Patient Participation Group (PPG)

Agenda

* Meet and Greet 

* Talk with the pharmacist 

Minutes

FRIENDS OF LILYVILLE SURGERY

(PATIENT PARTICIPATION GROUP)

Friends of Lilyville (PPG) meeting minutes – 02/12/2024

Friends of Lilyville members: JG, CG, MW, CW, MH, CR, JB, JV, PW, Dr.YS, Dr.CD,EH,PC,BM

Surgery Members: VC, Dr EWP, MP,DW

1. Welcome/Introductions/Apologies

Warm welcome to everyone by PPG Chair Ms Merril Hammer.

2. Questions and Answers with clinical Pharmacist –

DW- Medication reviews are very important part of prescribing. Patient on regular medication gets invited to have a medication review with our clinical pharmacist. It is surgery’s responsibility to prescribe safely and accurately. Patients on more mediations which can alter the effects of other medication requires a Structred medication review (SMR) Also some medication requires to review often then other medication which only needs to be reviewed annually. Some reviews also requires regular blood test and closer monitoring.

3. JG gave information on survey on Access –

Our PCN received 7% response rate thanks to our PCN’s efforts to collect this valuable data. So have stronger voice as a result so hopefully it all works out in our favour.

At the end of the formal part of the meeting, which was kept short, we had festive refreshments and time to socialise – a very enjoyable time was had by all.

Next meeting TBC

Attachment

News letter

PDF, 519.4 KB

Agenda

AGENDA – 1st October 2024

1.     Welcome, Introductions and Apologies

2.     Minutes and matters arising:

·        CQC focus on ‘effective’ – to continue this meeting

·        South Fulham PCN – report back on PIEG meeting in July, this meeting

3.     Is Lilyville an ‘effective’ practice – and what do we mean by this? (Dr Emily Price-Weston to introduce)

4.     Report on PCN (PIEG – Patient Information and Engagement Group) meeting

5.     Save Our Pharmacies – check with your local pharmacy and sign petition there

In England:

·         1,500 community pharmacies have closed in the last decade

·         7 pharmacies are closing a week, and

· Three-quarters of pharmacies are in the red

6.     GP Access update – Where are we and what comes next?

NW London health bosses (the ICB) are now inviting patients and GP staff for their views on access to GP services following the negative reaction to the earlier proposals on Same Day Access hubs. They will be carrying out a survey of patients in the coming weeks (October) and also asking PCNs to hold at least 2 meetings of patients in their area (one online and one face-to-face) in the coming weeks.

As we have had sight of the questions in the survey, we thought it might be useful for us all to look at these in the time we have available.

7.     Reminder – Covid and Flu jabs season has started.

Minutes

FRIENDS OF LILYVILLE SURGERY

(PATIENT PARTICIPATION GROUP)

Friends of Lilyville (PPG) meeting minutes – 1/10/2024

Friends of Lilyville members: JG, SH, CG, MW, CW, MH

Surgery Members: VC, Dr EWP, MP

1. Welcome/Introductions/Apologies

 A warm welcome to everyone by PPG Chair Ms Merril Hammer.

2. Minutes/Matters Arising

 Merril suggested that formally agreeing minutes etc made the meeting too formal

and that we should try to keep things more informal and friendly. This was agreed.

 Merril indicated that two issues were to be discussed further in this meeting – the

CQC focus on ‘effective’; and Patient Involvement and Engagement meeting of

the South Fulham Primary Care Network

 VC- safety netting about the test results – as we previously discussed that when

results are received by the surgery, they go to the GP team, ideally the GP that

requested them. GP then checks the results and files the normal results, but sends

follow-up text or some sort of communication to the patient if there is anything unusual

or unexpected to discuss in the results. The surgery has changed the policy and can

give the results to patients over the phone and by email or by a printed copy at the

reception. All patients with online access can also view their results via NHS app.

3. CQC Inspection focus on ‘effective’ – Is Lilyville an ‘effective’ practice?

 According to the Care Quality Commission, effective care is when people receive

treatment, care and support that: achieve good outcomes, promotes a good quality

of life, and is based on the best available evidence.

 EWP – Our surgery is getting better and better at communicating. There is a lot more

awareness in the general population due to social media and news channels. We are

sending text and emails to our patient population with internet access to keep them

posted about their appointments which helps reduce the non-attendance. We are

also in the process of switching our website to be more friendly and communicative.

