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Health Service Forum South East Minutes of a regular meeting of the Health Service Forum SE held on 10 February 2009 in the Larkfield Centre Contents Guest Speaker – Richard Copland Scottish Health Association Conference Responses to questions posed to Mr Ally McLaws of the GG&C Health Board WelcomeWelcome from the chairman, Margaret Hinds and introduction of Richard Copland Director of IT at the GG&C Health Board. Guest Speaker – Richard CoplandMr Copland told the meeting how the paper-lite system at the new ACADs will work. Normally two days before the patient is to attend a clinic his paper file is looked out. Papers can be mislaid. The new system involves scanning the patients records into a computer three days before the appointment . The test results thereafter go onto the computer system as do X-rays, referral letters and discharge letters to GP. A clinician can sign on to the patients record using a password. There are different levels of security for the system dependent on the role of the person looking at the record. The new system will allow clinicians to look at a sequence of test results in the system for one patient. Whatever hospital you go to the clinician will be able to access your data. Scanned hand written notes can be enlarged to allow ease of reading. Every eventuality is being tested. The advantages are a) no lost papers b) over a period of three years the paper case notes will be scanned to give entire history c) confidentiality is greater than using paper files. If an unauthorised person tries to access a computer record the audit trail will pick this up. The out of hours GEMS doctors can access a patients Emergency Care Summary or ECS that will include details of medication and allergies. Floor walkers will be involved in the training of personnel in the use of the IT system. In the long run money will be saved that is presently being used for the storage of paper records of patients, the retrieval of paper files and the transportation. Clinics will open in the new ACADS progressively over a period of 8-12 weeks. The ACAD at Stobhill will be operational by the 11 May 2009 The Victoria approximately a month later. ApologiesDouglas McGregor, Alastair Glen, The meeting welcomed the return of Dr Matthew Dunnigan to our meetings. MinutesMinutes of the January 2009 having been circulated were adopted as correct proposed by Alva Caldwell seconded by James Sandeman. There were no Matters arising from the minutes. Correspondencea) We have not yet received a response from Calum Kerr of the Scottish Ambulance Service to attend one of our meetings this year. The Secretary was asked to find an alternative Ambulance representative. b) Letter sent to Edinburgh University Sudden Death Tissue Bank asking for information on making a donation. c) Reply from Mr McLaws of the GG&C Health Board to our letter of the 14 January. The Secretary was asked to thank Mr McLaws for his response. d) Invitation sent to Dr David Stewart, Consultant in Elderly Medicine, Mansionhouse Unit of Victoria Inf., to address a Forum meeting. Treasurer’s ReportThe balance in the bank at present is £2491.94. It was agreed that the Forum would renew the subscription to the Keep our NHS Public Campaign amounting to £20.00 Scottish Health Association ConferenceScottish Health Association Conference on Accountability & the Scottish Health Service Margaret Hinds and 1) The first speaker was Bill Butler MSP on his bill for elected members of the Scottish Health Boards. Mr Butler wants a 50% + 1 elected members on each Board. He wants accountability and believes that the public will vote in or out the elected members according to how well they perform. 2) Our second presentation was given by Brian Becom, Chair of the Scottish Health Council that has been in existence since 2005. He has a committee of 9 people from throughout 3) Dr Brian Fisher, Chairman of the SHA and a GP has co-written the software programme EMIS. EMIS runs 60% of the software for GPs in As yet Responses to questions posed to Mr Ally McLaws of the GG&C Health Board1. The current planning proposal is to establish 12 short stay/overnight beds in the 2. There is no intention to have more than 12 overnight beds at this stage and therefore the Ambulatory Care Hospitals will both have 48 rehabilitation beds as part of their final configuration. At no time were these beds identified as a replacement for the Mansionhouse unit. When the ACAD opens in July 2009 many of the Mansionhouse beds will continue until the new 3. Funds are expanded to meet Health And Safety Statutory legislative requirements. Therefore the Mansionhouse Unit will in part remain operational, ongoing consideration has to be given to making appropriate improvements. 