1. NHS West Kent Clinical Commissioning Group Patient Participation Groups Working together to improve services 8 th September 2015

2. NHS West Kent Clinical Commissioning Group Welcome and Introduction Dr. Bob Bowes Purpose of today:  To consider the role of PPGs in contributing to local health issues and services  To consider the role of PPGs in contributing to the wider health economy agenda  To share examples of PPG activities across west Kent  To strengthen the networking between PPGs

3. NHS West Kent Clinical Commissioning Group Supporting local improvement From 1 April 2015: Contractual requirement for GP practices to form a PPG and make reasonable efforts for this to be representative of the practice population. Practices need to engage with the PPG, including obtaining patient feedback and where both agree, act on suggestions for improvement.

4. NHS West Kent Clinical Commissioning Group Why PPGs are important “Make stronger the relationship between patients and their practices, which is critical to the provision of modern, high ‑ quality general practice” NAPP (National Association for Patient Participation) 2009

5. NHS West Kent Clinical Commissioning Group EXAMPLES OF PPG ACTIVITY (from: Growing Patient Participation, National Association for Patient Participation) PPGs provide the patient perspective by: 1. Conducting patient surveys or collecting feedback in the waiting room 2. Advising the practice and patients of new systems and treatments 3. Sharing good practice by networking with other PPGs 4. Sitting on recruitment panels for new staff, including GPs 5. Lobbying to improve a whole range of health service PPGs promote health matters by: 6. Organising presentations on important health needs 7. Producing a directory of self-care support groups 8. Running courses within the surgery on health topics 9. Raising awareness of key public health messages 10. Running volunteer support services

6. NHS West Kent Clinical Commissioning Group EXAMPLES OF PPG ACTIVITY (from: Growing Patient Participation, National Association for Patient Participation) PPGs improve communications by: 11. Distributing regular newsletters 12. Building two-way relationships between patients and the practice 13. Promoting awareness of and access to local health services 14. Developing a patient library or information resource centre 15. Improving the practice leaflets and website PPGs influence the development of services by: 16. Advising on the development of new or existing practice premises 17. Representing patient views on the purchase of health services 18. Co-ordinating with other PPGs to improve wider healthcare delivery 19. Bidding with the practice to provide new services 20. Fundraising to provide services not covered by the NHS and website

7. NHS West Kent Clinical Commissioning Group Top PPG activities in west Kent Conducting patient surveys Raising awareness of key public health messages Building two-way relationships between patients and the practice Organising presentations on important health needs Promoting awareness of and access to local health services Sharing good practice by networking with other PPGs

8. NHS West Kent Clinical Commissioning Group Blocks/challenges  Would value but have difficulty in networking/locality working  Need help when putting on presentations and running volunteer support services  Getting more patients email addresses and managing lists  Recruiting to the PPGs  Working more closely with the practice

9. NHS West Kent Clinical Commissioning Group  How to support the PPG to be proactive – drive forward changes - rather than reactive  How to translate survey results/practice vision into targets and project  How to recruit younger members  How to keep existing members!  How to have realistic expectations of each other Blocks/challenges – as perceived by Practice Managers

10. NHS West Kent Clinical Commissioning Group The value of PPGs  What do you see as the main benefits?  What concerns/challenges/issues do you have?

11. NHS West Kent Clinical Commissioning Group PPGs in practice – local examples West Malling Marden

12. NHS West Kent Clinical Commissioning Group Building on local practice Table discussions NHS West Kent Clinical Commissioning Group

13. Some examples of how PPG Chairs/reps have contributed to the work of the CCG 1. Mapping the Future – the model for future services in West Kent:  took part in workshops – brought the patient perspective to the tables, working with clinicians, commissioners and other partners  members of the People’s Panel – overseeing the MTF blueprint and asking challenging questions of champions from the partner organisations 2. Have Your Say Programme – innovative approach to involving people in commissioning decisions  formed the design group for the programme; took part in the prioritisation exercise 3. Contributed to recruitment of Lay Member for Patient and Public Involvement  shortlisted candidates gave presentation to Panel of PPG Chairs  panel’s observations were fed back to the recruiting panel, to inform their decision 4. Representation on Practice Engagement Committee  feedback/questions/challenge to clinicians ‘in the moment’ West Kent CCG and PPGs working together

14. NHS West Kent Clinical Commissioning Group West Kent CCG and PPGs working together Cascading information to and getting feedback from PPGs, to inform CCG plans, e.g.:  Feedback provided to inform the development of the Prescribing policy  Rolled out Integrated Care Survey  Feedback from group and PPGs built into the review of Stroke Services  Feedback built into the Strategic Self Care Development Plan PPG Chair/Reps on the following groups: Transforming Outpatient Departments Medicines Management Group Patient Transport Services Special Interest Group – Self Care

15. GP Practice PPG Engaging with & feeding back to patients & public GP Practice PPG GP Practice no PPG GP Practice no PPG Healthwatch Kent KCC Health & Wellbeing Board Local communities/ voluntary organisations Involvement Networks GP Practice PPG PPG Co-located Network Health Network PPG Chair’s Chair at Board meetings PPG Co-located Network Local Health & Wellbeing Board PPG Chairs Group Local Authorities Providers Governing Body West Kent CCG Patient/public feedback, experience & insights shaping services Member Practices Special Interest Groups – Condition- specific Special Interest Groups – Diverse Groups

16. Joint Strategic Needs Assessment Health & Wellbeing Strategy Commissioning long list Commissioning prioritising Commissioning intentions Procurement PPG Chairs Group the public voice in planning and decision-making West Kent CCG and PPGs working together

17. NHS West Kent Clinical Commissioning Group West Kent CCG and PPGs working together Table discussion:  How do we build on what we’ve got? NHS West Kent Clinical Commissioning Group

19. Networking lunch Tunbridge Wells Abbey Court Clanricarde Grosvenor Kingswood Rowen Tree Rusthall Waterfield Lonsdale St Andrews Speldhurst Tonbridge & Areas Warders Westerham Howell Hildenborough Tonbridge MG Woodlands Hadlow Maidstone Allington/LockMeadow College Bearsted Bower Mount West Malling Sutton Valence Len Valley Yalding Vine Wallis Avenue Mote Central Aylesford Allington Park Brewer Street St Lukes Thornhills Phoenix Grove Wateringbury Marsham Street Sevenoaks Edenbridge Borough Green Otford St Johns Amherst South Park Town MC Weald Orchard End Sutton Valence Len Valley Marden Staplehurst Stockett Lane Orchard MC Old School Old Parsonage Crane North Ridge Lamberhurst