1. Patient Group Meeting
Wednesday 22nd March 2017

2. Agenda Minutes from last meeting- Sept 2016
Operational Brocklebank Issues
Engagement of a clinical pharmacist- discussion of how we can implement
Handling of results at Brocklebank-
St Georges Hospital issues
CQC results for BGP -areas for improvement
CCG budgets 17/18 how to manage funding constraints
AOB

3. Operational issues Huge increases of patients attending A&E
Huge increases in patients consulting with GP
Lack of GP candidates being trained
Increased numbers of older GPs retiring
Nurse availability issues
General environment is under stress and constant scrutiny
Consider options to spread workload to try and free up GP time/nurse time

4. Clinical Pharmacist
NHSE announced funding scheme to support practices to work in groups to employ clinical pharmacist/s to help deal with issues around medication
We put in a bid for two part time pharmacists to cover the patients of BGP, St Paul’s Cottage, Earlsfield Practice, Haider Practice
Approximately 40,000 patients
NHSE have approved in principle for a three year period after which funding disappears
BGP will be the employing practice

5. Issues
Once all appointments for a day are taken, all patients who requested an appointment are put on a list where the GP will call them back to assess their clinical need
Our practice is now to ask the patient why they are wanting the GP to call back
>30% of all requests to speak to a GP on the phone are about medication
Some patients refuse to say why they want a call (its private, its my right, its none of your business)
A clinical pharmacist has far more training in medications than a GP and moving calls to them would be a major time sparing move for GPs allowing them to concentrate on other stuff

6. Handling results
Patients a very frequently given diagnostic tests by a GP
These can be anything from simple bloods to complex scans
Results come back at different times depending on what they are for
Easy to see if results are back with online access to patient record
If all results are back and all are normal, reception staff are allowed to tell patients the results are normal
If results require further action/discussion we have been sending texts to patients asking them to arrange either telephone call or appointment with nurse/GP
As soon as patients receive texts they ring and ask for a telcon that day
The GP who requested the tests is in the best position to discuss results
We propose now sending text to patient telling them when the GP is next in and that the GP will call them to discuss results
If any results were urgent, the on call GP would be handling them immediately
Patient resistance?

7. St Georges Hospital Our major supplier of secondary care
CQC report recently stated requires improvement
Mainly estates issues- not unsafe
Waiting time record is poor >18 weeks
Recent press about quality is resulting in a review of 2 million pathways
Two serious incidents discovered in the first days
Robust work ongoing
New Chair and CEO appointed

8. CQC Brocklebank Result was pleasing The process was very stressful
The CQC team
Next visit probably 5 years
We need to think about what we can improve
Specific feedback on
Initiating contact with the surgery
What happens after a consultation

9. CCG Board meeting today FY 17/18 a great concern
Ideas being considered
Transform a service to deliver care in a different way eg Diabetes
Reduce activity or change thresholds for treatment eg Infertility
Stop commissioning some services eg Infant formulae, gluten free foods

10. AOB?