North Curry Health Centre has an active Patient Reference Group (PRG) which was established in 2009 and belongs to the National Association of Patient Participation.
The group aims to provide a link between the patients and the Practice, as well as look at public health issues relevant to the Practice population.
The group meets once every three months and members are encouraged to give feedback of their own experiences as well as share experiences from family members or other patients.
We have reviewed the PRG membership which has remained constant over the current year.
The PRG currently consists of 13 members: 8 patients who regularly attend meetings and 5 patients who do not attend the meetings, but receive information about the group by email. The group comprises 9 females and 4 males. The ages range from 18 to 78.
All members are white British, the breakdown of age and sex is as follows:-
Female age 72
Female age 64
Female age 61
Female age 60
Female age 55
Female age 42
Female age 55
Female age 68
Female age 18
Male age 78
Male age 78
Male age 67
Male age 57
The group has associated links with the following long-term conditions; ischaemic heart disease, diabetes, asthma, hypertension.
One of the group members is a carer and another is a wheelchair user.
The Practice Population is currently represented in this chart.
Our review of the Public Health data for the practice population highlighted the following:-
· Has fewer patients age 15-34 when compared to the federation
· Demographic is lower than the federation in the 15-24 age group (mainly females)
· Demographic is significantly lower than the federation in the 25-34 age group (both sexes)
The Practice has:
· Significantly more patients in age group 65-74 (both sexes) when compared to the federation
· More males aged 75-84 when compared to the federation
· High employment levels (best 10% for employment scores)
· Low deprivation
It is also of note that the practice only services two nursing homes in its catchment area.
The Practice also has:
· Low prevalence of CKD, epilepsy, dementia, learning disabilities and mental health when compared to the federation
· Higher prevalence of asthma, AF, hypertension and obesity. Interestingly the prevalence of obesity is significantly higher and this warrants further investigation.
In terms of ethnicity Public Health does not hold this data, however, a computerised search showed that the practice population is predominantly white British. The second largest ethnic group being Polish.
In order to assess whether the group is representative, the Practice and group compared the profile of the PRG members with the Practice demographic profile at a PRG meeting.
It is clear that the PPG has a significant number of members in the age group 60-69 (5) as well as 50-59 (3) and 70-79 (3). Some age groups have very low or no representation on the PPG. This is reflective of the practice population because we have lower numbers in the younger age groups, particularly age 15-24. Thus the PPG only has one representative from this age group. However, it was noted that, as the group member is 18 years old, this is useful in terms of providing a teenagers perspective on the services provided at the surgery.
However, the age group where the practice has a population ‘bulge’ appears to be well represented with 5 members and is therefore reflective of the practice profile overall.
The group has 2 males in the age group 75-84 where the practice population overall has a higher number when compared to the federation.
In the age group 35-54 where the practice has a similar number of patients to the federation, there is only one member from this age group on the PPG and therefore this group is under represented. It is also more likely that patients in this age group will be in employment and as the population as a whole has a high employment level, representation from this group is particularly important.
In terms of prevalence data as already stated, the group has representation from patients with
ischaemic heart disease, diabetes, asthma, hypertension. However, one area identified from the Public Health data is that of obesity. Although it was felt important to recruit a patient from this area, after discussion it was highlighted as very difficult to target patients to ensure there was representation on the group in this particular area, as it was felt to be a sensitive issue. Further investigation is required.
With regards to ethnicity, all members are white British and therefore there is no representation from any other ethnic group. Whilst at practice population level this number is low, it was still felt to be important to have representation from this group of patients.
In order to increase representation from groups highlighted as being under-represented, namely:-
- Patients from other ethnic groups (polish in particular)
- Patients suffering with obesity
- Patients in age group 35-54
- Patients in employment
The practice has done the following:-
· Directly approached patients who fall in the above categories for example when in consultations with the GP/nurse
· Publicised the PPG in the waiting room and through leaflets and on the website
· Started to get the patient leaflet translated into other languages for patients from other ethnic groups
· Written to patients in the age group 35-54 who we recognise may not attend the practice as frequently to have access to leaflets and waiting room information etc.
· Provide information at the local school about the PPG in the hope of recruiting parents
We have also discussed that another way of increasing membership may be achieved by increasing the virtual membership, which the Practice seeks to do by inviting patients to complete the on-line sign up form. The Practice actively encourages representation from the under-represented groups by discussing the PRG with them during registration and passing on a PRG leaflet. In addition for the other ethnic groups, the PRG page on the website can be translated into 65 different languages. We feel that having a virtual group will increase our membership because patients from the age group 35-54 may be more willing to get involved if they find attending meetings difficult due to work and family commitments.
