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HARDWICKE HOUSE GROUP PRACTICE

PATIENT PARTNERSHIP

MINUTES OF MEETING – 3rd February 2017

NAME REPRESENTATION ATTENDANCE APOLOGIES John Swan (JW) Chair Patient - Clare X

Sylvia Bambridge (SB) Vice-Chair Patient – Hardwicke House X

David Cripps (DC) Practice Manager X Phil Worsley (PW) Secretary Patient – Hardwicke House X

Dr Susmitha Pavuluri (SP) GP X

Dr James Gilmour (JG) GP Part

Margaret Carpenter (MC) Patient – Bures X

Nicki Garrard (NG) Patient – Great Cornard X

Mick Cornish (MCo) Patient – Great Cornard X

Valerie Burrows (VB) Patient – Hardwicke House X

Barbara Hamblett (BH) Patient – Hardwicke V

William Snelling (WS) Patient Bures X

Sylvia Norton (SN) Patient – Hardwicke House X

Tanya Millar(TM) Patient – Hardwicke House X

Dianne Middlemiss(DM) Patient – Hardwicke House X

John Philips Go-Start X

Emma Morgans (EM) Minutes X

Kate Baker(KB) Patient – Bures X

Michael Baker(MB) Patient – Bures X

V – Virtual Member, unable to attend due to time / day of meeting but kept informed of group activities 1.0 WELCOMES, INTRODUCTIONS AND APOLOGIES

Attendances and apologies as above.

2.0 MINUTES OF THE LAST MEETING – 9th December 2016 Arising – Not being able to get Methotrexate injection from HH, having to travel to WSH to get this. Methotrexate injection monitored and prescribed by Consultant at Hospital. Query if Consultant can issue prescription so that it can be got from local Chemist, but then who does the injection?

3.0 AGM CHAIRS REPORT: 12 in number now, congratulations to committee and thanks for all the hard work and for attending group. Look at ways forward and how to be doing it.

ELECTION OF OFFICERS: There was a discussion about it being hard to contact JS via email and the Committee needing more support. DM proposed SB for Chair. The proposal was seconded by PW after SB confirmed she was happy to take on the role. SB was unanimously elected as Chair – congratulations and welcome.

John declined the offer to be Vice-Chair as he wanted to spend more time on health issues he had a particular interest in. DM was elected Vice Chair - congratulations and welcome.

PW was happy to remain as Secretary with the support of SB and DM, work being delegated to other group members as required.

SN thanked JS for all his hard work as Chair and the support he has brought to the Group and for bringing the Group together and making it grow to what it is today.

ACTION: All - more members required to represent different ages, ethnicity etc. Need to review times and locations of meeting.

DC - ENCOURAGEMENT TO COMMITTEE:

Engage more with WS CCG Community Engagement Group

Write article in paper to recruit people

Find a venue big enough to educate people, maybe have public speaker re an illness, stalls etc.

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Action: Tanya – To look at venues and costs in Sudbury, Phil – To look at Great Cornard

4.0 UPDATES:

4.1 HARDWICKE HOUSE GROUP PRACTICE The search for new premises continues, JG reports same CCG internal discussion about cost and locations etc. No site has been found yet. HWH are pushing for a more central site. Was mentioned that Prolog are leaving Sulby House at the top of North Street.

4.2 WEST SUFFOLK CCG: STP (Sustainability and Transformation Plans) The West Suffolk, East Suffolk, and North East Essex CCGs are coming together to form the Suffolk and North East Essex STP. This will result in a larger unit with cross county borders. (See appendix 2 -East of England STP footprint).

GP Contracts Renegotiation of GP contracts could see GP practices moving into Hospitals. There are three possible options:

Virtual – Working together in network but keeping own identity

Semi integrated – Lose own identity

Fully integrated – Lose identity and contract.

GMS (General Medical Services) contracts – more secure, less influence. PMS (Personal Medical Services) More valuable, do more for the money but likely to disappear. APMS (Alternative Provider Medical Services) – Similar to PMS but will disappear SUPER PRACTICE – as in Suffolk where 14 practices are joining together under one identity but will retain their individual sites (see attached Suffolk Primary Care Newsletter). FEDERATION – Federation will eventually become a single legal entity, looser arrangement whereby Practices retain individuality with Federation negotiating contracts for other services.

6 – 8-week baby checks - Health Visitors no longer offering 6-8 week baby checks.

Delayed Transfer of Care “DTOC” (see graph - appendix 3) DC said the public is given the impression the bed crisis in hospital is caused by inadequacies in social care. Hospitals are under so much pressure they are not always doing what’s needed to ensure prompt patient discharge. Hospital workload has increased by fourfold since late 1990’s. Numbers of GP’s have dropped.

WSH Ambulatory Emergency Care - New team set up – (see poster – appendix 4).

