‘Integration Matters’ October 2020

Keeping you informed about Health and Social Care Integration in Angus

Welcome to the autumn edition of Integration Matters, which will keep you updated on the latest news about the Angus Health and Social Care Partnership. Top Features Include:

• Success of HAART

• Coaching for Wellbeing

• Trishaws in Angus

Gail Smith, Interim Chief Officer • Social Prescribing

Over the last six months we have all been tested in a way we have never • Angus Macmillan Team

experienced before. The usual rhythms

and routines of our daily lives, at home and at work, have changed

significantly and we have had to make many important decisions and reprioritise what we do. I know it has been really hard and the demands still seem to be relentless. Nonetheless, as stressful as I know this experience has been for all of us, I am uplifted and reassured by all the ways people across Angus Health and Social Care Partnership (HSCP) are working to keep everyone safe, calm and prepared to cope with this crisis.

During this most challenging of times, our first reaction was one of kindness and a deep desire to help and make a difference. I remain inspired by the strength and resilience on display in every corner of Angus HSCP. At the height of the pandemic, every day we witnessed amazing acts of kindness from so many people, proving once again that Angus actively cares. I am immensely proud of everyone who has gone above and beyond in such challenging circumstances and I would like to say a huge thank you to each and every one of you. To people who rely on our care and support, and their families who have to cope with such challenging situations, I would like to thank them too for their support and patience. I hope that anyone who has long COVID symptoms continues to improve. I really hope the mortality figures in this second wave are lower than they were in March and April and I would also like us all to remember those who sadly lost their lives and send my condolences to their families.

‘Integration Matters’ - 1 - October 2020

We remain committed to ensuring our service users, their families and Team Angus HSCP are safe. This remains our priority. On 26 August 2020, Angus Integration Joint Board (IJB) approved Angus HSCP’s COVID-19 Remobilisation Plan. The plan, as requested by the Scottish Government Health and Social Care Directorate, details what we will do over the next 8 to 12 months, across a range of services, to continue to provide safe and effective care in line with our re-prioritised strategic objectives. We remain focussed on mitigating the spread of the disease across our population and focussed on minimising the unintended consequences that have potentially arisen over the past 5 months, in particular mental health challenges. There has been some impressive work undertaken to reinstate services and we will continue to adapt and modify our plans as we move forward.

As I write this message to you, we are seeing an increase in the number of COVID-19 positive cases across Tayside. By following Scottish Government guidance about social distancing and face covers; self-isolating if you are sick; and using correct hand washing and cleaning procedures, you are doing your part to protect yourself, your family and members of the community.

Earlier, I mentioned the IJB that took place on 26 August. This was Councillor(Cllr) Lois Speed’s last meeting as Chair following her two year tenure. Cllr Speed has worked tirelessly to ensure that Angus HSCP provides the best possible services to the adult community of Angus. She has given two years of dedicated and conscientious service. It has been clear that Cllr Speed is a passionate advocate for the people of Angus, its staff and the integrated care services we manage both in the community and hospital. I would like to take this opportunity to thank Cllr Speed for all her hard work and wish her all the very best for the future and in her continuing role as Vice Chair of Angus IJB. I am delighted to confirm that Emma-Jane Wells, Non- Executive member of NHS Tayside Board, has been appointed as the new Chair. Emma-Jane has been a member of Angus IJB for the past two years and I look forward to working alongside her.

As summer comes to an end and we look forward to the crisp autumn weather, we are also reminded of the flu season. You can help to ensure that any impact from flu this year is kept to a minimum. This year it is even more important than ever to get the flu vaccine to protect yourself, others and the NHS. For more information about the 2020 Flu campaign and who will be offered the flu vaccine please visit NHSInform.

Finally, however long this challenging time lasts and whatever measures we need to take, I know that the Angus HSCP is more than capable of the task. Please continue to look after yourself and each other. When we stand together – even if we are standing 2 metres apart – we can support each other and the community of Angus.

