Faculty Board Meeting 24th February

The Faculty Board met on the 24th of February. The minutes from this meeting can be found here. Matters of interest include clinical pathway development and workforce development.

One of the issues that the Board discussed was around mentoring of GPEP2 registrars. The Board is developing a programme called Kapa Kaiaka to mentor GP registrars (from their 2nd year onwards). This programme is intended to encourage and support young doctors developing their career in general practice. We are short of potential mentors in Whangarei. If you are a GP with Fellowship who wouldn't mind giving up about 1h of your time 3-4 times per year to support a GP early in their career then could you please contact our Kapa Kaiaka coordinator Gabby Montgomery

Upcoming events...

Keep May 21 and 22 free in your diaries for the annual Northland Faculty RNZCGP Russell Conference. Speakers this year include Murray Beagley, Usha Shan, Barry Snow, Clair Mills, Lyndon Bradley and Jack Havill. More details will follow over the next few weeks.

Other events on around Northland in the next few months include Suicide Prevention Workshops held at Dargaville on March 12 and Rawene on March 11. These workshops are hosted by the Rural Health Alliance and have CPD points attached.

National Advisory Council Meeting

Chris Reid is the Northland Faculty representative sitting on the National Advisory Council (NAC) of the RNZCGP. The NAC met recently and the following is Chris's report.

  1. The college now has new premises. These are very nice with a visitors area (with wifi available). College members are welcome to call in if in Wellington.
  2. Faculties are encouraged to spend their money and not accumulate funds. Some examples that the college suggests are that faculties:
    • Fund members to attend College conference, fund trainers to attend education events, fund medical students and registrars to attend conference and symposium.
    • Director and governance training through the Institute of Directors)
    • Prizes
    • Research
    • Promotional material/media to attract GP’s
  3. College will continue to keep close eye on the new ACC/urgent care contract and ensure that the generalist role of GP's is not undermined.
  4. Faculties are encouraged to promote Kapa Kaiaka. Some suggestions include looking at a patron for registrar training (similar to police training).
  5. The New Zealand Health Strategy was discussed and members are encouraged to give feedback to College for their submission.
  6. IT - the current legislation allows sharing of clinical records based on patients signing their enrolment registration. All PHO’s were advised on the template. However Graeme Osborne (National IT health board) acknowledges more clarity needs to be given.
  7. College to be invited to participate (and/or receive minutes) of Northland training plan (for undergrads to registrars).

Waitangi Symposium Summary

Northland GP Registrars Alex McLeod and Steven Thrupp reminded the 50 delegates attending the Waitangi Symposium the sharp benefit of a good audit in General Practice. The future of Northland specialists is positive with Joseph Foote and Lyndon Bradley delivering concise 'GP friendly' presentations on personality disorders and hips respectively. Chronic Kidney disease take home messages were refreshed by Walaa Saweirs while Chappie shared his experiences with the 'stem cell revolution'.

Delegates may view their reception areas differently following qualitative research derived from patients drawings, presented by Kyle Eggleton and the newly formed Rural SLAT introduced their role, generating interest as to how this groups decisions will develop over time.

The political panel of Nick Chamberlain, Rose Lightfoot, Mary Carthew and Aniva Lawrence was bolstered by the presence of the college CEO, Helen Morgan-Banda. Integration and workforce sustatinability were common themes with the drop in registrar numbers causing particular concern.

The Northland Faculty of General Practice will follow up issues raised during the symposium and invite members to further contribute their views on our members forum 3 chillies.

Final Symposium Reminder

This is a reminder that our Faculty is holding its annual Symposium this Saturday. The link to the programme is here. The RNZCGP College CEO, Helen Morgan-Banda will be joining our political panel session to discuss the future of general practice. The rest of the programme will include a vareity of CME sessions presented by local specialists and GPs. In addition two Northland GP registrars will be presenting the results of audits that they undertook in their general practices.

Come and support your Faculty, engage in discussion, help debate the future of general practice and most importantly enjoy collegiality with your Northland GP colleagues by registering now!

Waitangi Symposium reminder

There are just under 2 weeks until the Northland Faculty Waitangi Symposium. At the symposium we have the following specialists giving brief overviews of relevant topics to general practice:

  • Walaa Saweirs will be discussing the latest management of renal impairment in primary care
  • Joseph Foote will present on the management of personality disorder and give some techniques on how to manage this difficult condition in general practice
  • Lyndon Bradley will outline the management of common hip complaints for both children and adults
  • Andrew Stacey is bringing his expertise as a Medical Advisor to the MAS to discuss how to avoid negative feedback and how to manage the media
  • Finally Peter Chapman-Smith will discuss the management of sexual dysfunction

Register now! by clicking this link

Getting frustrated with funding issues?

Are you getting frustrated with funding issues or annoyed with the continuing rhetoric of services being devolved to general practice yet with little money to follow? If this is the case then the upcoming Northland Faculty RNZCGP symposium, on the 17th of October, is for you! This is an opportunity for you to question your funders (i.e. DHB and PHO) on the burning issues. Of course the symposium is not all about letting off steam but is also an opportunity to mix with colleagues from around Northland as well as an opportunity to have some CME (5 points).

For the full programme click here and to register click here.

Four weeks until the Annual Waitangi Symposium...

