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Camden Clinical Commissioning Group
Patient Voice Report
09 September 2019
Report Title Patient Voice Report
Date of report
09/07/19 Agenda Item
Leave blank
for
Committee
Secretary
Lead Director /
Manager
Ian Porter Director of Corporate Services North Central London CCGs
Tel/Email
GB Member Sponsor
Kathy Elliott, Lay Governing Body member responsible for Patient and Public Engagement We continue to welcome contributions and support to strengthen patient and public engagement. Since the last Governing Body meeting, highlights have been:
My thanks to the communications and engagement team and CPPEG members for helping the CCG get assured as ‘Good’ for the work that we have undertaken in patient and community engagement. Camden CCG was rated as ‘good’ - achieving outstanding in one domain and, good in the other four domains. For additional information – click here.
Domain Rating
A - Governance: Outstanding
B - Annual Reporting: Good
C - Day to Day Practice: Good
D - Feedback & Evaluation: Good
E - Equalities & Health Inequalities: Good
Welcome to three new PPG members that have been co-opted onto CPPEG until the end of March (Bob Patterson, Mark Agathangelou and Kirsten de Keyser.
Moving forward:
Camden CCG AGM will be held on Wednesday 11 September 2019 from 5.15pm – 6.15pm at the Greenwood Centre, 37 Greenwood Place, London NW5 1LB.
Camden CCG Governing Body meeting will be held on Wednesday 11 September from 2pm to 4pm at the Greenwood Centre, 37 Greenwood Place, London NW5 1LB.
Camden PPG Forum meeting will be held on Thursday 17 October (time and venue to be confirmed.
The Patient Voice Report (September 2019)
This paper covers work undertaken over the past three months, relating to: 1. Camden Patient and Public Engagement Group (CPPEG) 2. Strategic Objective E as set out in the CCG’s Business Plan: Work jointly with the people and patients of Camden to shape the services we commission.
1. Camden Patient & Public Engagement Group (CPPEG) Since the last Governing Body meeting the CCG has held one CPPEG operational meeting, two open meetings and a Camden wide Patient Participation Group (PPG) forum meeting. Key themes and issues arising are described below:
1.1 CPPEG operational meeting (09/07/2019) CCG Committee reports CPPEG committee representative reports and the Governing Body Patient Voice report were discussed, approved and disseminated to PPGs for information, which can be accessed here.
Finance and QIPP update 2019/20 Becky Booker, Director of Finance & Sally MacKinnon Director of Transformation, Planning & Delivery updated CPPEG on the financial challenge for 2019/20 and Quality Innovation, Productivity and Prevention (QIPP) update.
Financial challenge key messages were:
Drivers of the NHS Financial Challenge Across the UK people are living longer,
healthier lives but demand for Health Services is increasing.
Demand for health care is highly geared to our growing and aging population.
Demand is also heavily impacted by rising public expectations, the effectiveness of prevention and public health, and availability of social care.
Even more significant is the steady expansion of new technologies, treatments and cures.
2018/19 NCL CCG’s Final Position 2018/19 proved to be a very challenging
year for NCL CCG’s. There has been a high level of activity within hospital based services (acute) and a significant increase in the cost of care as reflected across the healthcare sector as a whole.
In addition CCGs have seen rising patient numbers, increasing acuity and nationally set increases in the cost of drugs prescribed by local General Practitioners.
As a result, NCL CCGs reported an overall overspend (deficit) and despite these challenges, Camden CCG managed to achieve a breakeven position.
2019/20 NCL Overall Budget Position NCL CCGs have budgeted for a deficit
which is due to the cost of services and follows on from the pressures we faced in 2018/19.
Although the overall budget has been set at a deficit position there is an expectation that a recovery programme will be initiated to bridge the gap.
2019/20 Risk In addition to Camden CCG’s budget
position, there are a number of risks that have been identified which could further increase the CCG’s deficit position.
