NORTH WALES LOCAL MEDICAL COMMITTEE LTD PWYLLGOR MEDDYGON TEULU GOGLEDD CYMRU CYF

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1 NORTH WALES LOCAL MEDICAL COMMITTEE LTD PWYLLGOR MEDDYGON TEULU GOGLEDD CYMRU CYF SECRETARIAT: MS A LLOYD WILLIAMS CHAIRMAN: DR E D JESSUP Yr Allt Ffordd Tan y Gopa SECRETARY: DR P W WHITE Abergele Conwy LL22 8DS TREASURER: DR G O JONES Tel: northwaleslmc@yahoo.co.uk ACCOUNTS: MRS E M JONES Website: Registered in Wales Number: Dear Doctor The meeting of the North Wales Local Medical Committee Limited was held on Tuesday, 9 th September 2014, at the Kinmel Manor Hotel, Abergele, Conwy LL22 9AS at 2.00pm. This meeting was sponsored by Boehringer Ingelheim, Chiesi Ltd, Ipsen and Sanofi who were present prior to the meeting, together with promotional display stands. Present: Drs Eamonn Jessup, Phil White, Gruff Jones, Mrs Lynne Joannou, Paul Emmett, Sara Bodey, Tim Davies, Matthew Makin, D K Banerjee, David Johnson Joanna Garrigan, DHO Lloyd, E Shaheir, Ieuan Parri, Alwyn Parry, Idris Humphreys, David Morris, David Saunders, Z Chohan, M Zahid, Kathrin Thomas, Angharad Fletcher, Uday Bisarya, Caroline Lorenz, J S Jones, Alan Surgey, J Honeybun, Mark Walker, L Khan, Jay Nankani. Rhys Owen. David Davies, Conor Corr, Helen Hughes. Liz Bowen, Heather Merrick, Olwen Williams, Tim Jones, Kathryn Jones, Alison Hughes, David Wood, Richard Keatinge, Chris Tillson, Susan Owen Apologies: Drs Fraser Campbell, Barbara Griffiths, Jayesh Patel, Endaf ap Ieuan, Andrew Jones, Martin Thomas, N Bradley, Margaret Hanson. LMC MINUTES 1. Speakers. 2pm Mrs Helen Hughes Head of Quality & Governance Radiology CPG, Dr Conor Corr Consultant Radiologist. Mrs Helen Hughes is setting up a Radiology engagement group, Dr Jay Nankani will co-ordinate this and Dr Liz Bowen and Dr Phil White will be GP representatives. Dr Conor Corr outlined the radiology services across the sites. The work load has increased since 2008 up to 2014 by 40%. They plan to increase engagement with GPs. He stated that new guidelines are coming in for CT scanning. Also the CT dose will be decreasing. There will be an advice line for GPs and on site 12 hour scanning. Mr David Davies, North Wales Informatics. Mr Davies stated that the Minister has chaired two informatics board meetings. LIMS (laboratory information management system) will go live in September. The Welsh Clinical Portal implemented in Cwm Taf and Hywel Dda. The WG have agreed a National Repositry for diagnostic results. The portal provides fast access to information about medication, referrals and discharges, allows health professionals to request tests and results from various sources and ultimately improves patient safety and a reliance on paper records.

2 IHR (independent health record) pilot in Cardiff completed highly successful. Electronic referrals next phase pilot in Cardiff and Vale October Procurement of ED system near completion.. The Welsh Care Records will be complete by April. Intelligent audit tool complete by December. Medicines management will be piloted in Glan Clwyd October. GPTRR being piloted in Hywel Dda. Secondary care will view results via WCP. 250 practices have now migrated. Dr Olwen Williams and Mr Tim Jones WAST spoke to the members regarding Paramedic Pathfinder which is designed for face to face assessment and not telephone triage. Urgent and emergency care pathways are often fragmented and complex, resulting in confusing journeys for many patients. Unfortunately the North Wales LMC were not approached regarding these discussions and as we are the main body that represents GP interests in North Wales, LMC should have been included in these discussions held on 14 th August. 2. APOLOGIES Dr Fraser Campbell, Mrs M Hanson, N Bradley, M Thomas, Andrew Jones, Endaf ap Ieuan, J Patel. 3. PERSONALIA 4. TO CONFIRM Minutes of the Full meeting held on Tuesday 8 th July LMC Minutes.doc The minutes were confirmed as accurate. TO RECEIVE Minutes of the BCULHB Forum Forum Mins.doc 5. MATTERS ARISING (i) Flyer has been circulated re all GPs to work towards Level 3 training. All information is on Electronic Learning for Health website. (ii) Matthew Makin stated that discharge summaries will be given priority by him in addressing the issue raised by GPs. 6. BETSI CADWALADR UNIVERSITY HEALTH BOARD

