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Leading the way in patient care......

Ash Surgery

Chilton Place
Telephone: 01304 812227
Fax: 01304 813788



16TH October 2019


Present: Graham Foat (Chairman), Sue Skinner (Practice Manager), Susan Hudson, Liz Rath, George Legate, Rhona Hunter, Christine Sterba, Irene Elliott, Rhona Hunter, Jan Butcher, Vivienne Kennedy (Minutes).

Introductions -  it was noted that there was a very good attendance! 


Minutes of Last Meeting


Magazines.  These should have been permanently removed but it was noted that some had crept back into the waiting room.  Touch screen also discussed as being an infection control issue.  PPG called for magazines to be removed permanently and this will be done and reviewed next time.


Public Reference Group – it was explained that this Group is a forum for PPGs, held in 3 CCGs – Canterbury, Thanet and South Kent – involved in giving information on transformation plans such as new hospitals.  This information can be accessed on the Canterbury & Coastal website so not necessary to attend the meetings.


Measles  – all surgery immunisations for all staff are up to date and a campaign has been run to try and get all patients up to date also.  There are just a few outstanding importance of this has been stressed to them, now that the UK has lost its measles free status.


Training Practice for GPs – Dr Janany Sathisivam is nearly at end of her 4 months rotation she has been a great asset to the surgery.  Another doctor will join us for next 4 months rotation and so on.  These doctors are sent to us by the University  and are in their 2nd year after qualifying.


Paramedic, Richard Simmons – will not now be taking up the role of advanced nurse practitioner but Ash Surgery will be recruiting an advanced nurse practitioner in addition. 


Registering as a new Patient – photo ID is needed to register.


Parish Magazine

CS requested that we send magazine article to put in Staple Magazine – It was agreed this would be done.  SS said she was happy to write a monthly up- date.


Garden – it was agreed that this was much better now that a local gardener is   maintaining it.


The Hospital has been emailed asking for Dr Smith and now Dr Armstrong to be taken off letters but it seems that the names still remain!


PCN (Primary Care Network)

Under the New contract for 2019/20 Ash Surgery is part of a new primary care network of 6 practices. The PCN network will work together to help commission and develop new services and bring in associated health professionals such as medics, pharmacists, nurse practitioners, social prescribers and occupational therapists.   This is known as CARE in Thanet (Coastal and Rural East Kent) which includes surgeries in Birchington, Westgate, St. Peter’s, Broadstairs and Minster.


Ash Surgery chose not to join with  Sandwich  as the two  practices had merged and the worry was that  Ash, now  a third of their combined size,  would not have a say.


Changes within the Practice

Dr Pal left the practice at the end of August and we are in the process of replacing him and will try to recruit a male doctor to even the balance in the partnership as we already have two lady doctors.  We are also looking to recruit a nurse practitioner and more admin staff.


There is no problem with appointments as we have a regular locum doctor, Dr Lynne Wright, and Dr Lambie is now working full time.  On the days that both Dr Lambie and Dr Fox are in surgery Monday, Wednesday and Friday  - one works from 8.30 am – 4.30 pm and the other  from 12 – 6 pm.


On Tuesdays – alongside a physiotherapy service from 5-8 pm, Dr Fox is doing extended access from 6 pm – 8 pm for people who cannot get to the surgery in normal hours.


In addition, on Tuesdays the Physiotherapist has one appointment at 7.30 am.  Doreen, Health Care Assistant , has two appointments at 7.30 am for bloods, BP, BMI, Monday – Thursday.  The surgery doors are open from 7.30 am every week day apart from Friday


Googie is our home visiting paramedic.


It was discussed that Dr Pal leaving could trigger a CQC inspection.  These are normally every 5 years as long as the CQC is satisfied there has been no change in the ratings. 


LR asked if the names and roles of staff at the practice could be put up in the waiting room.

The PPG also requested that  information regarding the surgery  could be provided for the village hall and pub as not everyone reads the parish magazine or looks at the website,   SS said she was happy to provide this.



Privacy at reception window – it was discussed that there is no space for a private conversation with the receptionist and on occasion other patients can invade the space.  SS to ask reception team to be aware of this and request that  patients   waiting in the queue stand back.


Urgent Appointments - It was discussed that it should not occur that patients cannot get an urgent appointment. Patients will only be signposted to A&E or Deal Minor Injuries  if appropriate.


Wheelchair – it was noted that there is no wheelchair at the surgery.  SS will investigate as there should be.


Another change

At the moment patients can see one of our GPs every 3rd Saturday (since 1/4/19) but going forward as part of the PCN our GPs are not offering Saturday appointments.


Thanet runs a GP led service based at QEQM called IC24 from 8 am to 8 pm Saturday and Sunday and our receptionists will be able to book into this.


SH asked - should  PPG members be identified?  It was advised that if they wish they could let people know that they as a group are representing ALL patients,  and patients could let them know what services they think are lacking, what they want to have or happen etc.   


Housebound patients discussed.  All housebound patients should contact the surgery and if appropriate will be coded as housebound and be entitled to home visits.


Incontinence pads (unopened) – it was asked if unused pads, medication and unwanted crutches could be sent abroad via the Charity in Sandwich (if it is still in operation).  It was discussed that medication should be returned to the pharmacy, unwanted equipment should be returned to the NHS.  Regarding the pads, SS would check with the district nurses and SH will investigate if the Charity can still take them.


Pharmacy 4U discussed – not applicable to Ash Surgery.


Concern re Boots in Ash as 80 stores are closing – it was felt that Ash is not one of these.


Blood tests discussed – It was explained that Ash would not be able to provide a sit and wait service.

Medication reviews – patients are normally informed in advance that they need blood tests done before a medication review.


Date of next meeting 

Wednesday, 12th February, 2.30 pm
























































































































Reports for Past Patient Reference Group Meetings




July 2015

Minutes from meeting attached here

Terms of Reference discussed at meeting attached here


November 2015

Minutes to Nov Meeting attached here




February 2016

Minutes to combined PPG meeting (The Butchery Surgery, Sandwich and Ash Surgery) available here


June 2016

Minutes to June Meeting attached here


September 2016

Minutes to September meeting attached here

Next of Kin: Understanding decision making authorities. You can access leaflet here

East Kent Better Health and Care document can be accessed here


December 16

We discussed a short paper on the Kent and Medway Sustainability and Transformation Plan available here

We discussed the new NHS Multi Speciality Provider model of care with a short introduction, available here and also the more professional Encompass Powerpoint Presentation which is attached here

The minutes to the Dec meeting are attached here




March  2017

The minutes to the meeting can be found here


July 2017

Issues discussed included

  • Reorganization at KCH (apparently temporary). For further information, see August Newsletter (copy here)
  • Changes at Wayfarers (info attached here)
  • Funding available from dementia fund for projects (info available here)
  • Proposed developments in Ash Village (see minutes)
  • The development of a "virtual" PPG group.

Minutes to the meeting are available here




March 2018

This meeting was a joint meeting between Ash Surgery and The Butchery, Sandwich Surgery.

The minutes to the meeting can be found here


June 2018

This meeting was held on Wednesday 13th June at Ash Surgery

It was a meeting of Ash PPG only.

The documents supporting the meeting included

Dr Armstrongs Notes on CQC Report of March 18 which can be found here

And Dr Armstrong Notes on On Line Access for Patients which can be found here

The minutes to the June 18 meeting can be found here


October 2018

This meeting was held on Wednesday 10th October at Ash Surgery

It was a meeting of Ash PPG only.

The minutes to the meeting can be found here


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