Minutes of the North Lanarkshire PPF Reference Group 27 th May, 7pm Conference Room 2, Wishaw General Present Felix Mulholland Duncan MacLeod David Summers Jean McMillan Helen Reston Pat Reilly Carol Carter Ann Muir Donald Masterton Stephen Kerr Calvin Brown Julie Arthur Chair, NL PPF Bellshill Community Forum Wishaw, Murdostoun & Fortissat Community Forum Wishaw, Murdostoun & Fortissat Community Forum Coatbridge Community Forum Coatbridge Community Forum Kilsyth & Villages Community Forum Carers Together Cumbernauld Community Forum Head of Planning & Performance, NHSL NHSL, Communications PFPI Project Assistant In Attendance Mungo Shirkie Craig Cunningham Apologies Marvyn Mackay, Gillian Ventura, Ann Muir, Hugh McMillan, Laura Campbell 1. Welcome and apologies Felix welcomed members to the meeting and thanked them for their attendance. 2. Minutes of previous meeting Carol advised that, contrary to what had been noted at the last meeting, 0844 numbers did cost more than the cost of a local call, contrary to what was advised by Alistair Mackintosh. It was agreed this would be looked into. ACTION Julie to look into issues with 0844 numbers. 3. Matters Arising Out of Hours Review At the previous meeting, Julie had invited names to attend an event on 27 th June. She advised that Calvin and Craig Cunningham were in attendance at the meeting and would provide a full update.
4. Impact of Welfare Reforms on Health & Wellbeing Mungo Shirkie Mungo spoke to a presentation that explained how different reforms could affect health, particularly around Mental Health. He explained What the predicted impact of welfare reform could be The negative impact that could be expected on community based Health and Social Care Services The impact on Secondary Care e.g. A&E admissions The NHS Vision What the Outcome Focussed Plan was this is a set of principles and guidance for NHS Boards that should be used to inform local communities. It should be regularly updated and reported on and was in place for 10 years (subject to change). How NHS Lanarkshire were trying to address the impact of Welfare Reform by explaining some of the support mechanisms available. The floor was then open to questions/comments Donald advised that people can go to libraries to use the internet for job searches etc. if they did not have their own PC or laptop at home. There were also a number of free courses available. Donald expressed concerns about the impact on other services if funding had to be given to some of the initiatives mentioned. Mungo advised it was likely that there would be a significant increase in the number of people who would require services but there would be no increase in resources. NHSL wanted to be proactive by working with partners etc. Stephen commented that the principle behind welfare reform i.e. getting people into work, would positively impact on many health issues. Pat commented that many of the poverty issues people faced were due to them not knowing what they were entitled to. His opinion was that the issues faced now were no different to those that have been happening for many years. However Craig commented that the gap between the least and most affluent was growing compared to years ago and it was known that people in poorer areas were more likely to have health issues. It was agreed it was important to get information out to people. 5. Out of Hours Review Calvin Brown/Craig Cunningham As of 2004, GPs no longer had to provide their own Out of Hours Service and it was centralised within the Health Board. Craig spoke to a presentation that explained that the service was being reviewed due to being increasingly under pressure to find GPs to fulfil the service and, as a result, centres where having to be closed at very short notice. The presentation covered the following key points - Explained the various phases of the review Explained the case for change Various questions asked as part of the review The Review Group contained doctors, nurses, drivers, PPFs etc
A questionnaire put to users of the service and the results The options appraisal process Patient Safety How members could get involved Julie agreed to share the slides with members and the floor was then open to questions/comments. Carol asked if the new Kilsyth HC would sustain a service. Craig said this was unlikely unless Kilsyth GPs were able to man the service. Ideally patients are seen within 4 hours. Normally happens around 85% of time. Average is one per hour in Lanark. Wishaw/Monklands 6/7 per hour are seen. Some GP practices who have introduced a triage system manned by qualified, experienced nurses which often avoids the need for antibiotics. Pat asked when the national contract was up for negotiation. Craig