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PPG event 10th March 2015 Feedback Detail DRAFT

Contents 1. Current involvement activity (table numbers stated if recorded on notes) ............................... 1

2. What we are doing [presumed PPG unless stated otherwise] ................................................... 6

3. Like to achieve/ Future plans ...................................................................................................... 8

4. Challenges & Solutions .............................................................................................................. 12

5. Good practice/Innovation ideas ............................................................................................... 14

6. Thank you/General Comment cards ......................................................................................... 16

7. Other ......................................................................................................................................... 16

8. Evaluation forms ....................................................................................................................... 18

1. Current involvement activity (table numbers stated if recorded on notes)

Table One How do I know what is going on?

Oxon locality forums – attend clinical GP locality meetings

PPG network with locality forum (Oxon)

Forum including voluntary sector – different from other forums

Steering group monthly – public meetings

City Oxon – PPG function dependent on practice manager

City PPG members represent, voluntary sector, staff and clinicians

Some practices not functional PPGs.

Healthwatch Reading has a forum / NHS Complaints advocacy / Patient Voice

South Reading Patient Voice – have speakers

Maternity Group – West Berkshire federation

Patient Voice Reading – limited funding What do we do?

Mental Health Campaign Group

PPGs

Patient experience

Healthwatch Reading

Maternity forum in West Berkshire

Table Two

South West Oxfordshire locality Forum (PPGs feed into this)

Oxford Citywide Group (6 PPGs)

Lack of information about Healthwatch

General opinion is GP practices don’t want to be involved

Need structure information(Health and Wellbeing Boards etc)

Engagement – informal meeting with patients in waiting room

No way to get formal feedback

2

Table Three

Drs and practice staff come to meetings

How get information from patients?

Surveys – eg to ask if aware of events at practice

Website – feedback page on surgery site

Stall in high street

Talking to people visiting community centre

Through Healthwatch attending forums and feedback How do I know what is happening locally?

Internet – board papers local CCG / Local Authority / Health and Wellbeing Boards

Local Papers

Office Manager – emails PPG

Ask questions at CCG meetings

Patient Opinion website – practice pays to link to, then patients can comment.

Table Eight How do you get information? How do you know what is happening?

Top down – eg FFT but not currently getting info from this.

Bracknell Forrest and Ascot – Annual patient survey (who thinks up these questions?). Results sent to PPGs and practice members via email.

o Patient Participation awareness week. 1st week in June. o Text system and email – but first is to give patients information o JSNA

Oxford City o Patient Survey o Volunteers in surgery to get patient survey filed in o Did own patient survey last year – put on website, got 20 responses so spent 1 week

with volunteers in practice to get information o Flu jab sessions 1500 people attended – gave out newsletter and leaflet (explaining what

the PPG is) and asked for email addresses of attendants o Electronic newsletter and email address that patients can contact.

How do you know what is happening?

Feedback from PM. Practice manager attends the PPG meeting, but PPG doesn’t attend PM meetings.

National Association of Patient Participation

GP Council – recently agreed to have patient feedback on council in Bracknell

CQC report

Chiltern – PPG interviews practice staff to find out what they do.

Table (unknown)

Wokingham area PPG forum

Wokingham CCG came to last meeting

Healthwatch presentation at the surgery

Patient reference group (600 members)

South Central ambulance service and Didcot surgery have links

Some PPGs – few members. Suggestion invite parish councillors to come

Some have had meetings reduced

Annual survey, meetings. (notes on board in waiting room)

Ask people to fill in forms at clinics

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South Reading Patient Voice. Reps from different PPGs. Service providers invited to meetings.

Websites – patients can post comments about the surgery. Woosehill medical practice.

Table (unknown)

Bracknell Forest HW – work with PPGs vis Patient Assembly (CCG patient group)

North Oxon – 13 practices, 10 PPGs. All members of North Oxon locality forum

Oxford City – 6 localities. Beaumont street: Very small PPG, not representative of students. 25 practices, 18 PPGs city forum. Manor practice, led by lay person. Specialist PPG for people with diabetes.

Beaconsfield (Chiltern). 38 practices, 4 localities PPGs have a member of Healthwatch on group. CCG engagement group and PPG engagement session.

All – variance in functioning.

