Beat the heat: staying safe in hot weather

Posted on July 25, 2019

Although most of us welcome the summer sun, high temperatures can be harmful to your health. In one hot spell in August 2003 in England and Wales there were over 2,000 extra deaths than would normally be expected. The heat can affect anyone, but some people run a greater risk of serious harm. As our climate changes, hot spells are expected to be more frequent and more intense.

This document will tell you how to stay safe in hot weather, including how to keep your home cool. It tells you who is at greatest risk of ill health from the heat, how to recognise when you or someone’s health may be affected, and what to do if you or someone else becomes unwell as a result of the heat.

Stay connected
Look after yourself, older people and the young

Why is this important?
• The heat can affect anyone, but some people run a greater risk of serious harm. Remember to think of those who may be more at risk from the effects of heat – these include the following:
o older people, especially those over 75
o babies and young children
o people with a serious chronic condition, particularly dementia, heart, breathing or mobility problems
o people with serious mental health problems
o people on certain medications, including those that affect sweating and temperature control (for example, diuretics, antihistamines, beta-blockers and antipsychotics
o people who are already ill and dehydrated (for example, from gastroenteritis)
o people who misuse alcohol or drugs
o people who are physically active (for example, soldiers, athletes, hikers and manual workers)
o homeless people

What can I do?
• stay out of the heat, cool yourself down, keep your environment cool or find somewhere else that is cool
• look out for neighbours, family or friends who may be isolated and unable to care for themselves; make sure they are able to keep cool during a heatwave
• get medical advice if you are suffering from a chronic medical condition or taking multiple medications
• make sure medicines are stored below 25°C or in the fridge (read the storage instructions on the packaging)
• carry on taking all prescribed medicines unless advised not to by a medical professional. But be aware that some prescription medicines can reduce your tolerance of heat
• be alert and if someone is unwell or needs further help,

Patient Survey Action Plan 2016

Posted on September 19, 2016

Lilford Park Surgery 

Patient Survey Action Plan 2016

In March 2016 the members of the practice Patient Representative Group (PRG) met to discuss the plans for this year’s
patient survey. We looked at the survey and felt that is was asking the correct areas that we wanted feedback for and also gave the option for patient to give feedback in the areas that are not documented on the questionnaire. We decided to also keep the questionnaire the same as previous years so that we can assess what’s changed within the survey over time.

In March 2016 practice survey was made available to all patients attending the surgery for appointments and picking up
prescriptions. It was also uploaded to the practice website for people to print off and send in to the practice with the idea that we could reach a larger section of the practice population so that we can get a better general overview of peoples responses to the that Lilford Park Surgery provide and areas in which patients feel that we could improve on. We were please that over 100 patients took the time to complete the survey for the practice and their views were collated in to a summary report.

The results from this practice survey were collated and summerised and can be viewed in the summary report. A copy of the summary report can be found on the practice website and on the PRG notice board in the main waiting area of the surgery.

 

The practice team and the PPG Group we happy with the positive feedback from the patient survey in which the patients
overall stated that they we happy with the services provided and the care that they have received in the practice and also again with the “open morning surgery” system. Some of the positive feedback comments that the practice received are:

  • Superb  staff at the reception, everyone is very helpful including the nurse and  GPs are fantastic.
  • Staff are  very friendly. Love the morning surgery, very flexible with afternoon surgeries.
  • Dan the  ANP is very good. Excellent manner and a good listener. I wouldn’t see anyone else.
  • Even though you have to wait, the open morning surgery is great!
  • Very pleasant and helpful staff.
  • Dan Swift is excellent, really listened  and understood and took action.
  • I love this surgery; I really like how you can just see a doctor any day without an appointment. My friends and family are always complaining that they can never get appointments to see their GP. We are very lucky here.
  • Really good surgery
  • Receptionists are so helpful! I tried parking twice on the car park to get my prescription but had no luck so I rang the surgery and the lady on the phone offered to take it down to the chemist for me! Such a great help!
  • Excellent service for people with children.
  • I love the open morning surgery, its very suitable for my life style. Also the late night surgery works with my husband who works long hours.
  • Receptionists are really friendly.
  • The open morning surgery is wonderful.

