The League of Friends of Fairford Hospital

(Reg. Charity No: 1006416)

 

Minutes of the Annual General Meeting

at Fairford Hospital

on Thursday 21st May 2009 at 7.30 p.m.

 

                        Present:           Mr David Phillips (Chairman) and 26 members.

 

1.1

Apologies were received from Mrs Sue Souter, Mr Martin Harwood & Mr Frazer Hart

2.1

Minutes of the last AGM on Thursday 1st May 2008 were available in the room for those who had not seen them and were signed and accepted as an accurate record.

Proposed by Mrs Jo Williams and seconded by Mrs Ros Godden

3.1

Matters Arising: There were no matters arising not covered by the Agenda.

4.1

Chairman’s Report:

2008 proved to be a very busy and rewarding year for the League of Friends of Fairford Hospital when a number of new initiatives we had been working on for some time came to fruition.

Prospect Hospice

In April we signed an agreement with the Prospect Hospice in Wroughton near Swindon for terminal care support for patients of our 2 practices.  This provides home assessment, home support, training for clinical teams and admission if needed.  This was a 12 month pilot scheme at a cost of £30,000.  The Fairford and Lechlade practices both felt that with the closure of Fairford Hospital beds access to sensitive and appropriate terminal care is one of the biggest shortfalls of health care provision locally.  The service has complemented the excellent work already being done by the District Nurses and our own Home Nursing Service entirely focussed on the overall benefit to patients. 

The results of the agreement have been very encouraging with 35 patients from Lechlade and Fairford practices being helped during the year to 31st March 2009.  Of these 17 were from Lechlade and 18 from Fairford.  The number of inpatient days has totalled 24 from Lechlade and 21 from Fairford and there were 140 community nursing visits  The League has renewed its contract with Prospect Hospice for a further year to 31st March 2010 at a total cost of £50,000. The Management Committee has come to the view, however, that it cannot continue its support indefinitely partly on cost grounds and partly having identified a need we would wish to involve the PCT in this provision of care.  We are, therefore, proposing to initiate a dialogue between Prospect Hospice, Gloucestershire PCT and ourselves about how this service can best be continued from next spring.

X-ray Equipment

I am pleased to report that the new X-ray equipment has now been installed here in a suite refurbished by the PCT and was formally opened on 27th January.  The facility is proving very popular and to date there have been 212 X-rays undertaken.  The League has set aside £70,000 as its contribution to what we believe is a much needed service. 

Nail Cutting Service

During 2008 we identified a need for a nail cutting service for patients who found this a problem. A clinic was established in January run by Mrs Carol Musgrove and the results have been encouraging with 80 patients requiring the service.  We are grateful to David Chapman for representing the League in our negotiations with the PCT. 

Whilst setting up these new initiatives we have not neglected our core services which continue to be much needed and greatly valued.

Home Nursing Service

This important work continues and Mrs Ros Hart will be giving a full report under the next agenda item.

 

 

Voluntary Car Service

The work of the VCS continues to grow – the total number of journeys in 2008 was 748 which is an all time record.  In the first 4 months of this year we have done 259 and so we can expect another busy year.  We have 51 Fairford drivers and 23 from Lechlade but we are always looking for more volunteers.

Journeys to Swindon have become easier as a result of the new road arrangements and parking passes for the Hospital but on the other hand Cheltenham remains a problem because of lack of parking.  This difficulty is offset to some extent by the increase in the number of patients now going to Fairford and Cirencester Hospitals for treatment and out patient appointments.

The Voluntary Car Service is greatly appreciated by the patients – not only for the transport but also for the company.

In thanking the drivers we also owe a great debt of gratitude to Val Harvey the Co-ordinator and in her absence Jo Williams for all the work they do often having to find drivers at short notice and at inconvenient times.  I am sure it is a thankless task some days.  They are both here tonight and I am sure they would be happy to discuss any aspect of the work at the conclusion of the meeting.

Physiotherapy

For some years a local Physiotherapy service has been provided through the Friends for patients at Fairford Hospital through a contract with the PCT.  This was renewed in January this year for 4 years but subject to 3 months notice of termination by either party before the end of the renewal period.  This service is seen as having 2 additional benefits to the basic NHS service.  It is now mainly accessed by Physio Direct which offers advice and prescribed exercises initially by post which is often an unsuitable route for the elderly who require a more personal and assisted service.  Secondly the League Physio has shorter waiting times.

