Roseworth Surgery Patient Participation Report ... - Easygp.net
Roseworth Surgery Patient Participation Report ... - Easygp.net
Roseworth Surgery Patient Participation Report ... - Easygp.net
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<strong>Roseworth</strong> <strong>Surgery</strong><br />
<strong>Patient</strong> <strong>Participation</strong> <strong>Report</strong><br />
Practice <strong>Patient</strong> Group<br />
The Practice had an established patient group since 2008. In the last year the practice has<br />
sought to expand the number of patients in the group to ensure that it is representative of<br />
the Practice population.<br />
During the year we did the following to recruit new members to our patient group:<br />
<br />
<br />
<br />
<br />
<br />
<br />
Displayed recruitment Posters in the <strong>Surgery</strong>.<br />
Displayed messages on our <strong>Patient</strong> self check in screen<br />
By giving patients the opportunity to sign up for the Group on Practice Website and<br />
CCG website.<br />
Actively had GPs, Practice Nurses and the Reception team inviting patients to become<br />
involved and handing out questionnaires.<br />
Practice manager recruiting patients in the waiting room to actively reach different<br />
patients groups, baby clinic, diabetic clinic, INR clinic.<br />
Included Questionnaires with repeat prescriptions & QOF reminder letters.<br />
We then sent welcome letters to those patients who expressed an interest in joining our<br />
group – either virtually or by joining practice meetings and game them a selection of topics<br />
to choose from that they felt may need further discussion.<br />
We provided training for our admin team around the PPG DES & emphasized the<br />
importance of patient and public involvement in the shaping & improvement of the<br />
practice, this was delivered in December 2011.<br />
Activity to engage under‐represented groups.<br />
We recognised that our Group isn’t fully representative of our Practice patient population.<br />
In particular, we would like to hear the views of young people, working age adults, patients<br />
from black and minority ethnic communities and new migrant communities.<br />
We have actively attempted to reach young people by sending letters & PPG sign up forms,<br />
whist also recruiting staff to approach them and invite them to join – this helped increase<br />
sign up figures to 10% of the total PPG.<br />
We have also worked with other Practices and the Newcastle Bridges Clinical<br />
Commissioning Group to start to do this.<br />
We have learned from Prospect Medical Group who worked with West End Youth Enquiry<br />
Service to engage young people in the Practice. We have also listened to the views<br />
expressed by young people in the recently published Local Involvement Network [LINk]<br />
report “Our Health, Our Voice” we have been working with our CCG Child Health Lead GP,<br />
Dr David Jones, Local Authority Education Welfare Team, WEYES and Streetwise to work
with young people across all of our Practices. Denton Turret Medical Group has also been<br />
working with Excelsior Academy to ask pupils how they would wish to have their voices<br />
heard.<br />
This early work, particularly with Excelsior Academy, young people told us that they didn’t<br />
yet feel confident to visit the practice that they are registered with. Excelsior Academy is<br />
therefore helping us establish three young people’s panels as a first step. These panels will<br />
help young people shape the suggested approach to their engagement, as set out below.<br />
We are confident that following this, we will be able to better engage with young people at<br />
a Practice level.<br />
We plan to develop how we work with young people by:<br />
<br />
<br />
<br />
<br />
Inviting them to attend a forum meeting designed only for younger people where we<br />
will be able to ask them what they want to know about Primary care and how they<br />
want to work with us.<br />
Attend all meeting surrounding this topic arranges by the CCG.<br />
Ensure the staff continue to invite younger people to our forum.<br />
Make the practice more inviting to young people.<br />
With the support of the Health and Race Equality Forum, we have worked with other<br />
Practices and Newcastle Bridges Clinical Commissioning Group to ask voluntary and<br />
community sector organisations to help us work with those communities who we find<br />
difficult to engage with and listen to.<br />
On 22 nd February, we held a meeting to look at how we can best do this. We invited:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
African Women’s Support Network<br />
Angelou Centre,<br />
Carers Centre Newcastle<br />
Deaflink,<br />
HAREF (Health and Race Equality Forum)<br />
MESMAC<br />
North of Tyne Islamic Scholars Health Forum<br />
Riverside Community Health Project<br />
Search Project<br />
Sikh community<br />
West End Befrienders<br />
West End Women and Girls Centre<br />
WEYES (West End Youth Enquiry Service)<br />
This was the first time we had met and we discussed need to find appropriate ways of<br />
building links with all members of our communities. We will meet again in April to plan<br />
work for 2012.
