ࡱ> wyv'` e bjbjLULU ;b.?.?>+>+>+8v+D+Ph,,,,,*1*1*1'P)P)P)P)P)P)P$RhxTMPJ800^J8J8MP,,4bPZ;Z;Z;J8,,'PZ;J8'PZ;Z;+K|L,v, \>+9KMdxP0PKW:W$LWL *12DZ;4485*1*1*1MPMP;X*1*1*1PJ8J8J8J8DZZ Taunton Federation of General Practices c/o Warwick House Medical Centre, Upper Holway Road, TAUNTON, TA1 2QA Chair: Dr Bernard Newmarch; Vice-chair: Dr Harry Yoxall Secretary: Joanna Haxby, 01823 447373,  HYPERLINK "mailto:joanna.haxby@warwickhousemc.nhs.uk" joanna.haxby@warwickhousemc.nhs.uk Minutes of the meeting held at Crown Medical Centre at 1.00 on Thursday 13th October 2011 SurgeryPresentApologiesBlackbrook Surgery Mike Gorman (MG), Gale Berryman (GB) College Way Surgery John Parkinson (JP)Creech Medical Centre Bob Bakathur (BB), Elizabeth Tacchi (ET) Crown Medical Centre Justin Harrington (JHar)) Claire Gregory (CG)French Weir Health Centre Will Chandler (WC), Stuart Elford (SE)Luson Surgery Martin Ellacott (ME), Rachel Yates (RY)Lyngford Park Surgery Janet Shackleton (JS), Harriet Bell (HB)North Curry Health Centre Lisa Wallis (LW) Quantock Vale Surgery Rianne Sewell (RS) St James Medical Centre Rosie Benneyworth (RB) Guy Patey (GP)Victoria Gate Surgery Bernard Newmarch (BN) Warwick House Medical Centre Jo Haxby (JHax) Wellington Medical Centre (Bevan) Lydia Daniel-Baker (LD-B)Wellington Medical Centre (Rickard) Richard Griffith (RG)Wiveliscombe Surgery Blackdown Practice Stuart Murray (SM) NHS Somerset Sue Sutton (SS) Apologies: see above Minutes of last meeting (e-mailed with the agenda): Approved Matters Arising MG reported re Cardiology from the Flexible Healthcare Group, that: there is a locality consensus re BNP that the standards should be different from those recommended by NICE. A local paper will be coming out concerning this. ambulatory blood pressure is a proven cost effective investigation which reduces cardiology outpatient referrals. A proposal is being drawn up for a county-wide service. Currently seeking two practices, one in the East and one in the West (Taunton) to fit the equipment to patients. work is underway to redefine the referral form for the direct access echo service. The hope is then to have direct access echo since it is a pre-requisite for cardiology advice and guidance. GPED The service is now in place. Feedback is generally positive. There is some tweaking of the shift timings to be done. SS has picked-up the paper re funding for the admin costs to be extracted from the contract value awarded to TST. It needs to be submitted to Peter Lewis. Andy Perry has written the software for the rota to be web-hosted which MG described as so user-friendly, so nicely-written. ACTION: RB to obtain via Jan Hull and Sue Davies actual cash so that the payment for web-hosting to get the rota up and running can be made. ACTION: MG to ensure the full set-up costs are included in the paper re the admin costs and send it to Peter Lewis cc Jan Hull. MG has discovered that patients attending with a DVT and those waiting in Jowett Ward for transport are counted as emergency admissions. ACTION: Everyone please feed back to RB occurrences of this. RSs letter. ACTION: Practices please respond re links from the GPED back to the patients registered GP and how patients can be diverted back to the practice to make it seamless. A process will then be worked up. There was concern expressed that patients will use it as a back door. At this stage the GPED team is seeking suggestions for an alternative to just saying it is not appropriate for this to be seen in casualty. This links to the Urgent Care of RBs CCG Update for Taunton & Area Federation which was tabled at the meeting and afterwards e-mailed to all GPs via the LMCMailService. It was agreed that the aim must be to manage the workload in our practices. Other contributions were from JS the scale of education needed justifies a public health initiative; WC it has to be a joined-up service; and RB there will be a joint A&E/OOH clinical governance group. 