Queen Street Surgery

Patient Participation Group

Minutes of PPG Meeting held on Thursday 19thNovember 2015

The meeting started at 5:15pm; Chaired by Grant Osborne.

Present:

Grant OsborneGroup Chairman/Secretary

Dave LargeMinutes Secretary

Carole LargePatient Representative

Gillian O DonnellNew Patient Representative

Julia MorrissonPatient Representative

Guest Adrian Barnes White (Wakefield Dementia Action Alliance)

Apologies:Councillor Peter Box

Sue GarrettPractice Manager

Stephen O DonnellPatient Representative

Stephen BowlesPatient Representative

Minutes of previous meeting read out and signed off

Matters Arising, Minutes secretary gave a brief report on the Middlestown open day with the Macmillan Nurses that he and Carole had attended.

Grant then introduced Adrian Barnes White from the Wakefield Dementia Action Alliance.

Adrian gave a very good talk on the structure of the Dementia alliance within network 7.

Dementia Action Alliances (DAAs); a quick summary

DAAs are for organisations – businesses, public bodies or charities - that would like to become more dementia-friendly.

  • Joining the Wakefield Dementia Action Alliance (WDAA) is FREE
  • DAAs are about action bymember organisations and communities which are committingto improve the lives of people with dementia and their carers.
  • Organisations join the WDAA by signing up to the National Dementia Declaration and submitting a short action plan.
  • The DAA is not prescriptive – organisations’ action plans reflectthe type of activity and resources of each member organisation
  • WDAA meets every two months and hears from speakers about examples of good practice (meetings are usually themed), encourages and fosters appropriate partnership working, exchanges information\updates on services.
  • Recognition - WDAA members are awarded the 'Working to become Dementia Friendly' symbol and certificate, and their action plan appears on the DAA website.
  • DAAs are part of a social movement aiming to bring about a society-wide response to dementia.
  • Alliances initially focus on general awareness-raising, campaigns like Dementia Friends, and partnership working in their specific area.
  • DAAs are recommended vehicles for developingdementia-friendly communities.

Report Wakefield Dementia Action Alliance Meeting20/10/15 at 2:00pm

Present wereAdrian Barnes-White (WDAA Co Orindator), Grant Osborne (PPG Chair Secretary), Stephen Bowles (PPG Member)

Just a few figures on what Patients suffering with Dementia felt:

  • 77% Felt Anxious
  • 67% Don't Feel Part Of The Community
  • 67% Feel Lonely
  • 44% Felt They Had Lost Friends Since Been Diagnosed

Dr Dewhirst has agreed for the surgery to join WDAA with the view for Grant Osborne to become the contact for the WDAA. Grant to liaise with Sue about filling in the membership applicationform.The view is for all the PPG members to attend a Dementia Friend Training Session and Grant go on to do the Dementia Friend Champion Training, this would then allow Grant to take Dementia Friend Training sessions for community groups, carers and staff. The PPG are working towards having a monthly pop in at the surgery for Dementia Patients and their Carers and anyone interested in promoting awareness of Dementia. This is work in progress.

The Surgery has become a Wakefield Council Safer Place which will tie in the work we wont to achieve being members of WDAA

What is the Safer Places Scheme?

The Safer Places Scheme is a voluntary scheme that aims to assist vulnerable people with learning disabilities, autism and dementia to feel safer when travelling independently.

The confidence to travel independently assists vulnerable people to maintain their independent living skills and helps with their wellbeing.

Premises that are open to the public such as shops, offices, stations and public buildings are asked to become Safer Places. Safer Places are recognised by the Safer Places logo.

Vulnerable people who are members of the Safer Places Scheme carry a Safer Places Card with their name and the details of up to three people that can be contacted in the event that support is required.

If a vulnerable person arrives feeling unwell, confused, lost, or having been a victim of crime staff within a Safer Place are asked to assist by contacting one of the people named on the back of the Safer Places Card or the emergency services and allow the vulnerable person to wait on the premises until the named person or police/ambulance arrive.

Chair / Secretary Report

  • Car parking issues, it had been observed that Novus staff was parking in such a way that it was causing problems for staff & patients Queens Street Surgery.

This situation was brought to Practise Manager Sue’s attention by Grant, Sue remarked that both she and Dr Dewhirst had complained about this in the past but no action had been taken to date.

Grant in his capacity of PPG Group Chair rang Novus and informed them that all vehicles belonging to both Novus and the Surgery should be parked fully in the marked bays, and not to obstruct other users of the Car park.

Better signage to be looked in to.

  • Grant reported that it had been mentioned in the past that we attend our own Network 7 meetings. Grant had attended this meeting and proposed that future meetings should be attended alternately by him and minutes Secretary Dave. The next meeting is at Crofton on the 14th January (Provisionally) Dave to attend.
  • Cancer Drugs Fund, in response to email sent by Grant to Yvette Cooper on this subject, a reply from Yvette Cooper included a letter from the Health Minister Jeremy Hunt. This has been deferred to our next meeting.
  • Follow up of Patient test results this matter was to be discussed by the Surgery management team at their next meeting. This has been deferred to our next meeting.
  • Comment from Patient that the seating in the waiting room was too low. This matter has been discussed by Dr Dewhirst & Sue. There will be no alterations to the seating in the waiting room if anyone requires assistance please notify reception staff.
  • Grant had produced a copy of the proposed newsletter for the practise this has been vetted by Dr Dewhirst who thought it was excellent, and asked Grant to take over responsibility for the Newsletter to be produced by Sue.
  • Grant Introduced Gillian O Donnell who had requested to join our PPG group and welcomed her on the panel.

