Patient Participation Groups event - PowerPoint Presentation

1. Patient Participation Groups event 12 November 2019SING Centre, Cambridge Road, Seaforth Road, Seaforth, L21 1EZ

2. WelcomeJane Elliott, commissioning managerNHS South Sefton CCG

3. How did you hear about today’s event?CCG email inviteHealthwatch inviteTwitter/social mediaWebsitePoster in GP surgeryOther

4. Aims for todayWendy Andersen, Healthwatch SeftonJo Herndlhofer, communications and engagement officer, NHS South Sefton CCG and NHS Southport and Formby CCG

5. What is a Patient Participation Group?A group of patients who come together and work with their doctors surgery to improve health services for the local population and make a positive contribution to services and facilities.

6. A bit of PPG historyWe have been supporting the development of PPGs since 2015 We have helped practices to set up and run groupsWe developed a PPG support packPrimary care is changing, so it’s the perfect time to re-energise and strengthen our PPG network

7. Recent developments – involving youWe held a PPG event in May 2019 attended by PPG members and practice managers We asked what was working well and not so wellWe asked for ideas about how we could re-energise and strengthen local PPGsWe also asked for views on how PPGs could support developments in primary care

8. People’s views from our PPG event Support is needed to recruit PPG members and to encourage younger people to joinPPGs were not well promoted and many people don’t know about them Many PPGs lack structure and a purpose and need help with thisA plan is needed to support practices and to take this work forwardPlease see the event report for more information (https://www.southseftonccg.nhs.uk/get-involved/et-involved/)

9. How we are respondingWe agreed to organise this PPG information and recruitment event today!Developing a dedicated PPG mailing list Finding out if people are interested in joining a PPG development working group More actively promoting PPGs and what they doUpdating the existing PPG support packWorking on a PPG development plan

10. Taking PPG development forwardToday is about:Recruiting and involving more PPG membersBuilding on the PPG development planGenerating further interest and support from local people, practices and partners for this workHearing from you about how we do this and what we all need to considerDeveloping a patient led approach to steer this work, potentially a PPG development steering group

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12. What is Healthwatch Sefton?Healthwatch is here to give children, young people and adults a powerful voice both locally and nationallyHealthwatch Sefton will work to help people get the best out of their local health and social care services whether it’s improving them today or helping to shape them for tomorrow. Our role is to ensure their views are taken into account by service providers – and their commissionersWe are part of a national network of local Healthwatch

13. What can Healthwatch Sefton do?Give local people and communities a stronger voice to influence how health and care services are provided within Sefton Have the power to enter and view servicesInfluence how services are set up and commissioned by having a seat on the local health and wellbeing boardProduce reports to influence the way services are designed and deliveredProvide information, advice and support about local servicesPass information, recommendations and reports to Healthwatch England and the Care Quality Commission

14. Healthwatch Sefton Community ChampionsCommunity Champion networksThe role of Healthwatch Locality RepresentativesHow can we work together with PPG’s?

15. Patient Participation Groups / working togetherThis has been raised at numerous Community Champion network meetingsWorked in partnership with the CCG’s to hold eventsFocus on the development of PPG’s and sharing good practice (including wider Primary Care Network PPGs)Focus on encouraging patients to join their PPG To provide you with additional information around access to services within Primary Care

16. What is a PPG?Jane Elliott, commissioning managerNHS South Sefton CCG

17. Why are PPGs important? (1)To give patients a say on GP services and enable them to feedback to their practice To provide valuable patient experience feedback to help shape improvements at practice level and also across the wider health systemTo enable patients to work with their practice to support any changes so they happen smoothlyTo help practices develop positive relationships with their patients

18. Why are PPGs important? (2)To provide an opportunity for patients to find out how general practice worksTo enable patients to learn more about local services and how to navigate the health care systemTo encourage open and constructive discussion between patients and their GP practiceTo promote good health through practice events and awareness raising activities

19. How does a PPG work?There is no national guidance, so each PPG can work differentlyAll members can take an active part in deciding how the group works and what to focus on Meetings can take place face to face, via email, via social media, or a combination of these approachesAll registered patients can join their practice’s PPG – all are welcomeInvolvement and feedback from all patients is welcome

20. Key actions for a PPGAgree Terms of Reference for the group so everyone understands its role and purposeElect a chair and secretaryTake notes or minutes of the meetings and publish themDevelop an action plan to focus the group’s work and priorities Help to communicate practice news and information to patients

21. What could a PPG get involved in? (1)Help to shape the future of local health servicesParticipate in patient feedback, surveys or researchSupport “active sign posting” to help patients access the correct clinician or services for their needsSupport communications for local events, services or changesSupport patients to access digital services such as the NHS App or e-consultations

22. What could a PPG get involved in? (2)Promote cancer screening campaigns such as bowel, breast and smearEncourage more patients to get involved and share their views on local health care developmentsHelp to reduce DNA rates for practice appointmentsThe list is endless!!! We want your ideas too!

