redbridge clinical commissioning group patient ......pef member, fairlop jon abraham redbridge...

Redbridge CCG PEF, 19 January 2015 of 3

Redbridge Clinical Commissioning Group

Patient Engagement Forum (PEF)

Tuesday, 19 January 2016 Becketts House, Ilford

Minutes of the meeting

Present: Lorraine Silver Howard Clarke-Melville

PEF Chair, Fairlop PEF Vice-Chair, Seven Kings

David Lyon Dee Data Khalil Ali Shushila Patel Vivien Nathan Anne Bertrand

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member, Redbridge CCG PEF member, Cranbrook and Loxford PEF member, Cranbrook and Loxford Redbridge Healthwatch and WW PEF rep PEF

Swati Vyas Health Partnership manager, Redbridge CVS John Elliff The Redbridge Forum Samina Dyer Support worker for Mr Elliff Michelle Greene PEF member, Wanstead and Woodford Dr Jyoti Sood Clinical Director, Redbridge CCG Raina Gee The Redbridge Youth Council Co-ordinator James Edwards Redbridge Youth Council Bridget Okhioigbe Redbridge Youth Council Tahir Mahmud PEF member, Seven Kings Louise Mitchell Redbridge CCG COO Jean Goody PEF member, Fairlop Jon Abraham Redbridge Concern In attendance: Abbie Malambo London Borough of Redbridge, Public Health Ola Kanu TB Awareness Project Coordinator & Community Fundraiser, Redbridge CVS Apologies: Jay Solanki PEF member, Cranbrook and Loxford Christine Lewis PEF member, Wanstead and Woodford Boba Rangelov PPE Advisor BHR CCGs Elaine Freedman PEF member, Seven Kings

Item Action 1 Welcome and apologies Chair welcomed everyone, introductions were made and apologies

accepted.

2 Minutes and matters arising (including PEF log) 2.1

2.2

2.2.1

Minutes were noted as a correct record of the meeting. All actions have been completed. PEF log The care.data: DL stated that there was no change to the position reported


2.2.2

2.2.3

2.2.4

from NHSE. Phlebotomy update: Working group met today, 19th January. Progress has been made regarding current service offer. Centres “proposed” are going back to BHRUT leads after today’s meeting to discuss proposals. Aim is to have “2” sites in every locality. Referral to the treatment (RTT): Action: DD to send link to the website to BR for further distribution to the group. Cervical smear tests: Action continues to be progressed with labs.

DD and BR

3.0 Redbridge CCG Lay member’s report-Khalil Ali, lay member 3.1 Main actions are:

To clarify waiting time for children for IAPT and send to the group for info. To send info to PEF on sites where IAPT is delivered within Redbridge practices. Feedback on leaflets-image on leaflet has cross earrings, so this could preclude “faith” groups. ACTION: To feedback this to Simon James and Dr Chidi and also mental health groups.

LM and BR

4.0 The Redbridge Youth Council report-James Edwards, Bridget Okhioigbe with Raina Gee, YC Co-ordinator

4.1 Upcoming meeting is planned with Ian Duncan Smith. The young people will feedback at future meeting.

YC

5.0 The Redbridge Healthwatch report 5.1 AB provided an update from Redbridge Healthwatch.

ACTION: Healthwatch to review wording of letter sent to PPGs that states they will conduct two visits a year to each PPG.

AB and CT

6.0 Feedback from the PPG localities 6.1 6.2 6.3 6.4 6.5 6.6

W/W issues received from Asya Patel need to be updated by Barts Health PEF requested to have info regarding which Patient expert groups currently exist Using syringes instead of white pots for urine sample: PEF is not happy with the BHRUT response and they would like to address this by writing the letter to BHRUT. ACTION: BR to draft a letter on behalf of PEF and LS to sign it off. ACTION: BR to update template to insert “date received” for each issue raised ACTION: Dr JS to update on diabetes strategy at future meeting ACTION: To take forward regarding patient transport at Barts Health

BR BR

BR BR

Dr JS

BR, TW and LM

7.0 Redbridge CCG Commissioning intentions 2016/17 7.1 LM gave a presentation about CCG’s commissioning intentions for the next

year.

8.0 TB in Redbridge-Abbie Malambo, Public Health Redbridge and Ola Kanu, TB Awareness project, Redbridge CVS

8.1 Offer to PPGs from RCVS to go out to each PPG to discuss and raise awareness about TB ACTION: to send info to all PPG Chairs

BR

9.0

9.1

AOB including briefing from Sarah See, Director of Primary Care Transformation programme PEF suggested that patients are phoned not just written to in terms of significant changes within practice.

SS and BR

9.1 10.0 Close and date of the next meeting 10.1 LS closed the meeting and thanked everyone.

The next meeting is on Tuesday, 15th March 2016, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.


Dates of the PEF meetings in 2016 are: Tuesday, 17 May 2016 Tuesday, 19 July 2016 Tuesday, 20 September 2016 Tuesday, 15 November 2016 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary: PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical

Commissioning Groups IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust

Redbridge CCG PEF, 15 March 2016 Page 1 of 4



Tuesday, 15th March 2016 Becketts House, Ilford


Present: Lorraine Silver

PEF Chair

David Lyon Dee Data Khalil Ali Shushila Patel Vivien Nathan Michelle Greene

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member, Redbridge CCG PEF member, Cranbrook and Loxford PEF member, Cranbrook and Loxford PEF member, Wanstead and Woodford

Swati Vyas Health Partnership manager, Redbridge CVS John Elliff The Redbridge Forum Samina Dyer Support worker for Mr Elliff Dr Jyoti Sood Clinical Director, Redbridge CCG Raina Gee The Redbridge Youth Council Co-ordinator James Edwards Redbridge Youth Council Bridget Okhioigbe Redbridge Youth Council Harmander Singh Redbridge Healthwatch Anne Bertrand Redbridge Healthwatch and PEF member, W/W Naina Thaker PEF member, Seven Kings Louise Mitchell Redbridge CCG COO Jon Abraham Redbridge Concern In attendance: Sarah See Director, Primary Care Transformation Programme BHR CCGs Apologies: Jay Solanki PEF member, Cranbrook and Loxford Christine Lewis PEF member, Wanstead and Woodford Boba Rangelov PPE Advisor BHR CCGs Elaine Freedman PEF member, Seven Kings Howard Clarke-Melville PEF Vice-Chair, Seven Kings Tahir Mahmud PEF member, Seven Kings Shani Fooker PEF member, Seven Kings Cathy Turland Redbridge Healthwatch Absent: Anne Bertrand PEF member, Wanstead and Woodford Jean Goody PEF member, Fairlop



accepted. 2 Minutes and matters arising (including PEF log)

2.1

2.2 2.2.2

2.2.3 3.1 4.1 5.1 6.1 6.2 6.3 6.4 6.5

6.6

8.1 9.1 2.3

2.3.1

Minutes were noted as a correct record of the meeting. All actions have been completed. Matters arising LM advised regarding paper to Executive team on recommendations phlebotomy working group. ACTION: DD to send again to BR the link to the website. Closed This item is on agenda. The meeting took place on 22 January. This is on agenda. Check- actioned (BR) Check- actioned (BR) Done and awaiting response Done Diabetes strategy went through PPG localities. ACTION: BR to include Diabetes on the Agenda for the next PEF meeting in May SP: regarding implementation plan as part of diabetes strategy; this will be followed once approval of the strategy in its own right. Patient transport issue: Regarding full response from Barts Health ACTION: BR to provide detailed response from Barts Health at the next PEF meeting Agreed postponed action (SV) On the Agenda PEF log Cervical smear test forms: LM’s action completed.

