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ABERDEEN COMMUNITY HEALTH PARTNERSHIP COMMITTEE
Note of Workshop Event - 18th April 2012
Woodhill House, Westburn Road, Aberdeen
Present:- Bill Howatson, Chairperson; and Councillors Cormack and Donnelly; Julie Fletcher, Linda Smith, Chris Provan, Liz Taylor, Karyn Da Costa, Ian Paterson, Pamela Cornwallis, Sheila Stewart and Gill Moffat.
In Attendance:- Sandy Reid, Paul Foley and Mark Masson (Clerk).
Apologies:- Councillors Kiddie and Robertson, Fred McBride, Heather MacRae, Aileen Brown, Sergeant CJ MacLeod and Donald Newnham.
WELCOME AND INTRODUCTION
1. The Chairperson opened the workshop by welcoming everyone present to the CHP Committee workshop, in particular Gill Moffat who was attending her first meeting as one of the three representatives from the Civic Forum.
MINUTE OF MEETING OF THE CHP EXECUTIVE GROUP OF 14th MARCH 2012
2. The Committee had before them the minute of meeting of the CHP Executive Group of 14th March 2012.
With reference to Article 4 of the minute relating to the CHP Constitution, it was noted that the Scottish Government would provide direction in terms of the future structure of the Committee.
With reference to Article 6 of the minute relating to the renaming of the CHP Committee, the Chairperson sought the views of the members present to the proposed name “Aberdeen Health and Social Care Partnership.”
In order to distinguish between the Aberdeen and Aberdeenshire CHP Committee’s, it was suggested that “City” be added to the proposed name.
The Committee resolved:-
(i) to agree in principle that the CHP Committee be renamed “Aberdeen City Health and Social Care Partnership”;
(ii) to note that changes in the structure, constitution and the renaming of the Committee would require formal approval from NHS Grampian Board and Aberdeen City Council; and
(iii) to otherwise note the minute.
COMMUNITY PLANNING HEALTHIER OUTCOMES
3. The Committee received a powerpoint presentation from Paul Foley, External Consultant employed by Aberdeen City Council acting on behalf of the Community Planning Partnership.
Mr Foley explained that the Single Outcome Agreement was a retrofit of all planning partnerships and that a clear purpose was required from all partners for integration. He indicated that there should be a focus on outcomes rather than targets.
He made reference to three stages in moving to an integrated approach based on outcomes, which were as follows:-
Stage 1 – Talking: Previously silo organisations come together to discuss what they can ach bring to social issues. They share their understanding of the problem and what each can bring, but they continue to operate largely independently;
Stage 2 – Basic Collaboration: Organisations develop a shared agreement on the impact they want to have and how that will be measured. They discuss how each of their professional skills can impact the problem. They share, and perhaps co-develop, action plans that are co-ordinated across organisations. Usually people come from their professional perspectives and what that profession believes it can contribute to a complex problem.
Step 3 – Radical Collaboration: Organisations develop shared agreement on the impact they want to have and how it will be measured. They also have shared accountability for the entire performance rather than just their direct element of it. The starting point is the citizen or the community, their measure of success, what they need to experience to achieve that success and how the system as a whole can assure that. Teams are formed from across partner organisations based on who are the right people. These teams are measure on impact. Critically, budgets follow the outcomes and the teams are tasked with delivering them.
Mr Foley advised that most public organisations were sitting at step 2 above.
During the discussion which transpired, the following comments were noted:-
· Good relations would make collaboration easier;
· Focus on governance was important and that the Community Planning Board needs to ensure that working relationships don’t get in the way of achieving outcomes;
· Cultural change – it may take a number of years to reach Step 3;
· The private sector has a duel role, one where they work with Social Care/Health/Third Sector in a partnership approach, the other where they are in a contractual relationship with mainly the SW department.
· There is a challenge for political leadership in terms of where the focus is;
At this juncture Committee members broke into 3 groups, led by Julie Fletcher, Liz Taylor and Sandy Reid. The tasks were to (1) describe from a citizen’s perspective, what they would say and see if Aberdeen City was a truly leading city on health in 10 years; and (2) identify what needs to be in place in 5 years in order to deliver what we want to achieve in 10 years (Each of the groups focussed on one topic, which were Alcohol Abuse, Obesity and Lifestyle).
Paul Foley indicated that there was a need to look at the medium term to achieve the vision and in order to do so, a Single Outcome Agreement (SOA) should be created and that cross partnership groups would be held accountable for each SOA measure.
During discussion, additional comments were noted as follows:-
· A challenge was to ensure that appropriate resources were made available;
· There was a need to identify outcomes which will have an impact on the communities;
· There was a need to define outcomes through a person centred philosophy;
· Encourage and promote self esteem and look at role models;
· The political aspect was relevant – Civil Servants and politicians may have a different view.
The Committee resolved:-
(i) to agree in principle that a Healthier Single Outcome Agreement with a shared vision and common approach should be produced by partners;
(ii) to note that the Improving Health Steering Group would take forward the work;
(iii) to note that the Police, Fire and Rescue and Education would be engaged and that Julie Fletcher and Paul Foley would liaise to consider an appropriate process (possible workshop) in this regard;
(iv) to thank Paul Foley for his presentation and contribution for the workshop;
(v) that the CHP Committee continue to meet in workshop mode.