Bampton Medical Practice
Patients Participation Group (PPG) Meeting
Thursday 20 Aug 2015
14:00 – 15.30
Present:
Tony Symes, Kathy Clarke (KC), Lynne Borrett, Ray Borrett, Jane
Roberts (JR), Mary Price, Terry Rogers, John Mouat, John Ryman, John Ordish,
Mathew Perry, Beth Maher, John Greatrex, and Robert Weir (RW).
Apologises: Yasmin Hudson, Malcolm Hudson, Peter Bushell, Dorothy Donald.
Introduction
1.
Welcome and introductions and apologies – Thanks to all present for
attending this Patient Participation Meeting, to those PPG members present at the
last PPG meeting I do apologise as the agenda has changed due to the urgency of
this matter. PMCF may be discussed at the end, meeting scheduled to end at 15.00
but may continue.
PPG Brief – This meeting is about looking after the care needs of Bampton Patients
with respect of the District Nursing Services (DNS) that are currently located at
Bampton Surgery. Please do not confuse the DNS with the Practice Nurses who
undertake routine clinics at the Bampton Surgery.
OXFORD HEALTH Plan to redesign the DN services for Burford/Carterton and
Bampton by co-location the team at Broadshires (Carterton). This is for the following
reasons.
a.
b.
c.
d.
Finances and Staffing
Training issues – New IT system
Implementation if a new HUB based in Witney
To Balance Experience in the teams.
Bampton Surgery, have excellent communications with the DNS team based in the
surgery, this reduces acute hospital admissions, improves patient care, DNS staff
based at Bampton do not want to move to Broadshires. The DNS move would see
routine visits remain the same but any urgent requirement for DNS will be directed to
the DNS Hub, the DN on duty that day will have to deal with the urgent request. The
current urgent DNS requests go direct to the DNS team based at Bampton and they
usually know the patient and can resolve the problem very quickly.
Discussion Points
2.
KC attended this meeting as a patient of the surgery but also is a DNS local
development clinical lead manager with responsibilities with this project. She was
able to give the PPG an outline of the need to restructure the DNS for the locality.
Two teams were merged in Witney, this resulted in staff being 150% happier in their
role. DNS value the importance of working alongside the GP surgeries and wish to
improve patient care across the locality. There is a national shortage of DNS staff,
however it was stressed that current West Oxfordshire DNS do not employ locum
staff, this does provide continuity of care, this is an important area for DNS to
achieve and they will aim to continue to drive for this under the proposed DNS move
to Broadshires. Patients do not attend the surgery for treatment under DNS staff
unless this is for a specific treatment that practice nurses are unable to undertake.
3.
JR representing the 28 residents of Rosebank Care Home (RCH) stated that
in the last 7 years the RCH had received the best possible quality of life in terms of
clinical support for residents. The care for residents many of whom have very
complexed clinical requirements is excellent, this is mainly due to the low hospital
admissions. Great communications between GP/DNS at the surgery, this picks up
on the little items that make a difference to quality of care. Dorset DNS have taken
this route, this has resulted in very poor service, DNS staff leaving and not in a
position to recruit new staff. This project is now being reversed and DNS staff are
being located back to surgeries to re-establish the service. It is felt that should the
DNS move from Bampton the fantastic service that is currently in place will be
diluted.
4.
Should this move commence DNS will spend more time travelling across a
wider area to see patients when they should be seeing patients. Keeping DNS at
Bampton Surgery will ensure that the GP can pop upstairs and have that 2 minutes
conversation with the DNS, this saves the problem being referred elsewhere to wait
and be dealt with 2 days later.
5.
Current DNS based at Bampton know the patients they are treating and are
aware of the other social and family issues surrounding the patient, this is where
excellent care is provided, should DNS visit who do not know the patient more time
will be needed on site for a complete assessment to take place. Current DNS staff
based at Bampton do not wish to travel about seeing patients they do not know, this
proposed move will result in DNS staff from the Bampton team look for employment
elsewhere.
6.
The Current DNS based at Bampton is proved to reduce hospital admissions,
should this move occur then this will directly conflict with the closure of the 30 Bed
ward at Witney Community Hospital and will place extra pressure on the Oxford
University Hospital Trust in dealing with admissions.
7.
Oxford City DNS services have undertaken a similar project where they
located the teams together, this resulted in a reduction of service, increased
complaints from patients, high turnover of DNS staff and recruitment concerns.
8.
Should this move go ahead Bampton patients will miss out on the quality of
DNS due to the interaction with Bampton Medical Practice staff. It was felt that
consultation with Bampton patients be sought before a decision was made.
PPG Action Plan
9.
Concern over whether this is a ‘done deal’, PPG were informed that this
project was still in the consultation phase. However it was felt by the vast majority of
those attending the PPG meeting that something needed to be done. Agreed action
is as follows.
a. Letter to be sent from Bampton PPG be submitted to Key persons involved
in NHS Changes (Local MP / Oxford Clinical Commissioning Group
/Oxford Health/ Care Quality Commission). This must include more
support for DNS services, and to protect areas that already have excellent
DNS services working in Practices such as the set up at Bampton Medical
Practice.
b. Contact Witney Gazette to highlight this issue and attempt to gain more
public support.
c. Start up a petition to keep the DNS based at Bampton, send the petition to
key personnel who receive the letter from Bampton PPG.
d. Advertise via the Bampton Beam again to highlight public opinion.
e. PPG members encouraged to tell their friends & neighbours about this
planned move and encourage them to sign the petition.
f. Use of posters at both Bampton and Carteron surgeries to inform patients
of this proposed move.
g. Any updates from a result of the above actions to be distributed to
Bampton PPG.
8.
Look forward to the next PPG meeting
Date of Next meeting is 13.00 on the 16 Sep 2015.
Robert Weir
Practice Manager
Bampton Medical Practice
{Original Signed}