Cerne Abbas surgery has held an outreach GP clinic at Hazelbury Bryan Village Hall for many years but for several reasons, the surgery felt that the service was no longer sustainable. Following discussion with Dorset CCG to ensure contract compliance, the following information was provided to surgery patients early in August 2018 via the following media:
- displayed at our main surgery and at the HB village Hall
- given to patients who attend the outreach service between August and October 2018
shared with PPG members
put in medication bags for rural patients in that area for a month from 10/08/18
sent to PPG members with covering email
sent to local PoPPs reps for information
on our website
in parish magazines.
The surgery has received five individual responses to the proposals plus comments from the Village Hall Committee, which have been responded to by the Business Manager by means of covering letter and this report.
Hazelbury Bryan Village Hall Committee initially sought clarification of the reasons behind the proposal, specifically infection control. Every effort was made to clarify that there was no issue with the cleanliness of the hall, more that as it was not a clinical environment it does not meet the strict guidelines for healthcare and therefore it is the risk of infection that is the issue rather than criticising the cleanliness of the hall. In addition, confirmation was provided on the date of the final clinic as well as our intentions regarding the phone and broadband which were contracted by Dorset CCG and therefore outside of the surgery’s control.
The surgery reiterated that it is likely to continue holding an annual flu clinic at the hall in future years and therefore would make ad hoc bookings for this and also thanked the Village Hall Committee for their support over the years. In addition patients in Hazelbury Bryan would, as for all other patients, be provided with appropriate home visits and be able to access the medication delivery service.
Individual patients’ responses are identified below:
“Having learned that a number of surgeries in the area are closing I salute your endeavours to keep things going with reduced doctors and still providing a service that most people can only dream of.”
“As member of the PPG and a Hazelbury Bryan resident I am sure there will be a great deal of disappointment in the village at the closure of this service, no matter how justified the reasons.”
“Outreach patients know that the facilities are not perfect and that physical or confidential appointments might not be possible. They make this decision knowingly when they book through your surgery. For those who are elderly, with urgent care needs or for those who don’t regularly attend a surgery, the Hazelbury Doctor service is invaluable – it meets their requirements and provides a vital tool that outweighs any quality concern. “
“Is there any chance of re-instating the visit by a nurse which could well go some way to reducing the impact for your more vulnerable patients?”
“I do think it would be a negative move to close the Hazelbury service which provides an extremely important service, particularly to the elderly and for those with young children.”
“I am very sad to know that this clinic will not be running after November.”
“We shall be sorry to see the service axed but understand that unless well used by the community it becomes a luxury for the few and not economically viable for the providers. It has been appreciated and will be missed.”
In response to the comments above the surgery has stated that:
If the Care Quality Commission (CQC) inspected the village hall the outcome would impact on the whole surgery not just the outreach service, because it is not a registered ‘branch’, the main issues being around the unsuitability of the village hall to deliver medical services, specifically as the infection control risks are high, as is the risk of lack of confidentiality. An alternative venue of the cricket club has been suggested, but again this is not a specifically clinical environment and therefore is not suitable.
Although the surgery will be able to make better use of GP time that on its own has not been the deciding factor: although there will be some small financial benefits, it was about the quality of care we can (and are required to) provide.
Replacing a GP with a nurse for this session would not overcome the infection control, confidentiality and I.T. issues that exist. The surgery is also concerned about the risk of lone working for all its staff.
From November we will deliver an additional GP session at the main surgery instead on Wednesday morning and free up the health care assistant that was allocated to the HB session to do home visits. The huge advantage of having our Integrated Nurse Team (INT) means that we have the flexibility to support patients in the surgery or at home without having to handover to another team, therefore there should be no issues with more vulnerable patients accessing the services.
There are the local patient transport schemes that can help patients get to the surgery: although our staff don’t manage these schemes, they can provide contact details for patients to arrange transport.
In conclusion, the partners of Cerne Abbas Surgery have agreed that following this period of engagement, the Hazelbury Bryan outreach clinic will cease. The final GP clinic will be held at the village hall on 24th October, with a flu clinic being held the following week on 31st October 2018.
The partners would like to thank all of the patients for their continued support to the surgery.
Practice Business Manager
Sometimes you may have investigations that have been arranged by hospital consultants. The results from these tests do not automatically get forwarded onto the surgery.
If you want to know the result of a test you have had under the care of a consultant please phone the hospital and ask to speak to your consultant’s secretary.
We are required to provide you with a Privacy Notice by Law. It explains how we use the personal and healthcare information we collect, store and hold about you.
We understand how important it is to keep your personal information safe and secure and we take this very seriously. We have taken steps to make sure your personal information is looked after in the best possible way and we review this regularly.
If you would like to read our Privacy Notice in full, this is available here or paper copies are available from reception.
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In line with national guidance we are changing our policy on ear syringing.
Our patients are advised to oil for 14 days and if their ears are still blocked to book an appointment with a nurse, who will see whether they require syringing.
Please follow the link below to view a patient leaflet from the Local Medical Committee.
Cerne Abbas Surgery has been awarded dementia friendly status. We will continue to make progress and development.