Patient Participation Group

 

Lambourn surgery have an active patient participation group. The purpose of the group is to represent the views of the village and surrounding catchment with regard to the surgery. They will ensure any issues raised are aired at the quarterly meetings. They are also kept informed of any developments and news from the surgery. There is always a representative of the surgery present at the meeting.

If you are interested in joining the group please contact the surgery or complete our secure online form, and we will put you in touch with one of the committee members.

The minutes of the meetings are written by the committee not the surgery. They do not reflect surgery opinion or views unless stated.

 

Virtual Patient Group

We would like to know how we can improve our service to you and how you perceive our surgery and staff.

To help us with this, we are setting up a virtual patient representation group so that you can have your say. 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 aim to gather around a hundred patients from as broad a spectrum as possible to get a truly representative sample. We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.

You can complete our online registration 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

 

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.

PPG Minutes

  • Date: Monday 9th October 2023 at 6:30pm
  • Location: Lambourn Surgery

Present

  • Peter Cox - Secretary
  • Gillian Greenham
  • Lucy Hall
  • Claire Hill
  • Louise Murray-Clarke - Surgery
  • Liz Cox
  • Karen Sperrey
  • Mary Wilson
  • Bridget Jones - Lambourn PC

Apologies

  • Jane Turton
  • Geoff Fowler
  • Alan Breadmore - Chairman
  • Graham Jones - Lambourn Pharmacy 

In the absence of the Chairman, or a designated Vice Chairman, Peter agreed to act as the Chairman for this meeting

Minutes of The Meeting 10th July 2023

The minutes were approved.

Matters Arising

There were none which were not covered by the Agenda.

Discussion Topic

Surgery

Louise reported the combined flu/covid vaccination on the 16th September had gone well with numbers of 806 for both the flu and covid jabs. So far there had been 995 flu jabs out of a potential 2804 whilst the potential covid jabs was 2314. It was noted that there were 500 booked for the coming Saturday. This will be the last of the covid jabs as the vaccine is supplied in a phial of 6 and then has to be diluted. Thereafter the covid jab will be available at the Lambourn Pharmacy.

i) Update on new website and appointments

The Surgery was settled with the new website structure and there had been no negative comments so far. The eConsult system was set to stay as the method for dealing with online enquiry forms. At present there were around 25% to 30% of the patients using the eConsult process with the rest booking appointments via the telephone. The Surgery were content with this ratio. Bridget reported that there had been good feedback re the new care navigators.

The eConsult system works best with aiding the direction and questions of a new complaint but not as well for a repeat situation. The option of referring to the Lambourn Pharmacy was not yet in operation. Graham Jones has said he will have the capacity of doing up to 4 a day noting that there will be a full report sent back to the Surgery. The number of illnesses that can be dealt by this referral system is strictly limited. Lucy raised the question re repeat prescriptions being available on line. Louise said that besides the Surgery website this could also be done on the Airmid website once the patient had been provided with log on details.

Louise then answered the points raised under AOB which related to the Surgery.

1. What care does the surgery provide for end-of-life patients at home and what support do they provide for the family?

All patients in the end-of-life condition and their families are given a full list of relevant contacts (see Appendix 1). This includes direct numbers for assistance such as community equipment e.g. beds. There is also the number for the Sue Ryder Caseload. These patients are all discussed at the Multidiscipline Team (MDT) meeting each week. There are not usually more than 1 or 2 patients in this situation at any one time. Louise showed the PPG the specific leaflet given to the families of bereaved patients of Lambourn Surgery which was much appreciated by those present. As regards palliative care, see the list in Appendix 2. The patient numbers discussed at the MDT meeting in this case are around 30 to 40. Louise reminded the PPG about the “Message in a bottle” emergency information scheme.

The bottle contains a form for you to fill in with your name, medication, allergies and emergency contact details. Once you have completed the form, put it back inside the bottle and put the bottle in your fridge, ideally in the door to allow it to be found quickly in an emergency.

Appendix 1: Important Contacts Palliative Care Patients

  • Lambourn Surgery
    Telephone: 01488 72299
    Open Monday to Friday (Excluding Bank Holidays) from 8am to 6:30pm
  • District Nurses
    Telephone: 0118 904 6505
    Open Monday to Friday (Excluding Bank Holidays) from 8:30am to 4:30pm
  • NHS non-emergency
    Telephone: 111
    Open everyday - 24 hours
  • Emergency
    Telephone: 999
    Open everyday - 24 hours
  • Palliative Care Out of hours (GP’s and Nurses)
    Telephone: 0118 974 8441
    Open Monday to Friday from 6:30pm to 8:30pm and Saturday to Sunday - 24 hours
  • Integrated Hub (Contact for all Community Based Health Services)
    Telephone: 0300 365 1234
    Open everyday - 24 hours 
  • NRS – Equipment (Problems with equipment or to organise collection)
    Telephone: 0344 893 6960
    Open Monday to Friday from 8:30am to 4:30pm

Only if patient has been seen and is on Sue Ryder Caseload -

  • Sue Ryder (If already allocated Sue Ryder Professional)
    Telephone: 01635 273720
    Open: Monday to Friday from 9am to 4:30pm
  • Sue Ryder (If already allocated Sue Ryder Professional)
    Telephone: 07899 915619
    Open: Weekends and Bank Holidays from 9am to 4:30pm

Appendix 2: Palliative Care Patients

  •  We have monthly meetings to discuss anything significant that is happening with them and also a chance to catch up with District Nurses, Adult Social Care and Sue Ryder if they are under their teams at the meeting.
  • We record on our GP System where the patient would like to be cared for and when they would prefer to die. We aim to meet their wishes as much as we can.
  • When patient is end of life our Care Coordinator liaise with District Nurses and any other Community Services that would be helpful including Sue Ryder.
  • We get ready when the time is right a “Just In Case box” which will have the following in it –
    • Syringe Driver paperwork
    • Selection of needles
    • Selection of syringes
    • Message in A Bottle
    • Small sharps bin
    • Important contacts for the patient and family (see attached)
    • Anticipatory Drug medication
  • If a GP is needed at any time they will visit the patient at home.
  • When the patient does pass away we have a Bereavement Brochure we can give to the family to explain the next process.
2. Will the Mental Health Practitioner do home visits for a suicidal patient?

No. Under these circumstances the patient will be referred to CRISIS. The Mental Health Nurse only deals with adults. For the 14 to 22 year olds there are sessions of Time to Talk.

Patients have to self-refer to attend.

3. Why can’t regular appointments be booked for more than 6 weeks in advance as restricted by the new appointment system?

Louise replied it would result in more DNAs (Did Not Attend) which had gone down by 35% for the new system. It is planned that there will be an optional online booking routine that could use for routine appointments.

In general news Louise reported that the surgery now has a full compliment of GPs. Sabah Mian has been appointed as the replacement Clinical Pharmacist for Sai. However, she will be on maternity leave from late December. 

Lambourn Surgery Amenities Fund

Liz reported that she still did not have online access to the bank account. She was pleased to announce that a new FENO testing machine for asthma had been purchased using the funds. It was noted that this machine can only be used to assist the diagnosis of new potential asthmatic patients. There was now approx. £1,500 in funds available.

Patient Panel

No report

Pharmacy

No report

AOB

None

Next Meeting

It was proposed that the next meeting will be F2F on Monday, 15th January 2024 at the Surgery and will also be the AGM.

The meeting closed at 7:40 pm

Peter Cox
Secretary Lambourn PPG
19th December 2023

Further Information

If you require a copy of any previous minutes please contact the surgery.