‘Integration Matters’ - 2 - October 2020

CONTENTS

 Welcome from Gail Smith, Interim Chief Officer page 1

 Wellbeing Coaching page 4

 Social Prescribing page 5

 New Mental Health and Peer Worker Support Service in Angus page 6

 Role and Remit of Clinical Care and Professional Governance (CCPG) page 7

 Humanitarian Assistance Angus Response Team (HAART) page 8

 New Staff Appointments page 9

 New Chair Appointed to the Angus Integrated Joint Board page 9

 Pedal Power Comes to Angus Care Homes page 10

 Angus Macmillan Team page 11

 Introduction of Andrew Jack, IJB/SPG Service User Representative page 12

 Introducing Peter Burke, IJB Unpaid Carers Representative page 14

‘Integration Matters’ - 3 - October 2020

Coaching for Wellbeing

Do you want to be more active in caring for your health and wellbeing during COVID-19, but not sure what to focus on?

Do you want to make the most of your strengths during this time, and preserve your energy as much as possible?

Are you supporting other colleagues or team members during the COVID-19 pandemic?

If the answer to any one of these questions is “Yes” you may want to think about taking up one of the free coaching options designed specifically to support all health and social services staff in Scotland during the COVID-19 pandemic.

What is coaching and how could it help me?

Coaching is a safe, confidential, enabling and developmental relationship which is tailored to your specific

needs, style and context. Your coach will walk alongside you and support you to explore, understand and act on whatever is important for you. Coaching enables you to draw on and make the most of your own strengths, experience, skills and resources. It will offer you a safe space to reflect on what is going on for you right now with support to explore and make positive changes.

Here are some comments from recent participants about their coaching experience:

It was good to have someone to listen and allow me space to think Space to breathe about how things could be and think and get improved. Allowed me to look at perspective. situations in a more positive light rather than nothing could

improve.

Register for wellbeing coaching at https://www.knowyoumore.com/wellbeingcoaching

‘Integration Matters’ - 4 - October 2020

Social Prescribing – New Initiative comes to

Angus

Eight new social prescribers have been appointed in Angus to support adults access a range of vital services.

The social prescribers, who are employed by Voluntary Action Angus, will be based within Angus GP practices . They offer a range of non-clinical support to patients including support with financial issues, loneliness and social isolation as well as more general signposting to local community resources such as leisure and volunteering opportunities.

Ashley McGregor, Social Prescriber in Forfar said "People who have used this service have

provided very positive feedback with one person telling me it completely changed their life"

Dr Nico Grunenberg, GP at Ravenswood Surgery in Forfar, said "Having social prescribers available in my practice has been extremely valuable. Patients often saw me with mixture of issues. Many of these were not medical, but were having a big impact on their health such as housing, financial and employment problems.

“With the social prescribers in my team, we are now able to help patients to overcome some of these hurdles and look towards the future."

Hayley Mearns, Deputy Chief Executive at Voluntary Action Angus said “Social prescribing is such a valuable service and it is a privilege for a third sector organisation to be able to deliver

this to the communities of Angus. We and the Health and Social Care Partnership have witnessed the results of social prescribing first hand through a pilot project and we’re now absolutely delighted by the opportunity of being able to roll this out throughout the county.”

Gail Smith, Angus Health and Social Care Partnership Interim Chief Officer

said "This is an important and valuable development not only for the third sector but for the whole community of Angus.

“Social prescribing is available for everyone. If people feel they could do with an extra bit of support I would encourage them to seek help"

For more information call Voluntary Action Angus on 01307 466113.

‘Integration Matters’ - 5 - October 2020

New Mental Health & Wellbeing Peer

Worker Service in Angus

Mental health and wellbeing peer workers are in every GP Practice in Angus.

Angus Health and Social Care Partnership are delighted to announce that there is now a mental health and wellbeing peer worker in every GP Practice in Angus. Peer workers are trained staff members with lived experience of mental health and wellbeing who can use their knowledge and experience to support people to improve their mental health and wellbeing.

The Mental Health Foundation highlight that, every week, 1 in 6 adults experiences a common mental health problem, such as anxiety or depression. One in fifteen adults will suffer from distress and have no one to turn to.

Mental health is not just the absence of mental disorder. It is defined as a state of well -being in which every individual realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

Bill Troup, Head of Community Mental Health Services in Angus said “ This provides an additional service for people who are struggling with life's distressing challenges. People with lived experience of mental health distress (Peer workers) bring a unique insight which can help people understand they are not alone and give hope that they will recover. It compliments, not replaces the contribution that health professionals provide. All these Angus services will work together to assist us to become more recovery-focused and person -centred”

The new mental health and wellbeing peer worker service will offer quick, easy access to support in local GP Practices to adults over the age of 16 years old. Appointments are arranged through reception staff.

