PERTH & KINROSS COMMUNITY HEALTH PARTNERSHIP COMMITTEE

Transcription

1 Item No 14.4 PERTH & KINROSS COMMUNITY HEALTH PARTNERSHIP COMMITTEE Minute of the above meeting held at 9.00 am on Tuesday 19 February 2013 in the James Murray Suite, Murray Royal Hospital. Present Mr Arthur Andrews, Public Partnership Group Member, Perth & Kinross CHP (Attending via Videoconference link) Mrs Jane Dernie, Lead AHP, Perth & Kinross CHP Councillor Dave Doogan, Perth & Kinross Council Mr Ian Duncan, Community Pharmacist, Perth & Kinross CHP Mrs Linda Dunion, Chairperson, Perth & Kinross CHP Dr Neil Mcleod, GP Representative, Perth & Kinross CHP Mr Bill Nicoll, General Manager, Perth & Kinross CHP Mrs Maureen Summers, Carers Representative Mrs Sheila Tunstall-James, Vice Chair, Perth & Kinross CHP Miss Alison Wood, Head of Corporate Services, Perth & Kinross CHP Apologies Dr Morag Curnow, Clinical Dental Director, Perth & Kinross CHP Ms Julia Egan, Consultant in Public Health Nursing, Mr George Frame, Area Partnership Forum Representative Mrs Sandra Gourlay, Acting Lead Nurse, Perth & Kinross CHP Dr John Harper, Consultant Physician, Medicine for the Elderly, Perth Royal Infirmary Councillor Kate Howie, Local Authority Member, Perth & Kinross CHP Ms Katrina MacPherson, Voluntary Services Member Dr Morag Martindale, Clinical Director, Perth & Kinross CHP Mr Archie Robertson, Optometrist, Perth & Kinross CHP Mr John Walker, Depute Director of Housing & Community Care, Perth & Kinross Council Ms Audrey Warden, General Manager, Surgical Directorate In Attendance Mr Sandy Berry, Financial Accountant, Ms Suzi Burt, Team Leader, Perth & Kinross Council Mrs Grace Gilling, Strategic Planning and Development Manager, Perth & Kinross CHP Mr Colin Haggart, Corporate Services Manager, Perth & Kinross CHP Mr Jim McGuinness, Service Manager, Prisoner Health Care Mr George Millar, Manager, Voluntary Action Perthshire Mrs Karen Melville, Pharmacy Team Leader, Perth & Kinross CHP Mr Christopher Smith, Head of Human Resources, Perth & Kinross CHP Mrs Joan Wilson, Chief Nurse, Children & Families, Dundee CHP Mrs Linda Dunion in the Chair 1. WELCOME AND APOLOGIES ACTION Mrs Linda Dunion welcomed everyone to the meeting and in particular to Mr Dave Doogan who was attending his first Committee meeting. 1

2 2. Family Nurse Partnership Joan Wilson Report No 01/13 Mrs Joan Wilson gave the Committee an overview of the Family Nurse Partnership programme which on license from the USA and focuses on specific measures for improvement. The evidence based programme plays a role in improving health and well through specially trained nurses working with first time mothers under the age of 20 through the pregnancy, infancy and toddler stages of their child s development. Some early results from the programme in Tayside show evidence of increased breastfeeding, healthier eating habits and general increased confidence of mothers. Mrs Wilson reported that the programme was continuing to be delivered in Dundee but funding issues meant that the programme could not be sustained in Perth & Kinross The Committee discussed the programme and agreed that this was an exciting and highly beneficial programme that should be where possible used to strengthen the services that were currently being provided in Perth & Kinross. The programmes connection with work around the Scottish Government s Early Years Collaborative and the Evidence2Success project was also discussed. The Committee Noted the National and position of the testing of the FNP Programme. Noted the progress achieved to date in Tayside and in Perth & Kinross. 3. MINUTES OF PREVIOUS MEETING 3.1 Minute of Perth & Kinross CHP Committee Meeting 11 December 2012 The Committee approved the minutes of the meeting of 11 December 2012 subject to the following change. Page 6 Paragraph 3 should read Mr Ian Duncan, Community Pharmacists said that he would be pleased to see Community Pharmacists being involved in this work. Proposed by Mrs Sheila Tunstall-James Seconded by Dr Neil McLeod. 3.2 ACTION POINT UPDATE The Committee noted the Action Point Update. 3.3 OTHER MATTERS ARISING Nil 2

