- Collingham Church View Surgery

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CHURCH VIEW SURGERY PATIENT PARTICIPATION GROUP
MINUTES OF COMMITTEE MEETING
HELD AT CHURCH VIEW SURGERY, COLLINGHAM, ON FRIDAY 6TH MARCH 2015
Present: Ian Robertson (IR) - Chair, Barrie Dyer (BD), Biss Hartley (BH), Diane Gibbins (DG),
Alastair Lumsden (AL), Scott Marshall (WSM), Lee MacDonald (LM) and Steven Wood (SAW)
1. APOLOGIES - Lorayne Farrington
2. MINUTES The Minutes of the meeting held on26th January 2015 were approved
3. MATTERS ARISING (other than covered on agenda)
3.1 Disabled access – the current application of funding was closed to new bids. It was agreed that
this item would remain on the Agenda:(a) for the Group to consider what alterations were required, if any, to the surgeries at
Collingham and Thorner, and
(b) so that a funding application could be submitted when further moneys were due to be
allocated
3.2 Local pharmacy
(a) The surgery can only dispense medication to patients if there is no alternative pharmacy
within one mile. This means that the surgery at Collingham cannot dispense to residents
who live within one mile of the surgery, because there is a pharmacy on the local parade. It
was agreed that the PPG should ensure that patients were aware of the services offered by
the local pharmacy. The reception staff at the Surgery cannot recommend patients to go to
the Pharmacy, because the reception staff simply make an appointment for the patient to see
a doctor and do not know, and do not ask, the purpose of the appointment, or the advice
sought.
(b) Arrangements will be made to speak to the pharmacist to ascertain the role of the pharmacy
in the provision of services to Collingham patients
(c) The surgery does not need to employ a pharmacist as there is always a doctor on site.
(d) If it was proposed to open a new pharmacy (e.g. at the ELE development at Whinmoor)
then notice would be given to any other pharmacy likely to be affected.
(e) The area covered by the Practice is substantial and includes the parishes of Collingham,
Bardsey, East Keswick, Thorner and Scarcroft
3.3 Access to health records
(a) Since July 2014 patients have had on line access to certain records (details of their allergies,
their medication and test results) All new patients are made aware of this, and there are
notices in the surgeries
(b) the Surgery do not contact a patient with the results of tests unless the doctor advises he/she
needs to see the patient
(c) if the doctor does need to see the patient the Surgery will attempt to contact the patient by
telephone. The staff will not normally leave a message. If contact is not made within a
reasonable time then a letter may be sent, and the matter will be referred to the doctor for
further instructions.
3.4 Surgery funding - LM explained how the Practice is funded:(a) The Practice receives a global sum for being a doctor’s practice and delivering certain
essential services
(b) additional sums are awarded pursuant to various contracts e.g QOF (Quality and Outcome
Framework) based on achievements in treating long term illnesses and undergoing
continuing training, and the Prescribed Saving Scheme where money may be returned to
fund specific projects from savings from prescribing generic drugs instead of branded
medication.
(c) there is generally no additional funding for additional services that may be provided. These
are provided as part of the service to the patient. E.g. some practices refer patients requiring
blood tests to the local hospital
(d) funding for new or additional equipment comes from the Partners own funds. There is scope
for fund raising to purchase new equipment
3.5 Practice survey – the PPG could access survey results if they wished to do so
3.6 Leaflets re out of hours treatment - these should cover the services offered by the Pharmacy
3.7 Leeds Care Records system – the Practice is not currently cooperating with this scheme
3.8 Doctor First system
(a) The Practice is currently trialling its own triage system on a Monday afternoon. Monday is a
particularly busy day for patients telephoning for appointments. Patients telephoning first
thing will be accommodated if at all possible, and children always, but patients telephoning
later in the day will be called back by a doctor (currently Dr Crabbe). The doctor will
ascertain whether the patient needs to see a doctor, and how urgent it is, and make an
appointment as appropriate.
(b) Any patient can request a telephone appointment with a doctor. The reception staff take the
details and arrange for the doctor to call at a pre-arranged time.
(c) it was agreed these schemes should be monitored to see whether it was worth extending the
scheme to other times, and other doctors. At the same time the potential problems from
diagnosing conditions without the patient being present were noted. Currently these
telephone conversations are not recorded.
3.9 Response from MP
(a) IR and BD had met with Alec Shelbrooke MP to see if the PPG could lobby for additional
facilities
(b) Apparently the BMA are lobbying ministers, in particular for increases to the budget for
2017
(c) Alec Shelbrooke agreed to make enquiries and advise
4. REPORT FROM PRACTICE MANAGER (inc Practice Changes)
(a) LM that she was retiring at the end of this month. She would be replaced by Jane Foster an
experienced Practice Manager who has previously been involved with the Crossley Street
Practice in Wetherby. Jane was due to start work on 27th March 2015.
(b) Doctors Drayson and Lightfoot were retiring at the same time. The new Senior Partner will
be Dr Rachel Crabbe, but in future the Practice would not be known by the name of the
partners, but by the name Church View Surgery
(c) Dr Neil Singh was due to start work on 1st April 2015, and Dr Victoria Hance on 20th April
2015
5. VIRTUAL GROUP
(a) A dedicated e-mail site had been set up
(b) approved messages had been sent by e-mail to 100 patients and by text to another 100
patients and the initial response had been positive
(c) BH and DG will be responsible for monitoring the account and responding to patients
(d) Once a virtual group is established it should be possible to communicate with patients. It
might be used to send notice of meetings, minutes of meetings as well as publicising the
services available.
(e) the PPG are to consider further ways how the Group might be used
(f) the Practice currently allows patients to make appointments, and seek repeat prescriptions on
line, but will not enter into correspondence with patients over medical issues.
6. COMMITTEE ROLES
The following roles were agreed:(a) Secretary (Minutes) SAW
(b) Virtual Group DG/BH
(c) CCG Liaison DD
(d) NAPP Liaison (perusal of monthly newsletters and dissipation of relevant information) AL
(e) Communication (articles for Parish Council newsletters, Wetherby News etc) DG
(f) Publicity WSM
7. CCG FEEDBACK
BD reported on a meeting he had attended:(a) there should be proper social prescribing where all services were considered and integrated
(b) 5 practices had agreed to undertake a consultation to obtain information from patients on a
number of matters, such as number of appointments, social issues
(c) It was proposed the CCG should assume responsibility for the purchase of medication
prescribed by the doctors in their area
(d) Concern had been expressed that only Paul Storey ( a practice manager) attended meetings
from the CCG, and that senior managers and the lay member had shown no interest in these
meetings
8. ANY OTHER BUSINESS
(a) The Group expressed their appreciation to the two senior doctors who were retiring and
wished to thank them for their work for the practice
(b) The Group also thanked LM for her work as practice manager
(c) Dr Rachel Crabbe would be invited to attend the next meeting
9. DATE OF NEXT MEETING
No date was fixed for the next meeting
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