PPI Forum Minutes of Meeting Meeting held on 28 April 2016 Venue: The Pierre Simonet Building, North Latham Road, Swindon The Chairman opened the meeting at 12:30 In attendance Present: Name Initial Job Title Paul Byrnes P Lay Member Patient Public Involvement (Chair), Swindon Clinical Commissioning Group (SCCG) Sally Smith SS Communications and Engagement Officer, SCCG Robin Butcher Head of Communications and Engagement, SCCG Ruth Atkins RA Head of Corporate Communications, SCCG Gill May GM Executive Nurse, SCCG Mike Bowen MB Member of the Public, North Swindon PPG Tony Kendall TK Member of the Public, Ridge Green PPG Chris Woodward CW Public Health Programme Manager, SBC Jason Ferris JF Information and Communications Office, Healthwatch Swindon Sarah Francome SF Practice Manager, Tawhill Surgery Matt Taylor MT Member of the Public Damien Grady DG Ridgeway View PPG Yvonne Knight YK Corporate & Information Governance / Risk Manager, SCCG Mary O Donohoe MOD Project Manager, SCCG Apologies: Rosemarie Phillips RP RNIB Representative, Priory Road PPG Ian James IJ Lay Member, Swindon CCG and member of Highworth PPG Harry Dale HD Homeground PPG Monique Watkins MW Lawn PPG Helena Robinson HR Health Locality Lead, SBC Susanna Jones SJ CEO Swindon Carers Centre Page 1 of 7
Item Action 1. Chairman s Welcome 1.1 The Chair welcomed everyone and thanked PPI Forum members for their attendance at the meeting. Apologies were noted as per the attendance sheet. 2. Minutes of the Previous Meeting 30 March 2016 2.1 The minutes of the previous meeting were approved subject to the following amendments: Page 1 Address of venue is incorrect should read Sanford Street SS Page 2-4.1 AK and TK same person amend all to TK 3. Review of the Action Tracker and Matters Arising PPI/36 RA updated that she is looking to hold a focus group to review and compare four apps. If any member of the PPI forum wishes to join the Focus Group, contact the Communications Team. In particular, it would be good to have parents with young children to be able to feed back as the Handi app is particularly focused on paediatrics. This work needs to be completed quickly to tie in with Wiltshire CCG launching an app for their patients. Action RA to provide an update at the next meeting. PPI/38 stated that we are looking at alternative venues to move the PPI forum to town bi-monthly. MB observed that the room at Sandford House wasn t large enough to accommodate everyone if we were to engage more members. Action to confirm date and venue via email. PPI/39 has tried contacting STAN (talking newspaper) around a potential overlap with the services they provide. MB observed that the number of people receiving STAN is relatively small (less than 200). Action to report back to next meeting. PPI/40 The Quality team have agreed the quality walks for the next year and a number of dates have been provided to GWH. Once the date is confirmed it will be shared. If any member of the PPI forum wishes to join the CCG on any of the quality walks, contact the Communications team. TK informed the meeting that he will be taking part in a quality visit of GWH on the 18 May 2016. Action TK to feedback at next meeting. All RA All TK Page 2 of 7
PPI/41 RA confirmed that out of date literature has been removed from the staff refreshment area. A review will be carried out once a quarter. a) PPI/42 Healthwatch had requested for this to be an agenda item at the April PPG forum, but the PPG steering group decided on a different focus and agenda. Action - JF to re-request it to be added as an agenda item at the June PPG forum JF JF confirmed that the Healthwatch website is currently not being updated as the web hosting is currently being changed. PPI/43 TK confirmed that the NHS Citizen school attended by his children was completely different to the NHS one. Action completed. 4. Any Other Business No questions were submitted prior to meeting. DG has seen a petition in his Wroughton GP surgery in relation to Government funding for pharmacies and could we provide any further insight in to this. Action Communications team to provide further details on what the consultation is about so we can identify how this will affect us locally. /RA/SS 5. Performance Dashboard GM presented the CCG s Performance Dashboard which is presented at each Governing Body meeting. The CCG must comply with an NHS England (NHSE) Assurance Framework and in order to evidence compliance, produces a dashboard which highlights where key indicators are, or are not, being met. The purpose the dashboard being presented at the PPI forum is for the CCG to fulfil its commitment to being transparent and for the PPI forum to provide challenge. suggested that the dashboard be presented quarterly at the PPI Forum meetings. P asked that PPI members look at the dashboard and raise any questions in advance of the meeting so that detailed answers can be provided. Page 3 of 7
MB stated that as a member of the public, there is a need to understand the documents before attending a meeting to discuss them. CW identified a discrepancy in 1.13 of the dashboard stating that there was not a difference of 18 percentage points. Action - will raise this with the Analytics Team. The indicators have come from national frameworks, such as NICE guidance and the National Standards Framework. There is some NHSE documentation that should outline the Governments rationale for putting each of the measures in place. Action Communications team to provide NHSE explanations about each measure. /RA/SS DG indicated that to a member of public, anything in red is going to be alarming. P stated that it is important to note that the dashboard will never all be green, however, it must be noted that there is a substantial amount of green arrows, showing improvements. The vision of the PPI forum is to be able to consume all of the data and identify particular areas of concern to address and provide challenge to commissioners. CW stated that it would be interesting to see how the Public Health Outcomes Indicators, which are aligned with the prevention agenda are impacting on the delivery agenda. For example, to identify whether any further work is required around the preventions of smoking increasing the risk of stroke, premature deaths and poor outcomes for new born babies. Each area has a public health profile which can be accessed via the Government website: https://www.gov.uk/government/publications/nhs-outcomesframework-2015-to-2016 A possible future agenda item would be to explore the link between prevention and delivery. 6. Risk Register YK presented the CCG Risk Register and explained the process of how the organisation manages risk. The full corporate risk register currently has 28 risks. There is a robust assurance process which is discussed by the Executive Management Team on a monthly basis. The Governance Assurance Committee scrutinises the register at each meeting and will request a deep dive report on any areas of particular concern. Page 4 of 7
