Glenrothes & North East Fife

Community Health Partnership

UNCONFIRMED MINUTES OF THE MEETING OF GLENROTHES ANDNORTH EAST FIFECOMMUNITY HEALTH PARTNERSHIP COMMITTEE HELD ON 1 MAY 2013 WITHIN COUNTY BUILDINGS, CUPAR

Present:

Mr A Morris, Chairman
Mrs T Anderson, Nurse Representative
Mr K Cochran, NHS Fife Board Non Executive
Mrs M Fraser, AHP Representative
Mrs M Harper, NHS Fife Board Non Executive
Mrs V Irons, CHP General Manager / Mrs A Nicol, APF representative
Ms F Purdon, NHS Fife Board Non Executive
Councillor I Sloan
Mrs M Tevendale, Associate Nurse Director
Dr E Wallace, Clinical Lead

In Attendance:

Mr B Anderson, Head of Partnership / Mr A Briggs, Assistant Director of Finance
Mrs T Briggs, Assistant Director Clinical Delivery / Mrs K Chater, Corporate Support Manager
NO / HEADING / ACTION
27/13 / DECLARATION OF MEMBERS’ INTERESTS
There were no declarations of interest noted.
28/13 / CHAIRMAN’S WELCOME AND OPENING REMARKS
The Chairman welcomed all to the meeting noting attendance by Mags Fraser on behalf of the AHP representative. It was also noted that Mr Kenny Murphy has now been nominated as the voluntary services representative but unfortunately unable to attend this meeting.
The chairman advised that NHS Fife Board agreed at its recent meeting to the formation of a Shadow Board as part of the ongoing integration of health and social care. The Board, which should be in place within the next 3 months, will consist of 8 members each from both Council and Health and will oversee all discussions on the move forward. An interim Director of Health & Social Care Partnership has been appointed to direct the integration process.
It was confirmed that the CHP will continue to be in statute meantime until the new legislation is agreed. The draft Bill has not yet been published.
The Health and Social Care Partnership will in the first instance comprise of adult and older people services including the 3 CHPs and their services and adult social care.
Noted that the Board meeting was Professor McGoldrick’s final meeting as Chairman of NHS Fife. The new Chairman was announced as being Mr Allan Burns.
29/13 / APOLOGIES FOR ABSENCE
Apologies were received fromMs D Adams, Dental Representative, Mrs I Corbin, PPF Representative, Councillor M Kennedy, Dr A Kyle, General Practitioner, Mrs L Mackenzie, AHP Representative, Mrs K O’Connor, Public Partnership Representative, Mr K Murphy, Voluntary Sector Representative and Dr C Preston, Registered Medical Practitioner
Attendees
Apologies were received fromMrs R Fearon, Fife Council andMr J Rotheram, Facilities Manager
30/13 / MINUTES OF PREVIOUS MEETING HELD ON 6 MARCH 2013
The minutes of the meeting were confirmed as an accurate record.
31/13 / MATTERS ARISING
31/13/1 / Primary Care Emergency Service (PCES)
Noted process now in place for public meetings and consultation. Ms Purdon advised of attendance at appraisal session where the reduction of the Glenrothes service was supported.
31/13/2 / Health & Social Care Partnership
The chairman advised that NHS Fife Board agreed at its recent meeting to the formation of a Shadow Board as part of the ongoing integration of health and social care. The Board, which should be in place within the next 3 months, will consist of 8 members each from both Council and Health and will oversee all discussions on the move forward. An interim Director of Health & Social Care Partnership has been appointed to direct the integration process.
It was confirmed that the CHP will continue to be in statute meantime until the new legislation is agreed. The draft Bill has not yet been published.
The Health and Social Care Partnership will in the first instance comprise of adult and older people services including the 3 CHPs and their services and adult social care.
32/13 / LOCAL DELIVERY PLAN
32/13/1 / 2012-13 Outturn Report
Noted that the full outturn report for 2012/13 has been tabled earlier this year in order to allow time to bring the 2013-14 plan to the next meeting for discussion.
The format follows previous years and is similar to the NHS Fife Board plan. There have been a few minor updates made but no issues of significance raised. Most of the areas in red are still within the national target.
The April census showed that there were only 2 patients beyond the 4 week target. It was noted that this was only reached due to the significant level of effort and resource given which is not sustainable. The work and leadership of Val Hatch and the local ICASS teams was recognised as being fundamental to reaching this position.
The level of partnership working with social care was queried and it was confirmed that staff work closely with colleagues and now meet on a weekly basis to look at causes for delay and options. There have been residual issues with packages of care and in North East Fife there has been an ongoing workforce issue over a number of years. Agreed that some education on patient expectation of packages required would be useful.
Noted only 50% of the e-KSF target achieved - confirmed this is now a local standard rather than national and the uptake has increased.
An improvement in sickness absence was noted over the past 4/5 months and this trend has been seen as a whole over Fife. The figures can however often increase over the March/April period due to year end leave but the effort of managers to improve absence management was to be commended.
The Committee noted the 2012/13 outturn report.
33/13/1 / EFFICIENCY AND GOVERNANCE ARRANGEMENTS
33/13/1 / Finance & Activity
