History of Lapworth
Lapworth Surgery was opened in 1991 to serve the residents of Lapworth and neighbouring villages. Dr Gareth Rowland and Dr Caron Bates took over in 2009.
Lapworth is a village and civil parish in the county of Warwickshire. It lies six miles south of Solihull and ten miles northwest of Warwick. It is just under 19 miles from Birmingham. Lapworth is a predominantly rural area covering 4163 hectares and according to the 2011 census has a population of 2951 living in 1295 dwellings in the area. It has poor public transport services with little in the way of bus provision and no easy access to Warwick Hospital via train or bus.
Lapworth Patient Participation Group (LPPG)
LPPG was set up in 2014/15 in line with NHS guidelines and is a requirement of the GP Contract for all GP Practices.
The role of the PPG as defined by NHS England includes:
- Being a critical friend of the practice
- Advising the practice on the patient perspective and providing insight into the responsiveness and quality of services
- Encouraging patients to take greater responsibility for their own and their family’s health
- Carrying out research into the views of those who use the practice
- Organising health promotion events and improving health literacy
- Regular communication with the patient population
Currently our agreed purpose is:
- To keep Lapworth Surgery local and responsive to the needs of its patients
- The thought process behind “keeping Lapworth Surgery local” was in response to any threat (real or perceived) of larger Medical Centres becoming the government expectation and model of service delivery for GP Surgeries. LPPG members recognised the need and value of having a local surgery supporting the local community particularly due to the poor level of public transport in the area.
- LPPG also valued the more personalised service being provided by our doctors, nurses and staff and wanted to keep that level of contact .
- In a survey carried out in 2018 by the LPPG 348 out of 351 (99%) completing that survey agreed with the express aim of keeping our surgery local where the doctor knows the patient and the patient knows the doctor.
How Have We Set Out to Achieve that Purpose?
We have focused on 4 key targets since LPPG was set up
- Introduce Friends and Family Test “would you recommend the surgery to your family and friends?”
- Seek to make the LPPG more closely representative of the patient population of the Surgery
- Develop a process for communicating with our local community about who we are and what we are trying to achieve
- Fund raising to provide support and equipment to benefit patients that would not otherwise be available under standard NHS funding
Have We Made a Difference?
1. Friends and Family Test
- LPPG have actively encouraged patients to complete this survey resulting in above average returns as a percentage of our patient population and consistently high ratings with nearly everyone completing the return saying they would recommend the surgery to their friends and family.
- The surgery has a 5 out of 5 rating on the I want great care web site and 4.2 out of 5 on google review as at January 2019.
2. Make LPPG more representative of the surgery patient population
- When initially set up from those patients volunteering to be part of the LPPG the group predominantly consisted of white male aged over 65. Since being established the LPPG has actively sought to recruit people to more accurately reflect the patient population and currently consists 11 members of which 54% are male and 46% female. 27% represent the under 35 population (excluding under 16) and we have members on the group from a BAME background .
- In addition in 2018 we successfully launched a “virtual PPG” where 900 patients have given their authority for the PPG to contact them via confidential email from the surgery on issues relating to the surgery and its patients. This will provide the opportunity for “segmentation” to contact specific age groups (over 18) or specific groups of patients if desired in the future to help shape services and care at the practice
3. Communicating with our patient population
- LPPG produces regular information on our activities for display on the TV within the surgery
We also produce regular articles in the two local magazines covering Lapworth and Rowington (where the vast majority of our patients live) keeping people informed in a non political way on issues impacting on the surgery and sharing results of national and local surveys relating to the surgery and its staff
- In addition in 2018 we successfully launched a “virtual PPG” where 900 patients have given their authority for the PPG to contact them via confidential email from the surgery on issues relating to the surgery and its patients
- We have on occasions used social media in the form of nextdoorlapworth.co.uk to signpost activities such as the results of the patient survey and where to access them
4. Fund raising
- Where appropriate and where there is an expressed need identified by the doctors and staff for equipment not funded within the GP NHS funding regime, the LPPG has agreed to seek to raise funds in support of such equipment on the understanding
- This is in addition to and not a replacement for NHS core funding
- The equipment purchased has a direct benefit to patient care at the surgery
- The doctors at the surgery are fully in support of the acquisition of such equipment and its use within the practice
- Equipment we have purchased from successful fund raising include a 24 hour ECG monitor which has reduced the need for patients to go to hospital; and a Hyfrecator which is an electrical surgery device enabling the Doctor to provide minor surgery and treat patients at the surgery rather than have to refer patients to hospital
Changes in NHS – The New 10 Year Plan Published in January 2019
Three key declared aims for patient delivery
1) Making sure everyone gets the best start in life
- Focus on reducing stillbirths and mother and children deaths during birth; continuity of care throughout pregnancy; extra support for mothers at risk of premature birth; extra support for perinatal mental health conditions; action on childhood obesity; increased funding for children and young people’s mental health; reduce waiting times for autism assessments; providing right care for children with a learning disability; and delivering the best treatments available for children with cancer.
2) Delivering world class care for major health problems
- Preventing 150,000 heart attacks, strokes and dementia cases; education and exercise programmes to more patients with heart problems to prevent premature deaths; diagnosing cancers earlier; spotting and treating lung conditions early to prevent stays in hospital; increased spend on mental health care; delivering community based support and therapy for people suffering from depression and anxiety; and delivering community based physical and mental care for people with severe mental illness
3) Supporting people to age well
- Increased funding for primary and community care by at least £5.4bn
- Bringing together different professionals to coordinate care better
- Helping more people to live independently at home
- Develop more rapid community response teams to prevent unnecessary hospital spells and speed up discharges home
- Upgrade NHS staff support to people living in care homes
- Improving the recognition of carers and support they receive
- Making further progress on care for people with dementia
- Giving people more say about the care they receive and where they receive it, particularly towards the end of their lives
How will ambitions of the NHS Long Term Plan be delivered?
- Doing things differently
- Preventing illness and tackling health inequalities
- Backing the NHS workforce through training and recruiting more professionals
- Making better use of data and digital technology
- Value for money – identify ways of reducing duplication in how clinical services are delivered ; improved buying power; and reduce spend on administration
Impact of the 10 Year Plan on GP Practices and Role of PPG in Supporting Our Practice?
- Given the NHS ten year plan and the NHS England declared role for PPGs are our four priorities still valid over the next two years and if not where should our focus be given our size and limited capacity?
- We are all agreed that we are lucky to have a local GP Surgery in the centre of our community and we value the quality and “intimacy” of services provided by the doctors and staff who make us feel like individuals rather than a number or a process
- How can we help support the doctors, nurses and staff at the surgery to maintain and even enhance the quality of service provided
- We’d welcome your opinion and will share information and consult with the patient population via email through the “virtual PPG” and in the local magazines as the impact of the new 10 year plan on our surgery becomes clearer