Notes of the Patient Reference Group held on Thursday 7 June 2018 At Suite 3, Stanton Training & Conference Centre, Huntingdon Present : In attendance: Roy Stafford, Hunts Patient Forum Ron Hodson, East Cambs Patient Forum Keith Stonell, Cambridge Area Patient Group David Parkes, Greater Peterborough Patient Forum Jill Tuck, East Cambs Patient Forum Gordon Lacey, Healthwatch Peterborough & Cambridge Sandy Ferrelly, Hunts Patient Forum Brian Witham, Greater Peterborough Patient Forum Ann Green, Wisbech David Bowers, Hunts Patient Forum Rebecca Stephens, Chair Susan Last, Head of Communications and Public Engagement Jessica Bawden, Director of Corporate Affairs Dr Gary Howsam, CCG Chair Helen McPherson, Communications Manager Delyth Yates, Head of Community Contracts Mary Hennells, Executive Assistant 1. Welcome and introduction of Chair Rebecca Stephens, the Chair welcomed everyone to the meeting. 2. Apologies for Absence Apologies from Howard Sherriff, Martin Lewis, Frances Dewhurst and Saira Law. 3. Declarations of Interest There were no declarations of interest in relation to the agenda. 4. Minutes and Matters arising from Previous Meeting held on 03 May 2018 Dr Gary Howsam confirmed an amendment that needed to be made to Item 6 Paragraph 2: Over-activity in primary care should read over-activity in acute sector. The minutes of the meeting on 3 May 2018 were approved as an accurate record of the meeting. Update from Dr Gary Howsam and Rebecca Stephens Rebecca Stephens and Dr Gary Howsam informed the Group that Jan Thomas, who attended the meeting on 3 May 2018 May had now been formally recruited to the role of Accountable Officer for the CCG. Dr Gary Howsam confirmed that initially this role was to be a dual role of Accountable Officer for the Sustainability and Transformation Partnership (STP) and Cambridgeshire & Peterborough CCG Page 1 of 6
(CCG), however, these had now been separated when it became apparent during the interview process that the amount of work within the CCG was too great for a dual split and it needed someone who would be afforded the time and capacity to focus 100% on the role. This was noted to be a reflection of the work required and not of the candidates. An STP decision was still awaited with regards to their recruitment of an Accountable Officer. Dr Gary Howsam also provided the Group with an update about a media story, which had been published on the morning of the meeting (7 June 2018) in the Health Service Journal. The story highlighted the facts within the report and included the PricewaterhouseCoopers recommendations. There was a discussion regarding whether this CCG was the only CCG in this situation and it was confirmed that this was currently unknown. It was highlighted that this CCG had a unique set of problems with finances, as well as, the Acute sector. It was agreed that the CCG would continue to put patients first. Rebecca Stephens confirmed that the Governing Body had accepted the PWC Report and it was felt that Jan Thomas was a positive force for the organisation and system. Jessica Bawden confirmed that the CCG would be happy to circulate the redacted Report and also bring the Improvement & Delivery Plan to a future meeting once this had been finalised. ACTION: Jessica Bawden. Dr Howsam agreed that the main focus for the whole of the CCG was in delivery of the Improvement & Delivery Plan. Accountable Officer Interview Panel Keith Stonell thanked the CCG for asking for patient representatives on the interview panels for the Accountable Officer role. It was agreed that this was appreciated by the Group. Jessica Bawden confirmed that there were a few roles coming up for recruitment that may also benefit from panel membership of patient representatives and she would keep the Group informed of these if this was thought appropriate. 5. Action List The PRG members reviewed that action list, which was appended to the minutes. 6. Speaker: Delyth Yates, Head of Community Contracts, CCG: Specsavers Rebecca Stephens welcomed Delyth Yates to the meeting. She had been asked to attend the Group to provide an update and background on the Specsavers Community Contract. This related to the audiology services in Cambridge. In 2016/17 demand for audiology services was noted to be increasing due to demographics and an aging of population. This was managed alongside Specsavers within the financial envelope that was available. During this time there was also a change of management within Specsavers and changes in internal processes which unfortunately increased the waiting times for initial assessment Page 2 of 6
Delyth Yates informed the Group that within the last 3-4 months, there had been an increase in the financial envelope as a reflection of the demand in services and as a consequence Specsavers had also been able to provide additional clinics across Cambridgeshire. This had a positive effect on the reduction of waiting times. She did note that in a couple of areas across the system they were still waiting for the recruitment of additional audiologists and therefore those areas would not see a reduction in their waiting list times until July 2018. Ron Hodson queried whether this meant that there would be a restoration in the service at Doddington. Delyth Yates confirmed that this previous service had been commissioned by Addenbrooke s Hospital rather than the CCG and that this had ended approximately in Oct 2016. Ron Hodson commented that there was difference in quality of service between that being previously being provided at Doddington Hospital to that available on the High Street. She agreed that this should not be the case and encouraged him to complain directly to the provider as this would then be reported through contracts and comes through to the Patient Experience Teams and Patient Advice and Liaison Services analysis in trends and themes of the issues raised can be recorded. She also agreed that she could raise this issue with Specsavers management directly should he want to pass the details to her to do this. Delyth Yates also met with Specsavers recently and discussed the Patient Information Leaflet. Once she had received this it was agreed that Sandie Smith would review it to see what should be amended in order to support patients. The Group agreed that this should include information regarding the follow up process eg how often patients should expect to go for follow ups etc. This would help to inform patients of their rights but also manage expectations of the service. ACTION: Delyth Yates and Sue Last. Delyth Yates reported positive steps being made by Specsavers in new