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COMMUNICARE

 

COMMUNICARE
   
MINUTES OF MEETING held at KINGS CLIFFE ACTIVE SPORTS HALL
on Wednesday 2nd July 2014

PRESENT:  Rev  D. Parkes (Vice Chairman) Mrs  C. Wagstaffe (Secretary) G. Markley (Treasurer)   Mrs  W. Spencer (Communications Off’r), Dr  R. Nally, + 6 patients

Rev Parkes opened the meeting welcoming those attending.

1)APOLOGIES: Mrs  H. Gough (Chairperson)  Drs. Takhar, Hume,  Baker, Jones,  Mrs  D. Roberts (Practice Manager), Mrs  K. Lawes (Deputy Practice Manager), Mrs G Caddick

2)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 7th May 2014 were agreed and signed as a true record – proposed by L.Caddick, seconded by Mrs C Wagstaffe – all in favour.

3) MATTERS ARISING
i) Car Park at Wansford : Dr Nally reported that despite issues regarding the pedestrian path being resolved, continued delay had been due to the estimate for the completion of the work being considerably more than the budget.  However an alternative contractor has now quoted within budget and she hoped that the go-ahead would be issued shortly.
ii) Mrs Wagstaffe reported that she had written to the two residents at Tixover regarding the location of future breast screening. Rev Parkes reported that he had raised this matter at the Borderline Patient Forum and it was universally agreed that patients should be able to choose where they attended for this service, although once included on a particular site schedule, it could take time to make a transfer to another location.

4)  TREASURER’S REPORT


Balance brought forward

 

  £2241.06

Income
Coffee morning (K/Cliffe – May & June)
Donation from Voluntary Drivers
Donation from  Mrs D Allen
Charifund interest

Expenditure
Nil
Balance carried forward 

        
           41.40
             5.00
         100.00
           34.00
     
      
         
         

   
  
 
   

    180.40

 

£2421.46

Mrs Spencer reported that a request had been received from the editor of the Wansford Living Villages magazine for a donation towards the cost of production.  It was suggested that as all the local village magazines regularly included Communicare reports, adverts and notices, the same amount should be paid to each and the sum of £40 was unanimously agreed.  WS to provide the Treasurer with the relevant contact details.
A request had been received regarding a spare part required for the Cryotherapy machine which Communicare had provided for the surgery’s use. It was agreed that this expenditure of approximately £50 should be authorized.

5)  TRANSPORT REPORT   -  Nothing to report

 

6)  EQUIPMENT PURCHASE
i)  A suggestion had been made regarding providing some sort of screen to give privacy to patients using the blood pressure monitor, both at Wansford and KC. A potential supplier had been identified, but it was agreed that as there had not been any significant number of complaints, this matter would be left pending for the time being.
ii) Dr Nally requested that consideration should be given to the potential purchase of a DVT monitoring machine which would highlight the likelihood of blood clotting.  This would then enable doctors to prescribe the necessary drugs to stabilize the patient for a period of time until he or she could be seen by the appropriate hospital department. She envisaged the cost would be in the region of £1000-£1500.  A more detailed breakdown of cost was requested and will be provided for the next meeting to consider and make a decision.                                                           

7) BORDERLINE FORUM REPORT
Mrs Spencer presented a report on the last two Borderline Patient Forums (May & June) – Presentations had been made by the Business Manager from B&P LCG outlining the draft business plan for 2014/7 and how they were to achieve the planned savings, and from Dr Chris Herman promoting the new Hinchingbrooke hospital venture of providing OP clinics at GP surgeries. 
Forum members had also recently visited the CCC for a presentation by Herts Urgent Care who are now operating the new 111 service in this area. 

Dr Nally observed that although Hinchingbrooke was offering this out-reach service, any referrals made would take that ‘business’ away from our own local Peterborough or Stamford hospitals, who were in dire need of financial support.

8) ANY OTHER BUSINESS
i) Notification had been received regarding a promotion by Cambs CC to encourage over 65s to voice their opinion on local services – this will be displayed on the surgery noticeboard.
ii) An email had been received re courses run by the local Peterborough branch of the Alzheimers Society – WS to investigate further and forward findings to the surgery. She will also seek to arrange for one of their representatives to hopefully speak at a future meeting.
iii) CW reported that she had sent a letter to the local planning authority objecting to an application by the owner of 31 West Street to erect a gate across the joint vehicular access between his property and the K/C surgery.  This would restrict the passage for vehicles to the rear of the surgery particular for those with mobility problems who need to access the surgery through the rear entrance.
iv) Dr Nally reported that the changeover had been completed with regard to mental health provision from East Northants (Kettering Hospital) to Peterborough, although patients still had the option to attend Kettering if they wished.  Mrs Thorley (attending patient) reported that the Wansford Parish Council were again considering applying for the possible change in county boundary which would result in the Wansford surgery being incorporated into Cambridgeshire – this was warmly welcomed.
v) Rev Parkes provided an update on the current situation with regard to the Older Peoples Healthcare and Adult Community Services – he had attended recent presentations by the three organisations bidding for this contract. Assessment is continuing and the appointment will be announced in September.
vi) The Treasurer confirmed that he will obtain a suitable replacement for our auditor, who died recently, and organize for the accounts to be audited in time for the AGM in September.
vii) It was confirmed that as all officers had been appointed/reappointed for a further term of four years at last year’s AGM, no action was required in respect of nominations, voting papers etc.

10) DATE/TIME NEXT MEETING  (AGM) – Wansford Surgery – Wednesday 3rd September 2014 at 6.30pm.


   
MINUTES OF MEETING HELD AT WANSFORD ON Wednesday 5th March 2014

 PRESENT:  Mrs  H. Gough (Chairperson)  Rev  D. Parkes (Vice Chairman) Mrs  C. Wagstaffe (Secretary)  Mrs  W. Spencer (Communications Off’r), Dr  A. Takhar, + 13 patients

Mrs. Gough opened the meeting welcoming those attending.

1)APOLOGIES: G. Markley (Treasurer)  Drs. Nally, Hume,  Baker, Jones,  Mrs  D. Roberts (Practice Manager), Mrs A.Harvey, Mr.D & Mrs L Hellard

2)  The guest speaker for the evening was Angela Burrows, Chief Operating Officer of Healthwatch Peterborough. She gave a comprehensive account of the structure of the organization, its place in the local area and the way in which it is staffed.  Current projects being undertaken include work at Peterborough prison helping inmates with social and health issues, complaints handling at PCH and progressing the facilities provided by Macmillan Centre both at PCH and Thorpe Hall.  Future projects planned will extend the work at the prison to the mother & baby unit, and also working with children with disabilities and special needs.  Healthwatch also monitor patient views and relay these back to the local commissioners, as well as official publications and notices where it is thought necessary to seek changes. Mrs Burrows stressed the importance of keeping the public aware of the work of Healthwatch which can be followed on their website and by means of a monthly newsletter circulated to all local PPGs. There followed several questions from patients and lively discussion.

3)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 8th January 2014 were agreed as a true record – proposed by Peter Barry, seconded by Lloyd Caddick – all in favour.

