The Tutbury Practice Patient Forum Minutes of the Meeting Held on Wednesday, 16 th September 2015 at 13.00hours Meeting held in the Village Hall, Monk Street, Tutbury. Present. Patient Representation: JG Chair, MC Deputy Chair, JB Secretary, SBa, SBe, ED, AG, MH, CH, RH, EJ, SM, JS, FT, BW, Practice Representation: EN, CA Guest Speaker KD West Midlands Ambulance Service, (From 2pm). 1. Opening Remarks by JG Chair. The meeting was opened by JG welcoming everybody present. 2. Apologies for Absence. Apologies had been received from: Patient Representation: MB, SBr, JBr, BC, RR, SS, KW Practice Representation: RB Pharmacies Representation: JW, Dean and Smedley Pharmacy. LS, Good Life Pharmacy 3. Approval of the Minutes from the Meeting held on 15 th July 2015. JB indicated that there was the need to adjust the minutes as follows Page 1. Practice Representation was Dr LA not Dr LR. Page 1. Agenda item 1. Opening remarks were by the Chair not Chairperson. Page 4. Agenda item 8 Practice Update. Dr Dylan Kay was from Barton-under- Needwood surgery not Hill Street Health Centre. Page 5. Agenda item 12. Should read Dr Charles Pidsley. Do Not Attend figures. Should read Dr Salwey and Diane Thornewill There were no further matters raised from the minutes issued so RH proposed approval which was seconded by MC. The minutes were signed by JG as being a true record of the proceedings. 4. Matters Arising from the Meeting held on 15 th July 2015. Wheelchair availability. As agreed a notice has now been placed on the Patient Forum notice board informing the Tutbury Practice Patients of wheelchair availability and if required to ask at reception. EN confirmed the Practice wasn t listed in yellow pages directory and there were no plans in place to do so in the future. 1 P a g e
5. Virtual Group Update JB informed the members that no further people had joined the group and that there had been no items raised for the meeting. 6. Practice Update Friends and Family results. As anticipated the results to date are still very low, (year to date figures sent out prior to the minutes). The findings have to be sent monthly to NHS England where they will be shown on their website. Discussion on the topic plus on the results JB, Secretary, had obtained for other Practices in the area. Once again members agreed this was a wasted exercise. From other surgery results, (some very high feedback figures), it appeared obvious that other practices were not following the NHS guidelines. New registrar, Dr Dylan Kay, had started on 6 th August for one year. Early feedback from patients was that he is well liked. 3 flu clinics had been arranged, Saturdays 19 th Sept, 26 th Sept and 3 rd Oct. As in previous years these will run from 8am 10am. Following the issues of last year with people coming well before their appointment time, people having to stand out in the rain etc the appointment times will be strictly adhered to and those who come early will be asked to wait until their allocated time. CA informed the members that the vaccine was the same as that supplied last year. Exact numbers have to be ordered so only available to those who were sent a letter. Children s nasal flu vaccine is planned for 8 th October but the vaccine is not available to order until end September so this date may have to be changed. Discussion on the Do Not Attend figures, (DNA s), which had been sent out with the minutes. With the new computer system it is now possible to breakdown the figures by GP and nurse. The members expressed grave concern on the nurses DNA figures, in particular those associated with the phlebotomist, GK, a service that the surgery provides at additional costs to its self. The areas of discussion covered action against repeat DNA offenders, the Forum had agreed the Protocol for these patients, was it being enforced? Reminders via text, some other surgeries already do this plus dentists and hospitals. Issues here included up to date mobile numbers, privacy etc. The actions taken so far were if a person defaults on their extended hours appointment they will not be offered this service in the future unless an explanation etc had been received by the surgery. In terms of certain blood tests eg for routine diabetes clinics then a letter will be sent out to the patient asking them to contact and arrange an appointment time that is suitable for both parties. 7. Improving Lives Update JB informed the members that Virgin Care gave talks to both the Patient Board in August and District Group in September. The topic was on the Citizens Panel they are looking to set up within East Staffordshire. Virgin Care had accepted the invitation 2 P a g e
from the Forum to come and speak to the members and this will take place at the November Forum meeting. EN indicated that an appointment had been set up for Virgin Care to come and speak to the partners on what their intentions were regarding the Improving Lives Contract. This is taking place with all GP surgeries within East Staffordshire. 8. Forum Quiz Night The quiz night in July was for the Burton Hospital League of Friends 35 th anniversary and their Project 35 Challenge. They are aiming to raise 35K to buy a muchneeded digital retinal camera used to capture images of the interior surface of the eye. It was an excellent night and 162 was raised and handed over to RR, who is one of their members, on the night. A discussion then took place regarding future quiz nights and overall costs and Forum funding. In recent years the Forum has received tremendous financial support from the Tutbury Practice. With this funding the Forum had been able to put on events such as the Quiz nights, the deferrers Year 9 Health Days and the Annual Health Day in the Village Hall. Like everywhere else the NHS has cut back on the monies it pays to GP s and as such future funding for the Forum will have to be looked at. A meeting had been arranged with the Practice for the next day, 17 th September to discuss this in more detail. After further discussion the members present agreed that the planned quizzes for this year would go ahead and dependent on the meeting on the 17 th the monies raised would be allocated as follows- September Community Defibrillator Fund, November towards future funding of the Patient Forum. 