Counselling

The counselling sessions continue at the Fairford Practice and cost the League over £10,000 in 2008.  Thanks to the Edna Dawes Bequest we have continued our counselling service commitment to Farmor’s School.  This cost us £5,000 last year and we are glad to have an opportunity of assisting young people.

Edna Dawes Lunch Club

This continues to meet at Fairford Hospital on Mondays.  It is at full capacity of 16.  Sally White and her new Deputy Shirley Rice work extremely hard to ensure a wide variety of events and food continues to be prepared by an outside caterer.  Our thanks are due to Pat Harris, a member of the Management Committee who assisted Sally White for some months during the year.

Drug Delivery

The service of drug delivery to some outlying villages has continued throughout the year and is greatly welcomed by the elderly and housebound.

First Responders

Although little financial support was requested during the year I am pleased to report that 2 Responders have been awarded the Chief Officer’s Commendation Award from the Great Western Ambulance Service.

Fundraising and Publicity Group

In the autumn I set up a Fundraising and Publicity Group designed to improve the profile of the League and boost our reserves following our substantial investment in Prospect Hospice and X-ray equipment.  This sub-group which I chair also consists of Martin Harwood, Alison Ward of the Management Committee and Ruth Berridge who has been a long term keen supporter of the League in Lechlade.  Our first task was to consider whether any changes needed to be made to our annual House to House collection. Following our recommendation the Management Committee decided to circulate a letter rather than a leaflet, a card reminding all local residents of our services together with a standing order form designed to boost regular giving.  The Sub-group will now be considering further ways and means of keeping the name of the League and its services in the forefront of our supporters ‘minds.

 

House to House

The response to our House to House appeal can only be described as magnificent.  We raised £24,000 plus new standing orders of £4,640 making a grand total in excess of £28,500. Excluding standing orders this is an increase of more than £8,000 over the 2008 outturn and I pay tribute to the generosity of all those who contributed.  There is press coverage today giving a figure of more than £30,000 being raised.  I would just remind the meeting that this includes possible Gift Aided tax refunds which have not been included publicly in the past.  Thus for the moment I prefer to talk in terms of an £8,000 increase plus £4,640 of new standing orders some of which may not come into force this year.  Furthermore the Treasurer will no doubt tell you shortly that we are running a substantial, albeit expected, deficit this financial year.  Clearly the House to House collection would not have been so successful without the help of our co-ordinators and collectors. 

I am proposing to host a social gathering shortly which will give the Management Committee an opportunity of thanking them all in person.  I would like to acknowledge the work of our Administrator, Julie Zarczynski, in helping to bring about this excellent result.  I have been asked to say how much the coordinator’s and collectors appreciate being advised of the individual amounts collected in their areas.

I do take this opportunity of saying a very big thank you to all the members of the League of Friends and in particular to the many volunteers who help in so many ways, nurses and physios to the members of the Management, Social Events and Fundraising and Publicity Committees, our Administrator and to those who have supported us financially.  We are indeed lucky to have so many generous people prepared to help their community.

 

I conclude with some welcomes and special thanks.  Maureen Burton retired as Matron Manager of this Hospital in November.  She had to cope with loss of beds, uncertainty about the future of the Hospital and the setting up of outpatient clinics.  She handled all these problems with great efficiency without ever losing her enthusiasm.  She was a good friend to the League and we wish her well in her retirement.  We have welcomed Sharon Smith on to the Committee and she has already shown herself to be a worthy successor.

Margaret Pursch has joined the Management Committee from the Social Events Committee.  We welcome her as a supporter of and worker for the League over a long period of time.

Jo Williams retires from the Management Committee tonight.  She has been on the Committee for at least 10 years during which time she has had responsibilities ranging from drug deliveries to our Physiotherapy and Voluntary Car Services.  She has always shared her considerable Health Service experience and we are greatly in her debt.  She has offered to continue to assist the League from outside the Committee and we are glad not to lose her abilities completely.

I would like to thank our vice chairman, Dr Roger Johnson who deputises so ably during my frequent absences.  His medical experience is invaluable to us all on the Management Committee.

5.1

Review of Activities:

Home Nursing – Ros Hart reported that the home nursing service is growing fast. The original reason this service started was in order to back up the very good but limited District Nursing Service. With beds in Fairford hospital many people had a hospice on their doorstep, but even 13 years ago there was a strong move towards enabling more people to die at home if they wished and when it was possible.