Our staff also attended a Deaf Awareness Training at the timeout event in September 2011<br />
and January 2012.<br />
<strong>Patient</strong> survey<br />
The Practice has carried out <strong>Patient</strong> surveys for the last 2 years and has used these together<br />
with information from the national GP survey, complaints, and practice priorities to<br />
develop a practice improvement plan.<br />
Examples of issues raised by patients that the practice has acted on are;<br />
‣Baby changing unit was requested – it was installed in the practice 2 months<br />
later.<br />
‣<strong>Patient</strong>s were asking if the surgery could be updated and improved – we<br />
designed a new modern reception desk & decoration of the building<br />
commenced in November 2011 and is still ongoing.<br />
‣<strong>Patient</strong>s were complaining that doctors were running late – we increased our<br />
appointment times to 15 minutes.<br />
‣New mums were complaining that baby clinic waiting times were<br />
unacceptable – we implemented an appointment system to streamline the<br />
clinic and reduce the waiting time.<br />
‣<strong>Patient</strong>s expressed a interest to have the television removed from waiting<br />
room (annoying) – it has been turned off and light music introduced.<br />
We contacted PPG members by letter & e mail and asked them to identify those areas that<br />
this year’s survey should focus on. This was discussed at the PPG meeting held on<br />
22.11.2011. It was agreed that the following issues should be included in the survey<br />
concerning the Practice:<br />
‣Waiting for an appointment<br />
‣Satisfaction with consultations<br />
‣Satisfaction regarding services provided<br />
‣Opening hours<br />
‣Phoning the surgery<br />
‣Accessing OOH<br />
‣Referrals into secondary care<br />
‣Teaching students in the Practice<br />
The issues added into the survey concerning the Consortia, was care around:<br />
‣COPD<br />
‣Diabetes<br />
‣Mental Health<br />
‣Oseteoporosis<br />
‣Heart Failure
‣Womans health<br />
‣Care of the Elderly<br />
‣Cancer<br />
‣Access to services<br />
We prepared and distributed a Practice survey in December 2011. A total of 90 surveys<br />
were circulated and 56 completed.<br />
We made the survey available by:<br />
Sending out to patient with a self addressed envelope to return.<br />
Having the survey on the Practice Website.<br />
Sending by email using the distribution group<br />
GPs, Practice Nurses and the reception team asking patients to fill in the survey.<br />
Reception Team members sitting in clinics – e.g. baby clinic ‐ to encourage patients to<br />
complete questionnaires.<br />
Including surveys with repeat prescriptions.<br />
Response to the survey.<br />
The survey showed that patients were very happy with the services provided by the<br />
Practice. However, a few patients identified the following issues:<br />
‣The waiting time to see a named GP was to long.<br />
‣Lack of newsletter‐ it was suggested that it would be beneficial to have one as we<br />
did in the past to advising patients of changes to services etc.<br />
‣Online appointments for the GP Partners to be available<br />
‣Car Park access ‐ poor<br />
These points were discussed with the Practice <strong>Patient</strong> Group at its meeting on 21.02.2012<br />
and for those who did not attend we contacted them by post or email asking for ideas on<br />
how these areas could be improved.<br />
Your suggestions on how to improve the above areas were;<br />
‣Increase access with named GP’s Dr S Turley & Dr AC Burdon<br />
‣Introduce a quarterly newsletter – with PPG input<br />
‣Introduce online appointments for the partners<br />
After speaking to the partners it was been decided that both Dr AC Burdon & Dr S Turley<br />
will have more appointments made available when duty doctor of the day, this will<br />
commence 26.03.2012<br />
It was also agreed that a Quarterly newsletter will be implemented starting 01.05.2012<br />
We will be also implement, on line bookable appointments for the partners, this should be<br />
in place for May 2012.
