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BUXTON MEDICAL PRACTICE

PATIENT PARTICIPATION GROUP MEETING

Wednesday 26th September 2018 at 7.30pm

Attendees

Tony Risley

Pat and Lazlo Gyongyosi

Adrian Brown

Brenda Stafford

David McDowel

Tom MiIler

David Doig

Minutes

  1. Introductions and apologies – Sandra and Alan Masters, Tricia Shaw, Ivan Aldred, Helen Smith
  2.  
  3. Previous Minutes – Health Talks – DD hadn’t had time to organize this as yet. However, it may change due to item 5 on the agenda.Lloyds Pharmacy – The Practice has had a meeting with the Medicines Management team from the CCG who have eventually advised that the Pharmacy ordering system is a business decision for each pharmacy, not an NHS contracted service. As such the requirements to ask patients whether they require items or not is unenforceable, and down to their own SOPs. They often as for the next prescription (2 months off) when a patient collects the one last requested.It has become an issue with Boots as well as far as the Practice has been made aware.There is a Scheme in Chesterfield and Amber Valley where the Practices are refusing to take repeat Prescription orders from the Pharmacies (they also do not allow telephone requests through the Practices). This is in a trial period and has to be reviewed before considered in other areas.It is possible that a federated (run for a number of Practices together) approach to a telephone ordering system may be worth looking at but we await the trial review.
  4.  
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  6.  
  7.  
  8.  
  9.  
  10. NHS Self Care Protocol – We have already advised the Stewart Medical Practice that we do not want to be associated with their proposed self care booklet. It is bulky, and we believe does not give a full safe advice for further assistance.

The NHS have now put forward a national Self Care Protocol for General Practice which is aimed at educating patients to be more self reliant for minor self healing medical conditions. It also advises GPs to get patients to purchase medications that are available over the counter, rather than give prescription. This can often be cheaper for both the NHS and the patient and easier to get.

There will be more guidance with links to resources for both patients and GPs in the near future.

 

DD asks that patients please be aware that this is an NHS Nationwide protocol, not the GP being awkward if they ask you to purchase your OTC medication.

 

  1. Doctor Patient Communications – Brenda had had conversations with people outside of the Practice environment where she had been advised that they believed they were not being treated with respect and were not believed. One lady advised her she had been called Neurotic. Brenda believed that this was more applied to women than men.Another example was of a lady who brought her child into the Practice 3 times being told that there was nothing major wrong, but when gone to hospital the child had meningitis.
  2.  

Dr Miller explained that in a 40year career the statistics show that a GP will see 2 actual cases of Meningitis in approximately 200 000 consultations with children. It is actually very rare and very hard to identify. The symptoms can also change quite rapidly.

It is not the case that GPs or other clinicians do not believe the patient. Often the Clinician has done many more investigations and a thorough examination than the patient or parent understands as having happened.

This then allows the clinician or another clinician a better understanding of what is happening after the results of investigations come back into the Practice on a later date (which can look like the first clinician did not ‘believe’ but was actually a necessary part of the clinical decision making). Please bear in mind all of this is supposed to happen within a 10 minute appointment.

 

DD explained that he had seen a number of complaints where this was the actual process that we had been through, and though it may not be as quick as the patient would have liked it is an essential part of the process of quality care.

He also agreed that it was not acceptable if a patient had been called neurotic.

However, he cannot use situations like this to help improve the Practice if he is not made aware of them, and cannot reply to third party comments as confidentiality regulations make it very difficult to reply to anything e.g. where someone slanders the Practice or clinician on social media.

 

  1. Monthly or Bi-Monthly meetings at 7pm – Pat suggested that, if it was allowed for the Practice, we should meet bimonthly and change the way we meet to attract more group members.After discussion it was agreed to go Bimonthly at 7pm (rather than 7.30pm) and to change the meeting to a PPG Information Session, as everyone found the previous discussions very useful and informative.  
  2. We will try to put it on the board at least a month beforehand.
  3. DD asked if the members could put forward ideas for things to inorm through out the 2 months rather than waiting til he asks for agenda items. The Practice will also look at things that may be of interest to patients.
  4.  
  5. AOBLasting Power of Attorney – It was agreed that it is useful to lodge this with the Practice (for health and care) if the POA is requiring information for the patient.Vaccination Service – The group congratulated the Practice on the service for the Flu Vaccinations. They were very impressed with its efficiency.Shingles Vaccine – Can be given to the correct age groups above 70 years old. Leaflets available in the reception area to check if you are eligible.Hospitals Restricting Services – approx. 2 months ago Macclesfield DG Hospital advised that it will no longer accept referrals for Cardiology, General surgery, Gastroenterology and previously for drug addiction, which includes Buxton.Though they had previously expressed they would not follow on this, Stepping Hill Hospital have now advised they will not accept referrals for the Breast clinic for Practices outside the Stockport CCG (incl Buxton). This is despite using the 20% of referrals they used to secure the Healthy Manchester program for themselves when this consultation was on.The Practice believes this could be the start of a long slippery slope if not addressed quickly, as patients from these service will start to over load the service at the other hospitals, who will then feel pressure to close.It is suggested that patients write to Ruth George MP, and possibly Chris Clayton the head of the CCG, to express their concern. Dr Miller has escalated our concerns through the CCG, who commission these services on our behalf.Meeting closed at 9.00pm. 

Next Meeting 7pm 28 November 18

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MINUTES from MEETING OF THE PATIENT PARTICIPATION GROUP

HELD AT BUXTON MEDICAL PRACTICE

Wednesday 25th July 2018

Present:

                        David Doig                -           Practice Manager

                        Charlotte Doig                      -           GP

                       

                     Tricia Shaw                 -           Committee Member

                        Sandra Masters       -         Committee Member

                        Alan Masters             -           Committee Member

                        Brenda Stafford        -           Committee Member

                        Laszlo Gyongyosi    -           Committee Member

                        Tony Risely               -           Committee Member

                        Ivan Aldred                -           Committee Member

                     David Mc Dowell     -           Committee Member

                       

The Meeting was opened at 7.30. The meeting was chaired by Alan Masters.

 

 

  1. Introduction and Welcome

 

  1. Apologies: Adrian Brown, Helen Smith, Pat Gyongyosi

 

  1. Rules. The main rules are we don’t discuss private issues and that we are kind towards each other.

 

  1. Previous Minutes – June’s Minutes were agreed as accurate.

 

5, Complaints Report – We ran through each complaint explaining what happened and the results.

 

David advised that we do apologise for any area that we were lacking and we try to learn from all complaints so that we can improve the service.

 

The PPG members present were surprised at the number of ‘petty’ complaints. However, we have to bear in mind that for the patient complaining they have an issue and are maybe unaware of any other way of expressing it.

 

They also felt that 18 complaints out of around 36,000 contacts a year was not a major concern.

 

We were all surprised that there weren’t any specific complaints about the waiting times for GPs but felt that people were becoming more aware of the issues around General Practice (increased demand and less clinicians) and that the Practice had in place a system for dealing with patients with more urgent concerns.

 

6, Advice Leaflet – Guide to Self Care – The group had had a chance to look through the booklet that Stewart Medical Practice had put together for self care for patients with minor illnesses.

 

There was a general feeling that though this sort of information is useful for a percentage of the patient population, the booklet itself was a bit too lengthy, with too much detail. One of the members felt that it would benefit from an index and page numbering as it was not easy to read as it was.

 

There was also concern as to how we would get the booklet to patients who needed it, as we have had difficulty enough getting people to take the newsletters.

 

There was a major concern that the safety netting information was possibly dangerous e.g. take ibuprofen for a headache, when a headache could be a sign of other major conditions.

 

We also felt that most of this information is already out there, in particular on the internet e.g. patient.co.uk, NHSChoices, etc.

 

  1. Next Health Talk It was decided that this would be in October as we don’t have a meeting in August.

 

Some areas were suggested – Diabetes, Cancer detection and process of treatment from a patients view point.

 

However it was decided that the Practice should consider what is an area that a lot of patients may be interested in.

  1. AOB.

Lloyds Pharmacy – A number of the group gave stories of a poor service from Lloyds next door.

They are unable to find drugs on their shelves, they have prescriptions put together in Warrington so it is difficult to follow up on errors and changes, generally slower that other Pharmacies and ordering all the patients items when only some of them were needed (in fact now a stock pile).

The PPG and the Practice have tried to deal with issues around Lloyds previously, even bringing in the CCG and NHS England, but though they seem to improve for a short period there seems little we can do to fix it.

Possibly invite the manager for Lloyds to a meeting.

Evergreen Online App – DD ran through the evergreen app on the computer as a member had had issues accessing specific GPs. On the Computer it is easily done, they are to check out the app with the same process.

The meeting closed.

The next meeting is on Wednesday 26th September 18.

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MINUTES from MEETING OF THE PATIENT PARTICIPATION GROUP

HELD AT BUXTON MEDICAL PRACTICE

Wednesday 27th June 2018

Present:

                        Serena Linnell-Bennett      - Assistant Practice Manager

                        Kate Phillips             -           GP

                        Sandra Masters       -        Committee Member

                        Alan Masters             -           Committee Member

                        Brenda Stafford        -           Committee Member

                        Laszlo Gyongyosi    -           Committee Member

                        Tony Risely               -           Committee Member

                        Ivan Aldred                -           Committee Member

                     David Mc Dowell     -           Committee Member

                       

The Meeting was opened at 7.30. The meeting was chaired by Alan Masters.

 

Introduction and Welcome

 

  1. Apologies: Tricia Shaw, Adrian Brown, Helen Smith

 

  1. Rules. The main rules are we don’t discuss private issues and that we are kind towards each other.

 

  1. Previous Minutes – The last meeting was CPR and First Aid Training/Talk. Therefore, there is no minutes.

 

5, Complaints Report – A copy of this was emailed to the committee members and copies were handed out in the meeting so everybody could look at this. David Doig had put this report together and it is the complaints from April 17 – Mar 18. The members present had a little look at these and it was discussed that quite a few are due to prescription issues or process changes. The group asked if they could spend further time looking at this and go through it at the next meeting when they have had the time to look further at the information. This was agreed. From the discussions regarding prescriptions, the subject of hospitals and their responsibility to prescribe for the patient was mentioned. The contract to the hospitals was changed 14 months ago, that the hospital should provide the prescription on discharge. This is safer.

Other drugs are so specialised or controlled that they cannot be prescribed by general practice. The prescription and monitoring should be done in secondary care.

 

6, Advice Leaflet – Guide to Self Care – This leaflet had been distributed prior to the meeting and copies were available at the meeting. It was asked if the PPG would like to be involved with the making of this leaflet. The group said they would and had a look thorough it, and they thought it was a good idea and they would like to be involved.

The leaflet explains how you can help yourself and types of ailments you can self help.

The group asked if they could take this leaflet home to look through as it is 12 pages and discuss in more detail at the next meeting.

  

  AOB.

Brenda asked regarding where the money is assigned for the £30 a day that alcoholics receive to purchase alcohol. Brenda specifically put this question to Kate Phillips. Kate explained that is not something that general practice has been involved with and that she has never personally come across this service or know of the funding of this service.

Discussions led to collecting of blood test results and that we have other two hundred blood tests results through a day and may are for more than one type of blood test as many patients now have multiple medical conditions. The receptionist will only give out normal results and if the GP has asked them to inform the patient information. If a discussion is required the GP will ask that the patient makes an appointment. The receptionist is not clinically trained to understand or to give out blood test results, so will not unless specifically told to.

David McDowell wanted to express that the experience he had of the practice and at the hospital that have been involved with is care and the follow up when he needed the service was good and his care could not have been better.

The meeting closed.

The next meeting is on Wednesday 25th July.

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MINUTES from MEETING OF THE PATIENT PARTICIPATION GROUP

HELD AT BUXTON MEDICAL PRACTICE

Wednesday 28th March 2018

Present:

                        David Doig                -           Practice Manager

                        Kate Phillips             -           GP

                        Adrian Brown           -           Chair

                     Tricia Shaw                 -           Committee Member

                        Sandra Masters       -         Committee Member

                        Alan Masters             -           Committee Member

                        Brenda Stafford        -           Committee Member

                        Pat Gyongyosi          -           Committee Member

                        Laszlo Gyongyosi    -           Committee Member

                        Ivan Aldred                -           New Committee Member

                       

The Meeting was opened at 7.30.

  1. Introduction and Welcome

 

  1. Apologies: Yvonne Booth

 

  1. Rules were referenced. No-minutes were available from last month's minutes.

 

  1. PPG Plans / remit for 2018. David had placed this on the agenda. He advised the practice found the PPG very useful overall, particularly as a sounding board, to collect feedback, assist with surveys, and reporting such as complaints, surveys and audits. But felt the PPG themselves needed to input what they want out of the group for 2018.

The group agreed and had a lengthy and interactive discussion about the issues - the difficulties getting people to be involved in the PPG, less than 2% of the 7,600 patients. Plus the difficulty to communicate to all patients due to the restrictions placed by confidentiality. Discussed creating a virtual group, and means of communications - for example the electronic board in the surgery, new patient forms, auto sign in desk notifications, text message contacts, social media.

As well as the method of communication the PPG need to discuss what messages it is trying to get across in 2018. To try and move the discussion forward Adrian proposed that he and David meet to put together a proposal for the PPG Role and Activities to be discussed at the next meeting.

David wanted to thank all of the committee members for their work over the years so far.

ACTION: Adrian to contact David to set up the meeting.

 

  1. Time to get an appointment. Tricia raised this. Currently 4 weeks is the average waiting time to see any doctor, including locums, unless the matter is urgent enough to be triaged. Brenda mentioned she had had a 7 week wait (which would be for a specific GP). From a patients perspective this is unsatisfactory, and can be damaging to their health.

David explained with they are currently utilising the doctors and nurses they have available to the maximum. Generally the Practice uses Locums to enable access for ‘any GP’ within 1 week. There has been a lack of availability of locums recently which has exacerbated the matter, so that at periods during certain weeks this book in within the week service has been unavailable which led to the delays. The locum situation should ease off a bit after Easter. Though the Practice understands and sympathises with the concern over this issue, there has been a constant disinvestment in General Practice whilst demand has increased steadily over the last 12 years. He reported that they are struggling to come up with any further plans to improve upon this in the short term, and seek any suggestions from the PPG.

  1. Reception Signposting. This is an NHS England National project that the surgery will be participating in. It's aim is to find the quickest and best ways to direct patients to the most appropriate service. This is a directory of services initiative, and does not including clinical decision making by the receptionists. In some ways it is similar to NHS 111, in that their call handlers are not clinicians but use a directory to signpost patients on to the appropriate clinical decision maker. Patients don’t have to tell reception but it may help them access appropriate services more quickly if they do.

 

  1. New Hospital Building. A £20m hospital is planned for Buxton at The old Buxton Water bottling site on Station Road which was sold after a deal has been agreed with Nestle Waters UK. Two thirds of the site will, if plans are approved by High Peak Borough Council, become a new hospital in the next four years. David advised that the practice are currently in discussions regarding the proposal to house a range of services all under one roof with the local GPs and other NHS organisations. There are issues around the current Practice premises, as with the other Practices in town, which may delay us moving. He will keep the PPG advised.
  2. Extended Hours. Surgery has joined in plans to offer 6.30 to 8pm appointments each week day from October 2018. The delivery of the service will be shared across High Peak practices. This will provide additional appointments held by health staff – both doctors and HCA / nurses. BMP will run a service on a Tuesday evening and 1:7 Fridays. Though patients can access these appointments on any day if they are willing to attend at another Practice throughout the High Peak area. There will also be a bookable weekend service run by the out of hours services provider DHU Ltd.
  3. PPG Network Meeting feedback. Pat advised this had been reported on at the last PPG meeting.
  4. Call Recording. David advised that the surgery will be implementing a confidential system to record telephone calls to the surgery, which are not currently recorded. This facility will be used to assist staff training, record pertinent patient information and assist with managing irate patients and control unacceptable behaviour. Patients will be advised by recorded message at the time of each call.
  5. GDPR. General Data Protection Regulation. New regulations are being introduced with regard to Patient Confidentiality and confidentiality of data. New posters will be displayed in the surgery advising on how patient information is managed and used.
  6. Newsletter. The PPG have over the past 5 years or so published a newsletter that was available online, and in print at the surgery. The last year, due to PPG member changes, there has been no newsletter. This will be reviewed in line with Agenda Item 4. [David is happy to have them printed, but is struggling with time to write them]
  7. AOB. Ivan raised the issue of the renewal cycle of patient prescriptions, which is currently 56 days. He was used to a 28 day cycle of review and was raising the question of drug wastage from a 56 day cycle if a medication is changed. The surgery responded by saying they have looked at this a number of times, but currently feel the 56 day cycle is best for the patient (less charges, less prescriptions to pick up and order) and the surgery (There are already vast number of prescriptions ordered and processed every day, this would double the number), although there are pros and cons of both time cycles. Prescription can be realigned if multiple items on patients' prescription get out of sync.

CPR / First Aid Talk Brenda offered to run a talk on CPR / First Aid for the PPG and patients in general at one of the future PPG meetings. This was gratefully received and we will look to run it Wednesday, 30 May 18.

Next meeting is on Wednesday 25th April at 7.30 pm

 

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BUXTON MEDICAL PRACTICE

PATIENT PARTICIPATION GROUP MEETING

Wednesday 29th November 7.30pm

Attendees:, Sandra and Alan Masters, Fiona and Don Innes, Tony Risley, David Doig, Dr Tom Miller

Apologies:         Yvonne Booth, Adrian Brown, Tricia Shaw

Minutes

  1. Introduction and Welcome – David Doig Chaired.
  2.  
  3. Extended Hours Project – NHS England have stated that the CCG have to put something in place for April 2018, so it is likely that the 4 Practices in the High Peak who have shown an interest in this scheme will be given the go ahead to trial the 8am to 8pm service.This is for routine appointments up to 8pm during the week. These appointments will likely be with a Health care Assistant or Practice Nurse.We are not part of it as we see it as an unsafe and under funded program that will cause more issues for patients and the Practice.We are not sure yet what will be put in place for BMP patients.
  4.  
  5.  
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  8. CCG Debit, £28 Million – This is now £32M over 2 years to be saved rather than £28M over 1 year.
  9. Don read out a statement from Ben Milton the Clinical Director for the North Derbyshire CCG, which advised that they had ‘sleep walked’ into the current debit. The previous accounting Practice had hidden the debt until now.
  10. There is a new Finance director employed by NHS England, to help with the turn around. However, after reading out some of the schemes to try to save money, there is some skepticism as to its effectiveness and it seems like robbing Peter (secondary care and other Primary Care trusts) to pay Paul (the CCG).

 

  1. Feedback from the High Peak Network PPG Meeting – Other points from the Network meeting included

The group will need to find another representative for attending these meetings as Don and Fiona are moving out of the area (a sad loss for the PPG).

SMC are investigating ‘responsive’ websites. E.g. websites that resize automatically for PCs and Phones.

Sett Valley have a simple guide to registering for on line services. A copy was given to DD to update for ourselves.

The Spencer Word at the Cavendish Hospital is due to close in 2018.

The new Dementia Service that was planned in it’s place has been scaled back from 8am to 8pm 7 days a week to 5 days a week.

Thornfields care home on Brownedge road may have 6 Dementia respite beds when it opens.

  • Stopping Prescriptions over the Telephone – DD explained that Nationally and locally most Practices have stopped taking prescription requests over the telephone due to safety reasons.

It also follows that if we stop this service the telephone lines should be clearer for patients ringing in for enquiries and appointments.

As such the Practice would also like to stop this service.

We discussed the details and it was generally agreed as a better way forward as there are now many other ways to order prescriptions

  • Over the desk and with your repeat prescription slip
  • Through the Pharmacy ordering system
  • By post
  • Online through www.patient .emisaccess.co.uk

This was agreed and David will start to advertise the change in service with a possible start date of 1 February 2018 or around then.

He will also make the attached leaflet available in the Practice and with the Pharmacies and put it on the website.

  1. Reception Signposting – Another advantage to there being less telephone calls coming through the system is that we can introduce another National Initiative, Reception Signposting.

This is a system where on first enquiring about an appointment a patient will be asked ‘to help you see the right person first, what is the issue you are calling about today?’

The patient can choose to answer the question or not.

However, often the answer to this question can direct you to services that are available quicker and more appropriately from either within the Practice (prescriptions, paperwork, Healthcare assistant, Practice Nurse or Advanced Nurse Practitioner) or services outside the Practice (Pharmacy, Podiatry, Physiotherapy, Dental, etc.)

We will be looking to introduce this a month or two after the stopping of the telephone prescription requests.

It was agreed to trial the system though concern was shown as to whether the reception staff might feel it was beyond them. DD assured them that this was not a clinical service but a signposting service. If they are unsure they will default to the urgent care triage system where necessary.

