Item No 16.1 Minute PERTH & KINROSS COMMUNITY HEALTH PARTNERSHIP COMMITTEE Minute of the Perth & Kinross CHP Committee meeting held at 9.30 am on Tuesday 22 February 2011 in the Steele Seminar Room, Perth Royal Infirmary. Present Mr Arthur Andrews, Public Partnership Group Member, Perth & Kinross CHP Mr John Angus, Chairperson, Perth & Kinross CHP Committee Councillor Peter Barrett, Local Authority Member, Perth & Kinross CHP Mrs Jane Dernie, Lead AHP, Perth & Kinross CHP Mr Robert Lister, Acting Lead Nurse, Perth & Kinross CHP Mrs Jillian Milne, CVS Development Officer, Perth & Kinross Association of Voluntary Services Mr Bill Nicoll, General Manager, Perth & Kinross CHP Dr Philip Tipping, Clinical Director, Perth & Kinross CHP Councillor Alasdair Wylie, Perth & Kinross Council In Attendance Mr Sandy Berry, Financial Accountant, Mrs Evelyn Campbell, Head of Older Peoples Services, Perth & Kinross CHP Mrs Julie Flynn, Head of Primary Care/Lead for Child Health, Perth & Kinross CHP Mrs Evelyn Gardiner, Head of Planning & Performance, Perth & Kinross CHP Mr Colin Haggart, Office Manager, Perth & Kinross CHP Mrs Alison Irvine, Service Manager for Children & Family Services Mr Chris Lamont, Equally Well Co-ordinator, Perth & Kinross CHP Mrs Lesley Paterson, Central Health Care Team Leader, Perth & Kinross CHP Mrs Catriona Riach, Team Leader, Early Years Resource Team and Change is a Must Mr Christopher Smith, Head of Human Resources Miss Alison Wood, Head of Corporate Services, Perth & Kinross CHP Apologies Dr Morag Curnow, Clinical Dental Director, Perth & Kinross CHP Mr Ian Duncan, Community Pharmacist, Perth & Kinross CHP Mr George Frame, Area Partnership Forum Representative Dr John Harper, Consultant Physician, Medicine for the Elderly, Perth Royal Infirmary Ms Julia Egan, Consultant in Public Health Nursing, Dr Alistair McCracken, General Practitioner, Loch Leven Health Dr Neil Prentice, Senior Lecturer in Old Age Psychiatry, Murray Royal Hospital Mr Archie Robertson, Optometrist, Perth & Kinross CHP Dr Alan Shepherd, Consultant Physician, Medical Diagnostics Unit, Perth Royal Infirmary Mrs Audrey Warden, General Manager, Surgical Directorate Mr John Walker, Depute Director of Housing & Community Care, Perth & Kinross Council Mr Peter Withers, Vice Chairperson, Perth & Kinross CHP Committee Mr John Angus in the Chair 1. CHAIRPERSON S WELCOME ACTION Mr John Angus welcomed everyone to the meeting. Mr Angus commented on the efforts of AHP staff in raising awareness during National AHP Week and encouraged members of the Committee to visit the display stands which were set up in the foyer outside the Lecture Theatre. 1 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
Mr Angus advised the Committee that, as Dr Phil Tipping had resigned as Clinical Director he was attending his last meeting as a member of the Committee. On behalf of the Committee, Mr Angus thanked Dr Tipping for his contribution not only as a Committee member, but for the very good work he had done with both the GP Group and the Interface Group in getting more engagement with GP s. The Committee were also advised that Mrs Joan Wilson, who had been seconded to Dundee CHP had now taken up a permanent post within Dundee. Mr Angus extended the Committees best wishes to Mrs Wilson in her new role. As there were two late papers which were being tabled Mr Angus advised that he would take a fifteen minute break at an appropriate time to allow members to read the reports fully. 2. PRESENTATIONS 2.1 INTEGRATED RESOURCE FRAMEWORK Getting It Right For Every Child Alison Irvine Mrs Alison Irvine gave a presentation to the Committee on the Getting it Right for Every Child (GIRFEC) strategy which is a national programme to bring consistency into assessing, analysing information, and planning for children. This will be achieved by co-ordinating support and adopting an integrated assessment process across all agencies and services. Mrs Irvine went on to set out the core components of the strategy and the plans for implementation across Perth and Kinross. It was highlighted that crucial to the success of the strategy were the development of an integrated assessment and the role of the Lead Professional in co-ordinating and monitoring interagency activity where necessary. Mr Nicoll thanked the Local Authority for the leadership that they had provided in taking forward the strategy and stressed the importance that the early years agenda plays. The Committee noted the progress that had been made in implementing the strategy and looked forward to a report back in six months AI 2.2 Change is a Must Catriona Riach - Report No 1/2011 Ms Catriona Riach gave a presentation to the Committee on the Change is A Must (CIAM) project which started in July 2010 and involves the Drug & Alcohol Team, Health and Children and Families, Early Years Resource Team. Funded through the Alcohol and Drug Partnership and PKC Housing and Community Care for a two year period the project aims to provide intensive support and assessment of families where there are multiple and complex problems stemming from parental substance misuse. It looks to provide improved inter-agency decision making for children from pre-birth to 8 years who are deemed to be at risk. 2 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
