Enter and view: GP Practices NHS Accessible Information Standard

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Summary of report content

The NHS Accessible Information Standard (AIS) became law from 1st August 2016 and applies to all NHS services and publicly funded adult social care organisations. The Care Quality Commission is now including the AIS in their inspections of services1 (including hospitals, GP practices and dentists). The Standard sets out a specific, consistent approach to identifying, recording, flagging, sharing and meeting the information and communication support needs of patients, service users, carers and parents with a disability, impairment or sensory loss. NHS England led a review of the Standard in early 2017 and found that although the principles of the Standard were widely supported and there were proven benefits to people using services and their carers, compliance varied across and within organisations. In May 2017, Healthwatch Shropshire decided to visit a number of GP practices in the county to find out what progress had been made locally in implementing the Standard and any challenges the practices faced. Between November 2017 and June 2018 Healthwatch Shropshire Enter and View Authorised Representatives (volunteers) visited nine GP practices and spoke to a total of 82 services users (patients, carers and Patient Participation Group members) and 23 staff, including Practice Managers and reception staff, to find out what they knew about the Accessible Information Standard and how it has affected them. Visit teams also made observations of the practice environment, including how easy practices were to find and access, e.g. for disabled people. They also looked at how information was shared with service users within the practices (e.g. notice boards, electronic screens, Tannoy systems, alarms) and through the PPGs and how effective these methods were. All practices are encouraged to learn from the examples of good practice identified during our visits and collated in this report. Please see the report for each practice available on the Healthwatch Shropshire website for the full details of each visit, including our findings and recommendations and the response we received. This report brings together our main findings from these reports and makes recommendations to all GP practices in Shropshire. The main findings included, most patients, carers and Patient Participation Group members had not heard of the Accessible Information Standard at the time of our visit and did not know how it might affect them. Practice Managers had a varying degree of knowledge about the Standard and they were not all aware of the training module for staff on Blue Stream Academy. Six of the nine GP practices visited did not have an Accessible Information Policy. A large number of reception staff were not familiar with the term ‘Accessible Information’ or the five steps to meeting the Standard although some could talk about what their practice was doing to identify patients with a communication need and how this information was used internally and shared externally. Staff gave Healthwatch Shropshire conflicting information about whether practices could share information about a patient or carer’s communication needs with other services without the patients consent. Most practices relied on patients / carers to tell them if they had a communication need, using posters and pages on their website to tell patients that they wanted this information. This approach did not appear to take into the account that people might not be able to read or understand the poster or have access to the internet and so the message might not reach those people with a communication need. Information for patients produced by the individual practices and externally (e.g. by NHS England) did not always meet the tips for printed communication provided by NHS England in ‘Accessible Information: Implementation Guidance’ (2015). Most practices had provided Dementia Awareness sessions or training for staff and some were considering repeating this on a regular basis and having a Dementia Champion. We saw and heard about the work being done in some practices to make them more Dementia friendly. The recommendations were in the themes of review the approach to meeting the Accessible Information Standard and check that they are meeting the implementation criteria, including having an Accessible Information Policy and gaining the necessary consent from patients to share their personal information outside the practice.

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General details

Report title 
Enter and view: GP Practices NHS Accessible Information Standard
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Monday, 1 May, 2017
Date evidence capture began 
Monday, 1 May, 2017
Date evidence capture finished 
Monday, 1 May, 2017
Type of report 
Enter and view
Key themes 
Health inequalities
Health promotion
Health protection
Information providing
Healthwatch reference number 
Rep-7258

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
Structured interview
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Primary care services 
GP practice

Details of people who shared their views

Number of people who shared their views 
105
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.