BR BR

3.0 Redbridge CCG Lay member’s report-Khalil Ali, lay member 3.1 3.2

3.4 3.5

KA’s report was circulated prior to the meeting. ACTION: Future “Medicine Management” update agenda item for PEF in year-Forward planner ACTION: LM advised on mobilisation date for EOL service enhancement CAMHS abbreviation-means Child and Adolescent mental health service

BR

4.0 The Redbridge Youth Council report-James Edwards, Bridget Okhioigbe with Raina Gee, YC Co-ordinator

4.1 RYC presented their report to PEF. LS thanked young people on their report.

5.0 The Redbridge Healthwatch report 5.1 5.2

Regarding guidelines on PPG establishment in practices and formality of it. Follow up regarding Evergreen surgery with no PPG-Drs are not engaging but patients wish to establish group. ACTION: To raise with Sarah See

BR and SS

6.0 Feedback from the PPG localities 6.1 6.2 6.3

Diabetes strategy to be included in future PEF Agenda ACTION: BR and Dr JS Barkingside Medical Centre is now relocated-this issue is closed, so to remove it from the PPG log. ACTION: BR Barts Health’s carers not being able to accompany their relatives/patients when patients collected by transport: Despite receiving the response from Barts Health PEF still raised concerns regarding ability of carer to accompany individual who need company of a carer when accessing ambulance/transport services ACTION: To request back to Barts Health via lead commissioner how

BR and Dr JS

BR


6.4

needs of an individual can be better met when carer is needed to accompany the patient. ACTION: Update on Did Not Attend (DNA)s for future PEF Agenda BCG vaccine: This is ongoing matter: It has been raised with Public Health Redbridge and Public Health England (PHE). ACTION: Response to be updated at next meeting via Borough Team as raised as GP alert

BR and LM

BR

BR

7.0 Primary Care Transformation Strategy-update Sarah See, Director Primary Care Transformation Programme

7.1

7.2 7.2.1

7.7.2

7.7.3

7.7.4

7.7.5

7.7.6

SS provided an update regarding PCTP. Copies of the presentation were distributed to all. Questions/issues raised PEF expressed concern that model will put more pressure on system; given the fact that the number of GPs has decreased in the area. -Need to liberate time within practices i.e. 50% admin time spent on scanning now; to see how to do things differently in future. -Need to think of new roles as of welfare i.e. GPs/Nursing -Currently piloting in Havering Hub Shared record access. There is intention to roll this out to acute plus other providers etc. (subject to Information Governance etc.) Population increase: PEF asked how much work being done with Local Authority regarding Housing Estate/development and noted to take actions supporting GP infrastructure around this. Are we working with Local Authority and planning department? Network arrangements: Role of voluntary sector; delivery/providing Shaping services together with us; to be determined at locality level. Our CCG does not support and contract services for Whipps Cross hospital. CCG needs to support GPs to work better: -Barts Health to be invited along to transformational board -Intention involve directly with Whipps Cross to shape local model ACTION: “One Care” have done work with patient groups so far-invite “One Care” to attend locality engagement forum (via SS and Tracy Welsh) What’s being done to incorporate work with young people in shaping the model -Need to address through emerging engagement strategy and ensure CYP are represented. Concern Redbridge-LD Partnership board Client group finding it hard to get appointments

BR to liaise with PILs

8.0 PEF elections-Chair and Vice Chair

8.1 8.2

Next PEF elections will take place in May this year. ACTION: Chair and Vice-Chair Job Description to be sent to PEF Terms of reference (T of R); Chair and Vice-Chair Clarity is needed regarding options for who is eligible to stand and to vote ACTION: Clarify in 48 hours to entire group regarding options from Terms of reference Note of thanks from group to LS and HCM for their term of office, so far.

BR BR

9.0 AOB 9.1 CL asked if Blood Direct is a private company or if this service is

commissioned by our CCG. This is a private company and they charge for their services.

10.0 Close and date of the next meeting 10.1 LS closed the meeting and thanked everyone.

The next meeting is on Tuesday, 17 May 2016, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.


Dates of the PEF meetings in 2016 are: Tuesday, 19 July 2016 Tuesday, 20 September 2016 Tuesday, 15 November 2016 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary: PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical

Commissioning Groups IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust IG Information Governance CAMHS Children and Young People Mental health services

Redbridge CCG PEF, 17 May 2016 Page 1 of 5



Tuesday, 17 May 2016 Becketts House, Ilford


Present: Lorraine Silver (LS) Howard Clarke-Melville (HC-M)

PEF Chair, Fairlop PEF Vice-Chair, Seven Kings

David Lyon (DL) Dee Data (DD) Khalil Ali (KA) Vivien Nathan (VN) Michelle Greene (MG) Elaine Freedman (EF) Jean Cowie (JC) Filiz Zaman (FZ) Jean Cowie (JC)

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member, Redbridge CCG PEF member, Cranbrook and Loxford PEF member, Wanstead and Woodford PEF member, Seven Kings PEF member, Fairlop PEF member, Fairlop PEF member, Fairlop

Kenneth Turner (KT) PEF member, Cranbrook and Loxford Dr Jyoti Sood (Dr JS) Clinical Director, Redbridge CCG Raina Gee (RG) The Redbridge Youth Council Co-ordinator Bridget Okhioigbe (BO) Redbridge Youth Council Amina Mohamed (AM) Redbridge Youth Council Boba Rangelov (BR) PPE Advisor BHR CCGs In attendance: Melissa Hoskins (MH) Communications and Engagement Manager, BHR

CCGs Apologies: Louise Mitchell (LM) Redbridge CCG COO Jay Solanki (JS) PEF member, Cranbrook and Loxford Christine Lewis (CL) PEF member, Wanstead and Woodford Tahir Mahmud (TM) PEF member, Seven Kings Cathy Turland (CT) Redbridge Healthwatch Swati Vyas (SV) Health Partnership manager, Redbridge CVS John Elliff (JE) Uniting Friends, LD representative Christine Merritt (CM) Support worker for Mr Elliff Anne Bertrand (AB) PEF member, Wanstead and Woodford Harjit Sangha (HS) PEF member, Cranbrook and Loxford Absent: Naina Thaker (NT) PEF member, Seven Kings Shani Fooker (SF) PEF member, Seven Kings



accepted.