So far 6 families, consisting of 10 parents and 7 children, have been assisted by the team and a range of improved outcomes around health, education and parental care have been achieved. Mr Arthur Andrews advised that as chair of the Children s Hearing Panel he had seen first hand the very positive impact that the CIAM project had made and was extremely impressed with the results so far. The Committee were happy to support the work of the project and looked forward to a report back in six months time. CR 3. MINUTES OF PREVIOUS MEETING 3.1 Minute of Perth & Kinross CHP Committee meeting 14 December 2010 The minute of the meeting of 14 December 2010 was approved as a correct record. 3.2 Action Point Update 3.3 Matters Arising Nil 4. MINUTES OF MEETINGS OF SUB-GROUPS ARE SUBMITTED FOR THE INFORMATION OF THE COMMITTEE, AND THE CONSIDERATION OF ANY RECOMMENDATIONS 4.1 Perth & Kinross CHP Quality Improvement and Risk Management Forum Meeting 5 October 2010 4.2 Perth & Kinross CHP Performance Management Sub Group (Perthstat) Meeting 16 August 2010 4.3 Perth & Kinross CHP Performance Management Sub Group (Perthstat) Meeting 12 October 2010 4.4 Perth & Kinross CHP Performance Management Sub Group (Perthstat) Meeting 23 November 2010 4.5 Perth & Kinross Community Planning Partnership Meeting 17 September 2010 3 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
4.6 Perth & Kinross Community Planning Partnership Meeting 12 November 2010 5. STRATEGIC 5.1 Equally Well Test Site Perth and Kinross Rattray Chris Lamont Report No 2/2011 Mr Chris Lamont advised the Committee on the Equally Well test site which had been running in Rattray since December 2009. The site, which is one of eight National sites, was selected as a priority area for community regeneration as it is an area of multiple deprivations and the principle aim of the test site is to tackle health inequalities in service users who suffer from Multiple/Complex needs. Key to the project is the lead worker who will assume primary responsibility for coordinating the interventions of statutory services and supporting individuals and families to participate in this process. The pilot has been extended to March 2012. The test site will develop the central role of lead workers who will assume primary responsibility for coordinating the interventions of statutory services and supporting individuals and families to participate in this process. In addition, the model will ensure that effective use is made of community based services and that local people have access to a wide range of formal and informal support. The Committee acknowledged the very good progress that Mr Lamont had made with the Equally Well Test site and agreed to receive further reports on the findings of the test site following its evaluation in March 2011 and conclusion in March 2012. CL 5.2 Central Healthcare & Young People s Health Team Services Lesley Paterson Report No 3/2011 Mrs Lesley Paterson apprised the Committee of the progress made within Central Health Care (CHC) /Young people s Health Team (YPHT). The nurse led service, which was originally set up to deal with the homeless, has now been extended to improve services and access for young people between the ages of 12 and 25. CHC/YPHT delivers care that meets the diverse needs of the client group using proactive and assertive approaches which include working in areas that mainstream services may not routinely visit for example, hostel accommodation. Due to an increase in the numbers of patients being seen the service is being relocated in Drumhar Health Centre which will enable a more joined up and consistent approach to be taken. Reasons for attending have shifted from purely sexual health to, mental health, substance misuse, healthy eating, emotional support The Committee noted the progress that CHC/YPHT has made to date and endorsed the proposed aims and measures for improvement. It also requested that an update, giving details of the services successes and any targets and measures, be brought back to Committee in six months time. LP 4 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
5.3 Prisoner Health Care Julie Flynn Report No 4/2011 Mrs Julie Flynn advised the Committee on the Scottish Governments decision to transfer the provision of primary healthcare services for prisoners to NHS Boards. Perth & Kinross CHP have been asked to host this service which will provide health care for over 1200 prisoners based in Tayside. The transfer of the service will take place by October 2011. A detailed operational plan will be presented to Board on 3 March 2011 and final operational plan due to be submitted to the Scottish Government by 29 April 2011. Work will then proceed to TUPE transfer the 32 staff from Scottish Prison Service over to. A project manager who will facilitate the operational plan has been appointed and will commence in the role in mid March 2011. After a short discussion the Committee: Noted the current status of transition planning at local and national level. Acknowledged the risks associated with the transfer of prisoner healthcare to. Endorsed the revised Detailed Operational Plan for the future management of the transition for Tayside Health Board responsibility for submission for approval by the Scottish Government. Agreed to