Rural News: February - May 2003 
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  19 May, 2003
First person on scene initiative

John Kerr, Edexcel's chief executive, visited Merseyside Ambulance Service to present certificates to the first tranche of volunteers for a new scheme to help treat patients, often in rural areas, which has just been launched.
The First Person on Scene (FPOS) initiative, which is accredited by Edexcel through IHCD, sets standards for community responders working with Ambulance Services. 

The First Person on Scene training teaches members of the public to perform life-saving techniques. Teams of approved volunteers will be trained to a national standard to deal with ailments such as chest pains and heart
attacks but will not respond to road traffic accidents, maternity cases or potentially violent incidents. There are two levels of qualification: Community Responder and Co-Responder.

The standards in the awards have been established in partnership with the Faculty of Pre-Hospital Care, part of the Royal College of Surgeons of Edinburgh. The partnership brings together expertise in emergency care with
the skills and experience of one of the UK's major awarding bodies.

The FPOS scheme is essentially a series of partnerships. As the awarding body, IHCD accredits other partners to deliver training; such partnerships could include Voluntary Ambulance Societies, Colleges of Further Education
and other similar organisations. What matters is that those providing the training meet the recognised standard and relevant clinical training, with the Ambulance Services managing and monitoring the training to the standards
set by the Edexcel/IHCD First Person on Scene awards. Centrally set knowledge assessments are a strong feature of the FPOS awards.

Following research undertaken by IHCD a national training standard was developed for two levels of qualifications. Both cover airway stabilisation, early defibrillation, basic life support, oxygen therapy and circulatory support: Community Responders - a 'neighbourhood watch' approach, with short training programmes (between six and 16 hours), trained to use a limited range of equipment; all schemes included advisory defibrillation for heart attack victims; and Co - Responders - groups trained to a higher level able to deal with a broader range of conditions.
Programmes were typically between 30 and 40 hours, with a broader range of skills and equipment to hand.

22 March, 2003
RURAL DOCTORS CONFERENCE TO DEBATE NEW GP CONTRACT
The first few months of the new GP contract, which is currently being negotiated, is expected to be hot topic when a major three-day conference for rural doctors and other healthcare professionals is held in Mid Wales in October.

The new GP contract is one of the topics listed for debate at the Montgomeryshire Medical Society's (MMS) 14th Annual Rural Doctors Conference to be held at Gregynog, near Newtown from October 1-3, supported by the Institute of Rural Health (IRH).

The topics for debate this year are female health, the elderly, immediate care, health and the environment and the hip joint. Conference favourite Dr Peter Holden, a Matlock GP and General Practitioner Committee negotiator, returns to deliver his views in a slot titled "Holden's Soapbox".

The MMS has decided to continue the Gregynog Prize following the success of the award over the past two years. This year's £250 prize will be awarded to the best written and illustrated entry by a conference delegate on the topic 'Me and my hobby'.

More information about the conference is available from Ann Whale, MMS co-ordinator, on 01686 650800 or annw@rural-health.ac.uk.

6 February, 2003
Fall in rural payments?
With the abandonment of the Red Book consequent to the contract negotiations many rural practices throughout the UK are anxious that they may lose vital rural payments.  In Scotland they are known as Chapter 10.5 payments.  One GP, Dr Roddy MacLeod of Ballachulish, has already resigned in fear of this and also because he was made to personally foot a bill for £20,000 to pay for a salaried partner to ease his workload.    GPC are attempting to reassure rural doctors that new payments will make up the loss.   Many country doctors are not convinced.