Minutes 28 June 2016
In attendance Patient Members – MA, HC, TC, JK, PL, JM, HP,
Practice Members – Dr D J Summers, Dr D W Colvin, Dr S J Pearson,
Dr L D Sayers Sister M Rathbone, Lynne Dodgson (PM)
Apologies Patient Members – AA, JC, JP, CW,
Practice Staff – Dr A J McManners, Dr S A Richardson,
Dr E M Davidson, Susan Downie
FFT results were stated on the Agenda document.
Thanks were given to all who attended and apologies received.
Amendments to the previous minutes were received and actioned.
- The MIG – Medical Interoperable Gateway (MIG) – JK
A patient member (JK) enquired as to whether the Practice was going to sign up to using the MIG? Lynne Dodgson (Practice Manager) explained what the MIG was and confirmed that we had signed up to become part of it. The MIG is basically an enhanced Summary Care Record (SCR) that enabled secondary care to see important aspects of a patient’s medical history when they attend hospital. Items they would be able to see would be such as allergies, sensitivities, list of diagnosed conditions, current medications. Poster and leaflets had been put up around the surgery informing patients that their records would be shared and any patient who had previously opted out of having a SCR was written to gain their consent for this scheme. Lynne Dodgson handed out leaflets on the MIG. It is hoped that the MIG will save a lot of GP Practice admin time as at the moment if secondary care want patient details they have to request that a summary be faxed across to them. A Patient member stated that this system had been set up a number of years ago but had been held back by a previous government. LD stated that so far only a couple of departments at North Tyneside General had access to the MIG but this would hopefully expand over the coming months and it was also expected to go live at Newcastle upon Tyne hospital sites – RVI, Freeman etc.
- Community Pharmacies – Flu vaccinations MA
A patient member (MA) enquired as to whether it mattered if a patient had their flu vaccination at the chemist or at the GP surgery and also enquired about other services Pharmacists are offering at the moment. Dr Colvin stated that the current Dept of Health initiative is to encourage patients to see their local pharmacist about minor ailments rather than go to their GP. Dr Colvin stated that Pharmacies (which are privately owned) get paid per consultation with a patient and whilst this is true with many minor illnesses, one should remember that the Pharmacist has not had the same medical training for diagnosis that a GP will have had. A simple sore throat for example could be something more sinister when considered along with a patient’s other diagnoses/conditions. Lynne Dodgson stated that the Practice has to purchase its flu vaccinations, just as the Pharmacy do, and that every vaccine administered by the surgery gains a fee payable to the Practice which goes back into NHS services for everyone. The Practice would encourage all patients to have their flu vaccines at the surgery rather than a chemist.
- What is Tynehealth – HC
A patient member (HC) asked what is Tynehealth Federation and is the Practice a part of it. Dr Pearson stated that he was on the Board of Tynehealth Federation as our Practice representative. The Practice was a shareholder of Tynehealth. Dr Pearson went on to explain that the Federation was set up to enable practices to tender for specific services under an umbrella of one organisation. Without the federation each Practice in the area would have to undergo separate tendering agreements which would be un-practical and time consuming. Services such as the Diabetes service we provide to patients are commissioned by NHS England through the Federation. TyneHealth also runs an MSK service which patients in the North Tyneside area can access.
- Careplus – MA
A patient member (MA) asked what the “Careplus” scheme was. Dr Sayers explained that Careplus was a pilot scheme the CCG were running for the most frail patients to provide them with additional support and healthcare in order to keep them out of hospital. Dr Sayers went on to say that at the moment it was a pilot venture in Whitley Bay only (soon to be rolled out to North Shields) and our Practice had chosen not to take part at the moment as we had reservations about it – having a personalised list makes us unique in the North East and because of it our patients already get a personalised, tailored service. Patients referred under the pilot would have their “day to day” healthcare needs looked after by a team of staff (they would no longer ring the GP Surgery) – community matrons, geriatricians etc.. to give targeted help and assistance for a short period of time. Patients could be referred into the scheme by their GP but several criteria had to be met. Dr Sayers stated that we had undergone meetings with CCG representatives about the scheme but were concerned it would be confusing for the patient (they could no longer ring ourselves if they needed an appointment etc.) and as the service was only open Monday to Friday 8am – 4pm we were not sure how effective it would be. Originally the proposal was for 800 of our most frail patients to be referred to the scheme but this was completely impractical. Dr Colvin stated that it is based on the “Kaiser Permanente” US healthcare model but studies have shown that this does not have positive results for patients – at certain times some of our most frail patients, need to be in hospital, regardless and keeping them at home is not necessarily a good thing. Dr Sayers stated that the Practice had arranged for the scheme managers to come back into our Practice later in the year to see how it was progressing and that whilst we were not dismissing it out of hand were taking a “watch and wait” approach to see how it develops.
- Shared Decision Making – HC
A patient member (HC) asked whether we had implemented the CCG’s Shared Decision Making referral process as discussed at other PPG meetings. Dr Sayers informed that group that several of the GP Partners had attended CCG workshops recently in relation to implementing Shared Decision Making. A lot of SDM simply means the GP discussing a course of treatment with a patient and then following the referral process, which takes place in our surgery anyway. There are issues however with conflicts arising from the SDM and the CCG’s referral management system but as a Practice we are on board with the CCG on this process as are all local practices. The member stated that she would feed this back to the Patient Forum.
- Mental Health Services – TC
A patient member (TC) stated that there had been a lot of media stories recently regarding lack of mental health services in the NHS and wondered whether this was a problem in our area. Dr Summers stated that there are a lot of good Secondary Care Mental Health services in our area for both adults, children and the elderly. Dr Summers went on to state that the Practice patients were also able to access CBT counsellors, Relate services etc.. Dr Summers stated that for children in particular School nurses used to be a valuable resource for children’s mental health but unfortunately since these now come under local councils, they have been cut massively but we have other services we can access. Dr Summers stated that there was also a very good Drug and Alcohol service in the area which if very busy and used by ourselves for referrals. Dr Sayers stated that the practice had an excellent working relationship with local Psychiatric consultants. Dr Summers stated that the newly named Mental Health Services of Older People at North Tyneside General Hospital was excellent.
Any other Business
- A patient member (TC) stated that he had experienced a lot of problems arranging for a District Nurse appointment and couldn’t understand why the Practice receptionist couldn’t arrange this form him. Lynne Dodgson explained that the District Nurses were not employed by the Practice directly but worked for Northumbria Healthcare NHS Trust. She also explained that they have their own appointment/visit system and that the telephone number provided to patients was the same one that we had. Lynne Dodgson went on to state that at times the District Nurse contact centre was extremely busy and the telephone was frequently engaged as they are dealing with calls and requests from all 29 GP Practices in the area. A patient member (JK) stated that she was a manger for Community Services in the area, and that they were aware that there were problems with the telephone lines but these were being addressed.
- A patient member (HC) showed the group a copy of the CCG Patient forum newsletter that was produced and wondered if the practice would be willing to display copies in the building. The Practice Manager stated that she was happy to photocopy some supplies and put them out on reception for patients. HC would ask the Patient forum admin manager to ensure we are sent an electronic copy which we can print out and display in the surgery.
- The Practice Manager stated that we had been given our date for a formal inspection of services by the Quality Care Commission and this would take place on Tuesday 5th July 2016.