Table 9 (unknown)

North Oxon – 13 practices (1 does not have a PPG). Struggle to get members to steering group

Contractual requirement to have PPG – payment £1.10 per patient

No response on how funds being paid

What will be effect / experience of GPs federating

Not great level of confidence to raise issues (unless a very personal reason)

Vital tp have link to GP, PM

? sense of reverence to GP

PPGs should make it up so GP interested/attend

CQC inspections helping to focus mind – will help in est involvement

Talking Health useful

Should have action plan – need evidence to go to green

Made sure patients did FFT when introduced – good response from text

Table 10 (Berks, Ox Bucks)

Different areas have different models, however the model must account for the diversity of each locality. There is no one size fits all so principles and flow should be common. Implementation according to local needs. Outcome must be unified picture that acknowledges the variety of models.

Healthwatch

Talking Health

Carers Group

Stroke Club

Age UK

Patient Reference Group – virtual

Strategic Reference Group – locality forum

Patient Voice (CCG)

GP Partner / Practice Manager

Locality Forum – roles Communication:

Who owns the PPG? Practice / Patients

Health and Wellbeing Board – statutory, County, Borough, Health and Social Care.

Made up of CCG – rep for all areas

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Patient reference group – vis email distribution

Virtual meeting

CCG has a role to develop PPG

Health and Overview scrutiny committee

Table 9

Unrepresentative

Average age 65

Mostly women

Infrequent meeting

Discuss trivial problems

GP participate

Will do surveys

No time / info to discuss resources

People with different experiences

Health education event each year – patient related

GP and nurse on group

PPG do survey in practice, based on problems picked up, sub group to run

Work with local community

1700 email addresses

Trying to reach Nepalese community (sandhurst)

Use local newsletter – 8000 homes

Can use practice text facility

Feedback to Healthwatch

PPGs meet

Pharmacy came up in survey as an issue. Met with Boots and put a plan in place. Will feedback to check with patients if they are seeing a difference.

Facebook page

Only recently patient became chair of group – previously it was the PM

18000 patients – not all represented

Link to Healthwatch

Chairs meet at locality forum - 25 practices – input from CCG

Have virtual group. Recruiting

Yearly survey – informs action plan

Important to have GP, nurse, practice manager involved

Great response to FFT

On practice website, notice boards

Doors close at lunchtime – not happy as PPG

Table (unknown)

14,000 patients in practice

Headington PPG, going for 1 year. 20-25 people go, mostly retired, not reaching many people

To get more, have sat in flu clinic and asked – minimal response

Don’t reach ethnic people.

Don’t reach under 30s

Meet with practice manager, GP, chair is also in CCG. Every 6 weeks

PPG coming up with topics to discuss, get in a speaker and PPG members

Patient satisfaction survey, PPG can suggest questions (lots of positive f/b, grumbles are about parking)

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Practice recently received some £, PPg were asked what to use this for. Suggested able to treat minor ailments

Southmede (Bucks) PPG

6,700 patients, 80% European

Virtual PPG run by practice manager- no face to face meetings

GPs don’t take part in the PPG

Hasn’t met the other people on the “PPG”

Has been part of the PPG for 18 months and not asked once by the PM for input. It has been the GP.

2/3 of appointments are people over 65

Can you communicate using IT with these people? Why use a virtual PPG?

Senior partner supportive of PPG, has involved me in local CCG

Headington, has gone to locality PPG meetings.

Table Three

Problem – identifying who to work with. Royal Berkshire Hospital, initially no response! Invited to meeting, agenda item promised which didn’t happen. Provider response, can’t deal with individual PPGs. The survey included 6,000 responses.

PPG 24/7 contact with patients

Healthwatch – harder for smaller regions eg outside of Reading/smaller boroughs

Building up patient reference group. Over 11,000 signed to surgery. 600 email network.

Due to demographics 150 people get updated by post.

CCG contribute £5,000 to cover cost of forum and survey. Datchet villages 11,000 patients. Good ethnic mix

850 electronic contacts.

Survey – good practice. Same questions, same answers. 27% response rate which forms an action plan.

Every member of the survey should be a member of the PPG.

Practice manager is supportive.

Health evening – focus on dementia.

Need to develop how the PPG can work

Website, notice board – needs to be in a noticeable place.

Communication strategy needed

Rural surgeries – parish magazines

Demographics like a small practice

GP and practice nurse attends PPG meeting Oxford city forum PPG

Agenda set by CCG, tried to challenge

Where do we get information from?

