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1 Bullet Point Messages from Seisdon District Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford & Surrounds Clinical Commissioning Group Bullet Point Messages from Seisdon District Patient Group 6th December 2018 Apologies Janet Aldridge Attendance Lyn Hingley (LH) – Moss Grove Surgery Chair of meeting Anne Heckels (AH) – CCG Lay member for Patient and Public Involvement Sandra Wilks (SW) – Russell House David Edwards(DE) – Russell House Kath Frain (KF) – CCG Primary Care Manager Penny Allen (PA) – Tamar Surgery Ruth Morris (RM) – Russell House Janet Aldridge (JA) – Gravel Hill Surgery Adele Edmondson (AE) – CSU Senior Communications and Engagement Manager Clare Plant (CP) – CCG Administrator Communications and Engagement Team Elaine King (EK) – Lakeside Medical Practice Liz Gilson (LG) - Tamar Surgery Jenny Robinson (JR) - Moss Grove Surgery Ian Wright (IW) – Healthwatch Iris Fieldhouse (IF) – Bilbrook Medical Practice Lucie Higham (LH) – Redmoor Health Declarations of Interest and Actions Taken to Manage Conflicts The group confirmed that there were no conflicts from declarations of interest. Actions arising from Meeting 6th September 2018 Formal minutes will not be provided for the meeting in future. Actions will be captured on the Action log and bullet point messages will be provided for key discussions to share with PPGs. The group were not happy about this AE advised that she would take back to the CCG and will provide an update at the next meeting. The following advice has been received from the CCG’s Deputy Director of Corporate Services, Governance and Communications: According to the Companies Act 2006, formal minutes are only required to be taken for an organisation’s highest decision-making body i.e. the Governing Body and any formal sub-committees. Beyond that, any other meeting is deemed as an unincorporated general meeting and therefore the legal provisions do not apply. For the district patient group meetings, the group’s own Terms of Reference dictate the process, so the group could, if it wanted to, revise the terms of reference to say it will produce bullet points and action notes rather than minutes. This is also supported by the ICSA – Governance Institute’s guidance. 1 Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford & Surrounds Clinical Commissioning Group The group discussed preference for bullet points or Minutes, PA advised that she would prefer to have full minutes but that she would accept the majority decision to receive bullet point actions. The group raised concerns about travel distances for ladies who needed breast screening. Why was the mobile breast screening unit removed from Codsall Clinic? Being relocated in Wombourne means that some women find it difficult to travel to the appointments, particularly if they are using public transport There is a concern that accessibility has impacted on women taking up the screening What efforts have been made to try and find a new location in the Codsall area? The response from NHS England, was: - To find a suitable site for a mobile breast screening unit, a number of factors need to be taken into consideration. The site needs to have space as the units are quite large, they also need to have access to a generator and water for the units to be able to function - The mobile breast screening unit had to be removed from Codsall Clinic due to subsidence on the carpark and the fact that it wasn’t possible to have a generator on site to facilitate the functioning of the unit - They did and have since considered other options in the same locality but even working with South Staffordshire District Council, they have not been able to find a suitable alternative - It costs around £5,000 to relocate the unit each time but also it means that the unit would be out of operation for two days while it was being moved and the equipment stabilised - There is no evidence to suggest that relocating the impact has had an impact on uptake and no issues have been picked up through patient feedback i.e. complaints, soft intelligence etc - The unit in Wombourne provides a service to women from Brewood, Perton, Coven, Wombourne, Perton and Codsall and due to the geography of the peninsula, wherever it was sited would mean that some women would have to travel further than others - The unit now comes under the Dudley Breast Screening Service and women do have a choice about where they would attend for follow up clinics, including Cannock or Wolverhampton - Breast Screening is delivered in three-year periods and the next round for the Seisdon area will be taking place from early January to mid-March - NHS England has committed to review uptake again at the end of the next round but with the caveat that nationally there has been a drop in women taking up breast screening and there are other factors as to why women may choose not to take up breast screening AE advised that the CCG have taken this issue as far as they possibly can, the service is Commissioned by NHSE and that we are unable to address this issue further at future meetings. 2 Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford & Surrounds Clinical Commissioning Group Action: AE to provide Imre Tolgesi with contact details for NHSE, with a view to having a breast screening unit sited at the new Codsall Community Hub. Even though most patients in the peninsula would prefer to be taken to New Cross by Ambulance they are taken to Dudley. AE to seek clarity from West Midlands Ambulance Any crew of an ambulance will make a clinical decision at the point of assessment when they arrive with the patient. A crew would take a patient to the hospital of their choice if there is a clinical reason which meant it is the most appropriate clinical setting for the patient to receive treatment. However, this is dependent on many factors; one being the A & E pressures at the time and the patient’s condition. When the issue was raised at the Commissioning Patient Council, Dr Mo H asked the condition of the patient and he was unconscious. The request was made by the patient’s wife; therefore, the crew would have made their decision in the best interest of the patient and his condition at the time. Mark Docherty from WMAS is attending the next Quality and Safety Committee in Common on Thursday 13th December a further update will be given at the next meeting. Lucie Higham - Engaging Through Social Media The most popular forms of social media are Facebook, Twitter and You Tube, however there are many more. Social Media is a compliment to traditional engagement methods and is not meant to replace, face to face meetings which is still the strongest medium. However, having both gives a wider demographic of the public an option to engage in a way of their choosing. LH recommended that all Practices set up a business home page with a picture of the practice, opening times and other general information about the practice. This will ensure that when patients search on Facebook there is a consistent page that can be viewed even if it is not used for messages. LH shared that it is important that limits are set from the outset, regarding consistency of response times, to manage patients’ expectations. There are many good sites that can be used to pick up and share interesting and relevant health related information, such as NHS Choices, Public Health England and You Tube. Posts that have a picture are always viewed most, but acronyms and health terminology should be avoided. Always try to use wording that stimulates conversation and will encourage messages to be shared. If making a video about the practice, or a particular health promotion, videos should be kept short and to the point. Ensure that target audiences are agreed and show 3 Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford & Surrounds Clinical Commissioning Group the human face of the practice. Use appropriate practice staff to get messages across and encourage people to watch. LH recommended that messages are shared with local groups, gyms etc. to get key messages out to the broader patient population. If used proactively Facebook can free up time for Practice staff and reduce attendances at MIU. For example: • Practices can promote details for Emergency Dental Services • Sign post and give advice regarding repeat prescriptions and emergency repeat prescriptions. • Advise where to go for the morning after pill and sexual health related queries. • Signpost to appropriate mental health providers for those patients experiencing anxiety and or other mental health illnesses. Imre Tolgesi – Codsall Community Hub ‘Codsall Community Hub will see the present building refurbished, extended and new car parking built. This will allow for tenanted occupiers to increase in number from 19 to 28. The new Community Hub will encompass a café, library, three tiers of government, a wedding and conference venue, retail, a GP Surgery, small businesses, Police and NHS Trust. Overall, seven public sector buildings will be integrated into one, saving taxpayers £1.7 million in running costs and creating an income generating building for the Council, securing its long-term future. Over the past three years, the Council building has evolved, reducing the Council Office footprint by 50% with the remainder let out to new partners. With more interested occupiers wanting to join them in Codsall but no more available space to rent, a business case was created and approved to invest £9.9 million to enhance the building. The new Community Hub will also improve the building’s visual connection with the community, with a proposed new extension for the relocated library, a new front entrance, retail unit and NHS space.
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