4) MATTERS ARISING
i) Car Park at Wansford : Dr Takhar reported that there were still issues regarding the underground gas pipeline which had to be resolved – this did not affect the actual carpark but the linking footpath. An onsite meeting was planned within the next couple of days which hopefully would then allow the project to be finally completed.
ii) Following the presentation on ‘111’, it was now confirmed that the service was live in this area. Mrs Burrows asked for any relevant feedback should be passed to Healthwatch.  Dr Takhar stressed that patients should continue to ring the surgery during normal opening hours with any problems rather than the ‘111’ number, but for urgent emergencies 999 must be used.

5)  TREASURER’S REPORT - No report available – Current funds stand at £2038.15 (same figure as reported in January)

6)  TRANSPORT REPORT
Although adverts had been placed for additional drivers Mrs Thorley reported that she had received a marked increase in requests to provide transport.  It was noted that a similar organization operating out of Oundle could provide the service – the relevant contact information to be passed to the surgery reception to use in the event of no Communicare drivers being available.

7) EQUIPMENT PURCHASE – No requests

 8) BORDERLINE FORUM REPORT
Mrs Spencer presented a report on the last two Borderline Patient Forums where there had been presentations on the development of phlebotomy services, the continence service referral pathway and the Better Care Fund. The forum had expressed concerns to the LCG regarding the current procedures for issuing secondary care prescriptions.  Members of the forum continue to participate in various projects and have recently undertaken a review of all member practice websites, as well as those of the CCG, Peterborough and Borderline LCGs.
David Parkes reported that tendering on the Older Peoples project was progressing at CCG level and a consultation document should be issued shortly with public involvement.
It was confirmed that Michael Bacon had been re-elected to continue as Chairman of the forum for a further 2 years from 1st April  and David had been elected as vice-chairman for the same period.

8) ANY OTHER BUSINESS
i) NHS Data Harvesting – Dr Takhar answered a number of questions regarding the current situation regarding the storage of data for research purposes – all patients at Wansford had already been notified and given the option to opt out of the national scheme.
ii) Patient Survey – this is still in progress – approx. 200 replies received – completion on website preferable.
iii) Oundle PPG Newsletter – Copies of this were circulated round the meeting – it was agreed that although the contents were admirable, much of the this type of information in respect of Wansford was already covered by reports in village magazines and seasonal newsletters issued by the surgery.
iv) George Russell – Mrs Wagstaffe reported on the recent death of Mr Russell who had for many years acted as auditor of the Communicare accounts.  Commiserations have been passed to his family. It was noted that a new auditor will need to be appointed in time for year end in September. GM to action
v) Health Checks – In answer to a question, Dr Takhar outlined the current programme for annual health checks and reported that it was hoped to introduce screening for prostate cancer in the foreseeable future.
vi) New Dental Pricing – Reported that the dental surgery have recently introduced a new pricing structure basically in line with NHS charges – these can be viewed on their website.
vii) Surgery Website – Dr Takhar reported that the website was currently under review and he hoped to include a dedicated PPG section which could be updated on a regular basis.
viii) Meeting Venue -  Patients attending from Kings Cliffe queried whether it would be possible to hold a future meeting more locally – it was agreed that the Kings Cliffe Active Sports Pavillion would be a suitable venue and a midday time might encourage better attendance – proposed that the July meeting (2/7) should be held at KC with the appropriate notice being placed in village magazines in June & July. CW to pursue
ix) Referrals to Hospitals – Mrs Gough reported on a recent incident where a patient was referred to Leicester hospital for a scan but no transport was available – after intervention they were transferred back to Peterborough. Dr Takhar reported that from April dementia patients currently seen at Kettering are being transferred to Peterborough, but there is still the option of choice.
x) Abbreviations/Acronyms – Concern was expressed by several patients that they did not understand the meaning of a large number of acronyms used in reporting – David Parkes offered to compile a list which can be circulated by email.  Action:DP/CW
xi) Surgery Personnel – In response to a question, Dr Takhar confirmed the structure of current doctors working at Wansford/KC, which included the permanent posts together with temporary trainees. He agreed to compile a suitable outline which could be displayed in the receptions and on the website. AT to action

9) DATE/TIME NEXT MEETING – Wansford Surgery – Wednesday 7th May 2014 at 6.30pm.

 

 

 

COMMUNICARE                                                                                           November 2013        

Our November meeting welcomed guest speaker, Dr Jessica Randall-Carrick, who is currently attached to the surgery for one year as part of her training as a serving army doctor. She gave a most interesting talk about her own training programme, worldwide levels of medical cover, but foremost she described her experiences on deployment at Camp Bastion in Helmand province of Afghanistan. Short films showed day-to-day life on duty both inside the military base and amongst the local community – statistics shown gave an idea of what has been achieved during the ten year campaign to improve the way of life for the local people – the hope is that these benefits will continue and increase after the multi-national forces are withdrawn.  Dr Randall-Carrick was warmly thanked by those attending the meeting (sadly few in number).
Dr Takhar confirmed that permission has been granted in respect of kerb realignment on the road outside the new carpark, but the project was still held up awaiting final agreement with the gas pipeline company.  He hoped that this would be resolved shortly and the carpark could be completed with the minimum of further delay.  The new blood pressure ‘stand-alone’ monitoring machine at Kings Cliffe is now in use and the one at Wansford should be on line shortly. Plans are in progress to introduce basic information for patients using the machines with guidance on what to do with the printed results. Following some major equipment purchases, the account now stands at £3700 but a request was made to consider supporting a cryotherapy service provided by the surgery – this is for a process (cryosurgery) which treats sun damage, warts, etc. by a freezing method.  A three year contract with the company who supply the necessary liquid product, costing £1700, was agreed. 
It was reported that there had been a significant increase in requests for the transport service and it was agreed that action should be taken to recruit additional drivers (see separate advert – please respond if you are a car driver and can spare an hour or so each month)
The new ‘111’ service is due to come into operation in this area during the next few weeks – although there will be extensive media coverage of the introduction, it is hoped to arrange for a speaker at a future meeting to give a presentation on the service and its potential benefits. The next meeting will be held on Wednesday 8th January 2014 at 6.30pm at Wansford Surgery – a formal notice giving details of speaker and agenda will appear in the January edition.