3 (a) Safe haven patients. One practice had difficulty as were told did not meet the strict criteria, all took over a week to organise. (b) Cross border locums. Difficulties encountered with having to find locums on the Welsh Performers List. Members agreed that this is an issue and that WPL is a barr to recruitment. This should be a unified performers list. (c) Minor surgery training days with Dr E Jessup and Dr Mark Walker 10 th September 2014 and 8 th October pm (d) BCU Consultation on management structures for operational delivery. EJ circulated a paper regarding this, a major shift being proposed. Professor Makin stated that HIW s report on clinical leadership published and reported recommendations for the structure. MM assured the members that the new executive team were working closely to develop a strong narrative and a strong three year plan. (e) Dr Martin O Donnell is stepping down. 7. GPC Wales (a) Negotiators confirmed as Dr David Bailey, Dr Charles Allanby, Dr Phil White and Dr Peter Horvath-Howard. (b) Dr Charlotte Jones newsletter. (c) Dr P White s Negotiators Report 31 st July PW Negs Report doc (d) Welsh Risk Pool, briefing update for GPs working OOH. Welsh Risk Group Briefing Update OOH. (e) Letter from Charlotte Jones re identifying & referring patients with HepC and or Hep B CMO.

4 (f) GPC Wales Negotiator Report Charles Allanby July Neg report charles allanby.docx (g) LMC Welsh Conference Hilton Hotel Cardiff 28 th February Motions required by 12 th December GPC U.K. Newsletters. 9. WELSH GOVERNMENT (a) Discussion paper on the review of the advisory structure for health. Advisory Structure Review - Consultation 10. CORRESPONDENCE (a) Copy letter received from Dr G J Evans Gyffin to Dr Rosemary Fox Medical Director Cervical Screening Wales. Cervical Smear results - inconsistencies between lablinks and cervical screening Wales. We have recently been caught out as a practice as the lablinks smear result said mild abnormality e.g. low grade dyskaryosis present recall in 6 months. However, the patient then gets a letter saying they have been referred for colposcopy. When the practice manager rang Cervical Screening Wales she was told to ignore the lablinks result. This is a highly dangerous practice and is something that should be stopped forthwith. This could lead GPs open to claims of medical negligence. 11. FOR DISCUSSION 12. ANY OTHER BUSINESS LMC website is up and running DATE AND TIME OF NEXT MEETING 11 th November 2014

5 AGENDA 2 RECEIVED (NOT FOR DISCUSSION) Change to Practice Address New address, Chirk Surgery, Castle Health Centre, Colliery Road, Chirk LL145DH Retirement Dr Peter R Phillips Pendyffryn Medical Practice Prestatyn. Dr David Cluett 30 th June 2014, Medical Centre, Ruabon. Leaving the practice as a partner Dr Ceri Salusbury Beech House 31 st July Dr M Britto Llys Meddyg Conwy. Dr A Swaro Bodowen Surgery Holywell 30 /06/14 status changing to Locum PHARMACY Applications Submission by Bradleys Practice Buckley for premises approval. Application by L Rowland for a minor relocation from 2 St Mary s precinct Chirk to Castle Health Centre, Colliery Road, Chirk. Application received to transfer ownership of the pharmacy contract from pathvalley ltd 54 Conwy Road Colwyn Bay to Gorgemead Ltd. Application by Boots UK Ltd for preliminary consent to provide pharmaceutical services in the vicinity of Holyhead Road, Station Road Betws y Coed. Reserved Location registered population less than 2750 therefore deemed to be in a reserved location and as such no requirement for the Committee to consider the test of prejudice for this application. Decision; The Committee concluded that the granting of a pharmaceutical contract within the neighbourhood was not necessary. Preliminary consent applications submitted by L Rowland to provide services within the vicinity of the former River Lodge Hotel, Mill Street, Llangollen.

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