collaborative working with Cambridgeshire Hearing Help, a charity for people with hearing loss. There had been a recent workshop held regarding continuing collaborative working. Cambridgeshire Hearing Help had conducted a mystery shopper test. Delyth agreed that she would circulate the results of this. ACTION: Delyth Yates. Delyth Yates also confirmed that there was a STP workstream for Ear, Nose and Throat services, which was due to review audiology services countywide and would be looking to provide an equitable service across the system. She confirmed she would keep the PRG updated with regards to any news regarding this. 7. Speaker: Helen McPherson, Communications Manager, CCG: Website Rebecca Stephens welcomed Helen McPherson to the Group who attended the meeting in order to discuss the CCG Website. In 2017 the CCG updated its website, as the previous website was hard to use with multiple facing websites (public, staff, clinical, policies etc) with duplicated or out of date information. The new updated website was now all the same place under the same URL. Helen explained that the website hopefully provided a better user experience with a Page 3 of 6
better search function. She explained that there were 3 sections of the same website 1) Public facing website, which included news, Governing Body information, health services and ways to look after your own health 2) Staff section of the website, personal log in details, staff newsletters and addresses 3) Health Professionals section for GPs, clinicians, practice staff with guidelines, policies, procedures and pathway information The Communications and Engagement Team were running an audit of the website and making daily changes that were needed. She requested help from the PRG members on providing some feedback regarding the functionality of the website, the language, the layout and also with regards to the feedback form. A couple of the members of the PRG were able to provide some useful feedback within the meeting itself concerning some links which did not work and there was also some discussion regarding device and mobile functionality. They commented that the functionality and navigation was better especially with regards to the search function. There was also a conversation regarding a page concerning the PRG and an investigation would be conducted regarding the possible publication of PRG and local sub group minutes. ACTION: Sue Last. Helen provided her contact details within the meeting (also noted underneath) for members to provide additional feedback. Capccg.contact@nhs.net Helen.mcpherson@nhs.net 8. Best Practice Information Sharing Learning Disability Beds The PRG were provided with an update with regards to the Learning Disability beds. Jessica commented that the Procurement of Integrated Care would be brought back to PRG when the need arose. Practice Mergers There was some discussion regarding practice mergers across the system specifically focusing on the Greater Peterborough area. Dr Howsam reassured members that the idea was that the Business Model of the GP practices would change however not the clinical model. It was confirmed that the practices would continue to provide sound clinical delivery and the change in business model would help to also deliver sound business solutions. He agreed that there was a need to hear patient concerns and worries, however, both NHS England and the CCG would have to agree that they were assured that the new business model would not be to the detriment of clinical delivery. He confirmed that the CCG was working with GPs regarding the model of Primary Care however it was worth remembering that GPs were private businesses. As an additional side note it was also commented that the hope was the change in business model and a move to Page 4 of 6
larger practices would be more attractive for staff and therefore help with staff retention, recruitment and progression. Data Protection Regulation The General Data Protection Regulation in relation to the local patient groups and forums was discussed and it was noted that small groups within the voluntary sector were under different guidance. ACTION: Sue Last agreed to circulate this in order to help members understand the responsibilities. Wheelchair Consultation An update was provided to the group about the wheelchair consultation. Targeted focus groups had been conducted and the feedback from these had varied, however, these had, had a positive impact on service specifications. NHS 111 Online NHS 111Online would have a soft launch in July 2018. Summer Self-care Toolkit Summer self-care toolkit was due to be launched by the end of June and would be circulated. ACTION: Sue Last. Babylon Health There was a discussion regarding Babylon Health. Dr Howsam explained that this was a web-based organisation, which had been commissioned by the NHS and working alongside it. There were both positives and negatives with this model and some patients were unaware that upon registering with Babylon they were deregistered from usual general practice and were signed up as a remote patient to the online web-based practice in London. This partnership was only commissioned in London at the moment and was targeted towards a commuter based audience. It could have a negative impact on the wider Primary Care sector as GP practices were allocated funding based on per patient registered. Huntingdon Practices Sandra Ferrelly commented that the Huntingdon practices had recently benefitted from a pharmacist 3 days per week and wondered how wide spread this was. Dr Howsam confirmed that this was a national programme and being paid for by GP Forward View (GPFV) funding. There would be a NHSE evaluation, as well as, practice local level evaluation to review the effectiveness of this. 9. Key Items to feedback to CCG Governing Body - Chair The members were very interested in the upcoming hearing, specification consultation and would very much like to be involved with this. 10. Any Other Business Rebecca Stephens confirmed that the next PRG on 5 July 2018 would be her last meeting after 6 years of Chairing the group. Dr Howsam and the patient members formally thanked Rebecca for the brilliant job that Rebecca had done and the engagement of patient members with the CCG was a testament to the effort that Rebecca had put into her role. Dr Howsam confirmed that the CCG would be advertising for two new Lay Members in the next 10 days. Page 5 of 6
Date of Next Meeting Thursday 05 July 2018 in Suite 3, Stanton Training and Conference Centre, Stanton Way, Huntingdon, PE29 6XL Author: Mary Hennells Executive Assistant Page 6 of 6