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The next Board Meeting of Gloucestershire Care Services NHS Trust will be held on Tuesday 20 September 2016 at the Stroud Subscription Rooms, George Street, Stroud.

The meeting will run from 1.45pm, with details of the agenda available seven days in advance on this page of our website.

If you have a question relating to this Board Meeting, please submit it by email to the Trust Secretary (  no later than noon on Monday 19 September.


A personal reflection from Sarah Morton, Professional Head of Adult Physiotherapy, Gloucestershire Care Services NHS Trust, on a recent visit from the Chief Allied Health Professionals (AHP) Advisor for Wales:

Last week we had a visit from the Chief Therapies Advisor for Wales to discuss some of our extended practice roles in Rapid Response. A service specifically designed to support acutely unwell patients where clinically appropriate, in their own homes preventing unnecessary and disruptive hospital admissions. Her visit was to find out more about the well-established Rapid Response service in our organisation and to take any learning back to contribute to potential development of models in Wales. It was a welcome visit and came about as a result of discussions with our Professional Body.

The Rapid Response service is comprised of Paramedics, Nurses and Physiotherapists all with their own unique skill set and professional backgrounds. With the solid foundation of medical model training the Physiotherapists in this service have developed new competencies along agreed pathways using competency frameworks to support their learning needs. This has included M level post graduate training at University to underpin areas not addressed through core undergraduate training. One of the Physiotherapists incorporates a Clinical leadership role of a Multi-Disciplinary Team as well as expanded scope functions.Earlier in the year, the Chartered Society of Physiotherapy Chief Executive, Karen Middleton had spent a day with us in Gloucestershire Care Services meeting clinicians and discussing professional issues. During one of those conversations, some of our Physiotherapists in Rapid Response were able to talk about their roles as Practitioners within that service, their extended functions and how they had developed new competencies traditionally within the scope of other professions. Karen’s belief endorsed and supported our commitment to continuing to encourage our clinicians to take opportunities to develop and expand our roles within services across all areas of our profession.

Significant learning has been acquired along this journey, much of which could help other areas to develop their own Multi-Disciplinary models where the roles undertaken by clinicians are about the competencies rather than the perceived demarcations of the professions. The professional background is the starting point for what should be lifelong learning allowing for growth, development and expansion of professional roles.

 The recently published Chartered Society of Physiotherapy Advanced Practice Guidance 2016 has been a very welcome document. This helps define the framework which underpins the requirements for existing and emerging roles such as the Rapid Response Practitioner. As commissioning units and provider organisations move forwards with innovative models it is essential to share learning from these evolving services. A degree of consistency in the requirements and evaluation of work based competencies will be essential for robust, sustainable models.  

 With the short supply of highly skilled clinicians across all professional groups, maximising the contribution of clinical contacts and reducing unnecessary clinical duplication is good for patients and for effective streamlined services. However this all has to be underpinned with strong governance frameworks. Our learning during the development of Rapid Response has been that where this has not been in place it has resulted in clinicians feeling unsupported and the model needing to be more clearly defined. The service is now three years into its evolution and will be more fully described by one of the leading Physiotherapists who has been involved since its inception. 

Rapid Response is a key and essential component of our urgent care community services and offers an example of what our profession can contribute when you start thinking outside the role boundary box. It’s good to challenge the delineation.

Patients across Gloucestershire are today being urged to get the right healthcare advice this season, do the right thing and leave the county’s two Emergency Departments to care for people with serious injuries and life threatening conditions. 

The call comes as Summer and the holiday period gets in to full swing across the county. 

Dr Tom Llewellyn, Clinical Director for Emergency Care at Gloucestershire Hospitals NHS Foundation Trust said:  “Our emergency departments continue to face significant pressures and this is likely to continue as the Summer season really gets going. Therefore, we would urge the public to do the right thing and only use A&E if they have life threatening conditions or serious injuries.  

"If it isn’t a genuine emergency, you are likely to receive the care you need in a more timely fashion if you access other health services available. We need to focus our time on those patients who are seriously unwell.”