4. Report on PCN meeting – Patient Information and Engagement Group

(PIEG)

 2 of our PPG team members attended the PIEG meeting and gave a detailed and

interesting report back. The PCN was created in 2019. South Fulham PCN has now

extended to 27 different team members who support 7 different surgeries in our area

with 63,000 total number of patients.

5. Save our Pharmacies

 Merril reported on the campaign by the National Pharmacy Association to stop local

pharmacies from closing and demand proper funding for them. EWP stressed how

important local pharmacies are and how they will contact GP practices when they

notice particular problems, given that pharmacies are a key link between patients

and practices.

6. GP Access Update – Where we are and what comes next

 We discussed the NW London health bosses (the ICB’s) plans to survey patients for

their views on GP access and to hold meetings for patients. Some concerns were

expressed about the ‘negative’ nature of the survey questions. Patients are

encouraged to attend any meetings (now delayed until November) to put forward

their views, constructively, on how access to their own GP practice might be

improved if this is necessary.

7. Date of Next Meeting The next meeting of Friends of Lilyville will be on

Monday 2nd December – 5.30-7.00 pm. We hope to have a ‘relaxing’ end-of-year and festive season meeting. EVERYONE WELCOME!!

Attachment

Friends Of Lilyville (PPG)

PDF, 602.0 KB

Agenda

Friends of Lilyvilell news letter 

Attachment

Friends of Lilyvilell news letter

Agenda
Welcome

Minutes
FRIENDS OF LILYVILLE SURGERY

(PATIENT PARTICIPATION GROUP)

Friends of Lilyville (PPG) meeting minutes – 18/06/2024

Friends of Lilyville members: BM,CG, MH,JG,CR,CG,JB,MW,

Surgery Members: VC (Practice Manager, Lilyville ),RL ( Associate Director, South Fulham Primary Care Network), MP (Operations Manager, Lilyville)

1. Introductions/Apologies

· Warm welcome to everyone by PPG Chair Ms Merril Hammer. Apologies were received from Dr Weston-Price. RL is joining us today who is an Associate Director for south Fulham primary care network.

2. Minutes/Matters Arising

· On Patches, the issues raised about the need for supported training and developing understanding for all patients about Patches will be taken up at a later date by Merril with the practice and with the PCN to ensure that ongoing work is undertaken to ensure patients understand and can easily navigate the system as appropriate. This may need to be extended to other technical innovations from the NHS so people can cope with changes.

· Merril will discuss with practice what is the best way people can engage, between meetings, with the PPG. so we have slight indication of numbers, so we can arrange accordingly.

· Feed back on the news letter was excellent. Everyone in the meeting found it very informative and very useful.

3. CQC Inspection focus on ‘effective’

· Following the previous meeting where we discussed ‘Safety’ as a CQC key inspection focus, we looked this time at ‘effective’.

· CQC- effective – ‘People and communities have the best possible outcomes because their needs are assessed. Their care, support and treatment reflects these needs and any protected equality characteristics. Services work in harmony, with people at the centre of their care. Leaders instil a culture of improvement, where understanding current outcomes and exploring best practice is part of everyday work.’

· The key ideas raised in the very lively discussion included:

• There needs to be trust and patients need confidentiality
• Patients need the ability to correct mistakes as there are from time to time mistakes in NHS recording and in transmission which can affect patient care. Patients need to know that corrections have been made at practice level.
• Effective means that different parts of the NHS are working in harmony so that the practice and the GPs are coordinating clearly with secondary and community NHS services
• PPG members were clear that needed timely responses when they had been seen by part of the service as delays can increase anxiety and uncertainty. This also applied to getting test results back. There was some concern at patients only being informed about test results if these were ‘negative’.
• One PPG member informed the meeting that the system used by some hospitals and NHS services, DrDoctor, allows patients to access all of their records and provides information about results etc.
• Blood test results are checked by practice doctors and get filed to the individual patient’s notes with comment on the outcome. Patients can find the results online via NHS app or system online. Also if patients call the surgery the team can also provide results/GP comments over the phone. Results can also be provided via email if a patient needs to share it with their hospital consultant.
• Some patients, because they need to talk about more than a single condition, need more than 10 minutes. Longer appointments can be given – just ask for this.
• Once source of anxiety for those in the discussion was receiving unexpected calls from the practice – or from the PCN (see below). It was felt that it was extremely important that the person making a call out of the blue needed to spend a few moments introducing themselves and explaining who they were and what the purpose of the call was in general terms before proceeding with any detailed personal discussion with the patient.