  1. Newsletter – David will pull together a winter newsletter with the items discussed on it
  2.  
  3. AOB –   
  4. Next meeting 7.30pm, Wednesday 31 January 2018 at Buxton Medical Practice
  5. Meeting closed at 8.50pm
  6.  

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BUXTON MEDICAL PRACTICE

PATIENT PARTICIPATION GROUP MEETING

Wednesday 27 September 2017 7.30pm

Attendees:, Yvonne Booth, Sandra and Alan Masters, Fiona and Don Innes, Tony Risley, David Doig, Dr Tom Miller

Minutes

    1. Introduction and Welcome – Don Innes Chaired.
    2.  
    3. Extended Hours Project – Ian Mason, EMC PPG had asked for feedback from the PPG ref. the stalled 8 to 8 working project.This had been stalled due to NHS England adding and tightening criteria that meant that the bid for the High Peak (4 Practices in the area taking it forward) was unacceptable.They now require a patient population of at least 30 000 and a single hub to run it from.On discussion it became clear we had a number of issues with both the NHS England stipulations and the Project as it was proposed.NHS England – Are totally intolerant of Rural areas that are spread over a distance. To get a single hub and 30 000 patients within a reasonable travelling distance for all is near impossible. It was also explained that the funding available for the service is inadequate for a proper Primary Care service (which is what they are indicating it is to the Public.Proposal – Due to this funding restriction the service that had been offered was an HCA / Nurse led book in advance appointment service (1/2 hr appointments) from 6.30pm to 8.00pm, run from 4 Practices over the High Peak, dependant on the day. A GP would be available to cover for urgent issues found by the Nurse or HCA. Any other same day necessary patients would be advised to contact the OOH service.We felt this was not what would be expected of the patient population (a GP service with Nurse back up).There would be safety issues as tired staff or lack of staff due to shortages could impact on safety.   
    4. DD to reply to Ian and copy all in.
    5. We are not part of this currently due to the above issues, but support a service that can be funded fully and continuously, safe and appropriate for the patient population.
    6. Practices should be careful they don’t over extend, as these should be extra appointments than those during contracted hours.
    7. That it would be confusing being in different places on different days.
    8.  
    9. Referral review scheme – This is closely linked to the next agenda item. The CCG have put forward an incentive for GPs to review all referrals by their peers. The aim is to reduce referrals and as such save money.The Practices has pointed out a number of glaring issues with the Proposed scheme.It would increase the wait for the patient as this could take up to a week to do, before the referral could be sent on.It would take away from patient appointments as the funding is too low to get a locum, and if it was okay, there are a shortage of locums.This is a cost saving tool, which the Practice is not involved in for the reasons stated.
    10.  
    11.  
    12. It would diminish the Patient Doctor trust (that politicians are so jealous off), as some referrals may be rejected after a patient has been told by the GP that they believe they need it.
    13.  
    14.  
    15. CCG Debit, £28 Million – Alan brought the advertiser that stated the CCG was £28 M in debit and being mismanaged.The CCG has gone into debit and needs to bring the funds back into the credit side of acceptable. The NHS England have put in a Management team (which they have to pay for :o) to advise them how to recover cost.They are already looking at closing hospitals in Bakewell and Ilkestone.They are looking to get patients to buy over the counter medicines rather than prescribe them.They are trying to put in place systems to manage the Practices with regards to referrals etc.    
    16. We can expect more cuts and ‘schemes’ as the year goes on as they are pretty desperate now.
    17. The PLCV system is excessive and work load heavy, and the LMC have advised Practices to continue to refer for an opinion from the experts at the Hospital if they feel it is required.
    18. They have come against problems in a number of areas such as closing beds in the Cavendish Hospital is only possible if these patients can be cared for properly in the community (stalled).
    19. The 4 Derbyshire CCGs are merging into one big Derbyshire CCG (It reminds me of the Health Authority from 20 years ago, though more fragmented and confused :o)
    20. They have implemented a ‘Procedures of Limited Value’ protocol to stop certain procedure from taking part
    21. They were supposed to be bring care closer to home, but this is stalled due to their inability to free finance from the Hospitals. 
    22. Feedback from the High Peak Network PPG Meeting – Don and Fiona attended this meeting in June (we ran out of time to discuss in Julys meeting). Most of the agenda items have been taken over by other issues by now.The 4 Derbyshire CCGs are merging.Management team brought in to assist CCG Bakewell and Ilkestone Hospitals closing.£28 M blackhole 
  • Better Care closer to Home – As can be seen from above this has stalled at present due to the funds not being released. They will still close the two hospitals, but unlikely to stop the Cavendish beds until the care is available in the community.

    • AOB – Flu Vaccination Strains – Yvonne asked what strains were in this years flu. We are not sure but is usually based on an educated guess from the Southern Hemispheres flu season.Diabetes Leaflets – Tony advised that a new diabetic leaflet was excellent.Speakers for November 17 meeting – DD asked that we make a decision on this quickly so that it can be organized early to allow for advertising of the event.Suggestions wereAsthmaQuarries and Asbestos Next meeting 7.30pm, Wednesday 25th October 2017 at Buxton Medical Practice

    1. Meeting closed at 8.55pmpm
    2. Dyslexia (possibly a way to get a younger audience in).
    3. PreDiabetes
    4. EMAS / OOH providers

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    BUXTON MEDICAL PRACTICE

    PATIENT PARTICIPATION GROUP MEETING

    Wednesday 31 May 2017 7.30pm

    Attendees: Yvonne Booth, Sandra and Alan Masters, Fiona and Don Innes, David Doig, Dr Kate Phillips

    Minutes

    1. Introduction and Welcome – Don Innes Chaired the meeting
    2. APOLOGIES - Trica Shaw, Helen Smith,
    1. Area PPG Group Feedback – This was well attended by most of the PPGs in the High Peak. There was a presentation from the Breath Easy Group who run support meetings at the the Catholic schoolrooms, for patients who suffer from COPD. (However from August we will be meeting at the Fire Station next to B&Q, first Tuesday of the month 1.30 -3.30pm).They then moved on to the STP, Sustainability and Transformation Plan, that all CCGs need to put together throughout the NHS. North Derbyshire need to save around £33 Million. (The STP is separate from the 21st Century work which happened last year resulting in the closure of some of the cottage hospitals in Derbyshire.). This is making very slow progress and will need a public consultation period (again). Unfortunately, a number of the big plans to move care from Hospitals to the Community have been stopped because the Hospitals are unwilling to free up capital into the community, for work saved. This is needed to finance the expected changes.Extended Hours (open 8am to 8pm) were mentioned in a positive manner. Unfortunately, locally the Practice is very unhappy with what is being proposed and the funding to try to run the extended hours. The concerns include
    2.  
    3.  
    • Patient Safety. There are no more clinicians out in the Buxton Area willing to do more work and the current clinicians will struggle to do any more than they do without being very stressed and tired.(would you want to be seen by a tired Doctor who could make errors in judgement).
    • The proposed scheme actually uses HCAs not Doctors. We feel that this is not what the Patients actually want. On asking those present it was unanimous that they wanted Doctor appointments.
    • The finance to run the scheme is at least half what would be necessary, even if staff were available to run the service.
    • The service will be split over a number of Practices throughout the High Peak and Buxton on different days, making the service confusing.

    We don’t feel we can support the scheme as it stands. The CCG will have the final say as to whether it is likely to go ahead or not, but are under pressure from the Government to get something started.

    The current extended hours was discussed and explained that we now run this on a Friday morning at 7am because it both

    • Catches the working people who it was aimed at. Saturday morning was filled with people who could attend on a week day.
    • The DNA rate has dropped for these sessions. More people are willing to get up early on a working day than a weekend.

    Blood Testing – we are one of the few areas (Buxton) that outsource the blood testing at the local Hospitals and Fairfield Surestart. This was felt to be working very well at present.

    Gluten Free Prescriptions – There was a consultation at the time of the meeting around stopping Gluten free food on free prescriptions as it now costs around the same as normal bread, etc. Consultation finished now. DD had put the forms out whilst it was ongoing.

     

    1. Fiona is the High Peak rep on another CCG group meeting. The new assessments for Frailty were discussed here. It was felt by Fiona that the council were restarting what they had been doing a couple of years prior before being stopped for cost savings.

     

    1. Nurse shortage and service – We still have a nurse off on long term illness. She is starting to return on a as possible basis, but we are waiting to see how regular this may actually be for the present time. In the meantime
    2.  
    • Travel Clinics will remain postponed.
    • We are looking at reducing the well man / woman clinics for a period
    • We are using the HCA to the best of her ability (B12 injections, ECGs, Health Checks, BP readings, etc)

    DD advised that we are aware that nurse appointments have gone out to a period where it may be difficult to access them in time for the likes of stitch removal or dressings. However, at present we are uncertain as to how this can be improved. Any suggestions for improvement welcome.

    1. Hospital Work Push Back – The consultants in Hopsital are increasingly trying to use General Practice as ‘junior’ Doctors. Telling us to do more and more of their own work. This has been recognized Nationally and the Consultants / Hospital contracts have been tightened up to stop this happening.

    Patients need to be aware that we will not be providing services that the Hospital should have provided initially on Day or in patient care. These include

    • Prescriptions. The Hospital should give you 1 to 2 weeks of any medication you require. It is unsafe and often delayed if they do not as it takes time for us to receive information regarding these medications and often they are outside of the remit of General Practice, which is why you are at the hospital. Please do not leave the hospital without collection your medication as you will be asked to go back there to collect it.
    • Sick / Fit Notes – The Hospital should provide you with a fit note for reasons associated with your visit to the hospital. Please do not leave without this as you will be asked to contact the consultant to obtain it.
    • Onward referral for the same issue – This is the consultants responsibility.
    • Test and Investigations Results – If the hospital takes a blood test or runs an investigation it is there responsibility to report to you as to this result. Please ask for a contact number before you leave so that you can contact them if necessary.

    DD has done a leaflet to be given out with referrals and to be given to people asking for these items over the desk. (This is attached to email)

    The GPs hre also running with the British Medical Association’s, BMA, letters which cover these areas and when we see an issue they are sent immediately to the consultant who has gotten his contract wrong to remind them of their responsibilities.

    1. Complaints Report – DD handed out a copy of the complaints report for the PPG to read and comment on. It was agreed that we would discuss this at the next meeting so that people can fully digest it before. Attached to email.

     

    1. Newsletter – DD had previously passed out a copy of a proposed newsletter by email. Fiona asked if it could have more pictures in it as it is a bit wordy. This is difficyult as it would then sopill into more pages.It was agreed as good and DD to start a print run.
    2.  

     

    1. AOB – Future Talks – DD asked for ideas to be emailed to him so that he can start to arrange the next talk well in advance so we can advertise it to look to bring in more members.

    Online Appointments – Yvonne asked whether they were given any preference over appointments booked over the desk. This was a catagoric no, in fact, if anything telephone and over the desk had the ability to access appointments book able within a week and triage for the same day, which is not available on line.

    We were asked if the Manchester bombing had affected us and whether there were any local plans involving Primary Care if it happened locally. We had not been directly affected though we do have the details to contact for counselling etc. if necessary. There are no plans for Primary Care in similar circumstances as this tends to involve the hospitals as we are not an emergency service.

     

    Meeting closed at 8.45pm

     

    Next meeting 7.30pm, Wednesday 28 June 2017 at Buxton Medical Practice

    *************************

    BUXTON MEDICAL PRACTICE

    PATIENT PARTICIPATION GROUP MEETING

    Wednesday 26 April 2017 7.30pm

    Attendees: Yvonne Booth, Tony Risely, Adrian Brown, David Doig, Tom Miller

    Minutes

    1. Introduction and Welcome – David Doig Chaired the meeting
    2.  
    3. APOLOGIES - Trica Shaw, Helen Smith, Alan & Sandra Masters, Don and Fiona Innes,
    4. Rules and Previous Minutes – DD ran through the rules as Tony had asked for them again.

    Tony asked about Marchs minutes, there wasn’t a meeting in March.

    1. Travel Vaccinations / Health Clinic Cancellation – DD advised that the Practice has had to postpone all Travel Health / Vaccinations clinic as of now.

    This is because we have a nurse off on long term sick, which means our nurses appointments are now out by nearly a month for NHS patients. The Travel clinics are a Private service, and as such we have to prioritise NHS patients first.

    Patients who need this service can use other Practices, Pharmacies or private travel health clinics (they will need to check as not all provide the service). The Practice cannot recommend a private provider.

    DD to produce a leaflet for patients.

    The Members were concerned about the drop in service but understood that we have to prioritise NHS patients first.

    1. Friends and Family Test results – DD handed out the latest results for the friends and Family Test. In February we used the Text systems ability to ask about the FFT and received 64 responses.

    89% would recommend us, 2% didn’t know and 9% would not. This is at or above the National average, and we looked through the comments section to see if we could find any way of further improving.

    The main theme of concern seemed to be lack of appointments within a reasonable time frame, in particular with specific GPs.

    DD explained that he is also concerned about this but has no immediate answer. The problem is the demand versus the number of GPs available. We are already trying to deal with this in a number of ways

    • We have Advanced appointments with the Practice Partners / GPs, we have book on the week appointments with other GPs (though this was reduced recently as one of the GPs has dropped a day. We are currently looking for another), and we have same day triage system for urgent care.
    • We are aiming to sign post people to the most appropriate clinicians within the Practice e.g. Health care assistant, Nurses, Nurse Practitioners as well as GPs. This relies on you the patient accepting that these staff are very competent to deal with your issues.

    Unfortunately, it is also the case that no matter how hard we try we will always have to advise some patients that what they want is inappropriate for their care, in which case you will receive dissatisfaction at that time.

    DD asked the members to look through the report and advise him if there was anything they felt was worth looking at in more detail.

    1. Newsletter – With Jane’s passing away and others taking more of a back seat, the newsletter has been delayed for a while. DD has advised that he is willing to take on more of a role in it’s production and will do the copying in the Practice.

    For the next edition we will look at

    • A day in the life of the Health Care Assistant
    • Travel Vaccinations and where to get them
    • Mindfulness
    • FFT results
    • PPG recruitment – Be informed, have a say, get involved

    Any other suggestions welcome.

    1. BP, height and weight machine in Reception – DD showed the members the new reception Health check machine in reception. He and Tony had a go on it.

    DD advised that patients can use it at anytime and can fill in the paper slip that it prints with their name, DoB, and usual GP and hand it over to the receptionist if they want the GP to see it.

    If it is turned off in the morning please feel free to turn it on at the plug.

    1. AOB – Jane McGrother – Unfortunately Jane passed away about 4 weeks ago. The family have invited all of the PPG to attend a service at the Pavillion Gardens on Monday 1 May 17 (invitation already emailed out).

    Jane will be sorely missed.

    PPG Recruitment – It was noted that the PPG was reducing in size a bit and could do with a recruitment push.

    DD is to look at possibly putting a message on the text system and on the display screen in reception.

    Super Practices – Yvonne asked whether we were aware of the recent reports that the NHS would like General Practice to be made of a much smaller number of ‘super’ Practices.

    TM advised that we were but these Practices were part of a long term view. They were looking at a minimum of 60 000 patients which was to large for Buxton (25 000).

    We have spoken with the other Practice ref. collaboration and continue to be involved in health Community discussions.

    However, a further hindrance for us is the fact that we have a leased building with 8 years left on the lease. The cost to get out of this lease would be very prohibitive for new building at present without a lot of help from the wider NHS.

    Meeting closed at 8.30pm

     

    Next meeting 7.30pm, Wednesday 31 May 2017 at Buxton Medical Practice

    *********************************

    BUXTON MEDICAL PRACTICE

    PATIENT PARTICIPATION GROUP MEETING

    Wednesday 22nd February 2017 7.30pm

    Attendees: Alan & Sandra Masters, Don and Fiona Innes, Tony Risely, David & Charlotte Doig

    Minutes

    1. Introduction and Welcome
    2. APOLOGIES - Trica Shaw, Yvonne Booth, Helen Smith, Brenda Stafford
    3. Rules and Previous Minutes
    4. Mindfulness Talk – David Doig (45min to 1 hour) – Find talk slides attached to minutesTwo extra people attended for the talk but left when it finished.After the talk we discussed a follow on Program of talks that we could advertise more widely. It was agreed this would be quarterly. So four a year. DD will look at putting together some topics. We would look at putting an article in the advertiser 
    5. Friends and Family Test – We discussed the necessity for the test and whether it was worthwhile the PPG being involved sometimes to petition other Patients to fill in the form. It was felt that it was not necessary at this time as there was still an ongoing NHS national survey quarterly (which is on going now). There will also shortly be a questionnaire on each of the GPs based on their revalidation criteria.

    6. Newsletter – The Practice is still keen to have the newsletter and is willing to run a print on it if articles are suggested and given.

     

    1. AOB – Heating – the Practice advised this should be restored properly again following an upgrade on the gas pipes for the heating systemNew
    2. GP Registrar – Dr Alison Smith has joined the Practice for the next 12 months. We are looking forward to working with her.
    3. The National NHS survey is ongoing at present and we would appreciate anyone who receives this, fill it in and return it, Thank you.

    Meeting closed at 9.00pm

    Next meeting 7.30pm, Wednesday 29 March 2017 at Buxton Medical Practice  

    ************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 26th October 2016

    Present:

                            Serena Linnell-Bennett      Assistant Practice Manager

                            Tom Miller     -           GP

                         Tricia Shaw                 -           PPG Secretary

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                            Carl Neblett               -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

               

    The Meeting was opened at 7.30.

    1. Introductions and Welcome
    2. Apologies: Helen Smith, Adrian Brown, Jane McGrother, Linda Estruch            
    3. Rules and Minutes. Rules were referenced.

                Tony had a copy of the last minutes, no items to follow through.

     

    1. Request for Volunteers to take over PPG Chairperson and Secretary roles. In the absence of Adrian and Jane who have been sharing the role of chairperson Tricia explained that both of them would like to relinquish the role of chairperson with immediate effect.

    The PPG would like to extend their thanks to both Adrian and Jane for the work they have put into the role. It is appreciated.

    Alan Masters agreed to chair the meeting for the winter months, but does not want the job full time. No-one present was willing to take over the role full time, so Tricia suggested the role is shared. Don also said he is willing to participate in the role on a shared basis.

    Tricia then explained she was looking to relinquish the role of secretary.

    Don expressed thanks for the work Tricia is undertaking, but there were no volunteers to take on the role. Tricia will continue the role in the short term, but due to personal circumstances will by relinquishing the role in 2017. Fiona is willing to cover if she is at meeting Tricia cannot attend.

     

    1. Future of the newsletter

    Tricia advised that due to Jane's diagnosis of cancer she will no longer be involved in the newsletter.

    Currently Tricia edits the articles, Jane does the page layout, and Tricia and Jane jointly do a print run of 200 copies on a borrowed large scale printer in Jane's house.

    This leaves the issue of page layout and production for future newsletters. No-one present had the software, hardware or ability to take on the task.

    A discussion ensued regarding:

    • Who were we trying to reach with the newsletter
    • How many of the 200 produced are left at the end of a newsletter cycle
    • Is paper the right format? Do we have electronic options?
    • Do we want to continue with a newsletter, if so how?

    No conclusion was reached, As David was absent and he can answer some of the questions it was agreed to return this topic to next months agenda when people had had time to think about it.

     

    1. Feedback from the PPG Network meeting held on 25th October

    Don gave a detailed debrief of the meeting Don and Fiona plan to attend the future meeting on our behalf and report back

    Key points were:

    • Representatives of most PPGs across the High Peak attended
    • Marie Scouse, Assistant Chief Nurse from Primary Care presented the information, and is happy to visit PPGs to discuss further
    • A Health Panel will be set up with medical and lay representatives. Its role will be to review performance statistics sent from GP practices. It will meet once a month in Chesterfield. Fiona distributed the application forms, and mentioned she is thinking of applying for one of the two lay positions.
    • GP funding. A new 5 year GP Funding plan is being put in place by the government, due to start in 2018. Currently GP surgeries receive £80.59 per patient per year from NHS England, plus extra funding for additional services.
    • Government forging ahead with the planned 7 days a week 8 am to 8 pm GP service which will attract an extra payment of £3.34 per patient per year for surgeries that buy into this. It is the responsibility of the CCG to commission this service from somewhere. It was noted that in the East Midlands area only 25% of training places for new GPs are being filled, confirming what we knew, that the GP role is not attractive to medical students, particularly in the High Peak
    • There is currently a projected deficit over the next 2 years of £150M for health services we buy in in our area, with another £150M deficit in Social Services. 50% of the CCG income buys services outside of Derbyshire such as from Stepping Hill and Macclesfield.
    • Medicine Waste savings are targeted at 1-1.5 Million. The survey our PPG undertook was referenced. Tom said it had helped raise the profile of the problem, been shared with other PPGs, and thanked all who too part. CCG has said there is nothing much they can do, but NHS England Chief Pharmacist came to talk to our practice re Waste. NHSE representative will meet with the heads of all pharmacies in Buxton to discuss the problem, but Tom reiterated to them that this is a national problem and should be dealt with by the NHS nationally.
    • In the new area plan 20 new "hubs" are planned including one in Buxton, to buy health services from. The 6 CCGs in Derbyshire will join up. Services / Areas of Expertise will be centralised, which may result in reduced services in some hospitals, with patients attending the hospital which provides the expertise / service they require. This is still in consultation phases.
    • P3 Amber Trust, who provide advise and support to homeless people and people with a chaotic lifestyle are keen to engage with the PPGs. Buxton has a large homeless figure. Maybe we could consider a talk, and inviting a representative of the Night Stop?

