Approved

NHS GRAMPIAN

Minute of Meeting of the Patient Focus and Public Involvement Committee held on Wednesday 19 February 2014 inthe Conference Room, Summerfield House

PRESENT:

Mrs Christine Lester, Non-Executive Board Member (Chair)

Mrs Jane Adam, Lay Member

Mrs Susan Carr, Associate Director of Allied Health Professionals

Mr David Cooper, PFPI Officer

Mr Nigel Firth, Equality and Diversity Manager

Mrs Wilma Forrest, Lay Member

Ms Tracey Gervaise, Public Health Lead, representing Moray

Mrs Laura Gray, Director of Corporate Communications & Board Secretary

Cllr Bill Howatson, Chairman

Mrs Linda Juroszek, Chair, Area Clinical Forum

Ms Eleanor Murray,Quality Lead Nurse, representing Acute Services

Ms Linda Oldroyd, Nurse Consultant, Patient Safety & Patient Experience

Mr Jonathan Passmore, Non-Executive Board Member

Ms Catherine Rae, Clinical Equipment Advisor,representing Aberdeen City CHP

Cllr Anne Robertson, Non-Executive Board Member

Mrs Liz Tait, Professional Lead for Clinical Governance – via videolink

ATTENDING:

Mr Paul Allen, Deputy General Manager for Facilities and Estates

Mrs Marilyn Elmslie, Committee Clerk

Item No

/ Issue /

Action

1 / Welcome and apologies
Christine Lester welcomed everyone to the meeting.
Apologies were intimated on behalf of Richard Carey, Roelf Dijkhuizen, Cllr Stewart Cree, Laura Dodds, Linda Duthie and Jacqueline MacKintosh.
Christine Lester read aloud an email sent by Lisa McCartney, Area Manager, Scottish Health Council, intimating that as the Scottish Health Council’s report was listed on the agenda as an “Item for noting” neither she nor Christopher Third, Local Officer, SHC would continue to attend the PFPI Committee meetings. They would send a report for each meeting and would welcome copies of papers and minutes.
All committee members were disappointed with the information and it was agreed that Laura Gray would contact Lisa to reiterate the valueof the Health Council’s contribution to agenda items and encourage their attendance at future meetings. / LG
2 / Minute of the meeting held on 20 November 2013
The minute was approved as a correct record of the discussions.
3 / Matters Arising
3.1 / Foresterhill site car parking update
Paul Allen provided a detailed background report which had also been sent to all Non-Executive Board Members for information and to allow them to submit questions/comments.
Car parking controls at Aberdeen Royal Infirmary were introduced in July 2012 . This resulted in a significant improvement in the availability of parking on the site. A permit system for staff was introduced which allocated the user different staff car parks depending on their qualification score. Rapid Response permits were also available for staff who were required for emergency response as agreed with the acute sector management. In total there are 2565 available spaces on the site with 5744 permits allocated which means that there is approximately two to one allocation. After the initial permit allocation process anomalies arose in relation to permit requirements and these were dealt with through partnership discussions with the relevant parties. The permit system also did not incorporate any formal process for deleting “leavers” or ensuring the return of barrier swipe cards. In September 2013 the decision was taken to halt the application process temporarily to assess the allocated number of permits and since then no permit has been issued until a “leaver” has been removed from the permit system.
Paul noted that the whole system now required to be reviewed and was keen to set up a new steering group which would require governance input. It was suggested that a Non-Executive Board member be invited to chair the group. A public representative would also be sought. It was agreed that Christine Lester and Laura Gray would meet with Paul to discuss the initial arrangements for forming the new steering group.
Wilma Forrest thanked Paul for the detailed report but was concerned that the audit focused on processes and procedures for staff parking and did not consider the impact on patients and visitors. Paul agreed and would take these considerations into the review.
After detailed discussions it was agreed by all members of the Committee that a long term strategy for parking on the Foresterhill site was required in line with the NHS Grampian’s 2020 vision and the Foresterhill masterplan.
Paul was thanked for his report and invited to update the Committee again at a future meeting.
4 / PFPI Assurance
4.1 / Stakeholder Engagement in NHS Grampian
The paper was submitted to the Committee as it had previously been presented, discussed and well received at the NHS Grampian Board meeting on 7th February.
The comprehensive document provided detailed requirements for the Board in relation to stakeholder engagement, the approach to patient, public, staff and other stakeholder engagement, the requirements to maximise organisational learning and the opportunities to work collaboratively with partner organisations.
The Committee noted the document.
4.2 / Suggested replacement name for PFPI Committee
Further to the outcome of the workshop in May last year, the members were invited to submit a possible new name for the Committee. After discussions it was agreed that none of the suggestions fully described the wide range of responsibilities of the Committee and it would continue under the name Patient Focus and Public Involvement Committee.
The Committee endorsed the agreed action to continue to use the name.
5 / Equality and Diversity
5.1 / Equality and Diversity information
A detailed report was submitted by Nigel Firth which highlighted:
  • 40 Equality and Diversity Training Seminars have been arranged for 2014.
  • Following a detailed and positive discussion, the NHS Grampian Equality and Diversity Workforce Monitoring Report 2012/13 had been approved at the NHS Grampian Board Meeting on Friday 7th February 2014.
  • A wide range of Physical Improvement Schemes to improve disability access to NHS Grampian premises had been completed during 2013/14.
  • The 2011 Census information had been released recently. It showed that the population of Grampian had increased by over 43,000. Much of the increase was due to the influx of mostly Eastern European migrant workers and their families. Nigel highlighted that the census information was now two years old and should be used with caution.

