Highland Health Council
Highland Health Council

Caithness Voices

At the event in Wick on 4 September and the drop-in sessions in Wick and Thurso on 4 and 5 September, run by Highland Health Council, the following five concerns were given the highest priority by the people attending:

Closure of the A&E Department at Dunbar Hospital, Thurso

Lack of staff (e.g. vacancies can’t be filled, loss of GPs from the area)

Poor communications (e.g. about the A&E Dunbar, between patient and doctor, about NHS24)

NHS Dental Services

Chiropody

Highland Health Council would like to confirm with the people of Caithness that these are the five most important concerns. We would like as many people as possible to complete this questionnaire, so please feel free to photocopy it or contact us for more copies, using our Freephone number, 0800 834017. We would be grateful if you could return the completed questionnaire by 30 November 2002 to our Freepost address:

Highland Health Council

FREEPOST SCO2643

Inverness

IV3 8BR

If you would like a large print version of the questionnaire, please contact the Health Council on 0800 834017.

For each of these five concerns we have listed the issues raised and the solutions suggested by the public.

Concern: Closure of the A&E Department at Dunbar Hospital, Thurso

 Issues suggested by the public:

Transport issues

·  Difficult for older people to drive

·  Difficult for sick people to travel

·  Lots of families without transport

·  Expense

·  Tying up of the ambulance

Distance issues

·  What about the people that live west of Thurso

·  For schools – difficult to contact parents, takes up teachers time to go to Wick

Other issues

·  Safety – will a service based in Wick provide a safe service for the people who would have used the Dunbar

·  Need to keep people informed

·  There should be protocols determining what doctor can cover out of hours and what would need to be done at A&E

·  Increasing demands on the pharmacist workload, particularly out of hours

·  Winter weather, road conditions

·  Perception that closure due to upgrading of A&E at Caithness General Hospital

 1.             In your opinion, are these all the issues?

Yes

No

Don’t know

          If no, please add the issues you feel are missing

 .......................

.......................

Solutions suggested by the public:

·    Nurse led unit for Thurso

·    Training for GPs in Thurso

·    A suitably qualified person from CGH being responsible for the A&E in Dunbar

·    Independent doctors for the A&E in Dunbar

·    Appointment of locums for the A&E in Dunbar

·    Need for public to be informed, NHS create trust with public

 2.             In your opinion, are these solutions acceptable?

Yes

No

Don’t know

          If no, please state which solutions you feel are unacceptable

 .......................

.......................

3.             In your opinion, are these all the solutions?

Yes

No

Don’t know

          If no, please add the solutions you feel are missing

 .......................            

Concern: Lack of staff

Issues suggested by the public:

Vacancies are not filled

Loss of GPs from the area

Loss of NHS dentists from the area

Lack of staff for mental health services

In your opinion, are these all the issues

Yes No Don’t know

If no, please add the issues you feel are missing

Solutions suggested by the public:

Creative ways of recruiting and retaining staff

Emphasize quality of life

Remote/rural weighting (like London weighting)

Joint recruitment with other major employers in the area (e.g. Dounreay)

Allow flexible working

Go into schools and promote careers in health care

In your opinion, are these solutions acceptable?

Yes No Don’t know

If no, please state which solutions you feel are unacceptable

In your opinion, are these all the solutions?

Yes No Don’t know

If no, please add the solutions you feel are missing

Concern: Poor communications

Issues suggested by the public:

Poor communication between GP and patients

Lack of information about NHS 24

Lack of information about A&E Dunbar

Poor communication between NHS organisations

Delay in discharge letters reaching primary care

Patients not informed if outpatients clinics are running late

Lack of information in appropriate language for young people

In your opinion, are these all the issues?

Yes No Don’t know

If no, please add the issues you feel are missing

Solutions suggested by the public:

Better communication skills for health professionals

Electronic Clinical Communication Implementation (ECCI) should improve communications between different parts of the NHS

More time with doctors/nurses

Explanations in “plain English”

In your opinion, are these solutions acceptable?

Yes No Don’t know

If no, please state which solutions you feel are unacceptable

In your opinion, are these all the solutions?

Yes No Don’t know

If no, please add the solutions you feel are missing

Concern: NHS Dental Services

Issues suggested by the public:

Lack of NHS dentists

Waiting times

Travelling times

In your opinion, are these all the issues?

Yes No Don’t know

If no, please add the issues you feel are missing

Solutions suggested by the public:

Employ salaried dentists for Caithness

Caithness patients travel to other areas of Highland for treatment

Creative ways of recruiting and retaining staff (see above - Lack of staff)

In your opinion, are these solutions acceptable?

Yes No Don’t know

If no, please state which solutions you feel are unacceptable

In your opinion, are these all the solutions?

Yes No Don’t know

If no, please add the solutions you feel are missing

Concern: Chiropody

Issue suggested by the public:

Length of wait

In your opinion, is this the only issue?

Yes No Don’t know

If no, please add the issues you feel are missing

Solutions suggested by the public:

More chiropodists

Trained assistants

Vision for the future

Creative ways of recruiting and retaining staff (see above)

Research project on recruitment and retention issues for Allied Health Professionals

In your opinion, are these solutions acceptable?

Yes No Don’t know

If no, please state which solutions you feel are unacceptable

In your opinion, are these all the solutions?

Yes No Don’t know

If no, please add the solutions you feel are missing

Thank you for taking the time to complete this questionnaire

Please return it by 30th November 2002 to

Highland Health Council
FREEPOST SCO2643
INVERNESS
IV3 8BR