Sept. 14, 2022

Minutes

Present:

Clive Husselbury (CH) - Patient Representative (Chair)

Dr M Kanag (MK) - GP Partner

Dr M Nyekiova (MN) - GP Partner

Susan Goundry (SG) - Practice Manager

Claire Alvey (CA) - Assistant Practice Manager

Nick Conn (NC) - Information Systems Manager

Patricia Maguire (PM) - Patient Representative

David Barker (DB), - Patient Representative

Julie Cowgill (JC) - Patient Representative

Suzi Wilson (SW) - Patient Representative

Eva De Graaf (ED) - Patient Representative

Lisa Anderson (LA) - Patient Representative

Jack Wagstaff (JW) - Guest – NW Surrey ICS Place Leader & Alliance Chief Officer

Fiona Bailey (FB) - Guest – Chair of Ottershaw PPG

1. Introductions and apologies:

Dr Sanchez (MJS) / Annette Hart (AH) / Zoe Cooper (ZC) / Pippa Tucker-Brown (PB) / Mel Shiell (MS) / David Curran (DC) / Sara Hatchwell (SH)

2. Declaration of any conflicts of interest:

None declared.

It was noted that LA is a Practice Manager elsewhere.

3. Presentation by Jack Wagstaff - NW Surrey ICS Place Leader & Alliance Chief Officer

A very interesting and informative presentation (copy of slides circulated) and discussion / Q&A. A longer presentation from the recent CCG/ICS AGM has also been circulated. More information is available at: https://www.northwestsurrey-alliance.org/. If any PPG members would like to be copied in on information regarding the redevelopment in Weybridge please let me know and I will ask Jack to add you to the circulation list.

4. Minutes of previous meetings 6th October 2021 & 5th April 2022:

Considered Approved

5. Matters arising from previous meeting not covered below:

5.1 General Discussion about situation at practice, noting the recent letter sent out to patients.

5.1.1 The demand on the surgery remains very high, with some patients having very unrealistic expectations, especially with ongoing Covid absences and annual leave over the Summer.

5.1.2 An online Public Meeting hosted by RBC/Cllr. John Furey is being planned for late October. The content would be an explanation of how the surgery is working, what GPs do, etc. with a Q&A format. MK asked for input on what patients would like to hear. Suggestions included ‘why is the waiting room always so empty’ and the Ice-berg of what goes on below the water, now to include end-of-life care.

5.1.3 A more regular presence of PPG members at the surgery was discussed with the possible option of using a space within the ‘comms room’

5.1.4 PPG members could perhaps run a session helping people get the 111 and LIVI Apps

5.1.5 The possibility of recruiting ‘Friends’ as well as PPG Members was discussed.

5.2 Number of Registered Patients: Currently fairly stable at 17079 (16,924 in Jan 2020 / 17251 in Sept 2021)

5.3 Statistics on Activity Levels for period: See separate attachment as already circulated.

5.4 Car Parking: It has not been possible to progress this matter.

5.5 The ‘new’ GPiMHS integrated approach to Mental Health Care was explained. The first point of access remains the GP.

6 Staffing/Practice Update – Crouch Oak/CoCO PCN/NICS Federation:

6.1 PCN Current Staffing:

Melissa Shiell Operations Manager
Elaine Archer Care Home Coordinator – CHC (Chertsey Health Centre)
Rebecca Butler Care Home Co-ordinator - CO
Kim Jany Clinical Pharmacist Crouch Oak
Emma Cade Clinical Pharmacist Crouch Oak/ Ottershaw
Sangita Bagga Clinical Pharmacist Crouch Oak/ CHC
Sunita Gill Clinical Pharmacist CHC
Laura Gurney Clinical Pharmacist CHC / Crouch Oak (currently going through induction)
Simran Johal Clinical Pharmacist-start date TBC
Mohammed Nathuoo Care coordinator CHC / Crouch Oak (currently going through induction)
Naomi Druce Care Coordinator - CHC / Crouch Oak
Sarah Lister BP Care Coordinator - CHC/ Crouch Oak/ Ottershaw
Felix Barry Care Coordinator - CHC/ Crouch Oak
Charlotte Jenkinson Paramedic - CHC/ Crouch Oak/ Ottershaw
Paul Swift Paramedic Crouch Oak
Dawn Kitchener Social Prescriber Coco PCN -CHC/ Crouch Oak/ Ottershaw
Gemma Merket Social Prescriber Coco PCN (Through Runnymede Council) - CHC/ CO/ Ottershaw
Liz Gamlen Cancer Nurse CHC/ Crouch Oak/ Ottershaw (currently on 2-month break)
Candice Dolby GPIMHS Admin Coco PCN - CHC / Crouch Oak/ Ottershaw
Karen Davies GPIMHS Admin Coco PCN - CHC / Crouch Oak/ Ottershaw
Caroline Lancaster Carpenter Mental Health Nurse (SABP) Coco PCN -CHC/ CO/ Ottershaw

