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PPG (Patient Participation Group) Minutes

Summercroft Surgery Patient Participation Group Meeting

Minutes

Wednesday 30th July 2025, 1730 – 1845

Patient Attendees:   Carol Robjohns, Ellen Killeen, Susan Hayes, Brian Street, Penny Yogarajah, Jenny McCarthy, Elizabeth Strachan, Vincent Wolf, Ian Forrest

Surgery Attendees:  Dr Rak Balendran, Teresa Dyson

Apologies:              Jane Clarke, Mike Titheridge, Hedwig Hegtermans, Kay Stevens, Chris Heaney, Renee Evenett, Sheila Ivey, Chris Doorbar

Chair:                    Carol Robjohns

Minutes:                 Janet Carlo

 1.Ian Forrest was welcomed to his first PPG meeting.Action
   
 2.Matters Arising from the meeting held on 30th April 2025 
 Covid Vaccination Programme – confirmed that the Spring programme had gone extremely well and the Autumn programme would start on 1st October. Vincent asked for clarification on whether this would be open to patients 70+ or 75+. Teresa to confirm.      TD
   
 3.Booking Injections and other Procedures online 
 Deferred from the last meeting. Victor thought the system worked well with blood tests but queried whether the blood test forms could be sent electronically with a QR code which would save everyone time. Teresa said it was something being looked into and would keep the PPG updated. Vincent also asked whether it would be possible to book injections such as B12 online; Teresa said she would send Vincent a link enabling this.      TD   TD
   
 4.PCN Update 
 Provided by Penny. Well Being Café – held on the first Tuesday of each month. Approximately 23 patients attend. One patient had not been made to feel welcome and found the group cliquey. In response to a question from Ian it was confirmed that Summercroft patients could attend any of the Well Being Cafes e.g.Southborough & Biggin Hill.Extended Access Clinics – Penny reported that some PCN Receptionists were not aware of the Extended Access appointments.Integrated Neighbourhood Teams – Five Elms PCN to be linked to the Hayswick PCN for the Integrated Neighbourhood Team. 
 5.Total Triage 
 Considerable discussion took place on this item. Teresa reported that 2 weeks of Total Triage had now been in operation and that phone calls into the Surgery had not dropped noticeably but were spread more evenly throughout the day rather than at 0800. 48 hours allowed to deal with a total triage request but many are dealt with more quickly, some within an hour. About 15% of the calls involved Reception needing to complete the form on a patient’s behalf. Kay & Lorraine, the Reception Team Leads allocate requests where appropriate eg Prescriptions, Admin related & Referrals. Requests regarding children etc. would always be sent to the Triage Doctor for the day as would other medical related requests. The doctor would then make a clinical decision and allocate patients to the appropriate healthcare professional. Alternatively the doctor could send the patients an Accurx link allowing them to book their own appointments within varying time frames. Carol queried how the Physiotherapists, Nurses, Pharmacists etc. fitted into the new system – this would be for the Total Triage Dr to decide. Patients are able to request a certain GP but it’s not always possible to accede to these requests. Face to Face appointments and telephone appointments can be changed. Ellen asked how the GPs were finding it; Rak responded that it’s a heavy workload for the Total Triage Dr. Previously the mornings were particularly busy which allowed the GPs to plan the rest of their day but now the requests came in continually throughout the day. Rak also said that it was better than he had anticipated. He also commented it wasn’t what he trained for in becoming a GP. Elizabeth asked if it was possible to make an appointment by phone and it was confirmed this was no longer possible but Reception would complete the form on a patient’s behalf where they were unable to. The Total Triage Dr does not see patients on their TT day whereas the Duty Dr did. As Mondays are always the busiest day of the week there would be 2 Total Triage GPs on a Monday morning. The Total Triage system had been instigated by the Government and that it would be adopted nationally by 1st October. In response to a question from Brian it was confirmed the Department of Health had not requested feedback although it was possible that Surgeries implementing the system earlier may have done. Noted that older patients may find it more difficult to accept the change and adapt.                       
   
 6.Next Meeting – Thursday 30th October 2025 at 1730 in the Surgery. 



Summercroft
Surgery Patient Participation Group Meeting



Minutes



Thursday 2nd
May 2024, 1730 – 1845



 



Patient Attendees:   Carol Robjohns, Jenny McCarthy, Sheila Ivey,
Brian Street, Mike Titheridge, Susan Hayes, Hedwig Hegtermans, Jane Clarke



Surgery Attendees:  Dr Rak Balendran, Kay Stevens



Apologies:              Penny Yogarajah, Vincent Wolf, Chris Heaney, Barbara
Blackmore, Elizabeth Strachan, Chris Doorbar, Ellen Killeen, Renee Evenett



Chair:                     Carol Robjohns



Minutes:                 Janet Carlo



 




































































































 1.



Introduction



Action



 



Carol
reminded those present that the meeting was not intended for personal problems.



 


 



 



 



 



 2.


 



Matters
Arising from the meeting held on 18th January 2024


i)            
Linking
Summercroft to Epic

– defer to the next meeting when Vincent is able to attend.


ii)           
Car
Park
– Rak confirmed
that ANPR would not be introduced. Janet to organise better signage. Rak also
added that blood tests are carried out daily and as these appointments are
every 7 minutes this has an impact on car parking. Currently the Surgery are
considering reducing the number of days that blood tests are held which would
ease the pressure on the car park. Clamping was not allowed. Jenny pointed
out that parking was available at Sainsbury and uses this herself on
occasions when visiting the Surgery


iii)          
Pharmacy
– there were no
developments regarding extra Pharmacies in Locksbottom.


iv)         
Website
– updating. Janet
said that she would ensure this is done on a regular basis and would add it
to a new planner of actions & deadlines to ensure nothing is missed.


v)           
PRUH
Building Works
– to
provide an Endoscopy Unit. Kay gave an update – due for completion in 2025
and drainage works now under way.


vi)         
Econsult/Accurx
– econsult has now
been replaced by Accurx.



