Islay Clinical review Implementation Group meeting. Islay Service point, Bowmore

Transcription

1 Name of Meeting: Islay Clinical review Implementation Group meeting Date: Venue: Chair: Attendees: Friday 8 th May Islay Service point, Bowmore Pat McGrann, Kate Dumigan, Staff side representative Glen Roberts, Chairman of community council Dr Kate Pickering, GP Lead Helen McLean, Vision representative Moira Gillies, Assistant Locality Manager Lynda Cooper, Deputy Chair PPF Lorraine Patterson, Locality Manager Lloyd Wells, Social Work Team Lead By VC Martine Scott, Remote/Rural Programme Manager NHS Highland Alison McCrossan, Scottish Health Council Stephen Morrow, Interim Head of E-health, A and B CHP Apologies: Notes taken by: Alison Guest, Acting Clinical Services Manager Gillian Hearle, Senior Charge Nurse Robin Currie, Councillor of Kintyre and Isles Ewen White, Interim Assistant Clinical Director, Dental Services Anne Horn, Councillor Jennifer Atchison, MacMillan Nurse Sheena Clark, Radiographer Dawn Gillies, Partnership Rep Annmaree Boyle, Admin dept, Islay Hospital Agenda Item Note of Discussion Actions 2 Notes of meeting held on Friday 10 th April 2015 Accepted as a true record 3 McMillan Update: There was discussion regarding the proposed palliative care unit in the hospital and also a community based drop in centre. LP stated that it is often preferable to have drop in centres outwith hospitals. Awaiting feedback from JA. LP and AG to speak with JA outside the meeting. Action AG and LP Page 1 of 5

2 KP and HMcL entered the meeting at 10.08am 4 IT Update: SM stated there have been few teething issues regarding new processes, however all major issues have been resolved. Looking at creating specific build to meet needs of service. Generally pleased with progress so far. KP also complimented Stewart and Alan s progress on Islay. KP stated she feels the vision system is not been used to its full potential,. Vision can operate using templates which support GP recording and automatically generate reports. These templates would allow a higher quality of consultation to happen plus identifies an easier way of capturing clinical data and producing reports. These templates should be developed and KP stated she would contribute to the development of this programme. LP suggested bringing Liz Higgins (lead nurse for CHP) over to develop practice nurse template. SM to speak to Joyce Robinson regarding templates which will include well woman checks, well man checks and patient registration. KP to SM with a full list of templates. Action LP Action SM Action KP PMcG asked if the work going on in Islay could be seen as a pilot to which SM agreed. SM suggested if the configuration works well he would like to use Islay as an example and roll out to other areas e.g. Mull. Everyone agreed this would be a good idea. KP and LP to discuss in more depth out with the meeting. HMcL stated that one worry was the connectivity of the three servers. Have gone from 2 to 5 circuits which should alleviate the problem. Action KP and LP SM thanked the GP s and their staff for their cooperation during this process and stated that there is still some work to be carried out. 5 Remote and Rural Project Update: MS said that there is a new Being here bulletin for the staff and public regarding various projects happening around the Island. To be ed to AMB for distribution to local business s on Islay. Currently working with Scottish Health on the Web (SHOW) team looking at international recruitment processes. Have a new shuttle link between Inverness and Amsterdam. Specialist posts still to be filled. Recruitment process better than expected. More GPs recruited to fragile areas. Advertised for another 5 GPs. The method of advertising has been dealt with a lot better. MS has provided LP with job description of Community Support Worker post. This would be modified to suit Islay. LP to to the group. Action LP Glen Roberts joined the meeting at 10.35am Page 2 of 5