The practice and patient representative group also took this opportunity to reflect on the areas that patients felt we
could improve our services we provide to identify target areas based on the comments that were raised. A selection of the comments for areas of improvement as submitted by the patients are:

  • I like both doctors and the staff are very friendly and polite.      Just the parking is horrendous.
  • Car park is bad
  • The over 60’s should be seen in the surgery for bloods for      health checks
  • Finding it very hard to park recently, I had to cancel my babies immunizations as I was going around the car park for 15 minutes.
  • Need more appointments in the afternoons.
  • The car park is always full on a mornings.
  • Parking is bad
  • Just sometimes the waiting time in the open morning surgery is long.
  • The car park is a nightmare. People on social media recommend parking there and going to the hospital to save car park fees. Please re-instate the barrier as soon as possible.
  • Car park is a nightmare to get parked on since the problems with the barrier.
  • I can never get parked due to the barrier being broken as I have had to pay. Something should be done!
  • I had to walk half way from Leigh town center because the surgery car park was full. As a growing surgery and hospital the car parking should be better.

The Patient Representative group discussed these areas that it was felt there may be area for improvement for the practice
and an action plan was agreed.

 

Lilford Park Surgery

 Action Plan

 

Item Discussion
Points

 

Plan
Parking / Car Park The main area   for complaint in this year’s patient survey was the practice car park and
lack of spaces. It was   discussed that the main reason for this situation worsening is because the   barrier paying station had been stolen and so they have had to raise the   barrier as there is no means of which patients who should pay can.

The practice   state that even though they were re-directing patient complaints to the community reception and emailing them to ask for resolution of the situation it was something that the building were not prioritizing.

It was discussed with the group that social media was also having a negative impact   on the parking situation as it is being discussed on local forums re hospital  patients being able to park free at the health center which creates an overcrowding situation on an already busy car park.

 

  • The PPG decided that they would form a petition regarding the parking and the re-instating of the practice barrier to be put in
    reception for patients to sign.
  • On completion of the petition this would then be sent with a letter requesting the expedition of the re-installation of the barrier by the members of the PPG.
  • PPG member (AT) is also going to speak to the local counsellors to discuss the matter and how the funding to re-install the       barrier and its paying station is having a negative impact on the practice population to see if there is anything that they can implement.
Waiting times / open surgeries

 

 

 

 

  • The positive points of the morning “open surgeries” that patients that become acutely ill know that they can be seen either that day or the following day in the morning surgery.
  • Patients with children felt that the morning “open” surgery system is invaluable.
  • While morning surgeries can be busy it is something that people are and have always been aware of as this system is something that has always been in place historically for the past 20+ years
  • It was discussed that if the surgery went to a whole appointments system the amount of patients that can be seen overall would in fact decrease and in turn there would be a longer wait for       appointments that would not benefit acutely ill patients and have an       overall negative effect on the patient care.
  • The practice is currently implementing a PCT lead “Winter Pressures” extended service. This entails and additional clinic every Monday from 12.00 noon to 2.00pm for appointments to relive the busy winter period so that patients aren’t waiting in the morning surgery as long.
  • Reception staff to inform patient when booking in to the  “open” morning surgeries the approximate time that they are expected to be seen in relation to the amount of people that are already booked on to the clinic.
  • The practice are in the process of re-evaluating the afternoon surgeries and hoping to provide additional afternoon
    appointments with the expansion of the practice team.
Health Check and Blood Tests for over 60s It was discussed that even though this   was highlighted by a patient in the practice survey, this service is actually available at the practice.

All patients on a chronic disease register, over 60 or eligible for the “find and treat programme are invited to attend the practice annually for a review. We also run well man/ women clinics if patient do not fall in any of this categories but wish to be reviewed can still have an appointment.

It was discussed regarding the phlebotomy  service. The practice do not currently do this at present as in previous years as the practice found that many of the nurse / HCA  appointments for the blood tests were being DNA’s and so wasting valuable clinical time especially as we have the phlebotomy clinic running throughout the day in Leigh Infirmary.

  • The practice plan to review this request through the year and see if the need for phlebotomy clinics is needed and if so re-instate a clinic

 

Patient Survey 2016

Posted on September 19, 2016

Lilford Park Surgery

Patient Questionnaire Results Summary 2016

 

Below is a summary of the practice patient questionnaire that was completed by a
random section of patients between January and March 2016.
 