2.2 2.2.1

2.2.2

Minutes All actions have been completed. Notes from the March meeting did not provide enough explanation about matters stated. However, BR was absent at the March meeting and therefore it was just a brief summary of the meeting. All actions were completed from the last meeting. Matters arising: PEF discussed notes from the meeting and how they should be taken. For future references, PEF members agreed to receive a summary of discussion from the meeting, not verbatim or long minutes. ACTION: PEF members to send to BR any comments they may have regarding the summary of the meeting (draft) before it is sent to LS. As usual, BR to send a final draft to LS for her final approval. KT asked if Redbridge CCG liaise with the Local Authority on planning the Redbridge Local Plan. ACTION: BR to send the link to the Redbridge Local Plan to PEF.

BR, PEF, LS BR

3.0 Redbridge CCG Lay member’s report-Khalil Ali, lay member 3.1

KA presented his report. VN highly commended KA’s presentation at the Loxford and Cranbrook PPG locality Forum’s meeting. VN also highly recommended to other members inviting KA to their PPG meetings. KA stated that PEF will have even bigger role in the future, overseeing the implementation of our CCGs’ new PPE strategy and its action plan. DD mentioned the issue regarding Referral to Treatment (RTT), as patient was registered on two lists at the same time, at Whipps Cross and Holly House. ACTION: DD to send to BR more detail and BR to forward to RTT team Lead. KA explained that RTT is currently the main piece of work for our three CCGs and some other projects are put on hold for now because of this. Dr S and BR explained difference between NELFT and BHRUT. JA asked about Improving Access to Psychological Therapies (IAPT). Dr S said that it would be good to invite our CCG Mental health lead to explain IAPT in more detail. Others agreed. ACTION: BR to discuss this further with LS.

DD and BR BR and LS

4.0 The Redbridge Youth Council report-Amina Mohamed and Bridget Okhioigbe with Raina Gee, YC Co-ordinator

4.1 RYC presented their report to PEF. RYC has been awarded an Inspirational award for their work on mental health. LS thanked young people on their report. There are more than 20 sites where condoms are being given out to young people. ACTION: RG to find out the sites’ locations and pass this information to VN, as she was interested in this work.

RG and VN

5.0 The Redbridge Healthwatch report 5.1 5.2

The report was sent to PEF before the meeting for information. LS explained to PEF the process of recruiting volunteers for Enter and View activity. They carry out unannounced and announced visits. DD stated that it is good to have Healthwatch. ACTION: PEF to email Cathy Turland, Chief Executive at Redbridge Healthwatch if they have any suggestions regarding Enter and View.

PEF


6.0 Feedback from the PPG localities 6.1 6.2

The PPG log was discussed in detail. Further clarifications are required for the following items:

Safeguarding patients’ records anonymity Diabetes to keep on PPG log as a standard item and PEF to have

regular update about future developments The appointment letters at BHRUT for general outpatient

appointments have been received and no appointment has been made. ACTION: to add to PPG log

More clarification about leg ulcers waiting times-How health professionals prioritise the caseload in terms of leg ulcers? ACTION: BR

Maternity unit cleanliness at BHRUT: VN confirmed that they do check cleanliness three times a day and it had been checked on this particular day. Lorraine was not satisfied with the reply as the incident referred to occurred at 11.30pm and nursing staff told patients to use other toilets that were clean. What happens with cleaning at night and in the early hours of the morning?

Parkinson’s nurse: LS stated that patients want transparency and that she heard a different version from the Parkinson’s support group regarding the reasons why the Parkinson’s nurse has left BHRUT. BR could not comment on this as the response received from the Trust was an official response.

FZ raised an issue regarding Urgent Care Centre (UCC) and not dedicated children’s waiting area; staff also failed to direct parents and children to A&E children’s waiting area. ACTION: BR to address to BHRUT and also our Vanguard team.

Patient Transport issue at Barts Health: BR to find out what are the criteria when the Transport team are deciding who is eligible to accompany patients to the vehicle. PEF would also like to find out what kind of contract Barts Health has with the current ERS external company who provides the transport to patients. ACTION: BR

Immunisation reports: To continue monitoring and to send all three repots hard copies to VN and FZ. ACTION: BR

On line access to GP appointments: ACTION: HCM to email BR with more detail about his enquiry.

Weekend wound dressing service in Redbridge: this is not in GP contracts in Redbridge but it is in Havering and B&D, so there is a gap in service provision in Redbridge and there is no consistency, as GPs are giving different advice to patients. This has been raised by GPs in Redbridge and they are awaiting the response to this.

Access to information for people with various impairments: BR explained current legislation, including CCGs obligations towards the current accessible information standard.

Foodbank in Redbridge: BR met with the manager of this service. This service will be promoted via our GP newsletter and also GP Protective Learning Events (PLEs). All information provided to PEF. ACTION: BR to send to PEF the referral form for the Redbridge food bank.

BR BR BR BR BR HCM and BR BR

7.0 Transforming emergency and urgent care services-Vanguard Melissa Hoskins, Communications and Engagement Lead BHR CCGs

7.1 MH was welcomed to the meeting and gave a presentation to PEF. The feedback was as follow:

1. VN stated that recently she participated in unannounced visits at


Dates of the PEF meetings in 2016 are: Tuesday, 20 September 2016 Tuesday, 15 November 2016 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical Commissioning

Groups IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust IG Information Governance

BHRUT. From the feedback received it seemed that the patients who attend A&E were told by 111 Service to go to A&E. Also, patients who are brought to UCC by London Ambulance Service, waiting in UCC but don’t know why they are there. During junior doctors’ strike no patients were waiting in A&E, so it shows that they should not be there in the first place.

2. EF gave a feedback in relation to her personal experience, when a member of her family (who has complex health needs) was taken to A&E. However, her relative did not know why she was brought there. The suggestion was that the patient comes to A&E with their own prescriptions.

3. DD asked about closure of A&E in King George Hospital and if the plans are going ahead. MH replied that this is going through a rigorous process and there is nothing to report on at present. PEF agreed that patients need to change the way how they use GP service and what access they have to their GPs. BR mentioned Primary Care Transformation strategy which has been sent to PEF for their comments few days ago. PEF was encouraged to send their comments and suggestions to the team.