    1. New Patient Indication Screen

    Yvonne mentioned that on the new Information Screen, as a patient's name is displayed followed the oral bleep it does not stay visible long enough, and the noise is not loud enough.

    Serena said she would look into this.

     

     

    Meeting closed at 9.00

     

     

    Next PPG Meeting Wednesday 30th October 2016

    7.30pm at Buxton Medical Practice.

    ALL WELCOME

    **********************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 29th June 2016

    Present:

                            David Doig                -           Practice Manager

                            Alice Janetta             -           Guest Speaker, Citizens Advice Bureau

                            Charlotte Doig          -           GP

                         Tricia Shaw                 -           Secretary

                            Adrian Brown           -           Chair

                            Jane McGrother       -           Vice Chair

                            Linda Estruch           -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                            Carl Neblett               -           Committee Member

                           

               

               

    The Meeting was opened at 7.30.

    1. Introductions and Welcome

     

    1. Apologies: Helen Smith, Don and Fiona Innes            
    2. Rules and Minutes. Rules were referenced.

                Adrian advised he had as requested, on behalf of the PPG, made an online submission to the DCC and CCG regarding proposed cuts to Voluntary Services noting our concerns about the impact it would have on vulnerable people in the community.

     

    1. Alice Janetta from the Citizens Advice Bureau (CAB) gave a short talk on the services available in the High Peak. They have 200 staff members, 150 of whom are trained volunteers. In particular Alice referenced the weekly advice sessions that are run by the CAB in our practice on Wednesdays between 9 and 12. This offers 4 pre-booked appointments in a friendly and safe environment. In one year these sessions helped 81 clients, £3000 of debt was rescheduled and £233,645 was secured in benefits and grants. CAB can assist with many things including care assessments, occupational therapy, consumer issues, housing, benefits, financial help and health. They are funded by the local government and it has been calculated that for every £1 they receive they give a £1.25 return, for example by preventing homelessness by securing housing benefits. A short handout was given to all at the meeting.

    Many thanks to Alice for attending our meeting. We plan to run an article on this service in the newsletter.

     

    1. Newsletter Status and Update

    Jane produced the first draft of the newsletter. It was agreed that we would hold the health article on Drug and Substance Abuse to the next issue, and replace it with the CAB article. Tricia to draft.

    David to follow through on the Nurse Practitioner articles.

    Jane and Tricia to complete the newsletter and do a print run for delivery to the surgery in August.

     

     

    1. PPG members email Privacy

    Tricia raised the issue concerning the current practice of circulating information to the PPG members using a visible list of everyone's email addresses. it was agreed in future that the group would use the  Blind Copy facility to circulate information to withhold details of members email addresses.

    The downside of this is members cannot effectively use 'Reply All' reply to emails sent as this would only email the original sender.

    It was agreed Tricia will be used as the main point of information circulation to all, and delegate this to Jane or David in her absence.

     

     

    1. CCG proposals for Care in the Community

    Following the discussion last month regarding the consultancy period to discuss proposed cuts to community services, and some follow on email exchanges, a request has been made that the 3 PPGs in Buxton get together to have an interactive session with the CCG to discuss the implications of the proposed cuts.

    Our proposal is that we use the next PPG meeting date of September 28th to hold this meeting, and Temple Rd surgery was offered as a venue.

    Adrian and Jane to liaise with the other PPGs and the CCG to see if this is feasible, and advise.

     

     

    1. Government proposals to remove patients from GP surgery lists after period of no visits

    David advised this is a current government objective whereby any patient who has not had any form of contact with their designated surgery in 5 years will receive a letter asking for a response as to whether they are still using / plan to use this surgery. If after 2 letters there is no response the patient will be removed from the practice list. They can request to be re-instated at any time.

    The outsourced process is being run by Capita, who will issue the letters and monitor and action the response. The government goal is to reduce monies paid to the practices. David estimated the payment at around £35 per patient per year.

     

     

    1. High Peak PPG network meeting

    Thanks to Don and Fiona Innes who attended the last meeting and issued a full report which has been read by all. They were unable to attend this meeting, or the next HPPPG meeting on 18th October. Sandra and Alan Masters have kindly offered to attend that meeting on behalf of our PPG.

     

    1. AOB

    Tony inquired about the flu jab programme for 2016. Charlotte advised it would be around the 1st week of October.

    Alan asked if there had been any progress with Lloyds chemist.

    David advised that Tom Miller was progressing the issue with the CCG Medicines Management Team, who tried to hand it back to the practices to resolve, Practices responded with a No and handed it back to the Medicines Management Team, Ongoing.

    Tony advised his prescription delivery for 28 tablets was given in 7 different foils cut off other foils, and these proved difficult for him to use. David advised he returned to Lloyds directly with his complaint.

    Yvonne asked if there was any more info re the closure of Spencer ward in Buxton. Had heard of a petition with 1000 names. David responded that this would be part of the discussion in the proposed meeting in September.

     

    Meeting closed at 8.35

     

    PLEASE NOTE THERE IS NO AUGUST MEETING.

     

    Next PPG Meeting Wednesday 28th September 2016

    7.30pm at Buxton Medical Practice, unless moved in relation to the proposed discussion meeting with the CCG as per minute 7.

    ALL WELCOME

    ****************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 29th June 2016

    Present:

                            David Doig                -           Practice Manager

                            Jeff Haddon              -           GP

                         Tricia Shaw                 -           Secretary

                            Adrian Brown           -           Chair

                            Jane McGrother       -           Vice Chair

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                            Carl Neblett               -           Committee Member

                           

                           

    The Meeting was opened at 7.30.

    1. Introduction and Welcome

    1. Apologies: Helen Smith, Linda Estruch             Yvonne Booth also sent apologies the next day

     

    1. Rules were referenced. No-one had any outstanding items from last month's minutes.

     

    1. Newsletter Status and Update

    Jane advised she only had 2 of the 3 mentioned articles for the newsletter.

    Tricia to send the third completed one to Jane, and a reminder to David of the others articles that were discussed last month.

    In addition it was agreed that for the future it would be good to do articles to promote the Nurse Practioner role, both as a Day in the Life article, and a personal profile on the individual nurses.

     

    1. GP Survey from CCG

    David had circulated this already for folks to read. He mentioned that the practice was pleased overall with the results which were above average in most areas, and our practice performs well when compared with others in our area.

    David and Jeff said they felt the stress levels in the practice had reduced, which is beneficial for all. This was due to a number of factors including system changes, staff changes and changes in practices. It was felt that the introduction of Nurse Practioners had freed up doctors time, both of which resulted in knock on improvements across the practice.

    Customer services training was the topic for the last practice training session, and is part of a plan to help improve the overall performance of the practice.

     

    With regard to appointment availability it was commented that patients had noted there were longer waits. David advised that they do usually have locum appointments available, that are not booked out ahead of the week the locum arrives.

    It is unlikely that the practice would move back to a model with 5 partners, due to prospective partners not wanting to buy into the partnership model, preferring a salaried fixed hour contract, and the benefits seen from the successful introduction of the ANPs.

     

    1. AOB

    Adrian raised the subject of the DCC and CCG funding cuts to Voluntary Services in the area, having read an article in the Buxton advertiser. There is a public consultancy being run until 24/7, although Fiona advised from her experience the consultancy is more to have the exercise ticked as completed than it altering any decisions already taken.

    After discussion it was agreed Adrian would complete an online submission of comments on behalf of the PPG, and an individual who also wanted to complete their own submission would do so.

    In a previous meeting Howard Gunn, Voluntary and Community Services for Peak and Dales had advised us that the Transport services had transported 28,936 elderly and disabled people in 2015, undertaking 8878 journeys, often to medical appointments.

    They also provide Home Support and Domiciliary care.

     

    Healthier Together Public Consultancy another area that is probably more about stamping a box. It shows that beds will be reduced in Fenton and Spencer Ward, with the aim to treat more people in their own homes. At least Buxton is not having the Hospital closed as is two other areas in Derbyshire.

     

    There is an open meeting on 12 July 16.

     

    CAB David will ask the Citizens Advice Bureau if they will come and give us a talk next month.

     

    Meeting closed at 8.25

     

    Next PPG Meeting Wednesday 27th July 2016

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    ***************************************************

     BUXTON MEDICAL PRACTICE

    Wednesday 25th May 2016

    Present:

                            David Doig                -           Practice Manager

                            Kate Phillips             -           GP

                         Jane McGrother         -           Vice Chair

                            Adrian Brown           -           Chair

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Tony Risely               -           Committee Member

                           

                            Stephanie Ryder      -           Guest Speaker, Dementia Support Worker

                           

    The Meeting was opened at 7.30.

    1. Introduction and Welcome

     

    1. Apologies: Helen Smith, Linda Eustrich, Alan and Sandra Masters, Carl Neblett

     

    1. Rules were referenced.

     

    1. Previous Minutes – The PPG Alliance meetings – This was cancelled once due to lack of attendees and its future is to be discussed at the next meeting in July. Fiona and Don Innes have volunteered to attend the meeting on our behalf.

     

    It was agreed that the meeting is useful as feedback on what other PPGs are working on and if the meeting were to stop, it would be good to have another form of communication.

    Fiona also thought it would be a good time to enquire about the rumours of hospital closures etc. More of which later.

     

    Adrian advised he had contact the memory café to see if they could help with this but had had no reply as yet (they may have forgotten :o). David has further info on this.

     

    Tony asked how we were getting on with the Pharmacy waste issue. Tom has brought the issue to the Community Commissioning meeting and the CCG have recognised that it is a problem and they have at least some responsibility for it due to taking over primary care commissioning which includes pharmacy. The Practice is to chase this up.

     

    It was again commented that the pharmacies are still not asking patients about their prescriptions and two examples were given by committee members with personal experience in the last month.

     

    Voluntary Service Funding cuts – It has been confirmed that DCC are withdrawing funding for the voluntary services and the NHS are still in review process as to whether they will cut it or not.

     

    DD advised that at a recent meeting it became apparent that we will need the voluntary services more than ever as more service will be being provided in the community.

     

    1. Dementia Workers – Trevor Mossop and Stephanie Ryder started in February at the Stewart Medical Service and are now expanding their services in to us and Elmwood.

     

    They provide a point of contact for patients with dementia and their carers. Providing advice, support, guidance and sign posting. In the near future they should also provide a memory testing service for those worried they may have dementia. This will include ECG, blood test and urine test.

     

    There initial contact is via letter and two weeks later a telephone call if not heard back by then. Inviting patients to a face to face meeting to discuss their issues.

     

    They provide booklets and posters in relation to both the patient and their carers.

     

    They provide a listening ear for longer than a GPs ten minute slot.

     

    It is a one year pilot which will be re-evaluted and hopefully spread across the whole region.

     

    1. Dementia Friendly Practice – David had spoken to Hazel at the Alzheimer’s Association about the Dementia Friendly status and Steph had emailed through the form that SMC had had.

     

    There are 86 points that have to be worked towards to be a DF Practice. However, you can work towards them over years, and it is a fluid document (waiting for the latest up date before starting).

     

    DD advised that when he has the new form he will send it out to the PPG to see what is involved and if they would like to chose areas to help the Practice this would very much be appreciated.

     

    1. Newsletter Articles – We decided that we could do an article on the dementia friendly practice and the dementia support workers (Steph has sent through an article to David who will pass it on). This could also include the support groups available.

     

    Another area for the newsletter could be the up and coming consultation document for ‘healthier together’ (more later). This is due to be opened on 29 June 16 for 14 weeks.

    Possibly an article on drink awareness and / or legal highs.

     

    Another would be on Online access to patient notes and prescription and appointment ordering.

     

    AOB

     

    Healthier Together Consultation – This is a consultation around the services that can be provided closer to home, rather than the hospitals.

     

    Though the Buxton Hospitals will not close a number of beds are likely to be closed and the patients who would have had them, to be treated by staff in their own homes.

     

    This will affect the Older Peoples beds in the Cavendish (rehab and mental health) with teams set up to work more closely with people at home.

     

    There will be a local meeting on 12 July 16 as part of the consultation process.

     

    Meeting closed at 8.55

     

    Next PPG Meeting Wednesday 29th June 2016

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    *********************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 27th April 2016

    Present:

                            David Doig                -           Practice Manager

                            Charlotte Doig          -           GP

                         Tricia Shaw                 -           Secretary

                            Adrian Brown           -           Chair

                            Don Innes                 -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                            Linda Estruch           -           Committee Member

                            Howard Gunn           -           Guest Speaker, Voluntary and Community                                                                    Services for Peak and Dales

                           

    The Meeting was opened at 7.30.

    1. Introduction and Welcome

     

    1. Apologies: Helen Smith, Jane McGrother, Fiona Innes, Carl Neblett

     

    1. Rules were referenced. No-one had any outstanding items from last month's minutes.

     

    1. Our Guest Speaker, Howard Gunn, Voluntary and Community Services for Peak and Dales gave a 45 minute talk on services they offer.

    Key points of interest were:

    1. Transport: Volunteer drivers provide vehicular transport to people over the age of 65, and disabled people unable to take public transport, to their medical appointments. Volunteers are all thoroughly vetted, and have a yearly assessment of their driving ability.

    28,936 people were transported in 2015, 8878 journeys. Wheelchair access vehicles are available. The service receives £16K funding from the CCG currently, but a 50% cut is under review in the next round of cuts, and after 6 months it may be 100%. This will not be a sustainable service with this level of cuts.

    Loss of this service will not only have and adverse effect on these patients' health, but also a knock on effect both on demand and costs for increased demand for ambulance services, doctors home appointments, and non attendance at appointments.

    To use the service 2-3 days notice is required and clients pay mileage of 58p per mile, with a minimum of £5.25 return journey. Volunteers will escort clients to and from the location of the appointment in a hospital, but do not attend the appointment.

    They do also provide transport for social purposes, but medical appointments take precedence.

    1. Home Support / Domiciliary Care

    Paid members of staff provide palliative care and services for house bound people aged over 25 to end of life. These chargeable services, are costed at Derbyshire CC hourly rates.

    Aspire services overlap here, they provide care for disable children, and adults up to the age of 55.

     

    1. Derbyshire Handy Van Service

    This service is provided by Derbyshire CC, and Fire and Rescue. They help with practical care and repair household tasks for vulnerable and older people. Twice a year the Fire Service offer labour free Fire and Security checks. Equipment must be paid for.

     

     

    1. Pharmacy Audit Status and follow on actions.

    David wanted to extend his and the PPGs appreciation to all the work Tom Miller has put into this report, and David also wanted to extend the surgery's thanks to the members of the PPG who gave their time and energy to getting the survey completed in the surgery.

    Prior to the meeting Tom Miller circulated a report highlighting the Pharmacy Waste issue, the work already undertaken, and conclusions reached. In particular it was assessing if patients are being contacted by pharmacies to see if they need what is specified on the prescription in the case where the pharmacy is handling the issue of prescription items on monthly rollover for repeat items.

    It was felt this important issue highlights a Pharmacy problem which must be elevated to be addressed. The impact of the Pharmacy problem has significant identifiable NHS costs that can be saved in times of severe budget cuts (particularly when it is looked at from a nationwide perspective).  All these budget cuts affect patients' health (NHS staffing numbers, drugs, hospital equipment etc). Ideally we would like the Medicines Management Team to take this issue up with NHS England

    With regard to the report content, discussion ensued as to whether or not it was felt the survey was large enough to be reliable. Tom has justified the size of the survey.

    Linda raised a number of points with regard to the quantifiable figures, anecdotal information etc. It was suggested that rather than use 'anecdotal' as the descriptor, maybe it should be referred to as 'Specific patient evidence', to emphasise the importance of this very information.

    It was also raised that a number of people who completed the survey did not really understand the difference between ordinary repeat prescriptions they take to the pharmacy, and the monthly rollovers handled directly by the pharmacy, so this may have skewed the figures.

    Overall it was felt that the issue was a very serious matter that should be taken forward with the CCG, with a view to further investigation being done, maybe with other pharmacies undertaking the survey.

    However, in order to do this most effectively if was felt that:

    • Firstly the report should be reviewed with respect to how easy it is to understand, how clear the message is, and ensure all the key messages are included. Action: David agreed to start the ball rolling here and re-circulate the report for a second review.
    • Linda raised a number of points, Action: Linda agreed to work with David on the review regarding her specific queries

     

    1. Consider becoming a Dementia friendly practice, and the role the PPG could take. Charlotte raised this subject, and everyone agreed it is worth investigating to understand what the issues are, and how the practice could undertake this, e.g. Staff awareness and training issues etc

    Action; Adrian agreed to contact the Alzheimer society to kick start the process, maybe they could be a guest speaker?

    1. HP Patients Participation Network Group

    Adrian raised the issue that the proposed meeting on 19 April was cancelled due to only 3 people across the High peak confirmed to attend, and has been rescheduled for 19th July.

    Action: Adrian agreed to poll the PPG to see who may be available for this next meeting, and advise HPPNG. It was felt that if we want to support this we should commit to provide 2 PPG members to attend meetings, currently held twice a year.

     

    1. Silverline

    To raise awareness, Yvonne circulated leaflets about Silverline, a service started by Ester Ranson. It is a national, free and confidential helpline for older people.

    David agreed to display the leaflets in the surgery.

     

    AOBNewsletter was raised. We are due to start working on the next issue, but as the agenda was long for tonight's meeting Tricia planned to table it for next month.

    Geotask - Adrian raised the subject of Geotask , which currently has 50-60 users, but needs up to 200. Those patients who are residents of and shop in Buxton, and who have Smartphones and would like to help in a project to make Buxton an even better retail destination are invited to join Geotask. Full details are available on the web.

     

    Meeting closed at 8.55

     

    Next PPG Meeting Wednesday 25th May 2016

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    *****************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 24 February 2016

    Present:

                            David Doig                -           Practice Manager

                            Jeff Haddon              -           GP

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                            Jane McGrother       -           Vice-chair

    Yvonne Booth          -           Committee Member

    Linda Estruch           -           Committee Member

                                                   

    The Meeting was opened at 7.30.

    1. Introduction and Welcome -

     

    1. Apologies: Helen Smith, Adrian Brown, Tricia Shaw,

     

    1. Rules and Minutes from the previous meeting were agreed

     

    1. Pharmacy Audit Status and follow-up The proposal to visit the surgery in January was postponed due to changes in the questionnaire. David reviewed the questionnaire and presented it to the group. It was agreed to revive the process for Monday 21 and Tuesday 22 March. David to prepare some questionnaires and times were set as follows:

    Monday 21 March 10-12am   Don Innes, Alan Masters

                21 March pm                        Linda Estruch, and Tricia Shaw?

    Tues     22 March am             Yvonne Booth and Jane McGrother. Helen Smith from 11-12

     

    We need about 30 completed questionnaires from patients who us the repeat prescription service to make the survey statistically viable.

    Linda asked if the questionnaire could go on the website to reach a larger number of patients. David agreed to look at that.

    David will investigate identification badges on lanyards for those conducting the questionnaire.

    1. Topics for Future meetings

    The group agreed to set out a programme of topics for future meetings and agreed the following;

    30 March         Invite Volunteer Centre Transport manager to talk about the services available to patients and opportunities for patients to become volunteers

    27 April            Invite someone from the Grapevine to talk about the role and services available from them.

    25 May            Paramedic to talk on CPR

    29 June           Talk from Bob? On use and abuse of antibiotics.

    27 July                        Talk on early signs of meningitis

     

    David agreed to arrange the speakers for the first two meetings to begin with. We would then review in time for after the summer holidays.

    Future topics could include arthritis and new drugs and weekend admissions to hospital, are they risky? Yvonne suggested the menopause as a topic for discussion

    Linda raised the possibility of putting an article in the press after the meetings.