3 4. MINUTES OF MEETINGS OF SUB-GROUPS ARE SUBMITTED FOR THE INFORMATION OF THE COMMITTEE, AND THE CONSIDERATION OF ANY RECOMMENDATIONS 4.1 Safety, Clinical Governance & Risk Group meeting 2 October 2012 Mrs Dunion commented that she had found the glossary very helpful although MIIU (Minor Injury & Illness Unit) seemed to be missing from it. The Committee noted the minute of this meeting. 5. STRATEGIC 5.1 Perth & Kinross Joint Commissioning Strategy Mr Steven Rankine Report No 2/13 Mr Steven Rankine and Ms Audrey Ryman provided the Committee with an update on progress being made towards the preparation of the Perth and Kinross Joint Commissioning Strategy, which is part of the Reshaping Care of Older People agenda. The draft Commissioning Strategy is the first iteration of Perth & Kinross Joint Commissioning Strategy which endeavours to outline the one year Change Fund plan for 2013/14, defines the 3 year plan for Joint Commissioning and provides an overview of how a 10 year Joint Commissioning Plan will continue to be developed. A more advanced paper will be taken to Board in the next few weeks and to Perth & Kinross Councils Housing and Health Committee on the 13 March The Committee queried a number of matters relating to the draft Strategy including, Public Consultation, Public Communication, Evaluation and Outcomes. The Committee commended Steven Rankine and Audrey Ryman for the huge amount of work that they have put into devising the strategy and: Noted the Scottish Government s requirements of the Joint Commissioning Strategy. Noted progress being made towards the preparation of the Joint Commissioning Strategy. Approved a Joint Commissioning Strategy consultation draft being made publicly available for consultation by 28 February Prisoner Health Care Mr Jim McGuinness Report No 3/13 Mr Jim McGuinness apprised the Committee on the progress of Prisoner Healthcare transformation programme. The three areas in which work is currently progressing are: GP Medical Services Following the termination of the contract with Academy Medical Centre to deliver Medical Services within Prisoner Healthcare it is now proposed that this service will now be managed in house from 12 April Under this arrangement the GP s from Academy Street will transfer over to employment through TUPE arrangements. 3

4 Enhanced Addiction Casework Service (EACS) The existing contract to provide this service, currently held by Pheonix Futures, will terminate on 31 March The 13 members of staff involved in this work will transfer over to employment through TUPE arrangements. Workforce A huge amount of work has been carried out with the staff who transferred from Scottish Prison Service in November Further work is still required but Mr McGuinness advised that he had been very encouraged by the enthusiasm shown by staff in embracing the new culture. The Committee discussed the issues relating to the withdrawal of Academy Street from the contract and the change of culture that was taking place for both staff and prisoners. The Committee agreed to: GP Medical Services, Prisoner Healthcare Support the delivery of a salaried GP Provision within Prisoner Healthcare following termination of the contract with Academy Medical Centre to deliver Medical Services within Prisoner Healthcare on the 12 th April (see attached paper to Executive Management Team) Appendix 1 Enhanced Addiction Casework Service (EACS) within Prisoner Healthcare Support the termination of the current contract with Phoenix Futures on the 31/03/2013 and for to take responsibility for service provision on the 01/04/2013. (see attached paper to Executive Management Team) Appendix 2 Prisoner Healthcare Workforce Note the completion of the Prisoner Healthcare Staff survey and the emerging Workforce Plan which is being developed in order to offer support to staff through the transition and to provide for their training and ongoing development needs in order to deliver the transformation program and Just culture within Prisoner Healthcare. Following the completion of the transformation programme in May 2013 an update report will be brought back to the Committee. 5.3 Adult Support & Protection Mrs Grace Gilling Report No 4/13 Service Manager, Prisoner Healthcare Mrs Grace Gilling gave the Committee a brief update on the progress of Adult Support and Protection arrangements within Perth & Kinross and drew attention to the Perth & Kinross Adult protection Committee s Biennial Report for The report contains an improvement plan which will assist with the development of services and promote a culture of continuous improvement across all levels of inter-agency adult support and protection. Mrs Gilling also highlighted the Winterbourne Case Review and the implications for Perth & Kinross and the lessons that can be learned from the incident. 4