2019/20 Finance key points to note Achieving the QIPP target and working collaboratively and maximising our opportunities to
commission efficient, effective services both locally and across NCL is key to meeting our challenges this year.
QIPP update key messages were:
Overview For 2018/19, Camden CCG delivered
QIPP of £23.85m, representing 91.7% of the total QIPP target of £26m.
For 2019/20, the CCG has a QIPP plan of £18.5m gross QIPP, with a net QIPP of £14.97m.
QIPP Priorities: system view Locally Commissioned Services.
Emergency Department Demand management, Integrated Care Services and simplified discharge pathways
The majority of QIPP initiatives are not new, with work having started in 2018/19 and the key priorities are captured in the CCG’s Business Plan for 2019/20.
Patient Engagement overview CCCG priorities are discussed annually with CPPEG CPPEG reps and service users attend short life groups (e.g. PMS and MSK) to develop
commissioning changes CPPEG reps report progress/status at CPPEG operational meetings of groups/committees
they attend CPPEG reports disseminated to GP PPGS through newsletter, displayed via public website
and social media
CPPEG members welcomed the update and the opportunity given to understand the financial challenge facing commissioners and health providers and the priorities for achieving QIPP moving forward in Camden and NCL. It was agreed that a representative from the finance and transformation teams would be invited to an autumn operational meeting to update members on delivery of the financial plan and QIPP. A summary of the presentation would also be disseminated to PPGs for information via the PPG newsletter. The CCG will also review how patients will be involved in the priority QIPP initiatives, building on learning from 18/19.
Healthwatch Camden update Anna Wright, Deputy Director – Policy Lead Healthwatch Camden updated CPPEG on the current status of their work programme. The presentation is here and the key messages were
Coming up - Healthwatch Camden will report on
Outpatient referrals – talked to over 140 patients in outpatient clinics at the Royal Free and UCLH listening to the patient experience.
Chase Farm Hospital – interviews with patients who have experienced services underway.
Summer outreach – will be talking to people at community events throughout the summer to help establish the work programme for 2019/20.
Outpatient appointment letters – call for patients to share examples of the letters they have received to help services improve the quality of future letters.
CPPEG members welcomed the update and the agreed to forward the presentation through the PPG newsletter to the public and PPG members to make them aware of the opportunities to assist Healthwatch in giving feedback on services and being able to assist as volunteers.
Sleep Apnoea and Dermatology Services update Tom O’Gorman, Project Manager Camden CCG updated CPPEG on Sleep Apnoea and Dermatology Services. The presentations are here (Sleep Apnoea and Dermatology) and the key messages were
Sleep Apnoea - Setting the scene
In response to growing clinical need and given the current constraints on the health service, we had to think of new ways to work to investigate patients with suspected obstructive sleep apnoea
We devised a new pathway with greater integration with primary care thereby bringing care closer to home for patients. In the pilot there is a 50% reduction in steps involved through the patient pathway and we anticipate that this would translate into a quicker, more favourable and cost effective pathway for patients.
Patients will be interviewed to ascertain their views of current services and proposed changes.
Dermatology Services – Setting the scene
More than 20% of GP appointments involve dermatological issues with a significant proportion being referred to secondary care (nationally around 4 million a year).
It is the second most common disease in adults and there is an increasing demand for services
CCG’s forecast outturn for 2017/18 is 2,277 routine outpatient attendances and 783 two-week wait attendances. In 2016/17, there were 2,209 routine and 1,050 two-week wait attendances.
This is leading to significant waiting times for routine appointments, but there is evidence that lots of patients can be managed in the community without having to attend an appointment at the hospital.
Only a very small percentage of two-week wait attendances result in a significant diagnosis.
Referring clinicians will send photographic images including, where appropriate, dermatoscopic images to secondary care dermatology specialists who will assess the referrals. If the patient can be appropriately managed in primary care, a diagnosis and management plan is provided to the patient and GP.
Where onward referral is required, this is made to the appropriate clinic, including community options where available and also straight to biopsy or surgical treatment where relevant.
