PPG: Meeting Minutes 11th July 2024

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Agenda Items

Welcome

• BP welcomed attendees and outlined the agenda items and topics for discussion.

Apologies

Notes and matters arising from 9th March 2024

• Minutes were a true reflection of meeting.
• Matters Outstanding – Signpost height at entrance to site. To be discussed with landlord.

Quality and Outcomes Framework (QoF) presentation By Jake

• This presentation was well received and demonstrated how well the practice had done in achieving their results.
• A copy of the presentation has been requested and will be circulated when it is available.

BMC Updates

• Dashboard – waiting times for eConsult, phone waits and DNAs have all shown an increase but is due to triage system kicking in.
• Staffing – The group welcomed Emma – new Frailty Nurse. Dr Joy has left the practice. A new Nurse will be joining shortly , initially working in treatment rooms and then expanding to respiratory care. Jacqui Wilshaw is retiring as Admin lead after long service. Her post is replaced with split
• roles. Emma will join the admin team.
• Triage – Still appears to be going well. Capacity is either neutral or a very small increase. Feedback from clinicians is that they feel they are seeing the right patients. Downside is that Call times, DNAs and eConsult times have all increased. Need to ensure this is not an ongoing trend. Plus side is that there is better control over the patient flow. Some patients are being sent to pharmacy but within caution to prevent bounce backs.  Also no queue at the door for 8am  and frailty JIC drugs are being requested quicker. Q asked: do all practices use this method – no but some type of triage always occurs.

PPG Updates

Dementia/LTC day

• Everything planned for 27th July. Practice will be in attendance alongside several other organisations

Workplan

• Triage system – the PPG has requested to be party to a formal review of the new triage system, in order to gain a full understanding of the impact of this change   Action: SP/BP through QA
• Telephone audit to be arranged for autumn
• Issue of ramp at back door for flu/covid clinics raised as unsafe
• From QA meeting – warfarin changes affecting 86 patients will happen shortly
• From PRG meeting – Thanet PCNs have established a strategic group to give a single voice which is more likely to be heard/ listened to than single PCNs. Also discussed Physician Associates, a role being pushed somewhat by the centre as they are cheaper to employ than GPs. Caution needed as not trained even as much as nurses.
• Discussion around test results piece of work. What do group want? Why do patients have to ask for results? If patients on statins do they need annual lipids check? (ideally yes). Process of results – who gets them, what happens with them. Can patients be proactive, how?

Issues raised by members

• New Patient healthcheck – in an ideal world, yes everyone would have one but with >50% of all patients being over 75, this would be difficult as majority have more than one health condition and would need to be seen by several clinicians. Issues are capacity and continuity of care is not available within our model of care. When patient registers with BC , how long does it take for records from previous Dr to arrive? -If patient comes from outside Kent it can take long, sometimes months and sometimes incomplete notes arrive. Within Kent practices can transfer notes electronically so, is a quicker process. The admin team have a system to pick up on ongoing issues.
• Pharmacy sat on some meds for 3/52 before releasing some that were available, why?  There are many more drugs that are out of stock over the last 2 years. Practice has no control over how pharmacies work.
• Holistic care – is it in place? There are a number of MDT meetings at PCN level, such as Care Homes, Geriatric, Complex patients, safeguarding etc. These involve social services, clinicains, mental health services, occupational therapists etc.
• It was noted that Invicta Healthcare is a CIC – therefore not for profit. All profits that are made are redirected back to practices within their umbrella.
• Covid/Flu jabs – any update on Autumn campaigns? Likely to be separate jabs . Covid mes is likely to be booked through the national booking system . Flu vaccines are due to arrive in September but as history has shown, dates are movable so final clinics dates are not yet set.

AOB and Meetings Management

Dates of future meetings

• 12th September 2024
• 14th November

Meeting concluded at 5pm.