    David will look at putting up posters in the waiting room to advertise forthcoming speakers. Linda suggested having some talks aimed at younger people, such as new mums and pregnant women. However, we need to know what is offered to them already by the Health Service. This could also stimulate interest in the PPG among younger patients as we need to look at other ways to promote the PPG.

    AOB – Yvonne asked about Saturday surgery times on behalf of a friend. The surgery is no longer open on Saturday mornings. Early Friday appointments are now available for people who work. Prescriptions can be ordered to be delivered at pharmacies in town.

    Meeting closed at 8.30

    Next PPG Meeting Wednesday 30th March 2016

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    ******************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 25th November 2015

    Present:

                            David Doig                -           Practice Manager

                            Tom Miller                  -           GP

                         Tricia Shaw                 -           Secretary

                            Carl Neblett               -           Committee Member

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member          

                            Alan Masters             -           Committee Member

                                                   

    The Meeting was opened at 7.30.

    1. Introduction and Welcome - Thanks to Alan who chaired the meeting in Jane and Adrian's absence

     

    1. Apologies: Linda Estruch, Helen Smith, Adrian Brown, Jane McGrother, Yvonne Booth

     

    1. Rules and Minutes from the previous meeting were reviewed.

    David advised the full CQC report has now been received and a copy is posted on the PPG notice board, and will soon be on the website.

    The newsletter is now printed and in the surgery. David expressed his thanks to all involved.

    Action Jane: if possible could you send a pdf of the final version to David please for the website.

     

    Newsletter – Tricia and Jane were congratulated again on another successful Newsletter.

     

    1. Pharmacy Audit Status and follow-up In the previous PPG meeting Tom Miller agreed to design a questionnaire to audit the patients who are using the procedure whereby a Pharmacy automatically re-orders their prescriptions on their behalf on a rolling monthly basis

    Where this happen the pharmacy should contact the patient to see if they need what is on the prescription. The purpose of the survey is to find out  - how many patients in our sample are using this service,  - if patients are being contacted by the pharmacy each month,  - which pharmacy they use.

    We reviewed Tom's proposed questionnaire and a few suggestions were made. The questionnaire is anonymous. Action: Tom to amend the form and advise when it is ready for use The proposal is for the PPG to be present in the surgery to explain the survey and hand out these forms to people using the service. Would need to record both the number of people who are and are not using this service, and collect completed forms. It was questioned as to whether patients who are using this service would actually be present in the surgery. Fiona asked if there was a way to get the form to people who are not able to access the surgery, and David is looking into Doctors and District Nurses taking the form to home visits.

    The PPG agreed to undertake the exercise in the surgery. The plan is to do the exercise for one day and report back on the findings before any further time is expended. i.e. do enough people using the service visit the surgery to warrant spending time handing them out. Action Tricia: To arrange the Monday most PPG volunteers are available to undertake the exercise, preferably before the next PPG meet. It was also mentioned that the practice could review the scripts that arrive in from the pharmacies to see if this would help identify people using this service.

    1. GP shortage- second letter to Andrew Bingham and his response

    This was discussed. While it was felt that Andrew did not actually answer the pertinent questions in the letter, taking into account the current political / economic climate whereby many other areas were seeing significant cuts in their budgets, e.g. Child Protection Services, it was felt that nothing would be gained by a meeting between him and the doctors. It was agreed no further action would be taken.

    AOB – Fiona asked if there was any information about the recent CCG meeting. David advised he had not yet seen any minutes, but would circulate them if/when received.

    Meeting closed at 8.30

    Next PPG Meeting Wednesday 24th February 2016

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    *****************************************

    MEETING OF THE PATIEN*T PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 28th October 2015

    Present:

                            David Doig                -           Practice Manager

                            Jeff Haddon              -           GP

                         Adrian Brown              -           Chair

                         Tricia Shaw                  -           Secretary

                            Jane McGrother       -           Committee Member

                            Carl Neblett               -           Committee Member

                            Don Innes                 -           Committee Member

                            Fiona Innes              -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Tony Risely               -           Committee Member

                            Sandra Masters        -         Committee Member            

                            Alan Masters             -           Committee Member  

                           

    The Meeting was opened at 7.30.

    1. Introduction and Welcome

     

    1. Apologies: Linda Estruch

     

    1. Rules and Minutes from the previous meeting were noted and agreed.

     

    Matters arising

    Following last month's meeting both Yvonne and Serena were arranging for guest speakers. No dates yet confirmed.

     

    1. CQC inspection

    David and Jeff advised that the inspection on 27th October was a long and thorough day, and the initial verbal feedback is positive. It will be around 3 months before we have any formal notification / rating. There were 4 CQC personnel involved in the visit and the individuals split their focus across the main inspection, GPs, Nurses and Practice Manager.

    Overall initial feedback was very good. Quality of care in particular was highlighted as a significant positive area. There were 2 areas identified for improvement, Cleaning – Internal communications and areas such as the porch; prescription security and the prescriptions box. All should be relatively easy to fix, but we await full details.

    Jane and Adrian represented the PPG and were interviewed and gave a short presentation on how the PPG operates and the areas we have focused on over the last 3 years. Patients present at the surgery were also interviewed.

    David thanked Jane and Adrian and all that offered to help, as this was another positive from the inspectors.

     

    1. PPG network meeting

    Jane attended a meeting on 20th October and had previously circulated a copy of her notes from the meeting.

    In summary there were 3 presentations/ discussion areas

    - Mental Health Services from Julia Lowes, Service Manager.

    - 21st century healthcare by Jonathan Wardle - PPGs sharing good practice - the PPG representatives present advised the type of activities their PPG focused on. Jane circulated her full notes to the PPG in an email dated 22 October. If anyone else would like a copy please let me know.

    Jane commented that she did feel the meeting was beneficial, and maybe we should attend the quarterly meetings in Buxton. She will advise us of the dates so as PPG some representative can attend. 6.         Update on Jane's letter to Andrew Bingham re GP shortages

    Jane advised she had received a response from Andrew, which Adrian read to the group. It was felt that the response was around the overall government policy to GP recruitment, rather than any particular focus on our geographical area, and did not fill anyone with confidence that the current problem is being resolved. e.g. Andrew advised there will be a minimum 3250 trainees a year by 2016, whereas David advised our area, East Midlands, has around 48% of training posts unfilled (this may actually be closer to 36%, sorry David), and we are the second worst area in the country

    It was agreed as we are not happy with response we need to draft a reply.

    Jane, Adrian and Tricia agreed to work on this and advise.

     

    1. Next PPG Newsletter

    This was discussed and the following articles are planned:

    Diabetes                    -           Tricia

    GP Shortages           -           Jane already drafted

    CQC inspection       -           David

    Organ Donation       -           Yvonne

    Personnel profile IT Manager                -           David

    The release is targeted as a Winter Issue Please can the authors send the draft articles to Tricia by 13th November if possible for review before the next PPG meeting. Thanks.

     

     

    1. Update re Lloyds

    No further response to either David's letter on behalf of the practice or Jane's original letter on behalf of the PPG. Lloyd's original response to David said they would investigate the issues raised. No further information has been received. Customer satisfaction this last month has been mixed.

    It was agreed that we should write again to Lloyds to ask for a response to the letters, David on behalf of the practice and Jane on behalf of the PPG.

     

    1. Update re Shared Survey with Stewart Medical Practice.

    Adrian had been in discussion with Stewart Medical practice about us doing a joint Patient questionnaire.

    Adrian had responded advising our resources are somewhat limited and stretched at the moment, so we would probably not go ahead but would discuss at the PPG meeting, then Adrian would return to them by the end of the month with a final response.

    They had sent through the questions used, which I have now sent on to David as he requested, to see how this proposed questionnaire differs from the one done.

     

    AOB – Tony had received some leaflets in the post which he discussed with the group.

     

    Meeting closed at 8.45

     

    Next PPG Meeting Wednesday 25th November 2015

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    *************************************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 30th September 2015

    Present:        

    Jane McGrother         -           Vice Chair

                            Serena Linnell-Bennett               Assistant Practice Manager

                            Charlotte Doig             -           GP

                           

    Yvonne Booth             -           Committee Member

                            Tony Risley                 -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Fiona Innes                 -           Committee Member

                            Don Innes                   -           Committee Member

                           

                           

     

    Apologies:    Tricia Shaw, Adrian Brown, Helen Smith, David Doig

     

    Introduction and Welcome

     

    The Meeting was opened at 7.30. Jane McGrother chaired the meeting. Jane welcomed everybody. Jane introduced Serena, as the Assistant Practice Manager who has attended the meeting before but for members who had not met with her previously. No new members.

     

    Rules and Minutes from previous Meeting

     

    Jane mentioned in brief the rules that we listen to each other with respect and try not to discuss ourselves or our conditions.

     

    Jane asked regarding minutes from the previous meeting and the first thing that came up was the problems that have been encountered with Lloyds pharmacy (next door).

     

    Matters Arising

     

    1, Lloyds Pharmacy

     

    A reply was never received regarding the letter that had been sent by Jane to them on the issues previously discussed.

    Discussions then led into recent encounters that the committee members had on visiting the pharmacy.

     

    These incidents include there only being 2 members of staff on a very busy Monday morning, and on a separate occasion, again on a Monday, many customers waiting in the chemist and at least three being told the prescriptions were not ready for collection.

     

    It was also pointed out that there is no date printed off on the prescription.

     

    David had also written a letter to Lloyds Area Manager on the 13/08/15 regarding the Practice concerns raised through patient complaints, PPG meetings and practice meetings. The Practice did receive a reply which Serena read out, which in short expressed their apologies and that an investigation has been requested.

     

    A representative from Lloyds had been invited to attend the PPG meeting and we believed they were attending this evening until the practice received a telephone call at around 6pm, sending their apologies.

     

    It was discussed that we need to see if we get further correspondence from them in the next week or so and that we should invite them to attend again. To be left on the agenda for further discussion.

     

    David to contact and invite again.

     

    Diabetic Self Help Group - Jane asked Tony how he felt the talk at the previous meeting had gone. Tony said that he was pleased with the talk and it had been very well presented. Tony asked if the practice was promoting this, and Charlotte explained that the leaflets had been passed on to the Practice Nurses.

     

    Buxton Cottage Hospital – Yvonne pointed out that it is now such a waste of space and wondered if it was or could be used for other purposes. Suggestions included for meeting rooms, for meetings like this one tonight. Comments included that they would probably have to have staff there in the evening for late meetings.

    Some services are still offered at the Cottage, including the foot surgery and that the foot clinic is always busy.

    The attendees again, said it is such a waste of space and wondered about it being used for the three surgeries in Buxton. Charlotte explained that the lack of parking at this site would make that difficult.

     

    Chronic Obstructive Pulmonary Disease (COPD) World Day –

    Charlotte and Serena informed the meeting that Nurse Helen Wren has organized events and appointments in the practice for this day. We will have a display in the waiting room from the British Lung Foundation. The Breathe Easy Group are coming in from 10am -12 noon.

    Nurse Wren will have bookable appointments for spirometry tests for smokers over 40.

    Buxton Advertiser will be attending from 10:30am to take photos and promote the event.

    There will also be a smoking cessation stand and we have invited an advisor to come from this service.

    Charlotte explained that COPD is a disease mainly in smokers. This event will raise awareness and promote the services available.

     

    QOF –

    Serena handed out information on what QOF is and explained that (QOF) stands for Quality and outcomes framework, which is a voluntary reward and incentive programme. There are five areas points can be achieved as shown on the leaflet. The maximum points that could be achieved in 2013/14 - 900pts, for last year 2014/15 it was 559 points. Examples of indicator groups were given as asthma, chronic kidney disease, dementia and depression.

     

    Serena explained that if you go on the website you can take a look at the practices previous year’s results.

    As it is a lot of information, it was decided that the members would take the information away and if they wanted they could come back with questions at the next meeting.

     

    Medicines Management

    Charlotte had put this on the agenda and said that the Medicines Management Team are happy to come to a PPG meeting and let you know more about medicines management. There is many ways that we can help with wastage in the NHS. Firstly, the pharmacy quite often orders everything, though you don’t need it all at this time. They are meant to ask you if you need all the items, but quite often this doesn’t seem the case. Also, many people stockpile medicines at home. Prescription medicines that have been issued cannot be reused.

     

    Discussions then led into the fact that some members had medicines a that were needed at different times, you may have 20 of one tablet left, 10 of another drug etc.

    Charlotte explained that you could come into the surgery after counting what medicines you have left and on a note asking reception to do a one off prescription to get back into step. This would be put on as an acute prescription and would not affect your normal repeat prescription process.

     

    It was agreed it would be good to have the Medicines Management team to attend a meeting to do a presentation. This could then be used for an article in the newsletter.

     

    Action Serena to arrange. This has been booked for Wednesday 25th November, Helen Gregory, Lead Medicines management Technician is to come and do a presentation.

     

     

    GP shortage and Letter to MP

     

    Jane has sent a letter to the local MP regarding the shortage of GP’s. David has also sent one on behalf of the practice and Charlotte said she has done one herself too. There is a drafted article which is for the next newsletter. Everyone discussed that this is a big crisis.

     

    The members enquired on the impact this has had on the practice, and asked how we are for GP’s and nurses. Charlotte said that she is going full-time from tomorrow and presently we have two registrars working at the practice both part-time. We are struggling on nurses, we currently have one Advance Nurse Practitioner and one of the nurses has reduced their hours. We are advertising again this week for another Advanced Nurse Practitioner.

     

     

    AOB

     

    Food Bank Poster – Jane asked if we would be willing to have a poster in the reception area advising on the food bank service. This was agreed.

     

    Paramedic Guest Speaker – Yvonne asked if the group would be interested in a talk from somebody she knows who is a paramedic and would be willing to come in and talk about his job and what is happening in the ambulance service (EMAS) at the moment.

    It was voted that they would like this arranged.

     

    Junk Mail -   Tony had received a leaflet addressed to him in the post trying to sell tablets that would in their words put you to sleep (some sort of sleeping tablet). Tony had also had a phone call from Health One who are based in London and they knew his name, address etc.Tony wanted to warn others and also enquired where they get your details from. Carl said that they can get your details from anywhere. Companies get your details form other companies, banks. Even if you now request not to be on the mailing lists, they may have them from before. Serena said that no details would ever have come from the practice.

     

    Action Yvonne to arrange this.

     

    It was decided that we probably need to have a timeline for getting a response from Lloyds and not booking more than one guest speaker at a time. Serena suggested we give Lloyds a week or so and see if we get further contact. David will invite them again to the meeting. Yvonne and Serena will liaise so the two guest speakers are booked on separate dates.

     

    Action We will advertise guest speakers on the noticeboard in the waiting room. This will hopefully, encourage others to attend the PPG meetings.

     

    The meeting closed at approximately 8:35pm.

     

     

    …………………………………………………………………………………………………

     

    Date of next meeting: Wednesday 28th October 2015 7.30pm Venue: Buxton Medical Practice – ALL WELCOME

    *************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 29th July 2015

    Present:

                            David Doig                -           Practice Manager

                            Kate Phillips             -           GP

                         Adrian Brown              -           Chair

                         Tricia Shaw                  -           Secretary

                            Tony Risely               -           Committee Member

                         Alan Masters              -           Committee Member  

                            Sandra Masters        -         Committee Member

                            Linda Estruch           -           Committee Member

                            Carl Neblett               -           Committee Member

                            Susan Barber           -           Guest Speaker
                                                                            High Peak Diabetic Self Help Group      

    1. Introduction and Welcome

    Apologies: Fiona and Don Innes, Helen Smith, Yvonne Booth

    The Meeting was opened at 7.30.

     

    1. Rules and Minutes from the previous meeting were noted and agreed.

     

    Matters arising

    1. Lloyds Pharmacy - there are still issues at Lloyds despite new manager being in place.

    Linda mentioned that this week she had again had problems. Her prescription had been lost, and when discovered she had been asked to join the back of the waiting queue. This is the third time Linda has had issues with Lloyds, so won't be using it again.

    Alan also mentioned he had waited 3 days after his prescription request to call to collect, and they only made it up on his arrival.

    Tony had an item missing off his prescription.

    As Jane McGrother was not present at the meeting we did not have an up to date status of response from Lloyds following the letter sent on behalf of the PPG.

    ACTION - Jane to advise if there has been any response. If not we should follow through with a more strongly worded letter advising of the ongoing issues.

    It was also noted that there is a choice to vote with your feet and use another pharmacy. Tricia mentioned since she had moved to Superdrug she had had no further problems with her prescriptions.

     

    1. SMC Patient Questionnaire

    Adrian advised he had been approached by the Stewart Medical Centre with regard to our practice being involved in a patient questionnaire which they had done previously. After discussions it was unclear what would be gained from the questionnaire, who would compile it, or how it would be conducted.

    Adrian is going to engage with the SMC practice to gain more information.

     

    1. High Peak Diabetic Self Help Group

    Our thanks go to Susan Barber who gave a talk at this meeting.

    This group was founded by Susan in 1987 after her son was diagnosed with Diabetes and the family realised that there was little support available once their son had left hospital. The group offer re-assurance, support, comradeship and local knowledge (who knows what, who has what experience in the local area), It is often the emotional side of diabetes that people struggle to cope with.

     

    Susan talked us through type 1,2 and 3 diabetes.

    It was agreed that we would include an article to promote the group in the next newsletter.

    Next HP Self Help Group meeting is 17th August 7pm

    At the end of the presentation Tony commented that he had found the help from this group invaluable, particularly when he was first diagnosed.

     

    1. Practice Complaints Report

    Practices are obliged to record all written complaints. Our practice compiles both written and verbal reports, and David circulated a copy of last year's complaints.

    It was commented that the number of complaints was pleasingly low.

    A significant number of the complaints were not actually about the practice, but about hospital visits or other agencies outside the Practice.

    Approx. a third of complaints are where people were offered what they were needed, not what they wanted.

    4 did relate to human error, in particular prescriptions - but bearing in mind 1600-2000 prescription are issued per month. The Practice apologises for these and does an internal Significant event investigation where appropriate to learn from issues.

     

    1. Buxton Cottage Hospital

    As Yvonne was unable to make the meeting this topic was held over to the next meeting at her request

     

    AOB – None

    Meeting closed at 8.45

     

    Next PPG Meeting Wednesday 30th September 2015

    7.30pm at Buxton Medical Practice

    ALL WELCOME

    **************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 24th June 2015

    Present:

                            David Doig                -           Practice Manager

                            Tom Miller                  -           GP

                         Adrian Brown              -           Chair

                         Tricia Shaw                  -           Secretary

                            Jane McGrother       -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Tony Risely               -           Committee Member

                         Alan Masters              -           Committee Member  

                            Sandra Masters        -         Committee Member

                            Donald Innes                        -           Committee Member

                            Linda Estruch           -           Committee Member

                            Helen Smith              -           Committee Member

                            Edwina Elder                       -           New Attendee

                            Jane Barrett              -           Visitor

     

    1. Introduction and Welcome

    1. Apologies: Fiona Innes

     

    The Meeting was opened at 7.30. Welcome to Edwina Elder, new attendee, Helen Smith who was returning to the group, and Jane Barrett who was attending as a visitor from another practice.

     

    1. Rules and Minutes from the previous meeting were noted and agreed.

     

    Matters arising

    1. Lloyds Pharmacy

    Jane McGrother advised that following the previous meeting, on behalf of the PPG, she had handed the letter of complaint into Lloyds pharmacy adjacent to the practice 2 days ago. Tom Millar advised that a manager had been appointed to the pharmacy 2 weeks ago and improvements had been seen. A number of attendees commented they had seen improvements.

    Edwina mentioned she had made a separate complaint about Lloyds in Fairfield about 6 months ago to their head office and had not been happy with the response, so had stopped using Lloyds.

    David advised there is a body representing pharmacies that can be used for the complaints procedure, and he will advise accordingly.

    NB: The following information may help:

    If you are unhappy with the service your received at your pharmacy, speak or write to your pharmacist first. If you're not satisfied with the way the pharmacist has dealt with your complaint then you can take your complaint to the independent Parliamentary and Health Service Ombudsman or contact NHS England. NHS England commissions pharmacy services in your area. Find out more about the NHS complaints procedure.

    In serious cases, you can also contact the General Pharmaceutical Council (GPhC). The GPhC investigates complaints that question a professional’s (pharmacist, pharmacy technician or pharmacy contractor) ability to practice. For more information visit the GPhC website.

    1. Practice Complaints Report

    David to circulate a copy off the summary of complaints that have been made to the practice before the next PPG meeting for everyone to review in advance of the meeting.

     

    (now Attached)

     

    1. Extended Hours Changes

    David advised the practice are stopping the Saturday morning appointment service that has been running for the last 5 years. It was intended for workers who could not get to the surgery during working hours, but analysis shows this is not who it is being used by.