The CCG s top risks go to the Governing Body and these are publically available on the CCG s website. Risk owners update their risks monthly and any new risks can be identified by any member of staff, management or a committee and these will be added to register. Some risks will remain on the register as a constant risk and some may be for the short term, such as a project. confirmed that some items in red on the delivery dashboard (item 5) are also shown on the risk register. P requested that the risk register be circulated prior to each PPI meeting for members to read and identify against issues that they see or hear of. Any questions in relation to the risk register to be provided in advance of the meeting to enable an answer to be provided. Action Communications team to circulate the risk register with agenda papers prior to each meeting. /SS 7. Diabetes CQUIN update MOD introduced a presentation on the diabetes CQUIN update, in particular around the work with GWH, having previously presented to the PPI forum in October 2015 with Tess Green around service improvement work. Four areas were updated on: 1. Service improvement. The aim of the CQUIN was to review GWH services. A report with recommendations has been shared with commissioners and a service improvement plan is in place to deliver the recommendations. 2. Foot clinic. This was a joint CQUIN for GWH and SEQOL. New weekly clinics for patients presenting with diabetic foot problems and a new foot ulcer pathway were introduced to provide earlier diagnosis of foot ulcers and provide timely treatment. This has been running for 6 months and a reduction in amputation rates has been identified. 3. Transition from children to adults services. This is to be run over 2 years. 4. Working with SEQOL. Patients to be followed up in community podiatry clinics. Community podiatrists now sit in clinics and at follow up appointments so there is continuity of care. TK attending a DESMOND meeting and was astounded by the unsuitable food that was being consumed by diabetic patients. Patients at the meeting were asking the event presenters for Page 5 of 7
information on erectile dysfunction, to which they did not know the answers and were telling patients to go to their GP. TK stated that it would be useful if the presenters had all of the information to hand for these sorts of questions so that a referral to a GP was not their first response. Action MOD will provide feedback on the delivery of the DESMOND course. MOD MB stated that the third Living Well Living With Diabetes course is about to start and that, to his knowledge, it will be attended by people who have already been on the course and not by many new patients. Matt Frucci, the organiser of this event has indicated that there are not enough new patients coming forward and therefore the course has been opened up to those who have attended in the past. JF added Healthwatch Swindon is planning to include diabetes as a theme in their work plan for the next year so there may be some work there to promote the course. CW suggested that perhaps pharmacies could be an outlet to promote the courses through repeat prescriptions. Action - confirmed that he will contact the Community Navigator Team and see if they are promoting the course. Action - to get information on the Living Well Living With course from Matt Frucci and pass on to the CCG Pharmacy Team. Action - MOD to provide a general diabetes update in 6 months for the PPI Forum. To be added to the Forward Work Plan. SS 8. PPI Communications Update (verbal) RA updated members on the CCG s 2015/16 Annual Report which is with the Auditors. The first review has identified the need for more information on the Health and Wellbeing Board and Strategy. Once formally approved, work will being on a summary version. RA updated members on the 360 stakeholder survey which has been provided to all CCG stakeholders. The headlines are that the CCG had a 68% response rate which is above the national average. Once published, the report will be circulated and placed on the CCG s website. This year s AGM is confirmed as Friday 15 July 2016 at the Pilgrim Centre, Swindon. Further confirmation of this will be provided in due course. The CQC is undertaking an inspection of the South Western Ambulance Service and is seeking feedback from patients. Further information can be obtained from the CQC website:- Page 6 of 7
www.cqc.org.uk/sye The Carers Centre are holding a fundraising event, Walk a Mile in my Shoes, on Saturday 11 June 2016 to raise funds for the Swindon Carers Centre. Further information can be obtained from the Carers Centre website:- www.swindoncarers.org.uk/get-involved/fundraising SEQOL have a new website and RA has started to provide them with feedback as some pages are not flowing particularly well. RA informed the PPI forum that she is working on looking at analytical data about people attending the GWH A&E department and has identified that some 9,000 patients inappropriately attended A&E with paediatrics having the highest attendance. 9. Date and Venue of Next Meeting Monday 23 May 2016, 2 pm to 4 pm Venue: Conference room at Swindon Advice and Support Centre, Sanford Street, Swindon. Please provide any questions prior to the meeting to enable responses to be gathered. Meeting closed at 13:55 Page 7 of 7