Commercial in Confidence PARTNERSHIPfor HEALTH Friends of Davenport House - ANNUAL GENERAL MEETING 29th April 2025 FODH Annual General Meeting 2025 **29th April 2025** ## **AGENDA** - Apologies for absence - Adoption of the minutes of the Meeting held on 25th April 2024 - Chairman’s Report on year 2024 - Treasurer’s Report for 2024 - Election of Independent Examiner - Re-election of Trustees - Q&A - Presentation by the Surgery **29th April 2025** **AGM 25[th] April 2025** - Apologies for Absence - The minutes of the Annual General Meeting held on the 25[th] April 2024 were sent out to members by email and 31 votes in favour of adoption of the minutes have been received - No votes against adoption were received - Any votes against? **29th April 2025** ## **CHAIRMAN’S REPORT** - Full report - Thanks to the Trustees & Adarsh. - A focus on communications – many thanks to Claire! - Our continued approach: - Communications: practice >> patient >> PPG >> practice - Collaboration and support in ‘difficult’ conditions - Use of the funds? - “Voice of the customer” – the survey……. ## **2th April 2025** ## **CHAIRMAN’S REPORT – SUMMARY SURVEY RESULT** _Full feedback to assessed and published in coming Bulletins_ ||**How would you rate the following:**|**2024**|**2025**||| |---|---|---|---|---|---| |||||•|Telephone system has| ||The Appointment Booking processes|5.22|6.71||| ||||||improved score| ||The NHS App to order repeat prescriptions,||||| ||view your health records, book|7.08|7.94|•|More familiarity with NHS| ||appointments, etc||||| ||||||App?| ||Reception Team|8.00|8.04||| ||Clinical Care at the practice (non-GP including
nursing and other staff)|
8.79|8.47|•|TBD – why Clinical care
down?| ||Clinical Care at the practice (GPs)|8.24|8.08|•|Disappointing for Trustees| ||The efforts of Friends of Davenport Trustees /
Patient Participation Group (PPG)|
7.48|7.51||‘don’t know what you do!?’| ||||||| **29th April 2025** |**TREASURER’S REPORT**||2023 (£)
13,187.09
4,982.00
335.58
100.00
5.70
5,423.28
270.91
40.00
299.79
6431.19
7,041.89
-1,618.61
11,568.48| |---|---|---| |FRIENDS OF DAVENPORT HOUSE (COMBINED ACCOUNTS)
Income and Expenditure Year to 31 December 2024
Balance brought forward
Income
Donations
Gift Aid
Barclays Bank Compensation
Building Society Interest
Total Income
Expenditure
Web Site, Hosting, domain name, Zoom, printing
N.A.P.P. Annual subscription
Charity Insurance
Other
Donations to the Surgery
Total Expenditure
Surplus/Deficit for the year
Balance carried forward|2024 (£)
11,568.48
4,317.00
405.63
5.70
4,728.33
452.52
40.00
311.82
72.88
877.22
3,851.11
15,419.59|| **29th April 2025** ## **TREASURER’S REPORT** ## **Balance Sheet as at 31 December 2024** Current Assets: Barclays Bank Current Account - Davenport House PPG Barclays Bank Current Account - Friends of Davenport House Harpenden Building Society Savings Account PPG Current assets: cash in bank/Building Society ..................................................... Katie Hill, Treasurer 6,030.97 3,500.97 3,679.76 2,364.35 5,708.86 5,703.16 15,419.59 11,568.48 **29th April 2025** ## **SURVEY RESULTS – HOW TO SPEND RESERVES** _Full feedback to assessed and published in coming Bulletins_ - Improve / repair ground floor toilet? - Proactive advertising of available health classes - Alternative communication / treatment approaches for treatment of mental health / autistic/neurodivergent patients - Improve communications on available help - Medical talks / education - BP Machine / Scales in reception - Specific Lymphoedema medical pathway treatment. New mother support improvement - Campaign to keep Red House open - Fund one-time visits to patients returning from hospital **29th April 2025** ## **ADOPTON OF THE 2024 ACCOUNTS** - The 2024 accounts were sent out to members by email and 31 votes in favour of adoption of the accounts have been received. - No votes against adoption have been received. - Any votes against? **29th April 2025** ## **INDEPENDENT EXAMINER** - Our independent Examiner, Charles le Strange, has offered to stand for re-election - 31 votes in favour of appointing Charles le Strange as the Independent Examiner have been received - No votes against were received - Any votes against? **29th April 2025** ## **ELECTION OF TRUSTEES** ## **The Trustees standing for re-election are:** - Simon Speirs - Joan Shopper - Katie Hill Chairman Secretary Treasurer - Steve Twelftree - Kingsley Roberts - Claire