APPROVED 16.7.14
Minutes of
East Dunbartonshire Community Health Partnership Committee Meeting
held at 9.30am on Wednesday 14th May
in the Corporate Meeting Room, CHP Headquarters, Stobhill Hospital, 300 Balgrayhill Road, G21 3UR
MEMBERS PRESENT
NAME DESIGNATION
Mr Ian FraserNHS Board Non Executive Member (Chair)
Mrs Karen Murray Interim Chief Officer
Mr Gordon Thomson CEO, Ceartas - PPF Representative for Voluntary Sector
Mr Ross FinnieNHS Board Non Executive Member
Cllr Michael O’DonnellNHS Board Member
Dr Lisa Williams PEG Representative
Ms Ellice MorrisonProfessional Nurse Advisor
Mr Martin BrickleyPPF Representative
Mrs Fiona Munro PEG Representative
IN ATTENDANCE
NAMEDESIGNATION
Ms Sandra CairneyHead of Planning & Health Improvement
Ms Serena Barnatt Head of HR
Dr Graham MorrisonClinical Director, CHP
Dr Ray McAndrewAssociate Medical Director, OHD
Ms Annemargaret BlackHead of Primary Care & Community Services
Mr Richard MooneyActing Head of Mental Health & Partnerships
Ms Frances McLinden OHD General Manager
Mr Mark Feinmann Director, North East Sector
Mr Gerard McCormackTeam Leader - Strategic Planning and Place, East Dunbartonshire Council
Ms Geraldine McMartin PA to Director (Minutes)
No.
/ Topic /Action by
/ CHP COMMITTEE SEMINAR 0900 – 0930 / / CEARTASGordon Thomson, CEO, Ceartas
/ Mr Gordon Thomson, CEO, Ceartas attended the Seminar session of the Committee to provide a presentation on Ceartas.
CHP COMMITTEEE MEETING 0930
47. / CHILDREN’S SERVICES REDESIGN UPDATE
Paper 2014/34
Mr Mark Feinmann, Director, North East Sector, attended the meeting to provide an update on progress in the redesign of Children’s Services within NHS Greater Glasgow and Clyde.
Questions
Ms Serena Barnatt, Head of HR, commented on recurring problems with recruitment and retention of health visiting staff. What is the longer term plan to fulfill this commitment? Mr Mark Feinmann advised that 22 individuals completing training in September have been matched to vacancies.
Ms Barnatt also asked how the changes to qualification requirements for School Nursing posts is being managed. Mr Feinmann advised that a process has been put in place to tackle this.
Ms Annemargaret Black, Head of Primary Care and Community Services, asked about the workforce model and maximum caseload sizes and expressed concern that East Dunbartonshire workforce already operate with a much higher caseload than detailed in the model. Mr Feinmann acknowledged this is an area of concern but assured the Committee that this will be addressed.
Mrs Frances McLinden, General Manager, Oral Health Directorate, asked what work was being done to include Oral Health within the assessment. Mr Feinmann acknowledged this is an area which does need to be considered, along with other teams such as Addictions, Mental Health etc.
Ms Black highlighted that all staff are fully aware of the process when they have clear child protection concerns, however, many cases although not a child protection concern, do need to be highlighted to the named person or health visiting team. Many staff may not know who this would be or how to contact them. Cllr Michael O’Donnell, NHS Board Member reflected on this also and suggested this could be covered at an extended Seminar.
Dr Graham Morrison, Clinical Director, asked how EMIS Web will link to EMIS within GP practices. Mr Feinmann advised that a demonstration of the system, which is still under construction, is available. It is intended that local authority will also have access to the system via the Portal.
Cllr O’Donnell asked about patients registered to practices out with their catchment area and if this has been considered. Mrs Karen Murray, Interim Chief Officer, advised that the Senior Management Team receive maps of catchment populations by practice and there are very few out with their catchment area in East Dunbartonshire. It is unlikely to be an issue for East Dunbartonshire but may be an issue in some Glasgow areas.
Mr Ross Finnie, NHS Non Executive Board Member asked if indeed oral health was not considered as a mainstream part of children’s health and if this is the case, what other areas are also considered as such. Mr Feinmann apologised for giving this impression during his presentation of the paper, and assured the Committee that oral health together with other areas is of course considered as mainstream in children’s health. Mr Finnie asked then why this was not included within the redesign to begin with. Mr Feinmann assured the Committee that this will be addressed.
Mr Fraser thanked Mr Feinmann for attending.