Peer workers will offer one to one support for up to three appointments, will provide information, self management tools, provide social, emotional or practical support, support to future plan, and focus on strengths and work towards recovery.

Angus Health and Social Care Partnership have developed and funded this new project in collaboration with your GP. This will be delivered by Penumbra in South Angus and Hillcrest Futures in North Angus. Comments from people who have used the mental health and wellbeing peer support pilot service include:

• “Speaking to someone who’s lived the same experiences as yourself is much more meaningful” • “I liked how it was available at local surgery, liked the speed at which available”

This service will compliment the existing specialist Community Mental Health Teams and the wide range of supports available in the

community. For mental health and wellbeing information, advice and local and national support please see: angushscp.scot/mhwellbeing/

‘Integration Matters’ - 6 - October 2020

Clinical Care and Professional Governance

The Angus HSCP Clinical, Care and Professional forum brings together our wide range of professionals and services, each with different perspectives and skills. We have social workers, nurses, allied health professionals, doctors, pharmacists and managers all actively working together. By exploring and embracing these different perspectives, the Forum creates a shared understanding of how we can deliver integrated, high quality care within Angus. Together we oversee the quality and safety of care provided by our services including those Alison Clement, Associate Medical Director contracted by us which enables us to provide assurance to the & Chair of Angus HSCP CCPG Angus Integration Joint Board, NHS Tayside and Angus Council.

There are six main areas that are considered: • Information Governance • Professional Regulation & Workforce Development • Patient, Carer & Staff Safety • Patient, Carer & Staff Experience • Quality & Effectiveness of Care • Promotion of Equality & Social Justice

We consider a wide variety of information such as inspections, audits, complaints and adverse

events. We have a key responsibility in enabling learning across services, disciplines and agencies, as well as the sharing of good practice and innovative ways of working.

From April 2020 we have adopted a new quality framework to support our continuous improvement approach. This has been developed in line with the Health and Social Care standards. This ensures our focus remains on what matters most to people. Every service will be adopting this framework and reporting into the Angus CCPG on a yearly basis. You may already be aware of some of the

improvement work going on such as improving care for people who may be experiencing continence issues and an increased focus on anticipatory care planning.

There remains a focus on supporting care homes especially as we approach what we expect will be difficult winter for our frail elderly population. Clearly infection prevention and control remains a priority for us as we continue to live with COVID-19. I hope to continue to highlight some of the quality improvement work going on within individual services and across the whole partnership in future editions of integration matters.

Take good care of yourselves this autumn and winter, and please remember if you are eligible to get your ‘flu vaccination – that will be one of the main ways you can help us help you this winter.

Best Wishes, Dr Alison Clement

‘Integration Matters’ - 7 - October 2020

Humanitarian Assistance Angus Response

Team (HAART)

Early conversations with Angus Health and Social Care Partnership allowed Voluntary Action Angus (VAA) to develop a focus on actively responding to the COVID-19 pandemic. From 18th March, frontline emergency support mechanisms were developed and implemented through real partnership work between Angus Health and Social Care Partnership (HSCP), Angus Council’s Communities Team and VAA, which all stemmed from an initiative that was agreed by VAA and Angus HSCP. The ability for all partners to embrace and understand the situation, trust and use each other’s strengths to the benefit of delivering a service for vulnerable members of our community, has been key for this successful initiative and continuous partnership.

Systems were quickly identified and developed to recruit and support volunteers to deliver prescriptions, provide shopping and / or emergency food parcels and befriending to those most in need. VAA had ultimately recruited over 1000 volunteers who were working around the clock to provide support to the communities in which they live. Volunteers were responding to up to 140 requests per day and in total, over the course of 5 months, volunteers supported 4,535 people. VAA pushed to stay true to their values and ensured that not only shielding people would receive support. We wanted to ensure “no one was left behind” which meant we supported any vulnerable member of the community who needed some sort of service. The partnership worked extremely well together and we managed to contact every shielded person who was listed. From of the list, 3,915 received actual support under the above categories.