CPPEG members welcomed the proposals and asked that when a member of the transformation team returns later in the year to update CPPEG on what patients of the services have said in relation to the both service proposals the presentation slides are disseminated to the public via the PPG newsletter.
Conditions for which over the counter (OTC) items should not routinely be prescribed in primary care: Guidance for CCGs - Implementation & Recommendation Rachel Clark, Head of Medicines Management updated CPPEG on the implementation of the guidance. The presentation is here and the key messages were:
NHS England guidance in March 2018.on conditions for which OTC items should not routinely be prescribed in primary care produced after public consultation December 2017 to 14 March 2018.
In March 2019 Camden CCG Governing Body reached the decision to implement the recommendations made in the NHS England guidance, with a view to implementing in Autumn 2019.
General Exceptions - as a result of initial engagement NHS England were made aware of concerns from PPGs relating to access. They have refined their proposed exceptions to this consultation guidance to include a specific exception for vulnerable patients. This exception is patients where the clinician considers that their ability to self-manage is compromised as a consequence of medical, mental health or significant social vulnerability to the extent that their health and/or wellbeing could be adversely affected, if reliant on self-care.
CPPEG members welcomed the update and asked that a representative from the medicine management team attends an open meeting to update the public on the actions taken as a result of the consultation on OTC medicines; and the communications and engagement team will raise awareness via the public website, social media and the PPG newsletter.
1.2 CPPEG Open Meeting (11/06/19) CPPEG open meetings occur bi-monthly and give an opportunity for members of the public to hear about and engage with the work of the CCG. The June open meeting was attended by 48 members of the public.
Presentation 1: St Pancras Hospital update (design of new inpatient setting) The presentation given by Vincent Kirchner, Medical Director, Camden & Islington NHS Foundation Trust can be viewed here. The main messages from the presentation were as follows:
Designing our new hospital
Land at Whittington Hospital has been purchased;
Design work is underway and will continue until end of July, this involves working with service users, carers, staff and other local stakeholders.
In relation to outdoor spaces patients will have:
Access to fresh air provided from all wards;
Outdoor spaces for exercise or horticultural activities;
Enough flexibility to accommodate all service user requirements/different activities.
In relation to shared spaces patients will have:
Gym;
Spaces for OT activities – group spaces or smaller spaces for individuals;
Family/visiting rooms;
Spiritual/faith spaces;
Sensory room/quiet room;
Kitchen facilities.
Key dates for our new hospital
Building work to commence in summer 2020;
Move to new hospital in late 2022.
Presentation 2: What is patient experience telling the Royal Free London NHS Foundation Trust? The presentation given by Richard Chester, Deputy Director of Patient Experience at the RFH can be viewed here. The main messages from the presentation were as follows:
During the last year
Inpatients 197,987 patients;
Outpatients 1,560,229 patients;
Emergency Dept. 277,877 patients;
Plus, prescriptions, blood tests, phoning the hospital, receiving appointment letters and visitors to the hospital;
The RFH collates patient experience feedback by PALS/Complaints, surveys, social media, friends and family test, NHS choices website and department visits by senior staff;
The majority of the feedback was positive and actions have been taken to improve where problems have been identified;
Patients can become a Foundation Trust member and support staff in improving patient experience and a patient can attend the Clinical Quality Review meetings with CCG (where patient experience is discussed and actions are taken to improve services).
Presentation 3: General Practice Visits – what are practice staff telling us? The presentation given by Martin Emery, Communications and Engagement Team at Camden CCG can be viewed here. The main messages from the presentation were as follows:
Background:
During the last 19 months the Chair and Chief Operational Officer at Camden CCG visited 25 general practices in Camden to discuss issues that were important to clinical and non-clinical staff.
In reviewing the feedback the primary care and communications and engagement team analysed the feedback and displayed as a word cloud to show patterns / themes from these conversations.