advised this was being looked at but would not bring about a reintroduction of the Out of Hours being provided by the GPs. Felix commented that the presentation had definitely given a picture of the seriousness of the situation and asked Calvin what work was being done to communicate the information. Calvin explained that not only were the PPFs involved but the wider public including Community Groups. There were lots of opportunities to get involved and further information could be obtained by contacting himself or Kate Bell. Pat asked if a risk assessment had been carried out based on outcome of referendum. Craig advised that this had been done at a very high level but not in relation to the referendum. He also explained that Business Continuity Plans were in place. Donald advised that he had met with Kate and Calvin and that they were going to speak to Cumbernauld Community Forum next week. The meeting was being opened to the public. Donald thanked them both for arranging this. 6. Monklands/Wishaw General PPF Liaison Meetings Monklands The minutes of the meeting were not yet available so Pat gave a verbal update. o Rhona Roberton had updated attendees on the new hospital management structure. o The Cabinet Secretary had visited the hospital the week before and visited certain areas in line with the recent Healthcare Improvement Scotland Review and it was reported that improvements were being made. o I pads were going to be used for menu choices and new food trolleys had been introduced.
Wishaw The minutes of the last meeting were shared with members. Julie advised that she would circulate these electronically. 7. Updates from other groups/ppf Group membership PPF Representation on various groups there are a number of NHSL groups/meetings where there is now no North PPF representation. It was agreed that Julie would pull together the necessary information and share with members in advance of the next meeting and this would be discussed then. North CHP OMC Felix advised that minutes of the meeting would be shared with members. Felix highlighted that the first meeting of the North Lanarkshire Transition Integration Board had taken place and that Draft Regulations were out for consultation. Stephen offered to hold a joint meeting with South PPF to give some background to this and allow discussion. Stephen and Julie will coordinate this. ACTION Julie and Stephen to coordinate meeting on Integration. Orthopaedic Review a working group is looking at a review of this service. Felix will keep members up to date. HSMR Programme Board (FM) Felix was unable to attend the last meeting due to ill health but is aware that a number of work streams are being looked with extensive background work required. Patient Experience Indicator Questionnaires (FM) Felix had attended a meeting to discuss the questions that are included in these questionnaires. There are currently 32 questions asked. A working group is looking to sensibly reduce the number of questions and where a question always gets good marks, look to drop this. Primary Care Investment Board Progress with Kilsyth Health Centre was on schedule. Wishaw Health Centre was slightly behind but should get back on schedule. Health Board Boundary Changes No update as Marvyn not in attendance. REPORTS TABLED Modernisation Board Julie will find out when Homoeopathy Review is closed and when results will be published. Cancer Strategy report to Carol. Complaints Masterclass (AM) Stakeholder Engagement Group (JA) Acute OMC (WP) Health Improvement Service Improvement Board (AB) Quality Hub (MM) Neurological Impairment (MM) No Smoking Policy (MM) Chronic Pain (AM) Ambulance Service Involving People Group (SR)
Care Inspectorate (SR) Smart Care (SR) 7. AOB Stephen advised that Colin Sloey had moved to a new role and that Stephen would be stepping up as Interim Head of North CHP. Ross McGuffie will take over Stephen s role as Head of Planning and Performance for North CHP, therefore the PPF remit will fall to him, with support from Stephen. Carol advised of activity classes for older people in her local area that were only being funded for 12 weeks but were so successful, she felt funding should be extended. Stephen asked Carol to provide him with specific information so that he could look into this further. Other members commented that the local consortia can provide funding to start these things off then provide advice on how to sustain. Carol asked if there was any public information on tick bites. Calvin advised that he would forward on some information. 8. Date & time of next meeting - AGM - Tuesday 17 th June, 7.00pm, The Moorings, Motherwell - Tuesday 5 th August, 7.00pm Conference Room 2, Ronald Miller Centre, WGH