Transcript Document

Welcome to our first
PPG Chairs event
Chaired by
Bill Mackay - Interim Patient Participation Group Representative
Litsa Worrall – Interim Patient Participation Group Representative
Today’s agenda
• Welcome and feedback from the last meeting (you
said, we did)
• Explaining the role of CCGs and the new NHS
system
• How Enfield CCG wants to work with PPGs
• Locality working in Enfield
• Group work including your feedback on how we can
support you to work together
• An update from NHS England on care.data
• How PPGs are involved in CQC inspections
• Training, future meetings and any other business
What happened at our
last event?
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On 5 February 2014 we held our first PPG event and invited everyone in
Enfield who is a member of a PPG.
26 PPG members attended representing 14 practices from across Enfield.
A short report from the inaugural meeting of PPG members is in your pack.
As requested our next all PPG members meeting will be in September. We
would be grateful for your suggestions on days/times/venues
We would also like you to suggest how often you would like to meet, for how
long and how you would like to work together between meetings.
You said………we did!
You said: You would like a Chairs event in about 3 months time and another all
PPG members event in about six months time
We did: Today is our first Chairs event and we would like you to suggest topics
for an all PPG members event in September
You said: You wanted to be able to feedback to the CCG on issues that your
PPG comes across that are outside of your GP practice. We showed you a
draft form we have developed for you to feedback to the CCG. You generally
gave positive comments on the form.
We did: We have brought the form back to the Chairs meeting today for final
approval. We have also set up a new email address just for you to send us
feedback – [email protected]
You said: You were interested in having some training. Some of you are
experienced chairs and other people felt they might like additional training.
We did: We have found a training session provided by Enfield Voluntary Action
that we would like your views on (details of the course are in your pack) If you
would like to take part in this training, we will book a special session just for
PPGs. The dates available are 12 June AM and/or 17 June AM or PM
You said…………..we did!
You said: You wanted to find out more about the CCG and the new NHS
We did: We are going to be doing another quick presentation on this today and
we are happy to answer questions at any time. We have also brought copies of
our Prospectus from last financial year. We are going to be updating this in
June and would love to hear your views on how we could improve it! Please
share it with your groups and send us comments.
You said: You would like to hear from guest speakers and also for us to arrange
guest speakers for you.
We did: Today we are welcoming Robin Burgess from NHS England as our first
guest speaker! We haven’t had any requests from any individual PPGs yet but
we are happy to hear from you. We also are pleased to share an invitation with
you on behalf of Latymer Road practice who would like to invite you and your
group members to their next patient talk on Dementia. We will share further
details with you soon.
You said: You would like your own section on the CCG’s website.
We did: We have started a new section for you and are exploring how we can
make it interactive for you. We welcome your views and help developing this.
You said…………..we did!
You said: You wanted to find out more about NHS developments
We did: We would like to ensure that you know that the CCG has three public
events a year where we talk about the main local developments. Our next
event is on 10 June and everyone is welcome. We will also send you other
invitations or news from other NHS partners if we think this would be interesting
for you.
You said: You would like help marketing and promoting your groups
We did: We are working on a marketing toolkit for you. If anyone here has any
hints and tips they would like to share please let us know. We are also
encouraging patients to join PPGs by contacting their practice.
You said: You would like help networking and sharing best practice
We did: We hope this event will help with this. We want to develop the network
and the way we work with you. We would like your advice on how many events
you would like and we will try to design events that enable you to network
better together. From these events the CCG can also build up a contacts
database so we can write to you. You could also agree to share contact details
directly with each other.
Special announcement!
We are pleased to announce that we are in the process of
purchasing membership of the National Association of Patient
Participation Groups (N.A.A.P.) for every GP practice in Enfield.
The CCG will also become a corporate member.
http://www.napp.org.uk
N.A.P.P. is a registered charity and the only national umbrella organisation for
PPGs. N.A.P.P. was formed in 1978 by Patient Participation Groups (PPGs) that
wanted to network together nationally and to promote patient participation within GP
surgeries.