Unfortunately we have no car parking facilities; therefore, we have no control over access.<br />
Involvement of our patients with the Newcastle Bridges Clinical Commissioning Group<br />
Our PPG members were invited to be involved in an emerging Newcastle Bridges Clinical<br />
Commissioning Group [CCG] <strong>Patient</strong> Forum. The aims of this forum are to allow patients to<br />
work with the CCG to inform how it will shape future healthcare and to allow PPGs to meet<br />
each other and share what they do.<br />
The first of these meeting was held on 26 th January 2012. Both the Practice manager and 2<br />
members of <strong>Roseworth</strong> were able to attend. This gave the PPGs the opportunity to advise<br />
the CCG on the development of its first Commissioning Plan. PPG members received a<br />
presentation on the CCG and the emerging plan priorities, and had the opportunity to<br />
discuss the proposed projects so that they could give a view as to whether this project<br />
should go ahead as planned, be amended or removed as a priority. <strong>Patient</strong> views were<br />
reported to the CCG Board on 14 th February and used to inform the final Locality<br />
Commissioning Plan. The meeting also gave the opportunity for PPG members to decide<br />
how they wanted to work together in the future. PPGs agreed that they would like to meet<br />
together/with the CCG o a quarterly basis with the next meeting planned for 3 May 2012.<br />
Next Steps.<br />
We will continue to gain feedback from our PPG and actively ask them for suggestions on<br />
how they feel we could improve.<br />
We will carry out the changes agreed by the <strong>Patient</strong> Group.<br />
We will organise a younger people forum meeting separate from the PPG meeting to allow<br />
us to work more closely with them and to help us understand their priorities. We feel that<br />
we have started some positive work that will help us with this.<br />
We will continue to work with those voluntary sector organisations that can help us<br />
understand the needs and concerns of those who are not able or confident in joining our<br />
PPG.<br />
We will work with other Practice <strong>Patient</strong> Groups across the Clinical Commissioning Group<br />
to understand what they do and work together to inform the work of the CCG.<br />
Christine Ramsey<br />
Practice Manager<br />
19.03.2012
NOTES FROM PATIENT FORUM MEETING HELD AT ROSEWORTH<br />
SURGERY ON TUESDAY 21 st June 2011 at 1pm<br />
Present:<br />
Linda van Zwanenberg(PM)<br />
Dr Burdon Snr (Member)<br />
Christine Ramsey (Ass.P.M)<br />
Linda Holmes (Member<br />
Margaret Gibson (Member)<br />
Angela Rutherford (Member)<br />
Eric Wright (Member) Sue Pearson (Member)<br />
Julie Walters (Member)<br />
1. Welcome-<br />
LvZ welcomed everyone to the meeting and introduced C Ramsey.<br />
2. Minutes-<br />
From the previous meeting held on 25 th January 2011 were accepted.<br />
Apologies for absence were noted from Linda Holmes, Patsy Wood &<br />
Alan Rakison<br />
3. <strong>Patient</strong> <strong>Participation</strong> in Practices-<br />
LvZ explained what we are trying to achieve and why - linking in both the<br />
Newcastle Bridges Consortia & QOF<br />
The group agreed that having a virtual participation group was a good<br />
approach.<br />
They considered the draft questionnaire that was submitted and agreed<br />
that all the major questions had been covered.<br />
They agreed that we should promote this both in the practice and on the<br />
website.<br />
Christine Ramsey to action<br />
4. Practice News –<br />
LvZ told the group that she was retiring and that Christine Ramsey would<br />
be the new Practice Manager.<br />
She also highlighted the changes with the Registrar and the F2 Doctors<br />
and advised them of the new starters.<br />
LvZ also gave the forum an update on what was happening with the<br />
Consortia.<br />
5. <strong>Patient</strong> Feedback<br />
LvZ presented the results from the in house patient feedback<br />
questionnaires and discussed the results.<br />
The GP <strong>Patient</strong> Survey for 2010 has been circulated with the agenda<br />
papers and the results were discussed.<br />
Both PE7 & PE8 QOF results were produced and showed that<br />
<strong>Roseworth</strong> <strong>Surgery</strong> achieved 100% for both advanced booking and 48<br />
hour access to a GP.
