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HIGHLAND HEALTH & SOCIAL CARE COMMITTEE
Thursday 10 January 2013 at 9.30 am
Board Room, Assynt House, Beechwood Park, Inverness
AGENDA
1 /Apologies
1.1 / Declarations of Interest – Members are asked to consider whether they have an interest to declare in relation to any item on the agenda for this meeting. Any Member making a declaration of interest should indicate whether it is a financial or non-financial interest and include some information on the nature of the interest. Advice may be sought from the Board Secretary’s Office prior to the meeting taking place.2 / Assurance Report from Meeting held on 1 November 2012 (attached)
(PP 1-14)
The Committee is asked to Approve the Minute of Meeting.
3 / Matters Arising
3.1 Professional Executive Committee (PEC) – Verbal Update
The Committee is asked to Note the matters raised.
4 / CHIEF OPERATING OFFICER REPORT / OPERATIONAL UNIT REPORTS
4.1 / Chief Operating Officer Report (incl. Balanced Scorecard)
Report by Deborah Jones, Chief Operating Officer (attached)
(PP 15-38)
The Committee is asked to Note the contents of the report.
4.2 / Operational Unit Reports
Reports by Directors of Operations, North & West, South & Mid and Raigmore Hospital (attached)
(a) North & West Highland – Report by Gill McVicar, Director of Operations
(PP 38-44)
(b) South & Mid Highland – Report by Nigel Small, Director of Operations
(PP 45-48)
(c) Raigmore Hospital – Report by Chris Lyons, Director of Operations
(PP 49-56)
The Committee is asked to Note the content of the circulated reports.
4.3 / Older Adult Mental Health Services – Implementation of National Standards Across Highland Health and Social Care Area
Report by Nigel Small, Director of Operations, South and Mid Operational Unit (attached)
(PP 57-60)
The Committee is asked to:
· Note the progress on the range of initiatives to improve care in Older Adult Mental Health Community Services.
· Note the progress to date to re-design in-patient care for dementia patients in the Highland Health and Social Care Partnership area.
· Note the review of proposals for re-investment into community and specialist acute services.
· Note the pilot introduction of the patient care system “The Butterfly Scheme” for patients with dementia in acute hospitals in NHS Highland.
· Note the work already carried out and note the requirement for re-investment.
5 / FINANCE
5.1 / Highland Health & Social Care Committee – Financial Position at 30 November 2012
Report by David Garden, Head of Financial Planning (attached)
(PP 61-70)
The Committee is asked to Note the current forecast out-turn of a break even position.
5.2 / Charging for Care
Report by Brian Robertson, Head of Adult Social Care (attached)
(PP 71-92)
The Committee is asked to:
· Note the context and current position.
· Agree that a further paper on Welfare Reform and the implications for Charging should be brought to this Committee as information becomes available.
6 / INTEGRATION AND PERFORMANCE
6.1 / Performance in Adult Services
Report by Jan Baird, Director of Adult Care (attached)
(PP 93-104)
The Committee is asked to:
· Note the progress in developing performance measures for Adult Services.
· Note the progress in developing a revised assurance framework for Adult Services.
6.2 / Delayed Discharge
Report by Simon Steer, Head of Strategic Commissioning on behalf of Deborah Jones, Chief Operating Officer (attached)
(PP 105-108)
The Committee is asked to Note progress in reducing Delayed Discharge in Highland.
7 / CARE AT HOME & CARE HOMES
7.1 / Contract Monitoring
Report by George McCaig, Head of Care Support on behalf of Brian Robertson, Head of Adult Social Care (attached)
(PP 109-124)
The Committee is asked to:
· Note the progress made to date.
· Agree proposals for the recommendation of Designated Managers.
· Agree the proposed escalation route.
· Note the proposals for inclusion of data protection and Infection Control in the monitoring process.
8 / OTHER SUBSTANTIVE MATTERS
8.1 / Director of Public Health Annual Report
Presentation by Dr Margaret Somerville, Director of Public Health
(PP 125-128
The Committee is asked to Note and Discuss the content and recommendations of the report.
8.2 / Anticipatory Care Plans, Polypharmacy Assessments and GMS Contract (Scotland)
Verbal Report by Dr Ken Proctor, Associate Medical Director (Primary Care)
The Committee is asked to Note the progress to date.
9 / FOR INFORMATION
9.1 / Carers Update
Verbal Report by Jan Baird, Director of Adult Care
The Committee is asked to Note the position.
9.2 / Telecare and DALLAS
Report by Maggie Clark on behalf of Jan Baird, Director of Adult Care (attached)
(PP 129-132)
The Committee is asked to Note the position.
9.3 / Committee Terms of Reference (attached)
(PP 133-136)
The Committee is asked to Note the revised Terms of Reference.
9.4 / Minute of Meeting of the Adult Support and Protection Committee held on 23 October 2012 (attached)
(PP 137-142)
The Committee is asked to Note the circulated Minute.
10 / FUTURE AGENDA
10.1 / Consideration of Future Agenda Items:
March 2013
· Report on Integration of patient/client systems (DJ)
· Update on Implementation of recommendations from National Reviews in local Care Homes (BR)
· Progress on integration of Patient/Client information systems
· Report on reconfiguration of Raigmore Tower Block (CL)
· Risk Registers – Quarterly Update
· Reablement Strategy (BR)
· Flexibility of Respite Care Facilities (BR)
· Carers Update (JB)
The Committee is asked to Discuss / Consider Future Agenda Items for submission to the Highland Health & Social Care Committee.
11 / Any Other Competent Business
12 / Date of Next Meeting
The next meeting of the Highland Health & Social Care Committee will be held on 14 March 2013 at 9.30 am in the Board Room, Assynt House, Inverness.
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