THE COMMITTEE WILL AWAIT FURTHER UPDATES ON THE WORK OF THE CHILDREN’S SERVICES REDESIGN
48. / WELCOME AND INTRODUCTIONS
The chair welcomed all to the meeting.
NOTED
49. / APOLOGIES
Apologies were noted on behalf of Mr Ross McCulloch and Mr James Hobson.
NOTED
50. / DECLARATION OF BOARD MEMBERS INTERESTS
The chair invited Committee member to declare any interests in any of the items being discussed today. No declarations were made.
NOTED
51. / MINUTES OF CHP COMMITTEE HELD 12TH MARCH 2014
Paper 2014/35
The Committee reviewed the minute of the meeting held on Wednesday 12th March. The minutes were approved subject to the following amendment;
In attendance: Dr Graham Morrison was present at the meeting.
APPROVED
52. / MATTERS ARISING FROM PREVIOUS MINUTES
i)
ii) / School Nursing Review
Ms Black advised the Committee that this is underway and a report will be brought to a future Committee Meeting.
Tetanus Injections
Mr Fraser inquired if this issue was discussed at the GP Forum. Dr Morrison advised no, however he did discuss this issue with Mr Martin Brickley, PPF Representative, who agreed to contact the individual concerned to obtain specific details of the incident in question. The individual did not wish to disclose any further details with regards to this or take the matter any further, despite assurances from Mr Brickley that no adverse consequences would result for the individual concerned.
NOTED
STANDING ITEMS
53. / NHSGG&C BOARD MEETING BRIEF – 15TH APRIL 2014
Paper 2014/36
Mr Fraser presented the Committee with the Core Brief following the NHSGG&C Board Meeting of 15th April 2014. Highlights of discussion at the meeting include:
- Scottish Patient Safety Programme Update
- Latest available Healthcare Associated Infection rates
- Malawi Medical Staff Training
- Review of Staff Flu Vaccination Programme. Mr Fraser was disappointed by a very poor uptake rate of staff flu vaccinations in NHSGG&C of only 32%. Ms Ellice Morrison, Professional Nurse Advisor, will check the East Dunbartonshire uptake and will report back to the Committee in due course.
- East Dunbartonshire Shadow Health and Social Care Partnership Agreement.
- Waiting Times and Access Targets Report.
- Quarterly Complaints Report for period October to December 2013.
54. / OLDER PEOPLES TRANSFORMATIONAL BOARD UPDATE
Paper 2014/37
Mr Fraser commented that the report presented today was very well written. The report provides an update on the Change Fund Investment Plan for 2013/14 and 2014/15 and the recent Scottish Government correspondence relating to the Change Fund 2014/15 and the move to the Integrated Care Fund 2015/16.
Questions
Mr Fraser commented on the Men’s Shed project which he felt was inspirational. Mr Fraser went on to ask about the strategic overview contained within the report; what are the risks? Ms Black advised that there are risks to investment made in the voluntary sector, investments made in projects such as OPAL and investments made within Acute Division. Further guidance will be issued by Scottish Government on 18th June which will detail how the additional 1 year Integration Fund may be used. A report detailing analysis of progress to 31st March 2014 will be brought back to a future Committee meeting.
Mr Ross Finnie, NHS Board Non Executive Member, asked if there was a ballpark figure for the additional year monies. Ms Black advised this was approximately £1.2m.
Mr Fraser thanked Ms Black for the update.
THE COMMITTEE WILL AWAIT FURTHER UPDATES ON PROGRESS
55. / PPF UPDATE
i)
ii) / Report on Health Information Day
Paper 2014/38
Mr Brickley presented the Committee with the Full Engagement Report following the PPF Health Information Event of 24th March 2014. The morning session was aimed at young mothers, however there was very poor attendance. The afternoon session was aimed at older people and Mr Brickley noted fairly good attendance. Mr Brickley also noted that he had hoped to obtain feedback on the event from the practitioners who attended however this has not been forthcoming.
Questions
Mr Fraser commented that questions being asked by participants were very interesting however noted that answers to these questions were sparse and encouraged the PPF to tackle answering these.
Ms Serena Barnatt, Head of HR, asked what actions will be taken forward from this. Mr Brickley hopes to meet with practitioners who attended to obtain their views on the event.
PPF Update
Mr Brickley wished to raise with the Committee the NHS Patient Feedback, which patients are asked to complete whilst in-patients. The PPF feel that patients should not be asked for their feedback until they are about to be discharged from care.