Wendy Spencer                                 


(Wansford & Kings Cliffe Surgery Patient Participation Group – PPG)
Minutes of 33rd AGM held at Wansford Surgery – Wednesday 4th September 2013

PRESENT
Heather Gough (Chairperson), Rev David Parkes (Vice-Chairman), Clare Wagstaffe (Secretary), Gilbert Markley (Treasurer), Wendy Spencer (Communications Officer), Dr. R. Nally, Mrs. D. Roberts (Practice Manager), George Russell (Auditor) + 42 patients
1) APOLOGIES:  Drs. A. Takhar, N. Hume, C Jones, Mr. D.Housden, Mrs. A. Harvey

The meeting commenced with a presentation by Dr Rhiannon Nally on her recent involvement with ‘The Firm’ – a pilot project carried out across the Peterborough and Borderline areas from February to July this year aimed at minimizing hospitalization of the elderly. Two GPs along with other healthcare professionals were alerted when a patient was deemed acute enough to be admitted to A&E – their role was to assess the individual situations, make a judgment and then identify the best course of action, with particular emphasis on trying to keep the patient in their own homes.  Referrals came from various sources, some were declined, others directed straight to hospital – the majority of cases involved those over 65 years of age – a category which it is estimated will increase by 66% over the next 20 years. ‘The Firm’ was also instrumental in trying to facilitate earlier discharges from hospital beds both into intermediary care or directly home with adequate and appropriate support. Although the overall financial savings monitored were not substantial, the success of the project was clear enough to prompt its acceptance as a permanent feature of local healthcare – to this end a specification has been prepared and work is now in progress to recruit the necessary staff with a view to rolling the programme out across the area later in the year.  Dr. Nally accompanied her talk with many diagrams and statistics and subsequently answered questions from the audience.  The Chairman, on behalf of the meeting, expressed grateful thanks to Dr. Nally for such an interesting and informative presentation.
A number of patients then left the meeting.

2) MINUTES OF LAST AGM MEETING – Wed 5th September 2012
Proposed to be a true record by Mr. D. Hellard seconded by Dr  L. Caddick.

3) MATTERS ARISING – There were no matters arising

4) & 5) CHAIRPERSON’S / SECRETARY’S REPORTS
Both reports delivered a brief resume of the Group’s activities over the past year, in particular its involvement with the newly established Borderline patient forum, and the adoption of a formal constitution. Thanks were passed to Messrs. Hellard and Wright who had assisted with the production of this document, and also to the various speakers who had given talks at meetings. Personal appreciation was expressed between the officials and to surgery staff for their help during the year.

6) TREASURER’S REPORT
A set of audited accounts were copied and circulated.  Gilbert highlighted the main points, in particular the increase in donation receipts and funds provided for major equipment purchase which resulted in the balance being carried forward decreasing to £3108.  The value of the Charifund Units held by Communicare has risen over the year by approx. £350.  Gilbert thanked George Russell for completing the audit, and informed the meeting that over the past 33 years £85K had been received in donations.                                                       
                                               
7) TRANSPORT
Gilbert reported that day to day operation of the scheme had now passed to the reception staff at the Wansford surgery – it would appear that currently there were no problems and patients were able to access the assistance when required.

  • 2  -

 

All reports were proposed for acceptance by Mr. P. Wright, seconded by Mr. J. Peake.

8) ELECTION OF OFFICERS
Wendy Spencer explained to the meeting how the new constitution required certain officials to stand down in rotation, but that they could be re­­-elected by a two-thirds majority of those attending if no additional nominations required a ballot to be held. At this meeting the two officials concerned were the Vice Chairman and the Communications Officer.  No nominations for either post had been received – both persons indicated their willingness and were duly re-elected.
It was then proposed by Mr. D. Hellard and seconded by Mr. P. Wright that all the remaining officials should be re-elected for a further term of office, thereby ensuring across the board continuity for the next four years.  Unanimously passed by the meeting.
NB: It should be noted that under the terms of the constitution, the officers due to stand down next year will be the Chairman, Secretary and Treasurer.  Having been re-elected at this meeting for a further term of four years, they will now remain in office unless further nominations are received next year for any or all of the posts.  Casual vacancies amongst the officers can be filled at any time to hold office until the next AGM.
                                                           
9) ANY OTHER BUSINESS
a)  Clare raised the matter of the financial arrangements covering the social group within Communicare – to date all monies received and paid out in respect of social events has been through a separate account held at Barclays, Oundle.  However under the terms of the new constitution cheques made payable to Communicare are required to be presented through the general bank account.  It was agreed that this matter will be better dealt with in more detail at the next ordinary meeting.

b) A letter from Mr David Housden was read out by the Secretary – this expressed his immense gratitude for the way in which all the surgery staff, including doctors, nurses, reception and pharmacy, had provided exceptional care during his late wife, Mary’s illness.  The letter was passed to Mrs Roberts for circulation.

c) Dr L. Caddick requested that for future meetings all reports should be emailed to patients on the circulation list in advance of the day. The Secretary agreed to take this action. Patients were encouraged to make sure their names and email details were on this list.

d) Dr Nally suggested that patients should be canvassed for ideas for future speakers – several subjects were put forward together with the possibility of having a ‘suggestion box’ in the surgery reception.  This matter will be discussed at the next ordinary meeting.

e) Dates of future meetings for 2013/14 agreed:
            Wednesday 6th November 2013                    Wednesday 7th May 2014
            Wednesday 8th January 2014                                    Wednesday 2nd July 2014
            Wednesday 5th March 2014                           Wednesday 3rd September 2014(AGM)

There being no further business, the Chairperson thanked everyone for attending and closed the meeting at 8.30pm

 

11) DATE/TIME OF NEXT COMMUNICARE MEETING
Wednesday 6th  November at Wansford Surgery – 6.30 p.m.

 

MINUTES OF THE MEETING HELD AT WANSFORD ON Wednesday 3rd July 2013

 

PRESENT:  Mrs  H.Gough (Chairperson)  Rev  D. Parkes (Vice Chairman) Mrs  C.Wagstaffe (Secretary)  Mrs  W.Spencer (Communications Off’r), Dr. N. Hume, Mrs  D.Roberts (Practice Manager) +22 patients
APOLOGIES: G. Markley (Treasurer)  Drs.Takhar, Nally, Baker, Jones,  Mrs K. Lawes,  D.Hellard, Mrs A.Harvey, Mrs G. Caddick

Mrs. Gough opened the meeting, welcomed all those attending and then introduced the guest speaker, Dr. Nigel Hume whose subject was entitled ‘Dementia – An Overview’.  His talk gave a clear and concise explanation of this condition, risk factors, methods of possible prevention and treatment.  The power-point presentation was extremely informative coupled with Dr. Hume’s commentary – this prompted many questions from the floor as several members of the audience were obviously experiencing problems within their own families. It was very pleasing to note the interest this talk generated and how well it was received – attendees were asked to put forward any more health related subjects that could be of interest for future talks.  Dr Hume was warmly thanked for his valued contribution to the meeting.

1)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 8th May were agreed as a true record – proposed by Rev L. Caddick, seconded by Rev D. Parkes – all in favour.

2) MATTERS ARISING
i) Car Park at Wansford : Mrs. Roberts confirmed that work on the new car park has temporarily been put on hold due to a problem encountered with regard to the dropping of the kerb, along with a problem that has been highlighted with regard to the lighting for the link path due to the oil pipeline which runs across the paddock– both these issues are currently being addressed
ii) 24hour ECG machine – Mrs. Roberts confirmed that this equipment was now in use following the necessary staff training.
iii) The two new ‘stand-alone’ monitoring machines are on order and due to be delivered shortly.
iv) Mrs. Roberts once again confirmed that the new national ‘111’ service was still not operative in this area – patients should continue to contact the surgery for information on out of hours services.
v) The ‘Village Day’ held at Kings Cliffe last month was well attended and the Communicare stand dealt with a number of enquiries – however as most of those were from new young families moving into the village, interest in the PPG was limited. Rev Parkes had prepared an informative leaflet about the new NHS set-up and how this can involve both patients and PPGs which was handed out – this information was also re-circulated to this meeting.
           