3 6 Matters arising: VC links to be established between Islay and Jura with supported link from hospital to reduce isolation of Jura. MG produced list of clinics which are held locally in the hospital and GP surgeries. LC suggested grouping patient appointments together to allow them to travel at the same time/together. This would perhaps compromise patient confidentiality. There was also suggestion that consultants travel to GP surgeries to carry out consultations however LP highlighted that Consultants usually travel from Glasgow to Islay, and we already pay their travel time and costs, so we need to maximise their time spent with patients when they are on the Island. Clinic list to be amended grouping clinics into GGC, NHSH etc and the clinics which could be open to review. To be discussed at the next meeting. Action SM Action MG and AG LC highlighted that transport should be included in the terms of reference. Could the patient transport coordinator be assisting patients more locally? MG stated that Petra Pearce has been investigating different options. Update to be provided. There was discussion around whose responsibility transport to local appointments is held with. LC suggested involving the third sector. PMcG said this would be looked at in the future when the review is at the right stage to do so. 7 GP Surgery Update: Staff have been trained on the new vision system however have not gone live yet. KP stated one problem will be patients think they can move about which will increase work load on Bowmore surgery. Need extra capacity to deal with this possibly looking at reducing the hours at the Rhinns Surgery. LC highlighted that there has been changed in appointment times which is very helpful for patients who work full time i.e. early 7am appts. There was discussions regarding the need for service in specific areas which could free up resources which could contribute to other services such as transport to GP surgeries or delivery system Lloyd Wells joined the meeting at 10.48am KP stated that Jura medical practice are now very involved with Dr Beastall working in Bowmore surgery 2 sessions per week. Dr Beastall also tries to attend the communications meeting on a Thursday afternoon. Rural fellow project between Islay and Jura could be seen as a transition period with possible integration of GP services on Islay and Jura in the future. VC links to be increased between Islay and Jura with supported links to the hospital to reduce isolation of Jura. 8 Hospital Upgrade: Architect, Quantity surveyor and Head of Estates recently met to look over the hospital building and plans were revisited with changes made. The overall cost is excessive and Head of Finance has advised that the bid is too high to be credible. Working on bringing the bid down to a feasible position. Most complicating factor is reinstating the basement space and lift. Had hoped to go to asset management group by the end of May but there will now be a time delay. Action SM, IT Page 3 of 5

4 Interviews to take place next week for Heads of Service. PMcG asked how much hospital staff have been involved in this process to which LP replied Gill Hearle and Alison, as we are still at the early stages and have not had confirmation that the work will go ahead. There was discussion regarding the new dentist Marcin Paradowski who is due to start as a PDS dentist in July. There was some concern that there would be two bids going to NHSH for dentistry. This may have to be reconsidered in the future. LP to discuss with Marcin and Ewen and possibly look at reviewing the redesign, focusing more on McMillan. Update to be provided by EW. 9 Integration Update: The locality portion of the IC fund for MAKI is 200,000. The general opinion seemed to be that the money should not be split three ways and should be applied for in line with the framework on an evidenced based needs basis. There was discussion around the use of this fund and what areas it does not include. LP to report to AMB for distribution. PMcG mentioned the possibility of 180 new houses being built on Islay which will change the demographics. If this is to happen health services should be approached with more information and discussion re impact. PMcG to contact by letter. LC commented on the Comm and Engagement being tagged as completed when should say ongoing/in progress. AG to look into representation from Jura. 10 Draft Action Plan: To be updated and discussed at the next meeting 11 Any other Business: There was discussion around transport/accessing services. Jean Knowles to be invited to the next meeting. Awaiting minutes from transport forum meeting. Action LP, EW and MP Action EW Action PmcG Action AG Action PMcG Closure of certain hospitals in Glasgow. Leaflets have been distributed and link to website available which explains to patients how to access services. Following 6 points to be made public: - IT Development - New Vision System - IC Fund - Heads of Service/Management structure - OP clinics - Engagement with the Community 12 Papers for adopting: Papers for noting: 12.1 Adopted notes from Friday 13 th March Adopted terms of reference Page 4 of 5

5 13 Dates of Next Meetings: 5 June Times of Meetings: Venue: Islay Service Point with VC availability Dates of next meetings: All are Fridays from July 7 August 4 September 9 October 6 November 4 December Meetings will commence at 1000 in Islay Service Point, Bowmore with VC connection to Lochgilphead as above. Anyone wishing to use an alternative VC should confirm the VC location, VC number, contact and mobile phone number to annmaree.boyle@nhs.net at least 10 days in advance of each meeting in order that a bridge can be arranged. Page 5 of 5