The consensus view appeared to concur with the view expressed by the Cape Cornwall Surgery Patient Group that none of the 5 options were acceptable.

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Francine Joseph
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Meeting: Patient Participation Group Meeting Date: 02 April 2014 Agenda: 1. Apologies. 2. Minutes of Last Meeting matters arising. 3 Cape Cornwall Surgery Practice Questionnaire 4.

1 Meeting: Patient Participation Group Meeting Date: 02 April 2014 Agenda: 1. Apologies. 2. Minutes of Last Meeting matters arising. 3 Cape Cornwall Surgery Practice Questionnaire 4. The Poltair consultation Process. 5. Practice News: Dr Carruthers. Penwith Pioneer Project. On Line Bookable Appointments West Cornwall Urgent Care Centre. 8. Patient Group being more pro-active. 9. Douglas Woolcock Community Project. 10. Any Other Business. Present: Ian Cary, Elisabeth Thomas, Marna Blundy, Peter Puddiphatt, John Rudge, Clive Apsey, Neil Foss. Apologies: Barbara Lugg, Roy Lee, Chris Goninan. 1. Minutes: The minutes from the previous meeting were agreed. Mrs Thomas welcomed Mr Foss to the Group as a new member. 2. Matters arising Poltair Consultation process Mrs Blundy and Mr Foss had attended one of the workshops that had recently been held to discuss the Poltair Consultation Process options and public feedback. Mrs Blundy gave the group the following feedback: The workshop had intended to discuss the results of the consultation feedback from the public in the morning and then in the afternoon to discuss the 5 options. At the morning session KCCG had intended to focus on the feedback from the survey alone, but the attendees insisted that the scope was broadened to consider all forms of response; this then included written responses and a petition that had 6000 signatures. Mr Foss commented that he felt that the survey was worded in such a way as to make it appear that the 5 options were the only options that were available and that one had to be chosen; when in fact this was not the case. The consensus view appeared to concur with the view expressed by the Cape Cornwall Surgery Patient Group that none of the 5 options were acceptable. In the afternoon KCCG were flexible in that they agreed to not limit the workshop to just discussing the 5 options as planned, they agreed to focus also on discussing the other options. Mrs Blundy was impressed that KCCG appeared to be open and flexible in their management of the consultation process and were prepared to genuinely listen the public

2 debate and desires. The point was made however that in the final analysis affordability would undoubtedly be the deciding factor. The solution that had been put forward by the Cape Cornwall Surgery Patient Group in their letter of response, being to build a new unit at St Clare, was discussed. This potentially could happen subject to funding being available and there being the space available; there is now a new proposal for three of the GP Practices in Penzance to locate to a new build at the St Clare Site. The St Clare site is currently owned by the County Council and they will probably expect market value should they sell the site; again affordability may well be an issue for the NHS if they wish to purchase and build on the site. The consultation process is due to announce a decision in late April 2014 or early May Mrs Thomas thanked Mrs Blundy for her comprehensive feedback to the group. 3. Cape Cornwall Surgery Practice Questionnaire All of the members of the Cape Cornwall Surgery Patient participation Group had been sent a copy of the Practice Questionnaire and the Practice Manager had prepared a report that was to be put along with the results of the questionnaire on the practice website. Mr Cary explained to the group that the questionnaire that was produced by CFEP was benchmarking Cape Cornwall Surgery against a large sample of GP Practices across the country that had patient populations of a similar number; thus the output was comparing /like with like in terms of practice size. Key headlines were: 95% of all patients ratings about the practice were good, very good or excellent; this is an improvement on the previous survey when the percentage score was 94%. The overall mean average score for the 28 questions asked, when benchmarked nationally, was 81%; this is an improvement on the survey results for which reported an overall mean average score of 78%. Cape Cornwall Surgery s mean score when benchmarked nationally against other GP Practices of a similar list size fell within the upper quartile for means scores for all surveyed questions. For all 28 of the 28 questions asked Cape Cornwall Surgery, when compared nationally against surgeries with a similar list size, scored above the mean score of these Surgeries. The average score for the 13 questions that were about the practitioner was 86%. The group were happy that a high level of assurance could be taken from the results of the patient survey and congratulated the practice on the level of service that was being provided and the excellent feedback that had been obtained from the patients. Mr Rudge commented that he had come from a very good practice in Norfolk but felt that Cape Cornwall Surgery provided services and surroundings that were even better; he was very impressed by the high standards at Cape Cornwall Surgery. Mr Cary confirmed to the PPG that the survey had been shared with the staff and it was very pleasing for them to get such positive feedback from their patients; again the reception staff