3)  TREASURER’S REPORT


Balance brought forward

 

  £8842.70

Income
Coffee morning (K/Cliffe - May)
Coffee morning (K/Cliffe – June)
Donation from Voluntary Drivers
Charifund interest

Expenditure 
Balance carried forward 

        
          27.50
          29.45
            8.00
          32.00
      
           Nil
          
      
      

   
  
 
   
       96.95

  
  £8939.65

-2-

 

In the absence of the Treasurer, Mrs Wagstaffe took receipt of two accounts from Mrs Roberts  for the new 24hour ECG machine costing £1376.00 and the patient stand-alone monitoring machines billed at £4173.60.                  

4)  TRANSPORT REPORT
Nothing to report.

5) EQUIPMENT PURCHASE
As the cost of the two new monitoring machines was less than had been anticipated, Dr. Takhar had requested that the available funds should be used to purchase two suction machines for the surgeries resuscitation equipment, at a cost of £158.34 each. 
Proposed by Mrs Gough and seconded by Mr P.Wright – all in favour.

6) ANY OTHER BUSINESS
i) Rev Parkes presented a report on the June meeting of the Borderline Patient Forum which he attended with Mrs Spencer  – this will now be a regular agenda item.  He also suggested that the content of the report should be put on the surgery website, although the forum minutes were available for any patient to read on the Borderline website.
ii) A patient reported that he had earlier this year been admitted to hospital and on discharge was informed, by the hospital,  that he would shortly be recalled by the surgery for checking – this did not happen until he contacted the surgery himself– Mrs Roberts agreed to investigate the matter.  He  also commented that he was still required to attend sites in Northants for Diabetic eye screening despite the surgery now coming under the Cambs and Peterborough CCG – Mrs Roberts explained that the transfer of all services was taking time to be completed.

7) DATE/TIME NEXT MEETING (AGM) – Wansford Surgery – Wednesday  4th September  2013 - 6.30pm.
It was agreed to invite Dr Nally to give a presentation to this meeting on her recent involvement with ‘The Firm’ and its ongoing place within local healthcare.  WS to action

 

 

 

COMMUNICARE
       MINUTES OF THE MEETING HELD AT WANSFORD ON Wednesday 8th May 2013

PRESENT: Mrs.H.Gough (Chairperson)  Rev.D. Parkes (Vice Chairman) Mrs.C.Wagstaffe (Secretary)  Mrs.W.Spencer (Communications Off’r), Dr.A.Takhar, Mrs.D.Roberts (Practice Manager) +17 patients
APOLOGIES: G.Markley (Treasurer) Drs.Nally,Hume, Baker,Jones,  Mrs. K. Lawes, Mrs R.Rowntree

Mrs. Gough opened the meeting, welcoming all those attending and introducing the guest speaker for the evening, Dr. Amrit Takhar whose subject was entitled ‘Reducing the Risk’.  The focus of his talk was prevention of cardiovascular disease and how this can be helped by certain measures – he distributed leaflets outlining factors which affect risk and how small changes in lifestyle and diet can reduce that risk. He also explained the use of statins in the treatment of high cholesterol and informed patients about the ongoing health check programme for those aged between 40 and 75 – this is a national project aimed at highlighting risk factors and if necessary giving advice on potential preventative measures. Dr. Takhar is currently working on a CCG project along with local authorities looking at ways in which the younger generation can be made more aware of potential later in life problems. There was very good inter-action with the audience – many questions were raised and answered and several patients commented that the information given had enhanced their undertstanding of the subjects.   Booklets are now available at reception on both keeping the heart healthy and reducing cholesterol levels.
Mrs. Wagstaffe, on behalf of Communicare, expressed much appreciation to Dr. Takhar and it was decided that a synopsis of the talk will be sent to the various village magazines for publication.

1)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 6th March were agreed as a true record – proposed by Mrs V. Harvey, seconded by Mrs G. Caddick.

2) MATTERS ARISING
i) Car Park at Wansford : Mrs. Roberts confirmed that work on the new car park was due to commence the following Monday 13th May.
ii) Transport : Mrs. Wagstaffe reported that following a meeting of the voluntary drivers in March when certain concerns and queries were dealt with, the scheme now seemed to be functioning without any problems. There had been a question regarding drivers’ insurance, but after referring this to the various insurance companies involved, confirmation of cover now appears to be in order.
iii) 24hour ECG machine – Mrs. Roberts confirmed that this equipment had been purchased and was ready on site now awaiting the necessary training to be completed.  CW requested that the relevant paperwork should be passed to the Treasurer, so the agreed donation from Communicare towards the cost of the equipment could be made.
           
3)  TREASURER’S REPORT


Balance brought forward

 

  £7100.53

Income
Coffee morning (Yarwell – Feb)
Coffee morning (Yarwell – March)
Coffee morning (K/Cliffe – April)
Donation i/m lateTony Sowersby
Donation i/m late Bernard Howard
Donation from Voluntary Drivers
Charifund interest

Expenditure 
Aon Insurance
Balance carried forward 

        
          (2.60)
          (0.30)
           22.20
         540.00
       1300.00
           26.00
           22.00
      
      

   
  
 
   

 

  
  1907.30
  9007.83

    165.13
£8842.70

- 2  -

In the absence of the Treasurer, CW explained to the meeting about the change of venue for the monthly coffee mornings to Kings Cliffe – this has resulted in the event making a small profit as no transport is now provided.  She also requested that the practice write to thank both Mrs. Howard and the Sowersby family for their generous donations, informing them that the monies received were being used for the purchase of equipment – the 24hour ECG machine and BP patient monitors.

4)  TRANSPORT REPORT
Nothing to report.

5) EQUIPMENT PURCHASE
Dr Takhar gave details of a ‘stand-alone’ machine which monitors BP, height, weight and body mass – this would be sited in the reception area at Wansford for patients to use at their own convenience.  A token for its use would be issued by reception staff and the printed results slip could be handed in for details to be logged on patient records – if the results warranted action, this would follow. The cost of this machine is between £2500/£3000 – it was proposed by Mrs. Caddick, seconded by Mrs. Wagstaffe and agreed that Communicare should provide the funds for this purchase. It was also agreed that a similar machine which only measures BP would be provided for the Kings Cliffe surgery to operate in the same way. This was then proposed by Mrs. Wagstaffe, seconded by David Hellard at cost £1600/£1700.