ACTION: PEF to send any further questions to BR. 4. HCM noted that the findings from the survey are already known and

what new information is available. MH replied that this is a piece of work requested by NHS England and she will find out if there is anything new and feedback to PEF. ACTION: MH

LS thanked MH for her presentation.

PEF and BR MH

8.0 PEF elections-Chair and Vice Chair 8.1

Next PEF elections will take place in July this year. ACTION: Chair and Vice-Chair Job Description and application form to be sent to PEF beginning of July.

BR

9.0 AOB 9.1 July’s topic will be LD Transformation programme and Jacqui Himbury,

BHR CCG Nurse Director will be the main speaker. ACTION: BR BR


The next meeting is on Tuesday, 19 July 2016, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.


CAMHS Children and Young People Mental health services PLE Protective Learning Events

Redbridge CCG PEF, 19 July 2016 Page 1 of 3



Tuesday, 19 July 2016 Becketts House, Ilford


Present: Lorraine Silver (LS) Vivien Nathan (VN) Christine Lewis (CL)

PEF Chair, Fairlop PEF Vice Chair, Cranbrook and Loxford PEF member, Wanstead and Woodford

David Lyon (DL) Dee Datta (DD) Khalil Ali (KA) Michelle Greene (MG) Elaine Freedman (EF) Boba Rangelov (BR) Tahir Mahmud (TM) Jon Abram (JA)

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member PEF member, Wanstead and Woodford PEF member, Seven Kings PPE Advisor BHR CCGs PEF member, Seven Kings Redbridge Forum

Kenneth Turner (KT) PEF member, Cranbrook and Loxford Cathy Turland (CT) Redbridge Healthwatch Raina Gee (RG) The Redbridge Youth Council Co-ordinator Bramah Ali The Redbridge Youth Council member Jannah Chowdhury The Redbridge Youth Council member Swati Vyas (SV) Health Partnership manager, Redbridge CVS Harjit Sangha (HS) PEF member, Cranbrook and Loxford In attendance: Jennifer Hibben Transforming Care Partnerships Project Manager,

BHR CCGs Apologies: Louise Mitchell (LM) Redbridge CCG COO John Elliff (JE) Uniting Friends, LD representative Christine Merritt (CM) Support worker for Mr Elliff Howard Clarke-Melville (HC-M) PEF Vice-Chair, Seven Kings Jean Cowie (JC) PEF member, Fairlop Dr Jyoti Sood (Dr JS) Clinical Director, Redbridge CC Filiz Zaman (FZ) PEF member, Fairlop Absent: Naina Thaker (NT) PEF member, Seven Kings Shani Fooker (SF) PEF member, Seven Kings


accepted.



2.2

2.3 2.4 2.5 2.6

2.7

Minutes were approved as the correct record of the meeting. Matters arising: LS announced that she will continue her role as PEF Chair and the newly elected Vice-Chair is Vivien Nathan. LS also thanked HC-M for his excellent contribution to the PEF as Vice-Chair. Redbridge Local Plan: KT asked if the CCG and LBR are working together on this. KA replied that they are liaising with each other in relation to this. ACTION: The link that was sent by DD regarding RTT to be resent to PEF. IAPT to include in one of the future meetings. Enter and View leaflets: ACTION: CT to bring to PEF some leaflets. ACTION: BR to find out the current situation at BHRUT regarding the OPA. Cleanliness on Maternity wards at BHRUT: VN informed PEF that every ward has cleaners’ telephone number. Members of staff have been reminded to call the cleaners and they will come and clean the ward. The issue raised by FZ regarding Urgent Care Centre has been addressed at BHRUT: ACTION: To ask BHRUT for the written response.

BR CT BR BR

3.0 PEF log 3.1 ACTION: LM and Dr JS to provide formal update regarding the phlebotomy

service. LM and Dr JS

4.0 Redbridge CCG Lay member’s report-Khalil Ali, lay member 4.1 KA presented his report. KA pointed out the importance of PEF

involvement in implementing our new PPE strategy. ACTION: BR to send the link to the Governing body papers.

BR

5.0 The Redbridge Healthwatch report Cathy Turland, Chief Executive Officer

5.1 5.2

5.3

CT gave a brief overview of the Healthwatch activities. They will be reviewing Intermediate Care services in a near future. Recently, they held the workshop about Accessible Information Standard (AIS). The event was very well attended. EF asked how general public can find out about this. CT replied that there are various promotional information available (posters etc). KT asked how the Healthwatch will work with the PPGs. CT replied that they are arranging visits to meet with the PPGs across Redbridge but they have some difficulties to access their meetings. They listen what the PPGs have to say.

7.0 Learning disabilities Transformation programme Jennifer Hibben, Transforming Care Partnerships Project Manager, BHR CCGs

7.1 The Chair welcomed JH. JH gave a presentation about the programme. CT asked if there is anything that the Healthwatch could help out in terms of quality of the services provided. JH stated that there is a piece of work already done but there is also another piece to work on regarding community providers. KA said that in Redbridge there are a relatively small number of people with learning disabilities. The care and treatment review is done every six months. Based on that review, the recommendations are set up. It all depends on what the person with a Learning Disability needs are. TM asked if there are any cost benefits in relation to this programme. JH replied that it is not about the money but the value of their life is much more important. At present they have six flats but they need more, which means more funds are needed. KA asked if they link up with the CAMHS Transformation programme. JH replied that they have a Joint Children’s commissioner. They are looking at transition in Year 1. As adults they consider people of 18 and above. SAND team is liaising with the schools.


Dates of the PEF meetings in 2016 are: Tuesday, 15 November 2016 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical Commissioning

Groups IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust IG Information Governance CAMHS Children and Young People Mental health services PLE Protective Learning Events

The Chair thanked JH for her presentation and she was invited to come back to give an update to PEF.

8.0 PPG Log 8.1 8.2

8.3

8.4

BR and the Chair went through the log. ACTION: BR to add DMC contract for MSK and Dermatology services and to have a written response from the CCG before PEF September meeting regarding the services that this company has been contracted to provide for patients. Did Not Attend (DNA) in GP practices: The practices are not required to report on DNAs. KT asked why this is the case. BR provided an explanation about text messaging reminder services for the patients. About 40 practices are using NHS Mail texting service and only a few of the practices have different providers. ACTION: PEF members will work within their own PPG regarding DNAs and recording of it, and then come back to PEF with their findings. Patient’s transport at Barts Health: BR has received a confirmation from the Transport Manager that he would be happy to attend PEF’s September meeting and discuss this further. ACTION: BR to continue liaising with Barts Health regarding their participation in September.

