Notes of a meeting of DueEast Neighbourhood Council Held at Whitehawk Library on Wednesday 23rd March 2016
Present : Residents : Chris El Shabba, Anne Glow, Patrick Mckenna, Angela Kinrade, Christian Sant, Sandra Frape, Iain Ramage, Doris Connaway , Tony Martin, James ( from Bristol estate ) , Lynne Bennett, Liam Slade, Linda Miller , Bernd Sass, Charlie , Lenny Doherty. Visitors : Cllr Warren Morgan ( Leader of the City Council and ward councillor) , Christa Beesley ( Clinical Lead CCG ) , Richard Beard ( BSUH 3T’s project lead ) , Jane Lodge ( Patient Engagement Manager – CCG ) , Ben Miles ( Project manager City council lead on Whitehawk Hub project ) , Sam Warren – City council communities team , Richard Longrigg ( Development Manager, Macmillan Cancer Support ) , Harriet Knights ( City Council public health team) , Gary Collins ( fire service, community safety team ) , Peter Sutcliffe ( Trust for Developing communities ) , 2 residents from bevendean.
1.County Hospital 3 T’s Development Project 2016-2024
Richard Beard outlined the plans for the 3T’s project to redevelop the Royal Sussex County Hospital site which will take 9 years to complete. Questions from residents :
Parking / Traffic : Concerns that the project will worsen many traffic and parking issues currently affecting residents . RB described 3T’s traffic related project plans in place for : A new park and ride at Marina Way ( the site of the old gas cylinders ) ; No parking permits for staff who live in BN1/BN2 areas ; cycle purchase scheme ; bus pass concessions for staff ; Traffic estimated for 1% increase in Eastern Road due to measures to have deliveries made further away etc . Action : RB about to send communication to all staff – will mention this problem and request staff to be considerate of local resident needs.
WM and RB said all local residents , patients, DueEast and other community group representatives are welcome to attend the regular Hospital Project Liaison meets – Warren chairs this meet. Next meets : Weds 20 July, Weds 21 September , Weds 23 November – all meets at Audrey Emerton Building , Eastern Road, 7pm – 9pm – refreshments from 6.45 pm.
Website for details : https: // www.bsuh.nhs.uk/about-us/hospital-redevelopment/hospital-liaison-group/
Action : All can find out more about the 3 T’s project at “ Know Your Hospital Day “ at the Sussex County –Saturday 30th April 11 am – 2pm . DueEast will have a stall.
Community benefit programme – The hospital working with main contractors Laing O’Rourke will provide apprentice job opportunities and work with local charities and groups and schools to help increase skills, employability and promote the construction industry. They aim to leave something behind that is more than the new buildings. See 3 T’s project newsletter :
Action : RB happy to update DueEast at a future meeting . Chris/Pat to invite.
2.The role of the CCG and the Future of GP Services at the Wellsbourne Health Centre
Jane Lodge, patient engagement manager at the CCG explained what the CCG is and outlined the situation regarding the contract notice of the Practice Surgery at the Wellsbourne , and that they would continue their work until the end of November 2016 .
Cllr Warren Morgan suggested that it was possible that Ardingly Court surgery who are already providing some GP service at the Wellsbourne might want to take an expanded role at the Wellsbourne Centre in the future. Jane said she was unable to confirm that . Dr Christa Beesley , a GP working as a locum at the Practice at the Wellsbourne Centre and Clinical lead for the CCG said that she and her CCG colleagues were working to find a solution involving local GP’s if possible but that any GP practice interested would have to negotiate a contract with NHS England, not with the local CCG.
Pat Mckenna questioned whether the experience of the Practice was the result of a business taking a profit making approach to delivery of GP services rather than a public service ethos . Christa Beesley explained that all GP surgeries were in fact independent businesses where local doctors look after the clinics and run their businesses. Christa added that she was passionate about local GP’s coming to work with patients in Whitehawk and said she would be doing what she could to encourage local GP’s to consider this though it would be NHS England who would have to contract any future provider and she was not aware that any deal has yet been done.
Local resident Linda Miller from the organisation Sussex Defend the NHS said she was shocked that 11,000 patients were potentially at risk of losing their GP’s in the City .She said local residents need easy access to local surgeries – this was the case in the Bevendean area just as in Whitehawk. Her view was that the GP system was in potential meltdown with so many GP’s due to retire and GP’s not willing to become partners. Christa commented that the increased workload of GP’s as more services such as diabetes care and control need to be delivered out of hospital as demand rises was a factor in putting some students off a career as a GP. Managing workloads, helping GP surgeries to free up GP time to concentrate on their core patient contact for example was being worked on across the city along with seeking to create extended teams , to increase partnership work with local communities and look at a better skill mix in surgeries were all being worked on to tackle this long term issue. NHS England has the legal responsibility for providing sufficient capacity of GP’s in the city to meet need. If patients needed support to register elsewhere if any surgeries do not continue then local support will be provided. The CCG is taking action to work to get more medical students interested in careers as GP’s in the area.
