1. APOLOGIES: Dr Coleman, Susan Price, Jill Walker, Rev. Oddy.
    
2. NOTES: The Notes of the last meeting held on 08.01.2007 were read and agreed.
    
3. MATTERS ARISING:
   1. Update On The Telephone System: Kash reported that the new system seems to be working well and that she has not received any complaints regarding this. Initially there were a few teething problems, but they were mainly due to the technical setup and have been rectified. The automated options go off at 11.00 a.m. Kash also added that she will be monitoring and reviewing the system on a regular basis.
       
   2. Update On Newsletter: All present were very pleased with the final copy of the newsletter. All present thanked Stella and Jill for their hard work in putting all the information together on the newsletter. The Group also thanked Karen, the practice secretary, for putting the information on the A4 leaflet format. With regard to the next newsletter it was agreed that Kash would send a reminder to all Group members and the GPs to try and come up with some articles so that the draft could be presented at the next Group meeting. It was also agreed that the draft copy would be OK’d and proof read by Jill, Stella and Jean and then forwarded to Kash to circulate to all Group members prior to the next meeting.
       
   3. Practice Website: Kash reported that this can be accessed through Yahoo! as there are technical problems with Google at the moment. Kash will do some posters for the surgery informing patients that we have a website and how this can be accessed. Jean thought that perhaps the parish council could have a link through the practice website and all present thought that this would be a good idea and it was therefore agreed that Jean would ask Liam Martin, Chairman of the Parish Council, to contact Kash to get this done.

      Obesity Protocol: It was agreed to defer this to the next meeting as Dr Coleman was not available to do the presentation at this meeting.
       

4. CORRESPONDENCE:
    
   1. Response To Service Specification For Urgent/Emergency Out-of-Hours Service (previously circulated): Dr Drane replied that each partner from the practice wrote an individual response to the PCT regarding their concerns with the Out-of-Hours Proposal. Jean also added that, on behalf of the Group, she wrote to the PCT regarding the Group’s concerns. We await to hear what happens after the end of the consultation period which ends at the end of January 2007.
       
   2. Dr Drane’s Letter To Kim Joyce Re: The Four Towns Bus: The Four Towns Bus is like a signposting service which goes to Beccles, Bungay, Halesworth and Southwold and Kessingland is excluded from this initiative. Kash reported that the parish council had set aside for £5,000 to have Kessingland included in this initiative but were not able to go into the first triage. However, she will write to the Four Towns Bus Management Committee to see if we could be included in the second triage. We await to hear their reply.
       
5. PUBLIC INVOLVEMENT GROUP MEETNG (Stella to feedback): Stella gave a feedback from the meeting she attended. The main points to note were the PCT changes and the re-organization:-

• Interim 2 non-executive directors in post until end of February.
• PBC coming on-board.
• Budget responsibilities being moved.
• GPs to prescribe more generically.
• Community hospitals will stay – however they will be raising health standards and more minor injuries to be undertaken in the hospital.
• Out-of-Hours – Stephanie Groom was present to do a presentation on this.
• 18 week targets – This meeting was cancelled as the minister who was going to attend the meeting was not available.

1. KESSINGLAND LIBRARY PROJECT: Jean gave an update and said that the committee have passed the latest set of drawings at the last meeting. The rooms will form part of a very sheltered housing complex. Hopefully there will be room to have antenatal classes and other clinics, but also to let out a room for private hire. The building is proposed to commence in 2007 and should be completed by February 2008.
    
2. PRACTICE BASED COMMISSIONING: Dr Drane reported that this had been quiet for six months, but now beginning to take off, and also Mike Stonard is engaging with the Group. A company will be formed and the best way to operate would be for a board to be formed which will consist of Waveney and Lowestoft practices with some GPs and Practice Managers on this board and they will advise the PCT with regard to buying and commissioning services.
    
3. GP PRACTICE SURVEY RESULTS: Kash gave a feedback to the Group regarding the survey report analysis and with regard to Kessingland the problems highlighted were around access and telephone access. A copy of the survey report was given to Jean and it was agreed that Kash would circulate this to the Group members before the next meeting and discuss this as an agenda item. Kash also added that the analysis has not been discussed fully by the partners.
    
4. SURGERY BUILDING PROPOSAL: Dr Drane reported that the building work starts on Monday, 23.04.07 and will take approximately 12 weeks. There will be three rooms built; one will be a long meeting/education room, and two smaller clinical rooms to invite other visiting services.
5. ANY OTHER BUSINESS:
    
   1. New Member For Group: Jean gave details of a patient who is a professional carer who would like to become a member of the Group. It was agreed that Jean invites Sue Morely to the next Patient Group Meeting.
       
6. DATE, TIME AND PLACE OF NEXT MEETING: Monday, 2nd July 2007 at 6.30 p.m. at Kessingland Surgery.

The Meeting closed at 7.45 p.m.