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

Email

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 alyssa.brown@cumbriaccg.nhs.uk