23. What do practices want from PPGs?To work collaboratively for the good of all patientsTo offer support to the practice and its patientsTo provide support when making changes to processes that affect patients e.g; appointment systems To help complete tasks agreed in the PPG action planTo encourage people of all ages and all health needs to get involvedTo communicate and engage with the wider patient population and help to keep them updated on local healthcare developments

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25. PPGs and primary careTracy Jeffes, Director of PlaceNHS South Sefton CCG

26. Primary Care Network (PCN) developments across SeftonWhat is a Primary Care Network?A group of GP practices working together to focus services around local communities so care is closer to home, focused around local needs and more streamlined This model of ‘place based care’ is high on everybody’s list of priorities, including the government, NHSE, CCGs, PCNs and is set out in the recently published NHS Long Term Plan

27. Why Primary Care Networks? There is a need for change because of:The increase in demand for servicesThe decrease in GP numbers – retirement / traineesThe increase in administrative demandsAn ageing population – we are living longer but not necessarily living well for longerThe strategic move to ‘place’ based care as set out in the NHS Long Term plan, 2019

28. What Primary Care Networks are doing Practices are working together:To work collaboratively with their patientsTo employ different clinical staff (for example social prescribers, physiotherapists, pharmacists, physician associates) With hospital services and community servicesWith the local council including social careWith the voluntary and faith sectorsTo utilise digital technology to its full potentialTo commission services to meet patients needs

29. What comprises Sefton “place”?Delivering across “place” to benefit local “people”22 miles of coastline25 conservation areas92,000 employee jobs (*)> 1,100 VCF organisations> 100 schools and collegesSource: Sefton Council (2018)(*) 17.4% are employed in the Health & Social Care sector; 27.2% in the wider public sector (NOMIS, 2017)

30. What comprises Sefton “place”? The diagram on the previous slide is explained below:Sefton ‘place’ covers the borough of SeftonSefton has many assets including 22 miles of coastline, 25 conservations areas, 92,000 employee jobs and over 100 schools and collegesIt has a population of 274,000 people supported by 2 CCGs, Sefton Council, 2 acute hospital providers, 49 GP practices and 1,100 VCF organisationsAcross Sefton GP practices are working together as 7 locally based Primary Care Networks (PCNs) to develop local primary care services Working with partners, service providers and the VCF sector, the 2 CCGs and Sefton Council are working together to develop an integrated health and social care system The aim of the ‘place’ plan is to deliver services in local communities to benefit local people

31. One PCN covers Crosby & MaghullSefton’s 8:3 Locality Model8 Health localities (covering 7 PCNs) based on 30-50,000 populations 3 Council localities based on equalised demand and serving increasingly larger population footprints, from 55,000 in the South to 120,000+ in the North4 Health localities (with 4 coterminous PCNs) are in Southport & Formby and align to the Council’s North locality (turquoise border)4 Health localities (with 3 PCNs) are in South Sefton and align to the Council’s Central and South localities (orange and green borders)Partner services are aligned to the 8 or 3 locality approach – the goal is to strengthen working relationships across partners so that there is a seamless offer for local peopleThe North PCN is in the Council’s North locality

32. Sefton’s 8:3 locality modelThe key features of the model illustrated on the previous slide are outlined below:There are 8 health localities and 3 council localitiesIn Southport and Formby there are 4 health localities, which work together as 4 PCNs – these align to the council’s north localityIn south Sefton there are 4 localities, which work together as 3 PCNs – these align to the council’s central and south localitiesAll partner services are aligned to the 8 or 3 locality approach – the goal is to strengthen working relationships across partners so that there is a seamless offer for local people

33. Where do PPGs fit in?PCNs are new entities which would benefit from patient input to help shape their developmentPractices would like to hear the patient voice regarding the care they receive currently and give them an opportunity to shape future servicesPPGs could have an opportunity to energise their local communities and get more involved

34. A vision for the future?For us all to be working together as one community to provide the best health and social care system we can. Dr Craig Gillespie, Clinical Director, Crosby & Maghull PCN

35. PPGs in actionEastview Surgery Jenny Forrester – Practice ManagerAngela Keith – PPG Member and Chair

36. Eastview Surgery – overview The PPG was established in 2015The group meets every 2-3 monthsIt currently has 7 membersThe group welcomes regular guest speakers at its meetingsThe practice feels that the PPG requires representation from the younger generation

37. Key achievementsIntegral in collecting patient views via a survey – this highlights key areas for improvementAs a result, the practice implemented customer care training for receptionistsAlso there have been improvements in patient registration and appointment systemsPatient advice and information has been developed for GP screens in the practice waiting area

38. Key challenges that the practice facesAvailability of appointments, although this is a national problemThere are a high number of patients who do not attend their appointments, but do not inform the practicePatients do not always appreciate the high volume of work that clinicians have to get through during the dayThe practice building is old, which makes access difficult

39. How could the PPG help?Support signposting to other local servicesSupport patients to access digital solutionsEducate patients about cancelling appointments if they are no longer neededEducate patients about the volume of work GPs have Fundraise to support work to be done on the premises

40. Short comfort break(10 minutes)

41. Over to you – developing PPGsPlease discuss in your groups:What will encourage a range of patients to join a PPG and be an active member? What are the key barriers to patients joining/getting involved ?What are the pros and cons of working collaboratively with other PPGs? 

