MARYLEBONE HEALTH CENTRE
PATIENT PARTNERSHIP GROUP (PPG)
Minutes of meeting20.7.2015.
Meeting Chair Jacqueline Glasser (JG)
1. Present:Susan Sel(SuS), Judy O’Heney-Sibley(JOS) Bernard Davis (BD), Moosa Bhayat (MB),Jeanette Creaser(JC), Dr Goodstone, Drew Hyman(DH)
Yvonne Turkistanli (YT) Pat Green (PG)
2. Apologies Charmian Bollinger(CB), Jim McGeehan(JMcG), Judith Morris (JUM) Robert Eddison (RE), Hayley McHugh, Brenda Josephs
3. Minutes of last meeting approved
4. GP Update
PMS Reviews: Dr Goodstone described the difference between GP contracts and the approach currently being taken to address funding to those practices who offer over and above standard services, such as Marylebone. This will affect services provided and the Practice may lose a substantial sum. Details are awaited. PPG want to be updated about this and will discuss what actions they may be able to take to raise objections about this.
Staffing matters: Chrissie the massage therapist is retiring and the PPG gave her a card to read on her last day. Dr Clarke, GP trainee, is to be replaced on her rotation with Dr Erna Bayar and Dr Ravi from early August.
Premises update: no progress about the Church premises development on site.
DNAs: Number of DNAs for the HCA dropped from 112 appointments to 35. There was an issue with unplanned leave of one of the nurses which meant that many patients' appointments were moved, which was very frustrating for the patients. This may have resulted in patients ensuring they attended and therefore resulted in lower DNA rates. The PPG is pleased to note the reduction in DNAs and would like the MHC team to continue to work proactively on addressing DNAs.
Out Of Hospital Services: changes to the way services will be moved from secondary care into general practice will take place in a coordinated approach across North West London. JC raised concerns about time frames and that services are due to stop at the end of July with no confirmation or detail about how they will continue from August. The PPG wants to be updated about this as this is a clinical risk.
Referral Wizard: Dr G described the change in the Referral process. The new system releases a patient's notes when the Referral is sent. Potentially Referrals to, for example, a podiatrist could result in the podiatrist administration team having full access to a patient’s medical record without direct permission from the patient. The PPG is concerned about this as it breeches the most basic data protection principals.
Out of Hours and Extended Hours: JC explained that GPs are responsible for provision of care from 8.00am to 6.30pm. Outside of these hours GPs must provide cover which can be done through an accredited out of hours organisation. Whenever MHC is closed the Practice funds GP cover. Extended hours general GP schemes are currently 7am-8am and 6.30pm-7.30pm. This is optional for practices to provide Monday-Friday (or Saturday am, lease permitting) and funded through local schemes. Additional schemes are run 8am-6.30pm Saturday and Sunday at four practices in Westminster through the weekend opening schemes. Closest is Connaught Square Surgery. The news is that a new extended hours scheme will be launched but it is unclear what this contains at the moment.
Access: Discussion about access levels. JC reported that access currently averages 8 days to see a GP and 3 days to see a Nurse. This is just outside target of 5 working days to see a GP. Discussion about different models and walk in clinics versus same day service. For further discussion.
5. Raising a Concern: the PPG raised the matter that should a patient have questions or concerns about clinical care there should be a system where patients can speak to a clinician without feeling that their future care will be compromised. Dr G explained that all concerns raised by GPs and patients/staff are discussed openly and used for learning both from a clinical and systems perspective. It was agreed that perhaps if this was explained in the News Update by Dr G and by the PPG Chair then this would help patients to feel more comfortable approaching the Practice. JC's clinics should be widely advertised.
Action AG/JG and JC
6. Ask the Expert event:
Event planning meeting between Cavendish/Crawford Street/MHC representatives was in July, chaired by JC. CB will be taking this forward with representatives from all three practices. Next meeting to be held at the CCG building, 15 Marylebone Road, on 28th September 2015, 5pm-7pm. The topic is Carers which will encompass young carers. The event will be open to anyone interested from the local community, and on the platform will be representatives from the Carers Network UK and carers represetomg the different conditons for which they're responsible.
Action JC to add information to the News Update
7. Telephone Systems: JC awaiting testimonials as recent feedback from a client of one provider was not satisfactory. Action JC and Partners to choose a new system by the end of August.
8. Electronic systems:
EPS: To be reminded in News Update as this seems to be working very well.
On line and looking at results and medical records: 500 people are registered but many not using the system.
Action JC to ensure that this is advertised and PPG to test system and feedback. .
Test results: This work is slightly delayed due to changes in pathology systems (called ICE). Now available post August 2015.
Summary Care Record: See Referral Wizard discussion Item 1.
Electronic Notice Board: board is in place and once trained will be adapted for the Practice.
9. Workplan:
Surveys: PPG to consider what area of service they would like to survey and then ask patients if they would feel telephone survey permissible. If so PPG will call patients to survey.
News Update: Sept 2015 - all as per previous meeting plus items mentioned from today. issue should be put on website.
Locality Planning Meeting:to be for next meeting as JuM not present.
(MHC has an average 8 day wait for a routine GP appointment and a 3 day wait for a nurse appointment).
10. Commissioning Intentions/Consortia Update: User Panel Chair resigned and discussion around CLH conflict of interest. JC suggested for a number of reasons PPG may wish to engage with CLH and the CLH User Panel. Discussion around suite of services which may become available at MHC. Discussion around cost and if the services can be provided for the value offered and about requirement on housebound visits which could impact on agreements with community and district nursing teams.
Action JC to email CLH User panel Chair and ask for introductions to our PPG.
11. Complaints and Comments: review of feedback to date: JC read out comments and action plan agreed. JC to continue to circulate information pre PPG meetings so PPG can participate fully.
12. Questions for GP considerations:
Discussion around IT system failure which resulted in huge increase in calls and workloads for booking centres in June and July. Discussion completed.
How is information placed on a patient's notes. Patients can arrange to meet with JC to see how this works with their own notes.
Action PPG to email any questions they have for the next meeting.
13. AOB: nil
Future Meetings–7th Sept,19th October, 30th November, Jan 11th 2016.
Practice website address: www.marylebonehealthcentre.co.uk
For future meetings: Perhaps a glossary of terms used?
Glossary and Terms
1. CCG - Clinical Commissioning Group (Commissioners of secondary care and some primary care)
2. CLH - Central London Healthcare (GP Federation)
3. CLCH - Central London Community Healthcare (Community Services ie District Nurses)
4. HCA - Health Care Assistant
5. MHC - Marylebone Health Centre
6. NHSE - NHS England (Manage the whole NHS)
7. PPG - Patient Partnership Group
Final-Approved by Chair