3 had scored very high in terms of patient satisfaction. Discussion then took place regarding the areas that the survey highlighted where improvements could be considered; it was agreed that the following should be included within the annual PPG report as action plan points:: Saturday Opening had being highlighted and discussion took place regarding whether there was the demand for more frequent Saturday opening; currently clinics were not always completely booked on a Saturday. Mr Cary was asked to get the Reception staff to record each occasion they were asked about Saturday clinics by patients over the next three months and then feed this back at the next PPG meeting in July The absence of chairs in the waiting room that are higher and had arms was potentially an issue for some disabled patients. Mr Cary was asked to put a proposal to the partners to purchase two chairs that would be more suitable for disabled patients. 4. Cape Cornwall Surgery news: Dr Carruthers Mr Cary informed the PPG that Dr Carruthers would be away from work for possibly up to three months convalescing from his RTA. His absence was being covered by using our salaried Doctor and by using Locums. The PPG asked for their best wishes to be sent to Dr Carruthers Penwith Pioneer Project Mr Cary explained that this was a pilot in Penwith that was based upon a pilot project that had been undertaken in Newquay. Age Concern is working with Practices to help care for vulnerable, primarily house bound patients. Mrs Blundy asked when the aged concern worker would be starting at Cape Cornwall Surgery; Mr Cary conformed that the partners and other staff including representatives from Douglas Woolcock project had attended a presentation from Age Concern and KCCG that introduced the Penwith Pioneer Project to the Practice. Another meeting has been arranged for the 11 th April 2014 to meet age Concern staff and agree how they will work with the surgery. Mr Rudge commented that it was very important that the Age Concern Staff understood where the boundaries lay in terms of their responsibility professionally. Mr Apsey commented that there was a danger that some patients could take advantage of the Age Concern workers by making huge demands upon them. Mrs Blundy responded by commenting that she understood from a discussion that she had with Age Concern that it would not be an open ended commitment from them to any patient. Mrs Blundy informed the group that she was involved in a planned project to create a St Just/Pendeen Good Neighbours scheme and if plans came to fruition then this group of volunteers could potentially work with Age Concern. Funding was available to pump prime the St Just/Pendeen Good Neighbours scheme. Online Booking of Appointments Mr Cary informed the PPG that this facility was now available via the Practice Website and initially a limited number of appointments were being made available. West Cornwall Hospital Urgent Care Centre (Guru) Mr Cary explained to

4 the PPG that all Practices in West Penwith had been asked to sign an Information Sharing Protocol that allowed software called GURU to be used to access patient medical records remotely from West Cornwall Hospital Urgent Care Centre and by Serco. The benefits of this were that doctors working in the Urgent Care Centre or Serco would have the full medical history of the patient. Mrs Thomas asked why this was needed when the Summary Care Record was now available; Mr Cary explained that this was not the same as the Summary Care Record and was a local pilot. Issues were discussed around patient consent and confidentiality. Mr Cary informed that group that Cape Cornwall Surgery Partners had discussed the Information Sharing Protocol for the use of GURU and were currently not prepared to sign it without assurances regarding to controls in place to protect patient confidentiality. The Practice Manager was seeking these assurances. The PPG as a group could see the benefit of GURU, but agreed with the stance that Cape Cornwall Surgery were taking in seeking the necessary assurances before signing up to the project. 5. Patient Group being more proactive. This had been put on the agenda by Mr Goninan who was unable to attend the meeting. The group had a discussion on how they might be more proactive and it was agreed that ideas needed to be explored in more detail; it would be useful to understand how other PPG worked. The Stennack was mentioned as a PPG that produced a newsletter. Mrs Thomas commented that she had been Chairperson for the Group for three years, since its inception, and she was happy to step down from this role if another member wished to replace her. Mr Rudge referred the meeting to the PPG paper that had been produced by the Care Quality Commission; Mr Cary agreed to resend this document to all members so that we could discuss it at the next meeting. Mr Cary commented that the group may wish to look at the national Patient Participation Group Website for ideas. The group agreed that this debate should be put on the next meeting as an agenda item for further discussion. 6. Douglas Woolcock Community Project (Mrs Thomas) Mrs Thomas provided the meeting with an update on how this project was progressing. In summary the bus was proving to be a very much valued and used resource to the local community. Operational costs were being comfortably managed and the support from volunteer drivers, (now 14 volunteers) was excellent. Benoni Nursing Home patients use the bus on a Friday Afternoon and it was hoped that the Penwith Pioneer Project would also be able to use the bus. 7. Any other business: Mr Rudge asked about Mounts Bay Medical Ltd (MBM), he wanted to know what the company did and how it had been formed. Mr Cary explained that MBM was the an idea that had come from Dr Ellery over three years ago as a way for the practice to work with other GP Practices so that together they could protect their income and thus enable them to remain independent. MBM could potentially look to provide more NHS services and undertake Clinical Research. The concern for Dr Ellery is that Cape Cornwall Surgery is a small practice and with the

5 inevitable cuts in NHS funding the practice, in his opinion, will in the future struggle financially to remain as an independent practice unless other income streams can be identified and earned. Members of MBM are currently: Cape Cornwall Surgery. Marazion Surgery. Morrab Surgery. Penalverne Surgery. Praze and Beeble Surgery. Mrs Blundy asked if dates for the next PPG meeting could be set in advance and the date for the next meeting was agreed as Wednesday 16 th July Actions: Mr Cary was asked to get the Reception staff to record each occasion they were asked about Saturday clinics by patients over the next three months and then feed this back at the next PPG meeting in July The absence of chairs in the waiting room that are higher and had arms was potentially an issue for some disabled patients. Mr Cary was asked to put a proposal to the partners to purchase to chairs that were more suitable for disabled patients. Mr Cary agreed to resend the Care Quality Commission document on working with PPG to all members so that we could discuss it at the next meeting.

SILSDEN GROUP PRACTICE PATIENT PARTICIPATION REPORT

SILSDEN GROUP PRACTICE PATIENT PARTICIPATION REPORT 2013-2014 Dated 19 th March 2014 Page 1 of 6 Introduction Our Patient Participation Group (PPG) started back in May 2007 and at that time was called