42. Feedback from your table discussionsPlease feedback one key point from each question

43. If you are a member of a PPG or are thinking about joining a group, how would you prefer to be involved?Meetings at the practiceMeetings in the local communityDigitally – email/social mediaA mix of meeting and digital methodsOther

44. How often would you prefer to meet or be involved?MonthlyQuarterly (every 3 months) Six monthlyYearly

45. If you prefer digital ways of being involved (or a mix of meetings and digital), will this enable you to get involved more often?YesNo Not sureI wouldn’t use digital methods

46. Do you think it’s a good idea for PPGs to work together on a local footprint, when appropriate? YesNoUnsure

47. Access to primary careJane Elliott, commissioning managerNHS South Sefton CCG

48. GP 7 day accessJane Elliott, commissioning managerNHS South Sefton CCG

49. What is the GP 7 day access service?Provides pre-booked, routine appointments outside of normal surgery opening hoursAppointments are available Mon – Fri: 5 – 8pm and Sat & Sun: 10am – 1pm The service is based at Litherland Town Hall Health Centre, Hatton Hill Road (side entrance)It is not a walk-in or urgent care service

50. About GP 7 day access appointmentsIn south Sefton this service is called GP ExtraAppointments can be booked via a patient’s own GP practice or NHS 111 and can be booked up to 7 days in advanceThe service offers the same type of appointments as a GP practice Appointments can be with a GP, advanced nurse practitioner, practice nurse, health care assistant or physiotherapist

51. Digital Services- SeftonCarley Cowley Senior IT Trainer – Informatics Merseyside

52. BackgroundiMerseyside is an NHS organisation commissioned to provide IT support to GP practicesGP practices have a contractual requirement to develop digital services to help patients access healthcareThis requirement is also set out in the NHS Long Term Plan Primary Care Networks will also explore how digital solutions could support the delivery of services locally

53. Digital ProjectseConsultNHS AppDigital ChampionsReception Devices

54. Digital projectsAs the previous slide shows, we have been working with GP practices to roll out a number of key digital projects including:EconsultNHS AppDigital ChampionsReception Devices

55. eConsult A short film explaining more about econsult can be viewed here or via the following link: https://www.youtube.com/watch?v=tbg1AhkmZkU

56. EConsultEconsult is a secure online consultation tool available via GP practice websitesIt can be used for a number of things e.g to ask about a medical condition or to receive test resultsPatients can submit a consultation any time of day or night It provides a timely response, usually within one working day

57. NHS AppIs being rolled out nationally and is available locally to all patients and can be used to:Book and cancel appointmentsOrder repeat prescriptionsView medical recordChange organ donation preferencesChange data Sharing preferences

58. Digital ChampionsThe role will support patients to access digital servicesIt is a practice based role – most practices have identified a member of staff to provide this supportDigital Champions will receive training

59. Reception DevicesRecent funding agreed to install tablet devices in GP reception areasWill be used to show patients how to access and use digital services such as eConsult and the NHS AppAlso to show patients how to access other services online e.g; information about local voluntary services or groups

60. Other Digital ProjectsIntroduction of patient information screens in GP waiting areas Availability of patient appointment check in screens, so patients don’t have to queueDevelopment of GP websites to include consistent patient information

61. Thank you and any questions

62. Any Questions?

63. Next stepsPlease use the ‘keep in touch’ form to:Join your GP practice’s PPG Join the PPG development working group Share any other feedback or ideas you have Update your contact detailsTell us if you’re interested in Health Activator trainingWe will share the event report and keep you informed of developments and other opportunities to get involved.

64. Fingers on the button…your event feedback

65. How useful and informative did you find today’s event?Very useful/informativeQuite useful/informativeSome parts were useful/informativeNot useful/informative at allNot sure

66. Did you feel that you had the chance to share your views?YesNo Not sure

67. Do you think we should hold this type of PPG network event on a regular basis?YesNoNot sure

68. Thinking about future events like these, what times of the day do you think we should hold these at?MorningsAfternoonsEveningsVary timings so that everyone has the opportunity to attend

69. How would you rate today’s venue?ExcellentGood OkPoor

70. Lunch break and market place (1 hour) Please take this opportunity to browse the marketplace and learn more about local health and wellbeing services.If you have any questions, please speak to a member of the CCG or Healthwatch teams

71. Thank you for attending and for your contributions @NHSSSCCGwww.southseftonccg.nhs.uk