Appointments

  Poor Fair Good
Very
good
excellent
How easy is it to see the doctor of your
choice?
0% 6 % 8% 20% 66%
Satisfaction with the day and time
arranged for your appointment
0% 5% 8% 23% 64%
Which Surgery were you seen in? Morning Open Surgery

68%

Afternoon Booked Appointments

32%

Clinical Care

  Poor Fair Good
Very
good
excellent
In your experience, how do you rate the
clinical care you have received?
1% 4% 11% 17% 67%
Did you feel the GP dealt with your
problem in a satisfactory manner
2% 2% 11% 18% 67%

 

Timekeeping

  Poor Fair Good
Very
good
Excellent
Length of time waiting to be seen for
your appointment
4% 9% 20% 18% 49%

Telephone Access

  Poor Fair Good
Very
good
excellent
Ability to get through to the practice

 

2% 4% 11% 32% 51%
Ability to speak to a clinician for
advice
0% 3% 12% 23% 62%

 
Opening Times

  Poor Fair Good
Very
good
Excellent
How do you rate the hours that the
practice is open for appointments?
0% 3% 12% 19% 66%
Satisfaction with our late night
appointments (Tuesday s 6.30pm to 8pm)?
1% 0% 7% 29% 63%

Waiting Room

  Poor Fair Good
Very
good
Excellent
How do you rate the waiting area
provision?  Please indicate for each of the
following areas.
         
  • Seating Area
0% 2% 13% 22% 63%
  • Information Boards
5% 12% 13% 27% 43%
  • Cleanliness
0% 1% 9% 29% 61%

 

Parking

  Poor Fair Good
Very
good
excellent
How do you rate the parking facilities
available for the practice?

 

31% 25% 16% 7% 21%

 

About the staff

  Poor Fair Good
Very
good
Excellent
The manner in which you were treated by
the reception staff?
0% 0% 3% 22% 75%
Respect shown for your privacy and
confidentiality
0% 3% 9% 15% 73%

Patient information

  Poor Fair Good
Very
good
Excellent
How well do you feel you are informed
about the practices services and provisions?
1% 6% 9% 17% 67%

Customer Services

  Poor Fair Good
Very
good
Excellent
Satisfaction with the practice as a
whole?
1% 3% 7% 18% 71%

Any other comments

  • Superb staff at the reception, everyone is very helpful
    including the nurse and GPs are fantastic.
  • Staff are very friendly. Love the morning surgery, very flexible
    with afternoon surgeries.
  • Dan the ANP is very good. Excellent manner and a good listener.
    I wouldn’t see anyone else.
  • I like both doctors and the staff are very friendly and polite.
    Just the parking is horrendous.
  • Car park is bad
  • Even though you have to wait, the open morning surgery is
    great!
  • The over 60’s should be seen in the surgery for bloods for
    health checks.
  • Very pleasant and helpful staff
  • Dan Swift is excellent, really listened  and understood and took action.
  • Finding it very hard to park recently, I had to cancel my
    babies immunizations as I was going around the car park for 15 minutes.
  • Need more appointments in the afternoons.
  • The car park is always full on a mornings.
  • I love this surgery, I really like how you can just see a
    doctor any day without an appointment. My friends and family are always
    complaining that they can never get appointments to see their GP. We are
    very lucky here.
  • Really good surgery
  • Receptionists are so helpful! I tried parking twice on the car park to get my prescription but had no luck so I rang the surgery and the lady on the phone offered to take it down to the chemist for me! Such a great help!
  • Excellent service for people with children.
  • Superb surgery with two incredible doctors (Dr Weerasekara and
    Dr Deshpande)
  • Parking is bad
  • Just sometimes the waiting time in the open morning surgery is
    long.
  • The car park is a nightmare. People on social media recommend
    parking there and going to the hospital to save car park fees. Please
    re-instate the barrier as soon as possible.
  • I love the open morning surgery, its very suitable for my life
    style. Also the late night surgery works with my husband who works long
    hours.
  • Car park is a nightmare to get parked on since the problems
    with the barrier.
  • Receptionists are really friendly.
  • The open morning surgery is wonderful.
  • I can never get parked due to the barrier being broken as I
    have had to pay. Something should be done!
  • Very good
  • I had to walk half way from Leigh town centre because the
    surgery car park was full. As a growing surgery and hospital the car parking
    should be better.
  • Doctors are very good. Reception staff are helpful as my
    husband isn’t very mobile and they assist us when we attend the surgery
    and for prescriptions.
  • It is not as good as it was years ago.
  • The staff are fantastic.
  • Most important that the surgery keeps the “open mornings
    surgeries!” other surgeries over the country should follow their example!!
  • Parking is a disgrace.
  • I think waiting for an appointment for 50 minutes is a disgrace
    in the open morning surgery with nothing to keep the children entertained.