BR and LM PEF BR

9.0 AOB 9.1 VN asked if it would be possible to invite Tracy Welsh, Deputy COO, to

attend PEF meetings, as LM did not attend last two meetings. ACTION: BR to discuss this further with LM.

BR


The next meeting is on Tuesday, 20 September 2016, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.

Redbridge CCG PEF, 20 September 2016 Page 1 of 6



Tuesday, 20 September 2016 Becketts House, Ilford


Present: Lorraine Silver (LS) Vivien Nathan (VN) Howard Clarke-Melville (HC-M)

PEF Chair, Fairlop PEF Vice Chair, Cranbrook and Loxford PEF Vice-Chair, Seven Kings

David Lyon (DL) Dee Datta (DD) Khalil Ali (KA) Michelle Greene (MG) Elaine Freedman (EF) Boba Rangelov (BR) Louise Mitchell (LM) Jean Cowie

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member PEF member, Wanstead and Woodford PEF member, Seven Kings PPE Advisor BHR CCGs Redbridge CCG Chief Operating Officer PEF member, Fairlop

Kenneth Turner (KT) PEF member, Cranbrook and Loxford Cathy Turland (CT) Redbridge Healthwatch Raina Gee (RG) The Redbridge Youth Council Co-ordinator Zainab Abari The Redbridge Youth Council member Vanessa Madu The Redbridge Youth Council member Swati Vyas (SV) Health Partnership manager, Redbridge CVS Chandrakant Patel PEF member, Wanstead and Woodford John Elliff (JE) Uniting Friends, LD representative Karen Douglas Uniting Friends, support worker for Mr Elliff In attendance: Brian Lock Transport Operation Manager, Barts Health NHS Trust Michael Waithe Project Manager, Barts Health NHS Trust Apologies: Dr Jyoti Sood (Dr JS) Clinical Director, Redbridge CC Filiz Zaman (FZ) PEF member, Fairlop Christine Lewis (CL) PEF member, Wanstead and Woodford Jon Abraham (JA) Redbridge Forum Absent: Naina Thaker (NT) PEF member, Seven Kings Shani Fooker (SF) PEF member, Seven Kings Tahir Mahmud (TM) PEF member, Seven Kings Harjit Sangha (HS) PEF member, Cranbrook and Loxford


accepted.



Minutes were approved as the correct record of the meeting. Matters arising: All actions were completed. BR is liaising with Elaine Clarke from Outpatient appointments (OPA) at BHRUT to find out more about the current developments. ACTION: To feedback at the next meeting. BR brought to the meeting a selection of various information material for people with Learning Disabilities (LD) that are available at BHRUT and ask PEF members to take those and share with their PPGs and other networks. There is Easy Read version of the OPA letter now in place.

BR

3.0 PEF log 3.1

3.2

Phlebotomy update: PEF members requested an update about phlebotomy. VN stated that she heard that the blood tests at King George Hospital are going to be located at the antenatal clinic and ten members of staff will take blood tests. The CQC came to KGH on Thursday and Friday and on Thursday afternoon the clinic was empty, so they could not see the real picture and long queues. DD stated that he appreciates that the Referral to Treatment (RTT) is the priority at present. However, he would like to know when the CCG will take forward phlebotomy work. LS also mentioned the Wanstead phlebotomy clinic and when it will re-open. BR informed everyone that she is liaising with the Barts Health NHS Trust and as soon as she has firm confirmation she will let PEF know. The most recent information was that the clinic will re-open the end of September. LM reiterated that we will keep chasing this with the Trust. CT stated that because of the concerns raised regarding phlebotomy Redbridge Healthwatch had carried out an Enter and View. LM said that she acknowledged that there are issues regarding patient experience here. However, there are now critical clinical issues such as RTT which have to take priority. LM asked for PEF members’ patience and the CCG and BHRUT have to respond to the current pressing issues in terms of the RTT. No definite timeline could be given in regards to the phlebotomy service because of all stated previously. LM stated also that it is understandable that the waiting time is an issue and this is the biggest issue. There are Key Performance Indicators (KPIs) and we do hold to account our health service providers for this. DL suggested that BHRUT advertise when there are quieter times at the clinics, so patients attend then. The weekend wound dressing service: LM confirmed that the provider for District Nurses (DNs) is North East London Foundation Trust (NELFT) and the service is commissioned by our CCG. EF stated that she went to KGH and her dressing was changed in A&E. BR stated that DN attends to the housebound patients but some actually change dressings when they visit patients for different reason, so it varies from case to case.

4.0 Redbridge CCG Lay member’s report-Khalil Ali, lay member 4.1 KA’s report was sent to PEF prior to the meeting. DD asked how much

progress has been made regarding the RTT and what options patients have to enter the system. LM said that progress has been made. The constitution standard is that patients are seen within 18 weeks. BHRUT are not keeping within this standard. There was commitment made by the Trust that the standard is met, so that patients are seen within 52 weeks. The Trust is on track by reducing this. It is tracked on a weekly basis but also at monthly assurance meetings with the Trust and also with NHS England. There are two elements regarding this: the first is when somebody is on the books already and someone who has just been referred. They are outsourcing at the moment, pulling in extra staff and resources. They are


looking at theatre staff and extra staff to have a continuous flow of patients. Our commitment as the CCG is to hold the flow of patients and offer alternative choices i.e. other providers. That is under our demand management programme. Currently, 7000 patients are referred somewhere else from BHRUT; we extended the contract to give extra capacity. DD asked if the clock stops when the patient is referred to another hospital. LM replied that the clock continues when the patient is referred to another Trust. The only time the clock stops is when the patient is referred back to their GP. KA pointed out that the Governing Body recognised the improvements made at Whipps Cross regarding cancer services and that must be acknowledged.


5.1

5.2

5.3

CT’s report was circulated ahead of the meeting. The latest newsletter was distributed to the members. Intermediate care: A lot of work has been done with the colleagues from NELFT. They completed visits to three wards at KGH and they work closely with the Intensive Rehabilitation Service (IRS) and the Community Treatment Team (CTT) to find out about the services they provide. So far, they received two responses, which is a good start. Furthermore, they can see there are a lot of positive responses. They have information about the survey they are doing in easy read format (circulated at the meeting). Accessible Information Standard (AIS): The workshop was organised for Practice Managers, which was very well attended. They will hold a series of public events to tell people what their rights are regarding the AIS. BR stated that there was another workshop last week. It was organised by Waltham Forest and the practice managers who could not attend the first one were invited to attend this one. BR also stated that our Primary Care Team had raised awareness among our GPs by publishing two articles in the GP newsletter about AIS.

