Patient Reference Group
10 May 2016
Room BG.01, Woolwich Centre, Ground floor.
PRESENT:
Name / Job Title / OrganisationDr Greg Ussher (GU)(Chair) / CCG GB Lay Member / CEO, Metro
Dr Sylvia Nyame (SN) / GP Governing Body Member / Greenwich CCG
Leceia Gordon-Mckenzie (LG-M) / Chair / Healthwatch, Greenwich
Angela Burr (AB) / PRG Member / Local Resident
Paul Richardson (PR) / PRG Member / Plumstead HC
Patricia Kanneh-Fitzgerald (PK-F) / Stakeholder Engagement Officer / Greenwich CCG
Carol Berry (CB) / Compliance Manager / Greenwich CCG
Eileen Smith (ES) / PRG / Vanbrugh Practice
Gilles Cabon (GC) / Chief Executive Officer / Greenwich Inclusion Project (GRIP).
Diane Jones / Director of Integrated Governance / NHS Greenwich CCG
APOLOGIES:
Diane Jones (DJ) Director of Integrated Governance Greenwich CCG
Shirley Gibbs (SG) Patient User Group QEH
Froilan Legaspi (FL) Citizens UK
1. Welcome and Introduction
Dr Greg Ussher welcomed everyone
2. Conflict of Interest
· No conflict of interest was declared.
3. Minutes of previous meeting
It was agreed that the minutes from the last meeting was accurate.
4. Action Log
The action Log was reviewed by the group as follows:
Action 1. DJ to speak to JP and JM regarding the procurement process – deferred.
Action 2. Advise on an engagement plan for the PMS Review (JM)– Deferred
Action 9. CB to email CG and GU to co-ordinate and liaise an event to look at the group’s objectives – Completed
Action 10. PK-F to co-ordinate sub-group to come up with scope of the PRG summit – Completed
Action 12. PRG to make decision on assurance at next PRG. Completed
Discussion around action 2
· PR commented on GPs Saturday opening – a document was to go out in on 1 April 16 but that has not been done.
·
5. Terms of Reference
GU asked individuals of the group to look at the document and make suggestions or comments: The following was highlighted;
· CM commented on page 2, point f – Is the group role to approve or make recommendations to the CCG?
· Point 9, bullet point 7 should be PPG. CM commented that we should think about the composition of the group so that it can be broadly inclusive.
· PR commented that if the PRG reports to the Quality Committee (QM), the groups should receive comment / feedback from QM.
· Point 5 and 14 – distribution of papers should have the same time scale.
· AB is worried about the representation if the syndicates are responsible for appointment.
· PR feels that we should adopt Southwark CCG’s TOR as it is much clearer and easy to understand.
· Point 3 – Areas of Focus - bullet points 2&3 are very important. It was suggested that we add: Support in developing the PPGs.
· Point 2.g – LG-M would like to know the type of report that is required, the time line and the specifics. – GU assured that an agenda will be drawn up on time to give people sufficient time for reporting.
· Point 2.k-o – GC commented that this is a huge responsibility on the group and concerned that the group do not have the capacity to carry these out. He feels that it should be a responsibility to have oversight.
· Group Membership – GC pointed out that GAVS are a generalist organisations and do not feel that they should be members as there are other health promotions organisations we could recruit as members. We could use GAVS resources to widen our membership.
· AB feels that the group should not be bureaucratic as it should be led by patients
· CB assured that group that the CCG does it’s best to recruit the seldom heard group but unfortunately
· GU suggested that there should be a process by which the group determines membership.
· PR – we need to reassess the composition and purpose of the group
· CM – want to know if the PRG is an advisory and what level of power does the group has.
· GU assured the group that it is an advisory group.
· PR suggested that the group’s minutes should be feeding back to the Governing Body and the Quality Committee. GU suggested that SN and DJ should take responsibility of this.
· GG raised concerns that there should be mechanisms in place so that the CCG cannot use the group to push forward proposals without thorough engagement or consultation.
Action:
All members to send comments to PK-F. An updated draft will be ready for the next meeting.
6. Update on Equality
CB updated the group on Equality Delivery System (EDS). CB and GG has organised an Equality and Diversity workshop taking place on 24 May 2016. CB and GG are meeting on 11 May to discuss the work the CCG has done around EDS. Greenwich Equalities Organisation Forum (GEOF) will carry out an independent evaluation.
7. QIPP Update -Engagement
PK-F updated the group on engagement on the Over the Counter (OTC) QIPP proposal
Ø On 12 April 2016, our Medicines Management (MM) team presented the Over the Counter (OTC) proposal to the Patient Reference Group (PRG). The PRG is charged with providing patient input into delivering the CCGs engagement strategy.
Ø On 18 April 2016, a narrative of the proposal and patient leaflet were sent to Greenwich Voluntary Services (GAVS) to circulate to local charitable organisations. This was followed by a telephone conversation with the Director of GAVS.
Ø On 18 April 2016 materials were also sent to Greenwich Diabetes Group for comments and feedback. The group meets on a bi-monthly basis and we will receive comments and feedback following their next meeting on 11 May 2016.
Ø On 26 April 2016, MM team presented the OTC proposal to a Patient Participation Group (PPG) at Plumstead Health Centre. This was attended by 6 members of the group who raised a few concerns about the impact that this proposal will have on certain communities in the borough. The team assured the group that there will be safeguards in place to mitigate some of their concerns.
Ø We have also contacted 15 PPGs to circulate the patient leaflet and the narrative of the proposal to their members.
Ø On 29 April 2016, Medicines Management team presented the OTC proposal to the Greenwich Pensioners Forum. Over 50 pensioners were present at this meeting. Again, the group’s main concern was centred on the impact the proposal could have on lower-income communities.
Ø We have sent the narrative and patient leaflet to Greenwich Mums to circulate to its members.
Discussions
· CM suggested that consultation and engagement around the QIPP programmes should be done properly.
· AB is concerned that patient will feel alienated if they cannot have face to face contact with their GP
· CM wanted to know if there is a process in place to measure the success or failure of the scheme. Is there a process for patient to complain and is there a time line for this.
· SN assured that Medicines Management has a system in place to evaluate the scheme.
· SN assured the group that if there is clinical need the GP have to prescribe.
· SN assured the group that OTC has not been implemented and comments will be taking on board before implementation.
· GG commented that the EIA of the OTC presented at the last meeting did not address the level of impact the proposal will have on local people.
· LG-M informed the group that she has attended some local care network meetings and the consensus is that people are worried about the proposal and she advised that there need to be communication around this.
· The group felt that they need to be aware of when the CCG should Inform, Engage or Consult members of the public.
· PR would like an update on the Urgent Centre Centres
8. PRG summit planning
A tasks and finish group has been formed to work on the agenda for the Summit. The membership is made up of the following members:
Angela Burr, Representative from Health watch, Giles Garbon, Patricia K-F and the event facilitator from Picker Institute.
Discussions
The following was discussed;
· Members advised that we should ensure we have a good participation from the PPGs.
· To develop a standard TOR for the PPGs
· LG-M advised that we contact a national patient interest group to get ideas on how we strengthen our PPGs
· To get GPs commitment to support their PPG
· Invite syndicate leads to the summit
· The CCG to invest more in PPGs to ensure they are working better.
9. AOB
Health Promotion – PK-F, GG and CM to meet to promote this.
Dates of future meetings:
12/07/2016
09/08/2016
06/09/2016
11/10/2016
08/11/2016
06/12/2016
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