This immediate flexibility to respond was created through meaningful approaches in working authentically with communities that required barriers to be removed and supporting new forms of multi-disciplinary working between VAA and departments within Angus Council and Angus HSCP. VAA also quickly noticed that the wider third sector had to adapt their ways of delivering services - it was essential that the Third Sector had a role within this multi disciplinary team. We started a new initiative - Angus Connect. With the Third Sector and partner agencies, this brought all organisations together in order to build the capacity of the Third Sector and actively promote the sector to show we are still here supporting the community , even if the work is being carried out slightly differently. We were working, and continue to work with roughly 20 Third Sector organisations.

During this crisis we have been working closer than ever to ensure no one in Angus fell through the gaps and everyone received the support they needed. As a partnership we were, and still are delivering a range of services, but due to the current situation there are three main themes that are continuously arising ; food, prescription delivery and loneliness and isolation.

As the numbers of requests increased and Angus Council started to respond with their COVID -19 Access Line, the partnership was strengthened through members of the council’s Justice Team and most recently the Angus Council’s Welfare Rights team joining the staff in frontline delivery. This enabled the team to enhance existing knowledge and experience already gained, and complimented a personal and holistic approach that people need in order to cope in these challenging times. This, as result, continued to create An Angus That Actively Cares.

I am extremely proud to have been involved in such an initiative and to be part of the much wider partnership working that exists across the county.

Hayley Mearns Interim Chief Executive Voluntary Action Angus

‘Integration Matters’ - 8 - October 2020

New Chair Appointed to the Angus

Integration Joint Board

The governing board of the Angus Health and Social Care Partnership welcomes new Chair, Emma-Jane Wells as Councillor Lois Speed completed her two year tenure.

New Integrati on Joint Board (IJB) Chair Emma-Jane Wells said, “I am delighted to be taking on the role of Chair of Angus IJB.

“Having been a member of the IJB for the past 2 years, I am very aware of the dedication and commitment of all of the staff and volunteers involved in providing health and social care services across Angus and of the excellent partnership working that takes place between local authority, NHS, the independent sector and

voluntary agencies. “I look forward to working with IJB members as we continue to navigate these challenging times.”

Councillor Lois Speed, outgoing Chair of the IJB, said, "It has been a privilege to Chair the Angus Integration Joint Board for the past two years. During my time as Chair I have seen so many achievements including, further development of the Angus Care Model, the publication of the Angus Carers Strategy, a significant reduction in prescribing spend, an increase in support being provided to people in their own homes and much more. I wish Emma-Jane every success in building on the work of the past two years."

The appointment of Emma-Jane Wells as chair of the Integration Joint Board (IJB) marks the next phase of development for the Angus Health and Social Care Partnership. The Partnership is committed to improving the health of the adult population of Angus, providing timely health and social care interventions when needed, and ensuring that people achieve the best possible outcomes.

New Staff Appointments

Appointment of New Adult Community Mental Health Team Managers

In preparation for the retirement of Mrs Linda Hamilton and Mrs Alison McGurk later thi s year, the following staff have been appointed as Interim Team Managers with affect from Monday 10 August 2020.

Helen Bremner - South Angus CMHT based at Gowanlea Arbroath Lorna Davidson - North Angus CMHT based at Stracathro Hospital Brechin Julie McIntosh - North Angus CMHT based at Whitehills Health and Community Care Centre.

Julie McIntosh Helen Bremner Lorna Davidson

‘Integration Matters’ - 9 - October 2020

Pedal Power Comes to Angus Care Homes

Two care homes in Angus - Kinloch House in Carnoustie and Dorward House in Montrose are proud owners of trishaws. Residents can be taken out for trips around Montrose & Carnoustie by trained volunteer pilots. Feedback from residents, families, staff and the local community has been very positive. (N.B. All photographs were taken before socical distancing restrictions)

What are the benefits are of having the trishaws for service users?

