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.