PPG includes an 18 year old

Practice very responsive to PPG (Clifton H)

Closed minds of chairs Benson

Health fayre

Control of agenda and minutes. Partnership with practice

GP attendance

Virtual panel

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Article in village newsletter

Don’t get the opportunity to get to the patient issues

Locality meeting – CCG representation

Speakers from providers and NHS England

Website – suggestions and comments. Action taken

Informing the patients about the work of the PPG

Wokingham – worked with local students, film produced.

Got involved with PPG due to regular attendance at the practice

Notice board – more published, less gets noticed.

GP recommended – pressured!! Getting involved with PPG

Email – communicate by theme only. Feedback PPG committee

PPG organised through the practice – not independent

Finding out what is happening elsewhere – to encourage my PPG to do something!

Milton Keynes – young population.

Practice manager “in charge”

Email network – need to ask for permission.

PPG congress. Open meeting poorly attended.

Voluntary sector – age concern

Bucks – 55 patients that Healthwatch Buckinghamshire need to engage with

Relationships with hospital – Healthwatch can help with this.

Area Forums

Facebook / Website

Newsletter from hospitals

Healthwatch – quarterly meeting with PPG

Things presented to PPG

Table (unknown)

Oxfordshire – PPGs link together through forums

In other areas it is more difficult

Some practices don’t yet have a PPG

One PPG meets in public with GP and practice manager

Word of mouth recruitment

Differences in meeting frequency

Fragmented

No standard approach

2. What we are doing [presumed PPG unless stated otherwise] Ranked by attendees:

Attendees were given 3 dots each and asked to place these on topics that they ranked as important

(post-its from table work were placed around the room)

- Oxford city – once a month focus on a health theme in waiting rooms 1 DOT

- Chiltern and Oxford– raising awareness in the practice of PPG existence e.g. PPG awareness

group, newsletter, leaflet 1 DOT

- Full diverse representation of the population of the practice 1 DOT

- Wokingham PPG

o every new patient gets a leaflet about the PPG, grab patients on their way out! HAS

1 DOT

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o prioritised education, improve lines of communication 2 DOTS

o annual survey. Benefit to CCG so asked CCG to fund it. CCG unable to show what is

left of the budget 2 DOTS

PPGs

- Headington PPG

o Recruitment

o what to spend funds on

o learning about services or topics, inviting speakers in and passing info on

- Clifton Hampden – working well with acute

- Woosehill medical centre

o surveys twice per year to members patient reference group called GOO

o recruiting patients to reference group through clinics e.g. flu

- St Clements PPG – coloured notices in waiting room

- Western Grove – email topics, prompted by practice manager only

- Oxford city – community event to invite wide population in Summer 2015 to let people know

what is PPG, health promotion

- South Reading

o opening Mental Health (MH) Lead in GP practices, link with events to promote

services

o set Reading MH carers group to change attitude/empower carers, recognition of

being a MH carer, confidentiality

- South Reading Patient Voice – communicating with service providers, linking with other

organisations e.g. Healthwatch

- Datchet Health Centre – action plan with 13 issues, priority to improve appointment system

- Crosskeys practice, Chinnor

o trying to get practice to communicate with patients e.g. about online booking

service

o Trying to get practice to use facebook

- Sovereign medical centre, MK – keeping a watching brief of what is happening within the

practice

- Sovereign medical centre, MK and MK Patient Congress – on two commissioning boards

- Sovereign medical centre, MK and MK Patient Congress – link with lots of other patient

groups e.g. pensioners association

- MK PPG Patient Congress but

o lack of Comms & Engagement Strategy

o Debate over voice

o Who’s voice is heard

o Tension between CCG and PPPG congress

o Who controls the ‘voice’

Healthwatch

- Healthwatch Oxon – hospital discharge, ‘enter and view’ pre and post discharge

- Bucks Healthwatch – grass roots engagement

- Healthwatch Oxfordshire – dignity and care project

- Healthwatch Reading

o Training PPGs and supporting PPGs

o Carers support – mapping how GPs engage with carers; making recommendations

for developing links

o CCG meetings and Royal Bekrshire Hospital (RBH) meetings

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o Awaiting formal responses to report on healthcare access for ex-Ghurka / Nepali

families

o Listening to patients and the public – phone calls, twitter, emails, out in Reading

CCG

- Oxfordshire CCG

o ophthalmology, Audiology/ENT and bladder bowel Patient Advisory Groups;

o primary care co-commissioning;

o diabetes commissioning

o patient experience locality forum

o comms and engagement strategy refresh

Other

- Berks MSLC working collaborative

- Prescribing for social isolation

- Widening and diversifying patient base

- Health fayre wider strategy health promotion (Benson)

