APPROVED

NHS GRAMPIAN

Minute of the Service Strategy and Redesign Committee Meeting

held on 3rd May 2011 in the

Conference Room, Suttie Centre, Foresterhill

Present:

Dr Lesley Wilkie, Director of Public Health & Planning, NHS Grampian (Chair)

Mr David Anderson, Non-Executive, Board Member, NHS Grampian

Mr Raymond Bisset, Non-Executive Board Member, NHS Grampian

Mr Richard Carey, Chief Executive, NHS Grampian

Ms Christina Cameron, Managed Clinical Network Manager Unscheduled Care, Respiratory

(covering L Scott’s maternity leave)

Dr David Cameron, Chairman, NHS Grampian

Mrs Jillian Evans, Head of Health Intelligence, NHS Grampian

Mr Alan Gall, Deputy Chief Executive/Director of Finance, NHS Grampian

Mrs Laura Gray, Director of Corporate Communications/Board Secretary, NHS Grampian

Mrs Jenny Greener, Non-Executive Board Member, NHS Grampian

Councillor Bill Howatson, Non-Executive Board Member, NHS Grampian

Mrs Christine Lester, Non-Executive Board Member, NHS Grampian

Professor Val Maehle, Non-Executive Board Member, NHS Grampian

Mr Mark Sinclair, Director of HR & Strategic Change, NHS Grampian

Mr Graeme Smith, Head of Service Development, NHS Grampian

Mrs Elinor Smith, Director of Nursing, NHS Grampian

Mr Gordon Stephen, Employee Director, NHS Grampian

Dr Pauline Strachan, Chief Operating Officer, NHS Grampian

In Attendance:

Mrs Diane Murray (minute taker)

Item / Subject / Action
1. / Apologies
Apologies were received from:
Professor Neva Haites
Mr Vincent Shields
Mr Charles Muir
Mr Terry Mackie
Professor Neva Haites
Dr Roelf Dijkhuizen
2 / Minute of Meeting Held on 16th March 20101
This was approved as an accurate record.
3. / Matters Arising from 16thMarch 2011
J Evans confirmed the Reference Group work is ongoing.
L Wilkie confirmed a new risk has been added into the Strategic Risk Control Plan around external engagement and ownership of future Health & Care Framework.
4. / Health & Care Framework
L Wilkie welcomed everyone to the meeting and introduced Christina Cameron to the group, who is providing support to the work of the Health & Care Frameworkduring L Scott’s maternity leave.
i. Action Plan
A copy of the draft High Level Plan for the Development of the Health & Care Framework Action Plan was circulated with the papers. The aim of the plan is to highlight the agreed actions from the 20/20 paper, expected outcomes, leads/groups and timescales to assist in the development of the proposed Health & Care Framework.
J Evansgave a brief summary on each of the potential actions, which were split into the headings below. These were based on discussions and feedback from the stakeholder event on 3rd March 2011. These potential actions will assist in the development of the proposed Health & Care Framework Action Plan.
  1. Health creation and health promotion
  2. Integration and culture
  3. Healthcare and delivery across the whole system
  4. Developing the healthcare infrastructure
There was a lengthly discussion around the action plan which resulted in clarification being sought by some members around the context and purpose of the plan.There wereconcerns around how this action plan can be completed without a draft copy of the Health & Care Framework being produced for reference. G Smith fully explained the context and reasoning behind the High Level Action Plan template, which was developed toassist in the development of theHealth & Care Acton Plan.
The following points were also highlighted:
● The word ‘ strategy’ should be removed from 1.1
● A query was raised around how we will determine what standards we are working to? G Smith confirmed we will use the pathfinder work in Inverurie, Forres and Maternityappliesthe learning from these. There are also numerous standards which already exist in the form of NICE guidelines, QIS standards and others. The Health & Care document will reflect these as well as statements from the 20/20 paper.
G Smith will ensure the Action Plan is revised in line with today’s discussion.
ii. Stakeholder Engagement
A copy of the Stakeholder Engagement for Development of the Action Plan was circulated with the papers. The aim of the document is to highlight the proposed engagement process, showing the groups/bodies to which the engagement will take place with, the aim of the engagement, the general method of engagement, the leads/key individuals and outputs. Discussions took place around the document and the following points were highlighted;
● This will be a really helpful document when completed, especially around
the completion of the section “Aim of Engagement”.
● People will have opportunity to think about the best method of involving
the various groups/bodies and also to think about other techniques we
haveused previously.
● Thought will be required around the sequence of the engagements, the
process and timings. ie. when/where and by whom.
● It was agreed D Cameron and R Carey will be required to be more involved in the engagement process, as both have collectively strong leadership roles and will need to deliver against the high level aims of the Health & Care Framework, It was agreed that this process has positive opportunities as well as difficult decisions having to be met.
● It was agreed the three CHP committees require to play a major role in the creation of the Action Plan. The Health & Care Framework should be a standard item agenda at all three committee meetings, as well as the Change Fund process meetings.
● It was noted that there may be issues around engaging Moray and we will need to work on this.
● A Gall confirmed that discussions had taken place with the City Council around the Health & Care vision.
● R Carey stressed that jointly through the CHPs and Change Fund we need to clarify how health and social care will happen, this also needs to be referenced to in the Action Plan. We need to be more specific on what Health & Care actually means.
  1. Next Steps
● Redraft the 20/20 paper into a more practical description which will contain more high level of detail of what NHS Grampian should look like, what we are trying to achieve, standards and reliable timescales, which should give a draft basis of the Framework, this will help with our own engagement as well as stakeholders engagement ie LAs. G Smith agreed to redraft the 20/20 paper by the end of May 2011, taking into account all the suggestions raised.
As a ‘starter for 10’ it was suggested the plan could include the work of the ECC, Dr Grays reconfiguration, Aberdeen Health Village, Community redesign, Change Fund and role of Community Hospital. A plan is required that iterates, develops and engages people. / G Smith
G Smith
5. / Key Themes from Recent SMT Meetings
L Wilkie advised that the focus of recent SMT meetings have been in relation to the development of the Health and Care Framework and the Change Fund.
R Carey confirmed the Change Fund plan has now been jointly signed off by NHS Grampian, the three Local Authorities and AVCO.
R Carey confirmed Local Authorities representatives are now all invited to attend all SMT meetings to gain understanding and engagement around the Health & Care Framework and also to help NHS Grampian understand what the LAs would find as an effective process around engagement. It was noted that engagement with LAs should also be made through the Community Planning process.
R Carey confirmed that Derek Feeley and Jill Vickerman will be updated on the progress of the Health and Care Framework in line with the national strategic narrative.
6. / AOCB
A discussion took place around the Forres pathfinder, it was noted that an extra meeting date has been arranged for the group to meet on the 23rd May 2011 prior to the June Board meeting, where it is hoped to get general agreement around the pathway being developed, apart from small elements of impatient care which is required in the pathway around Leoncoil Hospital. Adiscussion will take place at the June NHS Grampian Board meeting around forming a mechanism to seek out how small amounts of impatient care will be provide . ie. undertaking an option appraisal.
It was noted that dialogue will be required with the Scottish Government around this process and the PFPI process and what effect this will have in making large decisions ie. closure of hospitals etc.
7. / Date of Next Meeting
Thursday 1st September 2011, 1pm-5pm venue tbc.

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