If people are ill or injured and are unsure where to turn, they are advised to follow the ASAP message – download the ASAP App (ASAP Glos NHS), Search the website (, Ask NHS 111 or Pop in to their local pharmacy. 

In particular, summer-related ailments such as minor reactions to things like stings and bites and the heat as well as sun burn, hay fever, bumps, bruises, sprains and strains can be treated with self-care or with support from the local pharmacy or a community hospital minor illness and injury unit.  

Dr Andy Seymour, Clinical Chair of NHS Gloucestershire Clinical Commissioning Group said:  “The choice of healthcare options is often greater than people realise, particularly for the treatment of minor ailments.

"The local pharmacy is a great first port of call. Pharmacists are qualified to give advice on a range of conditions, are experts on medicines and can advise people on whether they need to call or visit another NHS service.  

"We have also invested in additional GP appointments for people who have illnesses that won’t go away, such as infections and long term health conditions.” 

Candace Plouffe, Chief Operating Officer at Gloucestershire Care Services NHS Trust, which runs the county's community hospitals and its community nursing service said: "We have minor injury units at all seven of our community hospital sites where we can treat a wide range of conditions including minor illnesses, sprains, simple fractures, minor burns, stitches and skin problems and would encourage people to use these where possible as an alternative to A&E.

"You are likely to be seen quickly, there is free parking available and you don’t need to make an appointment.”

Gloucestershire County Council and Gloucestershire Clinical Commissioning Group (CCG) would like your help to understand the transport needs of Stroud District residents in getting to healthcare appointments and how well these are being met by existing services; most importantly they need to know whether they need to make changes to the transport services available.

They would like residents of Stroud District to complete an online survey.  Your answers will help them develop our local services and your input is important to them even if all people in your household drive or don’t use public transport services.  All information provided will be treated in the strictest confidence.

To begin the survey please click here. The survey will remain open until Friday 8 July.

Information about NHS funded patient transport in Gloucestershire can be found on the CCG website

Stroud Hospital now boasts the latest in x-ray facilities for its patients, thanks to the generosity of the League of Friends.

The new ‘Intuition’ equipment provides clear digital images in seconds which means a very quick experience for patients and uploads the images to a central computer so that they can be shared with a range of healthcare specialists as required.

The equipment has been housed in a newly refurbished x-ray room at the hospital, with the £140,000 cost of the equipment picked up by the Stroud Hospital’s League of Friends.

David Miller, chair of the League of Friends, said: “We have been supporting the fine x-ray department at Stroud General Hospital for many years and know it is extremely busy, covering inpatients, outpatient clinics, the minor injury and illness unit and patients referred by GPs.”

Dr Roy Lamb, president of the League of Friends, added: “While it is the Friends who  have contributed, it’s the people of Stroud who have made this possible and we have acted on their behalf.”

Sue Ward, lead radiographer for community hospitals, said the new equipment would offer patients shorter examination times and allow the department  to run more efficiently.

She added: “Images take seconds rather than minutes to process so by the time you’ve let the patient know you’ve taken the x-ray the image is available to view.

“The images are really sharp and with this machine the radiation dose is really low as well. This is very up to date equipment which means we can provide a very up to date service.”

Welcoming the donation at a presentation on Wednesday 27 January, Gloucestershire Care Services chair Ingrid Barker said: “We value the League of Friends because they are genuine friends, offering great support as well as much needed links and networks with the local community. This is hugely appreciated.” 

In another local connection, the equipment was provided by Stonehouse-based company Xograph.

Gloucester Rugby stars Greig Laidlaw, Jonny May and Mike Teague joined forces to back a  new campaign aimed at challenging smokers to kick the habit.

The Scotland skipper, Gloucester winger and former England and Gloucester legend all turned out to support the county’s NHS Stop Smoking Service, which is launching a ‘Kick the Cigs into Touch’ campaign with drinks coasters in pubs and animations on social media.