Watts - Bob Fletcher - Roz Chasler **29th April 2025** ## **ELECTION OF TRUSTEES** - The Trustees standing for re-election were listed on the voting form that was sent out by email to members. - 31 votes in favour of their election have been received - No votes against have been received - Any votes against? **29th April 2025** ## **YOUR TRUSTEES** Simon Speirs **Chair** Bob Fletcher **Technology** Joan Shopper **Secretary** Kingsley Roberts **Trustee** Katie Hill **Treasurer** Steve Twelftree **Trustee** Claire Watts **Trustee** Roz Chasler **Trustee** **29th April 2025** ## **Q&A** ## Received Questions Close of AGM ## **Malcolm Rainbow** # **Public Governor for Hertfordshire** 15 ## **Our Governors and Members** - 18400 public members from Luton and Hertfordshire, Central Bedfordshire, Bedford Borough (surrounding counties) - 9,690 staff members across both hospital sites (including bank staff and volunteers) - 38 Governors representing these members including 12 Staff Governors across both sites - 5 appointed governors (3 local councils and 2 universities) - The Governors: - Represent the public, staff and stakeholders - Support community engagement - Hold the Non-Executive Directors to account 16 ## **Our Services – Clinical Excellence, Quality, Patient Safety, Patient Experience** ## **Urgent and Emergency Care** The Trust’s performance against the 4-hour standard for patients being admitted, discharged or transferred from ED improved slightly to 72.6%, but remains significantly below the minimum expected performance of 78%. This was largely caused by winter virus pressures meaning patients had prolonged waits for siderooms. Ambulance handover performance continues to demonstrate a strong improvement trend, with 60minute handovers reducing to just 2%. Bed occupancy peaked in the third week of February 2025 and higher than planned use of escalation beds continued albeit still at a lower run rate than last winter. Bedford L&D ## **Our Services – Clinical Excellence, Quality, Patient Safety, Patient Experience** ## **Planned Care** The number of patients waiting more than 65 weeks for elective treatment saw another small reduction at the end of February 2025 to 27 and in April with no patients waiting. The overall waiting list and the number of patients waiting over 52 weeks continues to reduce. Waits for routine diagnostics are improving rapidly with over 70% of patients waiting less than 6 weeks for the first time since February 2023. Performance against the 28 day faster diagnosis standard dropped significantly as expected in January and was just 69.1% against the 77% performance threshold for March 2025. The Trust delivered 63.6% against the 62 day treatment standard performance which again was a deterioration from December 2024. This seasonal performance dip is traditionally seen in January resulting from patients choosing to defer treatment over the Christmas holidays, although this month has been particularly marked. The number of patients on open pathways over 62 days is back below the 200 threshold, which should herald improved performance in March 2025. ## **Good news** - 1,000 robotic assisted surgery procedures - Stroke patients to receive quicker care through video assessments - New Forget-Me-Not volunteer service for dementia patients - New aquablation treatment for benign enlarged prostates - ED department wins national youth anti-violence educational award - The next Medical Lecture is on ‘Liver Disease.’ Tuesday, 6pm-7.30pm, 20 May 2025 at Rufus Centre, Flitwick. Details can be found on the Trust website or in the next edition of the Ambassador Magazine 19 NHS Bedfordshire Hospitals NH5 Fwndation Tri Investing in our sites ## **Acute Service Block & New Ward Block** _External shot of the acute services block_ _Four bedded postnatal ward_ _Neonatal Intensive Care Unit (NICU) High_ _**Theatres first stage** Dependency (HDU) and Intensive Therapy_ _**recovery area** (ITU) area_ **£150m investment to improve Maternity, Neonatal, Theatres and Critical Care provision.