Without the hospital we imagined that our role would increase but for many reasons it stayed the same or even declined and they were concerns.

So far the past two years we have made hugh efforts to work more closely with the District Nurses from whom we get all our referrals. There has been a big increase in patients. For the past 14 months since the League contracted with Prospect Hospice in Swindon the home nursing has made strong links with them. This is very exciting. The Prospect team have met all the nurses both in the Hospice and also at one of our training meetings. There is now very much a link and the League of Friends nurses are taking part in their training sessions giving confidence to the team and strength to the Hospice. We are now in a position to nurse Prospect patients when they are back home with the referrals coming direct to Celia from the Prospect at Home team.

Ros thanked Celia Kennedy & Sally Salter for the wonderful work they do with such constant grace and charm. Nothing seems to be too much trouble and we all work extremely happily together. Thanks also went to the terrific team of carers & nurses. Nothing seems to phase then and they always work when asked if possible. A thank you also went to Dr Roger Johnson who continues to give such wise and knowledgeable help and to Jim Barge without whom no one would be insured, paid or now taxed!

Celia Kennedy our Nursing Coordinator informed the meeting that referrals have rocketed with 56 so far this year. Last year there were less than 40. It’s averaging about 4 new referrals each month. There are 6 regular nurses with 2 occasional ones. They are very dedicated to the League of Friends. At present the nurses also caring for 5 long term patients and will continue to do so until the District Nurses are fully staffed. Celia thanked Ros Hart for all her hard work. It was suggested a letter of appreciation to the Nurses from the Chairman would be a good idea. Ros Hart would compile a list.

Fairford Hospital Sharon Smith introduced herself as the recently appointed Manger for the out-patients both at Cirencester & Fairford Hospitals. Although only in post for six months Sharon has quickly realised how much the League of Friends do for Fairford Hospital both presently and in the past.

The last year for the hospital has been one of re-establishing the links with Swindon & Marlborough NHS Foundation Trust. This has been with the help of Sue Dale, General Manager for the PCT Cotswold locality and Bobby Lang, Matron for Cirencester & Fairford.

The Clinics are steadily increasing with all patients attending providing a very positive feed back. The highlight of the year was the commencement of the building works for the x-ray department. This took 3 months and was finally officially handed over and opened on 27th January 2009.  A thank you was given to David Phillips for agreeing to cut the ribbon.

The cost of the new x-ray department was met by all parties with the biggest input from the League of Friends. The League provided the money for the equipment; the PCT provided the capital for the re-building and Swindon NHS providing the radiographer services.

With the opening of the x-ray services this gives the population of Fairford & Lechlade and the surrounding villages the opportunity to have a close to home service. This can benefit in many ways – those without transport can easily phone for an appointment following the GP consultation. The choice being closer to home plus the benefits of an appointment system helps all. The x-ray service will also benefit the GP’s and patients by having quicker access to the images. These once taken can be seen quickly by all. Arrangements are being put in place at the present time to ensure that if a patient has an x-ray at Fairford they can been seen at Cirencester Hospital, not only in Fairford & Swindon. This is something that should enable the patient greater choice than anywhere else in Gloucestershire.

The out-patients clinics are also steadily increasing. There are now 3 ENT clinics per month, an audiology clinic held four times a month. The audiology service is at present down to 4-10 weeks. Following the GP referral the patient can have a hearing test and in most cases can have a hearing aid fitted on the same day. A great success story.

During March & April new clinics have commenced – Gynae, Oral Surgery and a monthly extra General Surgery Clinic.

There has also been added an extra Active Balance Group with nursing and Physiotherapy staff coming from Cirencester twice a week.

The League of Friends toe cutting service has proved a success and this contract between the PCT and the League is about to be extended. Over 80 patients have been seen so far this year.

A successful Mother & baby course is now being held and is run by the local health visitors. Also in the pipeline are a possible ‘leg ulcer’ clinic provide by the District Nurses and also Children’s Occupational Therapy  assessments are to be held at the hospital.

Senior Nurse Anne Speller retires on the 22nd May and everyone wishes her well in her retirement. Jayne Mallinson will be taking over the post. Dot Williams has been employed as a Senior Nurse and will cover both Cirencester & Fairford.

The overall figures for out-patients in the last 12 months were that 1254 patients were seen and 150 clinics had been held.