6) ANY OTHER BUSINESS
i) Mrs. Roberts confirmed that the new national ‘111’ service was still not operative in this area – patients should continue to contact the surgery for information on out of hours services.
ii) WS confirmed that details of a proposed standardized practice website had been received from the Borderline Forum – these had been passed to AT and DR for their information – certain details included were incorrect but as the designer was due to be in attendance at the next Borderline meeting this would be raised with her.  David Hellard highlighted the importance following the talk last time by Michael Bacon on the transfer and exchange of information both ways between practices and the forum – forum minutes should be made available on their website for patients to read.
iii) The ‘Village Day’ to be held at Kings Cliffe has now been postponed until Sunday 23rd June. As it  had been decided that a Communicare presence would be beneficial the small sub-group of CW, HG, WS and Dr. Caddick will meet on Thursday 16th May to discuss details.
vi)  A patient raised the question of ‘support groups’ for matters such as stopping smoking, asthma, etc. – Dr. Takhar confirmed that although there were no actual groups available at the surgery, patients could always ask for relevant advice.

7) DATE/TIME NEXT MEETING – Wansford Surgery – Wednesday  3rd July  2013 - 6.30pm.
    Guest Speaker:  Dr. Nigel Hume – ‘Dementia’

 

   MINUTES OF THE MEETING HELD AT WANSFORD ON Wednesday 6th March 2013

PRESENT: Mrs.H.Gough (Chairperson)  Mrs.C.Wagstaffe (Secretary)  Mrs.W.Spencer (Communications Officer), Dr.A.Takhar,  + 20 patients
APOLOGIES: G.Markley (Treasurer) Drs. Nally, Hume,  Baker, Jones,  Mrs.D.Roberts (PracticeManager)  Mrs. K. Lawes (Wansford Surgery) Mr C & Mrs M Stewart

Mrs. Gough opened the meeting, welcoming all those attending and introducing the guest speaker, Mr. Michael Bacon, Chairman of the Borderline Patient Forum.
Mr. Bacon gave a brief history of the forum and its predecessor, the Borderline Trust which was formed by 11 practices who felt the need to identify separately from others in Peterborough.  The current forum, made up of two representatives from each of the participating eight practices has for the first time ever, by means of the chairman or his deputy sitting on the Local Commissioning Board, been given the opportunity to veto any decision and thereby influence policy. He stressed the importance of a two-way communication so that patient views will be heard once the new NHS structure comes into effect on 1st April.  The Borderline LCG, sometimes in collaboration with the Peterborough LCG, will be promoting various projects and if relevant will be looking for patient participation – information about these will be circulated and volunteers sought who perhaps have personal experience of the subject matter.
Questions were raised regarding the transistion of various services from the current providers to the new Borderline structure – mental health, community and social services.  Discussion also took place on the relevance and importance of both LCG and PPG websites, and the way in which budgets will be controlled.  Concern was expressed that patient representatives may volunteer in order to promote their own grievances – PPGs should monitor this situation.
Mr. Bacon concluded his talk by referring to the bi-monthly Borderline Jamboree which is open to all patients and where many pertinent subjects are raised and discussed, with specialist talks and input on relevant projects, etc.
Mrs. Wagstaffe, on behalf of Communicare, expressed much appreciation to Mr. Bacon for attending the meeting and giving a most informative and succinct talk.  (Mr. Bacon then left the meeting)

1)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 9th January were agreed as a true record – proposed by Mrs V. Harvey, seconded by Mr. D. Hellard.

2) MATTERS ARISING
i) Car Park at Wansford : Planning permission has now been granted but there are ongoing negotiations re the pipeline – however work should commence later this month on the landscaping.  There has been a site meeting regarding visual access and an attending member of Yarwell Parish Council was assured that their concerns about hedging had been noted.
ii) Transport : Mrs. Wagstaffe reported that a meeting had been arranged for Thursday 7th March at Wansford surgery for all voluntary drivers and reception staff – she hoped that all current concerns and queries could be resolved.
           
3)  TREASURER’S REPORT


Balance brought forward

 

  £7328.53

Income
Yarwell Coffee Morning (Feb)
Donation i/m Mrs Wilshaw
Expenditure 
Xmas Lunch
Hire of Coach
Hire of Hall
NAPP Subscription
Balance carried forward 

        
         ??
         25.00
       
       71.00
      125.00
       27.00
       30.00

   
   
    + 25.00
 
   

 

   -253.00
  7100.53

- 2  -

4)  TRANSPORT REPORT
No report available.  Details of the meeting to be held 7.3.13 will be reported at the next meeting.

5) EQUIPMENT PURCHASE
Dr Takhar reported that although funds had been received from the Strategic Health Authority towards the new car park, nothing had been forthcoming to cover the cost of the new 24hour ECG machine.  It was noted that as agreement had been forthcoming at a previous meeting for the purchase of this equipment, Dr. Takhar would contact the Treasurer in due course regarding funding.

6) ANY OTHER BUSINESS
i)  Patient Survey:  Dr. Takhar reported on the recent annual survey which had been completed by 281 patients, 20% of which online.  The overall result was slightly better than the previous year, with a 92% satisfaction rate – 5% not sure, and only 1% expressing poor opinion of the practice. 98.5% were confident of and trusted the service given, but a small percentage felt that they were not involved enough in decision on care. As a result of this the process is now underway to identify and clarify points raised as part of the survey, with agreement given to the following being prioritized for the forthcoming year – further exploration of  online appointments for nurses/HCA’s, medication reviews, weekend surgery service, telephone appointments with doctors along with the continued development of the practice website, looking to  incorporate the standardized section for the inclusion of Patient Representation Group information in line with the Borderline Patient Forum.  In addition to this it has also been a pleasure for the practice to be able to report the secured finances for the development of the car park with the provision of additional much needed car parking spaces, this in the past having been raised as a priority requirement on a number of previous patient satisfaction surveys.
ii)  Dr. Takhar reported that the national project of certain age group healthchecks was continuing – over the last three months over 500 patients had been seen.  This was an exercise to identify risk of certain conditions, with the appropriate follow-up action.
iii) The surgery web-site was discussed and the importance stressed of keeping information up to date – Mrs Spencer confirmed that the Borderline Forum was interested in a project to standardize all the practices’ sites and their next meeting was to be addressed by the LCG website designer.
vi) Dr. Takhar asked that patients appreciated factors contributing to appointment times running late – doctors were required to deal with incoming telephone queries and other emergency situations.  He also stressed that changes in prescriptions were often due to different manufacturers supplying the appropriate drugs – there was also a 3/4 day lead time for repeat prescriptions which had to be adhered to.
v)  It was noted that a new national telephone service (111) would be coming in action on 1st April – this replaces the old NHS Helpline.  Dr Takhar confirmed the practice’s disagreement with any proposed system being provided on this telephone service for making local appointments – that function must remain totally by means of contact with the surgery reception staff.
vi)  Dr Takhar confirmed that the patient profile of the practice in comparison with national statistics showed lower an average age 18/25, average 45/65 and above average for 65 upwards. It was requested that this information be displayed on the website.
vii) Mrs. Wagstaffe gave details of a ‘Village Day’ to be held at Kings Cliffe on Sunday 19th May in the village hall between 11am and 3pm.  It was decided that a Communicare presence would be beneficial and a small sub-group of CW, HG, WS and Dr. Caddick would decide on the type of stall and information to be made available.
viii)  Mrs. Janet Howard who was attending the meeting with her brother-in-law, Mr. Anthony Howard, presented cheques to Communicare for £1300 which were donations in memory of her late husband, Mr Bernard Howard, who had died recently and expressed the wish that funds should be used for providing relevant support to the practice as appreciation for the care and attention given during his illness.  Mrs. Wagstaffe thanked Mrs. Howard on behalf of Communicare for this very generous contribution – this was echoed by both Dr Takhar and all those present.