- Holding meetings in evenings – excludes some of populations

- Practice issues

- Involved in practice meetings with staff and clinicians

- Education / self-help – realistic healthcare expectations

- Recruiting via mother and baby clinics (extending demographics and mental health)

- Table 10

o Democratically representing the diversity of the patient population of the practice;

young people (facebook ‘young group’ virtual), hard to reach groups; Polish people,

condition specific, age barrier

o The future of primary care – communicating an honest message to the community it

serves, stop seeking views but then not deliver

o Where does the patient voice sit in the new commissioning structure? More

understanding in the public domain make better use of what we have! E.g.

collaboration of PPGs

o Addressing the negative attitudes of patients to reception staff – negative behaviour

leads to high staff turnover, need manageable public expectation

o Continuity of care – having a relationship with a healthcare professional

o Educating people to manage own health – role of local pharmacy vs GP and related

funding issues

3. Like to achieve/ Future plans Ranked by attendees:

Attendees were given 3 dots each and asked to place these on topics that they ranked as important

(post-its from table work were placed around the room)

- Involvement needed at beginning of commissioning cycle – in an informative way. 6

DOTS

- How do we get more proactive members? Including having IT skills, resources 4 DOTS

- Is it useful to have annual action plan as PPG? 2 DOTS

- Continuity of care 2 DOTS

- Improve demographics of PPG to all patients, elective PPG which represents populations

(Datchet Health Centre) 2 DOTS

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- How engage with resource allocation process? 2 DOTS

- Involve people with specific skills to PPG e.g. IT / publicity 2 DOTS

- Get PPG members to do more than attend meetings and do projects in waiting room 1 DOT

- Need to ensure PPG is representative of all aspects of their community? 1 DOT Health

information – waiting room leaflets, health awareness sessions 1 DOT

- How do you influence CCG/Commissioner/GP to engage and not just inform 1 DOT

- Better links with children and young people, representation 1 DOT

- Need to pay service users and carers for time, expenses, etc, volunteer time is limited 1 DOT

- More 2 way feedback between GPs and PPG 1 DOT

- See practice 5 year plan and practice meeting minutes (if non-confidential) 1 DOT

- Should be a PPG at every surgery. Many in Reading don’t have [south reading patient voices]

1 DOT

- Clear line of communication with Healthwatch Oxfordshire (St Clements) 1 DOT

- CCG supporting best practice sharing across member practices 1 DOT

Information at the Surgery / Website

- Datchet Health Centre updated telephone system

- Noticeboard in waiting room showing staff photo/role specialty

- In/out boards for clinicians present

- Streamline information as it is presented in the waiting room

- Bulletin boards in waiting room

- Use patient screens, £ spent not used! (Chetham St Surgery, Russel St Practice, Berks)

o Survey says how useful info on them is when used

- Dedicated area on practice website

- Use practice website more

Communication and Involvement with our Communities

- How to get more members (PPG)

- Email addresses for significant number of patients

- Local libraries

- Online space to carry conversation on

- Use Oxfords talking newsletter to reach groups with information

- Social media – show and tell sessions

- Social media group for children and young people

- Reach out to our population (no contact at present, PPG)

- How do we get everyone involved and represented? (Benson)

- Increase membership with people with special interests (PPG)

- Representative PPG – age, gender, etc

- St Clements PPG – more representative of younger people and wider demographics

- Sovereign medical centre, MK – wider communication

- Meaningful communication with wider community in Reading, go out to diferent groups

[south reading patient voice]

- Wokingham - increase representation of PPG

- Text all patients to join the PPG (the practice has numbers) using slogan ‘we can change how

the PPG works’

- Using MJOG (messaging) for comms to patients

- Membership increase to 10% 1-1 recruitment

- Comms with Nepali community (Sandhurst)

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- Engagement with Youth Forums, schools (Healthwatch Reading survey about School

Nurses)How engage with Head Teachers in area – primary and secondary

o How to teach rights

- Sixth former – engaging young people

- Involvement of local schools

- Should NHS England help with organising access to schools

o Particularly Academies and their Trusts

- How do we engage with Pakistani and Polish communities in Banbury (N. Oxon)

- Widen representation of patients on PPG e.g. diversity and different health issues

- Use projects such as health awareness weeks to draw people in

- More outreach – go out to groups/homes etc

- PPG groups need to be making people aware of their existence by posters in surgery, email

or newsletters then problems can be fed back and addressed – all working to a common

beneficial goal

- Refreshing Comms and Engagement strategy – wider representation, appropriate patient

voice (MK CCG)

- Improving communication across patient groups in Thames Valley (Patient Experience

Strategy Group, NHS England)

- Weston Grove, share best practice, linking in with other PPGs and organisations

Patient Information / Being more engaged in own health and care

- Use of symbols (i.e. MAKATON) in helping/engaging with non-English speaking

- Better information from GP to patient

- Equal access to electronic information

PPG Funding / Structure

- Funding for PPGs

- Can there be funds to support PPGs? (Where does 0.325p per patient go?)