5.2 / Video British Sign Language (BSL) pilot run by NHS 24
NHS Grampian had agreed to participate in a Government funded Video BSL pilot run by NHS 24. The aim was to make BSL interpreters available via Video Conferencing.
The pilot had encountered a number of problems such as delays in the pilot commencing, restricted availability and technical problems. NHS 24 had addressed these issues and adjusted the service accordingly. If the service could prove to be reliable, it would be a useful supplement to the local “face to face” BSL interpreters. Patient and staff accessing the service would be asked to provide feedback, as part of an evaluation process.
One issue which was still unresolved was the difference in some BSL words used by the Video BSL interpreters who were based in Glasgow and local BSL users who had additional or different words in their BSL vocabulary.
The Committee thanked Nigel for the detailed reports and update
6 / Public Involvement and Consultation
6.1 / Public Involvement Quarterly update
The detailed update was presented by David Cooper, who was deputising for Laura Dodds, Public Involvement Manager. He highlighted that a review of the extent to which the Public Forum was delivering its agreed role and remit was now in hand. The Forum will become an involvement network with a range of ways to engage including reducing the number of Forum meetings to one large event per year. In preparation for these changes, Forum members will be involved in a focus group to review the proposals and agree the best ways to implement the changes.
He also noted that the public open day for visitors to the Aberdeen Community Health and CareVillage, prior to its opening, had been very successful with over 100 members of the public attending.
Jonathon Passmore commented that there were several projects using the services of Viewpoint and enquired if there were plans to purchase further machines. David noted the devices were expensive to purchase and that the annual account and licence arrangement for each ViewPoint costs approx £1K.
Cllr Howatson commented on the importance of the work of the Forres Health and Care Centre and the value in recruiting additional Patient Participation Group members.
Wilma Forrest enquired if PPGs were attached to all GP practices. Not all GP practices have a PPG but it was confirmed that local SHC colleagues take the lead on assisting GP practices to set up PPGs and that there were a number of active and valued PPGs in the community.
The Committee noted the update.
6.2 / Managed Clinical Network Involvement Guidance
The guidance paper prepared by Laura Dodds, in partnership with MCN managers and Margaret Somerville from Chest, Heart and Stroke Scotland, was circulated for the Committee. This provided an overview of the role of the MCNs and the benefits of a co-ordinated approach towards involvement across the MCNs.
Liz Tait noted that there was a requirement for a linkage between the Clinical Governance Committee and the work and future plans of MCNs. She agreed to ensure that the item is included for discussion at the next Clinical Governance Committee agenda setting meeting.
The Committee approved the guidance. / LT
6.3 / Child Health 2020 Involvement Summary Report
Laura Dodds had prepared the report which summarised the views and experiences of young people and families as part of the process for the Strategic Framework for Children and Young People’s Health.
The Committee agreed that the Health Board needs to engage more with young people via their preferred methods such as social media. The strategy is seen as a starting point from which an agreed action plan and implementation will follow.
The committee noted the report.
7 / Patient Public and Carer Information
7.1 / Carers Legislation – Consultation on Proposals
Copies of the document were provided for the Committee and the respondent information form was noted. Laura Gray noted that the consultation process will close on 16 April. NHS Grampian will provide a response and she encouraged Committee members to respond directly.
7.2 / Equal Partners in Care Practice Learning and Sharing Event 13 February 2014
Laura Gray attended the event held in Aberdeen. The event showcased the work being delivered through the national initiative.
8 / Patient Experience
8.1 / Person-centred update
The detailed update report was prepared by Linda Oldroyd who talked through the various strands national and local activity. NHS Grampian has convened a person-centred Steering Group to oversee all person-centred activity and each sector has identified a lead person to take forward the agenda.