9. Feedback on the East Staffordshire Clinical Commissioning Group Patient Board and District Patient Engagement Group Meetings, National Association for Patient Participation (N.A.P.P) and NHS 111 A paper had been sent out with the Minutes summarising all the above. JB asked if there were any questions the members wished to ask. There was only one comment indicating that it was far better to have the information prior to the meeting so that people could read beforehand and, if necessary, have questions ready for the meeting. JB indicated that will be his aim to always produce this report prior to meetings and was grateful for the comment received. There were no further questions / comments. 10. Community Defibrillator Update with Keith Dawson, Community Defibrillator Facilitator, West Midlands Ambulance Service, (WMAS). KD was welcomed to the meeting by JG. As the Community Defibrillator Facilitator for Staffordshire. KD will be the dedicated person to assist the Forum with the project currently in progress. Prior to the meeting discussions, via phone and email, had taken place between KD and JB to give the background to the project and the current situation. KD gave a brief introduction on his background and the work that WMAS is doing to promote and assist communities in the installation of defibrillators. The following bullets points cover the discussions held 3 P a g e
In terms of statistics there are 60,000 people a year within the UK who have sudden cardiac arrests. Of these 40,000 people could have been saved if treatment could have been administered within the first few minutes of the arrest taking place. Cardiac arrest effects people of all ages. Currently each day 16 youngsters under the age of 18 have a cardiac arrest. Once a person has an arrest then time for treatment is crucial. Within 3 mins gives the person the best chance of full recovery, 5mins gives 50/50 chance and 10mins virtually zero chance. The provision of community defibrillators gives a recipient the chance of life and the use of them is increasing all the time. It is the safest piece of medical equipment that can be used in these situations and CAN DO NO HARM. It can only be positive for the recipient. Once the pads have been placed on the patient the equipment decides on whether to shock or not dependent on the ecg reading it obtains. A defibrillator works by monitoring that the heart is still working, it then shocks it to stop the heart, then allows it to reset. With a defibrillator there is an 80% chance of success compared to 5% by hand CPR. All a person has to do is to switch the defibrillator on and fix the pads onto the patient. KD showed the procedure using the training defibrillator. There have been over 200 defibrillators fitted within Staffordshire and there has been a tremendous improvement in patient recovery. The following questions were raised AG If the defibrillator doesn t shock due to no electrical impulse present by the heart will it change as manual CPR is given? KD Yes the defibrillator re-evaluates every 2 mins so if manual CPR results in an electrical impulse of the heart then it will shock the patient. JG A lot of the surgery patients live in Hatton, Derbyshire. Will WMAS support the Forum in obtaining a defibrillator for that village? KD Unfortunately that has to come via the East Midlands Ambulance Service. KD indicated he would forward a contact name. EJ What are the running costs and what checks have to be carried out? KD The battery lasts approx. 5 years and the pads, if not used, 3 years. In terms of the electrical input for the cabinet frost stat approx. costs are 35 per year. The equipment should be visually checked on a weekly basis to ensure the defibrillator is fully powered up. WMAS also offer free approx. 3 hrs basic training for the community with a certificate given on completion. Number of sessions offered would be 2 or 3. People have to be 10years old and above. Other questions included Need for insurance? The equipment should be covered by normal building insurance on the building it is being installed. Can a person using the equipment be sued if anything goes wrong? No, as all covered by the NHS litigation policy. 4 P a g e
If used what happens to the defibrillator? Take back to the cabinet and the next day KD s team changes the pads, checks the equipment over so ready for use. MC thanked KD for an extremely interesting and informative discussion / QA session. The enthusiasm and commitment was there for everyone to see and we will look forward to working with KD in the future. All present were in full agreement and showed their appreciation in the normal way. 11. Any Other Business AG reported he had witnessed a total lack of regard for the disabled spaces and parking over the white line outside the surgery. JB gave an update on what the County Council had told him, (could not mark a designated ambulance area). JB not happy with what he was being told and intends to take it further. The members present backed this decision. 12. Date of Next Meeting The next meeting will take place on Wednesday 11 th November 2015 at 1pm in the Village Hall, Monk Street, Tutbury. The meeting was then closed by JG who thanked all members for their support. 5 P a g e