 


 


 


 


 


 


 


 


JC



 3.



NHS App



 



 



The
Surgery were keen for more patients to use the NHS App to reduce the cost of
sending texts.


With
the introduction of Accurx the cost of sending text messages has increased whereas
with the App it’s free. Carol stated that in the PCN Summercroft had a 60%
uptake using the App. She also added that the PCN had a NHS App champion to
help patients set the App up and explain how to use it for ordering
prescriptions, book appointments and see future booked appointments etc.
Janet added that this was something Summercroft were considering. Summercroft
patients can currently book Nurse appointments online.



 


 


 


 


 


 



 



 



 



 4.



Five Elms PCN



 



 



i)            
Meetings – Carol reported that she and Penny
attend a meeting every 6 weeks with representatives from the other PCN
Surgeries.


ii)           
Well
Being Café
– still
very popular although not many Summercroft patients attend. This was
attributed to the location. It was noted that our patients could also attend
the Biggin Hill Café. Talks have been given on various topics including
Dementia & Long Covid. A Pharmacist visit is planned in order to explain
what drugs do etc.


iii)          
Office
Space
– the PCN need
to find alternative office space as Global House is being sold. Premises at
Farnborough had been considered although it was reported that they may now
move to Bromley South.


iv)         
Extended
Access
– these
appointments are available at the weekend with GPs, Nurses, Clinical
Pharmacists etc. Receptionists offer these appointments to patients if
Summercroft appointments are all filled.



 


 


 


 


 



 



 



 



 5.



Staffing
Update



 



 



i)           
Carla


Rak informed
those present that Carla had resigned for personal reasons effective 16th
May. She has another job within the NHS supporting Practices and Practice
Managers in the Bromley area, identifying training needs etc. Janet read out
a message of thanks to the PPG received from Carla. The PPG would like to
thank Carla for her commitment towards the practice and the PPG. They would
also like to thank Jan for her continued support to PPG Members.


Rak
confirmed that the Surgery would shortly be advertising for a replacement


and this was
likely to be an Operations Manager. (The post is now advertised with a
closing date of 1st June. Interviews provisionally arranged for 6th
June.)


ii)           
Nursing
Staff
– Debbie
Sinclair retired at the end of April leaving only Heather Horan offering
Diabetic appointments. Shola Azeez who was appointed following Louise Beale’s
retirement is to undertake training in Diabetes and Caroline Tate is
undertaking training in Asthma & COPD. It is planned to replace Debbie.


iii)          
Reception
– Kay and Lorraine
had interviewed earlier in the day and would be offering one of the
candidates the position which would mean Reception would be fully staffed.
Carol commented that she had been very happy with the Reception service in
the last year. Jane felt the service differed depending on which Receptionist
you were dealing with. Kay pointed out that the Receptionists are all
different and some are more experienced than others. She added that March had
been a particularly difficult month and there was a limit to the amount of
patients that the Duty Doctor could deal with.


iv)         
Finance
Administrator

Carol Pitman started in December and has taken on some of the financial
duties previously undertaken by Carla.


v)           
GPs/Dr
Monica Hakeem

returned from maternity leave in April. Amr Osman a part time GP Trainee has
completed his 6 months and has now left. Josh Thevarajah a final year trainee
and full time will be staying at Summercroft until August/October time.



 


 


 


 



 



 



 



 6.



Breast
Cancer Awareness



 



 



This is a Public Health Awareness talk originally planned for 16th
July but is now to be held on Wednesday 18th September at 1330.
Hedwig will be delivering the talk. Planned initially for Admin and Reception
staff but open to PPG members too.



 


 


 



 



 



 



 7.



AOB


i)            
Not discussed at the meeting. Ellen who was unable
to attend the meeting had mentioned that she was very impressed when calling
111. She got a call back within 2 hours and received a call from the surgery
the following morning as a follow up to her 111 call. She also said she can’t
fault the service at Summercroft.


ii)           
Dr Rachel White – in response to a question from
Brian it was confirmed that Rachel no longer undertakes any work in the
Surgery.


iii)          
Mike queried the position regarding the POD. Rak
stated that a new screen was needed in order for the BP and/or weight results
to be directly added to a patient’s record.


iv)         
Mike also queried medication reviews, whether
these were needed and was the question asked. Rak explained that the Clinical
Pharmacists normally undertook the reviews on an annual basis but could be
more often depending on the medication. Suggested that the Clinical
Pharmacist could ask the question – i.e. does the patient still take the
medication and do they still need it? It was also noted that Hospitals can
alter a patient’s medication but it might still show on the Surgery record.


v)           
Jane asked if problems caused by drugs were linked.
Rak said that there are cases where this happens but the drugs can sometimes
be linked to more than one problem,


vi)         
NHS Health Checks – a 5 yearly check of a
patient’s overall health from age 40 – 74 without having certain pre-existing
conditions.



 


 


 


 


 


 


 


 


 


 


JC



 



 



 



8.



Next Meeting – Thursday 25th July 1730
in the Surgery.