Oxfordshire

Clinical Commissioning Group

South West Oxfordshire Locality Forum (SWOLF)

Notes of the Meeting

Held on

Tuesday 14 October 2015(10.00-12.30)

Didcot Civic Hall, the Northbourne Meeting Room, Didcot

  1. WELCOME: Shelagh Garvey, as Acting Chair, welcomed everyone to the meeting.

MEETINGATTENDEES AND APOLOGIES RECEIVED:

Organisation: / Names: / Initials
Chair: SWOLF
and Woodlands Medical Centre / Martin Tarran- Jones / MTJ
Clifton Hampden Surgery / Chris Dupond
Mary Braybrooke / CD
MB
Didcot Health Centre / Lesley Powell,
Shelagh Garvey / LP
SG
Long Furlong Medical Centre / Rosemary Allan / RA
Newbury Street Practice LINK / Janet Parker / JP
White Horse Medical Centre / John Mattingley
Gene Webb / JM (2)
GW
Grove Medical Centre / Tom Thacker / TT
Visitors:
OCCG / Dasa Miklosovicova / DM
OCCG / Dr Gavin Bartholomew / GB
Healthwatch Oxfordshire / Jen Marks / JM
OCC / John Jackson / JJ
OCCG / Julie Dandridge / JD
NHSE / Kath Ruxsby??? / KR
Minutes taken by:
NHS South, Central and West Commissioning Support Unit, Senior Communications and Engagement Manager /
Julia Stackhouse / JS
Apologies Received:
Alison Langton
Mary Braybrooke / Woodlands Medical Centre
Clifton Hampden Surgery
  1. MINUTES OF THE LAST MEETING (14-7-2015)

SG asked those present to confirm the minutes as a true and correct record of the July 14 2015 meeting. The minutes were accepted and confirmed without amendment.

MATTERS ARISING

  • S106 Funding for housing development – John Jackson (JJ) formally thanked the group for raising the issue and acknowledged the importance of forums. JJ confirmed that he is developing some good relationships with NHSE. There has been a big disconnect and Didcot has the biggest growth in Oxfordshire. Rules relating to planning are very complicated. JJ met with the planners at South and Vale District Council with Julie Dandridge (JD). Constructive conversation, which resulted in better understanding with the planners on the implications for the NHS. Suggestion that the District Council planners and OCC planners will run a workshop to bring together health and social care. This is being arranged. Keen to involve a patient rep. Action on MTJ to discuss with other lay chairs. JJ wanted to attend SWOLF to give reassurance that we are doing something. GW - not clear on the purpose of the workshop. JJ - thinks there is a public assumption that there is lots of money around. JJ confirmed that there is a new system coming in to replace Section 106, called CIL (community infrastructure Levy). JJ confirmed that the NHS has to get a detailed case to the planner on why health is important. JT - section 106 can be seen as a ‘cash cow’, there used to be a per bedroom formula?,, what is the relationship between demand and house pricing? Concern that if more pressure is put on developer then costs will be put on the end user. House prices will go up. JJ - risk is that District Councils won’t make an agreement with the developer. Discussions with DC are to ensure that they are fully aware of the impact on housing and are not disagreeing that this is important. JT -what is the timescale. JJ is keen to develop a relationship with the planners and NHSE. JJ is in the process of visiting the district councils. JNP - 5000 + new homes coming in to Grove and Wantage. No talk about primary care facilities, so keen to flag up that this is important in Wantage and Grove. SG thanked JJ for his comments.
  • Update on Primary Care Advisory Group (PAG) – GW updated that the Primary Care Strategy has been extended to out of hospital care. The COACH website is now live and has been for 2 weeks. GW thinks it needs more work.
  • Talking Health – SG reported that she had been unable to install TH on her smartphone and had to install it on another device – Action on JS to check with Inovem. Check registration for XXXX. People are not using the system.
  • Increasing membership – SG thanked the observers that who? had attended.

3)Chair report

  • Update on LFCS and OCCG meeting – MTJ provided a report. Offered to circulate the reports from that meeting and nobody has expressed an interest. MTJ has said that we are facing an unprecedented level of change both within services and how money is spent. MTJ can understand the vision but not how it will be carried out. 270m saving in health, 8bn funding is to help drive the changes so that the NHS can continue on a lower budget. Concern about Hip and Knee replacements on the NHS Lavender list, and the impact on carers. Some things are a real concern including cataracts. Action: Invite Sharon Barrington to come and talk about the planned care projects including MSK. Concern about prevention and that the NHS are only looking at treating acutely. Concern that this is putting a strain on the rest of the system, especially with carers.
  • MTJ SWOLF–will review the terms of reference in preparation for January, so that we are in a position to have a replacement Chair by January. Martin asked for people to be involved in the drafting of the new TOR, and SG, JNP, MW and TH expressed an interest. Will get feedback from observers too.