In relation to the services that were praised by staff those most mentioned were:
Development of GP neighbourhoods –bringing GPs together to standardise care and better use of resources.
Community services - Palliative care, district nursing, rapid response & social prescribing team work with practices
GP education & website team - extremely useful resource and the educational sessions beneficial.
General practice information technology team (GPIT) – excellent team and resource valued by practices.
New mental health service model -practices can see positives from a single point of access system and clear navigation towards support.
Mental health services - The team around the practice (TAP) have long waiting times but provide a high quality service upon delivery. Joint meetings with icope & TAP are beneficial.
Medicines management team are fantastic.
Quality improvement support team (QIST) – Practices built trust through familiarity with leads
In relation to the services that were given feedback on areas for improvement by staff those most mentioned were:
Acute Services - delays in communication from acute providers (discharge letters-test results-patients medical history)
Community services – accessing cross boundary community services, family planning services, tissue viability and wound care services.
Mental health services -TAP can be a holding measure due to long waits for secondary care support, communication with the crisis team needs to improve, access to counselling services for those with lower need and no facility for longer term therapy.
NHS estates (general practice) -rent review deliberations and lease of estate coming to the end.
Service change timing - insufficient time for introducing, ceasing or evolving services
Prescriptions - being issued but not collected by a local pharmacy.
MSK services – delays in communication and accessing physiotherapy.
CIDR / shared records - Advantageous as not always received information from the acute sector.
GP extended access – improved access and choice for patients.
Patient Participation Groups – help promote services on offer to our patients and speakers come to update PPG members and patients on wider issues.
Membership summit meetings - a useful platform for practices to understand the direction of the CCG and the vision of its senior leadership
EMIS (GP Clinical Practice System) -ongoing issues with having to regularly update referral forms and templates.
NHS 111- all parties would benefit from clearer communication between the patient, practice and 111 service.
Retention of staff in general practice –adversely affecting patient care.
QIPP – pressure of meeting statutory financial obligations.
Next steps
Feedback from practice staff has helped identify areas that require additional focus or service improvements to be implemented.
We will do this through a number of ways, investigating root cause analysis, working with providers to improve performance through improvement plans, addressing external factors impacting performance and enforcing service changes contractually where we have exhausted all other avenues.
The public attendees welcomed the presentations and the time given to answer questions that were raised by the audience. The public attendees welcomed the changes at C&I hospital site and signed up to assist with helping to design the new hospital building. Concerns were expressed in relation to patient and public transport for patients treated at Chase Farm hospital which were followed up outside the meeting. It was agreed that Healthwatch Camden would present their findings in relation to patient and public transport at a future open meeting. The public also welcomed the actions the CCG were taken to improve services following the feedback given by general practice staff.
1.3 Camden Patient Participation Group Forum meeting (19/06/19) Forum meetings occur bi-annually and give an opportunity for general practice PPG members to hear about and engage with the work of the CCG and partner organisations. The October forum meeting was attended by 42 PPG members from 21 general practices and chaired by Kathy Elliott, Lay Governing Body member responsible for patient and community engagement Camden CCG.
Presentation 1 & 2: PPG success stories The presentations given by Hilary Lance, Chair Adelaide Medical Centre PPG and Gill Walt Chair James Wigg PPG, The main messages from the presentation were as follows:
Adelaide Medical Centre PPG
The PPG is a bridge between the patients of the practice and the staff, both clinical and administrative.
Our over-riding aims are to: - help improve the patient experience of the practice; - communicate matters of relevance relating to the practice and to the patients.
In addition to PPG meetings some members:
Conduct surveys;
Talk to patients in the waiting room about the PPG;
Keep the PPG noticeboard board up to date;
Keep an eye on other notice boards for out of date posters, messy notices and too much clutter;
Staff the Christmas tombola (local charity raising event);
Manage the PPG notice board;
Manage the patient engagement pages of practice website;
Monitor the screen in the waiting room;
Empty suggestion box.