    Out of hours appointments will be offered on a Friday morning from 7am by 4 doctors, or Doctors and a Nurse Practitioner.

    An interesting discussion ensued regarding the continuing difficulty being experienced recruiting GPs. This practice's problems are in relation to the national shortage of GPs, the geographical location of the practice, and the fact that the partnership model is no longer an attractive business proposition.

    1. Fairfield Service Update

    There are now no Medical services provided at Fairfield, although other services such as dentistry, social services etc. are still run from there.

    This is due to the changes that took place earlier in the year when the Nurse Practitioner was pulled out at the end of March, and under the Primary Medical Services Contract if there was not at Nurse Practitioner present there would not be a Doctor. CCG then advised they could not keep funding it as it was a PMS contract. Buxton Medical Practice stopped services at that time, the other 2 practices did continue, but have since withdrawn due to safety issues and IT problems encountered.

     

    1. Derbyshire Community Health Services

    Yvonne advised she had been to a meeting of DCHS and handed out leaflets. The informative meeting was given by paramedics and included demonstrations and talks on CPR, choking and Excessive Bleeding. She suggested a newsletter article on DCHS and has volunteered to do a first draft for review.

    Tricia asked if this might be a good topic for presentation to PPGs, and maybe we could contact the other PPGs to see if we could get a larger group together for a future meeting.

    Jane offered to approach her contacts in the PPG.

     

    AOB

    - Tony proposed a presentation from the Diabetes Support Group and will contact the speaker

     

    - Alan reported he was very impressed on the quick response of the air ambulance to a motor cycle accident he had been just behind on the Leek Rd.

     

    - Tricia suggested, in addition to the current recruitment notice, that the Scrolling board in the surgery displays the date and time of the next PG meeting and an All Welcome message to try and increase our numbers, David took an action.

     

    - David asked what the status of the recruitment leaflet for the PPG was, Jane took a copy of the current flyer and will get a draft to David

     

    Meeting closed at 8.35

     

    Next Meeting Wednesday 29th July 2015 7.30pm at Buxton Medical Practice

    ALL WELCOME

    *****************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    Wednesday 27th May 2015

    Present:

                            David Doig                -           Practice Manager

                         Jane McGrother         -          Chair

                         Tricia Shaw                  -           Secretary

                            Yvonne Booth          -           Committee Member

                            Carl Neblett               -           Committee Member

    Tony Risely               -           Committee Member

                         Alan Masters              -           Committee Member  

                            Sandra Masters        -         Committee Member

                            Fiona Innes              -           Committee Member

                            Donald Innes                        -           Committee Member

     

    1. Introduction and Welcome

    1. Apologies: Helen Smith, Linda Estruch, Adrian Brown

     

               The Meeting was opened at 7.30. new members - Donald Innes.

     

    1. Rules and Minutes from the previous meeting were read and agreed.

     

    Matters arising Dr Charlotte Doig, who is currently part time, will be full time from October. No further news on permanent new partner. Proving difficult to get locums. Currently existing GPs are doing extra work to cover locum slots when locums not available.

     

    1. PPG Planning meeting update

    Good meeting as summarised in notes already circulated. Action was to produce a recruitment to the PPG leaflet. Adrian emailed a first draft, David a second, and Tricia a third. Jane to finalise a version for use, which David will arrange to print and hand to doctors for circulation.

    Fiona commented that it did not say who to return it to, which has been noted.

     

    1. Newsletter current status

     

    Newsletter is complete, all but one photo for the new Nurse practioner article which David will provide on Friday. A draft copy was circulated in the meeting.

    Tony reminded us that he suggested an article on Diabetic Self Help Group, and this was noted for the next issue.

    Printing, collation, and delivery to surgery is targeted for week of June 1st.

     

    The New Prescription Service - Is it Working?

    Alan advised had recently had significant problems with prescriptions at Lloyds pharmacy. Discussions ensued where a number of people said they had had problems at Lloyds regarding repeated poor service including long waiting times, wrong prescriptions, prescriptions not available, late delivery etc.

    Tricia mentioned she had changed from Lloyds to Superdrug and no longer experienced problems, so switching pharmacy is an option for folks.

    David suggested people went through the complaints procedure at Lloyds. Jane offered to do this collectively on behalf of the PPG as this may carry more weight.

    It was also suggested that in a newsletter we may wish to highlight that the surgery has no affiliation to Lloyds as some folks were not aware of this, and thought they were a tied entity.

     

    AOB

    - Yvonne asked if the surgery provided any alternative medicine.

    David replied no, not directly, some referrals, for example physiotherapy may advise acupuncture, but due to budget cuts this is happening less often

     

    - Tony asked about blood test results, David advised patients always had to ring for results themselves, in the case of critical results a doctor may ring, but patients should be advised to ring in for results.

     

    - David advised that he had a report of complaints that had been registered against the surgery which he would circulate before the next meeting for all to read in advance of the meeting

     

    Meeting closed at 8.40

     

     

    Next Meeting Wednesday 24th June 2015 7.30pm at Buxton Medical Practice

    ALL WELCOME

    *****************************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 28th January 2015

    Present:        David Doig                -           Practice Manager

                         Tom Miller                    -         GP

                            Jane McGrother       -           Committee Member

                            Tricia Shaw               -         Committee Member

                            Carl Neblett                 -         Committee Member               

    Apologies:    Linda, Adrian, Yvonne, Trish, Alan, Sandra, Tony

    The Meeting was opened at 7.30. No new members.

    Minutes from the previous meeting were not present but acknowledged

    Fairfield Surestart – David mentioned that changes were afoot at Surestart. There will be no nurse services there from 1 April 2015 as the current nurse has handed in her notice. The CCG did not realise they were paying for this service, and should not be, and their funding will be withdrawn. The 3 practices are looking at what can be done, but the services at Surestart are unlikely to be as they were before, both nurse and doctor services.

    Phlebotomy– Phlebotomy requests have increased by over 10% a year for a variety of reasons. Following the discussions at previous meeting about the problems at Surestart the practice have now decided to pay for the phlebotomy service run at the Cavendish and Cottage Hospitals and at Surestart. All appointments are now booked through the practice, which is causing an increase of some 7-8000 bookings. So, to alleviate the pressure on the reception staff, patients are to be made aware of the online booking system by the doctors, the reception staff and a second newsletter article. Jane brought to our attention the letters Andrew Bingham had written in response to our request that he investigate the problem / crisis regarding phlebotomy. He did respond to our issue and follow it through to its conclusion.

    Patient Involvement in GP Contract - made us aware of a recent court ruling that stated ' NHS England has a duty not to implement changes that will adversely affect practice services, without communicating and consulting with patients who will be directly affected by these changes'

    The headline of the article was 'NHS England could be forced to involve patients in GP contract negotiations.

    Practice Personnel Changes - Dr Hartley is retiring from the practice on 31 March 2015. The plan is to replace his services with part doctor (50%) and part Nurse Practioner services. It is proving difficult to find replacements, but progress is being made, and the practice do have some prospective replacements for both positions. It is most likely locums will be used in the short term

    Ambulance Strike - This had been called of at the time of the meeting.                                                                                                     

    Newsletter items -

    1.         Waiting Times - We would like to include the latest graph Tom had produced showing the improvement in waiting times, and asked Tom if it was possible to represent the figures in a bar chart, or another visual representation that was more easily seen / interpreted in the newsletter than the graph we had previously used which was hard to read the statists from. He kindly agreed to have another representation available for the next PPG.

    1. Nurse profile . David volunteered Debbie as the next nurse to be profiled and said he would both speak to her and snap a photo
    2. Phlebotomy - David to write an article
    3. Online Booking System. David to speak to the practice person in charge of the system to write the article to help encourage use of the system
    4. Dr Hartley's retirement. David to arrange
    5. Health Article . Health checks for the over 50's . David to arrange

    Any Other Business

    Diagnostic Software to detect cancer

    Tricia showed Tom and David a copy of an August article from the Sunday Times that stated every surgery in the country would be installing new diagnostic software developed by Macmillan Cancer support and BMJ Informatica by the end of 2014. It helps to help improve detection rates of cancer, in particular lung, colorectic, pancreatic, oesophagogastric and ovarian cancers. Neither David or Tom had heard of the software nor of plans for its installation.

    21C Meeting

    David raised the 21C Meeting regarding the Joined up Care programme of 8 Health Care and Care organisations in North Derbyshire to promote better services into the community. Tricia advised she is attending the meeting on behalf of the practice. She is on holiday when the next PPG takes place, so will write a report after the Tuesday meeting and let David and Jane have a copy.

     Next Meeting:   7.30pm Wednesday 25 February 15 at Buxton Medical Practice

    ***********************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 26th November 2014

    Present:        David Doig                -           Practice Manager

                         Jeff Haddon             -         GP

                            Adrian Brown           -         Committee Member

                            Trish Bothamley       -           Secretary

                            Jane McGrother       -           Committee Member

                            Alan Masters             -           Committee Member

                            Sandra Masters     -            Committee Member

                            Tricia Shaw               -         Committee Member       

    Apologies:    Linda, Linda, Yvonne

    The Meeting was opened at 7.30. No new members.

    Minutes from the previous meeting were not present but Trish is to re-send to the committee.

    MATTERS ARISING – The Roller Banner advertising the PPG is now in situ in the surgery next to the notice board. It was discussed that new posters may be beneficial in trying to recruit some new members to join us. Maybe we could all think about it and look at it at the next meeting.

    WAITING TIMES– Jane had asked for information on waiting times as she had been approached by a patient requesting this information. Dr Miller had very kindly provided the group with details of his findings and a graph. At the moment due to staffing issues things are running a little behind. However, this is being looked into and it is envisaged that things will be back to normal in the very near future. All emergencies are dealt with on a daily basis. The volume of work the practice has to deal with and locums having to cancel due to unforeseen circumstances has not helped the situation.

    Waiting times for Consultant referrals varies depending on the speciality, cardiovascular possibly have the longest waiting times. Jane asked how many times was acceptable for an operation to be cancelled. David said if it was cancelled more than twice then PALS should be contacted for advice.

    Alan asked how far ahead advance booking can be made. David informed us it was 8 weeks but occasionally it falls back to 6 weeks.

    HELP FOR PATIENTS WHO ARE UNABLE TO SPEAK FOR THEMSELVES Tricia asked what the procedure was when a patient became too ill to be able to express their medical needs. David explained that if a patient writes a letter to their GP giving consent for another named person to discuss their medical history, and to liaise with the medical profession on their behalf that this would be flagged up in the patents medical notes. A person is entitled to have an advocate if they so wish to represent them. Power of Attorney was also suggested however, this could be for health or finance issues.

    Admission Avoidance Scheme was explained to the group. This is for vulnerable people who at times become so ill that they unable to deal with accessing their GP following the normal route. A Care Plan is put in place and the patient is given a number that bypasses the receptionist and gets dealt with quickly.

    AOB – Blood Clinics are in chaos at the moment and extra clinics have been set up for the next two months to help. There are negotiations at the moment between GP’s, DCHFT & NDCCG. Current discussions include the possibility of blood clinics going back to the GP’s however it is envisaged that there will be a solution to this in the near future. Jane is going to write to Andrew Bingham and speak to Margaret to see if the other PPG’s wish to be included on the letter asking if Mr Bingham knows about the situation and if anything can be done to resolve t.

    CQC – Care Quality Commission are due to visit all the GP practices. David has been on a course and says that the inspection process has changed. The practice would be given 2 week’s notice prior to their visit. Practices are scored on different levels the top mark being 6. David was delighted to inform us that Buxton Medical Practice had been scored at 6 the top score, 38 markers – 38 positives. This is fantastic and a real morale boost for the practice and its patients. The PPG have the opportunity for someone to represent the group when the CQC visit. Adrian and Jane volunteered to meet them and answer any questions they have on the groups involvement in the practice.

    TRAINING - David has circulated an e-mail giving the PPG an opportunity to do some free training. Maybe this e-mail can be looked at and discussed at the next meeting.

    CONDOLENCES­ – The PPG wish to offer sincere heartfelt condolences to family and work colleagues at the practice on the sudden recent bereavement of a member of the reception staff.

    Next Meeting Wednesday 28th January 2015 at Buxton Medical Practice 7.30PM                            ALL WELCOME

    ******************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 29th October 2014

    Present:

                            Serena Linnell-Bennett - Assistant to the Practice Manager

                         Kate Phillips               -         GP

                            Adrian Smith         -Committee Member

                            Alan Masters             -           Committee Member

                            Sandra Masters                      Committee Member

                            Jane McGrother         -           Committee Member

                         Jeff Slack                 -         New Member

    Apologies:    Trish,Tricia Shaw, David Doig, Yvonne Booth

    The Meeting was opened at 7.30. We welcomed one new member. Adrian went on to explain that recruiting new members is increasingly difficult and at one stage we had between 15- 16 members. Since the three years we started the PPG it has been a struggle to gain new members.

    Adrian Chaired the meeting, Serena took minutes.

    MATTERS ARISING – None

    NEWSLETTER – Adrian lead the discussions explaining that the new newsletter was in the surgery .

    RULES - Adrian pointed out that this is a long document and would not read through the whole list but basically the main two rules are:

    1, We are not a forum to discuss individual problems or complaints

    2, Treat each other with respect

    INTRODUCTIONS- Everybody introduced themselves, as we had a new member.

    PREVIOUS MINUTES – These had not been seen, but Adrian said there has never been any issues in the past.

    RECEPTION SURVEY – Kate started the discussion on this and informed the meeting that there has been lots of different ways in the practice of doing surveys sometimes these had been Government lead, sometimes we had done these ourselves. Sometimes they were on the whole practice and other times on individual areas or an individual Doctor. We also traditionally do a annual survey. We have found that on occasion the scores for reception have not been as high as we would like or not what we aspire to achieve. Kate expressed that she believes the current reception team is the best we have had since she started a decade ago and that they do a fantastic job. The survey will help us improve, especially where the patients feel it is needed. The survey was anonymous and it was on a fill one in if you wanted to basis. They were left in the waiting area. The survey asked for scoring on a variety of points and there was room for further comments.

    David has collated the scoring and Serena handed out a spreadsheet of this to all members present in the meeting. Kate had looked through them all and had a list of all the comments that were made. Kate pointed out that looking at the spreadsheet two out of the three who had only scored a 1, had put excellent and great comments so probably thought 1 was the top score, rather than 10. Kate read out many examples of the comments which were mainly positive. Some comments did not relate to reception at all such as doctors running late and the disabled toilet not being big enough to access.

    Many had put that the reception team have improved and that seems to be particularly over the last two years. Those at the meeting agreed with this and said that they find the reception staff good. Discussions were then made by some of the committee members over whether the use of the booking in system, electronic prescriptions and being able to book appointments online taken some of the pressure off.

    Kate and Serena stressed that all the comments will be taken on board and we will try to accommodate those that we can. Kate expressed sometimes it is hard for the GP’s to stay on time, especially if they are already behind and another patient needs at least twenty minutes. This is why it is not always reflected accurately on the screen in the waiting room. They would rather when needed give the patient the time.

    Adrian asked if they could have a copy of the results of the survey to go in the next newsletter. Kate said that on principle not a problem but they have not been fully discussed with the reception team and internally, so once this was done we would aim to make them available.

    FRIENDS AND FAMILY TEST

    This is a new Government initiative which will have to be reported on a monthly basis. We have to have this in place by December 1st. The questionnaire is already in the waiting room ready to be filled in. There is a box on the table for the slips to be put. Though this can be done manually, electronically by text by the survey screen, email etc. The survey has to ask

    Would you recommend the Practice to your friends and family? And, another question which is of the Practice choice.

    The question that we currently have as the second question is If there is one thing the practice could do to improve what would it be?

    It was suggested that if the PPG wants to they could decide upon a second question that could be used for a month or two. Those present could not think of one there and then but the offer is available if they want to. At the end of the meeting, the committee members present filled in the survey and posted it in the box.

    SURESTART HEALTH SERVICES

    Kate explained that it is getting increasingly complicated who commissions which services for the NHS. The service is provided by DCHS. (Derbyshire Community Health Service). There is currently a Nurse Practitioner at Fairfield , Surestart who we think has been providing a service there for the last 8 years. When this service was first provided it was due to the high levels of depravation in some areas of Fairfield.

    Jill the Nurse Practitioner offers some appointments up there and the GP’s offer appointments as well. These appointments are filled through our nurse or by Jill. One GP goes up from their surgery each day to take the appointments. This is not necessarily the most effective use of time as the GP has to travel up to take the appointments. But, it has worked well for those wishing an appointment there and it is a good service.

    DCHS are possibly going to withdraw the Nurse Practitioner, and it is unlikely that the doctor service could continue. This is still in discussions, but it looks very likely to happen. It is unlikely that the three practices could take on the nurse practitioner due to employment law and financial issues.

    We are working to find an appropriate solution with the other practices.

    PHLEBOTOMY SERVICES

    This is provided by DCHS again, and we have seen a drop in the service provided. DCHS are insisting on the phlebotomist allowing six minutes per patient and this is affecting the numbers seen. Many patients are complaining they are going to the Cavendish and as the department are only handing out a certain number of tickets, the patients are having to come away without their blood being taken.

    DCHS has also handed their notice in on phlebotomy, giving between three and six months notice. Over the last the cost of this service has increased to the three practices over the last few years, and we have seen the service has declined recently due to many issues.

    We are trying to negotiate common ground and the three practices are working together to take back the service and provide it in house. We feel this would provide a better service for patients.

    Those patients at the meeting discussed problems they or their relatives had encountered when going to get their bloods done in the last few weeks. Some had also been turned away from the Cavendish and they had heard of patients queueing from 7:15 so they get seen.

    The question was asked Is the six minute guideline a national or local guideline? We were unsure of why the new guideline was introduced.

    Kate pointed out that DCHS are not always the easiest to negotiate with, but it is work in progress and the practice is working hard to get the best possible outcome for patients.

    It was decided that this would be left on the agenda for an update each time.

    UPDATE ON WAITING TIMES

    Dr Tom Miller had previously presented the information on excel on this to find out what the waiting times were like for each GP and to help make our service more user friendly. We were unsure if we are still doing this, Kate pointed out she had not seen one recently, but we would ask Tom if we are still doing this and if so could we have a update. Tom may not be doing as part of initiative around altering appointment system and all happy with current system. The system may not be perfect but safe. The PPG were in agreement.

    ANY OTHER BUSINESS

    Newsletter and promoting the CCG – Adrian pointed out and wanted to thank Jane and Tricia for their hard work as they had put together a draft promotional leaflet to promote the PPG and encourage new members to come forward. They will email a copy to David to get approval from the practice. Again, the recent copy of the newsletter was mentioned and that it is now in the practice. Many patients do sit and read it, though they do not always take it away. There are also roller banners somewhere available, which were purchased between the PPG’s of the three practices. We believe they were used at Elmwood and SMC had asked to have these next and collected them. It was decided by the members that they will contact SMC in a month or so and get the banners so they can be used at Buxton Medical Practice.

    Telephone Appointments – Adrian asked regarding these and the usage of them. Kate pointed out these can be very useful for certain things such as a chat about cholesterol measurement. They are not suitable for example for a patient complaining of abdominal pain as the patient needs to be examined. The GP’s all have a few available each day and though it is booked into a time slot you will be called between 11am – 1pm on the day.

    Macclesfield Hospital – Alan informed those at the meeting, that when he was recently at Macclesfield Hospital the way he was treated was magnificent and the staff were kind and helpful.

    CQC – (Care Quality Commission) – Kate explained that we are likely to be inspected in the next few months and it is likely to be before April 2016. The team are doing general practices in the area and Elmwood recently had their inspection.

    The members asked what CQC stood for, Serena explained that this stands for Care Quality Commission and they inspect hospitals, GP surgeries, dental surgeries and nursing homes. These inspections have been going on for the last few years and we had to register with the CQC around two years ago.

    Kate pointed out that we are well prepared and David has done a great job on ensuring we are ready.

    They will be keen on speaking to the PPG during the inspection, to ask them how they find the service and to gain feedback from patients. CQC only have to give the practice two week’s notice before an inspection. Kate wanted to inform the PPG to be prepared the notice for their involvement maybe only a week or so

    The meeting closed.

    ****************** 

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 27th August 2014

    Present:

                            David Doig                -           Practice Manager

                          Anthony Hartley       -          GP

                            Adrian Brown           -         Committee Member

                            Trish Bothamley       -           Secretary

                            Jane McGrother       -           Committee Member

                            Alan Masters             -           Committee Member

                            Sandra Masters          -         Committee Member

                            Yvonne Booth         -           Committee Member

                            Carl Neblett               -           Committee Member

                                                             

    Apologies:    Helen, Linda, Tricia

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting had not been circulated due to a computer hitch but have gone out now..

     

    MATTERS ARISING – None.