SUFFOLK LOCAL MEDICAL COMMITTEE (SLMC) New guidelines for GP visiting patients (see appendix 5 - SLMC Advice and Guidance for Patients)

Lots of visits to care homes that are not always needed

Home Visits are not guaranteed

Look at educating patients re Home Visits. DC to send letters first to care homes, then will look at ways to educate others e.g. Online, Surgery, Local papers etc.

Telephone triage may be used more

Promote local Pharmacists

Look at ways to manage demands

4.3 SUDBURY WATCH, HIVE AND CONNECT SUDBURY Sudbury Watch – Nothing to report Connect Sudbury – PW, a member of Hive said responsibility for driving Connect Sudbury was being taken over by Suffolk County Council. It has been recognised there had been very little involvement of the Voluntary sector with Connect Sudbury, and to make amends it is planned to hold a number of meetings this year to get the Voluntary sector involved.

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5.0 PROGRESS UPDATE PP AIMS AND ACTIONS: NAPP Conference will be held on 24th June, awaiting cost details and location. PW said that some areas of the NAPP web site were for members only, and he asked how members could gain access. Action: TM to investigate

PPG Week – 19-24th June – Tanya with info and packs for notice boards.

PPG Workshop –WS CCG organising a PPG training session on 31st March in Bury St Edmunds for WS PPGs. Object was to support existing PPGs and encourage the formation of new PPGs. It is hoped subjects will include Looking at ways to communicate with patients – Social media etc.

PPG Notice Board – Currently at HWH and ML – SB to ask DC for 3 more for other surgeries. Notice Board contents: Group Aims, Newsletters, Members, Profile, Agenda, Minutes, Theme and Promotions.

Pharmacy Pres info: Christmas opening times were published. Suffolk Free Press is under new ownership – DM to check to see if times remain in paper. Action: DM to check Pharmacy information is still being published.

Transport: DM said she had updated the transport schedule and had obtained details of parking concessions at the WSH. (See appendix 1 - transport schedule).

Newsletter: Members encouraged to distribute in local neighbourhood, Library, on noticeboards, parish magazines etc. Action: All- Distribution list to be complied please let PW know how many have been distributed and where.

Hospital equipment: SB said she had been supplied with crutches last year from WSH and never asked to hand them back. Mediquip loan out items and will even collect items they have not loaned out themselves. Items can be dropped into Sudbury Health Centre. There was mention of Street Life (Tom) but this contact needs further investigation Action: SB to firm up on details so that we can publish advice to patients.

Support Groups:

New domestic violence group published by Citizens Advice

Bridge Café, Sudbury – supply meals – Item for next Newsletter ?

Suffolk Health Walks – Obtain “Stepping out in Suffolk” booklet from library or find local walks on https://www.walkingforhealth.org.uk/walkfinder

6.0 PATIENT EXPERIENCES: DM told the group about an 80-year-old patient taking warfarin who was too ill to go for a blood test. GP would not help. Daughter contacted WSH, who arranged for a nurse to be sent out. Action: PW to write to Louise Wreathall, WS CCG to ask what procedures do patient’s follow if they need a blood test and cannot leave home due to illness or frailty.

7.0 AGENDA FOR NEXT MEETING: Group plans for 2017

8.0 AOB

Mick Cornish - said he attended group meetings as a representative of the Great Cornard Parish Council and that as he had resigned from the Parish Council he could no longer represent them. MC suggested the group write to the Clerk of the Great Cornard Parish Council and request they nominate a new representative. MC said Jo Andrews, Council Administrator, would be a good choice. SB thanked MC for his contribution to the group and suggested he could continue as a member as he was a Great Cornard

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surgery patient. Action: PW to contact Great Cornard Parish Council.

Hardwicke House Website – DM said several items on the PPG page were out of date. Action: DM & PW to investigate further and raise issues with DC.

9.0 FUTURE MEETINGS 7TH April 2017 2nd June 2017 4th August 2017 6th October 2017 1st December 2017

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Appendix 1

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A map shows CCGs and STPs in the East of England

Clinical Commissioning Groups: (shown with blue squares) 1) NHS Bedfordshire 2) NHS Cambridgeshire & Peterborough 3) NHS Great Yarmouth & Waveney 4) NHS Ipswich & East Suffolk 5) NHS North Norfolk 6) NHS Norwich 7) NHS South Norfolk 8) NHS West Norfolk 9) NHS West Suffolk 10) NHS East & North Herts 11) NHS Herts Valleys 12) NHS Luton 13) NHS Basildon & Brentwood 14) NHS Castle Point & Rochford 15) NHS Mid Essex 16) NHS North East Essex 17) NHS Southend 18) NHS Thurrock 19) NHS West Essex Sustainable Transformation Plan (STP) Areas: 1) Cambridgeshire & Peterborough (21) 2) Norfolk & Waveney (22)

3) Suffolk & North East Essex (23)

4) Milton Keynes, Beds and Luton (24) 5) Herts and West Essex (25)

6) Mid and South Essex (26)

Appendix 2

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Appendix 3

WSH Ambulatory Emergency Care

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Appendix 4

SLMC Advice and Guidance for Patients