5 CCG Delegate Feedback from RB RB tabled her CCG Update for Taunton and Area Federation. It has since been e-mailed to all Taunton Federation GPs. The Care Planning taster session on 9th November will be in the waiting room at French Weir Health Centre. Alf Collins will be speaking for an hour. CCG liaison. ACTION: Practices, please let RB know if you would like her to visit you. Patient Engagement. This will be picked-up at Federation level as well as at practice and county levels. CCG Newsletter Issue 3. The CCG now has delegated responsibility for Community Nursing and Mental Health Services. This led into discussion of the Federation Nursing reorganisation of community nursing. GB reported from the Federation Nursing project group that the community nursing managers now want to come and tell us their plans. It was suggested that Maggie Ayers might be invited to demonstrate SADIE to a Federation meeting. It was AGREED to develop our own specification for the district nursing service and that a subgroup should be formed to do this. SS and BN will work out an approach to influence the process. It was agreed that the reablement project was a good model. 6. QP Some practices have requested a Federated approach to this and NHS Somerset is supportive. We would encourage all practices to sign up to the top two choices and choose a third. Elective Care: Advice and Guidance Use of EERT to address individual specialties Diabetes / Respiratory Medicine / Dermatology Emergency Admissions: Use of GPED Emergency Readmissions Own practice Specific RB will invite Matthew Dolman to the peer review meeting on 3rd November. 7. Any other business 8. Date of next meeting QOF QP Indicators Peer Review Meeting 2.00 pm start, Thursday 3rd November at Bishops Hull House. Directions will be provided. Thursday 17th November. 12.30 to 2.00pm. Final half hour for subgroup meetings.        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PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.gzYtH?@(+43^Hpe&/                                                      BAt:&/ @ elO|c\#7',0g[1*6D:3:>kEG[IQL@NLPyUV/Z[AZ^a#d@bd_gj0um+q!vZhP/X@2'mqy^vs3qjlUV"GZ L6^AKhA7oRL,JTs8lRc&(/ &PQRi.WXYu'()HYZ[~)9:;fy0@GGL GGep@UnknownG: Times New Roman5Symbol3& : Arial5& zaTahoma?5 z Courier New;Wingdings"1h՛f3 hm )hm )!42QHP ?/Z2`C:\Documents and Settings\Joanna Haxby\Application Data\Microsoft\Templates\TF Letterhead v2.dotThere is an opportunity, with a very tight timescale (10th February), for the Somerset Provider Consortium (SPC), with its constituent Federations, in conjunction with Wyvern Health and potentially LMC support, to express an interest in taking over respo NHS Somerset NHS Somerset$      Oh+'0 ( H T ` lxThere is an opportunity, with a very tight timescale (10th February), for the Somerset Provider Consortium (SPC), with its constituent Federations, in conjunction with Wyvern Health and potentially LMC support, to express an interest in taking over respoNHS SomersetTF Letterhead v2.dotNHS Somerset10Microsoft Office Word@`@*}@n,Sj@Js\hm՜.+,D՜.+,, hp|  NHS) ' There is an opportunity, with a very tight timescale (10th February), for the Somerset Provider Consortium (SPC), with its constituent Federations, in conjunction with Wyvern Health and potentially LMC support, to express an interest in taking over respo Title 8@ _PID_HLINKSA]l*mailto:joanna.haxby@warwickhousemc.nhs.uk~  !"#$%&'()*+,-./013456789;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdeghijklmopqrstuxRoot Entry F@\zData 21Table:WWordDocument;bSummaryInformation(fDocumentSummaryInformation8nCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q