Agenda and minutes

Health Overview & Scrutiny Panel
Tuesday, 16th June, 2015 9.30 am

Venue: The Executive Meeting Room - Third Floor, The Guildhall. View directions

Contact: Jane Di Dino 023 9283 4060 or Lisa Gallacher 023 9283 4056  Email: jane.didino@portsmouthcc.gov.uk Email: lisa.gallacher@portsmouthcc.gov.uk

Items
No. Item

1.

Welcome and Apologies for Absence

Minutes:

Apologies were received from Councillor Bayford.

 

Members asked that their thanks be passed on to David Horne for his great diligence and very contentious work as Chair.

 

 

 

2.

Declarations of Members' Interests

Minutes:

Councillors Peter Edgar and Gwen Blackett declared the following non-prejudicial interests: they are Governors at Portsmouth Hospitals' NHS Trust.

 

 

 

3.

Minutes of the Previous Meeting pdf icon PDF 98 KB

Minutes:

RESOLVED that the minutes from the meeting held on 24 March 2015 be confirmed as a correct record.

 

Matters Arising

Councillor Read requested further information on oral health talks given to carers and people in residential care.

 

 

4.

Urgent Care and Walk in Centres - report from Portsmouth CCG pdf icon PDF 225 KB

Innes Richens, Chief Operating Officer, and Dr Tim Wilkinson Clinical Chairman will present and answer questions on the attached report.

Additional documents:

Minutes:

Alan Banting, Chair of Pompey Pensioners gave a deputation in support of keeping the Guildhall Walk Healthcare Centre which included the following points:

·         He has been a registered patient at Guildhall Walk Healthcare Centre (GHW) for five years.

·         He is very happy with the flexibility of access and that the doctor comes to the waiting area to call the patients.

·         He recommended that the panel read Monitor's recent review of centres.

 

Innes Richens and Dr Tim Wilkinson, CCG introduced the report and the summary of engagement activity which had been circulated with the agenda and added the following points:

·         The CCG is mid-way through the engagement process and no decision would be made until this was completed. 

·         GPs support the minor injuries unit at St Mary's Hospital but have mixed views regarding the minor illness unit. 

·         There is some evidence that a number of patients are being referred to their own GP. 

·         GPs prefer to see their own patients. 

·         Co-locating the two walk-in services would strengthen the service.

·         The CCG will continue working with all GP practices to extend access to primary care.

·         It is committed to providing primary care service for homeless if the GHW were to be closed.

·         A survey has been sent to all patients registered at GHW. 

 

In response to questions from the panel, the following points were clarified:

·         The CCG is meeting with the university to discuss the needs of their students.

·         The GHW is used by many people who live outside the city but work in the city centre.

·         The majority of people use it as a walk-in service but are registered elsewhere.  This means that the commissioners pay twice. 

·         Both walk-in centres are seeing the number of patients that they are contracted to.

·         If the GHW walk in service were to be moved to St May's the CCG would commission the same level of activity. 

·         All GP practices offer same day appointments by employing different methods. 

·         There are good transport routes to St Mary's Hospital.

·         Some GP practices have indicated that they would be able to accept more patients if the GHW were to be closed.

·         An Equalities Impact Assessment was completed in 2010 and another one is currently being discussed and will be carried out.

·         Patients generally report good access to their GPs and 80 are happy with the access.   A small number prefer to attend A&E rather than wait to be seen at their GP practice. 

·         Work is being carried out to encourage GPs to work together to increase accessibility. 

·         Patients are happy to see any GP as long as they have access to their records.

·         A GP practice can close its list to new patients only with permission from the CQC.

·         In Portsmouth a significant number of GPs and Practice Nurses are approaching retirement within 3 or 4 years' time.  There are not enough in the pipeline to replace them.  This reflects the national picture.    Federation working is one of the possible solutions being discussed. 

·         All practices offer same  ...  view the full minutes text for item 4.

5.

Dates of Future Meetings

For the Panel to agree the provisional future meeting dates for 2015 below:

 

Wednesday 22 July at 9:30am

Tuesday 1 September at 9:30am

Tuesday 3 November at 9:30am



Minutes:

RESOLVED that the following meeting dates be agreed:

 

22 July

1 September

3 November