7.0 The Youth Council-Vanessa Madu and Zainab Abari with Raina Gee, YC Co-ordinator

7.1

7.2

The YC has a huge consultation taking place with young people which is trying to find out what are their top five priorities. The top five priorities chosen by the young people are going to the House of Commons. Twenty one schools signed up to raising awareness about sexual health which is a very big achievement. On 24th October they are holding a one day course how to make films and present yourself in front of the camera. They wrote the column for the Ilford Recorder about mental health and it was in the paper last week. Ballot papers are going to all schools including private schools.

8.0 Patient Transport at Barts Health NHS Trust-Brian Lock, Operations Transport Manager and Michael Waithe, Project manager

8.1

8.2

LS welcomed colleagues from Barts Health. BL gave a presentation about current work in outpatient transport department. Monthly they make about 30 000 patient journeys. 15 000 renal patients and 15 000 non-renal patients. There is the journey in (before the appointment), journey out (after the appointment) and time of the vehicle. It is important to work with the provider. They have Key Performance indicators. They were meeting a target of about 50% for renal patients. They are now 90% on target with renal patients. On non-renal patients they are at present about 70% on target. Some of the challenges are still there and they are constantly reviewing the service.


8.3 Statistical figures were provided regarding the escorts. The biggest percentage of escorts relate to Out Patient appointments (25%). They do not turn the escort away. If it happens through the telephone assessment, it needs to be addressed. For every place taken by the escort, the patient seat is then taken up. The booking process includes the question if the escort is required. It is an unfunded part of the service (escorts). A lot of discussion regarding cancer pathways. They always try their best to understand the need to have an escort with cancer patients. There are Emergency Care Assistants (ECA) who are trained to treat patients during the journey, if necessary. Some patients are transported in cabs/taxis. In the new specification they are asking taxi drivers to be better equipped to be able to deal with specific situations. They have agreed a framework for Addison Lee. They mutually agreed to exit the contract with the ERS, the current provider. They are happy to engage with the patients, our PEF, in future. They have patient representatives on the steering group. They would like to engage more with the GP practices. The value of the new contract is 85 million pounds. They have a strict time line and they shortlisted a number of providers. They are hoping to go with the invitation to tender beginning of next week, 24th September. They selected at least five companies. MW explained the procurement process to the members. MG asked if London Ambulance Service (LAS) has to apply. MW replied that they have to apply too. DD stated that the issue is that the patient is picked up, the transport is stuck in traffic, and then comes to the clinic at which point he is told that he has been taken off the list as Did Not attend (DNA). There is a communication issue. BL replied that there is the Trust concierge team. They print the list every morning and they track the patient’s journey. If the patient has missed the appointment, they would re-book the patient. It is work in progress. The patient should be picked up no earlier than 60 minutes before the appointment and no later than 10 minutes after the appointment. ERS has 16 minutes to pick up the patients. They work with the clinics to make sure that the appointments are made a bit later (between 10am-2pm), so it is not too early for the patients. They would also call the patients to give approximate time of arrival. CT asked how they communicate with the patients i.e. is there a booklet? BL replied that they do not have this at present but if PEF members are interested to let him know. ACTION: PEF CT asked how accessible their booking process is. BL replied that the patients have to phone. There is no specific patient transport forum, but there is the Trust wide forum. They attend renal patient forum and listen to their issues. They link with Radiology and are looking to engage more. MW stated that they engage with the patient groups, they engage with the organisation; they benchmark their specification. The key thing is mobilisation period. The KPIs are everything and if this fails it is patient experience. LS thanked BL and MW for very interesting presentation. PEF members were invited to contact BL and MW if they wish to be involved in future work.

PEF

8.0 PPG Log 8.1 8.2

BR and the Chair went through the log. Did Not Attend (DNAs): PPGs are taking this forward with their GP practices. KT stated that he is very surprised that the CCGs are not required to produce data. BR stated that it would be the best way forward that the PPGs take this forward with their own practices. KT suggested that it would be good to encourage the GP practices through PPGs to record


8.3

8.4

8.5

8.6

8.7

8.8

their DNAs. H C-M reiterated that it is important to record the figures and to collate them together. It might be that this is a national issue. Seven Kings Locality found out that the patients are not realising the impact of not attending the appointments. Majority of DNAs are not regular DNAs but those patients who rarely attend their GP practice. BR suggested this topic would be a good project for the PPGs to work on. EF asked what is an acceptable percentage for DNAs. She said she hopes that the Department of Health has some kind of strategy related to this. DD stated that they have in his surgery 80 patient DNAs. DD to send the link to the website where he found this information. ACTION: DD KT said that at Loxford and Cranbrook they are establishing the best practice and their view is zero tolerance. Urgent and Emergency Care services: response to be provided at the next meeting. ACTION: Melissa Hoskins and his colleagues from the Team to provide the answer. Repeated electronic prescriptions: BR explained that the patient has to speak with the receptionist or the GP and confirm if he would like to collect their own prescription or to be sent directly to the pharmacy. Weekend wound care service in Redbridge: To be reported in November. The Primary Care team is taking this forward. Recruitment of GPs workforce: this is national issue and it needs to look at. LS stated that there is a lack of female doctors. EF said it is something maybe for the Youth Council to think about because of young people thinking about working as a health professional and to raise awareness about it. LM said that all this stated previously is about impact for the whole system. There are other layers of local challenges. We have an ageing workforce, the number of GPs that are retiring. It is a bigger debate. DMC MSK services: BR provided a very thorough response regarding this service. This is a triage service and the process was explained in detail. PEF members asked for the referral form to be sent to PEF. ACTION: BR A very positive feedback was received from the practice managers regarding this service. CT stated that the referral form does not satisfy AIS requirements, so this should be addressed to the DMC. Dermatology DMC service: ACTION: BR to send the results of the survey to PEF. BR presented the findings of the patient satisfactory survey, which was highly positive. Only 3 complaints were received since January 16.

DD MH BR BR

9.0 AOB 9.1

9.2 9.3

9.4

Elective Care Treatment Centre (ECTC) procurement process and PEF involvement: LM explained the current services and the current contract expires next year. At the moment we are looking at the new providers. PEF members were asked to complete a short survey. Hard copies were made available for those members who were unable to complete the survey on line. PEF members across BHR were invited to get involved in this procurement process. ACTION: PEF DD asked what services will be provided in the Loxford Clinic. ACTION: BR ZA said that she has recently used the health services and asked if there are transition arrangements for young people going into adult services. LM stated that there is something in place regarding transition from children to adult services and that we can certainly take this back to the work we do. ZA also said that it is important for young people to have choice of female and male doctor and that sometimes they are scared to discuss their issues. An update regarding PPE strategy was presented the meeting.