Some achievements…
Photo-board of practice staff;
Nursing staff noticeboard with information on what they do;
A PPG notice board and adjacent information files;
Setting up an email Patient Reference Group (PRG = virtual PPG);
Initiating/writing explanatory leaflets for patients;
Pressing the council for a dedicated parking place for disabled patients;
Introduction of paper and coloured pens for children, and children’s books;
New reinforced glass in the front door to replace scratched Perspex;
Removal of glass screen between reception staff and patients;
Contributing to making the waiting area more welcoming (new flooring);
Removal of clutter and rationalising notice boards;
Reviewing the size, location and use of the TV screen;
Support training for staff on deaf awareness and managing difficult people;
Suggestion box items: all commented on and made available.
James Wigg Practice PPG
Aims of PPG project: to help reception staff manage the queue and improve patient experience and increase the number of patients registering for Patient Access
What the PPG did (four volunteers each spent 1 morning a week)
Offering to help people who were queuing;
Suggesting registering on-line when appropriate;
Directing patients to a dedicated member of reception staff.
How the PPG did
Show people how to use self-check-in and blood pressure machines;
Direct people to various services;
Reassure patients unclear of where to wait;
Listen to people who were distressed or annoyed.
What the PPG achieved
Several changes in procedures;
Saving reception staff and patients time;
Getting a few patients registered for Patient Access;
Satisfaction for volunteers.
Presentation 3: Kentish Town South Primary Care Network (PCN) Dr Philip Posner, James Wigg Practice & Queens Crescent Practice presented Kentish Town South PCN. The presentation is here. Key messages were:
Recap - the new GP contract (addresses nine goals), including:
Addressing workload issues, developing Primary Care Networks (PCN), improving Quality and Outcomes Framework, joining up urgent care services, using of digital technologies, delivering new services, providing more certainty about funding for 5 years and setting up a new clinical negligence scheme.
Primary Care Networks – Working at Scale
Groups of GP practices working more closely together, with other primary and community care staff and health and care organisations, providing integrated services to their local populations.
30,000 – 50,000 patients;
Wider range of services for patients;
Staff recruitment and retention;
Managing financial and estates pressures;
Integration with wider health system;
Involve local community from the start, working together to design and develop services and support.
Presentation 4: Social Prescribing and Care Navigation Tom O’ Gorman - Project Manager, Camden CCG & Monica Riveros - Services Manager, Age UK Camden updated PPG members on the current status of social prescribing and care navigation in Camden. The presentation is here. The key messages were:
The Camden Care Navigation and Social Prescribing Service was launched on the 1st October 2108 and it is delivered by 3 linked services:
Care Navigation - Age UK Camden, Community Links – Voluntary Action Camden and Wish Plus
The model enables Camden residents to access care and support in the right place, at the right time and it aims to help and enable Camden residents to:
Identify their support needs at an earlier stage to prevent escalation;
Access support services within their local community;
Improve their experience of care.
Next Steps
Liaison between PCNs and current social prescribing provision to develop proposals for new Social Prescribing Link Workers;
Greater utilisation of Care Navigators;
More practices with a named community links worker;
Greater alignment to mental health social prescribing services;
Update the Care Navigation and Social Prescribing communications and find more ways to promote the service to residents.
The PPG attendees welcomed the presentations reflecting what members had requested and the time given to discuss the topics with the presenters. Special mention was given to the presentation on PCNS and members asked that the YouTube clip on PCNS be disseminated via social media and the PPG newsletter.
1.4 CPPEG open meeting (13/08/2019) CPPEG open meetings occur bi-monthly and give an opportunity for members of the public to hear about and engage with the work of the CCG. The August open meeting was attended by 40 members of the public.
Presentation 1: The NHS Long Term Plan and Integrated Care Meena Mahil, Director Integrated Care – Camden CCG gave an overview of the NHS Long Term Plan and Integrated Care. The presentation is here. The key messages were:
The NHS Long Term Plan sets out a national vision for the future.