 

 

The Following Questions provided us only with general information about the range
of people who have responded to this survey. No one at the practice was identifiable by their results.

 

Are You                                MALE = 46%
FEMALE =  54%      

How many years have you been registered at the practice ?

Less  than 5yrs = 21%

5-10yrs=     23%

More  than 10 yrs = 56%

 

Patient information: the practice now has a Patient Participation Group (PPG). If you wouldlike further information on the group or you would like to join please ask at reception.

 

 

 

       

GP Earnings

Posted on March 31, 2016

NHS England require that the net earnings of doctors engaged in the practice is publicised, and the required disclosure is shown below. However it should be noted that the prescribed method for calculating earnings is potentially misleading because it takes no account of how much time doctors spend working in the practice, and should not be used to form any judgement about GP earnings, nor to make any comparison with any other practice.

This Information is currently with the practice accountant and will be uploaded to the practice website as soon as it becomes available.

 

Patient Representation Group Action Plan 2015

Posted on March 27, 2015

Throughout the last year the patient representative group have been working together on various different projects that we are taking forward in to 2015/16. These are summerised in an action plan below.

 

Priority area 1
 Description of priority area: Patient information 

This is an ongoing highlighted area from last year that the Patient Representative Group are continuing to work on in relation to patient information and updates. 

 

 What actions were taken to address the priority? 

The group had discussed that an excellent way to get practice information, chronic disease management information and also patient representative group information across to a greater amount of patients would be through a T.V information screen in the reception area that patients can view while waiting for appointments. The Practice manager had been liaising with the building owner’s, Community Health Partnership for around 12 months for this facility to be put in place but was continually blocked and being put on hold due to proposed changes within the building. The group decided that they would take this forward on behalf of the practice and the group chair person sent a letter of patient backing for the T.V information screen for the reception area as it would be in the best interest of the whole patient population. 

 

 Result of actions and impact on patients and carers (including how publicised): 

As a result of the letter from the Patient Representative Chair person to the building owners Community Health Partnership they have now agreed that once all the proposed changes have been finalised the surgery can have a TV installed in the reception area for information purposes only.

 One of the patient representative group members has made the group aware of a “Bright Years” fund from the local council that we can bid for the funds of the TV information system as a way of improving the community.

 

 

Priority area 2
 Description of priority area: Parking and barrier 

  • Parking – this was highlighted from this year and last years patient questionnaire (ongoing problem) however it is felt that the situation is deteriorating. 
  • Barrier – This is an issue that is ongoing from last year in response to complaints that the position of the barrier is not at a good angle / position in the road for patient to manoeuvre in the road to access the ticket machine. Patients also highlighted that the barrier was low so some patients struggles to reach the ticket machine.

 

 What actions were taken to address the priority? 

Parking

This situation was discussed with the group and it was felt that the situation is deteriorating over the last 12 months. The group felt that this was due to  i) the surrounding streets being made in to permit holder parking only, ii) extensive road works around the health centre, iii) the increased parking charges on the hospital car park resulting in hospital patients parking on the health centre car park. 

Barrier

A member of the PRG has been meeting with the building owners Community Health Partnership throughout the past year and a half to resolve the issue of the unsuitable positioning of the car park barrier. Health and safety assessments have been carried out on the barrier and its positioning and vehicle access. 

 

 Result of actions and impact on patients and carers (including how publicised):

Parking

One of the PRG members who is also a council member has informed the group that the Lake street permit area is in the process of being withdrawn and following the withdraw of the permit only status the parking situation will be re-reviewed in 18 months. 