     

    NEWSLETTER – The Autumn Newsletter should be ready for printing in October several items have been completed however; David still has one or two items to prepare (health issues antibiotics, texting appointment reminders & patient cancelling appointments).  It was decided to include an item regarding the seasonal flu vaccinations.  More children are being vaccinated now via a nose spray.

     

    A.O.B – Jane informed the group that she had attended the NHS General March today to show her support.  She will be going down to London on September 6th (Jarrow Walk) if anyone would like to go please contact Jane she may be able to get some funding.

     

    Yvonne asked whether the Choose & Book change in November would have any affect on patients.  David has seen very little information about this but thinks it unlikely to have any affect on patients.  He will of course keep us updated.

     

    PPG NETWORK MEETING – Many local surgeries are member of the PPG Network including, Buxton Medical Practice, Stewart Medical Centre, Elmwood, Thornbrook, Sett Valley, Arden House and Hartington.  Adrian and Jane receive e-mails from the group.  However Adrian stated that he cannot commit to anything more at the moment and asked if any of our members would be willing to attend future meetings?  Jane liaises with a network member Margaret and will pass on any information but could do with some help.  Adrian will liaise with Claire Wood and inform her that he is not the main contact for our group.  It appears there is a lot going on and it would be very beneficial for our group if a representative could attend meetings.  The meeting scheduled for September 11th has been cancelled with a new date to be arranged. 

     

    Jane has kindly offered to e-mail Claire to see where the roll out banners with network information regarding PPG’s are at the moment, and to enquire if we could have them for our practice next.

     

    If David receives any relevant information for our group he will pass to Trish to forward on.

     

    The group discussed the need to get more people involved in the PPG meetings we need to engage with more people and get the message across.  IT was decided to design a small handout which can be included in new patient paperwork and maybe put some out in the reception area of the surgery.  Jane and Adrian will liaise regarding the handout and David has offered to print them.

     

    Next Meeting Wednesday 24th September Buxton Medical Practice 7.30 pm ALL WELCOME

     

     

    **********************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 30th July 2014

    Present:

                            David Doig                -           Practice Manager

                         Charlotte Doig                -          GP

                            Adrian Brown           -         Committee Member

                            Tricia Shaw               -           Committee Member

                            Jane McGrother                     -           Committee Member

                            Alan Masters               -           Committee Member

                            Sandra Masters          -           Committee Member

                            Yvonne Booth         -           Committee Member

                                              -            

     

                           

    Apologies:    Helen, Fiona, Trish

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were noted and agreed.

     

    MATTERS ARISING– None

     

    Proposals for Possible Charges for Appointments– This came from an article in the Telegraph about the possibility of the DoH introducing charges for NHS services to make the NHS affordable.

    There was a good discussion about this and there was certainly no appetite for this within the group. It was felt that the NHS is becoming more privatised, but that the Political Parties have no specific appetite to introduce this as it would lose votes.

    It is more likely that they will firstly bring Primary care into the NHS workforce (as opposed to being contractors to the NHS and then possibly leading to an insurance based service, if anything was to ever happen. However, the feeling was this was still a long way off.

    Allocation of Patients over 75 yrs oldYvonne had a concern about the fact that one of her friends had received a letter from another Practice allocating her to a GP that she didn’t know.

    We explained that we were trying to tell our patients face to face and had written to some patients who have not been in. Dr Doig explained that all patients had been allocated to their usual GP.

    Prescribing of Antibiotics – Again there has been scare stories in the press recently about both a possible shortage of antibiotics and the possibility of antibiotic resistance, making the ones we have useless.

    We explained that we were not at a point where we were resistant. A very small number of people are. There is now in place measures to reduce the dependance on antibiotics, as they do not treat viral illness.

    GPs have much guidance as to how and when they should prescribe each antibiotics, using specifically target ones before the broad spectrum variety.

    We should also be aware that there is antibiotics in a lot of the animal based foods we eat as well.

    Next Newsletter Topics– Tricia gave us an impressive list of the articles already run (see attached form).I deas for the future include

    Antibiotic Prescribing – see above

    Drowsy Drugs and Driving – New law starting 2 March, illegal to be drowsy on drugs in the car driving.

    Electronic Prescriptions – Describe the process and how it works for the Patients

    Text Messaging – The ability to receive appt reminders, cancel appts, recall invites, etc. The Practice is in the process of trying out a new system for this.

    Message in a bottle – A Lions club initiative. There is a plastic bottle where you put your medication, allergy history, etc. in case of emergency and keep it in the fridge. Bottles available at the Practice.

    Nurse Profile.

    Friends and Family test (with possible question in newsletter).

    New member request.

    Blood Tests – It was pointed out that there has been some trouble getting blood tests at the Cavendish hospital.

    This is due to an over load of demand. The three Practices are looking into the best solution for us. Until then it will continue to run as is.

    New PPG Members– We discussed how we might get new members of various age groups to join the group and committee. Ideas included writing to the schools, using the banners that were on the PPG stand (Adrian to try to find out who has them), Information on new registration forms and a newsletter request.

    Two Lady Registrars – We already have Dr S Ansari working at the Practice as a Registrar (fully qualified Doctor gaining experience in General Practice) and she will be with us until October 2014. Shortly we will also have Dr Y Gruenbeck, Registrar joining us for a year.

     

    Date of next meeting Weddnesday 28th August 2014, 7.30pm in the Practice Reception area

    *******************

    WEDNESDAY 26th March 2014

    Present:

                            David Doig                -           Practice Manager

                         Tom Miller                -          GP

                            Adrian Brown           -         Committee Member

                            Tricia Shaw               -           Committee Member

                            Mike Gray                   -           Committee Member

                            Fiona Innes                -           Committee Member

                            Linda Rolland            -             Committee Member

                            Yvonne Booth         -           Committee Member

                         Don                         -            Visitor

     Apologies:    Helen, Carl, Trish and Linda

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were noted and agreed.

    It was noted that Adrian was present at the last meeting; in fact he had chaired it, but was not listed on attendees.

     

    MATTERS ARISING– None

     

     

    NEWSLETTER– Tricia lead the discussions on the suggestions for the topics for the practice’s next newsletter, and the following were agreed upon.

    :

     

    ·         Health subject – Prostate Cancer

    ·         Nurse profile

    ·         Day in the Life – featuring Receptionist

    ·         Cost of NHS Treatment – Practice No Shows

    ·         Seasonal Topic  - Hay fever or Sunburn

    Mike Gray kindly agreed to write the first article, and David took ownership of the other four articles.

    The later topics of the Fairfield clinic and PPG stand at the Rotary Bazaar on June 7th could also be highlighted in this issue.

    Timescales – Articles to be written in April, Newsletter to be printed in May

      

    BLOOD TEST IN FAIRFIELD

    David confirmed that with effect from April or May, date still to be confirmed, there will be a blood testing clinic in Fairfield again. This will be on a booking system basis. Patients will book appointments via the 3 practices in Buxton and attend the clinic in Fairfield. Posters will be displayed to advertise this facility. Blood clinics will still be available at the Cavendish, although this will replace one of the existing Cavendish sessions which is being moved to Fairfield.

    PPG Stall at Rotary Bazaar 7th June

    David had received a phone call from Margaret at Elmwood practice to advise they were planning to have a stall at the Rotary meeting on the 7th of June along with a number of other PPG groups from the High Peak and asked if we were interested in being involved. Adrian and Jane had met with Elmwood last year in regard to getting involved with other PPG groups in this way. Adrian took the action of getting in touch with Margaret to discuss and report back to the group.

    Prostate Cancer Presentation

    Mike Gray gave a very interesting, informative and easy to follow presentation for one hour on the facts about the prostate and its function, and prostate cancer and the symptoms to look out for, its treatment, and his personal experience of living with the diagnosis and treatment.

     

    Date of next meeting Wednesday 30th April

    ************************* 

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 26th February 2014

    Present:

                            David Doig                -           Practice Manager

                            Anthony Hartley       -           GP

                            Trish Bothamley       -           Secretary

                            Alan Masters             -           Committee Member

                            Sandra Masters        -           Committee Member

                            Diana Shaw              -           Committee Member

                            Tricia Shaw               -           Committee Member

                            Fiona Innes              -           Committee Member

                            Jane Mcgrowther     -           Committee Member

                            Mike Gray                  -           Committee Member

                            Linda Estruch           -           Committee Member

                            Carl Neblett               -           Committee Member

                            Yvonne Booth          -           Committee Member

                            Jane McGrowther    -           Committee Member

                           

    Apologies:    Linda Rolland (late)

     

    The Meeting was opened at 7.30 no new members

     

    Minutes from the previous meeting were read and agreed. Introductions and rules were read.

     

    MATTERS ARISING– None

     

    FUTURE OF PRIMARY PRACTICE– There has been lots of press regarding the future of primary care practice.  This has been very tough on GP’s.  Where are we going as a society to look after the older population? There are problems at the moment regarding links with social services and on the whole things are not very clear at the moment. The CCG are to tender out all the enhanced work GP do (work done over and above the core General Practice work). 

     

    There are Talks happening to allow federation of all GP practices in North Derbyshire to set up bidding procedures to keep this work within General Practice and not to fragment it too much.  Practice funding is very difficult at the moment and if lost the work adds up to 30% of current Practice income (used to fund the services). Social Services have taken over some advanced services, such as IUD and implants, Substance misuse, and Chlamydia testing, all of which they are due to pull out of General Practice in over the next year or so. 

     

    General Practices are going to see massive changes in the future.  Lots of GP’s are due to retire and newly qualified Doctors are tending choose other avenues than GP practices (similarly to A&E it is now being seen as a harder working environment and therefore recruitment becomes more difficult).  There is also a greater mix of female to male recruits, whom understandably, want to have a better work life balance with their families and therefore wish to work part time more. This could lead to a change in the make up of General Practice with more use of Nurse Practitioners, more salaried GPs and less partners.

     

    Where in the past it was unforeseeable , there is now a real possibility that practices could go bankrupt and these things need to be addressed. The future is likely to include  bigger practices/poly clinics.

    Community Services are becoming more ridged in their thinking and

     

    AOB– Message in a bottle is a scheme that the Lyons introduced to people in Buxton a few years ago.  They purchase over 5000. Bottles these bottles were purchased for elderly people and were used for putting their current prescription into the plastic bottle and keeping it in the fridge with a leaflet with personal details, phone numbers, next of kin, prescription details, etc in case of illness and the emergency service being called.  All the patients’ information would be in one place. Alan informed the meeting that more bottles would be purchased and asked if the practice would help distribute them to patients over the counter.  The chemist would also be approached about help with distribution.  This idea was welcomed.

     

    PROSTATE CANCER– Mike has kindly agreed to do a talk on Prostate Cancer at the next meeting in March. This will be open to any patients to come along and find out more about it.

     

    NATIONAL DATA BASE– This has been postponed for 6 months.

     

    Date of next Meeting: Wednesday 26th March 2014 7.30pm Buxton Medical Practice

    ALL WELCOME

     

     

     ***********************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 29th January 2014

    Present:

                            David Doig                -           Practice Manager

                            Jeff Haddon                          GP

                            Trish Bothamley       -           Secretary

                            Alan Masters             -           Committee Member

                            Sandra Masters        -           Committee Member

                            Diana Shaw              -           Committee Member

                            Linda Rolland           -           Committee Member

                            Fiona Innes              -           Committee Member

                            Jane Mcgrowther     -           Committee Member

                            Mike Gray                  -           Committee Member

                            Linda Estruch

                           

    Apologies:    Helen Smith, Mike Gray, Adrian Brown, Yvonne Booth

     

    The Meeting was opened at 7.30. 1 possible new member.

     

    Minutes from the previous meeting were read and agreed. Introductions and rules were read.

     

    MATTERS ARISING – Letters have gone out now to most patients regarding EMAS Online any patient who received a letter with incorrect details should by now have received an amendment (just 1 batch) David is seeing to this.

     

    CARDIOLOGIST – Dr Haddon reported that Stepping Hill has lost a cardiologist and this has had a knock on effect regarding new patients being seen within the 18 week rule.  Currently cover for Saturday morning clinics is being sought to help with the back log.  A possible solution would be to re route 12 month follow up appointments to 18 months.

     

    PRACTICE SURVEY – David has received the result of the practice survey and produced a summary of this for the committee meeting.  On the whole results were favourable, over achieving in some areas and under achieving in others but there is a definite improvement in some areas. (see copy on website under Survey results)

     

    CCG MEETING – Fiona was invited to the meeting but could not attend.  Jane will be attending the next one on 4th March and will feedback to our group.

     

    DCC HEALTH TRAINER ROLES – Consultation has been taking place throughout Derbyshire to raise awareness of the health trainer role.  The aim is to promote wellbeing and to assist the statutory objectives of the council to help with a) reducing weight/obesity b) reduce smoking c) increasing activity.  A recent consultation was held at the Palace Hotel however, there was little response from the general public.  The main attendees were local voluntary organisations and people already delivering some form of health trainer role.  The trainers are there to befriend, signpost and encourage people to utilise the services that are available to them, such as waist wise, walking for health, gym, stop smoking service, and self help groups.

     

    Questions were asked from the floor and concern was raised about people with mental health and disability issues and how they can be helped to access services and link in with this role, although there was no clear answer to this as this is not one of the main highlighted priorities. 

     

    The services will be located in local hubs and the current service providers will be in post until September 2014, however this service will be put out for open tender from September 2014 onwards and it is most likely that this will be taken by private providers not the DCC current providers.

     

    The general feeling was that people did not feel that health trainers were beneficial.

     

    NEW MEMBER – Linda Estruch had expressed an interest in the meetings and was invited to come along and see what we did. The committee members introduced themselves to Linda and gave her a warm welcome.  Hopefully she liked what she saw and we hope we will be seeing a lot more of her.

     

    PROSTATE TALK – Mike Gray has kindly agreed to give a talk on the Prostate at the March meeting. Everyone is invited to come along (more details in next month’s minutes)

     

    Date of the next meeting 26th February 2014 7.30 pm Buxton Medical Practice

     

    *************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 27th NOVEMBER 2013

    Present:

                            David Doig                -           Practice Manager

                            Kate Phillips             -           GP

                            Trish Bothamley       -           Secretary

                            Jane Mcgrowther     -           Chairman

                            Tricia Shaw               -           Committee Member

                            Carl Neblett               -           Committee Member

                            Alan Masters             -           Committee Member

                            Sandra Masters        -           Committee Member

                            Linda Masters           -           Committee Member

                            Mike Gray                  -           Committee Member

                            Fiona Innes              -           Committee Member

                            Linda Rolland           -           Committee Member

                           

    Apologies:    Helen Smith

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed.

     

    MATTERS ARISING – Trish asked David about the nhs.net e-mail David is to look into this and feedback.

     

    VISION-ON-LINE – Several members reported being unable to gain access to the online appointments following the installation of the new system at the surgery.  Trish is to try to access this now using https://patient.emisaccess.co.uk and report back to David.  It is envisaged that patients will not only be able to book appointments and order prescriptions but may, in the near future, be able to access certain personal medical information.

     

    Patients can now register for access over the internet by going to the web page above and clicking on ‘register’. They then follow the instructions.

     

    REFERRAL PROCESS – Jane questioned the referral process on behalf of a patient who had been referred to rheumatology then on to cardiology. This seemed to have taken rather a long time and with little or no correspondence keeping them up to date.  Dr Phillips explained that this is also frustrating for the GP’s as they often do not get feedback from consultants and spend precious time chasing patient information.  There is no clear cut solution to this problem although it was voiced that the 18 week waiting time which is nationally set is adhered too.

     

    HRT - Tricia asked what the current situation at the surgery was concerning the prescribing of HRT.  There had been a study 10 years ago which concluded undoubtedly that HRT increased breast cancer, heart problems, high blood pressure and other medical problems in some women.  Following reports GP’s took a number of patients off the medication.  However, the Jury is still out and further studies continue.  Guidelines advise that HRT can be used for patients that were very symptomatic but for the shortest possible time.  Studies also showed that it was beneficial for sufferers of osteoporosis however there was no long term benefit when HRT was ceased. Current Practice remains that only patients with particularly bad symptoms are prescribed HRT.

     

    AOB

    NEWSLETTER – Tricia and Jane reported having plenty of articles for the next newsletter which would be ready for print by the end of next week and would be published for the first week in January.

     

    There is a minor injuries survey on the touch screen in the surgery for patients to

    complete.

     

    Fiona will attend the CCG meeting next week at the Pavilion Gardens and report back to us at the next meeting.

     

    There has been a CCG press release that indicated the possibility of the joining up of all practices amongst a larger discussion about the future of General Practice. At present there is no firm decision for future primary care. There is a lot that will happen nationally and we will have to wait and see what this is.

     

    Jane asked if anyone thought it would be a good idea to get some sort of group going where people could share information/experience of medical problems and talk over niggles etc without having to use a GP appointment.  She asked if maybe a nurse could advise at such a group.  Dr Phillips said that this was not feasible but that it was a good idea.  It was decided that this could take place in the organized “Health Talks” that the PPG have at the monthly meetings.  The next health topic will be on blood pressure in February, details to be arranged. In the interim pharmacists can be approached for advice as can the 111 system and triage at the surgery if needed.

     

    May I take this opportunity to wish everyone a very Happy Christmas and a Happy & healthy New Year.

     

    Date of next Meeting: Wednesday 29th January 2014 ALL WELCOME

     

    ***************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 30th October 2013

    Present:

                            David Doig                -           Practice Manager

                            Trish Bothamley       -           Secretary

                            Tricia Shaw               -           Committee Member

                            Carl Neblett               -           Committee Member

                            Alan Masters             -           Committee Member

                            Linda Masters           -           Committee Member

                            Diana Shaw              -           Committee Member

                           

                           

    Apologies:    Helen Smith, Mike Gray, Fiona Innes, Yvonne Booth

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed.

     

    MATTERS ARISING – None

     

     

    NEWSLETTER – Several ideas were put forward for the next edition of the practice newsletter:

     

    ·         Health subject – Indigestion & Heartburn article

    ·         111 patient information

    ·         A day on the life of the practice nurse

    ·         Reminder to patients of 10 minutes appointment slots and to book a double appointment if appropriate.

    ·         Wasted Medication

    ·         Referral & DNA costs

     

    AOB - David informed the meeting that the new computer system was now in situ although there were teething problems and lots more admin work to be carried out.  The online booking system was still not up and running but patients would be getting a letter with a code to enable them to gain access.

     

    PPG e-mail address – David is going to look into this via nhs.net account and Trish has agreed to access this.  It will provide information and notifications regarding events etc.

     

    Date of next Meeting: Wednesday 27th November 2013

     

     

    ********************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 31st July 2013

    Present:        Jane McGrother        -           Chairman

                            Fiona Innes                -           Vice Chair

                            David Doig                -           Practice Manager

                            Dr C Doig                  -           GP

                            Trish Bothamley        -           Secretary

                            Tricia Shaw                -           Committee Member

                            Carl Neblett                -           Committee Member

                            Alan Masters             -           Committee Member

                            Linda Masters           -           Committee Member

                            Yvonne Booth            -           Committee Member

                            Diana Shaw               -           Committee Member

                            Linda Rolland            -           Committee Member

                            Mike Gray                  -           Committee Member

                           

    Apologies:   Helen Smith

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed.

     

    MATTERS ARISING

     

    OBESITY TALK– The group would like to thank Helen Mellor for her fantastic talk on obesity it was thoroughly enjoyed by all and very informative.

     

    TOOTSIES FOOTCARE– David has passed this information on to the GP’s for their perusal.

     

    SURVEYS– It was decided that the yearly survey was adequate for the time being and nothing needs to be changed. There is current discussion about having touch screen surveys at the practice David will keep us updated about this.

     

    CHAIRPERSON– As we all know Adrian has resigned as our Chairman due to other commitments.  We would like to thank him for his dedication and the way he conducted the meetings and kept us all in line! It was greatly appreciated.  Adrian will be joining us when he can, which we hope will be often.  Jane has very kindly offered her services (with a little persuasion) as new Chairman, and Fiona will be our new Vice Chairman thank you both very much for your ongoing commitment to the group. 

     

    NEW TELEPHONE SYSTEM– From today a new telephone system has been installed which the practice hope will make things easier for patients making appointments etc.  Each caller will now join a queue and will be answered in turn.

     

    NEW MEDICAL SOFTWARE

     

    There is also a change pending regarding the electronic medical records of patients.  This new system will be up and running hopefully around the 2nd week of October.  The transition period will take approximately a week.  In this time patients will not be able to make appointments or request prescriptions.  However, patients will be notified in ample time to order their prescriptions and to make follow up appointments.  This will not affect patient care.  The new system will be more efficient for both patients and staff at the practice and will enable staff to remind patients of their upcoming appointments via text messaging.  It is envisaged that flu clinics will start a little earlier than usual to accommodate the changes.  Vision On Line will link over but e-mail addresses may need to be updated.  David will give us more information at the next meeting.