6. <strong>Patient</strong> Forum member issues – none raised.<br />
.<br />
7. Any Other Business<br />
8. Dates of Next Meeting: 20 th September @ 1pm
ROSEWORTH SURGERY<br />
PPG MEETING<br />
1 p.m. Tuesday 22.11.2011<br />
(Sandwich lunch provided)<br />
Agenda & Minutes<br />
1. Welcome<br />
2. <strong>Patient</strong> <strong>Participation</strong> in practices<br />
‣What the DES involves - its purpose was discussed.<br />
‣Areas that need further discussion – to help design<br />
questionnaire<br />
‣Opportunity to get critical feedback – to aid the practice in<br />
improving its service.<br />
‣Action plan for DES<br />
3. Practice news<br />
‣Doctor rotation & students.<br />
‣SCR – signed up to go live for March 2012 , it involves auditing<br />
& data cleansing<br />
‣FLU & pneumonia campaign – targets needs & where we are<br />
now.<br />
‣Smarter working practice – changes made in the practice since<br />
new PM in post.<br />
‣Waiting area displays -<br />
‣<strong>Patient</strong> lift - decommissioned<br />
‣Doctor of the day - advantages & disadvantages<br />
4. Work in the Practice<br />
On the advice of yourselves & patient suggestion box we have eventually<br />
started decorating the practice – the outside has been completed and the<br />
inside is in the process – this includes new reception.<br />
6. Any other business<br />
Date of next meeting – Feb 2012<br />
Circulation:<br />
Mrs. S. Pearson<br />
Dr. Burdon senior<br />
Mr. Alan Rakison<br />
Mr. Eric Wright
Mrs. Linda Holmes<br />
Mrs. Angela Rutherford<br />
Mrs. Margaret Gibson<br />
Mrs. Julie Walters
ROSEWORTH SURGERY<br />
PPG MEETING<br />
1 p.m. Tuesday 21.02.2012<br />
(sandwich lunch provided)<br />
Agenda &Minutes<br />
1. Welcome<br />
2. Notes of last meeting held on 22.11.2011<br />
3. <strong>Patient</strong> <strong>Participation</strong> in practices<br />
‣We have been successful at recruiting 71 new PPG members –<br />
however identified that not all the patient groups is represented,<br />
have asked the Forum group how they think I could bridge the<br />
gap – they suggested targeting different groups – so we have<br />
sent mail shot to younger people, Practice manager has<br />
recruited patients in the waiting room , young mums, etc.<br />
‣as discussed in November meeting the patient questionnaire<br />
has been finalised and sent out by royal mail and emailed using<br />
distribution list – asking patients what they felt were priority<br />
topics within the practice and consortia that they felt warranted<br />
further discussion around.<br />
‣The results from the questionnaire were;<br />
Practice priorities<br />
1. waiting for an<br />
appointment (38 patients)<br />
2. satisfaction with<br />
consultation (28 patients)<br />
3. services provided (4<br />
patients)<br />
4. opening hours(21<br />
patients)<br />
5. phoning the surgery(17<br />
patients)<br />
6. accessing OOH(18<br />
patients)<br />
7. Referrals into secondary<br />
care(none)<br />
8. teaching practice(none)<br />
9. other(none)<br />
Consortia priorities<br />
‣1.COPD (2)<br />
‣2.Diabetes (4)<br />
‣3. Mental Health (7)<br />
‣4. Osteoporosis (4)<br />
‣5. Heart Failure (6)<br />
‣6. Women’s health (9)<br />
‣7.Care of the elderly (12)<br />
‣8.Cancers (2)<br />
‣9. Access to services (7)
‣We then followed this with a further questionnaire – this time<br />
only asking questions around the priority topics shortlisted<br />
earlier.<br />
‣The results from this questionnaire were;<br />
IN THE PRACTICE<br />
Satisfaction with consultations<br />
‣Would be better if longer x5<br />
‣Feel rushed x3<br />
‣Better if literature given x2<br />
‣Excellent x9<br />
Opening hours<br />
‣Extended hours would be good<br />
x10<br />
‣Excellent hours always seen<br />
when needed x5<br />
‣No comment x4<br />
Phoning the surgery<br />
‣Busy in the mornings x2<br />
‣No problems x7<br />
‣Better now than before x5<br />
‣No comment x5<br />
IN THE CONSORTIA<br />
Mental health<br />
‣No comment x19<br />
Womans health<br />
‣No comment x15<br />
‣No healthy woman health<br />
checks available x2<br />
‣Other x2<br />
Care of the elderly<br />
‣Could be better x8<br />
‣could be better streamlined x2<br />
‣should all be in one place x2<br />
‣no comment x7<br />
Accessing Out of Hours<br />
