NORTH HAMPSHIRE CCG PATIENT PARTICIPATION GROUP Minutes of the meeting held at North Hampshire CCG Central 40, Lime Tree Way, Chineham Park, Basingstoke, RG24 8GU 8 th June 2016 18:00 This is the 32nd meeting of the North Hampshire CCG Patient Participation Group Members and Apologies Beggarwood Surgery Bentley Village Surgery Bermuda Marlowe Practice Boundaries Surgery Bramleys Grange Medical Practice Camrose Medical Partnership Chawton Park Surgery Chineham Medical Practice Clift Surgery Crown Heights Medical Practice Gillies & Overbridge Medical Partnership Hackwood Partnership Kingsclere Medical Practice Oakley & Overton Partnership Odiham Health Centre Rooksdown Practice Tadley Medical Partnership Whitewater Health Wilson Practice North Hampshire CCG Apologies Dennis Thomas Brian Simmonds (BS) Apologies - Elizabeth Brock (EB) Helen Ellison (HE) Josephine Childs (JC) Ian Wilson (IW) Moira Whittaker (MW) Apologies Ian Cameron (IC) Apologies - David Woodward (DW) Paul Woodgate (PW) Apologies - Gill Tomlins (GT) Barbara Herneman (BH) Ann-Marie Mawson (AMM) Derek Gurney (DG) Colin Godfrey (CG) Nick King (NK) Paul Sly (PS) Jess Berry (JB) Faye Collins (FC) Richard Haynes (RH) Gilly Duckworth (GD) 1
1. Apologies for absence As above. Introductions The Non-Executive Advisor to the Governing Body, Nick King, and Paul Sly, Chief Officer, were introduced. Paul asked the group to name their two top topics. PW suggested they take this question back to their PPGs as respond to Paul as soon as possible. Paul s email is paul.sly@nhs.net Suggestions included completion of the Alton Review and the Critical Treatment Hospital programme (DG). 2. Better Health Through Self-Management This was presented by Jess Berry, Senior Commissioning Manager for Mental Health and Learning Disabilities, and Faye Collins, Nurse Practitioner from Oakley and Overton Partnership. The presentation is attached. Statistics: There are 15 million people in the UK with long-term health conditions (LTCs). 50% of GP time is spent on these patients and 70% of the primary and urgent care budget. Comments: BS: Why are repeat prescriptions only available for one month and no longer? PW: Recommend repeat dispensing where medication can be made available for 6-12 months. Action: GD to ask the NHCCG pharmacy lead for a formal response. Ruth Ellenby, Pharmacist in the CCG Medicines Management team, responded that this timescale is a guideline only. It is recommended by the CCG as it dramatically reduces waste. However, Practices can issues prescriptions for longer in appropriate circumstances. Barriers to Self-Management MW: Will each patient complete an assessment questionnaire under PAM (Patient Activation Measures)? JB: Yes, staff are being trained to do this. FC: It could take at least a year to complete the exercise as the questionnaire will be completed during the annual reviews of people with long term conditions. MW: Is access to medical records limited? FC: At the moment access is limited but everyone will be able to view their complete records eventually. JB: How can we educate people? DG: It could come from children as this is a very powerful way to educate adults. CG: This was show in the Hart Alcohol survey in which schools told children about the consequences of drinking to excess and the children discussed this with their parents. NK commented that language can be a barrier and the nudge theory was discussed. JC: What about psychiatric patients? They often do no take their medication. JB and FC: We are looking at how technology can help. 2
IW: Has the CCG broken down the 15 million people in the UK with long-term health conditions into health types? JB: Not yet, but this is an ongoing exercise. JB: What do you think about self-management? All: People need to be educated in various different way and different directions. Healthcare professionals need to be seen to be listening and empathetic. DG: We need to change the patient demands on GP skills. A directory is a good idea as we need to encourage people to use the services already provided. DG: Are JB and FC willing to speak to groups of patients, such as mindfulness and prostate cancer groups? JB and FC: yes DG: Recommended Healthwatch Hampshire as they have experience of LTCs. Healthcare professionals could use email more in communications with patients. PW: Healthcare professionals need to use technology according to age group, eg. social media for young people. JB and FC: When discussing LTCs is it better to discuss individually or in groups? All: some conditions are better discussed in groups for the peer support, but it is difficult to discuss details. BH: The practise of GP telephone calls works well. BS: Social prescribing individuals can be sign-posted to activities such as art classes to avoid isolation and loneliness. Recommend the use of PPGs to gain access to specific groups. JB and FC are happy to speak to individual PPG groups. Please contact them by email: Jessica.berry1@nhs.net and faye.collins@nhs.net 3. Previous Minutes and Matters Arising The minutes of the meeting held on 13 th April 2016 were approved. These minutes are attached for circulation and have been sent to Practice Managers. 4. Update from the CCG RH gave an update from the CCG: The new Director of Commissioning, Zara Hyde-Peters, has now joined the CCG. The new head of Communications and Engagement, Paul Davey, has been appointed and will join the CCG on 4 th July. Operations Pressure on A&E, ambulance response times, etc., continues. We should be approaching a quiet time but this is not evident at the moment. Southern Health has a new chair and a management review is underway. Primary Care Strategy work continues. 3
Critical Treatment Hospital: this is still not resolved. We hope to see a commitment decision at the end of June. The Alton Service Review continues to make progress. Healthwatch Hampshire has been meeting with the CCG to discuss co-producing services and working more closely together. Healthwatch Hampshire has a Community Cash Fund offering grants to improve the involvement of people in health issues. PPGs can apply for these grants: http://www.healthwatchhampshire.co.uk/healthwatch-hampshires-community-cashfund BS: What can be done about the low level of funding for Practices? RH: This is part of the new Primary Care Strategy. Recommend BS emails Rebecca Thornley for a response: Rebecca.thornley1@nhs.net RH said goodbye to the group and thanked them for their enthusiastic participation. This was Richard s last meeting as Interim Head of Communications and Engagement. 5. Any Other Business and Recent Successes PW thanked the group for their terms of reference. If anyone needs assistance please bring any questions to PPG meetings. The letter to unrepresented Practices is in progress and will be sent to Practice Managers. Camrose is now represented. Thanks to BS for attending. CG is retiring from his position as Patient Representative on the Governing Body of the CCG. PW has accepted the position. Does the group see any conflict of interest? None. There is a big push for repeat dispensing and the group agreed to have this as the discussion topic of our next meeting. It was agreed to change the date of the next meeting from 10 th August to 3 rd August. EB: Does anyone have plans for Diabetes Awareness Week? Whitewater Health and Wilson Practice will be taking part. MW: A mobile dentist unit was spotted in Stockbridge. More information can be found here: http://mdu.iosisclinic.co.uk/ 6. Date of the next meeting The next meeting will be on 3 rd August at North Hampshire CCG Offices, Central 40. The topic for discussion will be Repeat Dispensing. Future meeting dates for 2016 - all 6.30pm to 8pm at NH CCG Offices, Central 40 unless otherwise agreed. 12 th October 4
14 th December* *It was suggest that the 14 th December meeting is not popular so a date at the end of November would be more appropriate. Action - GD to liaise with PW regarding this. 5