     

    NEWSLETTER– The next edition of our Newsletter should be ready for September.

    ·       David will do an article regarding the implementation of the new system.

    ·       Information regarding costs/budgets for operations, DNA’s, drugs and the cost of A & E attendances to hospitals, and an overview of the cost of people going along to their local MIU for problems that could be dealt with at home or at their local pharmacy. 

    ·       A day in the life of a nurse.

    ·       Seasonal – Flu jab.

     

    ADRIAN/PAM LEAFLET– Adrian has received a Lifestyle Information for Patients leaflet from Pam Purdue regarding Indigestion and Heartburn.  This was sent to Adrian to share with the PPG and for us to feedback any comments we had.  The leaflet was very informative and was welcomed by the group.  It was decided that individuals could send any comments to Jane who would then forward them to Pam on our behalf.

     

    A.O.B- Alan raised the issue of 111 and the bad publicity it has had in the media recently. It appears that it is not as successful as envisaged.  David however, informed us that this area has a much better performance than some areas.  There were mixed comments from the group some having experienced excellent care from them and some not so good.  David said that there had been some blips over the past couple of months, when DHU who run the service took over Lincs and Notts and that software was an issue that was being looked at.  Call handlers were being prompted to send ambulances and requesting patients to attend A & E when maybe these solutions were not needed.

     

    Derbyshire Health United and EMAS (east midlands ambulance services) are 2 different services.

     

    CLINICAL COMMISSIONING GROUP– Fiona attended a meeting on July 16th regarding  Healthwatch Derbyshire.  Fiona shared information with us and passed round leaflets which inform patients to feedback their comments on, GP, ambulance, care homes, dentists, opticians, pharmacies, mental health services whether it be a complaint or compliment.  This group it appears have taken over from PALS but are there to help if you have any problems with any of the above services you are receiving.

     

    PROSTATE CANCER– Mike Gray informed the group that he is Public Speaker for Prostate Cancer UK and would be happy to do a talk at one of our meetings and/or an article for the newsletter.

     

    E-MAILS– Tricia asked David if it was appropriate for patients to e-mail their GP if they needed to discuss something that did not warrant an appointment (i.e. test result) David & Dr Doig said that this was not viable as GP’s are very busy and that they could become inundated with them. There was also a possible confisentiality issue that would need looking into.

     

    Date of next Meeting: TO BE ARRANGED – NO AUGUST MEETING

     

     

    *****************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 24th April 2013

    Present:         Adrian Brown              -           Chairman

                            David Doig                  -           Practice Manager

                            Anthony Hartley           -           GP

                            Trish Bothamley          -           Secretary

                            Tricia Shaw                 -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Alan Masters               -           Committee Member

                            Linda Masters             -           Committee Member

                            Yvonne Booth              -           Committee Member

                            Pam Purdue                -

                            Amanda

                           

    Apologies:      Helen Smith, Linda Rolland, Fiona Innes, Diana Twigge

     

    The Meeting was opened at 7.30. No new members. Committee members introduced themselves.

     

    Minutes from the previous meeting were read and agreed.

     

    MATTERS ARISING- None.

     

    NEWSLETTER

     

    Adrian thanked Tricia and Jane for their continued and valued input in the latest edition of the practice newsletter which is available now. 

     

    Tricia was asking for ideas for the summer edition of the newsletter.  Tricia has looked over the last four editions and reported that there had been a good variety of topics covered. 

     

    Suggestions for the next edition were:

     

    ·         Feature on Dr Tom Miller

    ·         A day in the life of the practice manager

    ·         Spring Fayre

    ·         Obesity

    ·         PCT & Clinical Commissioning Groups What the difference is between the two organisations and what effects if any, there would be on patients.

    ·         Pharmacy role (what they offer to patients, what to do with unused medication etc) David will speak to Lloyds Pharmacist to see if he would like to do a general article.

    ·         MMR Immunisations

    ·         PPG Walks for Health

     

    Dr Hartley asked if there had been any feedback on the patient “comments for the PPG” form which is included in every newsletter.  Adrian reported that there had only been an odd one submitted and that the e-mail address set up had not received any comments.

     

    Distribution of the newsletter is still under discussion and again it was suggested that e-mail may be a beneficial way of ensuring the newsletter was reaching patients that did not frequent the surgery.  David said that the practice had quite a number of patient e-mail addresses now but would need to talk to Anne to see how many patients would be happy to receive electronic mail from the practice.  David said that some patients read the newsletter whilst waiting for their appointment but not everyone takes it away with them.

     

    SPRING FAYRE

     

    Buxton Town Team are to hold their first Spring Fayre in Buxton on 6th May this will stretch from Spring Gardens up over the market place and down as far as London Road.  There will be approximately 94 stalls representing, retail, St John’s Ambulance, Derby University, Companies and individuals.  Hopefully this will be an annual or Bi-annual event.

     

    Adrian reiterated what was discussed at the last meeting regarding the PPG having a stall at the Buxton Town Team Spring Fayre that the PPG stall would have to be postponed till next year.  This would give us time to contact, discuss and possibly merge with the other two PPG’s in Buxton to have a stall promoting PPG’s in the town hopefully we could have representation from one of the nurses who would be able to promote health by taking blood pressure and advising on health matters.  The nurses have a stall at the University of Derby when it is

    Fresher’s day where they promote health and give advice and information about the practice if student’s want to register with one of the GP’s. Vision Buxton has been invited by the University this year to have a stall at the Fresher’s day.

     

    PPG’s

     

     Adrian has contacted the Stewart Medical Centre and Elmwood Medical Centre and has been invited along to Elwood’s PPG meeting in June.  It appears that each of the practice managers are keen for the PPG’s to get together and share their knowledge.  The Stewart & Elmwood GP

    Practice PPG’s do not have a Chairman and Secretary.

     

     

    Pam Purdue came along to our meeting to do a presentation but due to some members not being present she decided she will come back and do it at a later date.  Pam shared with us that she is in the remit of the CCG planning activities.  Pam supports PPG’s in the area where she looks at the practice survey and feedback.   There are issues with trying to attract young people.  Pam said a good way of involving young people would be to speak to the 6th form tutor and ask if any of the student’s would like to become involved with the PPG’s.  However, it was voiced that some young people would not want to come along to a PPG meeting but could be involved and provide input via e-mail to the group.  This involvement could be used when completing a CV showing an individual’s involvement and experience gained.  Pupils in schools in other areas have produced their own questionnaire and handed it out to fellow students then fed the results back to their local PPG group.  Other forms of Links are Mother & Toddler Groups, Teenage Clinics, and Virtual Groups.  PPG’s need to get knowledgeable about what and where we can gain information and encourage more patients to join in.

     

    Pam has sent us some information and this will be attached to these minutes for your information.

     

    AOB

     

    Tricia wanted to know if there was any pro active information for patients regarding “Heath Matters” and if there were any venue’s or information session showing us how to keep ourselves healthy.  Pam said that other PPG’s had evenings where they invited  people along to their meeting to do a specific talk on health i.e. diabetes, obesity, blood pressure etc.  Pam said she would take Tricia’s question to the CCG and get back to David with an answer.

     

    David said he would ask one of the practice nurses to come along to our next meeting and give us information and give a talk on obesity.

     

    Adrian made a suggestion that it might be a good idea to revisit “Peak Park Walks” as it used to be known which was produced by Buxton Medical Practice.  He suggested that the PPG start a walking group and maybe do an article in the newsletter.  This was welcomed by the group and Adrian is going to look into this.

     

    Date of next Meeting: Wednesday 29th May 2013 7.30pm Venue: Buxton Medical Practice – ALL WELCOME

     

     

    ****************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 27th February 2013

    Present:         Adrian Brown              -           Chairman

    Jane McGrother          -           Committee Member

                            David Doig                  -           Practice Manager

                            Tom Miller                   -           GP

                            Trish Bothamley          -           Secretary

    Diana Twigg                -           Committee Member

                            Tricia Shaw                 -           Committee Member

                            Yvonne Booth              -           Committee Member

                            Fiona Innes                 -           Committee Member

                            Linda Rolland              -           Committee Member

                           

    Apologies: Alan  Linda Masters, Helen Smith, Mike Gray, Carl Neblett

     

    The Meeting was opened at 7.30. No new members. Committee members introduced themselves.

     

    Minutes from the previous meeting were read and agreed.

     

    MATTER ARISING

     

    Newsletter – David informed the committee that 2 of the 5 articles were ready to be forwarded  for the newsletter. David will chase up the other 3 items and forward.

     

    The automatic doors are in situ and working following some minor problems due to the weather.  The automated check in is also working and is proving quite successful (65% of check-ins in the first 2 weeks were by the machine).

     

    Jane to invoice David for £10 printing costs.

     

    ……………………………………………………………………………………………………………

     

    Newsletter – Articles will be collated in February for print in March and production in April things are coming along nicely. David will forward articles to Jane for editing as Tricia is away. Adrian offered his services for the printing of the newsletter.  It was decided that 500 copies would be adequate.

     

    Fiona asked if there had been any further development regarding e-mailing the newsletter to patients.  David is not sure if this can be done but will look into it, he will speak to Ann and see if the practice can get a system set up to facilitate this.  However, David reminded us that the newsletter does appear on the website. David will also check into any confidentiality issues emailing the newsletter may cause.

     

    PPG Network – Fiona, Jane and Yvonne volunteered to attend the meeting on 5th March and feedback to the committee.  It was suggested that maybe a report be produced for a future newsletter however, it was generally felt that a decision would be made regarding a report following feedback from the meeting.

     

    Notice board– David asked if the PPG would be interested in taking over the large notice board in the surgery waiting room.  Trish and Jane volunteered to do this on a monthly basis.  This was welcomed by the committee and was discussed enthusiastically with some good ideas for future displays.  Obesity is to be the first display and David is going to get some information for the display.  Jane and Trish will meet Friday week to do this.

     

    AOB

     

    Health Checks – Tricia asked if there were any health check programmes within the surgery i.e. blood pressure, cholesterol checks etc.  David explained that there was not currently a generalized Health Check Program. There were specific disease area health checks which are always on going but these target specific patients.  Tom said that health screening was popular however, not all people want to attend and that  often people who did attend were not necessarily the people the screening was aimed at. 

     

    David said that Healthy Living educational talks could probably be arranged but that it would have to be in an evening as space could be a problem. He suggested getting speakers to come to the PPG meetings to educate us so that we could pass on information to patients via the newsletter. This could be open for all to attend.

     

    Privatisation -Yvonne said that she had received an e-mail about Jeremy Hunt approaching GP practices regarding privatisation and wondered if our practice had been approached.  Tom informed us that our practice had not been approached although there were lots of things being talked about through the Clinical Commissioning Group, currently the only privitisation of General Practices seems to be when they fold due to other pressures.

     

    Spring Fete - Linda said that the Town Team was arranging a spring fete on 6th May and wondered if it would be a good idea for the PPG to get together and have a health promotion display.  This was welcomed and Adrian said that he would be happy to contact the other PPG’s to see if they wanted to join us.  Adrian is to attend a Town Team meeting next week and will enquire about stalls/displays etc.

     

    Annual Survey – David is in the process of looking into this he is currently waiting information and will feedback to the committee when he has received it.

     

     

     

     

     

    Date of next Meeting: Wednesday 27th March 2013 7.30pm

    Venue: Buxton Medical Practice – ALL WELCOME

     

     

    ********************************

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 30th January 2013

    Present:         Alan Masters               -           Chairman

    Jane McGrowther        -           Committee Member

                            David Doig                  -           Practice Manager

                            Charlotte Doig             -           GP

                            Trish Bothamley          -           Secretary

    Diana Twigg                -           Committee Member

                            Sandra Masters          -           Committee Member

                            Yvonne Booth              -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Fiona Innes                 -           Committee Member

                            Linda Rolland              -           Committee Member

                            Jane McGrowther        -           Committee Member

     

    Apologies: Adrian Brown, Helen Smith, Mike Gray, Tricia Shaw

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were unavailable but members agreed them from their e-mail copies.

     

    MATTER ARISING   - None

     

    C.C.G.– The CCG has been set up to replace the PCT with effect from 1st April 2013. David informed us that from a practice point of view nothing really has changed.  The same people are involved.  There will be new Pathways regarding patient care, referrals and medication.  Referrals will be looked at to see if they are appropriate and are being referred to the correct service.  Dr Doig said that GP’s at the practice have been pairing up and looking at each other’s correspondence to see if any changes can be identified. It appears however, to be a good thing with elderly referrals having a single point of entry – Pathways to follow.  There is still a lot of work to be done. The main headquarters will still be ScarsdaleHospital at Chesterfield.

     

    Five different providers for the Mental Health Services in North Derbyshire have been identified, however, none have as yet committed to the High Peak Area. Psychiatry services will remain the same.  However, it has not yet been decided where surgery counseling, CBT etc will be based.  Practices will no longer have funding for counselors and it seems that patients may be able to self refer.  Dr Miller attends meetings and will keep us appraised to the changes.

     

    Fiona talked about recent changes that are now in place “Falls Alert Service”. This services is for people in their own homes/sheltered housing that may be prone to falling and is to be run by the Social services and social housing services.  Equipment is being set up in people’s home which enables them to call this service should they experience a fall by wearing a wrist strap with an alarm button attached.  The Volunteer Bureau will be actively involved with the installation of the equipment. Ambulance crews used to be called to pick people up following a fall however, this new service will be replaced by the ‘Falls Alert Service’ which should be financially beneficial. Concerns were raised about a person who has fallen being assessed and would some injury be missed and about this and the possibility of more work continually being passed down the line to areas that are already over burdened with work..

     

    NEWSLETTER

    David advised Jane that we could possibly look at reducing the quantities a bit on the next newsletter, it was agreed to try 500 instead of 1000 in the next run.

     

    Dr Doig said there had been good, positive feedback regarding the newsletter. Trish read Tricia’s e-mail to the committee regarding the content and suggestions that the newsletter be ready for proof reading at the February meeting for print and distribution in April, this was welcomed and agreed.  It was decided that this edition would cover:

     

    ·        A day in the life of each department (reception for this edition) David to ask Alison to arrange this

    ·        Dr Phillips Profile

    ·        Holidayseason overseas vaccinations/advice (David to ask one of the nurses, Debbie to do an article

    ·        Abdominal Aortic Aneurysm Screening for men aged 65, Dr Doig to do article

    ·        New Nurse Practitioner, Kate Rees, article

     

    FUNDING –David agreed funding for print used for the newsletter of £10 Jane to invoice him

     

    AOB– A discussion took place about patient records and who had access to them outside of the Practice. At present a lot of people’s health records are kept electronically on the SCR system. This information is a short summary of things like patient private details, allergies, etc. and is shared with other services on a strictly “need to know basis”, data protection and patient confidentiality are adhered to at all times and access to patient medical records are very tightly controlled.  However, any person not wishing to share their health records can ask for them to be removed by filling in a form available at the Practice.

     

    There is currently another project on going in this area which would provide more information to local hospitals and other primary care organizations. Again this is being run in a way to guarantee full confidentiality and can be opted out of at the time of being seen by the organization.

     

    DOORS– The electronic doors are almost complete other than one or two minor problems due to the weather causing them to swell and not open properly.  However, the front entrance doors will be made fully automated which will make access so much easier.  The disabled parking will be repainted and the STOP sign as soon as weather permits.

     

    BOOKING IN SYSTEM– This should be up and running by 1st February 2013.

     

    Date of next Meeting: Wednesday 27th February 2013 7.30pm

    Venue: Buxton Medical Practice – ALL WELCOME

     

     

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 28th November 2012

    Present:           Jane McGrowther         -           Chairman

                            David Doig                    -           Practice Manager

                            Trish Bothamley            -           Secretary

    Diana Twigg                 -           Committee Member

                            Tricia Shaw                  -           Committee Member

                            Mike Gray                     -           Committee Member

                            Yvonne Booth                -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Fiona Innes                  -           Committee Member

                           

     

    Apologies: Adrian Brown, Helen Smith, Sandra Masters, Alan Masters, Linda Rolland

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed. 

     

    Matters Arising

    David reported that the electronics entrance doors should be in situ by Christmas.  David said he would be looking at putting a magnetic catch on the doors leading to the GP’s consultation rooms which is fantastic news.

     

    Newsletter- David reported that the newsletter is on the website under the PPG page (minutes tab).

     

    Newsletter– Jane shared the draft copy of the forthcoming newsletter with the group which is as usual excellent.  The sub-committee is still waiting for a picture from Dr Haddon to be included which David will chase up.  Jane reported that the included graph in the newsletter will be in black and white indicating GP initials underneath.

     

    It was thought inclusion of surgery opening times over the Christmas period would be beneficial. Christmas Eve the surgery will close at 4.30 pm, the surgery will be closed Christmas Day and Boxing Day.  New Years Eve will be business as usual 8.00 – 6.30 pm.

     

    A suggestion was made for the Practice Nurse to be highlighted in the newsletter.

     

    Jane is to liaise with the sub-group regarding the printing and preparing of the next edition.

     

    AOB

    Nurse Practitioner - David informed the group that Kate Rees, the new Nurse Practitioner, will be joining the Practice at the beginning of January she will be a great asset to the Practice. As this is a new venture for our surgery it will be a learning process for all involved. It was suggested that this announcement could be included in the next newsletter.

    Pharmacists Role

    Yvonne mentioned that on a recent visit to her Pharmacy she was asked lots of questions by the pharmacist regarding her medication.  David said that this is something that is becoming more popular and that the pharmacist can review your medication and see if everything listed is still being used/needed, this will cut down on over prescribing. Patients sometimes tick everything on their repeat prescription even if they are not using it. Patients also have the opportunity to discuss side effects or any concerns they might have. This could also be mentioned in the newsletter.

     

    Flu Jabs– Still ongoing, contact the surgery for an appointment.

     

    Care Quality Control– The Practice has now signed up for the CQC.  April 1st is the decision date for visiting which can be anything from 2-10 days or even an unannounced visit.

     

    Website– David has had one enquiry on the website regarding the STOP sign at the entrance this has been repainted but needs another coat. Jane suggested that David contact Derbyshire County Council  Highways Department to see if they can help with providing a “CAUTION” sign

     

    Date of next Meeting: Wednesday 30th January 2013 7.30pm

    Venue: Buxton Medical Practice – ALL WELCOME

     

     

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 31st October 2012

    Present:           Adrian Brown               -           Chairman

                            Trish Bothamley            -           Secretary

    Dr A Hartley                 -           GP

    Diana Twigg                 -           Committee Member

                            Alan Masters                -           Committee Member

                            Sandra Masters            -           Committee member

                            Linda Rolland                -           Committee Member

                            Tricia Shaw                  -           Committee Member

                            Mike Gray                     -           Committee Member

                            Yvonne Booth                -           Committee Member

                           Jane McGrother            -           Committee Member

     

    Apologies: Helen Smith, Fiona Innes, David Doig

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed. 

     

    Matters Arising

    Newsletter - PDF format suggested - this still has to be done. Tom was going to ask his sister if she could help with the graphics.  Tricia to drop Tom an e-mail to remind him.

     

    E-Mail – Adrian said that nobody had used the e-mail he had set up other than Fiona.  However, one or two people had used it and it had actually attracted a lot of spam mail (offering us everything and lots of money!!!! As long as we gave out bank details!).

     

    PPG Moving Forward – Adrian will contribute as usual, Tom Miller to do narrative.  David had informed us that some money may be available however, when Adrian chased this up the money had been allocated elsewhere so this is a no go at the moment.

     

    Minutes – These were not on the website last time or this time, August was the last time they were posted on the website.  Trish to e-mail David and let him know.

     

    Disability Access – David has e-mail the PCT regarding this matter but has had no response.  The estimated cost for this work is £3000, in order to get a CQC grant the work would need to be £5000.  It was suggested that maybe if inner doors were made automatic then this figure may be reached and a grant may be possible.  Anthony to ask David to look into this.

     

    Newsletter– The next edition is due in December.  It was decided that the usual standard articles be included, article from Tom and profile on Dr Haddon.

     

    Surgery Survey- The next surgery survey is anticipated in the first half of 2013.  GP’s currently have yearly appraisals and this is currently being changed to 5 yearly and need to be revalidated producing evidence which is scrutinized. 360º feedback – representatives from all staff, comments from local hospitals, or another GP in a different practice.  All GP’s to use the same 360º feedback questionnaire.  The practice will look into both the patient survey questionnaire and the 360º feedback questionnaire being linked and done at the same time if possible if the paperwork can be produced by the same company that produce the patient survey questionnaire.

