2025
Patient Participation Group Meeting – Wednesday 25th June
Attendees:
- Laurbel PPG
SM Apologies:
- Betty
- Elizabeth
Building Work
SM shown members around new parts of the building and explained the lift will be put in July, new clinical rooms and staff shower and toilet added as well as plans for the reception to be expanded once records have been moved upstairs into new storage.
No completion date for the building work yet, SM pushing for things to be completed before the reception area is started. IT need to put new equipment in for the new side of the building. Hopefully this year it will be completed. £350k has been invested in the work and JVN hopes that the work will be completed in two months.
CQC Visit
CQC visit happened on Friday 13th . Everything went ok with nothing major being picked up. They have given Dr Jaiveloo some points to pick up himself, but the only thing we had feedback to us was to create a list of all patients (adults and children) that were under Safeguarding so we can ensure they are receiving care. They reported that patient feedback they had received was good with lots of responses. SM still awaiting the report and any recommendations can be investigated.
Total Triage
SM trialed the idea of moving to a Total triage appointment system but received negative feedback from everyone asked. It was noted that it was thought it wasn’t a good idea and has since been put on hold. It is not yet compulsory and CQC feedback has said they’re happy with the way things are.
Will it be good to implement it once you have more staff and more space?
SM explained that she would be doing the admin and Dr Jaiveloo will see anyone who requires a clinical appointment. It’s a form online, available on our website and the responses come to the surgery which will be dealt with by the staff. It is available 24/7 but will only be responded to during working hours.
Heidi AI
Dr Jaiveloo has been doing a trial of Heidi AI for his consultations. It transcribes the consultation by picking up medical words and sentences and completing the patient’s “history” which is then copied and saved onto their record. Nothing is saved on Heidi and there is no cloud for any information to be sent to.
Clinicians will check before they’re saved and must-read code manually still.
There have been Implications that AI is no longer recommended and isn’t accurate as well as issues with confidentiality.
SM explained that this AI system has been developed specifically for a medical setting. It will save time on appointments as GPs spend less time typing. It also deals with complaints we receive that the GP is spending more time looking at the computer than the patient. Posters are in each consultation room, and the patient can ask for it not to be used if they wish.
JVN explained that Heidi has been approved by NHS England, there have been no instances of hacking during its use, and it has been used globally.
AOB
Has there been any feedback from patients being referred more to chemists?
SM explained that there had been issues initially with some pharmacies, but it has since settled and have since seen patients with ear infections, UTIs and tonsillitis have been given antibiotics.
I don’t like having to explain to the chemist what the issue is in front of a queue of people.
SM agreed.
JD gave PCN update including HWB initiatives, wellbeing walks and litter picks.
Good feedback given to Kenneth the physiotherapist. JD explained that Kenneth will be available at Laurbel soon.
SM asked if members were happy with the way the meetings work and are scheduled. Everyone agreed they were happy with it. The meetings will be 3 monthly but if there’s nothing to share from either side then they will be postponed to the next one.
The next dates are 3rd September and 10th December.
Has there been any feedback from the telephone system?
SM explained that she has been told that there is nothing they can do about the gap in the waiting time, but SM has agreed to bring it up again. SM explained the 24-hour prescription request line wasn’t well received at first but patients have gotten used it now.
SM introduced new receptionist Amie and explained that she has come from a chemist and is a trained pharmacy technician so has a lot of medication knowledge. SM explained that there has been an issue with recruiting staff. Receptionists are moving back into wearing blouses for their uniform rather than scrubs.
SM to check that moved appointments still get confirmation texts after an issue was brought up.
2024
Patient Participation Group Meeting – Wednesday 14th August
Apologies:
- Pat
- Andrew Lynn
Laurbel:
- Sue Moody
PCN:
- Michelle Mcintyre Health and Wellbeing Team Leader
Present:
- David
- Caroline
- Betty
- Kenneth
- Elizabeth
- Graham
PCN Update
Michelle explained her role within PCN, the practice within the primary care network are:
Laurbel Surgery,
Orchard 2000 – based Hall Road and Bransholme Centre,
Dr Raut, Highland’s health center and Sutton Park,
Kingston Health – park Health Centre and wheeler street,
Goodheart Practice, Bransholme Health Centre,
Services are divided between all these practices.
Discussed National 12week pre diabetic program, the PCN offers a program face to face also.
Menopause /HRT assessment and treatments undertaken by Dr Singh from Kingston
Social Prescriber job role, and what this covers, social issues, isolation, loneliness, support
Pharmacist for Medication reviews
Working with school nurses on a project to address childhood obesity, offering weight support, and healthier lifestyles
Orlistat Monitoring, Inclisiran injections for Cholesterol, Dr Jaiveloo in the process of organizing training for GPs.