Mrs Frances McLinden, General Manager Oral Health Directorate, advised that as part of releasing time within the Better Together Programme, the Charge Nurse will speak to patients about certain topics such as noise, do they know who is in charge, handwashing procedures etc. Obtaining this feedback from patients whilst they are still in patients is preferred rather than once the patient leaves the ward. Mr Brickley felt that there is a perception amongst patients that they may be treated unfairly for raising issues.
The Chair thanked Mr Brickley for the update.
NOTED
56. / HEALTH AND SOCIAL CARE INTEGRATION UPDATE – EAST DUNBARTONSHIRE HEALTH & SOCIAL CARE AGREEMENT
Paper 2014/39
Mrs Karen Murray, Interim Chief Officer, provided the Committee with an update on progress with planning and implementation of shadow arrangements for the Integrated East Dunbartonshire Adult Health and Social Care Partnership. Mrs Murray advised that the first set of regulations for consultation were released on Monday 12th May. The second set of regulations is expected 2 weeks later. The consultation period for both the first and second sets of regulations is 12 weeks, therefore the consultation will end in August. The CHP will ensure that all stakeholders will have the opportunity to comment.
Questions
Mr Finnie commented on the sheer volume of work required and asked if there was an agreement with NHSGG&C and Local Authorities to provide administrative support for this work. Mrs Murray advised that the Scottish Government has made available a transition fund of approximately £7m for Integrated Partnerships. East Dunbartonshire have submitted a bid for monies to assist with integration. East Dunbartonshire have been very fortunate to have the assistance of Mr Alan Cairns, Project Lead for Integration of Health and Social Care at East Dunbartonshire Council. Mr Cairns’ contribution to the progress made to date has been crucial and Mrs Murray took the opportunity to note thanks to Mr Cairns.
Mr Fraser asked about communications processes and how changes will be communicated to staff. Mrs Murray advised that it has been agreed that current methods of communications will be used. These include CHP Team Brief, updates at Extended SMT, Staff Partnership Forum, GP Forum and PEG. EDC will also communicate through their Partnership at Work Group.
Mr Fraser thanked Mrs Murray for the update.
THE COMMITTEE WILL AWAIT FURTHER UPDATE ON PROGRESS.
PERFORMANCE MANAGEMENT
57. / FINANCIAL OUT TURN REPORT 2013/14
Paper 2014/40
Mrs Murray provided the Committee with a report detailing the financial position as at 31st March 2014. There was a slight overspend in OHD capital reported which may be due to asbestos removal costs. The revenue budgets were achieved for CHP and OHD. Both CHP and OHD also achieved savings targets. The OHD were congratulated on their performance in achieving this despite significant pressures such as PDS pay modernisation and changes to non-cash limited allocations.
Questions
Mr Finnie congratulated both the CHP and OHD for their performance in maintaining control of very difficult to manage budgets. To have this degree of stability is excellent.
Mrs Murray highlighted that work is underway with Mr James Hobson, Head of Finance, East Dunbartonshire CHP and Mr Ian Black, Director of Finance and Shared Services, East Dunbartonshire Council, to prepare and establish opening budgets for both the shadow and integrated health and social care partnership.
Mr Fraser thanked Mrs Murray for the report.
THE COMMITTEE WILL AWAIT FURTHER FINANCIAL UPDATES
58. / HR UPDATE
Paper 2014/41
Ms Serena Barnatt, Head of HR, presented members with the HR Report detailing the CHP and OHD performance in relation to contributing towards the NHS Service standard for attendance management and KSF. An increase in absence was reported in both areas; however this may be due a number of current long term absences. Ms Barnatt anticipates this may remain high for a number of weeks due to the types of long term absence.
Mr Fraser thanked Ms Barnatt for the update.
THE COMMITTEE WILL AWAIT FURTHER UPDATE IN DUE COURSE
59. / ORGANISATIONAL PERFORMANCE REVIEW
Paper 2014/42 (Presentation)
Ms Sandra Cairney, Head of Planning and Health Improvement, presented an overview of the current OPR process. The next OPR takes place on 29th May however the template for completion has only recently been received from the Board. The submission will be circulated to the Committee in due course. It is expected that the reporting arrangements will change following implementation of health and social care partnerships.
The chair thanked Ms Cairney for the update.