‣Never tried x6<br />
‣Not bad x2<br />
‣Terrible x2<br />
‣No comment x9<br />
Waiting for an appointment<br />
‣Have to wait to see GP Partner<br />
x12<br />
‣Same day access very good<br />
x4<br />
‣No comment x3<br />
‣Cant book online x8<br />
* patients highlighted the need for care parking facilities to be improved *<br />
All of the above issues have been discussed at meeting and suggestions<br />
made on how these areas could be improved such as;<br />
1. Introducing a newsletter as appointments have<br />
been lengthened not long ago for this very reason,<br />
2. extended hours – more advertisement needed, as<br />
10 patients did not realise we had them.<br />
3. add online appointment bookable for Partners etc<br />
see action plan<br />
4. Practice news
‣New GPR – Dr V Allen has left the practice & Dr Victoria Moore<br />
has joined.<br />
‣New F2 – Dr Kristian Brooks, Dr S Collingwood & Dr L Winn are<br />
our new F2 doctors.<br />
‣Carole Craig – a receptionist will be retiring end of March we<br />
wish her good health – we are advertising for the post online<br />
closing date 16.03.2012.<br />
‣QOF – we are 95% nearly there<br />
‣Educational event – BP inviting patients to use equipment in<br />
waiting room and signing patient up to the PPG.<br />
‣SCR – all the auditing & data cleansing complete and upload is<br />
organised from end of March 2012<br />
‣FLU campaign – excellent results we achieved 86.3% this is<br />
better than the last previous 2 years.<br />
5. Work in the Practice<br />
External work completed and internal work ongoing.<br />
6. Any other business<br />
Date of next meeting – 22.05.2012<br />
Circulation:<br />
Mrs. S. Pearson<br />
Dr. Burdon senior<br />
Mr. Alan Rakison<br />
Mr. Eric Wright<br />
Mrs. Linda Holmes<br />
Mrs. Angela Rutherford<br />
Mrs. Margaret Gibson<br />
Mrs. Julie Walters
ROSEWORTH SURGERY<br />
27-29 <strong>Roseworth</strong> Avenue Tel: 0191 213 2392<br />
Gosforth Fax: 0191 284 4010<br />
NEWCASTLE UPON TYNE<br />
Email: roseworthsurgery@nhs.<strong>net</strong><br />
NE3 1NB<br />
Website:<br />
www.roseworthsurgery.co.uk<br />
Thank you for joining <strong>Roseworth</strong>’s <strong>Patient</strong> participation Group – when you signed up we<br />
asked what aspects of both the practice & the Consortia you felt needed further<br />
discussion.<br />
The issues raised by you concerning the surgery were;<br />
1. Waiting for an appointment<br />
2. Satisfaction with your consultation<br />
3. Opening hours<br />
4. Telephoning the surgery<br />
5. Accessing Out Of Hours<br />
The issues raised concerning the Consortia were;<br />
1. Care of the Elderly<br />
2. Mental Health<br />
3. Woman’s health<br />
To help us address these issues & improved the service we provide to you please<br />
complete the questionnaire below & rate your experience of each area by using the<br />
scale below and putting the relevant number in the box;<br />
The <strong>Surgery</strong><br />
1= very good, 2 = good, 3 = average, 4 = poor, 5 = very poor<br />
1. Waiting for an appointment □<br />
Please explain how you would like to see this improved<br />
............................................................................................................................................<br />
............................................................................................................................................<br />
............................................................................................................................................<br />
...........................................................<br />
2. Satisfaction with consultations □<br />
Please explain how you would like to see this improved<br />
............................................................................................................................................<br />
............................................................................................................................................<br />
............................................................................................................................................<br />
...........................................................<br />
Dr Christopher Burdon Dr Stephen Turley Dr Halina Tomaszczyk<br />