We have bought every practice membership so that you can benefit from help and
support from N.A.P.P. individually and we can collectively work together on their
toolkits. We have paid an annual membership fee and we welcome your feedback
on the resources N.A.P.P. provides as we will want to audit whether we should
continue with this membership.
There is more information on N.A.P.P. in your packs and a letter will be going out to
your practices shortly. We will copy this to you if you share your email address with
us.
King’s Fund video “An alternative guide to the NHS in England.”
http://www.kingsfund.org.uk/projects/nhs-65/alternative-guide-new-nhs-england
The role of CCGs
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CCGs are led by GPs and are intended to improve clinical leadership and
patient involvement in commissioning.
Every GP practice is a member of a CCG and has signed up to our constitution.
The CCG constitution is available on our website:
http://www.enfieldccg.nhs.uk/Downloads/Policies/Enfield%20CCG%20Constituti
on%2031.03.2013.pdf
Enfield CCG plans and buys health services for patients including:
planned hospital care such as outpatients appointments and operations,
mental health services
continuing healthcare
urgent and emergency care services such as GP Out of Hours, 111, urgent care
centres and A&E
end of life care
community services
prescribing and
learning disability services.
We also work closely with partners such as Enfield Council, NHS organisations
and the voluntary sector to plan a joined up systems of care.
What are patient
participation groups?
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A PPG is a group of patients who are interested in health and healthcare
issues and who want to get involved in and support the running of their GP
practice.
The National Association for Patient Participation (NAPP) describes a
patient participation group (PPG) as a group of people who: “…..work with
their practices to provide practical support, to help patients to take more
responsibility for their own health and to provide strategic input and advice.
They are based on cooperation between the practice staff and patients.
They help to improve communication.”
Most groups also include practice staff and meet at regular intervals to
discuss how to improve services for local patients.
Some groups in Enfield are chaired by patients, some by practice
managers.
We know that our PPGs meet at different intervals and some meet face-toface while others are virtual groups.
Currently we have 48 PPGs in Enfield. We would like all our GP practices to
have a PPG and we are supporting them to achieve this.
Why we want to develop a new
network for Patient
Participation Groups (PPG)
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We are a membership organisation, and we want to extend the concept of
membership to patients
We see PPGs as an good way of engaging with patients in our member practices
PPGs have the potential to become an active network that can give valuable
feedback to the CCG on the services it currently commissions and new services it
intends to commission.
We want PPGs to help improve the quality of primary care by sharing best practice
and work in positive partnership with practices
Where we have roles for patient representatives, we would like to increasingly recruit
people from PPGs.
The CCG is supporting the PPGs to network together and design their own
engagement structure.
In the future we want would like to empower the PPGs to work in localities as well as
a borough wide network.
Our constitution states that we can co-opt an elected patient representative from our
PPGs.
But we cannot run an election process in 2013 as not all GP practices have PPGs.
We have recruited two interim PPG representative posts will help us to ensure that
we can deliver better patient representation to our committees and our Governing
Body while our PPGs develop.
The role of interim PPG
representatives
CCG Governing
Body
Patient and Public
Engagement Committee
PPG Chairs
4 locality PPG groups or one network
• Two interim PPG posts. Both attend
Governing Body meetings in public and
the CCG’s patient and public engagement
committee which is a sub- committee of
the Board.
• So far influenced development of
Communications and Engagement
Strategy, Equality and Diversity Strategy
as well as helping to develop other key
initiatives.
• The posts are being developed in
partnership so that in November 2014 we
can develop new role descriptions for four
elected and selected representatives, one
of whom will sit on the Governing Body.
• We think we are the only CCG in England
to be preparing for an elected and selected
post to be added to our Governing Body
and this will strengthen the CCG’s
commitment to patient engagement.