THE COMMITTEE AWAITS FURTHER UPDATE ONCE OPR SUBMISSION COMPLETE
ITEMS FOR DISCUSSION
60. / EAST DUNBARTONSHIRE CHP CLINICAL GOVERNANCE ANNUAL REPORT – 2013/14
Paper 2014/43
Dr Graham Morrison, Clinical Director, presented the Clinical Governance Annual Report for 2013/14. Dr Morrison wished to thank Dr Malcolm Campbell who retired from the post of Associate Clinical Director last year for his contribution to the report. Dr Morrison also wished to thank both Ms Dianne Rice, Information Officer for her hard work and contribution to the report and Mr Andrew Millar, Clinical Effectiveness Coordinator for his assistance. Dr Morrison drew attention to some highlights throughout the report.
Questions
Mr Fraser thanked Ms Rice on behalf of the Committee and commented that the report was very well presented.
Cllr O’Donnell commented on the pressure ulcers work. Ms Ellice Morrison, Professional Nurse Advisor, commented that work to reduce incidence of pressure ulcers was being taken forward using SPSP methodology. The District Nursing Service in NHSGG&C are the only community nurses who are developing Clinical Quality Indicators in line with the Scottish Patient Safety Programme.
Dr Lisa Williams, Associate Clinical Director, also commented that the report was very well presented and an interesting report. Dr Williams felt it was important not to be complacent about performance and highlighted a few areas which can be looked at and improved such as GP access statistics and GP engagement with child protection. Mrs Murray felt the report does not highlight the gaps such as lack of engagement with other contractors such as community pharmacy and optometry.
Mr Fraser thanked Dr Morrison for an interesting report.
NOTED
61. / ORAL HEALTH DIRECTORATE CLINICAL GOVERNANCE ANNUAL REPORT 2013/14
Paper 2014/44
Dr Ray McAndrew, Associate Medical Director, was welcomed to the meeting to present the OHD Clinical Governance Annual Report for 2013/14. Dr McAndrew thanked both Mrs Frances McLinden, General Manager and Ms Linda Armstrong, Clinical Governance Officer, for their contributions to the report. Dr McAndrew highlighted the key areas of achievement detailed within the report including combined practice inspections and establishment of a robust monitoring system for audit. Dr McAndrew also highlighted an area requiring improvement, namely, general antibiotic prescribing.
Questions
Cllr O’Donnell asked if dentists have free rein to prescribe. Mrs Murray advised no, dentists have a limited formulary however this does include antibiotics for treatment of dental disease. Significant improvement has been achieved in terms of limiting the choice of antibiotics available however there is still a high rate of prescribing which may be genuinely linked to prevalence of dental disease in the NHS GG&C population.
Mr Fraser thanked Dr McAndrew for attending.
NOTED
62. / SINGLE OUTCOME AGREEMENT (SOA) 2014/15
Paper 2014/45 (Presentation)
Mr Gerard McCormack, Strategic Planning and Place, East Dunbartonshire Council, was welcomed to the meeting. Mr McCormack and Ms Cairney provided a presentation on Community Planning and the SOA.
Mr Fraser thanked Mr McCormack for attending the meeting today and advised that the CHP Committee routinely review the Community Planning Partnership Board papers.
There were no questions noted.
NOTED
63. / EAST DUNBARTONSHIRE CHP DEVELOPMENT PLAN
Paper 2014/46
Ms Cairney presented the CHP Development Plan for noting.
Dr Williams expressed concern about the very low uptake rates for bowel screening in some groups of the population.
There were no questions noted.
NOTED
ITEMS FOR NOTING
64. / COMMUNITY PLANNING PARTNERSHIP BOARD PAPERS – 21ST MARCH 2014
Paper 2014/47
NOTED
MINUTES OF MEETINGS & TEAM BRIEFS
65. / MINUTES OF PEG MEETING – 30TH APRIL 2014
Paper 2014/48
Still to be ratified
NOTED
66. / MINUTES OF SPF MEETING – 23RD APRIL 2014
Paper 2014/49
Still to be ratified
NOTED
67. / EAST DUNBARTONSHIRE CHP TEAM BRIEFS – MARCH, APRIL & MAY 2014
Papers 2014/50a, b, c
NOTED
68. / ORAL HEALTH DIRECTORATE TEAM BRIEFS – MARCH & APRIL 2014
Papers 2014 51a, b
NOTED
69. / NHSGG&C CORPORATE TEAM BRIEFS – MARCH, APRIL & MAY 2014
Papers 52a, b, c
NOTED
70. / AOCB
No other business was noted.
25. / DATE OF NEXT MEETING
Wednesday 16th July 2014
CHP Seminar – 0900 to 0930
CHP Committee – 0930 to 1200
Corporate Meeting Room, CHP HQ, Stobhill Hospital
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