Service users get to feel the wind in their hair and the sun on their face as we cycle. It also allows them one to one time with their fellow passenger

It’s good to get out and about in the fresh air when you’re unable to walk far. It’s nice to visit new places as well as familiar places. It’s

enjoyable to be out in the community seeing people and it’s something to look forward to and talk about afterwards

Feedback provided from passengers on their trishaw experience

One lady said the trishaw had given her a completely different afternoon and new experience. She commented on how nice it was to smell the sea and feel the wind on her face again as it had been a long time since she’d been to the beach

One non-verbal service user actually said it was “brilliant”. He has trouble

with his words but was enjoying himself so much, he actually A fantastic trip out on the golf managed to speak course; I haven’t seen it for

years

‘Integration Matters’ - 10 - October 2020

The Angus Macmillan Team

From left to right: Samantha Craig (Forfar/Kirriemuir), Wendy Matthew (Arbroath), Nigel Clubb (Edzell Brechin & Montrose) and Claire Stewart (Angus Macmillan Team Lead – Carnoustie & Monfifieth)

The Angus Macmillan Team have gone through a period of transition since the end of last year , with the retiral of two colleagues and another colleague moving to a post closer to home.

Claire Stewart is the Angus Macmillan Nurse Team Lead. Joining the team in February 2020 were Nigel Clubb and Wendy Matthew. Nigel's previous post was as an Advanced Nurse Practitioner in primary care and Wendy has joined the team from her post in Auckland, New Zealand where she was a palliative care nurse. Samantha Craig then joined the team in April 2020 from her post with NHS Fife where she was a member of the respiratory team.

Macmillan nurse specialists provide advice and support with pain management and symptom management for people with palliative care needs through to end of life care. They support both the person with cancer/life limiting illness and their family. They are available to discuss the physical, emotional, social and financial impacts of their illness.

Referrals to the team can be made via Referral Management System (RMS) or via our referral form and sent to our new email address: [email protected]

‘Integration Matters’ - 11 - October 2020

Introducing Andrew Jack, Integration Joint Board (IJB), Strategic Planning Group & Service User Representative

18 Months in the Integration Joint Board (IJB) & Strategic Planning Group

When I first wrote this article just over six months ago, none of us could have possibly imagined, in our wildest dreams, what was about to happen in March. With that in mind, I’ve added a section (“March to August”) at the end of the original article in order to describe how the business of the IJB has kept on going, but in a different way. The section titled “A Year in the IJB” remains unchanged and the whole article has a new title “18 months in the IJB”, which shows the marked contrast between the “before and after” worlds as a result of the onset of COVID-19.

A Year in the IJB

I cannot believe that 12 months have passed since I started as service user representatives

on the Angus Health and Social Pare Partnership Integrated Joint Board (AHSCP IJB). It has been a busy year, with many interesting activities and meetings about the successes and challenges of the care services delivered in Angus, using NHS and Local Authority resources.

After an interview for the position, by the Chief Officer and two of her senior staff, I was given a comprehensive tour of various facilities in Angus, together with the opportunity of meeting staff involved in service delivery. Then I was ready for my first IJB meeting. I found

this refreshingly inclusive, friendly and collaborative. I was immediately made to feel welcome and my contributions were listened to. Although I am not a voting member, I do

feel that I can influence the debate, by presenting a service user's perspective. I have the luxury of being able to ask naive questions, at least at first. By using lived experience of services in Angus, I can participate in an IJB membership. This automatically includes a place on the Strategic Planning Group, which plans and monitors the priorities and b udgets of the Angus HSCP. I contributed to the second edition of the Strategic Commissioning Plan (2019 to 2022), which builds on the successes achieved by the previous plan.

I also volunteered to be part of the IJB Audit Committee, which agrees the IJB internal audit plan, makes recommendations to the IJB and scrutinizes the annual accounts and governance statements. This gives me a deeper insight into the way the organisation

ensures its compliance with statutory and ethical requirements.

It is impossible for one person to represent the views of everyone who uses our services. It is a service user perspective that I can provide in this role. However, in order to understand the views and concerns of the wider group of service users more fully, I have been involved in communications and engagement activity, principally around the Strategic Plan introduction.

Continued....

‘Integration Matters’ - 12 - October 2020

Continued....

I have joined the Communications and Engagement Group, which as its name suggests,

engages with all stakeholders on aspects which need a collective and collaborative sharing of information.

As with any with public service involvement, doors tend to open to other related activities and for example, I’ve been co-opted on the Angus Palliative and End of Life Care Group and have

been helping out with the design of a new website, as well as giving a service user contribution to the strategic plan. In October, I participated in the Prescribing Shared Decision-Making event. I also attended the Health and Social Care Scotland Conference in Glasgow, as an Angus delegate in December of last year.

