Going into hospital?
From our last meeting of our Patient Representative Group, we give the following advice to all patients when going into hospital
You will normally be asked by the hospital to bring any medication which you are taking and this is the sensible thing to do. However, we recommend that you only take a few days supply because none of the medication that you take in will be returned to you. This will ensure that, when you are discharged, you have medication at home and will not need to get another prescription from us when the small supply you receive from the hospital runs out.
Transforming Primary Care in Gosport – what have local people told us
Thank you to everyone who took the time to complete our recent survey. Almost 1,400 local people completed the survey which sought your views on local GP services. These are being used to help us ensure GP services meet your needs.
The survey results, independently analysed by Hampshire Healthwatch, and further independent feedback sought by Healthwatch are available in a detailed report on their website at www.healthwatchhampshire.co.uk/our-work-gp-services. Highlights include:
Who replied to our survey?
The survey was completed by almost 1,400 people. Of these:
- 78% of respondents are female
- 3% of respondents are 24 years old or younger, 52% are 25 to 54 years old, 38% are 55 to 74 years old and 7% are over 75 years old
- 34% have a long term condition
- 19% care for dependent children and 8% are responsible for caring for a parent/friend/relative
- Every Gosport practice had responses from patients registered with them.
What did they say about when they feel they need to be seen on the same day?
Most of those who responded said they would feel confident seeing a GP other than their own (83%) or an experienced nurse (68%) but less than half would feel confident seeing a pharmacist (40%). The key themes for lack of confidence were people perceiving pharmacists as not as qualified as their GP or nurse and some only wanting to see their GP.
The majority (82%) said they would be happy to be seen somewhere other than their own practice if they needed a same-day appointment.
What did they say about when they need routine advice or care?
43% said it is reasonable to wait four to seven days for a routine appointment with 36% saying one to three days. This was reflected in the responses from those with a long term condition.
35% feel they should be able to book a routine appointment three or more weeks in advance with 33% saying one to two weeks. This was also reflected in the responses from those with a long term condition.
Most feel confident seeing a GP other than their own (86%) or an experienced nurse (77%) with 46% saying they would feel confident seeing a pharmacist. The responses from those with a long term condition were slightly different but with most saying they would feel confident in seeing a GP other than their own (82%) or experienced nurse (73%) with 42% saying they would feel confident seeing a pharmacist.
The majority (80%) would be happy to be seen somewhere other than their own practice if they needed a routine appointment. The response from those with a long term condition was lower at 75%.
What did they say about when a loved one they care for needs care or advice?
There were differences in responses from those with a caring responsibility with 68% caring for an adult saying that person would be happy to see a GP other than their own and 59% an experience nurse. However, 87% of those caring for children said they would be happy to see a GP other than their own and 77% an experienced nurse.
82% of those caring for a child said they would be happy to be seen somewhere other than their own GP surgery. This was different to the responses from those with a long term condition (78%) or caring for an adult (66%) which showed less would be happy to be seen somewhere else.
What did they say about how they are seen?
93% would be happy to be seen by another healthcare professional if advised to. 55% would be happy to do so if advised by their GP with 38% happy to do so if advised to by their GP or practice receptionist. The majority of those who would not be happy to be advised by a receptionist said this was because receptionists are not qualified to give this advice.
76% would be happy to talk to a healthcare professional over the phone and about 34% said they would be happy to used Skype, email or a web-based consultation.
71% would like GP practices to provide services earlier in the day and 93% said they would like them provided later.
95% would like any GP services provided at the weekends to be on Saturdays and 80% on Sundays.
67% would like all of the GP practices across Gosport to manage their appointments in the same way with 30% saying they don’t mind/know.
Developing a new way of offering same-day appointments – what do you think?
Did you know that most Mondays the 11 GP practices across Gosport typically receive 700 phone calls for a same-day appointment? This means that the GP practices need to make sure they keep enough appointments each day for those patients that need to be seen as well as providing routine appointments that patients can book in advance.
We know that local people can find it difficult to get routine appointments and, from the survey results, that they are happy to travel to see a different GP or an experienced nurse. Taking this feedback into consideration the GP practices have been working together to see how same-day appointments can be offered differently, to ensure everyone who needs advice or to be seen that day is offered the support they need. It will also help local people to be able to book the routine appointments they need.
Following lots of discussions and considering the feedback from local people the GPs are exploring setting up a same-day appointment service. This would be based at Gosport War Memorial hospital which is accessible by local buses and has car parking available, and run by local GPs, nurses and practice staff.
Patients would phone their GP practice as normal and, if they select the same-day appointment option, their call will be put through to the same-day service and answered by a local receptionist. The receptionist would take some basic details from the patient and then arrange for an experienced nurse or GP to call them back. Patients would be called back in order of clinical priority with the nurse or GP having a detailed conversation with the patient. This could result in the patient being given advice on how to take care of themselves, arrangements being made for the prescribed medication the patient needs to be available at a local pharmacy or the patient being asked to come in to see a GP or nurse.
We know there are some patients who will not be able to travel to the service at the hospital and arrangements can be made for them to be seen at their own GP practice on that day.
We would welcome your feedback on this idea and how we could offer local people same-day appointments in this way. If you have any thoughts, ideas or concerns that you would like us to take into consideration please email firstname.lastname@example.org so we can collate all of the feedback we receive. Please mark your email ‘Same-day appointment service’ in the subject box. The deadline for feedback is Friday, September 4.
(Site updated 03/11/2015)