Patient Group Meeting 28th September 2016

Agenda Terms of reference CQC visit Patient data Primary Care Plus Practice Update AOB

Terms of reference Circulated to all with no revisions suggested Can we ratify?

CQC Notification of visit received 21.9.16 Visit will be 6.10.16 Team to be announced Visit 9am to circa 5.30 We present to them They ask questions of GP Nurses Admin Patients

Key Lines of Enquiry Are we safe? Are we effective? Are we caring? Are we responsive? Are we well led?

Six population groups Older people People with Long Term Conditions Families, children and young people Working age people People whose circumstances may make them vulnerable People experiencing poor mental health (including Dementia)

Sources Website NHS Choices Friends and Family Test Ipsos Mori National Survey CCG QoF CQC notifications

GP Appointments w/c 19th September 1096 appointments booked 106 DNA 566 telephone consultations 14 home visits Currently booking two weeks hence

Nurse appointments w/c 19th September 545 appointments booked 26 telcons 25 DNA’s

Current status 2 GPs on maternity leave 1 GP on notice to join a practice as a partner 2 vacant posts 1 nurse on maternity leave No nurse vacancies 1 staff member on maternity leave 2 admin vacancies 2 apprentice opportunities identified

Issues GP recruitment issues Funding issues Building problems PMS review Payment for services delay Payment from many different sources Building problems Fabric of building Cost of services Patient demand increasing

Way forward We cannot carry on just doing more of the same We need to explore ways of doing things differently Resistance Staff GPs Patients Help!