Sharon reported on behalf of the Gloucestershire NHS Trust thank you to the League of Friends for the continued help and support and also a personal thank you from Sharon for the help, support & advice given to her since November.

Fairford Surgery – Dr Graham Wallis expressed the appreciation of the doctors, nurses, staff and patients of the surgery for the help provided by the League of Friends. The League plays an important part in serving the local community. Graham gave three examples of people who recently have benefited from the services the League has provided

·         A gentleman who had visited the surgery for a blood pressure check also had problems with his feet. The nurse was able to explain the Foot Care Service to him and subsequently he is now receiving treatment.

·         A sixteen year old young man has received counselling through Farmor’s School.

·         An elderly lady required transport to Cirencester and was greatly helped by the League of Friend’s drivers. She felt confident that she would be looked after well.

The Doctors were very pleased with the x-ray facility. Patients can now requested the images on CD to take to Gloucester Hospital

The Chairman thanked the all the Doctors for there support of the League.

6.1

 

 

 

 

 

 

 

 

 

 

Treasurer’s Report:

The Chairman thanked Jim Barge for his hard work as Treasurer over the year, especially with handling the change over of banks due to the fact that the Leagues existing Bank, Lloyds had started charging for their services and also for dealing with the Inland Revenue who have requested a pay roll system be in place for paying & taxing the nurses & administrator. The League’s new bank is HSBC. The Treasurer distributed summarised accounts for 2008 (see attached) and explained that the Edna Dawes Bequest had been ring fenced for specific schemes as agreed with the Trustees

  • Setting up of First responders
  • Setting up and continuation of the Luncheon club
  • Counselling at Farmor’s School

The total income for the year was £99,466. This was up on the previous year because the League received £15,000 from the PCT for home nursing and two large donations from a lady of £7500 for the General Fund & £7500 for the Phyiso Fund.  The total expenditure was £68,807 with total funds available at the end of the year of £499.873. The Treasurer informed the meeting that there will be a deficit this year. He explained that when the beds used to be at the Fairford Hospital any bequests came to the League but now patients who go to the Prospect Hospice for care their bequests go to the Hospice. The Chairman has started dialogue with the Prospect over this matter.

7.1

Election of the Management Committee:

The Chairman explained that members of the Management Committee were by definition Management Trustees and had the associated legal responsibilities for management of the charity.  These responsibilities were not onerous but nevertheless existed.  The Constitution requires a minimum of 10 and not more than 20 members of the Management Committee. The Committee will select a Chairman at the first meeting in accordance with the Constitution and David Phillips confirmed that he was happy to stand again as Chairman if the Management Committee so wished. The Chairman paid tribute to Jo Williams who retires from the Management Committee and thanked her for her contribution to the League of Friends in a variety of ways over the years. Jo was presented with a gift of appreciation.

The following have agreed to stand again on the Management Committee:

Mr David Phillips, Mr Jim Barge, Mrs Ros Hart, Mr Martin Harwood, Dr Guy Knights, Mr Gerry Willis, Ms Alison Ward, Mrs Pat Harris Mrs Margaret Pursch, Dr Roger Johnson and Mr David Chapman.

In an ex officio were: Sharon Smith  

Proposed by David Lawrence, seconded by Ros Godden – AND AGREED.

 

Appointment of the Social Events Committee:

The Chairman expressed thanks to all those who serviced on the Social Events Committee.  The following had agreed to stand:

Mr David Phillips, Mrs Ros Godden Mrs Pat Harris, Mrs Margaret Pursch, Mrs Ann Brill

Miss Frances Whiteman, Mrs Iris Ward, Mrs Sue Souter and Mrs Madeline Phillips.  

Show of hands – All AGREED

Appointment of the Fund Raising & Publicity Group:

The Chairman expressed thanks to all those who serviced on the Fund Raising & Publicity group.  The following had agreed to stand:

Mr David Phillips, Mr Martin Harwood, Ms Alison Ward & Mrs Ruth Berridge. 

Show of hands – All AGREED

9.1

Any Other Business:

Geoff Jenkins from the Lechlade Brize Singers is to organise a concert in Fairford to raise funds for the League. The date has been set for 14th November @ Farmor’s School. Tickets and more information will be available later in the year.

Talk-

Our two guests Mary Morgan, Assistant of Commission of PCT and Di Billingham, Public Health Director gave a presentation about the work of Commissioning after which a general discussion took place.

 

The Chairman concluded the meeting at 9.15pm