7) DATE/TIME NEXT MEETING – Wansford Surgery – Wednesday  8th May 2013 - 6.30pm.
      Guest Speaker:  Dr. A. Takhar – ‘Reducing the Risk’ – an outline of advice and action in the prevention of common conditions such as high blood pressure, strokes, liver & kidney disease, diabetes, cholesterol, etc.

 

 

COMMUNICARE
     MINUTES OF THE MEETING HELD AT WANSFORD ON Wednesday 9th January 2013

PRESENT: Mrs.H.Gough (Chairperson)  Mrs.C.Wagstaffe (Secretary)  Mrs.W.Spencer (Minute Secretary), Dr.R. Nally,  Mrs.D.Roberts (PracticeManager)  + 10 patients
APOLOGIES: G.Markley (Treasurer) Drs. Takhar, Hume,  Baker, Jones,  Mrs. K. Lawes (Wansford Surgery) Mrs L. Hellard, P.Wright

Mrs. Gough opened the meeting, welcoming all those attending.

1)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 7th November 2012 were agreed as a true record – proposed by Mr. Hellard, seconded by Mrs. Caddock

2) MATTERS ARISING
i) Car Park at Wansford : The resubmission for planning permission is due to go before the Planning Committee at Thrapston on 28th January – there has been one comment lodged by Yarwell Parish Council suggesting the replacement of border hedging by open fencing to allow better sight vision. It was confirmed by Dr. Nally that all lighting would be low level.
ii) Patient Survey: Due to technical problems this has been delayed but will commence next week. Patients can complete the survery online or obtain a paper copy from Reception at Wansford – it will also be distributed with repeat prescriptions. A minimum of 240 require completion and notices will be posted encouraging patients to take part.
           
3)  TREASURER’S REPORT


Balance brought forward

 

  £7053.81

Income
Yarwell Coffee Morning (Oct)
Yarwell Coffee Morning (Nov)
Charifund Bonds interest
Donation I/M of late:  Joyce Burton                     
No Expenditure 
Balance carried forward                                         

        
         31.50
         33.80
         42.42
        167.00
      

 

   
   

 
    274.72    

£7328.53

In Mr. Markley’s absence, Mrs. Wagstaffe reported there had been a request for a donation to be used by the district nurses, in recognition of their care of the deceased person – however it transpires that no personal payments can be made and a new ruling now precludes Communicare from providing the nurses with items of equipment, as these have to be sourced through their own supply network.
Following a complaint regarding the unavailability of ECG machines at either surgery, Dr. Nally confirmed that the practice was still awaiting the outcome of the request for capital grant monies to cover the purchase of new machines.  When the amount of the grant is known it may become necessary to request additional funding from Communicare – this matter will be reviewed at a later meeting.

4)  TRANSPORT REPORT
Following lengthy discussion on the current arrangements for patients to request transport and the subsequent allocation of journeys to the voluntary drivers, it became clear that some clarification was needed.  It was agreed that a meeting should be arranged for all drivers, co-ordinators and the relevant reception staff from Wansford surgery to discuss the protocol and iron out any problems or queries that may arise.  Mrs. Wagstaff will discuss with Mr. Markley and then circulate a suitable date/time for a meeting to be held at Wansford surgery.
It was confirmed that free parking is now available at Peterborough Hospital for voluntary drivers – carpark tickets must be validated at the appropriate desk and then put through the exit machine.

 

-2 -

 

 

5) EQUIPMENT PURCHASE
Dr. Nally confirmed that the practice were hopeful about obtaining the capital grant money from the Health Authority – depending on the amount received, this will be used for the purchase of already identified items of equipment, but if sufficient resources were obtained she hoped that they would also cover ultrasound hardware and software for DVT investigation – this would allow patients to be treated at the surgery instead of having to visit hospital.

 

6)  PROPOSAL OF FORMAL CONSTITUTION
A redrafted constitution document had been circulated – this has taken into account the concerns and suggestions made at the November meeting, with particular reference to the rotation of officers.  It was noted that a further small addition should be made in respect of use of funds.  The final draft will be published in conjunction with the notice of an Extra-Ordinary General Meeting to be held following the normal meeting on 6th March.  Proposed by Dr. Caddick that the proposed constitution be accepted subject to an amendment to clarify expenditure – seconded by Mr. Peake – unanimously agreed.

 

9) ANY OTHER BUSINESS
i)  Mrs. Harvey stated that an ambulance recently called by 999 to her home had come from Kettering, taking 35 minutes to arrive which could have been a life threatening delay – Dr. Nally confirmed that the whole ambulance service was in the process of restructure but it was hoped that after 1st April, response times would improve.
ii)  Mr Michael Bacon, the chairman of the Borderline Patient Forum, has agreed to attend the March meeting to give a talk on the new health care structure and how the Forum operates.  The talk will be the first item on the agenda of the normal meeting to allow Mr. Bacon to retire – the extra-ordinary meeting to adopt the constitution will follow on afterwards.
iii) Dr. Nally announced that she will be taking a six-month sabbatical to join a team of doctors, health and social workers on a pilot scheme in Peterborough and Borderline areas researching the care of elderly people at home. A new doctor, Janine Mountain, will be joining the practice together with additional help from Mike Henshey, recently retired from Bretton surgery.
vi) Mrs. Caddock raised the question of the current situation regarding the Kings Cliffe surgery. As a KC parish councillor she was able to inform the meeting that land was now available and the District Council were willing to lease out premises if the Parish Council could fund the provision of suitable accommodation.  Some funding could be forthcoming as a result of the recent escalation in new homes in KC but clarification is needed – Dr. Takhar to be asked to investigate.
v)  It was agreed that a programme of future speakers should be drawn up – Drs Takhar, Nally and Hume have offered to give talks on specific subjects – the first will, hopefully, be arranged for the May meeting.

10) DATE/TIME NEXT MEETING – Wansford Surgery – Wednesday  6th March 2013 - 6.30pm.
      This will be followed by an Extra-Ordinary General Meeting with a single item agenda –
      to adopt the proposed new formal constitution.

 

COMMUNICARE
     MINUTES OF THE MEETING HELD AT WANSFORD ON Wednesday 7th November 2012

PRESENT: Mrs.H.Gough(Chairperson)  Mrs.C.Wagstaffe(Sec’y) Mrs.W.Spencer(MinuteSec’y),
 Dr.A. Takhar,  Mrs.D.Roberts(PracticeManager) + 15 patients
APOLOGIES: G.Markley(Treasurer) Drs. Nally, Hume,  Baker, Jones,  Mrs. K.  Lawes (Wansford Surgery) Rev D. Parkes, Mrs. T. Sortwell, C. Stewart

Mrs. Gough opened the meeting, welcoming the patients and requesting that they sign the attendance sheet noting their email addresses if they wish to receive future notices and documents.