- Wokingham - how sustainable is the PPG?

- Money and timelines

- What will happen when NHS practices are put out to tender and this is awarded to a private

organisation? Will they be subject to the same patient link guidelines (MK practice in process

now)

Communication with NHS Bodies

- Effective PPG not a tick box group

- Better communication between GP Practice and PPG

- North oxford – to establish what the GPs understanding of what Patient participation is

- Using annual PPG return as a source of info for GPs and patients across the CCG

- Meaningful communication with CCG. Consultation with adequate time given (CwouseHill)

- Awareness and education at practice and CCG level

Influencing Local Services PPG & Beyond

Get hold of the practise-PPG contract, and ask practice what their plans are for asking us to sign it

- Sorting personal agendas with a collective voice. Can’t discount personal views though (St

Clements)

- Facilitate professionals to understand patient perspective and value the input patients

provide to service design

- Wokingham - Educating/ empowering members to ensure that actions agreed get delivered

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- Hold our practices to account

- How do we engage with NHS England / AHSN

- Thames Valley and Milton Keynes Patient Experience Strategy Group – meet with Oxon

Locality Chairs again – how to move forward

- Influence co-commissioning

- Contact all PPG leads in my area to say let’s meet, be pro-active

- AHSN – listen to ideas from PPGs on topics for projects

- Link with other groups learn from best practice (Clifton Hampden)

- We as patients persuading practices to provide a more accessible, comprehensive service

(for example for the under 30 year olds 9-5 may not suit)

- Adequate time in front of the GP when I need it

- Onsite support services such as minor surgery, tests (blood, urine etc)

- More joint services between practices

- Restoration of joint consultations (called domiciliary) between GPs and consultant specialists

- GPs linked on parameter of a district general hospital – polyclinics

- More integration of services e.g. pharmacist trained to give flu inoculation (and contracted

to do this)

- More patient involvement in contracting and procurement needed (MK CCG)

- Working group for Urology (strategic clinical networks)

- Concern about public health (PPG)

- Integration agenda (PPG)

- Clifton Hampden, influencing systems in active organisations

- Leadership training

- Training on opportunities influencing empowerment of PPGs – assertiveness training,

confidence building, learn best practice

Annual Return

- Annual return to NHS England from GP Practice - ‘AHA’ moment

- Going to retract what ‘we’ the PPG signed off yesterday, was given to us in a rush (annual

return)

- Find out whether any patients have been invited to participate in the Practice Annual

Return?

Healthwatch

- Bucks Healthwatch – broader involvement, which has grown organically not ‘forced’

- Pilot study with healthwatch on engaging with other statutory organisations (locality

forums)

- Local Healthwatch will escalate questions about the national GP contract and PPGs via the

Healthwatch England escalation policy

- Local Healthwatch to work out how to hold QSG (does this mean Quality Surveillance Group,

NHS England, Thames Valley?) to account

- Healthwatch to sit more formally on the Patient Experience Strategy Group

- Working closely with Bracknell Forest healthwatch

Other

- Weston Grove, take learning back from today

- Stop formal meetings

- Visible independence from practice manager (St Clements)

- Find a way of developing quantative data

- Go back to base and stir things up Level practice site ? [19 Beaumont St, Ox]

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4. Challenges & Solutions Concerned about how the new GP contract requirements about PPGs will be defined in detail and

practice e-declarations will be objectively checked and ratified by PPG members and how it will be

used to develop PPGs

How will CCGs use co-commissioning to further this agenda recognising need for locally developed

solutions?

Challenges Solutions

Health Promotion

Letting local people know of services/PPG

Informing patients to visit minor injuries nurse rather than doctor

Open Days

Information sheet/email. Perhaps patients aren’t aware of minor injuries nurse

Choose Well: http://www.oxfordshireccg.nhs.uk/your-health/choose-well/

http://www.healthwatchwestberkshire.co.uk/2014/04/choose-the-right-nhs-service/

http://www.chilternccg.nhs.uk/p0.html?a=0&sc=newsitem&pagename=news_detail&id=730

See what your local Healthwatch offers – training and support

Using local university ‘Freshers Week’ to promote PPG and Health promotion.

