Report of meeting held on Monday 15
April 2002 at 2.00 pm in the Conference Room at Caithness General
PRESENT: Patients Council
Philip Anderson Anne Campbell Jean Forbes Jim
Fry Jim McAdie Sandy Macleod
Rena Mappin Frances Purves Malcolm Smart
Sheena Craig, Directorate
Sandy Morrison, Trustee of Highland
Acute Hospitals NHS Trust
IN ATTENDANCE: Kay
Oswald, Directorate Assistant
Sheena Craig welcomed everyone to the meeting.
Jean Castle Isabel Ferrier Lachie Robertson, Quality Manager,
Highland Acute Hospitals NHS Trust Alison Phimister, Local Services
Manager - Caithness, CGH
PREVIOUS MEETING It was intimated that the reference to the
Raigmore Day Case Unit under “Any Other Competent Business” in the
minutes of the meeting held on Monday 4 February 2002 actually
referred to a day case episode in the Eye Unit. After this
clarification the minutes were agreed to be a correct record.
MATTERS ARISING Patient Meals
Attempts had been made to establish the budget allocation for patient
meals at different hospitals. Grampian Trust were unwilling to express
a set cost as they indicated that they have various categories for
different types of patients and their costs include domestic costs
etc. not just the cost of the meals. All Caithness and Sutherland
Hospitals budget approx £1.80 per patient per day and Raigmore
Hospital indicated that their budget is under £2. Telephone Rates
There was further discussion on the types of phone cards which can
be used at Raigmore. Sandy Morrison agreed to follow this up. NB:
Subsequent to the meeting Sandy advised that only Premier Cards can be
used in the telephones at Raigmore. These can be obtained from the
WRVS shop. BT cards or other firms cards will not work. Diabetes
Service Sheena had a meeting with Dr McCrury, Diabetologist.
Referrals have been increasing but only 11 new referrals from
Caithness. Referrals are made to him if the patient requires a
specialist, although it was suggested that specific referrals from GPs
could have been due to locum staff not being aware that clinics were
held at CGH. The waiting times here are still 4 weeks but can be up to
1 year at Raigmore. Renal Services The business case was
approved by the NHS Highland Board on 2 April. There will be a public
meeting on 25 April at 2.30 pm in the Norseman Hotel to update the
public on the proposals and the anticipated timescales. The
recruitment process for 2 full time and 1 relief staff has commenced.
The training will be carried out at Raigmore. The tenders for
architects are out and it is hoped the building will start June/July.
It is anticipated the unit will be operational by January 2003.
Funding is still an issue as the Board only starts funding the unit
from 2003. Outpatient Appointment Bookings It was agreed that
Isabel More should be asked again regarding the booking of follow up
appointments for outpatients following their first appointment. The
Freephone message at CGH was discussed and it was agreed that Isabel
should be asked if the message could be updated.
re Anaesthetics Sheena advised that there is not a normal
procedure for anaesthetics as it is patient dependent. Patients are
pre-assessed. The error that occurred in the procedure for a member of
the group was due to an error in the list. The quality assurance
process was questioned. Eye Unit - Day case The facilities for
storage of patients belongings will be queried with Lachie Robertson.
Neurological Services It was intimated that Aberdeen is the
main centre for Neurological Services for the Highlands. Alzheimers
Patients at Town & County Hospital Alison Phimister, Local
Services Manager-Caithness has indicated that the Town & County
Hospital provides inpatient assessment and respite facilities for the
elderly mentally ill. There is no plan to cease these services though
the style of service will change over time as the service develops. A
discussion on Delayed Discharge Patients followed. Speech &
Language Therapy The speech and language team leader, Penne Martin
will be meeting with members of the Chest, Heart and Stroke
Association soon to discuss the issue of referral to the chest, heart
and stroke service. Control of Infection It has been confirmed
that there have been no problems experienced with the laundry at CGH.
There should be no problems with staff uniforms as there are always
spare uniforms available in every size. Information on MRSA was
distributed to clarify the procedures should an incident occur. There
has not been a meeting yet of the Control of Infection Group but the
representation of the Patients Council on this group will be raised at
the next meeting. A member of the group queried whether there have
been any problems with infection recently in the Queen Elizabeth
Assessment and Rehabilitation Unit as it was noted that visitors
entering a side room had to be gowned and masked. Sheena agreed to
follow this up.
||LR SCC SCC
TIMES Information on the waiting lists and waiting times for the
end of February were distributed and discussed.
STANDARDS BOARD - Update A report on the Generic Standards has
been received. The working Group will reconvene to address the action
points. An audit on Cleaning Services and Infection Control will be
undertaken in the following week.
||RECRUITMENT OF NEW
MEMBERS The group were advised of the applications received and
were happy to invite the applicants to join the group for the next
meeting. The applicants will meet with Sheena beforehand for a brief
Medication on Discharge The notes from the last meeting will be
distributed to the group members. Review of Admission Letters for
Endoscopy Procedures New leaflets have been completed and will be
distributed for information. Quality Group Reports from the
Patient Questionnaires have just been received. A meeting will now be
arranged. Catering Services Review Kay will establish Jean
Castle’s availability for another meeting. Patient Handbook
Sheena agreed to chair this group and will arrange a date for the
first meeting. Pastoral Partnership A leaflet regarding the
chaplaincy at CGH is being prepared.
||KO KO KO KO SCC
||ANY OTHER COMPETENT
BUSINESS Orthopaedics Clinic at Dunbar A member of the group
attended the Dunbar hospital in November for an Orthopaedics
appointment with Mr Campbell which was scheduled for 3.30 pm. At 6.10
pm she had still not been seen and had not been advised of any delay
by a member of staff. When she asked if there was a problem she was
advised that she had just been forgotten about. Sheena agreed to raise
this issue with Isabel More. Inpatients with Learning Disabilities
A discussion arose over how nursing staff cope with inpatients
with learning disabilities and the problem of them being dehydrated.
It was agreed that there was no straightforward answer but the issue
would be reinforced with nursing staff. Acknowledgement Jim Fry
asked that the work of the Patients Council and the co-operation
received from management be acknowledged. Franking Machine It
was queried whether the CGH could be removed from the franking machine
as a confidentiality issue. Sheena agreed to raise this issue with
Isabel More. Obstetrics Consultant There will be interviews for
the third Obstetrician/Gynaecologist in May. Cardiac Rehab Centre
The Cardiac Rehab Centre for the Highlands is at Raigmore. The
first meeting is scheduled for next week. A & E Department A
member praised the speed of the service received recently at A&E Dept.
Joint Meeting with Raigmore and Belford Patients Council Lachie
Robertson had enquired whether the Group would be interested in a
joint meeting. It was agreed that this would be a good idea. A daytime
meeting, possibly on a Thursday would be the preference.
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||DATE OF NEXT MEETING
The date and time of next meeting is Monday 17 June 2002 at 2.00
pm in the Conference Room, Caithness General Hospital.