The breadth and depth of the involvement has been varied and at times challeng ing, but always rewarding. I am grateful for having had the opportunity to contribute to the success of Angus HSCP, working with some very committed and supportive people. I very much look forward to the next year with the IJB.

March to August

The last “normal” meeting that I attended was the Strategic Planning Group on 11th March. There was already a heightened state of concern as we watched the spread of the virus in other parts of the World. Then, in the UK, everything appeared to stop a short time later, including my direct links with the IJB. But as I quickly found out, the emergency planning had

kicked in and the resources of the Angus HSCP, the third, voluntary, independent and private sectors quickly identified the most vulnerable of service users and services were changed to meeting everyone’s health and social care needs in new and innovative ways.

Although at first it seemed as if I had lost contact with the IJB, it was not long before the Board members were brought back on stream. Initially, we were kept fully informed of the partnership's response to COVID-19 by briefing notes from the Chief Officer. Then very quickly, regular meetings on the governance and business of the partnership restarted through the medium of video conferencing. Ever since then, the various groups of which I am a member have continued to be effective, with the public and press able to join on-line. It is a real credit to the Angus HSCP staff that business has been able to function so effectively in the face of all the restrictions of social distancing.

It is probably stating the obvious that it is hard to predict what will happen in the next weeks, months or even longer. All that I can say is that the business of Angus HSCP governance can be done “working from home”. Engaging with communities, especially those that are IT-poor, will require new and creative methods. I am convinced that the Angus HSCP is up to the challenge.

‘Integration Matters’ - 13 - October 2020

Introducing Peter Burke – Integration Joint Board (IJB), Strategic Planning Group & Unpaid Carer Representative

Life in the Integration Joint Board (IJB) and Strategic Planning Group – the Unpaid Carers Perspective

Once the initial shadow board became the established Integrated Joint Board (IJB) in 2016, the Chief Executive of Angus Carers Centre, who had temporarily represented unpaid carers, stood down and I was nominated by the Angus Carers Voice Network to represent carers on the board. The transition was relatively painless – I’d sat in the public gallery to observe a few meetings so knew how things appeared to work.

My first board meeting was in October 2016, and fortunately I joined the Strategic Planning Group (SPG) – which sits below the IJB and feeds into it - at the same time so there was, and continues to be continuity between those two different but aligned functions.

I must admit to being a little overawed temporarily but realised that although the board had been in existence for about 18 months, most members were still finding their way around, and getting to know their new colleagues who were literally on the other side of the room. I think at that point we were all learning exactly how an IJB should be run, and according to all the measures and targets, wer e succeeding. And so the meetings became more interactive, with comments on various reports acknowledged and respected.

The impact of COVID-19 changed things significantly – there was obviously more focus on the tactical issues, and how the IJB could provide support to the front line staff and keep both them and the people of Angus safe in these uncertain times. But at the same time we’ve had to keep moving forward with the strategic plans, because people need to be kept as safe and well as possible in these difficult times.

Membership of the SPG was a different prospect. Although it contained several members who also sat on the IJB, there were additional folks who were actually at the front line delivering care in all its forms. The sessions before COVID-19 were lively and more informal, and solutions were worked through on issues raised both proactively because of a duty or responsibility, or reactively to an arising situation – much more my style, planning to fix things.

Of course with the pandemic the SPG meetings have become more difficult, with a number of the members having to stay in their new ‘day job’ and tackle the current situation. Nonetheless, the SPG is already planning on life after COVID-19 at the same time as managing the current situation as it changes from month to month.

Overall, I feel that my opinions are sought, listened to and where appropriate, acted upon. It’s been easy to establish a good working relationship with all members of both the IJB and the SPG – something essential in my view. And I feel that –and hope - my work on these two groups has been of benefit to unpaid carers and the people of Angus overall.

‘Integration Matters’ - 14 - October 2020

GET IN TOUCH

The aim of this newsletter is to provide you with an update on what's going on in health and social care, share developments and bring you stories that show how it all fits together. We welcome your feedback on anything covered in this issue.

Please share stories from your service areas with us – we’d love to hear from you. All contributions are welcomed.

Our Christmas edition is due for publication in December 2020 and articles should be emailed

to [email protected] no later than Friday 27th November.

Thank you!

‘Integration Matters’ - 15 - October 2020