The plan describes a transition to Integrated Care Systems, which are supported by single CCGs. Partners from across NCL are currently working together to design what our Integrated Care System (ICS) will look like.
An important part of the new system will be borough-based Integrated Care Partnerships where commissioners and providers will jointly agree how to use resources, design services and improve population health.
Presentation 2: Public consultation on proposed move of Moorfields Eye Hospital’s (City Road) Services Denise Tyrrell, North Central London CCGs Programme Director presented the current status of the consultation. The presentation is here and the key messages were:
Overview
We are consulting on a proposal to move the services of Moorfields Eye Hospital and the UCL Institute of Ophthalmology (IoO) from their sites at City Road, Islington, to the St Pancras Hospital site in Camden. The consultation seeks the views of staff, patients and those close to them, other health organisations and the public.
What our patients tell us:
Moorfields Eye Hospital at City Road was built in the 1890s. The way we provide eye care now is very different from then. Most treatments and surgery is on a day case basis and there are many more patients moving through the hospital every day.
The ageing buildings create impractical and uncomfortable conditions for patients and staff.
The lay-out of the buildings affects efficiency and patient experience. If there are several things that need to happen while you are at the hospital, sometimes it takes time for information to pass
from one place to another and this results in long waiting times for you, often in overcrowded and uncomfortable places.
In spite of this, we provide some of the best eye care in the world and we want to continue doing this in the future, but there is very little space to expand and develop new services or install new technology.
Presentation 3: Camden Neighbourhood Prevention Plan Charmaine Browne, Camden & Islington Public Health Team presented the Camden Prevention Plan and held a workshop. The presentation is here. The key messages were:
In 2016 the Camden Local Care Partnership agreed to develop a more integrated way to deliver better care for local people and improve outcomes Prevention is highlighted as a core part of Camden’s Local Care Strategy;
Our aim is to help develop a tangible prevention plan where key priorities (for children, mental health and adults) are accelerated within Camden Neighbourhoods over the next 12 18 months;
Priority 1: Sustainable Networks of Support (Inc. unpaid carers);
Priority 2: Social Isolation and Loneliness;
Priority 3: Falls Prevention;
Priority 4: High Blood Pressure and Atrial Fibrillation (AF) detection;
Priority 5: Cancer Prevention and Early Diagnosis;
Priority 6: Preventing Long Term Conditions (Physical Activity/Smoking);
Priority 7: Reducing Alcohol Related Harm;
Priority 8: MSK & Co Morbidity.
Presentation 4: NHS England national consultations update Dr Philip Taylor, GP at Parliament Hill Medical Centre and Governing body member; and Rachael Clark, Head of Medicines Management, Camden CCG. The presentation is here and the key messages were:
Background
NHS England guidance on conditions for which over the counter (OTC) items should not routinely be prescribed in primary care. We first presented on the consultation to CPPEG in February 2018 and have given updates at subsequent CPPEG operational and open meetings.
During this time we have we have also undertaken numerous engagement activities with for example: Healthwatch, Patient Participation Groups and GP practices and other stakeholders.
In March 2019 Camden CCG Governing Body reached the decision to implement the recommendations made in the NHS England guidance, with a view to implementing in Autumn 2019.
A wide range of information is available to the public on the subjects of health promotion and the management of minor self-treatable illnesses, from organisations such as NHS Choices, www.nhs.uk/OTCmedicines and the Self Care Forum
NHS England has published a number of leaflets to support discussions between patients and healthcare professionals.
The public attendees welcomed the presentations and the time given to answer questions that were raised by the audience. Public attendees supported the priorities in the Camden prevention plan and gave feedback on what they felt was relevant to their local neighbourhoods. They welcomed the information given related to the NHS Long Term Plan and integrated care and supported the awareness raising of the changes being introduced affecting medicines in general practice. 2. Business Plan Objective E: Work jointly with the people and patients of Camden to shape the services we commission The following summarises other key engagement activity undertaken by the CCG over the last three months to support Objective E:
NHS England Assurance Rating Patient and Community Engagement (2018/19): NHS England has graded us again as ‘Good’ for the work that we have undertaken in patient and community engagement. Camden CCG was rated as ‘good’ - achieving outstanding in one domain and, good in the other four domains. For additional information – click here.