Mounjaro – discussed that we have diabetics on this, a lot of patients receive this privately which is quite costly, this does not always seem for just obesity, some have had a low BMI but been supplied online by an independent pharmacist.
List of PCN Staff
- Mental health Support Worker – basic advice and guidance on services available
- Care Co-Ordinator’s – organizing and administration
- Pharmacist – deals with all medication issues/ queries and reviews
- Pharmacy Technician – helps with audits and medication changes – with Dr/pharmacist approval
- Physiotherapy – Kenneth
- Paramedics x 2 – home visits Acute and palliative care support visits with social prescriber
- Nurse Associate – undertakes most nursing duties, bloods, smears, immunizations – currently on maternity leave, Lina newly qualified nurse currently training and filling role for maternity leave cover.
- Social Prescriber – all social issues, loneliness, isolation,
- Advanced Nurses Prescriber – Acute Clinics
Sue update on current projects ongoing
Meeting with Learning Disability and reviewing records of Patient’s diagnosed with a Learning Disability or severe mental health.
Kenneth physiotherapist is now back at the surgery alternative Fridays
Breast screening service are about to start sending appointments for screening from the 19th January to attend Morrisons screening unit. Sue will be sending out text messages to encourage patients to attend and following up on patients that have not attended. The breast screening department only had a 35% uptake for patients from the surgery attending their first screening appt. Therefore, we are looking at trying our best to promote and encourage patients to attend.
National Pre- Diabetes Program have also been in touch to ask if we can search and promote their program, for patient which a recorded hba1c result in the last 12 months between 42 – 47, we have produced a search which has shown 256 patients, sue will be reviewing and sending messages out where appropriate.
Angela retired today, and a new member of staff will be starting next week with 14 years’ experience, so hopefully she will fit in well.
Flu vaccination uptake – The surgery has given 780 flu vaccines for patients 656 and over, put we have been trying to call round and encourage the at risk, as this uptake as drastically reduced, Sue is currently calling round to try and utilize the remaining stock.
Joint Pain clinic self referral web address:
Joint Pain Programme | Nuffield Health
22 week programme, free plus 3 months free membership following.
2023
Patient Participation Group Meeting – Wednesday 19th April
- Chair: Susan Moody
- Minute Taker: Sue Moody
Attendees:
- Betty Dean
- Kenneth Houghton
- Andrew Lynn
- Patricia Lynn
- David Peat
- Gillian Peat
- Robert Stocks
- Graham Harris
- David Woodard
- Dr N K Jaiveloo
- Michelle – Health and Wellbeing Coach
Apologies:
- Jenni Dobson
- Lea-anne Woods
PCN – Social Prescriber – Lee-anne Woods
not able to attend – SM sent details for next meeting to attend.
Health and Wellbeing Coach Update
Michelle gave an overview or service
The Surgery now has a Health and Wellbeing coach as part of the PCN. Her name is Michelle, and she can help with various issues affecting your lifestyle such as diet, exercise, issues around diabetes and pre-diabetes, weight loss, menopause and mobility. You can either be referred once your seen a clinician or you can self-refer.
Michelle will contact you shortly after that.
We are shortly commencing with a 12 week pre-diabetes program where we are targeting those patients who have had a diagnosis of pre-diabetes across the PCN and offering group sessions to help them gain a better understanding of their diagnosis and what they can do to decrease their chances of developing diabetes.
We have arranged for the patients for the initial group to attend already but we will run programs one after another throughout the year.
Dr Jaiveloo – Update of Building extension
Dr Jaiveloo gave a brief update the building extension plans and should the group a diagram of the plans. He explained that he is currently gaining quotes, and then we will be applying for help with funding from the Integrated Care Board.
Update on GP’s
Sue explained that since Dr Jaiveloo has returned the surgery has retained some of the locums that covered whilst Dr Jaiveloo had been on sick leave.
We now have an extra GP each day of the week, so more access for patients that ever before.
We now have, Dr Vakkund, Dr Obesaki, Dr Sivarajan, Dr Thoufeeq, Dr Humble and a new gp starting next week Dr Gopal.
Hoping that once we have enough room that the Nurse Practitioner will work full time, which will also provide more capacity.
List Closure update
Sue explained that a further closure extension was now in place, and this was to continue until the 17th October, after that we will re-open and begin to take new patients again.
AOB
Sue explained that Charlotte had left the Practice and a new nurse Kerry had started and would also take over as the PCN lead nurse
BD asked about the open days and if they will be available in this side of the town, Sue will contact the PCN manager and request that this happens.