Christian Sant said the Morley Street provision for the 800 or more homeless people which includes those who are not just street homeless but “sofa surfing “ was a lifeline to this group , many of whom face critical health issues and severely reduced life expectancy.
3. Identifying the health issues most affecting local people
3 groups of meeting participants mixing residents and visitors considered the following issues : 1.What do local people and health services say are their biggest health issues ? 2.What barriers stop local people and health services dealing with these issues ? 3.What can help local people and services to break down these barriers ? 4.What actions can you take to help with any of this ?
Group 1 : Facilitator Richard Longrigg – Macmillan
1.What do local people and health services say are their biggest health issues ? Length of time to get an appointment at GP ; Too Much demand on services that can’t cope – practices too small and lack facilities ; Access to services – opening hours are not convenient for everyone , not open at weekends,not many open drop in sessions offered ; Access to NHS dentists ; Transport for older people – to appointments
2.What barriers stop local people and health services dealing with these issues ? Finance – no investment in area ; Transport and mobility access to services ; Services don’t engage / consult with local residents ;Length of time to get appointments at hospital when referred by GP ;Length of GP consultation time ;
3.What can help local people and services to break down these barriers ?Keep lobbying Councillors and Health Boards – ;Strong voice from local people
4.What actions can you take to help with any of this ? Look after ourselves – take advantage of health checks which happen locally at community hubs ;Self-management of conditions ;Good information needed to help people – provide information in different formats and appropriate formats ( eg ??
Group 2 : Facilitator – Tony Silsby ( SES)
1.What do local people and health services say are their biggest health issues ? Cancer patients need to be seen earlier; Confidence ; Older people living in isolation ; Transport access to surgeries ; Out of surgery visits ; Difficulty in getting appointments at GP – by phone , ; Unnecessary inappropriate doctor / hospital visits ; System can encourage exclusion ; Warning system for schools – eg when there is an outbreak of an illness ; Weight issues and all the problems that brings
2.What barriers stop local people and health services dealing with these issues ? Time pressures - ;Training ;
3.What can help local people and services to break down these barriers ? Positive needs based approach – person centred approaches ; Education – for patients and doctors about each other ; Named GP system – and “Bookability” ( permanent group ) –
Group 3 : Facilitator : Graham Allen ( SES )
1.What do local people and health services say are their biggest health issues ? Getting appointments at GP’s – a problem at Park Crescent , Broadway ;County hospital nebuliser treatment not available often enough ;Parking for domiciliary nursing staff across the area – they often have to walk to and between appointments ;Some patients don’t have a GP or don’t visit them much ( mainly men ? ) ; Surgery capacity at the Pavilion surgery ;Sheltered housing schemes in the area experiencing problems getting appointments – the dr will call you back system means too often too short notice that day for older less mobile patients to respond to request to get up to surgery for appt soon that day etc ; Not seeing the same doctor – lack of continuity in family doctor ; Long waits for appointments outside GP – in hospitals ;Administrative errors in hospital appointments – poor communications between different parts of health service
2.What barriers stop local people and health services dealing with these issues ? Lack of doctors ; Insufficient staff ; Too much interference by government ;Not enough capacity for appointments ; People not using alternatives
3.What can help local people and services to break down these barriers ? Better terms and conditions for doctors and staff ; Health services should be run by doctors and with strong community/patient input together – work much more closely together ; Promote the use of chemist and pharmacy much more often for local people How ? more advertising , peer to peer local people telling other local people in their areas , promote in newsletter, posters, due east trustees and other local people , activities in pharmacies to show they are places to use – testimoniess from local people - build new relationships with pharmacies
4.What actions can you take to help with any of this ? Lynne :Talk to people in the street about all these issues / take part in health champion schemes, get more informed about health services ; Angie - Put notices up about pharmacy use and talk to Dmitri and his team at the pharmacy – kamsons – ; Sandra and angie – visit pharmacies together , explaining what has happened ; PPG – anne is a member of hers, bring these issues up in your PPG ; Sandra volunteered to represent Practice patients at the April 11th meet with CCG /NHS England about the future of the GP surgeries ; Christian – could help around the issue of people who do not have GP’s – Christian says he is one of these and could help find out more about others in the area who do not have GP’s and how they use health services to help inform planning in the area.
Actions : 2 patient reps to attend key GP subject meet with CCG and NHS on April 11
These comments will be published and included in a DueEast community health plan which residents and patients will have opportunities to contribute to in the coming months.
4.Date of Next DueEast Neighboruhood Council meet : Weds 22 June 6pm – 8pm Whitehawk Library