Next survey to include priorities 1 – 5 from healthy/unhealthy slides and free text.
  • Focus on carers and housebound.

 

 

 

 

 

 

 

 

 

 

PM/AT

5. NHS DIRECT DECISION AIDS

 

  • The group agreed that this is a good and reputable site which encourages shared decisions.
  • The website to be advertised in the next newsletter.

 

 

 

 

RB

6. FEEDBACK QPDM

 

  • Janet had attended this meeting.
  • New members to PPG were highlighted.
  • 210/270 responses to the national patient survey.

 

 

 

 

7. NAPP/PPG CONFERENCE – JUNE 11

 

  • Positive feedback re MMP PPG.
  • Virtual groups working effectively in other areas.

 

8. REVIEW OF PPG MEMBERSHIP

  • The membership of the group remains unchanged with the exception of one new member – Janet Irwin who will be contacted by Val.

 

 

VW

9. CONFIDENTIALITY

 

No item agreed as confidential.

 

 

 

10. AOB

 

There was no other business.

 

 

11. DATE OF NEXT MEETING

 

8th November 2011 at 7 pm

 

 

 

 

MUSTERS MEDICAL PRACTICE

Patient Participation Group

Minutes of the meeting held on 14.06.11

 

Present:       

Paul Midgely       Jenny Newman       Cathy Brummell            Roland Chard                Janet Rayner                Richard Barnsley

Val Wright      Clare Routledge          Hannah Kennedy            Jacqui Lea           Chris Jones

Apologies:

Sandra Coker             Anne Toler

ITEM                                                                               ACTION

1. NEW MEMBERS 

Two new members were welcomed in to the group Hannah Kennedy and Clare Routledge

 

2. MINUTES

The minutes of the meeting held on 5th April were agreed

 

3. MATTERS ARISING

There was negative response from schools on recruiting pupils as they are too busy with exams. Action will be deferred until the next academic year.

Paul attended the NAPP Annual Meeting where virtual expansion of Groups among other subjects was discussed.

An application from a new member to join the group will be followed up in September when the rolling membership renewal / refresh kicks into place.

 

4.Correspondence

Two feedback forms were received and both were positive.  A mistake on the website had been pointed out to Richard and will be corrected.

 

5. Senior Receptionist Views

Jacqui to ask patients from the hard to reach groups whether they would be interested in joining the PPG.  They do not need to attend meetings but would be available to consult on their views.                                                                                                               JL

It may be possible to set up a Twitter or Facebook page to be used for Health topics.  Possibly this could be run by the trainee registrar or someone on work experience.

It is not reasonable to conduct a telephone audit as it is too time consuming,

Two suggestions to monitor this:-

a)patients could be asked on arrival at the surgery on the length of time it took to get through on the phone

b) hand out a small questionnaire on the number of times that they had to dial to get through

 No problems with appts as there are always some available on the day.

 

6. PRINCIPIA BUSINESS PLAN

The QIPP plan is available on the Principia website.

There will be budget restrictions as savings have to be made.

Non-urgent appointments may be slower in the next few years. There is list of the ‘low priority procedures which will no longer be routinely provided on the NHS, available on the PCT website.

 

7 FLU CAMPAIGN

Val asked for help from the PPG with raising awareness of the importance of the Flu vaccine for the over 65s in particular.

Paul to contact Helen Limb to see if they could help in targeting this group as they communicate with the lay members.                    PM

Other suggestions were to advertise in Rushcliffe Reports; fliers in churches, posters in the practice.

The practice will inform the chronically sick every time they come in for an appointment

 

8. PRINCIPIA PPG  CHAIRS FEEDBACK

Paul attended this official meeting of the Chairs of PPGs at Principia headquarters. Its main theme is sharing best practice.

 

9.

No changes to report on GMS contract yet so item suspended till relevant

 

10. QPDM

The QPDM meeting reviewed the patient experience survey and complaints. Feedback reported that standards had been maintained and there was nothing outstanding to report

 

11. SELF HELP STRATEGIES

Patients are now more involved in understanding their medical condition. Options are given to them so that they may be fully involved, particularly in the chronic sick. This been proved to be beneficial in reducing hospital attendance.

There are pamphlets available with various links which patients can follow for more information. The doctors and nurses can print these off for patients during the consultation.

Registrars are filmed with patients discussing their care and this is followed up during training sessions. Ian McCulloch and Richard  Barnsley are also regularly filmed and review their consultations to retain their ‘GP Trainer’ status There was a short discussion about whether this should become standard practice for all partners to peer review each others’ consultation.  No such requirement currently exists although this may support revalidation in the future

On balance the practice believes itself to be good at giving informed options on treatments to patients.