5 The Committee felt that movement was going in the right direction and the same transformation that had been made around Child Protection was also required for adults. It was also suggested that as Health continued to be the lowest referrer of Adult Protection issues that an identified lead person may be required to lead on this and carry out a scoping exercise in the first instance. The Committee noted the progress made in taking forward the Adult Support and Protection agenda in Perth & Kinross and agreed to support the recommendations contained in the report. It was also agreed that Bill Nicoll and Grace Gilling would look at the issues raised around incident reporting. Strategic Planning & Development Manager 5.4 Health & Social Care Integration Bill Nicoll Report No 5/13 Mr Bill Nicoll updated the Committee on the progress of the Scottish Government s proposals to integrate Health and Social Care Services. The Scottish Government last week published the results of it s consultation process. This outlined that all adult care services will be included in the integration but work would commence focussing on Older Peoples Services. One of the most radical proposals from the Government is around the single accountable officer which will be responsible for the integrated services. At a local level a Transition Board, chaired by Mr Sandy Watson, has been established to develop a route map which will set out the key elements that need to be planned for. Progress is being made towards collocating service management teams into 2 High Street which will help in the establishment and development of integrated locality teams. The Committee noted the progress to date in terms of preparation for future integration of Adult Health & Social Care. 6. GOVERNANCE 6.1 DECLARATION OF INTERESTS Mrs Dunion invited the Committee to declare any changes to the original Declaration they had submitted so these could be noted by the Board Secretary, Tayside NHS Board, from the minutes. There were no amendments to declare. 7. PERFORMANCE 7.1 Financial Report at January 2013 Mr Sandy Berry Report No 6/13 Mr Sandy Berry provided the Committee with un update on the CHPs financial position at the end of January The current position would indicate a projected 53K underspend at the year end which given the difficulties experienced over the course of the year was quite a significant achievement. Mr Berry indicated that traditionally the CHP had overspent against its HCHS budget and this had been brought into balance through Prescribing efficiencies however, this situation had now been reversed. 5

6 The Committee discussed the issue of prescribing and the impact this was having on the budget, Mrs Karen Melville indicated that an increased number of items being dispensed seemed to be the main cause and that was linked to the introduction of free prescriptions. Mrs Sheila Tunstall-James left the meeting at this point. 7.2 Perth & Kinross CHP Performance Report January 2013 Ms Alison Wood Report No 7/13 Miss Alison Wood outlined the CHPs performance report which, as requested by the Committee, was contained in an improved format which gave better graphic information. Bill Nicoll expressed his disappointment around the continuing high costs associated with supplementary staffing and advised that this would need to be investigated further. 7.3 Progress Report Perth & Kinross CHP Committee Work Plan 2012/13 Ms Alison Wood Report No 8/13 Ms Alison Wood outlines the progress of the Committee s workplan and pointed out that, with one meeting left in the current financial year, most of the workplan had been completed. The workplan for 2012/13 would be brought to the next meeting of the Committee for approval. The Committee discussed the issue for Health Equity and Mr Bill Nicoll undertook to meet with local authority colleagues to look at Health Equity with a view to bringing a paper back to Committee which would set out a refreshed approach to Health Equity. The Committee agreed to Councillor Dave Doogan suggestion that the issue of Obesity, both for Children and Adults, should be included in the workplan for next year. Head of Corporate Services 7.4 Steps to Better Healthcare Programme Medicines Leadership Mrs Karen Melville Report No 9/13 Mrs Karen Melville apprised the Committee on the progress of the Medicines Leadership Workstream for 2012/13. Work is still continuing around the Tayside Wound Formulary and Mrs Melville was meeting with senior nursing staff to design and deliver an improvement and monitoring plan to ensure compliance with the Formulary. 6

7 7.5 Change Fund Workstreams Workstream 4: Co-Production Ms Suzi Burt Report No 10/13 Mr George Millar and Ms Suzi Burt gave the Committee an update on the range of initiatives being carried out under the Co-Production workstream. These include: Time Banking Carer s Hospital Link Worker Capacity Building Tools Community Engagement Team The Committee discussed the methods of engaging with communities particularly in North West Perthshire and it was agreed that it would helpful to invite someone from the community who is involved in some of the engagement work to present to the Committee. The Committee agreed to support the continuing work within Workstream 4 of the Change Fund. Councillor Dave Doogan left the meeting at this point. 8. INFORMATION 8.1 Record of attendance Report No 79/12 Mrs Maureen Summers raised the issue of non-attendance and the fact that some members had not attended during the full year and queried whether replacements should be sought. 9. AOCB Nil 10. DATE OF NEXT MEETING The next meeting of the Committee will be on Tuesday 9 April 2013 at 9am in the Steele Lecture Theatre, Perth Royal Infirmary. Subject to any amendments recorded in the Minute of the subsequent meeting of the Committee, the foregoing Minute is a correct record of the business proceedings of the meeting of the Perth & Kinross CHP Committee held on Tuesday 19 February 2013 and was approved by the Committee at its meeting held on Tuesday 9 April CHAIR DATE 7