Greig, who was nominated for World Player of the Year after a great World Cup campaign, said: “As professional rugby players, we have to be at the very peak of physical fitness. It’s long been known that smoking can be harmful to an individual’s health, so we’re right behind the stop smoking campaign.”

The No Smoking Service is run by Gloucestershire Care Services NHS Trust and funded through the public health service at Gloucestershire County Council.

Cllr Andrew Gravells, cabinet member for public health, said; “I’m really grateful for the support we’ve been shown by Gloucester Rugby club as we launch this campaign. We hope as many people as possible will join up to ‘kick the cigs into touch’.

“I know through my own personal experience that stopping smoking is never easy, but there’s lots of support out there if you're ready to give it a go. We have an award winning Stop Smoking Service here in Gloucestershire, and I would recommend anyone who is considering quitting smoking to get in touch and give us a try!

“Giving up smoking is probably the smartest move any smoker will ever make in their life “

The initial campaign will run into December, and will be followed in the new year with continued efforts to help smokers who want to stop.

Chair of Gloucestershire Care Services NHS Trust Ingrid Barker added: “Get in touch with the Stop Smoking Service and you can make kicking the habit a team effort.

“The service offers free support which means you are four times more likely to quit than if you try on your own.”

  • Contact the NHS Stop Smoking Service on 0300 421 0040


Athletic staff at Lydney Hospital are aiming to go the extra mile – or 603 extra miles to be exact – to raise money for local and national charities.

Nurses, health care assistants and therapists from the hospital are holding 13 hours of triathlon – swimming, cycling, running and walking – on Friday 20 November, and are aiming to cover the 603 mile length of Great Britain, from Land’s End to John O’Groats.

The day follows a similar event in 2013, when staff from the hospital set out to swim the equivalent of the English Channel and ended up covering nearly three times the distance, raising £2,500 for charity.

Staff will be swimming lengths between 8am and 9pm as well as clocking up miles on exercise bikes and wearing pedometers which measure the distance you walk or run.

Nurse Emily Richards, who has helped organise the event, said: “We’re using Whitemead’s pool in Park End all day and we have two bikes set up next to the pool as well.

“Covering 603 miles, even with everyone taking part, is going to be tough and we’ll need everyone we can get wearing a pedometer.

 “I’m confident that just about everyone working in the hospital that day will be taking part and contributing their miles!”

In order to ensure that the sponsored length of Britain represents everyone at the hospital, staff agreed to split the money raised between five charities. It will go to Great Oaks Hospice, Great Western Air Ambulance, Children’s Opportunity Centre, Royal British Legion and Teckles Animal Sanctuary.

A day of celebration and learning for nurses across the county will culminate in the presentation of the British Empire Medal to one of the nurses by the Lord Lieutenant of Gloucestershire.

Gloucestershire Care Services NHS Trust, which provides a range of community services, has organised this nursing celebration event to recognise the achievements of nurses within the Trust, and share best practice with colleagues from across the county.

Annie MacCallum, one of our heart failure nurses and head of specialist services at the Trust, was awarded the British Empire Medal in the Queen’s Birthday Honours list in June for her services to nursing.

She will be presented with her award by Dame Janet Trotter at the culmination of the event, being held at the Thistle Hotel, Cheltenham, on Thursday, November 5.

Susan Field, Director of Nursing, will open the day with a discussion on the future of nursing at the Trust, ahead of workshops on living with dementia, preventing and managing falls and caring for people with respiratory conditions.

Susan said: “Nurses are fundamental to many of the services our Trust provides and we believe that championing their work and providing greater opportunities for them to shape the future of nursing is extremely important.

“I’m delighted that we will also have a session by a patient’s family on their experiences of community nursing care, to highlight some of the great practice that is going on day in, day out across community nursing services.

“Annie is someone who has had a fantastic career and made a real difference to healthcare, both in Gloucestershire and across the country with her national involvement in heart failure care.  We are all delighted to be highlighting Annie’s achievements at our nursing celebration event, as she continues to be an inspiration for many of our nurses.”

The event is running from 8.30am to 4.30pm. Annie’s British Empire Medal presentation will begin at 4pm.