Relationship with Staff

GPs do not want to know about the PPG – too busy

Accessing relevant people when they are only contracted to 2-6 days per week

Relationship between patients and NHS staff is changing but not everyone is ready for this

Next event hold with practice staff – work on challenges together.

Set agendas together

Access to information and empowerment

Lack of engagement mechanisms for public to have a say on NHS england services

PPG attend area forum meetings but no action taken. Makes PPG believe they are not being listening to. “tick box”

PPGs need help to be an effective voice

CQC inspection use it as a challenge and opportunity

Empowering PPG members with information and support to be truly involved with the NHS. Patient Experience Strategy Group has started sharing some best practice examples

PPGs share the fantastic work that is happening with each other

Chiltern CCG is running a PPG development session and facilitating a PPG network

Slough CCG have done a project around PPG development.

Recruitment and promotion

Difficulty recruiting people to PPGs

Reaching out to the demographic – diverse communities

Future event/workshops with a focus on recruiting new members to a PPG

Host a “recruitment evening/open day”

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Expenses should be paid to demonstrate true value of patient engagement

Continuity of PPG members

PPG members promote the patient group on flu jab days

Evidence what the PPG has achieved, celebrate the good work!

Promote at local shops

Offer to do Friends & Family forms with patients in waiting rooms as a way of engaging with more patients

Using inventive ways of enticing new recruits to a meeting

PPGs working together to publicise themselves

Local channels of communications: local media, schools, use Healthwatch

Promotion through local charities

Practicalities

Finding the time to interact – importance of face to face communication

Purpose and structure of the PPG still needs to be established and agreed

How to agree to frequency of meetings

Meetings are managed by the CCG or Practice Manager, not the patients

Extending our virtual PPG to a face to face meeting means I (chair) will have a greater workload and I don’t have the spare time

If the PPG is a large group, where could we meet and who would pay for it?

See Bracknell & Ascot example of Patients Assembly

Terms of Reference for locality group – share with each other

Visit another practice – how do they meet these challenges? Is there a way you could work together in localities?

Being a critical friend to each other – peer reviews of PPGs?

NAPP have some useful templates / ‘How to’ guides

Contract and Funding

PPG unaware of payment associated with having an active group

NHS England to circulate contract information

PPGs more involved in how the money is spent to support PPGs. Knowing exact budget would help

Links to CCG and NHS England

Feedback from patient forums should be timely – not CCG tick-box exercise. Involve patient groups from the start!

CCG focussing on specific pathways – this does not reflect

Build on the relationship – the PPG is an asset.

Involving lay people in any tender processes

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5. Good practice/Innovation ideas Good Practice Innovation ideas

More Skype/Face Time consultations. Text message appointment/ screening reminders. Screens in waiting areas.

Establishing & developing a PPG and then training/sharing with other city PPGs.

Community events to engage with wide patient group. To make contact with younger age groups.

Excellent medical care in the surgery and helpful admin staff in scheduling appointments

Better display of information- avoiding patient overload (too many desperate notices at present). Better solutions for obesity- going to the Ferry Centre gym for 3 months was ultimately a failure as the gym was not well maintained. Improved waiting rooms (now underway). Faster turn-around on test results.

PPG- dedicated section on practice website which list PPG purpose, member brief, action plan, contact details

Survey Results- How boots pharmacy locally improved their service/met up with them. Health Events- Using local schools as venues/ using schools newsletter etc. to promote.

Developing a communication tools for those unable to use language/but to use Pic systems - A Pic dictionary of health & body parts etc.' on GPs desk as a tool. Also photos in surgery are staff on duty ect with names/speciality.

I have not yet attended a PPG meeting at our practice

Library of books on health topics which individual with diagnosis of that diagnoses/disease may borrow or link to electronically

Upskilling lay community members to better scrutinise procurement and contract processes and outcomes.

CCG Public events to identify patient priorities and explain new services being developed (Reading)

Planning practice open day for patients to explain role of PPG and how patients have a voice within new commissioning process.

Patients assembly Bracknell Waiting room project- to focus information in practice waiting room. By having one area at a time e.g. diabetes, heart etc.