receive a further report on the recommended options prior to the submission of the Final Operational plan in April 2011. JF 5.4 Reshaping Care for Older People: Change Fund Evelyn Campbell - Report No 5/2011 Mrs Evelyn Campbell informed the Committee of Scottish Government s introduction of a Change Fund to support the implementation of the Reshaping Care for Older People Programme. This required Perth & Kinross to draw up a Change Plan, supported by both the CHP and Perth & Kinross Council, which would address a number of key changes in the provision of Older Peoples Services over the next five years. The funding will assist in accelerating a lot of the work that is currently going on. The plan set out five themes which the 2.273M funding will be used to support: Reduction in Lost Bed Days (Delayed Discharge) Reduction in Unplanned Admissions Partnerships with Care Homes Empowering Communities to engage in and support Co-production Shifting the Balance of Care This will help shift work away from a hospital setting to home and community settings. A Change Fund Board, with representation from all partner organisations, will be drawn up to drive forward the workplans of each workstream. A four year plan would be drawn up by the end of June 2011. 5 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
The Committee discussed the paper and agreed that engagement with all parties, particularly GPs, would be absolutely crucial to the successful delivery of the plan. Mrs Jillian Milne raised the issue around the Voluntary Sector receiving an annual uplift in its allocation from Perth & Kinross Council. Bill Nicoll undertook to discuss with local authority colleagues on how to build capacity in the voluntary sector. BN That CHP Committee agreed to support the intended outcomes of the Change Plan, and the proposals and direction of travel contained in the Perth & Kinross Change Fund submission 6. GOVERNANCE 6.1 Declaration of Interests Mr Angus 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 Update at 31 January 2011 Sandy Berry - Report No 6/2011 Mr Sandy Berry informed the Committee of the CHP s financial position at 31 January 2011. Currently the CHP is 627k over-spent with an anticipated year end overspend of 750k. This is due partly to a Prescribing over-spend of 311k and 317k over-spend on HCHS. 82% of devolved savings are forecast to be absorbed this year. Based on the current overspend and unidentified savings this year it is currently anticipated that 79% of the 2011/12 savings target will be delivered. Bill Nicoll acknowledged the tremendous efforts that managers had made in reducing the Travel and Transport costs over the year. 7.2 Perthstat Update at February 2011 Evelyn Gardiner Report No 7/2011 Mrs Evelyn Gardiner gave the Committee an overview of the areas that the Perthstat Scrutiny Group had been reviewing over the past two months. Teenage Pregnancies Possible correlation with STIs Supplementary Staffing Although costs are significantly down on same period last year there appears to be some evidence of increased bank nursing and Medical training Grades. Further information to be brought to next meeting. 6 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
eksf Some improvement evidenced during January and February but significant work required to achieve year end target of 80%. Travel & Transport Costs Latest information indicates a potential 23% saving at the year end. Further work with finance is needed to fully understand accounting processes. Sickness Absence Slight increase during December 2010 to 5.23%. Not knowns still high at 13.8% - further work being carried out on this. The Committee noted this report and looked forward to receiving regular reports to each meeting 7.3 CHP Committee Workplan 2010/11 Alison Wood Report No 8/2011 Ms Alison Wood presented the Committee s Workplan for 2010/11 and advised that the annual report would be submitted to the April meeting. The Committee noted the good progress that had been made with the workplan. 8. INFORMATION 8.1 Sustainable Development & Environmental Management Plan Mai Muhammad Report No 9/2011 Mrs Angus said he was pleased to see some good progress in the reduction of waste to landfill. Bill Nicoll agreed to arrange for Local Authority Councillors to visit the recently opened Broxden Dental facility. BN 8.2 Woods for Health Lisa Gallacher Report No 10/2011 8.3 Transport with Care Bill Nicoll Report No 11/2011 Jillian Milne raised the issue of funding for the Perth & Kinross Transport Group. Bill Nicoll undertook to look into this. BN 8.4 P&K Alcohol & Drug Partnership Vision of Recovery Liam McLaughlin Report No 12/2011 It was agreed that regular updates on this important area of work should come to the Committee. LM 7 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The
8.5 Telehealth Update Jane Dernie Report No 13/2011 8.6 Record of attendance John Angus Report No 14/2011 9. DATE OF NEXT MEETING The next meeting of the Committee will be on 12 April 2011 at 9.30am in the Steele Seminar Room, 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 on 22 February 2011 and was approved by the Committee at its meeting held on 12 April 2011... CHAIRPERSON DATE 8 This minute is available on the Internet under www.nhstayside.scot.nhs. uk Your About The