Domain Rating
A - Governance: Outstanding
B - Annual Reporting: Good
C - Day to Day Practice: Good
D - Feedback & Evaluation: Good
E - Equalities & Health Inequalities: Good
NCL Engagement Advisory Board
The lay governing body member responsible for patient and community engagement attended the NCL Engagement Advisory Board on the 8th August. There was a presentation and discussion about the proposed Integrated Care System and response to the NHS Long Term Plan, including the approach to engagement. This included learning – ‘guiding themes’ from the Healthwatch surveys and earlier focus groups, and draft engagement and communication principles. The group was asked for support and advice on a number of questions. Updates were presented on the Adult Elective Orthopaedic Services Review and the Moorfields Eye Hospital Public Consultation with an opportunity to for questions and suggestions. A presentation of the NCL approach to equalities and diversity, and a report of Healthwatch engagement with the public about the NHS Long Term Plan are available on the North London Partners public website. The group discussed and made suggestions for the work plan and items for discussion at future meetings, including digital initiatives and social prescribing.
North London Partners There was one North London Partners meeting (24th July) about the involvement of patients and members of the public which the lay governing body member responsible for patient and community engagement attended. It was attended by residents’ representatives involved in North London Partnership work streams / programmes. The patient representatives described what had worked well, for example support to understand the service issues and questions to prepare before formal meetings. They highlighted the variations in approaches between work-streams and CCGs. They asked for more information on how the all the patient representation ‘fits together’ and for a summary of successful ways of working with patients. Camden CCG/ULCH Joint Transformation Programme The communications and engagement team are supporting the CCG transformation team in developing an implementation plan in collaboration with UCLH to utilise patient groups and touch points in primary and acute care to ensure the patients are given the opportunity to give feedback and contribute to any service or pathway changes.
Primary Care Procurements The communications and engagement team are supporting the primary care team in collating patient experiences of the practices and have recruited patients to assist with procurements in relation to:
Brunswick Medical Centre (contract to provide general practice services)
Camden Health Improvement Practice (contract to provided general practice services)
NHS Long Term Plan The communications and engagement team are working in partnership with NCL CCGs in collating patient and resident feedback. You can give feedback via survey by clicking on this link.
North London Partners - adult elective orthopaedic review communications and engagement group The communications and engagement team are supporting North London Partners communications and engagement group to focus on involving local residents in the next phase of improving services for patients and residents. Additional information can be accessed here.
Re-procurement of the NCL GP Direct Access Diagnostic Imaging The communications and engagement team are supporting the procurement team and have recruited a patient representative to assist with the re-procurement of the GP Direct Access Diagnostic Imaging.
3.0 Looking ahead The following activity is currently planned for August, September & October 2019:
Camden CCG AGM will be held on Wednesday 11 September 2019 from 5.15pm – 6.15pm at the Greenwood Centre, 37 Greenwood Place, London NW5 1LB.
Camden CCG Governing Body meeting will be held on Wednesday 11 September from 2pm to 4pm at the Greenwood Centre, 37 Greenwood Place, London NW5 1LB.
Camden PPG Forum meeting will be held on Thursday 17 October (time and venue to be confirmed.
You Said, we did and what difference did it make (CPPEG operational meeting (09/07/2019)
You Said We did and what difference did it make
CPPEG committee reports: approved
Finance and QIPP update: CPPEG members welcomed the update and the opportunity given to understand the financial challenge facing commissioners and health providers in Camden. CPPEG felt reassured by the opportunities that members and service users had to support the delivery of QIPP. Sleep Apnoea and Dermatology Services update: CPPEG members welcomed and supported the proposals and asked that when a member of the transformation team returns later in the year to update CPPEG on what patients of the services have said in relation to the both service proposals and the presentation slides are disseminated to the public via the PPG newsletter.