1)  MINUTES OF LAST MEETING
The minutes of the meeting held on Wednesday 4th July 2012 were agreed as a true record – proposed by Mrs. M. Bird, seconded by Mrs. M. Stewart

2) MATTERS ARISING
i) Car Park at Wansford : Dr Takhar was very pleased to announce that the required funding for this project had now been secured from the Strategic Health Authority.  As the original planning permission was now over three years old a new application has had to be submitted to the local authority – it was not anticipated that this would present a problem but the matter was now being chased.  A preferred contractor has been chosen and it is hoped that work will be able to commence as soon as the planning application is confirmed.
ii) Dr. Takhar informed the meeting that despite the decision already taken regarding the Borderline group of practices forming their own LCG, a suggestion had now been made that it might be preferable for Borderline to amalgamate with the Peterborough Group to form one LCG.  Currently Borderline’s patients’ opinion and views are being sought; Wansford practice would prefer to remain within Borderline only, but to co-operate with Peterborough on special projects.  It was felt by the meeting that most patients would adhere to what the doctors recommended, particularly as rural and urban needs could be very different.  The Communicare representative will report on this outcome to the Borderline Patient Forum at their meeting next week.
iii) Equipment purchases:  Dr. Takhar reported that funding had also been secured from the Health Authority for a new defibrillator for the KC surgery and also for 2 new 24hour ECG machines.
           
3)  TREASURER’S REPORT


Balance brought forward

 

  £6632.43

Income
Yarwell Coffee Morning (Sept)
Charifund Bonds
Donation I/M of late:  F.Wass
                                  J. Relph
                                  P. Roberts

        
         38.70
         28.50
       224.63
       152.55
       200.00

   
   

 

    644.38    

Expenditure
Printing charges for new Comm.leaflet
Balance taken forward

 

       

 £7276.81
     223.00
 £7053.81

4)  TRANSPORT REPORT – No report available.

5)  EQUIPMENT PURCHASE – No items requested – however Dr. Takhar reported that along with other funding acquired from the Health Authority, monies were also now available for the purchase of a machine for measuring blood clotting and a new arrangement had been agreed for all practices within Borderline to benefit from an Ultrasound service to visit the surgery every two weeks, together with a technician.  In the past vasectomies had only been carried out at Corby or Kettering – this service is now available at Bretton.        

6)  PROPOSAL OF FORMAL CONSTITUTION
The following were suggested amendments/alterations/additions:

  • Under ‘Borderline Patient Forum’ should be added ‘and any other patient group’ – this will eliminate the need to revise the constitution in the future if the structure of the health service changes.
  • Point raised by the auditor – where mention is made to funds being ‘raised’ by the Group, this should be changed to ‘received’ – this would incorporate all monies taken in by donation or raised for special projects.
  • Discussion took place on the matter of length of term of office for officials – suggestions were made to prevent the possibility of all officers retiring in the same year which would not be conducive to continuity.  DH/PW to amend as necessary to allow for this.
  • Possible inclusion of ‘power of co-option’ for filling officials’ vacancies.
  • PW confirmed that the adoption of the constitution should take place before the commencement of the new health infrastructure in April next year.
  • DH is still awaiting response to his request for sight of the formal constitution of the Borderline Patient Forum – suggested he now contact Gina Allen, the NHS representative responsible for forum matters.

It was agreed that a redraft would be submitted to the next meeting in January with the prospect of calling a Special General Meeting to take place before or after the following meeting in March when the constitution could be formally adopted. Notice of these arrangements will need to be given to all patients via noticeboards, newsletters, email, etc.

7)  VOLUNTARY DRIVERS PAYMENTS
Complaints had been received from several voluntary drivers regarding aspects of the service they were asked to provide – payments not covering fuel costs – patients taking service for granted – some users only requiring transport to visit friends/relatives in hospital – collection journeys too long – non-payment for service.
It was agreed that the fees charged should be increased as follows with immediate effect and notice of these to be placed on boards, in village newsletters and with reception staff:
            Same village journey                                      £3
            Any other village to Wansford or KC              £4
            Stamford Hospital                                           £7
            Peterborough City Hospital                             £10
Efforts should also be made by the above means to try to recruit more drivers, particularly from the villages not already served by one – this could alleviate the longer journeys.
Attention to be drawn to service not being available for visiting hospital and non-payment will be reported with consequent disqualification from being eligible for future transport.

8) ANNUAL PATIENT SURVEY
The Practice Manager confirmed that there had been difficulties with the production of this survey, experienced by all Borderline practices – however, the project should be underway shortly and completed by March of next year.

9) ANY OTHER BUSINESS
i)  Mrs. Wagstaffe requested reimbursement of £60 for charges levied by ‘Living Villages’ Wansford magazine for the insertion of the new Communicare leaflet.  Treasurer to expedite.
ii)  Mr Michael Bacon, the chairman of the Borderline Patient Forum, to be invited to attend a future meeting to explain how the new health service structure will operate.  WS to present him with letter at forum meeting on Tuesday 13th November.
iii)  The Secretary on behalf of all patients expressed a sincere vote of thanks to David Hellard and Philip Wright for all their hard work and time spent on preparing the draft constitution.

10) DATE/TIME NEXT MEETING (AGM) – Wansford Surgery - Wed 9th January 2013 at 6.30pm.

 

 

COMMUNICARE
(Wansford & Kings Cliffe Surgery Patient Participation Group – PPG)
Minutes of 32nd AGM held at Wansford Surgery – Wednesday 5th September 2012 PRESENT
Heather Gough, Clare Wagstaffe, Gilbert Markley, Wendy Spencer, Dr. A. Takhar, Dr. R. Nally, Mrs. D. Roberts (Practice Manager), George Russell (Auditor) + 14 patients

1) APOLOGIES
Dr. N. Hume, Dr. C Jones, Mrs. C. El-Dakroni  , Mr & Mrs Rowntree, P. Wright

2) MINUTES OF LAST AGM MEETING – 20th Sept 2011
Proposed to be a true record by Maureen Bird seconded by Dr Caddick.

3) MATTERS ARISING
a) Mr. Peake raised the matter of online purchasing – Dr. Takhar confirmed that as yet no funds had been transferred to Communicare – this was probably due to the amount involved of 1% of the total purchase price being fairly insignificant and a minimum figure of £50 required before transfer.

b) Kings Cliffe Surgery:  Mr. Hellard stressed the need to maintain pressure on all those groups involved in implementing the new healthcare strategies, in particular to ascertain the policy to be adopted by Borderline on branch surgeries.  Dr. Nally stated that as far as they were aware no firm strategy had yet been announced but this might be forthcoming when the new LCG and CCG came into force on 1st April next year. All practices had to be registered with the Care Quality Commission by the end of this October and it was expected that they would visit KC next April.  Certain work had now been completed to improve the premises, but any future developments were still not known.