How we are
engaging with patients in Enfield
PPG network
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We are co-designing a PPG network with
you
We want all our member practices to have
PPGs. We see PPGs as critical friends who
can help GPs and the CCG improve the
quality of local primary care services
We want the PPG network to collaborate
and share best practice
Elected PPG
representatives
All PPG
PPG Chairs
members
Public engagement
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We have a duty to involve patients in the
work of the CCG.
One of the key ways we do this is to hold
three public events a year around our
commissioning cycle
Our next event is 10 June 1:15-5pm at
the Banqueting Suite, Forty Hall. All PPG
members are welcome but these events
have a more general focus.
We also involve patients in projects and
other work we are doing. We might ask
you to: comment on a document we are
working on, join a project group, fill in a
survey.
We also share invitations that other NHS
organisations extend to our patients such
as events or public involvement
opportunities.
Tell us about your patient
participation group
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How long has your group been established?
How many members do you have in your PPG?
How do you recruit members
How often do you meet?
Do you set your own agenda?
What types of topics do you discuss?
Would you like to have guest speakers or suggested
topics to discuss? The CCG could help with this.
• Would you like to work with other groups either locally or
across Enfield?
About Enfield
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Coterminous with Enfield Council
3 main local NHS providers:
Barnet, Enfield and Haringey
Mental Health Trust
Barnet and Chase Farm Hospitals
North Middlesex University Hospital
Population 2012: 312,000 (source:
ONS)
Ethnically diverse: 154 languages
spoken in Enfield schools and
largest Greek and Turkish Cypriot
population outside of Cyprus.
The top five languages spoken by
Enfield school pupils apart from
English in 2012, were Turkish,
Somali, Bengali, French and
Albanian
51 GP practices
Our health
challenges
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Female life
expectancy in
Enfield
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Male life
expectancy in
Enfield
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Between 2008-2010 our infant
mortality rate was the third
highest in London
Immunisation rates are still below
the national average and the
levels required to prevent
outbreaks of disease
Childhood obesity rates are
amongst the highest in the
country
Cardiovascular disease and
cancers remain our biggest killers
and survival rates are lower than
neighbouring boroughs
1 in 3 adults in Enfield over 55
have a limiting long term illness
There is a large gap in life
expectancy in Enfield, greater for
women than men
People in the more deprived parts
of the Borough tend to
experience worse health than the
rest of the population
Group work
Let’s talk about
• What’s working
• What could work better
• Three things your PPG has achieved
that you are proud of.
• How could we help you to share best
practice?
• How can we support PPG Chairs?
Designing the Chairs
network
• Tell us three things that network working would
help you do.
• Tell us three issues that you might like to keep
just to within your practice.
• Would you prefer to work in four localities or
across Enfield?
We could start as an Enfield network and build
towards having four that meet together as one
annually.
• How could we further support your PPGs to
grow and develop?
NHS England
Welcome to Robin Burgess from NHS England to speak to us about care.data
CQC visits
The Care Quality Commission register and regulate GP practices. They check
services to make sure they meet national standards of quality and safety and a
central part of this is listening to the views of people who use the service,
including working in partnership with PPGs.
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A guide for working together – The Care Quality Commission and patient
participation groups. The guide also includes examples of PPG activities
which may help CQC inspectors make judgements.
http://www.cqc.org.uk/sites/default/files/media/documents/20130509_cqc_guide_fo
r_ppgs_final.pdf Questions on the guide can be sent to [email protected]
• CQC consultation on they we regulate and inspect services
http://www.cqc.org.uk/public/get-involved/consultations/consultation-how-weregulate-inspect-and-rate-services
PPG awareness week
N.A.P.P. Patient Participation
Awareness Week runs from 1
7 June 2014 near you
promoting the role and benefits of
PPGs to patients, the public and
health professionals.
We have printed a copy of the
marketing pack for you.
Questions?
Thank you for attending
today’s event!
We will email you the documents
so please make sure you have
completed a feedback form and
left us your contact details.
In the meantime any further
questions or feedback you have
can be sent to:
[email protected]
or call Laura Andrews on
0203 688 2840