Ensure that all PPG members all very well informed about the contractual obligations and expectations to patient participation- as well as every rejoined patient.

There really must be engagement seriously with all primary special and secondary heads and then academic trusts.

Morning was productive. Afternoon confusing

Making PPG a viable proposition by better involvement with practice

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managers & patients re newsletter, posters and email

Keep streamlining the 'organisation' to be more efficient accessible.

As normal we always learn from the debate around the table

Several that will lead to better practice by PPG

PPG has strong representative in interview process for GP partners and practice manager appointments

Bracknell & Ascot patient assembly, single point for information for and team etc.

network of forum for each CCG

Health information evenings by the Ascot. Extending services based in practice e.g. hearing aid batteries and sharps disposal. Patient assembly developing its own protocols.

Leaflet & poster project for the waiting room. Focussing info themed issues. Involving local primary schools to take part.

Discrimination of information. Patients, surgery, Relocation of PPG notice board, leaflet. Greater recruitment of PPG

DVD style film made to inform patients on services of the surgery, how to use the surgery, how the surgery works.

The formulation of a joint improvement PPG in the practice, its important to monitor.

Share practice PPG reports to take items of best practice

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6. Thank you/General Comment cards Opportunity to network with other PPGs – positive experience

PPG’s can only deliver if they are empowered. NHS management need to work on this.

Opportunity to find out about virtual patient reference groups.

Keeping to time. Good facilitator

To focus on what the PPG care duties are & action them.

Enabling me to learn so much from others and to share- excellent valuable.

Networking information.

Connecting the PPG representative to their PPI lay member.

The opportunity to learn about what is happening “at large” within the NHS/primary care in

Thames Valley & MK.

Explanations which were clear AM- Not clear PM.

A stimulating meeting. I will look into our practice website.

Learn best practice from other attendees and track back to our PPG.

Networking and finding out what is happening elsewhere.

The fact that there is an allocation for setting up PPG’s.

Providing an effective listening and sharing environment.

Networking with other PPGs.

Enabling us to come together to share our practice- more please.

NHS Constitution- replay to the consultation.

The opportunity to share information and good practice and to expand my network.

Opportunity to share and listen to ideas from other PPGs.

Contact practice manager at W’stock to find out what’s happening with PPG.

Some brilliant good practice from other PPG’s- Some I have not heard about. Eg annual plan-

joined up health records with clusters.

Opportunity to hear ideas and discuss solutions with people from other areas/PPGs/PPG

Network.

How long can we rely upon charity for covering travel expenses for PPG members.

Peoples passion.

Ideas for outreach to patient population, eg sitting in on or administering F&F test.

The opportunity to network and benefit from the experts demand.

Bringing us together. It’s a beginning. Please ask GPs next time

Helpful to liaise with the reps from PPG- Lays areas and help them from HWO.

Max cluster’s experience in merging medical and social care.

Commonality of opinions regarding the function of PPGs & NHS- communication in funding

patients.

7. Other - How does NHS Citizen listen to individual PPGs and locality forums about local issues – two

way feedback?

o What are the actual tools that enable top down / bottom up and back again

discussion, 2 way engagement locally?

- Talking to NHS citizen how it will work for Carers MH Reading

- 90% of consultations are with 10% of the population

- What is role of healthwatch

- Where does the patient voice sit in the future of primary care?

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- More workshops like this

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8. Evaluation forms What did you find most useful today? interested in

attending future events?

frequency per year?

Time preference?

outside normal working hours?

What topics would it be helpful to cover in the future?

Would you like us to keep in contact?

Networking. Finding out what is happening elsewhere

Yes Four any any Networking- Progress update. Examples of good practice

yes

Sharing ideas & hearing how other how other PPGs are progressing or not (this last was very important to me as our PPG is not working well). Why no space to say what was not useful?

yes Three Morning/Afternoon

evenings How to get contiguous PPGs working more effectively/together. (other than @ locality meetings). Mounting "themes"in the surgery.

yes

Networking with other PPG yes Four after 10:00 Forming a more inclusive local network

yes

Group work. Sharing information with other PPG representatives.

Yes Twice All Day No Networking yes

The morning session. Afternoon a waste of my precious time.

yes Twice All day What do other PPG's do? yes

Very informative yes Twice All Day Evenings Yes

Opportunity to share PPG good practice and to find out about TV & MK Patient Experience Strategy Group.

