Scottish Health Campaigns Network

 

 Minutes of meeting on 9th November 2013

 

Present:

Julie McAnulty (Chair)                                                Dr David Williams (Vice Chair)

James Sandeman (Secretary)                           Dr Patrick Trust (Treasurer)

Ken Barr          Cowal                                      Anne Hughes     )        (re Centre for

Alastair Glen    Health Forum SE                     Catherine Hughes)       (Integrative Care

Tom Herbert    Stobhill

                              Actions

1) Apologies:   Eileen Gorie, Margaret Hinds, Dr George Venters, Kenneth Brown, Auchenshuggle and Garrowhill Community Councils

 

2) Minutes of 31st August:

A) Amendments:

p.1:      The CIC (Centre for Integrative Care, aka Homeopathic) sees 350 inpatients

(not 300).

                 The CIC already has Physiotherapy and Occupational Therapy.

A CIC charity group is being set up.

p.2:      3) C) KB advised he was not on the Cowal Out of Hours group.

B) With these amendments, adoption was moved by KB, seconded by DW.  Carried.

C) Matters arising:

CIC:     JMcA reported on a positive meeting with Dr Bob Leckridge.  He is gathering data to support the case for its retention.

CIC appears to be in a good position to accommodate an eventual residential Chronic Pain Centre, although there are concerns over any proposed change of status.  For the time being little is being said, but once the results of the recent consultation are published (January?) the public debate will open up.  The Press are understandably interested, but will have to be patient for a while.

CH expressed concerns about homeopathic prescriptions: the question of whose budget (NHSGGC’s or the GP’s) should cover them is unresolved, but helps to undermine confidence.  If GP referrals fall, NHSGGC may take it as an argument to close the facility.

CIC is checking its legal status, as it is understood to offer some protection.

Politicians’ input to the debate has not always been helpful, or fully informed.  Suggestions have included seeking judicial review (but the Court of Session does not come cheap) or using the Holyrood Public Petitions Committee.

 

3) Reports:

A) Treasurer: PT reported a balance of £804.04, but continued anomalies with the Bank, who have still not registered the changes of signatories.  “Work in progress”              PT

 

B) Groups: Many Community Councils were (re-)elected this autumn, and although we continue to send Minutes etc to “Virtual Members” we need to encourage the silent ones to re-confirm their membership.                                                                       JS

PT reported that the Vale of Leven group is effectively on hold, until the hospital comes under renewed threat.  Meantime the “North of the River” initiative is causing some concern as its proposal for A&E at the Golden Jubilee (Clydebank) would put VoL’s role in question.

He reminded members that the Golden Jubilee enjoys peculiar status with a separate Board and financial dependency on other Boards referring patients to them.  This puts them in the position of sub-contractors struggling to be flexible enough to accommodate others’ success or failure to service their own fluctuating demands.

TH reported that the Save Stobhill group was intending to wind up in the Spring, and after discussion on a suitable ‘home’ for remaining funds they would look at providing a portable scanner for the New Stobhill.

KB reported on the setting up of the Struan Lodge (Dunoon care home) development group whose strategy document he will be hand to the Cabinet Secretary.

He also described the multi-agency development of integrated care for the elderly, and hopes that the NHS Portal might be used to alert appropriate agencies of, for example, repeat calls from individual patients.

PT instanced the collaboration in Clydebank between Health Visitors and the Police, helping address among other things child and domestic abuse.  He also highlighted the contribution the old GP Co-operatives had made in putting their out-of-hours work on computer, which kept other services informed and many patients therefore out of hospital.

 

4) Meeting with Cabinet Secretary for Health and Wellbeing (27th November)

Since we only have 30 minutes allocated to us, discussion centred on slimming down our original set of questions.

Several of the issues inter-relate, and some could be left as seeking written answers rather than taking up time on the day.  After considerable discussion, it was agreed to reflect this in a revised schedule of questions, as follows:

a) Chemotherapy at Stobhill: TH and JS are to meet East Dunbartonshire Council officers on 13th November, chiefly to ascertain how actively EDC are able to follow their endorsement in January 2012 of the campaign launched by the late Cllr Charles Kennedy.  We may also find if there is an avenue for us to approach NHSGGC as they prepare their Clinical Services Review, in particular on cancer, as suggested by the Cabinet Secretary.

PT pointed out that any further outreach services from the Beatson would raise resource issues, including staff who are reportedly already under severe strain.  This may be part of the reason for NHSGGC’s having reversed their original plan to provide chemo at Stobhill, although they deny that the Beatson is under pressure.

     Our approach on the 27th may therefore be limited to a reminder that the issue is still live, our gratitude that the Cabinet Secretary showed an interest and the hope that he will maintain it.                                                                                         JS

 

b) Stroke: One question relates to the need for public information, particularly on early response to symptoms, but it is recognised that Chest Heart & Stroke Scotland, along with Health Boards, have attempted to raise the matter in people’s minds via TV and leaflets.  This was no doubt expensive, and effective for a while, but is probably largely forgotten.

Our original questions stand, but are left for written answers in due course.  JS

 

c) Centre for Integrated Care/Homeopathy: This matter is delicate, and the Chronic Pain Centre cannot be discussed at this stage.  CH’s question stands, to ask the Cabinet Secretary a) to consider seriously that the CIC as a unique facility in Scotland should be funded nationally, and b) since the CIC pharmacy has closed, to ensure that prescriptions for medicines which can no longer be obtained there be honoured elsewhere.                    CH

 

d) Integrated Care in a District Hospital:   )

Integration of Health/Social Care:         )

TrakCare:                                              )

These issues cannot be separated, and it was agreed PT would open with his proposed model, which has been shown to work and could be considered for wider roll-out.  One key is collaboration between services, including IT and Integration – which latter will require give-and-take and a degree of political leadership.  The Cabinet Secretary should be encouraged to select best practice and apply it.     PT/KB

 

e) Cross-border health issues: This includes issues of training and GP reviews, particularly as a way of easing some of the pressure on A&E, but would be left for a written answer.                                                                                        JMcA/PT

 

Agreed that participants (JMcA, PT, KB, JS, CH) would meet at the Scottish Parliament at 16.15 on the 27th, aiming for the 15.15 train from Glasgow Queen St.

JMcA, PT, KB, JS, CH

 

KB suggested the full text of our questions be sent to all Virtual Members, for their information and to encourage their input to further debate.  This was agreed.                      JS

 

5) Membership, fees: Time was short – agreed to hold over discussion, as not urgent.

 

6) AOCB: None

 

7) NEXT MEETING: Saturday 18th January 2014 (subject to room availability)        JSü

 

SHCN-Minutes-9thNovember2013