** **Due to complete in 2025, this scheme will deliver: A new 5 storey Acute Services Block and New Ward Block which will accommodate:** - **Delivery Suite & Midwifery Led Birth** - **Neonatal Unit offering parent accommodation** - **Ambulatory surgical unit to support day case surgery** - **Suite of theatres** - **Critical care unit** ## **Emergency Department Upgrade and Expansion** ## **L&D Emergency Department officially opened** - £17m funding to improve Urgent and Emergency Care services, in response to the COVID-19 pandemic. - An expanded and refurbished ED with increased capacity - A new and fully segregated Paediatric ED - CT Scanner located with ED department - Additional waiting room capacity - Dedicated mental health facilities - Re-modelled main entrance and patient drop off area ## **To support the very best patient outcomes.** 22 ## **New Community Diagnostics Centre (CDC)** Working closely with system partners to deliver Dunstable Hub and North Bedford Hub : Complete in Autumn 2025, will improve access to healthcare and vital diagnostic tests, helping to diagnose and treat illnesses such as cancer, heart disease and stroke more quickly. Therapies, phlebotomy and diagnostic services including MRI, CT, ultrasound, x-ray and cardiology will be housed in the refurbished and modernised building. ## Gilbert Hitchcock House, Bedford 23 NHS Bedfordshire Hospitals NH5 Fwndation Tri Join your hospitals- it's free! Become a member of Bedfordshire Hospitals NHS Foundation Trust As an NHS Foundation Trust we are accountable to our Ic(al community. What are the benefits? As a member you will: Receive newsletters nd updates about the hospitsls. activities. Have direct access to member5 of the Council of Governors, to raise any concernsand offer ideas. Yourhospitals in your hands. Be able to electthe Governors. It's free. Be eligible to stand for elecbon as a Govemor. You can shape the future of your hospital and its servI￿s, and Influen￿ the way it runs its affairs, by becoming a member. . Attend medicallectures given by Trust staff. Be eligible for Health SerVI￿dIScoUnts via on-line shopping. Receiveinvitationsto members. meetings. Ways to join! Go online to webpage www.bedfordshireh itals.nh5.U -involved Email us at FTMembership@Idh.nhs.uk or call us on 01582 718333 for a membership application form Encourage your family and friends to join as members- ivs free! ## **Become a public member Encourage your family and friends to become public members too – it’s free!** ## **Grab an application from a governor.** **Email us at FTMembership@ldh.nhs.uk** for a membership application form. **Use the QR code to sign up online. Scan the QR code below using your mobile device** 25 ## **Do you wish to Volunteer** - Volunteers really help our staff, and most importantly our patients in so many ways. - Forget-Me-Not volunteers to support our patients living with dementia, engaging them with a simple chat, puzzles, colouring, music and more - Deconditioning Prevention – supporting our patients to keep those all important, muscles moving with some simple bed or chair-based exercises or a gentle stroll. - Patient Appointment Reminder Calls – a quick call to patients with upcoming appointments to check they can attend, reduce the number of no shows and make the best use of clinical time - Chaplaincy Ward Visitors – volunteers who can offer a listening ear and a wellbeing - boost for patients of all faiths and none There are many other different roles. Make a difference to your life and our patients. Join us as a volunteer. Call on 01582 497384 or Email voluntaryservices@ldh.nhs.uk 26 Harpenden Health PCN • Dav¢nport House Surgery • The Elms Medical Practlcè • The Village Surgery Harpenden Health PCN Financial Accounts 2023- 24 ## **Sources of income** > **[3%][1%] 3%[2%] 6% 6%** **12% 17%** **50%** ARRS Network Standard Hours IIF/Transformation fund Vaccinations Capacity & Access Winter ## **HH PCN; an overview** - 5yr contract established 2019 in recognition that general practice was struggling - 23/24 last year of this contract; last year with ARRS uplift - 24/25 first year renewed rolling contract; more focus on capacity and access/ modern general practice (part of NHS England delivery plans for recovering access to primary care) - 2025 and beyond! ## **ARRS Team** - Social Prescribers - Clinical Pharmacists - Care Co-ordinators - Physician Associates and Paramedic - Health & Wellbeing Coach - Mental Health Practitioner - First Contact Physiotherapist - Enhanced Practice Nurse - GP Assistant - Digital and Transformation Lead ## **Core Contract; 4 key functions** - **Co-ordinate, organise and deploy shared resources** to support and improve resilience and care delivery at both PCN and practice level (vaccinations) - **Improve health outcomes** for its patients through