Yes Twice Morning Sharing good practice. Planning yes

Hearing & Learning others views, plans and methods

yes Four Morning Evenings Networking and best practice yes

Meeting people from all the many groups drawn together, sharing experiences with other PPGs.

yes Twice Any No Function and inter-relationships of the various bodies involved in patient voice. Practical examples of what other PPG have successfully done.

Yes

Learning about PPGs. Opportunity to network

Yes Twice All Day Evenings Networking. Where next for collaborative work?

Yes

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What did you find most useful today? interested in attending future events?

frequency per year?

Time preference?

outside normal working hours?

What topics would it be helpful to cover in the future?

Would you like us to keep in contact?

Exchange of information, experience and ideas

Yes Twice Managing/Organising a PPG effectively. Ideas for outreach work with young people, housebound older people.

Yes

Talking to other PPG members and finding out what stage they're at.

yes Twice morning no training for those not familiar with Facebook or twitter. Practical help

yes

Hearing so many diverse opinions Changes come about after sign off of annual practice reports

No

Interchange and sharing- learning from others and sharing what I know

yes Twice All day Weekends How to being the issue of engaging. Headteachers in the development for future patients/carers if accountability of professionals.

Yes

The morning session of explanations and discussion- not the afternoon which was confusing and too wide reaching

Yes Three All day Sharing information and useful advice to be fed back to your group and practice.

Yes

Sharing of opinions Yes Three All day Weekends Future developments. Circulation of ideas for good practice

Yes

About GP contacts- other PPG's ideas. Collective of clusters to share medical records. Mobile phone (out of hours) number to access a GP at onw of the cluster surgeries to see the patient as open. 7 days a week

yes Morning Weekends Not enough time to check out notes from workshops. Need more time for this. Speakers should speak slower. More ideas on how we feed up our findings to relevant bodies.

yes

The opportunity to network and share experiences

Three All day Evenings The future of primary care. Working together

yes

Meeting other participants Yes Twice Afternoon Networking. Why were there no GPs at this meeting?

yes

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What did you find most useful today? interested in attending future events?

frequency per year?

Time preference?

outside normal working hours?

What topics would it be helpful to cover in the future?

Would you like us to keep in contact?

Meeting people who might be able to help me with my work as the patient rep on berks west CCG

Yes Four All day No Mental health, outreach, leadership. Yes

Understanding a little more about this corner of the NHS and underlining the value of PPGs networking.

Yes All Day Changing roles in the NHS Yes

Opportunity to understand challenges and solutions at other PPG and health watch groups.

yes yes All day weekends specific- new GP contract implications, past election implications. Sharing PPG templates

yes

Examples of good practice in other PPG's network

yes morning or afternoon

weekends Helpful to start with organisation setting out. Different organisations involved and their roles e.g. NHS Healthwatch etc. networking. Round table discussions. Less top down.

yes

Wasn’t very local in focus- was hoping for a more practical focus on PPGs. Found NHS citizens presentation unenlightening: don’t understand what practically is it and how it could add rather than divert and confuse.

yes Twice Morning Practical Focus: on talking to healthcare professionals & CCGs, on inclusion, on being a representative, on getting our expenses paid, on making it work with few people.

Yes

Stories from other PPGs about what works. Tip about the annual return on the 2014-15 contract. Knowledge that NHS citizen is a confidence trick.

yes Twice morning or afternoon

A sufficient guide to who does what and who pays whom. Covering NHS England, area team, CCGs, Healthwatch, GPs, Hospitals, other providers, county councils, PESG, TVSCN, and I bet others I don’t know about.

yes

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What did you find most useful today? interested in attending future events?

frequency per year?

Time preference?

outside normal working hours?

What topics would it be helpful to cover in the future?

Would you like us to keep in contact?

Talking and getting ideas from others this morning. Not sure of value of PMT.

yes Twice all day Other people successes yes

Seeing who was at meeting and talking to and listening to them.

Yes Three Afternoon Evenings Hearing about good practice, challenges, ways of networking

yes

Networking. The NHS citizen presentations were terrible & turned everyone off!! A poor example of engagement.

No Twice Weekend & Evenings

Actual things that irritate PTs and staff/HCPs. Be specific, (Smart). Things that we can actually achieve. Make it more informal, Get us to set agenda. Do it on a locality/community basis.

Yes

Morning. Not convinced NHS Citizens is much more than a web address until a sophisticated categorising engine.

Yes Three Afternoon or all day

Overview of house NHS works including findings at local level

yes

GP practices requirements and holding practices to account.

yes Twice Morning Weekends Dementia, Stroke yes

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