· Merril noted that ‘effective’ is such a vast topic, that we will continue to discuss it at the next PPG meeting too. Medicines reviews (and reordering) are also part of effectiveness and we will include this also on the next agenda.

· VC- we work hand in hand with the secondery card and make sure we correct the information that has been added tpo patients records incorrectly. Some time our doctors also communicate it with the hospital consultant when wrong information are received form the hospital. Also all our team meber receive training to deal with patient information with atmost confidentiality

· VC- Bloold test results are checked by our doctors and gets filed to the individual patients nots with comment of the outcome. Patients can find the results online via NHS app or system online. Also if patients call to the surgery our team can also provide results/GP comments over the phone. We are also happy to provide results via email if patient need to share it with their hospital consultant

· BM- doctor doctor and Patient Knows Best has some fantastic service. You can view your blood test results online and also look up and understand your treatment. It can shows you the ranges and also breakdown of what the results mean for you. They always upload clinic letters and other hospital information.

4. South Fulham Primary Care Network (PCN) – Discussion led by Ross Lambdon, Associate Director, South Fulham PCN.

· A primary Care Network is a group of local GP practices that have become a mechanism for sharing staff and Resources. The South Fulham PCN is made of seven practices: Ashville Surgery, Cassidy Medical Centre, Fulham Cross Medical Centre, Fulham Medical Centre, Lilyville Surgery, Palace Surgery, Sands End Health Clinic. Our PCN has more than 63,000 patients.

· Each GP practice still maintains its independence as an individual practice but PCNs allow for greater collaboration to serve local patient need.

· The PCN has staff directly employed who help surgeries. The PCN team works alongside practices to support them in providing a variety of kinds of appointments, clinics and services for patients. This may mean that Lilyville patients, at times, are asked to go to a different surgery – but this will be at the direction of our own practice.

· Ross’s presentation led to a very useful and detailed discussion. We will circulate his slides with our next newsletter – and arrange for them to go on the Friends of Lilyville (PPG) website.

· The PCN is holding a Patient Information and Engagement meeting on July 10th at Palace surgery. Three of our Lilyville friends have volunteered to attend this meeting – we look forward to their report-back!

5. Date of Next Meeting

The next meeting should be in September – to be confirmed.

Attachment
Meeting Minutes – 18.06.24
PDF, 60

Agenda

Welcome

FRIENDS OF LILYVILLE SURGERY

(PATIENT PARTICIPATION GROUP)

AGENDA – 18TH APRIL 2024

1.     Introductions/Apologies

2.     Minutes of previous meetings/matters arising (previously circulated)

a.     Ground rules – to circulate. These should now go on the website!

b.     Technology access issues – can be taken in access discussion

c.      First newsletter – any feedback?

3.     Discussion of CQC inspection focus on ‘safe’. Dr Emily Weston-Price.

4.     GP Access Issues. (Note: DNAs are also an access issue – see newsletter!)

Introduction by Jim Grealy and general discussion.

Recommendations to take from this meeting.

5.     Dates of next meetings – and agenda items for next meeting.

Minutes

                                                                  FRIENDS OF LILYVILLE SURGERY

(PATIENT PARTICIPATION GROUP)

Friends of Lilyville (PPG) meeting minutes – 18/04/2024

Friends of Lilyville members: CG, MT, MH, JG, CR, JB, DR.CR, JW, CM, JM, EO, JG, MY, GN, RB, PB, MP, AG, AJG

Surgery Members: VC (Practice Manager), Dr EWP (GP Partner), MP (Operations Manager)

Apologies – RR, BM

Introduction and a warm welcome to the Friends of Lilyville team (PPG)

·        Ground rules leaflet circulated (also attached) by the chairperson (MH) Brief explanation of aim and expectation from this meeting

·        MH- PPG meetings are a forum for patients and staff at lilyville to work together to deliver results that will improve Lilyville as a GP practice in the interest of both patients and staff working.

·        CQC- Safety- Dr EWP – Brief introduction about CQC, talked about how patients are informed about any risks and how to keep themselves safe. The questions to reflect are:

1.     I feel safe and am supported to understand and manage any risks.

2.     I know what to do and whom I can contact when I realize that things might be at risk of going wrong or my health condition may be worsening.

