Minutes for 16.02.2016
Apologies Received – Patient Members – AA, JC, GC, JC, JK, JMcD, HP, AS, CW
Practice Members – Dr D W Colvin, Dr S J Pearson, Dr E M Davidson
In attendance – Patient Members – MA, HC, TC, PL, MM, JP
Practice Staff – Dr A J McManners, Dr S A Richardson,
Dr D J Summers, Dr L D Sayers, Sister M Rathbone, Lynne Dodgson, Susan Downie.
FFT results were stated on the Agenda document.
Thanks were given to all who attended and apologies received.
• Shared Decision Making SDM (HC)
PPG patient representative HC shared feedback from a meeting she had recently attended regarding the proposed “shared decision making” process that North Tyneside CCG were introducing for all GP’s. HC stated that the group had met with Dr Dave Thompson who had explained the process behind Shared Decision Making and what this would mean to the referral process. Dr Luke Sayers stated that he had also attended some meetings around Shared Decision Making on behalf of the Practice and that this had been disseminated to the other GP Partners. Dr Sayers went on to explain that SDM had been a process that was undertaken by Newcastle and Gateshead GP Practices for many years and that a patient wouldn’t notice a lot of difference during consultations with their registered practitioner as all discussions relating to referrals and options are part the process anyway. Dr Sayers stated that North Tyneside CCG were planning on issuing further guidance to Practices regarding SDM and how this would work with the Referral Management System. Dr Sayers stated that he would add this to the next PPG agenda and feedback any further information received. A member (PL) stated that he had been involved nationally in the early development of this process.
• Electronic Prescriptions (PL)
A member (PL) enquired as to why the Practice did not offer the Electronic Prescription Service (EPS) to patients at the moment. Dr McManners explained that the Practice had researched extensively the EPS system but has found that it does not save any time for either patient or GP, can be very slow and is currently not something that we wish to undertake at the moment. The EPS system frequently crashes resulting in paper “token” prescriptions having to be issued! Dr McManners stated that he had spoken at length to pharmacy staff, who do not like the system and the Practice has decided against offering this service until all the problems with it are resolved. Lynne Dodgson stated that our on-line services option for patients was proving very popular, over 1/3 of patients are now registered for online services, the most of any GP Practice in the area. On average over 100 repeat prescription requests are made on line and this is increasing every week.
• NHS 111 Service (MA)
A member (MA) asked the practice for their experience of the NHS 111 service which has been highlighted in the media recently. Dr Richardson stated that NHS Direct was an excellent service, manned by clinical staff but that the contract went out to tender and Northern Doctors Urgent Care (who used to run NHS Direct in the area) lost out and it is now a separate body. NHS 111 service is manned by “non-clinical” staff who are simply following a triage pathway on a computer screen which inevitable leads to a lot of unnecessary admission to A&E departments. Dr Richardson gave the group some statistics relating to NHS 111 encounters for patients of our practice and stated that as long as non-clinical staff manned the telephones at NHS 111, the service would experience varied results. Lynne Dodgson stated that any problems encountered with the NHS 111 service (or any NHS Provider) are reported to a local significant event system called SIRMS ( Safeguard Incident & Risk Management System) so that they can be brought to the attention of the CCG.
• Has Cramlington (NSEC) A&E settled down (TC)
TC stated that he was aware of the pressures that all A&E Departments were experiencing and wondered whether the new Cramlington hospital were coping with demand. Dr Summers stated that the planning department responsible for the new hospital had massively underestimated the demand for services from the new hospital along with the number of people who would attend the A&E department. Lynne Dodgson stated that all hospital A&E departments received a £58 fee every time they register someone arriving at A&E, so whilst they may struggle with demand they do gain a lot of income from it. Dr Sayers went on to explain that in Newcastle, the A&E department based at the RVI has a GP on site to “triage” anyone attending the department and this has cut the number of unnecessary and inappropriate attendances. A member (HC) stated that there had been some initial poor communication put out regarding the new hospital but that the governors felt that the hospital was performing well. Dr Summers stated that there would always be demand for services whilst the public had so many options available to them. Lynne Dodgson stated that things may change this year following on from the public consultation around Urgent Care and the future of Battle Hill Walk in Centre.
• Access to online services (L Dodgson)
Lynne Dodgson informed that group that from 21 March 2016, patients who are registered for online services would be able to apply to view their “on-line read coded record”. Lynne Dodgson explained that read codes are used by Practices to record specific information and that it is mainly used for data collection and statistical purposes. Most of the information would not mean a great deal to the patient but that information governance rules had been tightened and we have to ensure that no patient would be harmed by gaining access to and viewing their online record. Lynne Dodgson stated that all patients who wished to have access to their online record would have to attend the surgery to fill in the necessary paperwork and provide some identification.
• Care Quality Commission (CQC) Inspections (LD)
Lynne Dodgson informed the group that the Practice had not had the date for their CQC inspection but hoped that members of the PPG would agree to attend the Practice on the day to give some feedback to the inspectors. A member (PL) enquired as to the process of inspection and what the point of it was. Lynne Dodgson explained that at least three members of the CQC inspection team would visit the site on a pre-arranged day and spend time with all the staff including at least two of the GP’s and the Practice Manager. Lynne Dodgson stated that all Practices had a statutory duty to be registered with the CQC and that we had to pay annual fees of £3000 to them. The Practice is looking forward to the inspection team and hopes that we get some good feedback from them.