The Highfield Medical Centre
Patient Reference Group
Agenda
Date: Thursday 6th June 2013 - 6.30 p.m.
Chairman:
Treasurer: Secretary:
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Apologies:
Mr D Foster
Mr & Mrs Evers
Mr Rashid
Attendees:
· Dr H Singh GP
· Dr K Kripal GP
· Practice Manager
· Patient Representatives
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1. Speaker , Healthy Living Network
based in Armley, Healthy Living has been going for 10 years and was initially funded by the lottery, but is now funded by the NHS. Joanna works in West Leeds and South Leeds, she does group visits including taster sessions with cookery. No GPs or health professionals are involved. Healthy living staff are trained and then offer sessions on healthy eating, 5 a day, meal suggestions, salt reduction and smoking cessation. They can also sign post people to other services such as weight management and alcohol services. They don’t tell people what to do, but advise.
One staff member is based at Lloyds in Wortley and refers patients for smoking cessation. The team work in schools and at fayres. A new drop in centre will open in Armley in July.
The surgery will put up notices and make contact numbers available to GPs. Information could be posted on the website. It might be possible to see if a group session could be arranged at the surgery. Joanna will put the practice on her mailing list
Patients can be put on a mailing list for recopies and can sign up for fresh vegetable deliveries. Groups are not advertised as Diet or Healthy, just as Cookery, or cooking on a budget
2. NHS Leeds West CCG. Patient representatives were invited to attend on: Wednesday 24 April 2013 1.30pm to 3.30pm
At Pudsey Civic Hall, Dawson’s Corner, Pudsey, Leeds LS28 5TA, letters were sent to 2 members of PPG had attended
3 Letter from Chris Briddle, NHS Leeds West CCG, attached –
4 Locality Meeting, Thursday 13th June 2013. Dr Kripal will attend and patient representatives are also invited to attend. 2 members will PPG represent the group.
5 Any Other Business
Meetings
Peer Review
Explained the purpose of the Peer review to the group. Patient data is discussed in the peer review to ensure that referrals are made to the correct departments and to establish whether referrals need to be increased or decreased.
Locality Meeting
Dr Kripal attends locality meetings and meets with other local GPs; information from the meeting is cascaded information to the other GPs at the practice.
Risk Stratification
A computer programme is used to identify patients who fall in to low risks, medium risk and high risk in terms of their needs. The practice meets with other professionals, eg social services; community matron (MDT) to establish whether these patients require extra support which could led to fewer hospital admissions and improve patient’s care within they home surroundings. Last year low risk patients were identified as they condition may progress to high risk however this was not particular productive, the majority of patients identified were already receiving a high degree of input hence no gaps could be highlighted.
This year the practice will look at high risk patients. Patients will be identified and discussed at the Risk Stratification meeting (three other practice will attend the meeting) to establish whether there are any gaps in patient care ,prior to this the in-house clinicians will meet to discuss patients who are on register here at the practice and evaluate patients needs whether they should be discuss or not hence bring patient anonymous information the meeting .the external meeting will consisted of Integrated Health and Social Care Team (MDT) .Patient needs, caser management will be discussed i.e social care , home environment, how they manage and what may be implemented to improvement the care within the community
Patient Reference Group Meetings
Patients meet quarterly and have the opportunity to raise any concerns or issues. A speaker is invited to the meetings to inform the group of local services or changes to the NHS.
Medicine Management Meeting
The GPs meet with the pharmacist to look at prescribing more cost effective drugs. This should not affect the quality of care of the patient. Any changes made to the patient repeat prescription, the patient is written to and patients are advice to contact the surgery if they would prefer not to change the medication. Audits are prepared. Last year the audits are Warfarin, Antibiotics and Dementia.
Health & Well Being Priorities
6 options were considered, the GPs have chosen to look at pre diabetic patients. Due the practice prevalence has slipped slightly over the years this is mainly due the lack of manpower and increase of work load however now we will be able to focus on improving health care, quality of life, through screening, education and supporting patients needs . The computer has identified around 80 to 90 patients including those patients who are at risk due to factors such as obesity and ethnicity etc Latest figures show national prevalence per practice for the 5.5 .The practice prevalence is 4.4 but this will be update as soon the national prevalence are update for this year increase of 0.2 % . The model prevalence for Leeds is 6.7 %,
The H3+ has suggested target increase of 28 – 30 patients; this will bring the practice inline with national prevalence. The Clinicians will be developing a in- house protocol to support clinicians, template to catcher key information i.e. height, weight, B/P, living advice etc and recall. The majority of the core nine elements are including except the fit and retinal screening if the patient arrives at a position diagnoses on diabetes then the practice will have to comply with good practice which is all the core nice essentials items.
Items pending H3+ members was due to come to day to support i.e. raising awareness campaign unfortunately , Karen is ways on holiday therefore she will attend in September to support the PPG with there campaign. She will bring along with her posters, leaflets. And any other information required supporting the campaign.
Date of next Meeting: Thursday 5th September 2013, 6.30 pm
3.
Hi,
We are in the process of setting up a regular GP bulletin and in future I understand that the LWCCG will use this method of contacting you to avoid you getting lots of emails from differently people in our organisation.
In the meantime…..
I’d like to set up a network for PRG members in LWCCG practices. I think this would be a good way for PRG members from different practices to meet up and share good practice. It would also help LWCCG to understand the issues facing patients in our practices. I’d be really interested to know what you and your members think. Here are a couple of suggestions from me but I’m open to ideas.
1. An event every six months (we could hold separate events for practices in the north and south of our patch?)
2. A meeting every 2 months for nominated PRG members to attend.
This meeting is different from the LWCCG Patient Assurance Group (PAG) which I know some PRG members attend. The PAG is NOT a group where patients share experiences or tell the CCG how it should be improving services, rather it is there to make sure that the CCG is engaging with the right people, in the right places and in the right way when we make commissioning decisions. That can be quite hard to get your head round but it is an important difference.
It would be great if you could add this item onto your next PRG meeting agenda and let me know what your patients think.
As always, if you have any questions regarding patient engagement please get in touch.
Many thanks for your ongoing support.
Chris
Engagement Lead
West and South Yorkshire and Bassettlaw Commissioning Support Unit (WSYB CSU)
Thorpe Park, Leeds, West Yorkshire, LS15 8ZB
NHS Leeds West Clinical Commissioning Group (LWCCG)
Suites 2-4, Wira House, Wira Business Park, Leeds, LS16 6EB
Tel: 0113 84 35473 (direct line)
Tel: 0113 84 35470 (administrator)
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