4. The commissioning of the new Victoria and Stobhill hospitals will take place over the period middle of April to end of June 2009 and will place a lot of responsibility and additional work on to our existing clinical staff to maintain the current clinical services in respect of South Glasgow at the Victoria and Southern General while being actively involved in overseeing the commissioning of the new facilities at the Victoria Hospital. It is therefore prudent to encourage staff to minimise annual leave requests. Clearly there will be some disruption to planned services, but there is no way this will result in a 2 month delay in clinical appointments at either the Victoria or Southern General. The planning expectation is that there would be a disruption to some services over the latter part of one week. ie Thursday/Friday and building up in the new location over Monday/Tuesday as most of the physical moves will take place over the weekend periods. 5. Screening for MRSA prior to admission; There is currently a national review being carried out under the Chairmanship of the Chief Executive of NHS Lanarkshire and that will make specific recommendations concerning the screening for MRSA etc. of elective patients prior to hospital admissions and therefore the operational policies adopted by NHSGG&C for the new Victoria and Stobhill Hospitals will be consistent with any new national guidance. 6. Work is well advanced with regard to the development of new as well as modification of existing IT systems to allow the new 7. Detailed work is still continuing with regard to the daily/weekend commissioning programme that will follow on from the handover of the buildings from the Construction Consortia. At this time both buildings will be handed over on time, which is week ending 27 March 2009 for Stobhill and week ending 3 April for the 8. In respect of the final bed complement for the new South Glasgow Hospital; Firstly this will contain 1409 new build beds made up as follows; 1109 adult beds, 240 paediatric beds and 60 neonatal/SCIBU beds. This new build complement will be added to by the continued use of a range of existing buildings which currently house some 560 beds, although as these buildings are upgraded over the years ahead, the final bed complement will alter. For the purpose of operational planning the new hospital will house some 1970 beds. At this stage discussions are still ongoing with regard to the extent that the new hospital campus will also accommodate mental health facilities including inpatient beds. 9. The new adult hospital will have all inpatient accommodation in single en-suite rooms. The children’s hospital is currently planned with a mixture of single and multiple occupancy wards to meet the needs of the children and this building, which has a 240 bed capacity will have 80 single and 20 multi-occupancy wards. In existing buildings all clinical areas have a mixture of single and 4/6 bed ward areas and there are approximately 120 single en-suite bedrooms within the retained buildings. Please note that Scottish Government Health Department planning guidance is that Health Boards should be planning when undertaking long term upgrading of clinical facilities for a minimum of 50% single rooms and therefore as we plan to modernise over the next 10 years the retained estate within the SGH campus, the expectation is that the number of single rooms will further increase. Our commentsAnswer 5. The GG&C Health Board is waiting for the outcome of the MRSA screening trial and should the outcome call for screening of patients this will entail a great deal more work for staff. More nurses and laboratory technicians will be needed. By the time the additional staff are in place the ACADS will have been open for business for several months. Answer 8. It is easier for the Health Board to use acronyms such as SCIBU when referring to topics that they and their personnel are totally familiar with, however not everyone knows what initials stand for and have difficulty in understanding. Answer 9. Single rooms give more privacy and the advantage of a en-suite toilet. The downside is the lack of support from fellow patients and companionship. Privatisation of health careThe Scottish Government is resisting the attempts by private companies to take over lucrative sections of health care. These companies must make a profit and are answerable to their shareholders. Nicola Sturgeon is to be congratulated on her bill to ban privately run GP surgeries. Dates For Your DiaryThe AGM of the Health Service Forum will take place on the evening of the14 April 2009 in the Larkfield Centre. At 7.30 p.m. on this date, Dr David Stewart, Consultant in Elderly Medicine at the Mansionhouse Unit will present an overview of elderly medicine and answer any questions arising. The next meeting of the Forum will be held on Tuesday 10 March 2009 at 7.30 p.m. in the Larkfield Centre, |
