Download - Copeland Membership Engagement
Copeland Membership Engagement
Questionnaire Feedback
• Current results are 24/45 GP’s • Representation from all practices except
Seascale Health Centre• 7 out of 9 Exec Reps (not including David
Rogers)• 8 leading in other areas (Prescribing, Referral
etc)• 9 individual GP’s
Background
Understanding & Knowledge
Current understanding
of the CCG
Commission Services• NHS• Community• Secondary Care• Private Companies
Strategic view of Cumbria needs
(Planning)
Effectively manage resources
Assess health needs(Planning)
Replace PCT
Support Exec decision making
Federation of GP locality groups
Improve health care
Membership Organisation
Understanding & KnowledgeLack of
influence Influence
Increasing impact on services
Prioritising targets/services
Informs of NHS changes, current problems, new services
Decision Making – Prescribing/Referrals
Top down approach
Not apparent at ‘ground level’
Expect support, develop, operationalize locality decisions – often doesn’t
How does the CCG influence you & your work?
Understanding & KnowledgeCurrent Roles & Responsibilities
ExecMake decisions based on
people of Copeland
Represent patients & colleagues
Study trends & manage resources
Attend meetings
Provide knowledge & expertise of the locality
Other Lead
Feedback & keep abreast of local issues
Look after patients
Actively engage
No Idea?!
GP
Ensure services represent Locality
Feedback
A voice in decisions
Ensure patient access to appropriate healthcare
Understanding & KnowledgeWhat type of role & responsibilities would you like to have?
Remain
None
As current
Can’t take on any more
Continue at grass roots level
Not sure yet, as unclear how CCG and Localities work.
Request
Contribute to overall commissioning strategy
Individual GP’s views are heard more
More input in how services are provided
Feed into meetings with Commissioners
Understanding & Knowledge
Locality Support
Team
Make things happen
Implement locality
decisions
Liaise service & need in
locality
Commission services
Support GP’s and exec
The Go-To People with
queries
Research, monitor,
negotiate, finance,
management
Inform & action
decisions
Solve issues
Data collection &
system protocol
Never heard of them?!
Expectations, Performance & ImprovementExpectations of Copeland Locality & Support Team
Implement & guide vision & decisions
Reduce Spending
Make positive difference to daily work in the practice & to patients
Timely access to services
Flexibility in where to refer patients with minimum interference and hoop jumping
Streamline referral services & options
Listen
Address issues of contracting, poor quality, inequity and gaps of provision
Expectations, Performance & ImprovementWhat is going well?
More Engagement
Support from
Locality Team
Each Practice
Represented
STINT
Positive Local
Initiatives
Structure & Fair Decision
Making
Robust discussions and comms
Motivation &
Enthusiastic Team
Engagement & Communication
Do you feel appropriately engaged?
YesNo
Engagement & CommunicationBarriers of Engagement
Skills, Experience, Resources
Busy
Time
Workload Recruitment
• Politics• Someone else’s
responsibilityPressure
Administration and hoop jumping
Engagement & Communication
Face
to Fa
ce
Events
Online Fo
rum
Telephone0
5
10
15
20
25
30
Preferred method of communication
Preferred method of communication
Engagement & CommunicationH
ow c
an e
ngag
emen
t be
impr
oved
?Short and relevant newsletters to GP’s
Succinct Email (relevant title, minimal information and no attachments) followed by visit
Occasionally open meetings and ask for support from all GP’s
Engage hospital staff
Continue brief updates on key issues and decisions that need to be made
Don’t increase work load on the ground
Timely dissemination and communication of information
Coverage and availability of meetings including minutes in advance
Time & Resource’sWhat issues are a priority to you?
Do my job well & offer expert clinical care to all my
patients
Expand the GP workforce & preserve General Practice
Improve district nursing provision
Frail Elderly & Children's Services
Inexorable demand from patients and politicians
Existing community services Health Visitors & MidwifesProactive action on health
problem areas - Obesity/Alcohol/Smoking
Develop secondary care services in Primary Care
Mental Health & Crisis Team (Referral)
DASH
Palliative Care unit running properly
Good and timely access to services
West Cumberland Hospital as a District General
HospitalResources in Primary Care
High increasing demand and lack of respect to
doctors
Quality of secondary care services Out of Hours Service
Relationship between GP’s and community services
affecting continuity of care
Health care management in CCG and Clinical work
should go hand in hand
More time to spend with patients. Less admin
Time & ResourcesWhat changes, developments or investments are you keen to see delivered in
the locality
Approach
• Joined up care hospital to home
• Coordination with social services
• Greater direct control of community services
• User Friendly• Accurate time line
when change will be implemented
• Regular meetings and improve communications with local secondary care colleagues for better understanding and care
• More support for small practices
Current Services
• Streamline Crisis Teams• Safe & responsive local
hospital• Develop neurology
(long wait time & appalling communication)
• Patients education resources (alcohol, obesity, mental health)
• Improvements in Mental Health Care
• Increase consultants in substantive posts at WCH and less locum’s
• Improve quality of secondary care
New Services
• Practice based district nurses
• Development of office based consultant services in Primary Care (e.g. Urology, Gynaecology)
• Community geriatric and psychogeriatric support for residential and nursing home patients and other house bound patients.
Continue
• Good OOH CHOC care• Support of local
secondary care services for patients
• Availability and direct access to expert specialist nurses (e.g. Parkinson’s, MS, Diabetes, Vascular Stoma).
• Improving services and care for frail elderly and vulnerable children.
Time & ResourcesWhat issues would you like the locality team to address on your behalf and keep you
informed about?
Improved options for patients with less acute medical needs
Return to Practice based Nursing teams
Better relationships with consultant colleagues & social care services
Mental Health Team, obesity, alcohol, smoking. Minor surgery
Update on projects and transparent deadlines & objectives
Timely communication (electronic forum?)
Access for GP referral for MRI scans, ECHO, 24 hour tapes & endoscopy
Alyssa BrownCopeland Locality
Cleator Moor Health CentreCleator Moor
CumbriaCA25 5HP
Tel: 01946 853325Tel: 07917 277018
email [email protected]