Patient Group Minutes 30 April 2015

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Station Drive Surgery Patient Group
Minutes of the Meeting of the Station Drive Patient Group
30th April 2015 7-9pm
ATTENDEES:
Janet Finney
David Finney
Rosemary Wood
Sheila Death
Barbara Harris
Ann Hughes
Gill George
Janice Forsyth
Betty Meredith
Peter Gillard
Jill Swift
David Partridge
Dori Ericsson
John Ericsson
Chris Jeffery
Pat Price
Daphne Phillips
1. ANNOUNCEMENTS:
Peter Gillard opened the meeting and introduced himself both as Chair of the
Patient Group, but also patient representative to the Shropshire CCG.
Peter noted that this meeting was the AGM and as such we would aim to
appoint Chair and representatives as agenda.
Peter Introduced Dori Ericsson and Rosemary Wood Co-founders of the
Cancer Support Group.
2. Cancer Support Group
www.ludlowcancersupport.org
Dori Ericsson outlined the work of this group which had formed around a
desire to consider local support and help for cancer sufferers in Ludlow and
also consider utilising Helena Lane. She introduced Rosemary Wood.
Rosemary discussed how the group arose from comments received from a
cancer patient about the need for more local support group and the pressures
of travelling to the nearest groups in Hereford or Shrewsbury. “we can make it
work” had become something of a mantra which has led to a regular group
meeting on the 2nd and 4th Fridays of the Month at St Peters. There is a wide
variety of activity and patients can dip in or out. The group has now found its
feet, secured financial support and grown in self confidence. There is a
website, facebook page and regular programme with fund raising events , a
musical evening and other events planned.
A discussion ensued around promoting the group. The surgery offered its
display screen, to inform GPs and nurses and the PPG membership all
agreed to support and develop awareness of the group through word of mouth.
Details as website or through posters and leaflets at the surgery.
3. MINUTES OF LAST MEETING:
Peter Gillard pointed out that the Shropshire Patient Group had a new website,
which was easy to access and members or any interested parties can log on
and receive the regular e mail updates. This service replaces the offer of
receiving updates on an e mail list.
www.shropshirepatientgroup.org.uk
in addition there is a you tube video which shows how to register. Details of
this circulated and attached.
The meeting asked for an update on the building works. David Partridge
explained that following the Planning Permission decision at the end of
December works had commenced. The main construction was well underway
with a “breakthrough date” of 230 May to move the reception area. Following
this the new waiting area would be created and the 2 additional consulting
rooms provided. The essence of the construction is to allow flexible future use
and envisages some of the proposed changes to General Practice such as
extended opening and perhaps specialised clinics such as dressing clinics
which could be conducted in the ground floor consulting room with car park
access for less able patients.
The minutes were Agreed. No further matters arising in addition to those to be
covered during the course of this meeting.
4. AGM Elections
a) Peter Gillard was elected Chair. The meeting thanked him for all his work
on the PPG and representing the surgery at South locality and Shropshire
Patient Group meetings
b) Vice Chair not elected. Peter requested any one who was prepared to
consider this contact him after the meeting
c) South West Shropshire Patients Group
Peter attends, Janet Forsythe noted she could attend some meetings. Peter
discussed the representation does not need to be at every meeting the
meetings were very informal and people could attend as observers at any
meeting.
d) Shropshire Patient Group Peter continues to attend and is one of 3 Patient
Representatives on the evaluation panel proposed for Future Fit.
5.Surgery Issues
A) On Line Access is proving very popular with high levels of take up. David
Partridge explained the process (simply ask at Reception and get a Log on
Code etc) Patients can see their repeat medication, results and medical
record. Take up was 11% for the full service and is increasing all the time
B) New Build as notes above, key is flexibility and some of the future uses will
not be known. Noted that the waiting room lighting will definitely be improved!
C) Staffing, a new Nurse has been appointed starting 1st June to complement
the nursing staff. She will bring new expertise to the Practice particularly in
dressings and wound care. The intention is also to build a Hypertension
(blood pressure) monitoring service which will be nurse led.
Doctor recruitment as previous minutes remains a National Issue and the
surgery has continued to try and attract or train new GPs
D) Training Dr Leonie Bailey is a GP Registrar with the practice until July
when David Mitchell will arrive in his final year as a GP Trainee. Several
Medical Students and Training Doctors have been persuaded to train in
General Practice
E) Medicines Management, Dr Partridge discussed some of the drug cost
savings the Practice had been working on and measures to reduce medicine
waste.
6. Reports
Peter apologised for the detail but felt it important to update the Group on
local changes to Primary and Secondary Care.
A) Future Fit (Urgent Care Centres and Short List)
Future Fit is the Strategic Plan for how healthcare will be delivered in
Shropshire over 30 Years. This has concentrated on hospitals and hospital
care but a second part “Community Fit” is now looking at more local
healthcare General Practice and how facilities such as MIU and existing
facilities are going to be integrated altered or developed to provide care.
Peter noted that the planning was not just about money, but also about
resources people skills and physical resource to deliver care with increasing
demands.
The Shropshire Patient Group had inputted to the Future Fit discussions and
in particular had asked that the facilities offered in Urgent Care Centres be
appropriate to the needs of the local community with for instance potentially
different description in a rural area to a facility adjacent to a major hospital.
Work was ongoing locally to look at Ludlow Hospital, the facilities it offers or
could offer and how it could be developed. There were issues around the skill
and depth of local medical cover, the needed resources to make a UCC
possible and also how this integrates with Town Council and local social care
plans.
Peter detailed how there was a short list in Future Fit odf options which will be
scrutinised and considered by an evaluation panel and then a final preferred
solution approved by the DoH would be proposed for public consultation.
The current 5 options include 3 options of a new development along the A5.
Two firther options include either an Emergency Centre EC at Shrewsbury
RSH with a diagnostic and treatment centre at Telford or a n Emergency
Centre at Telford with Diagnostic and Treatment Centre at Shrewwsbury.
Peter and the Group discussed transportation, travel distances and ease of
access as well as the notion that “Acute beds” would be located with the EC.
Gill George noted the political debate and an open letter regarding the stance
of the political candidates in the South Shropshire Parliamentary Election.
B) Co-Commissioning
Peter discussed the discussions at the Patient Group around Co
Commissioning asking David Partridge to clarify the changes.
Historically the CCG had commissioned services both hospital and community
in Shropshire but GP remuneration and funding had been through NHS
England. This had resulted in a National GP Contract negotiated centrally by
the NHS and Doctors where remuneration was based on standard services
and then additional payments for Quality, additional services etc.
Under Co-Commissioning the service provision and priorities would be set
more locally with implication for how GPs will be refunded and how they will
work. The implication of this change will be widespread but GP Federations
more combined working and altered services would be likely to follow. The
CCG had indicated co-commissioning would be used to incentivise GPs to
adopt more work created through Future Fit and the movement of work from
hospitals into Primary Care.
C) Shropshire Patient Group
Much of the Discussion around the Group is included above. Full detail of
activity and e mail updates and alerts can be found by logging onto the
website: www.shropshirepatientgroup.org.uk
D) Town Council
The Town Council had considered the Health Agenda and had declared
support for Shrewsbury as a preferred option for the EC given the Transport
and other concerns of local residents.
7.AOB
There was no formal AOB. Meeting closed at 21.00
.
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