There are only four weeks to go until the annual Waitangi Symposium on Saturday October the 17th. This year the focus is on the future of general practice in Northland. GPs and practice nurses attending the symposium have the opportunity to question the CEOs of the DHB and PHOs on the future of general practice in Northland. In a separate panel discussion the question of funding for after hours, in particular of rural general practice, will be debated. The remainder of the symposium consists of a series of practice changing updates from invited GPs and Specialists.

The programme outline is:

Topic Speakers
Panel discussion and debate: What is the vision of NDHB and the PHOs for Primary Care? Nick Chamberlain - CEO NDHB, Rose Lightfoot - CEO Te Tai Tokerau PHO, Mary Carthew - Acting CEO Manaia PHO
Panel discussion: Rural SLAT and after-hours Rose Lightfoot - CEO Te Tai Tokerau PHO, Invited Rural GPs
‘Ten tips to take away for tomorrow’ - Practice changing research from 2015 Kyle Eggleton - GP & Senior Lecturer
Vasectomies Quality Control Alex McLeod - GP Registrar
Recognition, monitoring and management of CKD3 at Dargaville Medical Centre Steve Thrupp - GP Registrar
New Wine for Old Wineskins Walaa Saweirs - Renal Physician
The Disorders of Personality in General Practice Joseph Foote - Psychiatry Registrar
Hips 0–100 Lyndon Bradley - Orthopaedic Surgeon
Managing your media profile Andrew Stacey - Urgent Care Physician and MPS Adviser
‘Sex it up’ Peter Chapman-Smith - Appearance Medicine Doctor

Register today by clicking this link. Cost is only $60.

Waitangi Symposium 2015

There is just over a month to go until the RNZCGP Faculty annual Waitangi Symposium on the 17th of October. The symposium this year is a mix of quick fire updates from both specialists and GP registrars as well as a political session debating the future of general practice and after hours in Northland. In the political session attendees are invited to pose anonymous questions (that Board members will ask) to the CEOs of the DHB and PHOs. Check out the full programme on this link and register today.

Northland Rural Support Trust

Most dairy farmers are busy with spring calving while the serious impact of the drop in dairy payout is sinking in. If you are checking in with how some of your farming patients are dealing with this it might be helpful to know that the Northland Rural Support Trust is a local service that helps farmers with financial advice and assistance, farming management decisions, facilitation with banks, work and income and Fonterra. They have facilitators that visit farmers under stress and support them through difficult times. They can be contacted via their website or by phoning 0800787254. These details will be posted on our resources page for future reference.

Registrations open for Waitangi Symposium

Registrations are now open for the 2015 Waitangi Symposium. This is to be held on the 17th October. The theme of the conference is "the future of general practice in Northland". The morning session consists of two panel sessions. In the first panel session the future of general practice is debated and in the second panel session rural SLAT issues and after hours in general are debated. The afternoon consists of presentations from the future of general practice - local Northland general practice registrars, as well as invited speakers who will give some brief clinical updates. The programme is to be found on this link. The cost of the symposium is only $60. Practice nurses are welcome.

Waitangi Symposium

The annual symposium for GPs and Practice Nurses is being held this year on the 17th of October at the Waitangi Copthorn Hotel. A detailed programme will soon be available. This year the symposium will tackle political issues. Featured discussions include rural after-hours provisions as well as the role of the DHB and PHOs in general practice. The symposium will also have brief clinical updates on a range of topics including personality disorders, foot conditions, renal disease, impotence and managing social media.

Northland Long Term Conditions Clinical Governance Group

Northland Faculty Board member Mark Lankshear sits on the Northland Long Term Conditions Clinical Governance Group his report from its latest meeting is below:

Dear all,

I attended the Northland Long Term Conditions Clinical Governance Group on 5th May 2015 as a GP representative.

This was an interesting and at times quite lively meeting chaired by Aniva Lawrence. We were a little low on numbers but did achieve a quorum. We heard updates from a number of work streams, specifically the respiratory, CVD, ACP, gout and dementia work.

One piece of good news is that the spirometry equipment guidance for Northland has now been approved and training is being undertaken for practice nurses – we were told 60 nurses have now been through this approved training and that the guidance re equipment and training will be circulated shortly to practices. The cost / finances and access issues have yet to be worked out.

The CVD rehab and dementia pathways are both going to go through a co-design process which will be beginning soon with Lyn Rostern newly appointed to take a lead on these – probably in Kaikohe to start with. The respiratory rehab programme still seems stalled and there was some frustration expressed around this and Lyn will be looking at any commonalities that could be useful here.

The gout project has had a redesign to try to ensure wide access and equity – we were told that all of Northland's pharmacists have signed up for this and although there will be two pilot sites initially it's hoped this scheme will be available Northland wide in the near future.

A number of other issues came up for discussion including the ongoing structure of rehab services in general. One of the work streams reported their concern that the MoH had issued a statement that they wanted to see rehab programmes based in primary care and with a generic flavour. The workstream felt this had risks of lack of expertise and focus and were going to write to the minister expressing this.

This has been a common discussion theme within the group and I (and some others) expressed the view that, although the key to successful rehabilitation is clearly good partnership working between patient, primary and secondary services, that these services should be based in the community and be patient rather than disease focussed. My feeling is that the key task is engagement (which is a primary care strength) and ensuring people with chronic diseases are ultimately well connected to primary care is essential to their long term management and well being. I think this is a key issue for this group which will continue to be a subject of debate.

As ever any feedback is very welcome and will be taken back to the groups next meeting which will be in early June.