effective population health management and reducing health inequalities in partnership with local communities (CVD, early cancer and screening; CORE20PLUS5 approach) - **Target resource and efforts** in the most effective way to meet patient need, which includes delivering proactive care (multi-disciplinary proactive care for risk stratified complex patients at greater risk of hospital admission- must be done as part of INT; frailty project) - **Collaborate** with non-GP providers to provide better care, as part of an integrated neighbourhood team 11 HaTwdBn HB•Ith PCN l.wy 11 support well bette men I healt ur Gommu MOV ARPENDEN &IIL5&itl CN evi Hafpend?n Health PCN PRIIIIRY CARE Puwh•s• to h•Y• i•£ I by Ruby dir•¢t - thft•r th• ihow ## **Additional Key requirements** - Medicine optimisation and Structured Medication Reviews - Provide a social prescribing service - Enhanced Health in Care Homes; weekly ward rounds MDT meetings, lead clinicians ri ## **Network Standard Hours** - Monday to Friday 6:30pm to 8pm ## • Saturdays 9am to 5pm ## **HH PCN Special Features** - CYP clinics - Learning Organisation - Mindfulness - PA Ambassador - Wellbeing hub - Health Walks and Chair based exercise classes - PA foundation courses; paramedic masters - CP courses - GP Improvement Programme completion; data analysis, prioritisation - Yoga - Community Pharmacist training IP - courses - • Teamwork/Away Days/ PCN and practice culture D¥1 '4J> d of cohort exercise- learning flection 8￿P Harpenden Health irilalk li, GetTo9effier ¢oc%.-. otThe Old eoel fnn L IIAKI 19h Sfveet, Harpenden Friday 10th March | Monday17th April Tuesday 9th May | Wednesday 7th June Thursday 6th July qfr* ## **Modern General Practice** - Arisen from NHS England delivery plan for recovering access to primary care - Foundation of a transformation journey to better align capacity with need, improve patient experience and improve the working environment for general practice staff - **Optimising contact channels;** telephone/on-line and in person via highly usable and accessible practice websites, on line constation tools and improved telephone systems - **Structured information gathering;** at out of patient contact (regardless of contact channel) to understand what is being asked of the service - **Using one care navigation process across all access channels;** to assess and prioritise need safely and fairly, and to efficiently get patients to the right healthcare professional or service, in the appropriate time frame (including consideration of continuity of care) moving away from first come first served approach - **Better allocating existing capacity to need;** making full use of a multi-professional primary care team, community services and ‘self access’ options where appropriate, and heaping GPs and practice staff to optimise use of their time to where it’s needed most - **Building capability in general practice teams;** to work together and to access, understand and use data, digital tools and shared knowledge to lead, plan, implement, improve and sustain change Modern general practice (MGP) ObieLINe5 Buildng pablity to 31ain Goals Practice | Contact Single workfiow to assess need. prioritise arKI better align existing capacity with need mprovement tasks or stages Phone Collect infomiaticn Filter Assess needs. prioritise & update patient Consult Impio¥e￿￿t Capabilit*s lo sep¥* •1￿￿ lasks QR wuest Assess pafeTht aTrJ wgery Idefft confnuty c<￿e1. Then sgnpcél, refei, rexfve aTrJ ise p￿1 ofnoKt slepwifo"n th? wohjw day. FKe lo fxe, Online ink￿alon cwwed iThto Care na￿9&le. &￿n[￿t, refer or bDL* xcor(*rty to IPCN Walk in Clinic41 tiiage.. Resdve ¢Y ￿kf￿cOnsuttali Patient On1v￿ pat Cae nam93￿1{ pai¥1 has )en th￿"r￿￿ (xfe threc*dto TroJl team. tnthel PC pority. Updabj 2D24 ## **HH PCN Collaboration** - Harpenden Trust ## • MIND - Youth Talk - Community Pharmacists - PPG - CLCH community services ## • Neighbourhood TRUST upport wellbeing d better me our communi HARPENDEN V&llOiMS-,- rfv evEryone ## **2025 and beyond! INT** - Hertfordshire and West Essex ICS - 3 HCPs - South and West Herts HCP - 4 neighbourhoods - St Albans and Harpenden Neighbourhood/INT - A hub is to be established with management support for the Clinical Lead who sits on the HCP Board tj **29th April 2025** ## **Practice Update** DR RICHARD YASOTHARAN DR AJEET BAGGA DR MUNAWAR CHOUDHURI DR HAYLEY KIRSOP DR KATHARINE NOWLAN DR ISABEL LOMAX DR IARYNA LINYNSKA