Dr Andrea Younghusband Christine Ramsey (Practice Manager)
3. Opening hours □<br />
Please explain how you would like to this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
………………………………………………..<br />
4. Telephoning the surgery □<br />
Please explain how you would like to see this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
………………………………………………………….<br />
5. Accessing Out of Hours □<br />
Please explain how you would like to see this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
………………………………………………………….<br />
The Consortia<br />
1. Care of the Elderly □<br />
Please explain how you would like to see this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
…………………………………………………………..<br />
2. Mental Health □<br />
Please explain how you would like to see this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
………………………………..………………………..<br />
3. Woman’s Health □<br />
Please explain how you would like to see this improved<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
……………………………………………………………………………………………………<br />
………………………………………………………….<br />
Thank you for your time!<br />
Dr Christopher Burdon Dr Stephen Turley Dr Halina Tomaszczyk<br />
Dr Andrea Younghusband Christine Ramsey (Practice Manager)
Dr Christopher Burdon Dr Stephen Turley Dr Halina Tomaszczyk<br />
Dr Andrea Younghusband Christine Ramsey (Practice Manager)
<strong>Roseworth</strong> <strong>Surgery</strong> Action Plan<br />
For Achievement of Priorities 2011–2012 discussed and agreed at Practice<br />
Meeting 21.02.2012<br />
Priority Action Who By when Comment<br />
Increase GP<br />
Partner<br />
To introduce<br />
5 extra slots<br />
Practice<br />
manager &<br />
26.03.2012 PPG thought<br />
this would help<br />
appointments whilst partner partners<br />
eliviate<br />
Duty doctor<br />
problem.<br />
Introduce<br />
quarterly<br />
newsletter<br />
Introduce<br />
bookable<br />
online<br />
appointments<br />
for the GP<br />
Partners<br />
Keep patient<br />
up to date<br />
with changes<br />
in surgery<br />
<strong>Patient</strong>s<br />
unable to<br />
book<br />
appointments<br />
for partners<br />
on<br />
Practice<br />
Manager &<br />
partner<br />
Practice<br />
Manager and<br />
Office<br />
coornidator<br />
01.05.2012 PPG pointed<br />
out we did have<br />
one then it was<br />
stopped – they<br />
happy to get<br />
involved.<br />
30.05.2012 PPG agree all<br />
doctors should<br />
be available to<br />
book on the<br />
website<br />
support<br />
patient with<br />
literature<br />
after<br />
consultation<br />
<strong>Patient</strong>s<br />
knowledge of<br />
opening<br />
times<br />
<strong>Patient</strong> to be<br />
given<br />
literature if<br />
relevant to<br />
read at<br />
leisure<br />
Further work<br />
is still needed<br />
to ensure all<br />
patients are<br />
aware the<br />
surgery offers<br />
both early<br />
morning &<br />
late evening<br />
extended<br />
hours<br />
Practice<br />
Manager/<br />
Doctors/nurses<br />
Practice<br />
manager &<br />
reception team<br />
31.03.2012 PPG suggested<br />
literature as a<br />
way of<br />
communication.<br />
30.04.2012<br />
Advertise in<br />
waiting room/<br />
include in<br />
newsletter/<br />
advertise on b<br />
side of<br />
prescription/<br />
telephone<br />
recorded<br />
message/ self<br />
check in screen.
Dissemination of Practice Survey Findings<br />
Key channels of communicating the findings to patients will include:<br />
<br />
<br />
<br />
<br />
Newsletter to patients – Key results of the survey will be published in a<br />
Newsletter during 2012<br />
Website – keep the website updated. Key findings will be highlighted on<br />
the website by 31.03.2012<br />
Waiting room – a poster highlighting key findings will be displayed in the<br />
waiting area by 31.03.2012<br />
Review of key issues at regular <strong>Patient</strong> Forum meeting held quarterly<br />
Key channels of reporting findings to practice staff will include:<br />
<br />
<br />
<br />
<br />
Newsletter to staff<br />
Clinical meeting – key issues will be shared with the wider primary health<br />
care team at a clinical meeting<br />
Lunch & learn – key issues to be discussed & shared with admin team.<br />
Website (Intra<strong>net</strong>) - to include key issues from <strong>Patient</strong> Survey