4)Friends and Family Test:KR, from NHSE, provided a tabled paper which was circulated to members. FFT is a mandatory patient feedback tool in all NHS services, whether that isin acute hospitals or in a GP practice. It is not compulsory and should be seen as part of the wider patient engagement opportunities. Low numbers of returns is not an issue it is what is done with the feedback that is more important. JT disagree that numbers of responses is important as it gives the opportunities for analysing trends. Some practices work with the PPG to review the FFT responses. Some PPGs hand out the FFT forms at reception. KR feels that the PPG can support the practice manager with FT, as you can change your second question on the FFT form to engage with your patients. PPGs can use FFT to engage with their patient populations. JT - more responses could be generated if the practice and the commissioner can explain what happens with the responses. JN-P welcomed the FFT and presentation and thanked KR for giving PPGs ‘permission’ to be involved in their practices FFT processes. KR’s post is only funded until end of March 2016. NHSE are working with Health and Social Care students in Reading and Stroud to encourage them to work in GP practice specifically on patient engagement. NHSE developing a toolkit for practice staff as part of their development for .

5)SWOL Exec/Julie Anderson Report (full report attached to these minutes).
Dr Gavin Bartholomew attended as deputy to Julie Anderson. GB gave an update on co-commissioning and performance targets, including cancer targets and referral to treatment times, which are both improving. The four hour standard in A&E was met over the summer but noted that as we come into winter it could be a more challenging time. Progress has been good. GB gave an update on Townlands, acknowledging that the bed based care in community hospitals is not financially effective, as often people there should be at home. Bed based community care should be better served as places where people receive treatment and then go home. A discussion was had about the Townlands model, explaining that this is a preventative measure; in general people accepted the model and acknowledged that it will take time for a difference to be seen at the back end. GB confirmed that the CCG is in a healthier financial position, but the financial situation has to be seen across the whole piece, taking into account the needs of OCC and OUHS?. GB also highlighted that there are discussions with the SCAS on red light ambulance services in rural areas.

GB advised that the SW Locality GPs have been thinking about planning in Didcot and recently used one of our sessions to discuss with practices the housing developments in the SW. Asked the practices to think about the developments and to think about what support and plans they might have to deal with the expansion. Abingdon practices felt that they could absorb the growth. Faringdon said that they too could absorb the growth and manage its expansion for the next 5 years. Clifton Hampden is looking to Berinsfield to see if there is any future collaboration. Wantage/Grove didn’t have the right people in the room, but there is great scope for expansion at the Wantage medical centre. Does feel that the practices in the SW have put their heads above the parapet and are now in discussions with each other. MTJ – How does this involve the federations?GB - they are evolving but not involved in these discussions. TH raised concerns about the Wantage and grove housing expansion.

PMCF - early visiting service is up and running, as is the COACH website and is a portal for information ( Hubs are due to start in Wantage in 27 October and roll out has been slow due to cost. This is ongoing.

Local initiatives include the use of dematascopes for the use of skin lesions in practices to ensure that patients are not referred inappropriately to JR.

JT – asked for feedback on the FFT. GB said he feels that practices should be working with their PPGs and that sometimes practices are not resourced sufficiently.

6)Healthwatch Oxfordshire Update – report was circulated.

7)Patient Group updates

MTJ confirmed that Appendix B has been circulated. Dave Pluright confirmed it is up to date, but at their next meeting Dave will be standing down as Chairman and process is in place to replace him.

MTJ, has worked with his practice on improvements and? ideas generated by the PPG. This has been very successful.

Appendix B – people to circulate their updates electronically. JS to prompt the group to do this.

8)AOB

  • JT – update on South and Vale Carers, hosting a drop in at Didcot Civic Hall. Success of this will depend on whether they will roll it out. Faringdon café continues. Young Carers first aid course, very successful. Issue a newsletter in SE and SW which will go out to over 2000 carers.
  • Call out for the NE seeking a PPG to come and talk about their experiences about PPG partnerships with their practices.
  • Need to book venue from January onwards – action for this to be done. Action on Dasa to look at alternative venues, perhaps rotating on a quarterly basis.
  • GW – asked for commissioning intentions to be on the next agenda item.
  • SH – survey on Maternity services, reporting back to the maternity group to feedback and present the findings from the survey.
  1. Date of next meeting: TBC dates have already been set?

Shelagh Garvey

Acting? Chair SWOLF

SWOLF Meeting Minutes 14/7/15Version 3

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