ARRS roles to be filled:

We are looking for a Respiratory nurse
3 X Care coordinators

PCN office is now being occupied daily by PCN staff it seats up to 8 people, care coordinator, social prescribers, care coordinators & GPimhs admin are based here.

6.2: Crouch Oak ‘new’ (ish) phone systems: Not discussed

6.3 NICS Federation: Not discussed

6.4 Crouch Oak Staffing:

6.4.1 Dr Stephen Bews, who has been with the Practice for some years is set to become a GP Partner from 1st December 2022 upon his return from extended leave of absence in Australia.

6.4.2 New GPs, including Locums: Dr Charlene Pateman, Dr Hamza Khan, Dr Anil Chopra, Dr Failsal Al-Mayahi, Dr Sunita Sadheura, Dr Fiona Gibbs

6.4.3 The Practice has unfilled GP vacancies due to the national shortage of GPs.

6.4.4 Sadly Annie Skidmore, our APP, left in July 2022

6.4.5 Sadly Denise Bellamy, our ANP, left in December 2021.

6.4.6 Carol Spaven retired from the Admin team after 17 years service.

6.4.7 Admin Team – There have been many changes with staff leaving, new joiners training and then leaving due to the stresses of the job, including abuse by patients.

7. Key areas for focus (Update and/or Review):

7.1 Patient Access, incl. Footfall & LIVI – Discussed under 5.1 above

7.2 Patient Feedback/FFT

7.2.1 The FFT was suspended at the starts of the Pandemic. It was restarted in July 2022:

Really Good to share very positive FFT stats for July 2022 – The first month this was switched back on post-Covid:

182 Positive (92%)
9 Neutral (4.5%)
ONLY 7 Negative (3.5%)

Considering the pressures that the COFP Team are under this deserves our congratulations and thanks.

I guess we have to accept that the sample might have a slight bias towards the positive in that it is responses from people who have just had an appointment of some kind. (I need to check the detail of that.)

7.2.2 Reminder that other avenues for feedback are as follows – Please encourage usage:

The Practice web site: Feedback | The Crouch Oak Family Practice
NHS: https://www.nhs.uk/services/gp-surgery/the-crouch-oak-family-practice/H81042/ratings-and-reviews - Note that when you submit a review the site will send you an email to confirm your email address and you simply click on the link to do that.
Google Reviews: there is no distinct page for reviews. If you google ‘Crouch Oak Family Practice’ an information panel appears on the right-hand side (when access on computer) and there is a review section towards the bottom.

7.2.3 The recent ‘mini survey’ of patients in the waiting room by DB and CH was noted

8. Any Other Business

8.1 Flu Vaccination Clinics

8.1.1 These will be at the Surgery and assistance from PPG with stewarding would be appreciated. Dates/times to follow – Initially 15th and 22nd October – Please let CH know if you are available for all or part of these days.

8.1.2 PPG Members are also requested to assist patients with doing a BP (Blood Pressure) check using the two automated systems.

8.1.3 It was suggested that a single page A4 flyer/newsletter be prepared to hand to patients covering items discussed in 5.1 above.

8.1.4 This should also be used as an opportunity for the PPG Members to recruit ‘Friends’ and/or Additional PPG Members. (See 5.1 above)

8.2 COVID Booster Clinics – These are organized by NICS (Federation of GP Practices in NW Surrey: https://www.nicsfed.co.uk/ ) as before and will take place away from the Surgery, as before. They have already started, including at Chertsey Halls.

8.3 Holme Farm progress report / update – Not discussed

8.4 PR/Comms for PCN – Not discussed

8.5 PPG terms of reference (TOR) – CH to undertake periodic review.

8.6 Addlestone TWO – No Update