3.     I have considerate support delivered by competent people.

·        VC –  Provided information regarding what training for the staff team happens during the recruitment process. Also as a training practice, all our GPs are trained to train and provide support. We take safeguarding for children and adults quite seriously and also provide training to meet confidentiality expectations accurately.

·        Access – Dr EWP – Lilyville is now a bigger surgery and has changed a lot in terms of how we run and act certain things. Our team has gotten bigger as a result. We have continued the good things that we learned during the pandemic, for example, technology use, but we are also providing a lot of face-to-face appointments.  87% of our patients have face-to-face appointments, and 90% of our patients get an appointment within the first 2 weeks. This is quite an achievement for us as a surgery. All our Patchs requests are seen by our GP team daily.

·        JG gave a report on same-day access. ICB is looking into starting a hub that provides same-day appointments. There will be a small team of people who will be triaging all the requests received by the hub and will signpost them to suitable services. These changes will affect about 2.7 million people.

·        Surgery is aware of the problems patients face in ordering repeat medication. Dr TC is looking at the process and reviewing each stage to find out the most effective and practical way to make it more efficient. JG and MH will keep us updated with further information from ICB.

·        DR EWP – we have looked into Improving access to our services. “ you said you wanted more appointments for working patients – we have now started early weekday ‘commute clinic’  GP appointments and we will be looking into extending access to our surgery on Saturday.

·        Action Point 1- training sessions on Patches should be considered, both for those who can use Patches and for those who might have Patches completed by Care coordinators.

·        Action Point 2- the practice should work closely with other neighboring practices in the PCN (Primary Care Network) to work out what functions well with access, what works less well, and how things might be improved so that any redesign of service meets the needs of local patients and GP practices. This work should involve both patients and GPs.

·        The next Friends of Lilyville surgery meeting will be on the 18th of June, 2024.

Thank you very much

Lilyville @ Parsons Green and Friends of Lilyville

Attachment

Friends Of Lilyville (PPG)

PDF, 112.7 KB

Agenda

PPG Agenda –16.01.2024

Welcome

1.    Introductions and apologies

2.    Minutes of previous meeting and matters arising not elsewhere on the agenda

a.    What do we call ourselves?

b.    Agree on revised ground rules. Update from Lilyville on the suggestion box for practice.

3.    PPG newsletter: discussion of format, content, and who will take responsibility; frequency etc.

4.    Discussion item: A Perspective from the Reception Area and Staff: how can we be supportive while continuing to meet patient needs?

5.    Future meetings: 

a.    dates (2 monthly meetings till mid-year then review)

b.    topics: some suggestions – all others welcome

c.     continuity of care; autism and Lilyville’s initiatives; medicines reviews

Minutes

Friends of Lilyville (PPG) Meeting minutes – 16.01.2024

Friends of Lilyville members: BG, JG, SH, CG, PW, MW, CW, MH

Surgery members: VC, Dr. EWP, MP

Apologies – RP

·       Introduction and welcome

·       PPG concluded with the name – Friends of Lilyville (PPG)

·       Discussed about people without technology – MP will provide numbers in the next PPG

A.   Patients without electronic gadgets

B.    Patient who do not how to use it

C.    Patient who cannot afford it

D.   Patients with any other type of difficulty

·       Agreed ground rules from the previous meeting – MH will provide this in the next meeting

·       A suggestion box has been added to the surgery reception room, as per the PPG discussion last time.

A.   Paper copy

B.    QR code

C.    Via website

·       Discussed newsletter format for PPG – VC agreed to add it to the website so everyone has access to it. All the positive changes could be added to the newsletter that we have implemented recently.

·       MP – talk about the recent abusive incident that has happened at the surgery. CG witnessed this when in the waiting room.

·       PPG message to the reception team that PPG is horrified to learn about the abuse the team receives.

·       Future dates for meetings will be decided and sent to everyone.

·       BM talked about his problem in getting repeat medication via the system online. Worked fine with PATCHS.

·       Dr EWP – CQC has been visiting surgeries recently. They measure all the surgeries again5 topics.

A.   Safe

B.    Affective

C.    Carrying

D.   Responsive

E.    Well-led

          Can we take one topic at every meeting – where Friends of Lilyville can quiz us about what are we doing about individual topics?

Thank you very much.

Lilyville @ Parsons Green