Managers Update

  • Flu Jab uptake very slow to date.
  • Friends & Family 58 form returned majority of which are from the Nurse Practitioner Survey. All ANP survey results were very positive.
  • Young Inspectors, we were inspected in October by the young inspectors and are now awaiting the results.
  • Question from Sue, How do we involve young people in the group.

Advanced Nurse Practitioner Survey Results

Introduction

  • Throughout October 2015, Queen Street Surgery Patient Participation Group conducted a survey regarding whether the patients of the surgery were happy with their appointment with the NEWLY appointed Advanced Nurse Practitioner. Results are based on responses from patients at the end of their appointments. The PPG's objective for the survey was to provide Dr Dewhirst and Management the patients understanding of an ANP's role and if they are satisfied with the health care she undertakes.
  • 58 patients were invited to take the survey at the end of their consultation with the ANP. The results of all 9 questions are shown below, with a brief description.

Summary & ResultsOf the 58 surveys taken 22 (38%) was MALE and 36 (62%) was FEMALE.

The 58 surveys have been broken down into age categories showing how many were taken by each age bracket.

Age BracketAmount of Surveys Taken

PracticeToddler & Baby (Up to 4 yrs.) 1=-1.7% (filled in by parent)

Teens 2 = 3.4%

20’s9 = 15.5%

30’s10 = 17.24%

40’s6 = 10.34%

50’s16 = 27.58%

60’s9 = 15.51%

70’s2 = 3.44%

80’s3 = 5.28%

Questions

1. Were you given a choice of GP or ANP Appointment?

AnswersHow Many Said

Unanswered3 = 5.28%

Yes29 = 50%

No25 = 43%

Don’t Know1 = 1.72%

Depends0

Total58

2. Were you made to feel at ease by the A.N.P

AnswersHow Many Said

Unanswered0

Yes56 = 96.55%

No2 = 3.45%

Don’t Know0

Depends0

Total58

3. Did you find it easy to discuss your Problem?

AnswersHow Many Said

Unanswered0

Yes57 = 98.27%

No1 = 1.73%

Don’t Know0

Depends0

Total58

4. Did the A.N.P listen?

AnswersHow Many Said

Unanswered0

Yes58 = 100%

No0

Don’t Know0

Depends0

Total58

5. Were you given the opportunity to be involved in your consultation?

AnswersHow Many Said

Unanswered0

Yes58 = 100%

No0

Don’t Know0

Depends0

Total58

6. Did you feel you had enough time with the A.N.P.

AnswersHow Many Said

Unanswered0

Yes58 = 100%

No0

Don’t Know0

Depends0

Total58

7. Were you satisfied with the A.N.P’s Assessment?

AnswersHow Many Said

Unanswered0

Yes57 = 98.27%

No1 = 1.73%

Don’t Know0

Depends0

Total58

8. Were you aware the A.N.P can refer you to other services

AnswersHow Many Said

Unanswered1 = 1.73%

Yes51 = 87.93%

No6 = 10.34%

Don’t Know0

Depends0

Total58

9. Would you be happy to see an A.N.P again instead of a GP

AnswersHow Many Said

Unanswered2 = 3.44%

Yes53 = 91.37%

No1 = 1.73%

Don’t Know1 = 1.73%

Depends1 = 1.73%

Total58

Feedback & Comments

One comment was made on one of the surveys next to the answer of question 4. The comment read "More than the Doctor"

Out of 58 surveys only 15 patients left comments as follows:

"I was happy with all aspects of my appointment today

"Sandra listened to my concerns and I felt confident in her"

"Great asset to the practice"

"No issues with the way my consultation was conducted"

"Really nice listener and does not rush you. I felt very comfortable"

"Professional as expected, good demeanor, informative with no problem with my consultation"

"Very nice lady"

"My appointment was for a flu jab but felt happy with how my appointment was handled"

"Very happy with my consultation today"

"Excellent"

"She was lovely and so helpful"

"My daughter felt at ease and in control of her consultation"

"I felt more comfortable with Sandra, I feel like all my questions wereanswered, happy"

"I'm happy to see both the GP & ANP, lovely reception staff, very polite andhelpful"

"Made me feel really comfortable, easy to talk to, and would defiantly usethe same person again"

24% of the 58 patients left a comment as well as answering the questions were as 76% of the remaining patients left no comment and just answered the questions. The survey clearly shows that 99% of the 58 patients are happy with the ANP and the way she conducts herself, the consultation and the way she deals with the patient.

Recommendations for Consideration from Survey

  • Target the work and role of the ANP among the following age groups -Teens, 60's and 70's
  • Possibly Implement a Nurse Triage Appointment System to see whethera Dr's appointment IS required or if the ANP can see the patient instead, freeing up Dr's appointments for more serious concerns.
  • Full Time ANP available instead of Part Time
  • To offer either a ANP or GP Appointment at every patients appointmentrequest whether by phone or in person

PPG Xmas Night Out

Thursday 10th December, At Palm Court Restaurant Whitwood.

A.O.B

Question raised the appointment cards given out by reception do not have enough detail on them IE Practice details and contact numbers.

Meeting Closed at 6:35pm

Next Meeting: - Thursday 7thJanuary 2016 at 5:15pm