Conditions for which over the counter (OTC) items should not routinely be prescribed in primary care: Guidance for CCGs - Implementation & Recommendation: CPPEG members welcomed the update and asked that a representative from the medicine management team attends an open meeting to update the public on the actions taken as a result of the consultation on OTC medicines as updates were presented before and during the consultation; and the communications and engagement team will raise awareness via the public website, social media and the PPG newsletter
Camden CCG has: disseminated reports to PPGs and the public via the patient newsletter, social media and made available on the public website.
Camden CCG will: invite a representative from the finance/QIPP team to an autumn operational meeting to update members on delivery of the financial plan and QIPP. The presentation will be disseminated to PPGs and the public via the patient newsletter and social media for information. What difference does this make: The CCG is demonstrating openness and transparency in disseminating information to local patients and residents for information and discussion. Camden CCG will: attend an autumn CPPEG meeting to report on the service user feedback received on the proposals.
Camden CCG has: presented the CCG recommendation at the CPPEG open meeting and will continue to promote the changes via social media and the stakeholder & PPG newsletter. What difference does this make: The CCG is demonstrating openness and transparency in disseminating information to local patients and residents for information and seeking their views to consider any implications for health inequalities.
You Said, we did and what difference did it make (CPPEG open meeting (11/06/19)
You Said We did and what difference did it make
St Pancras Hospital update (design of new inpatient setting): The public attendees welcomed the changes at C&I hospital site and signed up to assist with helping to design the new hospital building
Camden CCG has: disseminated reports to PPGs and the public via the patient newsletter, social media and made available on the public website.
What difference does this make: The CCG is demonstrating openness and transparency
What is patient experience telling the Royal Free London NHS Foundation Trust: The public attendees expressed concerns in relation to patient and public transport for patients treated at Chase Farm hospital. It was agreed that Healthwatch Camden would present their findings in relation to patient and public transport at a future open meeting.
in disseminating information to local patients and residents for information and discussion. The Medical Director thanks the group for their feedback on the impact of plans on people with disabilities, on which further work will now be done. Camden CCG will: invite Healthwatch Camden to present their findings in the autumn in relation to what patients are telling them about patient and public transport at the RFH.
What difference does this make: The CCG is demonstrating openness and transparency in disseminating information to local patients and residents for information and discussion.
You Said, we did and what difference did it make (Camden CCG PPG Forum meeting
(19/06/19)
You Said We did and what difference did it make
PPG success stories, Kentish Town South Primary Care Network (PCN) and Social Prescribing and Care Navigation presentations and discussion groups.
The PPG attendees welcomed the presentations reflecting what members had requested and the time given to discuss the topics with the presenters. Special mention was given to the presentation on Primary Care Networks and members asked that the YouTube clip on PCNS be disseminated via social media and the PPG newsletter.
What difference does this make: the topics discussed were at the request of PPGs members which shows that the CCG addressing the feedback given by general practice PPG members.
You Said, we did and what difference did it make (CPPEG open meeting (11/08/19)
You Said We did and what difference did it make
The NHS Long Term Plan and Integrated Care: Public attendees welcomed the information given related to the Long Term plan and integrated care.
Public consultation on proposed move of Moorfields Eye Hospital’s (City Road) Services: The public attendees welcomed the opportunity to give feedback on the proposals.
Camden Neighbourhood Prevention Plan: Public attendees supported the priorities in the Camden prevention plan and gave feedback on what they felt was penitent to their local neighbourhoods
NHS England national consultations update: The public attendees supported the awareness raising of the changes being
What difference does this make: the topics discussed were at the request of PPG members and local residents demonstrating that the CCG is responsive to the feedback received from the public.
introduced affecting medicines in general practice