PEF BR


Dates of the PEF meetings in 2016 are: Tuesday, 10th January 2017 Tuesday, 14 March 2017 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical Commissioning

Groups IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust IG Information Governance CAMHS Children and Young People Mental health services PLE Protective Learning Events RTT Referral to treatment AIS Accessible Information Standard DNA Did not attend CQC Care Quality Commission ECTC Elective Care Treatment Centre

10.0 Forward Planner 10.1

10.2

10.3

LM stated that it would be important to talk about the commissioning intentions and something to plan for the November meeting. BHRUT had recently CQC visits, so maybe to invite Matthew Hopkins to attend one of the future meetings. ACTION: BR DL stated that there are a number of projects in CCGs and are they co-ordinated. LM replied that they are. DL also invited the members to attend the meeting at Forest Edge with NICE. ACTION: DL to send information about this to BR for PEF. MG invited everyone to attend Wanstead and Woodford HC Open Day on 29th September in the afternoon. ACTION: MG to send to BR flyer for further distribution to PEF.

BR DL MG


The next meeting is on Tuesday, 15 November 2016, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.

Redbridge CCG PEF, 15 November 2016 Page 1 of 6



Tuesday, 15 November 2016 Becketts House, Ilford


Present: Lorraine Silver (LS) Vivien Nathan (VN) Howard Clarke-Melville (HC-M)

PEF Chair, Fairlop PEF Vice Chair, Cranbrook and Loxford PEF Vice-Chair, Seven Kings

David Lyon (DL) Dee Datta (DD) Khalil Ali (KA) Jon Abrams (JA) Elaine Freedman (EF) Boba Rangelov (BR) Tahir Mahmud (TM) Dr Jyoti Sood (Dr JS) Swati Vyas (SV)

PEF member, Fairlop PEF member, Cranbrook and Loxford Lay member Redbridge Forum representative PEF member, Seven Kings PPE Advisor BHR CCGs PEF member, Seven Kings Clinical Director, Redbridge CC Health Partnership manager, Redbridge CVS

Kenneth Turner (KT) PEF member, Cranbrook and Loxford Cathy Turland (CT) Redbridge Healthwatch Raina Gee (RG) The Redbridge Youth Council Co-ordinator Kishan Sharma The Redbridge Youth Council member Vanessa Madu The Redbridge Youth Council member John Elliff (JE) Uniting Friends, LD representative Karen Douglas Uniting Friends, support worker for Mr Elliff Andrea Leathers Uniting Friends, LD representative Apologies: Filiz Zaman (FZ) PEF member, Fairlop Christine Lewis (CL) PEF member, Wanstead and Woodford Michelle Greene (MG) PEF member, Wanstead and Woodford Louise Mitchell (LM) Redbridge CCG Chief Operating Officer Harjit Sangha (HS) PEF member, Cranbrook and Loxford Jean Cowie PEF member, Fairlop Absent: Shani Fooker (SF) PEF member, Seven Kings Chandrakant Patel PEF member, Wanstead and Woodford


accepted.


Minutes were approved as the correct record of the meeting. Matters arising: All actions were completed.


BR is liaising with Elaine Russell, the Outpatient appointments (OPA) manager at BHRUT to find out more about the current developments. ACTION: BR to feedback at the next meeting. VN pointed out that BHRUT said that they can’t have any new patients at present, which also includes maternity patients. Dr S confirmed that this is correct because of the current issues with the Referral to Treatment (RTT) at BHRUT. There are positive developments in relation to this and BR stated that RTT is one of the main projects our CCGs are working on at present. It is the patient’s choice if they are prepared to wait a longer time to be seen in the local hospital (BHRUT). DD pointed out that referring patients to another hospital is not straight forward and it is more work for the GPs. Dr S confirmed that the GPs are doing more work and that everyone is involved in this. BR informed everyone that tomorrow, 16 November there is an Open Day at Loxford clinic with the new provider and PEF members were invited to attend to find out more about the service provided. SW said that there are no community services provided at present at this clinic. BR stated that this is the only leaflet she could find and that there will be changes in the future. VM pointed out the section that relates to the YC and asked BR to amend the section and put her name instead of another young person.

BR

3.0 Redbridge CCG Lay member report Khalil Ali

3.1

3.2

3.3 3.4

KA presented his report. Staff Awards were discussed. PEF members felt that they should be more involved in the process next year, as the procedure of nominations was not explained to PEF. BR said that PEF members can nominate and put their suggestions forward to her. LS stated that she hadn’t received an email to nominate someone but BR confirmed she had nominated several PEF members. Howard Clarke-Melville and Jon Abrams both received certificates in recognition of the work that they do. ACTION: BR to address this to relevant colleagues. Transforming Care Partnership programme on Learning disabilities: KA provided an update about this programme. CT questioned if the plan is available in easy read format. Everyone agreed that LD transformation programme plan should be available to everyone. London Ambulance Service (LAS) needs quick turnaround in terms of their performance. Urgent and Emergency Care services transformation programme: KA praised the community organisations for their work. Over the last few months he visited more than 40 different community organisations. KT stated that the recent workshop was excellent. However, discussion about 111 services did not take place and was disappointed that the discussion about 111 did not take place. LS confirmed that she is a patient representative on 111 service patient group. BR listed several community groups that she visited recently in order to consult on 111 services. The feedback received from those groups had been sent to the relevant colleagues. KT also stated that the urgent services are very often abused and that the whole point of the workshop was to clarify the difference between urgent and emergency care services and 111 services is the key in that. DD stated that it is a good idea that pharmacies are doing some tests for patients and wanted to know what is happening in relation to this. Dr S stated that it is proposed that the pharmacies carry out tests for viruses. There is a machine which can differentiate whether the condition is caused by a virus or bacteria but they are waiting for the official clearance

BR


in relation to the European regulations. The use of this machine has to be approved before being used and our Primary Care team has been interested in implementing it.


4.1 4.2

4.3

4.4

4.5

CT presented an update from Healthwatch Redbridge. They have received positive feedback from patients in relation to the Intermediate Care Services. On 21 November she will be presenting this report to the Health Scrutiny Committee. ACTION: CT to send me the final report to be sent to PEF. Accessible Information Standard (AIS) workshops: They organised two workshops for the practice managers across BHR and Waltham Forrest. They have also organised the workshop for the staff in Loxford clinic. They spoke with people with various impairments (deaf, blind, LD etc) and asked them what barriers there are when they access services. The report of this work will be available on the Healthwatch website and also small videos. Visits to the PPGs: Healthwatch is currently visiting PPGs in Redbridge. So far, they visited 32 PPGs. Sustainable Transformation Programme (STP): The Healthwatch has been asked to do some work regarding this programme and they will produce a short summary of information about this complex programme. They will work across 8 boroughs on this programme. JA raised an issue regarding a lack of transparency in relation to the STP. This has been also acknowledged out by the Chair of the Health and Well Being Board in Redbridge at their recent meeting. The Redbridge PEF suggested organising an extra session for PEF to provide more detailed information about STP. BR informed everyone that she had sent an email earlier on to PEF regarding STP website and that everyone can subscribe to receive a free newsletter. LS stated that the document is very long and confusing and that it needs to be simplified. CT stated that there will be no consultation because this has already been done and there is no time to do that. ACTION: BR to re-send an email with relevant information and to discuss with other colleagues the possibility of organising STP session. ACTION: LS asked PEF to email BR about this if there is anything else they would like to know. H C-M asked who is leading on STP. BR explained that there is small team who is working on this programme.