4) CHAIRPERSON’S REPORT
Copies of report circulated to all present – Heather spoke about the various guest speakers that had attended meetings during the year, the ongoing carparking situation and the successful Xmas lunch in January – she thanked Gilbert for organizing this and his work as treasurer, Wendy for her reporting, and Clare for all her time and efforts on the social side.

5) SECRETARY’S REPORT/ MINUTE SECRETARY’S REPORT
Clare reported on the year’s social activities and her continuing involvement with Borderline – the forum for patient groups within the LCG, which meets on a monthly basis. She confirmed that the new Communicare leaflet has now been published and is being circulated around the villages within their magazines. Clare also reported on the receipt of a letter from George Russell, the auditor, which became the subject of discussion within the Treasurer’s report on these minutes.
Wendy’s report reiterated many points already made by the Chairperson and Secretary. She again thanked the village magazine editors for regular publication of reports and for their co-operartion in distributing the new leaflet.
Both the Secretary’s and Minute Secretary’s report copied and circulated to all present.

6) TREASURER’S REPORT
A set of audited accounts were copied and circulated.  Gilbert highlighted the main points, in particular the increase in receipts from the Social Group’s coffee mornings due to the new transport arrangements which do not require payment for a coach.  Equipment purchase was considerably less than the previous year, but donations had increased. The balance carried forward is £6632, with the value of the Charifund Units decreasing by approx. £85.  Gilbert thanked George Russell for completing the audit.

                                                                        -2-

A letter had been received by Clare Wagstaffe from George Russell, following his audit of the annual accounts.  This registered his disagreement with a donation made by Communicare in March of £4000 towards the cost of providing more car park spaces at Wansford surgery.  He felt that monies donated by patients or their relatives was given to be used for the benefit of patients, and whilst increasing carparking facility at Wansford would be helpful, it would also enhance the value of a privately owned property, which of course is not the purpose of Commmunicare.  He also stated that in his opinion Communicare should have a formal constitution which would cover its future activities.
Gilbert confirmed that he had received a number of complaints from past donors regarding the payment of this money to the car park fund who felt that it should have been used for equipment purchase or similar uses.
It was therefore proposed by Clare Wagstaffe and seconded by Madeline Stewart that this donation should be rescinded – the money had not yet been allocated and should remain in Communicare funds – all agreed.  Dr. Takhar stated that in view of the controversy over this matter, the practice would not accept any further monies for purposes of this kind until such time as the formal constitution sets out future policy.
                                               
7) TRANSPORT
Gilbert reported that the scheme was continuing to operate successfully but with less volunteers – efforts should be made to try to recruit extra drivers.  However he reported that a problem was occurring with patients contacting drivers directly and not requesting transport through the surgery reception – reception staff were also arranging free hospital transport for patients when the Communicare scheme could respond – Mrs. Roberts agreed to investigate this matter.
Two volunteer drivers in attendance at the meeting, Mrs. Hellard and Mrs. Stewart, complained about the distances they were asked to travel and also non-payment of the charges.  Agreed that drivers should be instructed not to take calls from patients, Gilbert to provide a list of the formal points for reception staff, payment by patients to be formalised and new volunteers to be sought via newsletters.

All reports were proposed for acceptance by ????, seconded by ?????.

8) ELECTION OF OFFICERS
From the floor it was suggested that if the present incumbents were willing to stand for a further term of office, they should continue for the coming year.  As there were no other nominations, and all officials indicated their willingness to continue, proposed by Charles Stewart and seconded by Madeline Stewart that all should be reinstated – unanimously agreed.
Chairperson                Heather Gough
Vice-Chairperson        Wendy Spencer
Secretary                    Clare Wagstaffe
Minute Secretary        Wendy Spencer
Treasurer                    Gilbert Markley
Auditor                         George Russell

9) PROPOSED ADOPTION OF FORMAL CONSTITUTION
Following a comment in the letter from the auditor, George Russell, regarding the lack of a formal constitution, Clare informed the meeting that this action had never been taken since the inception of Communicare, but she felt that the time had now come to put matters on a more formal footing. To this end she had downloaded a number of constitutions from the NAPP website which could be used as a guide for drawing up this document.
It was proposed by David Hellard seconded by Heather Gough and all agreed that a small sub-group would be formed to consider the content of this document and a draft would be presented to a future meeting for consideration by all patients before adoption. Clare Wagstaffe, David Hellard, Charles Stewart (and if agreeable, Philip Wright) will form the sub-group, who will meet shortly and report back, hopefully at the November meeting.
                                                                        -3-

10) ANNUAL PATIENT SURVEY
It was noted that the annual patient survey was due to be completed this autumn and Clare reported that the Borderline forum had instructed that patients be asked for any additional questions they felt should be included.  She had emailed all available patients but had received limited response – relevant suggestions would be passed to the Practice Manager for possible inclusion.

10) ANY OTHER BUSINESS
a)  Richard Bannister raised a point regarding location of services and the need to attend Diabetic Eye Screening in Northants which was not convenient, when more local provision was available in Peterborough or Stamford.  Dr.Nally confirmed that when the new healthcare regime came into force next April, this situation will hopefully be resolved, but she was actively pursuing the matter with Borderline and LCG.

b) Anthony Percey commented on the difficulties experienced by patients having to attend Addenbrookes Hospital in Cambridge due to the transport situation on the A14.  It was suggested that use of the new guided bus service from St. Ives could be a solution -  a review of all modes of transport available to the various hospital locations could be published in village newsletters.

c) Clare proposed that reimbursement for telephone costs should be offered to Gilbert for his work on the transport scheme – this was declined.

d) Proposed by Mrs. Caddick, seconded by Mrs. Hellard and all agreed that the printing costs of the new leaflet should be covered by Communicare funds - £223.

e) Dr. Nally made the following requests for purchasing equipment :
            Two finger oxygen monitors for children at cost of approx £120 each – proposed by
            David Hellard, seconded by Heather Gough – all agreed.
Replacement of the Defibrillator Unit at the Kings Cliffe surgery – present one now obsolete - at cost of approx. £1200 – proposed by Mrs. Caddick, seconded by Mrs. Stewart – all agreed.

f) Dates of future meetings for 2012/13 agreed:
            Wednesday 7th November 2012                    Wednesday 8th May 2013
            Wednesday 9th January 2013                                    Wednesday 3rd July 2013
            Wednesday 6th March 2013                           Wednesday 4th September 2013(AGM)
It was agreed that a formal agenda for each meeting incorporating notification of any particular matters to be discussed, should be circulated by whatever means possible to patients in advance of these meetings, by email, village newsletter and on surgery notice boards.
The matter of Statin prescribing was raised . It was agreed that the Doctors would arrange a Presentation on ‘the use of Statins’ at a future meeting (date to be confirmed)

 

There being no further business, the Chairperson thanked everyone for attending and closed the meeting at 8.30pm

 

11) DATE/TIME OF NEXT COMMUNICARE MEETING

Wednesday 7th  November 2012 at Wansford Surgery – 6.30 p.m.

 

 

 

 

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