13. AOB

Val will discuss the new PRG DES document with the PPG at the September meeting                                                                   VW

Richard to circulate text of next Newsletter which will be published shortly                                                                                        RB

NEXT MEETING

Tuesday September 5th at 7.00 p.m.

 

MUSTERS MEDICAL PRACTICE

Patient Participation Group

Minutes of the meeting held 05.04.11

Present:                                                                                                                                                    Apologies:

Paul Midgley            Jenny Newman           Richard Barnsley                                              Phil Locking

Val Wright                 Janet Rayner                 Anne Toler

Kathy Brummell         Ronald Chard

ITEM

ACTION

1. MINUTES

The minutes of the meeting held on 8 February were agreed.

 

2. MATTER ARISING

 

4. Paul had received no reply from Helen Limb

 

6. Val had received no reply from Helen Limb

 

Paul agreed to contact Head of Y12/13 at The West Bridgford School and The Beckett.

Anne agreed to contact same at Rushcliffe and Jenny at Emmanuel.

 

 

 

 

 

 

 

PM, AT, JN

3. CORRESPONDENCE

An application had been received to join the group and it was agreed to review the membership in September.

Following discussion with patients waiting for appointments by members of the PPG the following verbal correspondence was noted:

  • Concerns re NHS changes and the impact locally
  • The notice board is rather overloaded making locating information difficult.
  • Dissatisfaction of one patient with making 66 calls to book an appointment on the day.

There was a discussion of an audit of telephone waits.

Richard to write a short piece for the newsletter.

 

 

PPG Septembe

 

 

 

 

 

 

 

RB

4. VIEWS OF SENIOR RECEPTIONIST

Senior Receptionist was ill and unable to attend and is to be invited to the next meeting on 14.6.11

 

 

VW

5. HOSPITAL REFERRAL MANAGEMENT CENTRES

 

Press reports of hospital managers, not clinicians, deciding which referrals should be progressed.

Locally, that is not the case as GPs are involved.

Paul reiterated the right within the NHS constitution to be treated within 18 weeks of a referral.

Concern remains for those consortia which run out of funds.

The Strategic Health Authority oversees expenditure and financial balance across the East Midlands.  The PCT has a statutory duty to achieve financial balance every year which impacts on Principia and the practice.

 

6. UPDATE – PRINCIPIA AS PATHFINDER CONSORTIUM

 

MMP is now in the majority as 90% of practices are in a pathfinder consortium.

 

Principia’s Chief Operating Officer is Vicky Bailey.

 

The engagement of all practices is being rearranged.

 

The GP lead for Principia within the clinical cabinet is now Dr Stephen Shortt (East Leake) who has recently taken over from Dr Jeremy Griffiths. Gavin Derbyshire is the lead from MMP.

 

Principia and the PCT are working together on commissioning.

 

 

 

 

 

7. PROGRESS OF HEALTH AND SOCIAL CARE BILL

 

This bill is 367 pages long.  Each line is being scrutinised and at this stage changes are still being made. The bill will not become law until December.

 

 

8. IMPACT OF PRINCIPIA BUSINESS PLAN 2011-2012 ON LOCAL SERVICES AND MMP PATIENTS

 

Not yet published but there will be targets to reduce spending.

 

9. FEEDBACK FROM PATIENT ENGAGEMENT ACTIVITIES

 

All positive and agreed it is a good way to target specific groups. It was agreed to hold sessions quarterly and to decide next session and who would be involved at the next PPG meeting.

 

2 new members were recruited from the target groups. They will be invited to the next PPG meeting.  Paul agreed to send the Terms of Ref.

 

 

 

June PPG

 

 

PM

10. FEEDBACK ON ARTICLES FOR THE NEWSLETTER

 

Paul’s article and recruitment flyer approved for inclusion.

Telephone/waiting times – survey audit.

 

 

 

 

RB

11. CONFIDENTIALITY

 

Point 2 AOB.  See attached.

 

 

12. AOB

1. Feedback of main items of the PRG/Chairs meeting:

 

1. Vicky Bailey (Chief Operating Officer) outlined the key issues for Principia and it's Population-

 healthy

 rural

 old and very old

 isolated poor

 good GP's

 enough Dentists, Opticians and Pharmacists

 CYP. - some obesity

 95% go to NUH's

 multiple illnesses in older people

 big challenges for the future - financial management and quality clinical care

 

2. Lisa Ryley spoke about Medicines Management -

 avoidable waste - patients stocking medicines, and expiry of dates of this stock

 repeat dispensing service and over dispensing

 £15.8 million prescribing budget locally

 

13. DATE OF NEXT MEETING

 

14.6.11 at 7pm

 

 

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