CT BR PEF

5.0 The Youth Council-Vanessa Madu and Kishan Sharma with Raina Gee, YC Co-ordinator

5.1 5.2

5.3

5.4

5.5

The members of YF gave an overview of their activities over the last month. They have elections until 22 November to elect members of the Youth Parliament. On 21 November they will attend the Youth Debate. They will ask local counsellors some questions from five chosen topics and it will be open for some other young people to participate. They are liaising with TFL (Transport for London), in relation to the Oyster card and young people being unable to get on the bus without valid Oyster card. They are meeting with TFL to discuss this further. VN asked the young people what is “Vlogstar”. This is a video blog and the workshop has been organised to teach young people how to edit videos and do video blogs. Some videos have already been submitted, on dancing, racial discrimination and other topics.


6.0 Redbridge Commissioning intentions Khalil Ali and Dr Jyoti Sood, Redbridge CCG

6.1

6.2

6.3

KA and Dr S gave a presentation about CCG’s commissioning intentions. Five main areas for the next year are: cancer, mental health, urgent and emergency care services, children and young people and primary care. This time round it will be much more emphasis on engaging patients and the public when planning our future contracts. When the CCG is planning its commissioning intentions, we take into account Public Health’s JSNA (Joint strategic needs assessment), which identify gaps in services provided. Some of the comments/feedback from PEF was: EF asked how children in care are involved in the work of children and young people transformation services. BR replied that we are working closely with the schools, education, Local Authority and other groups and organisations on this and that she recently attended one of the workshops. VN stated that if we have more GPs less people would attend an A&E. SW suggested having Personal Health budgets as one of the topics for the future meetings. ACTION: BR to add to PEF Forward Planner. VM asked why parents are only involved in the children and young people’s projects and not young people. This should be explored more. Diabetes: The implementation of the Diabetes strategy is now in place and will be taken forward and there will be expansion of diabetic scheme. DD and other members then develop discussion regarding patients’ records being available on line and they asked how far we are regarding this. Dr S explained that this work is ongoing. Dr S also confirmed that the work on phlebotomy is not forgotten. LS said that she has been asked to attend meetings as a Patient Partner on the phlebotomy working group at BHRUT once it has been set up. LS thanked KA and JS for their presentation. New intentions will be in place from 1 April 2017. Dr S reiterated that the phlebotomy issues had not been forgotten but RTT is the main priority at the moment.

BR

7.0 PPG Log 7.1

BR went through the log. Seven Kings raised issues regarding STP and they expressed an interest to organise a separate session to inform members about STP and its plans. The question was asked who is a Lead person for the STP PPE. CT replied that Healthwatch Redbridge has been asked to do a piece of work on STP and more information will be made available in the future. LS stated that she had received several emails regarding STP and that she will go through those emails and find out who is the contact for STP. ACTION: LS CT stated that Healthwatch Redbridge has been asked to do a small piece of work on STP across East London and they will provide some information in the future. CT asked LS to liaise with her before she sends any emails out to the STP team. ACTION: CT and LS to liaise BR reminded everyone that a short update on STP has been sent to PEF prior to the September meeting. The PEF agreed that NHS England should be more open and transparent regarding the communication about STP. RTT: H C-M clarified the issue raised by Seven Kings in relation to the cancellation of the patients’ hospital appointments.

LS CT and LS


Dates of the PEF meetings in 2017: Tuesday, 14 March 2017 All meetings are held 5-7pm in Becketts House, 2nd floor, boardroom A. Glossary PEF Patient Engagement Forum CCG Clinical Commissioning Group YC Youth Council CVS Council for Voluntary Service PPE Patient and Public Engagement PPG Patient Participation Group

VN stated that she has a meeting at BHRUT soon and will address this issue. ACTION: VN

VN

8.0 AOB 8.1

8.2

8.3

8.4

JA stated that he received several phone calls regarding poor discharge from the hospital regarding people with Learning Difficulties, with no care provided in the community. There is a report regarding poor discharge from the hospital for people with LD. This relates to Goodmayes Hospital in particular. One of the issues raised was also that as soon as patients with LD or mental health problems are admitted to the hospital, their benefits are stopped and the Social Workers are not adequately checking their benefits. The problem is also that there are no appointments available in Redbridge for children with serious mental health problems, autism and LD. BR stated that the workshops had been held recently regarding children and young people mental health services and that one of the priority areas is certainly Crisis care. Dr S suggested addressing those issues to our Clinical Quality Review meetings. ACTION: JA to send an email to BR and to clarify all the issues raised and BR to forward those to relevant colleagues. BR asked everyone to send her suggestions in relation to the Sepsis leaflet and where and how this leaflet should be distributed. BR asked PEF members to work with their practices and patients to raise awareness and to complete Friends and Family tests forms, as, currently there is low uptake. KD provided a feedback regarding recent PPE training organised by NHS England. KD and two LD representatives attended this training. They found it very useful and interesting, tailored towards their needs and interactive. BR encouraged other members to enrol to this training. VM expressed the importance of adequately managing the transition from children into adult services. Having her own experience, she was not sure where she fits in, children or adult services. ACTION: BR to liaise with other colleagues regarding this.

JA BR

9.0 Forward Planner 9.1 No discussion regarding this item. 10.0 Close and date of the next meeting 10.1 LS closed the meeting and thanked everyone.

The next meeting is on Tuesday, 10 January 2017, Becketts House, Ilford, IG1 2QX, 2nd floor, boardroom A.


BHR CCGs Barking and Dagenham, Havering and Redbridge Clinical Commissioning Groups

IAPT Improving Access to Psychological Therapies BHRUT Barking Havering and Redbridge NHS Trust CAMHS Children and Young People Mental health services RTT Referral to treatment AIS Accessible Information Standard DNA Did not attend CQC Care Quality Commission ECTC Elective Care Treatment Centre STP Sustainable Transformation Programme LD Learning Disability

redbridge clinical commissioning group patient ......pef member, fairlop jon abraham redbridge...

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