     

    Power Point– Letters are now bigger on the power point presentation.

     

    Closure of Buxton Ambulance Station- There was no new information regarding this other than what is public.  There is a leaflet from Unison in the surgery with information regarding a public meeting which is to be held at the Octagon on November 6th 2012.  Jane informed the meeting that the Borough Council had some ambulance representatives coming to speak to the committee’s next Tuesday. 

     

    A.O. B – Trish asked if the STOP sign at the gate of the surgery could be repainted as the entrance can be quite dangerous for pedestrians and the STOP sign did make drivers aware.

     

    Adrian has sent his apologies in advance for November, December & January.

     

    Date of next Meeting: Wednesday 28th November 7.30pm

    Venue: Buxton Medical Practice – ALL WELCOME

     

     

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 26th September 2012

    Present:         Adrian Brown             -           Chairman

                            Trish Bothamley        -           Secretary

                      David Doig                  -           Practice Manager

    Dr Miller                     -           GP

    Fiona Innes                -           Committee Member

                            Alan Masters             -           Committee Member

                            Sandra Masters        -           Committee member

                            Linda Rolland             -           Committee Member

                            Carl Neblett              -           Committee Member

                            Mike Gray                  -           Committee Member

                            Yvonne Booth             -           Committee Member

                           Jane McGrother         -           Committee Member

     

    Apologies: Helen Smith, Tricia Shaw, Diana Twigg

     

    The Meeting was opened at 7.30. No new members.

     

    Minutes from the previous meeting were read and agreed. 

     

    Matters Arising

     

    Adrianthanked Tricia for taking the minutes from the August meeting.

     

    The minutes from the last meeting were not on the website; David asked if we could let him know if this happens again so that he can attend to it.

     

    Disabled Access to building – still ongoing.

     

    PGP meetings - are still ongoing (feedback monthly)

     

    Power Point - Carl has amended the Power Point presentation that David forwarded to him.  Carl had printed and copy for the group to look at which looks fantastic.

     

    Newsletter – David says he has had some good comments and that the GP’s have found it useful.  The 3rd edition of the newsletter should be ready for 1st week of December.  Adrian expressed thanks to Jane for the use of the equipment.  Thanks was also conveyed to Tricia and Jane for their fantastic input.  Jane asked how the distribution of the newsletter was going.  Jane had recently visited the surgery and actually handed some out to patients as they waited for their appointments.

     

    Jane and David would like to get the newsletter in a viewable format for the website, for all to share either a word or PDF format was suggested.

     

    Adriansaid that no one had used the PPG e-mail yet.  Fiona said that she had sent an e-mail to the address.

     

    Booking Appointments – The question was raised about locums going on the online appointments booking system.  However, as this shows appointments for 8 weeks ahead may not be feasible for the locums as availability may be an issue.  At the moment the system just shows appointment available with the partners which could be misleading to patients seeking an appointment earlier with a GP as a locum is often available on the same day.  David is going to speak to Ann and see if locums could be added on a weekly basis.  David will also try and put some information on the website informing patients of the availability of the locums.

     

    Waiting Times– Dr Miller reported that there have been problems in the past with patients queuing outside, also problems with patients unable to get through on the phones to make appointments. However, he has been collecting data since 2009 and producing a spreadsheet which has shown access to be steady in regards to waiting times looking at GP’s nurses, and locums.  All GP’s have different waiting times with Dr Haddon having the longest wait.  However, things have improved significantly creating 12 extra appointments per week for Dr Haddon since he resigned from his substance misuse GPwSI Clinic.

     

    Last year Dr Miller and Dr Haddon discussed waiting times for patients in the surgery  how, and what, they expected from return appointments giving the patient the best service in the allocated appointment time. They are working on this with good results.

     

    Access to GP’s gets worse usually between October – March.  However waiting times for all GP’s have improved over the past months.

     

    Adriansaid that it would be good to share this information on the website via the newsletter.  It was also suggested that the Power Point slides be updated quarterly so that patients can see that things are improving.

     

    Jane suggested that the 30% rise in patient appointments over the winter months should be shown in the narrative in the newsletter.  Alan voiced that the good news we have should go out before the patient questionnaire as a positive factor.

     

    Patient Survey - It was discussed whether or not there was any difference to the outcome of the survey if it was conducted at a different time of the year.  David said it had been conducted in June before and that there was an improved outcome.  The government questionnaire gave us an average result, which David feels we would like to be better than average.  However, the surgery questionnaire was not even average.  Changes however are not seen for quite some time and this could reflect on the result.

     

    Patient Comments - The group is always happy to receive any comments patients would like to share with them via the envelope on the PPG notice board all comments will be discussed at PPG meetings and acted upon accordingly. Patients are encouraged to use this which is anonymous.

     

    David said he would remind reception staff at the surgery to inform patients how long they may have to wait when coming in for their appointments and/or if the GP is running late.  The group felt that this was a positive improvement and that generally patients were less likely to complain if they have an idea how long they will be waiting.  Dr Miller said that some patients arrive late for their appointments and that if this exceeded 15 minutes then they may have to make another appointment or have to wait to be seen. DNA’s are also a problem for the surgery wasting a considerable amount of valuable GP time.  However, it was understood that sometimes patients genuinely forget about an appointment for many reasons.

     

    The check-in system in the foyer should be up and running again shortly.

     

    Commissioning Progress– Jane asked where the Commissioning Progress was up to.  Dr Miller informed the group that the locality was not big enough to sustain commissioning on our own and that we had merged with the rest of North Derbyshire.  We have contracts with Stepping Hill and MacclesfieldHospitals, which is deifferent to the rest of North Derbyshire (Chesterfield Royal centric) which could be an issue if we do not keep a reign on the Commissioning process.  We are currently negotiating and talking about the constitution which is ongoing.

     

    The NHS needs to save 20 billion pounds between England and Wales.  Budget allocation will take place over the next few years.  We are currently on an historical budget but this could change to an equity budget which is a concern as the equity budgets shown so far reflect very little for rurality and often reduce the finance available for patients in this area.

     

    PPG Moving Forward– The PPG has been going for just over one year now and we need to look at where we are going.  It was decided that the Chairman, Vice Chairman and Secretary would stay the same as no one came forward when asked if they would like to take over the roles.  However, Alan very kindly offered to stand in for Adrian in November (no meeting Dec) and January and Jane kindly offered to stand in for Adrian in February whilst he is away.  Please let the group know if you wish to be considered to any of the above positions but were not at the last meeting.

     

    Adrianwill not be around for the December issue of the newsletter.  It was decided that the newsletter be ready for the beginning of November to enable Adrian to contribute, this was agreed.  Tom will do the narrative and one slide.

     

    David said that there maybe some money available for PPG’s for future project/activities as a one off.  David gave Adrian the web address and Adrian is going to look into this and feedback.  It was suggested that maybe a colour printer and another stapler would be useful.  Carl suggested a better screen for presentations would also be a good idea.

     

    AOB– Yvonne said that patients using mobile phones whilst waiting for their GP appointment was of concern and very distracting and irritating for other patients.  David said that there were posters up around the surgery asking patients to turn off their mobile phones.  However, he did not feel that he should ask his reception staff to approach patients about using their phones which is understandable.

     

     

    Date of next Meeting: Wednesday 31st October 7.30pm

    Venue: Buxton Medical Practice – ALL WELCOME

     

     

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    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 29th August 2012

    Present:         Adrian Brown              -           Chairman

                            David Doig                  -           Practice Manager

    Dr Haddon                   -           GP

                            Alan Masters               -           Committee Member

                            Sandra Masters          -           Committee member

                            Tricia Shaw                 -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Mike Gray                    -           Committee Member

                            Diana Twigg                -           Committee Member

                           Jane McGrother           -           Committee Member

     

    Apologies: Helen Smith,Linda Rolland, Fiona Innes, Trish Bothamley

     

    The Meeting was opened at 7.30. No new members.

     

    The last meeting minutes were read and agreed.

     

    Matters Arising

     

    Adrian thanked Trish, in her absence, for once again giving accurate record of July’s meeting in the minutes, and raised a few points from those minutes

     

    The lack of disabled access to the surgery was raised in July, and David gave an update regarding addressing this. 1 quote was received within the timescale of 17th August, and submitted to the PCT. 2 further quotes have since been received, range between £4-7K. He now awaits the PCT instructions / authorization.

    Jane commented that if this is declined she felt it was an issue the PPG should lobby for, which was agreed, and welcomed by David.

     

    An update regarding the weekly Productive General Practice meetings was requested. David advised that due to the summer holidays they had not yet commenced, but are due to start shortly.

     

    Carl’s review of the Practice PowerPoint presentation is an ongoing activity – the goal is to get to a version that is legible for patients sitting on chairs in the surgery. Tricia is available to help on this, but waiting for the conclusions of Carl’s initial review.

     

     

    2nd Edition of the Newsletter

    The second edition was circulated, it is in the final stages of completion and review, and may go to print as early as week commencing 3rd September.

    Thanks to Alan, Sandra, Diana and Adrian who all offered to help Jane in the production exercise. 1000 copies again the target number. Thanks also to David who formally handed over the new electronic stapler to ease the collation task.

    Adrian thanked Tricia, David and Jane who have worked on writing of this version (himself also!)

     

    Distribution of the first edition was from the surgery and copies were given to pharmacies, although none of the PPG members had seen the newsletter at a pharmacy.

    For this second edition David plans to place the onus for distribution back on the practice, with reception pro-actively handing them out. This does limit the circulation to people who physically attend the surgery.

    Question/ afterthought – how many emails addresses do we have, is this an option for electronic circulation?

    Adrian’s enquiries concluded that plans to distribute via the University are not viable.

     

    Back copies were mentioned, and David and Jane will investigate how to get every issue in a viewable format available on the web site.

     

    Jane mentioned that the PPG photo has been used twice now, and maybe we should look to a different approach for the next edition. Maybe a new format for the front page?

     

     

    On-line appointments - Locums

    Mike raised an issue with regard to on-line appointment booking. Currently the locum doctors are not included in the on-line appointments. This means that incorrect information about the first available appointment is being given via on-line requests. For example, the first next available doctor’s appointment may show as a week or two out, but a locum is available to see a patient the next day.

    David was aware of this, and will check to see if it is possible to add Locums as a generic term, e.g. Locum 1, Locum 2…..

     

    AOB

    Patient Survey

    Adrian raised the question as to whether there would be another survey this year. David replied, yes, in December.

    Tricia asked how improvements following the last survey issues are being measured.

    Four main areas of dissatisfaction were:

    -          The date and time of the appointment offered

    -          Seeing a GP or Nurse in less than 24 hours

    -          Seeing your own GP, or a GP of your choice

    -          Waiting times

    David advised that Tom Miller does keep and monitor the surgery statistics on a weekly basis, so they should be able to see how these issues were at the time of the last survey, and what changes have occurred.

    Carl, Mike and Alan all suggested that the good news about the positive improvements should be broadcast, and everyone agreed.

    The PPT presentation and the newsletter should both carry this information. It was hoped this could be collated and publicized before the next survey takes place to ensure folks know the positive changes that have happened, and we can influence perceptions.

    David will report back to the PPG.

     

    Alan commented that he felt reception at the surgery has improved no-end, easier to talk to, and get information from. PPG felt this should be conveyed to reception. Maybe feature in next newsletter as positive improvements / day in the life?

     

    Carl suggested that another option would be for the PPG to run some mini surveys on a more regular than annual basis to bring out comments.

     

    PPG

    Adrian concluded by saying that the PPG has been up and running for a year now. David offered thanks to all the PPG for what has been achieved to date including:

    -          The survey

    -          The newsletter

    -          Screen display of PPT in surgery (completed by David but suggested by PPG)

    -          Notice boards

    It was felt that the PPG should review its thoughts on the current status, and in time for the next meeting come up with ideas and discussion points as to what the PPG could focus on as we move forward.

     

     

    Date of the next meeting Wednesday 26th September 7.30pm

    Venue: Buxton Medical Practice – EVERYONE WELCOME.

     

    David mentioned that he will not be present, and the surgery may not be open, much earlier than 7.30 due to personal commitments

     

    MEETING OF THE PATIENT PARTICIPATION GROUP

    HELD AT BUXTON MEDICAL PRACTICE

    WEDNESDAY 27th June 2012

    Present:         Adrian Brown              -           Chairman

                            Trish Bothamley          -           Secretary

                            David Doig                  -           Practice Manager

    Dr Phillips                    -           GP

                            Fiona Innes                 -           Committee Member

                            Jane McGrowther        -           Committee Member

                            Tricia Shaw                 -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Mike Gray                    -           Committee Member

                            Diana Twigg                -           Committee Member

     

    Apologies: Helen Smith, Yvonne Booth

     

    The Meeting was opened at 7.30.  Members introduced themselves

     

    The last meeting minutes were read and agreed.

     

    Matters Arising

     

    Alan attended the Productive General Practice Meeting on Wednesday 20th June representing the PPG however; Alan was not at our meeting to share his experience.

     

    Adrian has created an e-mail address which will be included in the newsletter and the website to enable patients to contact us ppgbuxton@yahoo.co.

     

    David informed us that he had provided all pharmacies with newsletters to enable them to be handed out with patient prescriptions

     

    Newsletter

     

    David thanked the group and specifically the members involved with the production of the 1st newsletter if appears to have been very successful.  The PPG would also like to convey thanks to the local Labour Party for their assistance in the printing of the newsletter which they have provided for us free of charge, this is greatly appreciated.

     

    Jane shared with the group that slight cosmetic changes will be made to the look of the next newsletter some of the red lines will be removed and maybe a coloured border would be added.

     

     

     

    It is envisaged that the next production of the newsletter will be in September and proposal for the contents are as follows:

     

    ·         Welcome

    ·         Piece from the PPG

    ·         Flu Vaccine

    ·         Practice Information ( opening times etc)

    ·         Practice Survey

    ·         Productive General Practice

    ·         Nurse Triage/how to register to access online appointment/repeat prescriptions

    ·         A day in the life of the practice

     

    Could the group have articles ready for review at the next PPG meeting please (see below) to enable the sub group to get the next edition ready for print.

     

    ·         Welcome – Tricia

    ·         PPG – Adrian

    ·         Survey/PGP – David & Alan

    ·         Profile – Dr C Doig

    ·         Article follow up – Adrian

    ·         Nurse Triage – David

    ·         Scripts/online appointments – Tricia

    ·         A Day in the life of – David

     

    Fiona offered her services for stapling the next newsletter.  David will look into purchasing an electronic stapler.

     

    David informed the group that the practice have approximately 10% of patient e-mail addresses.

     

    Patient Survey

     

    Procedures are being put in place to address concerns highlighted in the recent patient survey.  Patients were unhappy with not being able to get an appointment with their own GP on a day or date that suited them.  David advised the group that the surgery had recently lost their Locum GP which had an impact on patient appointments.  It was envisaged that the locum would be replaced by a nurse practitioner in the near future.  This would be more financially beneficial and of great benefit to the practice and patients as they would be able to see patients with minor medical issues thus freeing up GP for patient with more urgent problems.

     

    Dr Haddon has recently resigned from working with the substance abuse team this will enable him to have more appointments available for his patient’s which will be a positive move for the practice.

    Waiting times was another issue and this is being addressed.  Patients have 10 minute slots which include getting into the surgery the consultation and the prescribing. The GP also has to familiarise themselves with the patient history if it is not one of their patients.  However, when a patient attends with more than one problem in a 10 minute slot and the GP feels that it is a problem that needs to be dealt with then the appointment is longer and this has a knock on effect as the session appointment session progresses.  Patients are advised to have 2 appointments if they have more than one problem that needs addressing. GP’s are currently building in catch up slots into their sessions.

     

    AOB

     

    Productive General Practice

     

    Alan attended this meeting at the surgery on Wednesday 20th June as a representative for the PPG.  As Alan was not at our recent meeting David explained a little about what the group is about. It is evident that Buxton Medical Practice wants to give its patients the best care in all areas and are striving to do this.

     

    David informed us that several staff members had volunteered themselves to be members of the group.

     

    Modules include:

     

    ·         Knowing how we are doing/collecting information

    ·         Involving patients in the improvement

    ·         Planning and scheduling

    ·         Back Office  - scanning in information letters, results etc meeting deadlines

    ·         Front of House – reception/waiting room

    ·         Consultation – Finding appropriate ways to get patients seen in the given time

    ·         Prescriptions – processing

    ·         Referrals –referring on to secondary care/appropriate service

    ·         How we do things/how patients think we do things

    ·         Improving today’s practice and looking at doing things better

     

    Meetings will be held regularly and David asked for a volunteer to be present at each of these.  It was decided David would let us know when the meetings would be and the 1st person to respond to him could be present at the meeting this would give everyone a chance to attend at some time in the future.

     

    Information will be collected and David will chart it. It will be reviewed as a group.  The aim of the practice is to provide solutions.

     

    Date of the next meeting Wednesday 27th July 7.30pm

    Venue: Buxton Medical Practice – EVERYONE WELCOME.

     

    WEDNESDAY 30th May 2012

    Present:         Adrian Brown              -           Chairman

                            Trish Bothamley          -           Secretary

                            David Doig                  -           Practice Manager

    Charlotte Doig            -           GP

                            Alan Masters               -           Committee Member

                            Sandra Masters          -           Committee Member

                            Linda Rolland              -           Committee Member

                            Fiona Innes                 -           Committee Member

                            Jane McGrowther        -           Committee Member

                            Tricia Shaw                 -           Committee Member

                            Carl Neblett                 -           Committee Member

                            Mike Gray                    -           Committee Member

     

    Apologies: Helen Smith, Judith Slack, Yvonne Booth

     

    The Meeting was opened at 7.30.  Members introduced themselves and welcomed a new member to the group Mike Gray, who hopefully, following his 1st attendance would like to join us.  The rules were read.

     

    David informed the group that Valerie Pearce has resigned from the group. 

     

    The last meeting minutes were read and agreed.

     

    Matters Arising

     

    Newsletter - Alan’s suggestion for attaching the newsletter to repeat prescriptions was being looked into by David, it was suggested that it maybe easier to leave some newsletters at the pharmacy to be handed out.

     

    Care Quality Commission– GP surgeries need to register this year.  David will keep the group updated regarding the CQC but to date had nothing to report.

     

    Newsletter– Adrian ran through the draft newsletter that the sub group had put together.  One or two things need to be tweaked and shortened, this would be addressed shortly. It was agreed that the newsletter would be called “PATIENT MATTERS”.  IT was agreed that 1000 newsletters be printed this would in the long term save on costs as Jane explained about the cost of the master copy being the most expensive.  However, Jane was going to see if she could get this done at as little cost to us as possible.  The newsletter and minutes can be viewed on the surgery website.

     

    David is going to contact SMC to see how they distribute their newsletters and how many they print.

     

    CPR was the chosen topic for the first issue which was extremely informative.  David is to contact St John’s Ambulance to see if they could come to one of our meetings to carry out a demonstration for the group and any patient’s that would like to come along and learn this skill.

     

    E-mail– Adrian asked David which e-mail would be used on the newsletter. It needs to be separate from the surgery e-mail.  It was suggested that a separate hotmail e-mail be set up for this, Adrian kindly offered to set this up.  This will enable patients to contact us via this email. People who do not have the use of a computer can ring the surgery with enquiries about the newsletter/group and David will pass any queries on to Trish who has offered to deal with them.  A tear off section is enclosed on the newsletter with this information on to enable people with a query to either e-mail, phone, write or call in the surgery and leave their completed slips in a plastic envelope attached to the notice board. The slips would be dealt with by the PPG and not surgery staff.

     

    Leaflets– It was discussed that leaflets to accompany the main topic in the newsletter would be a good idea and maybe put on the notice board in the surgery.

     

    Notice board– The notice boards needs updating and brightening up to enable patient’s to notice them and hopefully read what is on them.  Linda shared some good ideas with the group and this is going to be looked at.  The subcommittee will get together to discuss the finalising of the newsletter and posters for the notice boards.  Tricia was keen to get the rolling display set up as soon as possible with a power point presentation, the group agreed.  It was felt that patient’s do tend to look at these rolling screens.

     

    PPG Attendance– This is a practice staff meeting which will look at ways to improve the practice.  This will be held sometime in June.  David asked if a member of the PPG would like to attend Trish & Alan volunteered however, Trish is happy to let Alan attend if only 1 person is required.  David will get back to us about this.

     

    AOB– Adrian informed the group that Helen Smith (deputy vice chairperson) has resigned due to ill health and that a replacement is needed.  Would anyone like to volunteer? Adrian also informed us that he will be unavailable to chair the meetings in January/February next year.

     

    Date of Next: Wednesday 27th June 7.30pm at Buxton Medical Practice

     

    Everyone Welcome

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