The finalfinancial report for the year to 31 March 2013 was presented showing a £283,000 underspend following funds being phased in at year end. The report is in draft meantime as figures are currently subject to external audit as part of the financial process.
Prescribing is currently £289,000 overspent based on10 months actual data and 2 months estimated.
Palliative care overspend only increased slightly (£9000) showing costs are being controlled.
Community equipment showing a £28000 overspend due to a recharge by Fife Council.
Efficiency savings
The CHP achieved the£630,000 identified for this year in full.
Capital
£65000 overspend showing for Glenwood project as some spend made earlier than expected. The overall capital programme for the Board allowed for this.
The overspend on the intermediate care team was queried and it was confirmed that this may continue year on year as the scope of the teams develop. Confirmed that the Hospital at Home team is included with community services.
It was advised that oncedental non cash limited budgets are transferred to clinical dental services that the underspend will reduce significantly. Although no detriment this year in future years the budget may therefore become more equitable.
The Committee noted the finance report.
33/13/2 / Health & Safety
Clarification was requested on the generator issue at St Andrews Community. It was advised that appropriate testing was undertaken. Morrisons Facilities Management (FM) investigated the issue further and have now had a new flue installed. Noted that the CHP has a very good working relationship with Morrisons FM.
The Committee noted the minutes.
33/13/3 / Clinical Governance
Mobile phone coverage has been raised as an issue in some areas of the CHP.
Noted that the Ombudsman report is used to check for good practice and that local complaints are reviewed at the Clinical Governance meetings. It was agreed it would be useful to share a summary of complaints with the Committee.
Noted Shirley Magee has been shortlisted as a finalist in the Patient Safety Awards for her work on the Catheter Associated Urinary Tract Infections (CAUTI) bundle. Her nomination is the only one from Scotland.
Clinical Governance Action Plan
This plan is discussed at all 3 CHP Clinical Governance Groups and tt has been suggested that the groups now work together as a unitary group towards integration.
The Committee noted the minutes.
33/13/4 / Staff Governance
Advised that the staff survey will be available between 27 May and 5 July and it is hoped to achieve a minimum response rate of 50%.
The Committee noted the minutes.
34/13 / CHP ANNUAL REPORT
Amended report circulated to include assurance that items on the corporate risk register aligned to the CHP have been discussed. It was advised that there wre no such risks aligned to the Committee in 2012/13.
The Committee noted the Annual Report.
35/13 / UPDATE REPORT – GENERAL MANAGER
A bid for endowment funds to enhance the Queen Margaret hospice area is being developed. As the next Endowment committee is in June the bid will be circulated by email to Committee for information.
Hospital at Home – Kirkcaldy & Levenmouth service launched this week. GNEF to be included once GP commitment is received. Challenge due to shortage of geriatricians with 27 vacancies in Scotland. Investigating primary care led model for North East Fife. Two GPs have noted interest and a meeting has been arranged to progress.
The first cohort of nursing staff will complete training shortly. Training is ongoing and evaluating positively. It is hoped that the service will be live by August.
Noted informal discussion held with Tayside which may provide an opportunity for support.
As CHPs have community hospitals they are able to manage demand more effectively than in other areas. Community hospitals will be used as part of the Hospital at Home Service and the NEF focus will be on prevention of admission rather than discharge.
Agreed to provide a full report to the next meeting. / MT
36/13 / CAPITAL DEVELOPMENT PLANS
36/13/1 / Glenwood Health Centre
The traditional cutting of the sod was held at Glenwood Health Centre on 8 March 2013 and several Committee members attended along with staff and patients.
36/13/2 / Adamson Community Café
Café works now complete with only the landscaping to be undertaken and furnishings procured.
36/13/3 / XRay, Glenrothes Hospital
It is hoped that the XRay facilities will be commissioned by July.
37/13 / ITEMS FOR INFORMATION
37/13/1 / Lease of St Andrews Dental Centre
Lease being developed with independent contractor. No date as yet agreed for the transfer but this will be publicised to patients in advance. It was confirmed that this transfer had been through the formal processes required. Advised that current dental staff will remain within the Fife Community Dental Service. Concern noted regarding possible increase in car parking issues.
The report was noted.
37/13/2 / Core MT
The minutes were noted.
37/13/2 / Public Partnership Forum
The minutes were noted.
38/13 / AOCB
Ban on some soft drinks noted in America. Advised that Tayside have also begun to implement similar ban and have stopped providing some cans in their vending machines.
Noted that Orthotics contracts have changed. However there is no change to clinic arrangements.
Advised that L Mackenzie, AHP representative is attending a Social Work integration event to look at how social care and AHPs can work together in the future.
Development session held for senior nurses to look at the implications of the Francis Report.
26/13 / DATE AND TIME OF NEXT MEETING
The next Committee meeting will be held on Wednesday 3 July 2013 at 2pm
File Name: GNEF CHP Committee 1-5-13 / Issue 1
Originator: K Chater / Page 1 of 6