Wilma enquired why the aim of 90% was used in the measures of the outcomes on the table on page 2. Linda confirmed that this was based on the Institute for Healthcare Improvement methodology and was seen as a good target to aim for.
Cllr Robertson asked how good practice is shared and what would happen if the 90% target was not achieved. Linda replied that ideas for improvement are gathered from patients and staff to develop an improvement plan for the ward or area. Twenty clinical areas and departments collect real time feedback and the outputs from this work take the form of improvement plans, the identification of “always events” and making a commitment to regular real time feedback work. Public and patients can see the results which are highlighted on posters in clinics and ward areas.
The Committee will continue to be provided updated reports.
9 / Sector PFPI Updates
9.1a / Acute Sector
A detailed report was submitted by Eleanor Murray. She highlighted the section regarding the wheelchair provision at ARI. 30 new wheelchairs will be provided with a ‘supermarket’ £1 coin slot system and will be placed at the main entrance, the rotunda and the east entrance. There will be a chain/slot system at each location and the chairs will be released with a £1 coin which will be refunded when the chair is returned.
Jane Adam enquired whether there would be a facility providing £1 coins/tokens as not everyone may have the appropriate coin. Eleanor will make enquiries and provide an update at the next meeting. / EM
9.1b / Public Health
A written update report was tabled and noted as no representative from Public Health was available to attend.
9.1c / Aberdeen City CHP
Catherine Rae had prepared the report which provided detailed information on a number of involvement and engagement projects within the City CHP. She also noted that a number of the services had been busy with relocating to the new Aberdeen Community Health and CareVillage.
9.1d / Aberdeenshire CHP
A written update report was tabled and noted as no representative from Aberdeenshire CHP was available to attend
9.1e / Moray Community Health & Social Care Partnership
A detailed report was submitted by Tracey Gervaise who highlighted a few of the topics in the report. She confirmed that a new Public Involvement Officer has been successfully recruited and commenced employment on 12 Feb 2014. She also noted that a monthly Forres Health and Care Pathfinder newsletter has been produced, and the group are considering running a logo competition for the new health practice with the local schools.
9.1f / Mental Health & LD
A written update report was tabled and noted as no representative from Mental Health & LD was available to attend.
The Chair thanked the sector representatives for the detailed reports.
10 / Learning, Development and Assessment
10.1 / Scottish Health Council Participation Standard update
A copy of the letter from the SHC to the Health Board regarding the Participation Standard process for 2014-15 was provided for the members. SHC staff will continue to work closely with Boards and will explore approaches to feedback, comments, concerns and complaints, and ways of demonstrating how this intelligence can be used for service improvement.
11 / Advocacy and Volunteering
11.1 / Independent Advocacy – Guide for Commissioners CEL 29 (2013)
A copy of the letter which provided a revised guidance was provided for the members. Laura Gray confirmed that NHS Grampian’s principles for Independent Advocacy were consistent with the guidance.
12 / Report to the Board
The Chair confirmed that a report on a selection of the subjects discussed at each PFPI Committee meeting will be provided to the NHS Grampian Board, in line with all other Committees. It was agreed that the report would include:
Update on car parking
Scottish Health Council links with NHS Grampian
Managed Clinical Networks
The Chair will arrange for the report to be provided in adequate time for the next NHS Grampian Board meeting.
13 / Items for noting
13.1 / Scottish Health Council – quarterly report
13.2 / HAI PFPI Co-ordinating Group Note – 6 March 2013
14 / Any other Competent Business
There was none.
The Chair thanked everyone for their attendance and closed the meeting.
15 / Dates for meetings 2014
10am Wednesday 14 May Conference Room, Summerfield House
10am Wednesday 20 August Conference Room, Summerfield House
10am Wednesday 19 November Conference Room, Summerfield House

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