Helen Griffiths

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• Helen Griffiths
• Principia Support and Implementation Manager
• helen.griffiths_at_nottspct.nhs.uk
• www.principia.nhs.uk
• Wednesday 21st January 2009

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• Principia Partners in Health
• Principles of organisation
• Structure and accountability
• Relationship with Patient Opinion
• Experiences
• Future potential

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Principia Partners in Health
New corporate entity

• Not for profit community benefit society (formed
  April 2006)
• Company Limited by Guarantee
• Three key classes of stakeholders
• 118,000 public and patients
• PCT provided community services
• 16 General Practices
• Lay - clinical board with lay majority
• APMS contract with commissioning PCT
• Staff supply agreement with PCT ALMO to secure
  NHS pension
• Freed up resources re-invested in services
• DH Social Enterprise Pathfinder

Why a social enterprise?

• Local
• Shared understanding
• Values to community and people
• Cultural - in the NHS but not like it
• Partnership - joint ownership of problems and
  successes

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Principia community engagement structure

• Principia Company Board
• Lay Chair
• 6 Lay members
• 3 Community services members
• 3 PBC members
• Co-opted members
• Management executive
• PCT and LA representatives
• Multi-professional clinical reference group with
  lay representation
• Task and Finish groups with lay representation
• Principle of every pathway redesign has one
  provider, one GP and one patient
• Patients take business cases to PBC approvals
  committee
• Patient information leaflets co-written by
  patients and clinicians
• Cancer service - leaflet written by patient group
  supported by community matron
• Health network of over 700 patients
• Fun run and healthy living festival every year
  jointly with Borough council

Principia Company Board
Patient Reference Group Locality based
Principia Rushcliffe Health Network Patients who
commit to undertake an activity and local
practice based involvement groups
Beneficiaries All patients registered with
general practices who join Principia
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Why Patient Opinion?
Values

• Shared principles
• Step change in community involvement
• Commitment to meaning engagement
• Vibrant and accountable
• Better information
• Personalised and approachable

• New form of independent feedback
• Variety of methods to contact Patient Opinion
• Opportunity to provide feedback to comments
• Facilitates evidence based discussion and
  leverage
• to secondary care and PCT

Feedback
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How has Patient Opinion been introduced?

• Launch at Principia wide CPD event

• Practice led initiative to send out SAE
  questionnaires

• Sign up through Principia Success Scheme

• Local promotion at practice level

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Opinions received - posted between 1 November
2007 and 14 January 2009

• The chart shows how rapidly the amount of
  feedback within our subscription is increasing
  over time. The line shows the total amount of
  feedback over the period. The bars show the
  number of additional postings arriving each month.

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Opinions received - posted between 1 November
2007 and 14 January 2009
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Opinions received sample postings for Keyworth
Surgical Dermatology Service
Keyworth is a credit to the NHS
Thank you to Dr Shroff and team at Keyworth
Medical Practice
I visited my GP regarding a mole on my forehead
which I had had for some years and he referred me
to the Keyworth Medical Centre, where I saw Dr
Schroff. He removed my mole in minutes and the
site is now healing well. My prompt referral and
the excellent treatment I received from Dr
Schroff and his staff at the Keyworth Medical
Centre was simply brilliant, so thank you for
that. I am happy to say there were no worst bits
and I can't think of a single thing I'd want to
change. Keep up the good work, an absolute credit
to our NHS.
Kind and caring treatment in my local health
centre
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Future development
Additional information

• Add local services
• Add community services
• Other PBC clusters in Nottinghamshire to
  subscribe

Analysis of data

• Monitor and review SLAs
• Feedback directly into secondary care
• Directly feedback to staff

Feedback to partners

• Secondary care
• PCT
• Community services
• Local services

Engagement with patients

• Seldom heard groups
• Support/signpost patients
• Feedback to be asked for at point of booking
  hospital
• appointment

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• www.principia.nhs.uk