In addition, the group has attempted recruitment by: developing a pick-up leaflet highlighting the work of the group, the forthcoming meeting date and how to join the group, which is available in the reception area, as well as running a presentation in the waiting room TV giving the same information. The dates of the meetings are presented on the Practice website and are periodically published in local community publications. The group has also written a paragraph to raise awareness of the group in the Practice leaflet. When patients present at the Practice to register, they are also given a PRG leaflet and also a card enabling them to fill their email address details in and pass back to the receptionist if they are interested in joining the PRG. When a patient passes feedback to the Practice Manager, this is followed by an invitation to attend the next PRG meeting by noting the date on a PRG leaflet. Three members (two current members) have been recruited to the group in this way. The group have had a profile in the Practice during the 2014 flu campaign in order to raise awareness of the group’s achievements and carry out the survey. There is a plan to repeat a profile presence at vaccination and immunisation clinics on a regular basis, when it is hoped that a parents might be recruited and therefore give representation in one of the 15-54 age bands
How to Join
In order to swell the numbers and to encourage patient feedback, we have also set up a virtual patient representation group so that you can have your say. The virtual group is an ideal forum for patients who wish their views to be fed back to the Practice, but who cannot attend the three monthly Patient Reference Group meetings owing to other commitments or difficulties accessing the Practice. The Chair of the group will liaise with you and keep you informed of meeting dates and feedback minutes of meetings. We will ask the members of this representative group some questions from time to time, such as what you think about our opening times or the quality of the care or service you received. We will contact you via email and keep our surveys succinct so it shouldn’t take too much of your time.
We need people in age groups 35-54, workers, people with long term conditons and people from non-British ethnic groups.
If you would like to join the virtual patient group or are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields. We will then contact you by email to ask you whether you would like to attend meetings or whether you would like to be a virtual member.
Complete the Patient Group Sign-up Form Online
If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.
Download the pdf version of our sign up form
We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.
Many thanks for your assistance
2013 Patient Survey
In order to seek the views of the PPG the group met in October 2013. As one of the group members is a carer they were keen to establish how many carers were registered at the practice and what the practice did to promote available support for carers. In addition, other members of the group had seen media reports on carer’s – specifically the identification of carers and the support available for them. There was no disagreement amongst the group on this topic. The practice also felt that this fitted with our priorities as we had previously not found it particularly easy to record carers on the old clinical system (EMIS LV). Having moved to EMIS web in September 2013, we felt this would be a good time to review these procedures and at the same time ensure that Carers could be identified on the new system. The practice also wanted to support one of the younger staff members who had recently attended an update.
The PPG devised a short questionnaire for patients which is available on this website under the Patient Survey Results 2013 tab.
The questionnaire asked questions about the status of patients as carers (or whether they were being cared for) and also expanded to include additional information that the group wished to seek opinions on.
The group felt it was important that as many patients as possible be given the opportunity to complete the questionnaire and from all different patient groups, as it was felt difficult to ascertain which patients could potentially be carers. With this in mind, the questionnaire was designed to be concise and straight forward so as to encourage patients to complete and return it. On reflection the group felt that some of the information could have been captured in a more structured way as it was difficult to analyse some of the information in a comparative manner. This was information that related to how the practice could support carers.
The questionnaire was made available throughout the whole month of November 2013. It was handed out during the flu clinics to increase uptake as well as being handed out by reception and made available in the waiting room. A copy was placed on the website so that patients could download the form and return it to the website in person or by post if they wished.
A total of 43 questionnaires were completed and returned. The results are also available on the website under Survey Results 2013.
The results of the survey were discussed at the PRG meeting in January 2014. Although, 7 patients identified themselves as carers on the survey, only one completed the section asking what additional support they felt could be made available at the health centre. This respondent felt that there should be better understanding and flexibility when making appointments. The results also highlighted other issues including:-
· Methods patients used for making appointments
· How patients accessed the surgery
· Any other service changes they felt would be useful
The group formulated an action plan which is shown in the section below. In summary the ideas for the action plan were:-
· Better recording of carers in order for Practice Staff to be aware
· Increased time for carers champion
· Better promotion of support available for carers
· More flexibility for making appointments for patients who are carers
There was no disagreement in forming the action plan.
Following the meeting, the results have been emailed or posted to all PRG members, published on the website and displayed in the waiting room.
The results of the survey, actions plans and reviews are also available on this website under the Patient Survey Results '13 tab.
The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.