The practice manager has logged with the building owners Community Health Partnership with regards to the increased fees on the hospital site and has been informed that they are in discussions with Wigan, Wrightington and Leigh Foundation trust to resolve this situation at the site as they should have been consulted prior to any changes and a impact analysis undertaken. Community Health Partnership are planning to undertake another Car Park audit to assess the usage of the car park to try and resolve any problems and target high car park volume times. 

Barrier

Following all the consultation meetings and the health and safety assessment the barrier has now been re positioned in the road to make the access easier for all patients driving on to the practice car park and new road markings have also been laid so that patients are directed at the correct position to the barrier so that they are no longer having to exit their vehicles to get a ticket from the ticket machine. The barrier has also been raised by a couple of inches to the standard height for a ticket machine so that patients have better access to the machine from within their vehicles. 

 

 

Priority area 3
 Description of priority area: Patient Health Promotion 

The practice representative group felt that they wanted to do more work with regards to health promotion for the practice population. The practice had already held a health promotion day the previous year in connection with the Health Care Trainers. 

 

 What actions were taken to address the priority?

The group discussed lots of different aspects for patient health promotion, how to advertise this and what things we felt should be covered. Interests were expressed with regards to running another health promotion day in conjunction with the Health care trainers and this is something that the group are planning to hold in the up and coming months. It was also discussed that other groups made their health promotion days more approachable with the addition of the smoothie bike where patients can come and chat to the health care trainers regarding general health promotion at the same time as trying out the exercise bike that helps you blend your own smoothie. 

The practice manager also asked the new Community link worker to give a presentation to the group following the practice signing up to work on the pilot project. The patient representative group found the new pilot of the Community link worker to be very informative and also very beneficial to the health and well being of target areas of the practice population. This is something that the group felt that they wanted to work with and support. The group were informed that the progress of the community link worker so far for the practice has been a success and all referrals to him have been appropriate.  

 

 Result of actions and impact on patients and carers (including how publicised): 

The group are planning to hold a health promotion day in the near future with the Health care Trainers and also Geoff the Community link worker to promote not only the general health promotion to the patients but also the new service of the community link worker who will not only cover general health promotion but will also help patients with social and emotional issues. The patient representative group will also use the health promotion day as a way to advertise the Patient Representative Group itself to try and recruit more members by showing them the work that we do. 

The representative group and the practice are currently discussing what days / times to hold the event to maximise the amount of patients that will attend and also how to further advertise the event to maximise patient engagement.

The representative group are awaiting an anonymised case study from the community link worker to see and overview of the new service that is in place and the effect of the patients that are seeing him so that we can discuss ways to help to promote this further in the practice. 

 Progress on previous years 

If you have participated in this scheme for more than one year, outline progress made on issues raised in the previous year(s): 

Areas and issues that the practice and the patient representative group highlighted in the previous years action plan and have continuing to work on through the year and for future planning are:

 Patient Parking and barrier system. 

The parking within the Health Centre is an ongoing issue. It has been highlighted in the practice survey for the last couple of years.  The practice and the Patient Representative group have been making every effort to liaise with Communality Health Partnership to resolve issues surrounding parking and this is ongoing at present. The members of the Patient representative group have been successful within the last year in relation to the positioning of the barrier at the entrance of the car park to make patient access to the car park and accessing the ticket machine easier for all patients attending the Health Centre following multiple consultations with the building managers and a health and safety, risk assessment. 

Patient Information 

The patient representative group have been successful in confirming that the practice can have a T.V information board in the main reception area for patient information purposes only. The practice are currently in the process of applying for funding for the TV information system through the local government backed “Bright Years” fund that they have been advised about via a patient representative group member and are liaising  with the Community Health Partnership regarding the fitting of this system in the reception area. 

It has also been discussed the practice representative group meetings regarding a quarterly patient information newsletter. It is felt that the news letter can not only give patients general information regarding surgery times, prescription ordering procedures and other information but if it is updated on a quarterly (Seasonal Basis) then we can also include information like coping with Hay fever / flu symptoms and holiday vaccination clinics and flu clinics.  By having the news letter we can also update a larger practice population on the Patent representative group as a whole and hopefully encourage more members to joint the group by outlining what the group does and the projects that we discuss in the meetings. This is currently in draft format for further discussion and confirmation of content for the next meeting.