Patient Participation Group

 

Could You Help us to Improve services and share your experience as a patient?

 

Would you like to participate and become a Patient Representative?

 

 Please Look at the information provided in the Questions & Answers section for further details

If you want to register your interest, please complete and return the questionaire either by email sharons.nicholls@nhs.net or to the following address.

 

Ms S Nicholls

Carshalton Fields Surgery

11 Crichton Road

Carshalton Beeches

Surrey

SM5 3LS

020 8643 3030/9551

October 2011

Practice News

 

“A Patient participation group, what does that mean?”

The main goal should be to promote the wellbeing of patients and support the practice to provide a high quality of care and service delivery. We aim to listen and adjust to our patients’ needs.

We are aiming to form a group of patient representatives from different age, gender and cultural or ethnic background who are motivated to

-         meet up every 4 to 6 months with 2 members of our staff (usually the practice manager and a doctor or one of our admin team member).

-          improve communication between patients and the practice.

-          discuss patients’ needs in the development of the practice systems  e.g. telephone systems and appointment systems.

-           support the practice to achieve its health promotion goals.

-           review and where appropriate provide advice and  recommendations on the practice's patient surveys.

-           ensure the needs and interests of all patient groups are taken into consideration - this includes people with specific illnesses or conditions, people with a disability, people from minority ethnic groups and migrant workers.

This is an opportunity to produce real change in your practice. The PPG will aim wherever possible to reach decision by consensus.  Where this is not possible the view held by the majority of those present will be the view that is agreed upon and taken forward by the group.

 

 

“What will be discussed in the group?”

 

Ideally that would be decided by the group. Common themes could include

 

-           the waiting room

-           telephone and appointment system

-           availability of local services, e.g. counselling/physiotherapy

-          development of self-help projects to meet the needs of fellow  patients, such as befriending and bereavement support.

-     NHS Reforms

 

Two weeks before the meeting all members will be contacted to raise items to be placed on the agenda and the agenda will be posted on the website or sent to you if you prefer this.

The group is not involved in raising funds for the Practice. It is also not a forum to discuss individual complaints.

 

 

Virtual Patient Participation Group

Online & Email Participant

 

 

Title    ¨ Mr ¨ Mrs  ¨ Miss ¨ Ms  ¨ Dr

 

First Name(s)

 

Surname

 

Email address

 

Postcode 

 

The information below will help to make sure that our group, as far as possible, is representative of the patients registered at this practice.

 

Your Gender  ¨ Male ¨ Female

 

Your Age ¨ 16 and under  ¨ 17 – 24

  ¨ 25 – 34  ¨ 35 – 44

  ¨ 45 – 54  ¨ 55 – 64

  ¨ 65 – 74  ¨ 75 – 84

  ¨ over 84

 

The ethnic background with which you most closely identify is:

 

White ¨ British   ¨ Irish   ¨ Other

 

Mixed ¨ White & Black Caribbean  ¨ White & Black African 

  ¨ White & Black Asian

 

Asian or Asian British ¨ Indian    ¨ Bangladeshi   ¨ Pakistani 

 

Black or Black British ¨ Caribbean   ¨ African 

 

Chinese or Other  ¨ Chinese  ¨ Any Other

 

 

How would you describe how often you come to the practice?

¨ Regularly ¨ Occasionally ¨ Very Rarely

 

How would you describe your current state of health?

¨ I have one or more chronic conditions that require regular monitoring.

¨ I do not have any ongoing conditions.

 

How would you describe your current employment status?

¨ Employed

¨ Self Employed

¨ Unemployed and looking for work

¨ Unemployed and caring for family

¨ Retired

Carshalton Fields Surgery

Practice Patient Participation Group Questionnaire

 

This group will act as a link between the practice and The Sutton Consortia who are responsible for arranging health services for people in the local Community, the doctors and the Patients. We are looking for a variation of patients, to enable us to obtain the views and comments of the wider practice population.

 

We are now looking for members to join the practice and start our patient Participation group.

 

To help us in our recruitment, we would be grateful if you would complete the questionnaire below:- (This will enable the practice to select a fair representation of the practice population)

 

 

Please tick – Circle or delete as appropriate:

 

 

1) A

 

  Are you a person aged 16 - 18 years?    Yes No

 

     Are you a person aged 19 - 24 years?  Yes No 

 

     Are you a person aged 25 - 34 years?  Yes No

 

  Are you a person aged 35 - 49 years?  Yes No

 

 Are you a person aged 50 - 65 years?  Yes No

 

  Are you a person aged 66 + years?  Yes No

 

 

 

1) B   Gender:  Are you  Male/Female

 

 

 

 

1) C Ethnicity; Please select the option which best describes your ethnic origin

 

Asian/British  Bangladeshi  Indian  Pakistani  Other Asian

 

Black/British African  Caribbean  Other Black Background

 

 

White/British   Irish  Scottish Other white background 

 

 

White/Asian White/Black African  White/Black Caribbean  Any Other

 

 

2) Are you a parent looking after children up to the age

   of 16 years at home?     Yes No

 

3) Are you a retired person?   Yes No

 

 

4) Do you know a lot of other patients who belong to the practice?  Yes No

 

 

5) Do you have a long-term health condition? Yes No

 

 

6) Do you have your own transport? Yes No

 

 

7) Are you currently employed?  Yes No

 

 

8) Are you a Student? Yes No

 

 

9) Are you a carer?   Yes No

 

 

10) Do you have any of the following skills or attributes?

 

 

a) get on with people easily Yes No

 

b) a good listener Yes No

 

c) marketing/PR or advertising skills  Yes No

 

d) know what is happening locally in the NHS  Yes No

 

e) support your local GP’s and practice  Yes No

 

f)  interest in NHS/patient care  Yes No

 

g) a member of any other groups private or voluntary

  organisation that work closely with the NHS?  Yes No

 

11) Are you interested in becoming a member of the PPG?  Yes No

 

 

 

10) Could you attend a meeting once every 3/4 months?  Yes No

 

 

11) Will you be willing to communicate with the practice or take part in online patient survey’s or give any suggestions/comments via email? Yes No

 

 

12)  Could you give us a brief description (In your Own Words) why you feel that you should be picked to become part of the practice patient participation group?

 

 

 

 

__________________________________________________________________________

 

Name:

 

Address:

 

 

Telephone No

 

 

 

Email Address: