& Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

Argyll & Bute CHP

Notes from the ARGYLL & BUTE PUBLIC PARTNERSHIP FORUM (PPF) Meeting Held on Tuesday 22 nd February 2011 in the Mid Argyll Community Hospital & Integrated Care Centre, Lochgilphead

PRESENT

Duncan Martin (Chair), Rona Blyth, Fiona Brown, Margaret Cameron, Caroline Champion, Robin Creelman, Ellen Cromack, Robin Dodman, Tom Dolan, Peter Harper, Mairi Harvey, Tina Jordan, Lasta King, Richard McClellan, Jeanette McIntyre, Susan Paterson, Pat Pollock-Morris, Margaret Turner, Pat Tyrrell, Josie Walker

By video-conference : Viv Smith, Ken Barr, Bill Lawrie, George Allen

Apologies

Hal Campbell-Dixon, Stephen Duffy, Irene Edwards, Evelyn Hide, Lasta King, Katy Murray, Michael Roberts

1 Welcome, Introductions & Apologies

Duncan welcomed everyone to the meeting, especially Richard McClellan from the Scottish Government.

Apologies noted as above.

2 Notes from the previous meeting 16th November 2010

The notes from the previous meeting were agreed as an accurate record subject to the following amendments :

Page 4, Item 4 – 3 rd paragraph should read “ It was mentioned that Raigmore Hospital randomly …” instead of “ Tom Dolan mentioned …”. Insert new sentence at the end of this paragraph to read “ Tom Dolan suggested that the Patient Diary was too complex and that the simple surveys used for airlines and hotels would be more appropriate.”

Page 8, Item 9 – PFPI Inverness Group (HealthVoices) :

Robin C commented on concerns expressed by Evelyn Hide about the

1 role and membership of the newly formed Group which had taken over the role of the HHVN Steering Group. Evelyn had asked that the notes from the last meeting be changed as follows :

Replace “Evelyn mentioned that there is a new PFPI group in Inverness which explores governance arrangements” with

“Evelyn drew the PPFs attention to the minutes of the Highland HealthVoices Network (HHVN) Steering Group of 1 st September 2010, whereby it was proposed that the HHVN Steering Group ceases to exist in its present form with effect from 24 th November 2010, when the HHVN Steering Group will become an interim Highland PFPI Group which brings together leadership within NHS Highland with the expertise of the public partners but which also has a development role, and a forum where issues can be debated with steering and advisory function. The new Group has an initial lifespan of six months, at which time it will be reviewed.

“Although Evelyn very much welcomed the development of a pan Highland PFPI Steering / Advisory Group she was concerned that the wider HHVN and A&B PPF membership had not been involved in determining the demise of the HHVN Steering Group and its wholesale transmogrification into a pan Highland PFPI Steering or Advisory Group.

“While acknowledging the value of having the expertise of the HHVN Steering Group on the pan Highland PFPI Group, she felt that without some new blood there was a danger f the new group merely replicating the function of a PPF which was only part of a Health Boards wider PFPI function.

“If it is decided to establish a standing pan Highland PFPI Steering or Advisory Group following the review of the interim Group, it would be important that the permanent members be elected to the new group on a rolling basis.

“Meanwhile, Evelyn suggested that as a key area of focus of the inter Group is to include ongoing support for the development of locality and CHP Public Partnership Forum arrangements, PPF members currently sitting on the other CHP Committees within Highland should form part of the interim committee.

“Evelyn requested that Duncan and Katy keep the A&B PPF appraised of the deliberations of the interim Group and that the A&B PPF is given the opportunity to comment on anything that is being taken forward in the name of the pan Highland PFPI Steering / Advisory Group.”

Duncan advised that both he & Katy were members of the new Transitional Group. He explained that the overall purpose of the Transitional Group is to support the ongoing development of effective participation across NHS Highland and future governance

2 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

arrangements for PFPI. He reiterated that this is a transitional group and as such was for a limited period only.

Page 8, Item 9 – Community – first sentence should read “Evelyn mentioned that the Cowal Community Care Forum ….” not Cowal Community Group …”

The amendments were noted and will be incorporated into the revised notes. Action CC / GMcG

3 Matters Arising

No matters arising.

4 Feedback from Argyll & Bute CHP Committee and CHP Management Team

Duncan reported that finance continued to dominate discussions at the CHP Committee meetings. The CHP is reporting an overspend, is still aiming to break even by the end of the financial year (March) although this is dependent on whether NHS Greater Glasgow & Clyde can justifiably pass on additional costs to the CHP under the terms of the contract as they have in previous years. He stated that next year the challenge will become even greater, difficult decisions will have to be made with real time cuts across all budgets unavoidable.

He advised that the capital allocation has now been determined for Health Boards but as yet the CHP was unsure what funds would be available to support capital schemes / work programmes. The certainty is that the capital allocation will be significantly less than previous years.

Duncan also reported that the GP vacancies in Kintyre had now been appointed to. Susan said that the out of hours cover for patients in the Southend area was unsettling a lot of people due to the response times from the outlying practice. The GP on Jura was also retiring soon.

Recruiting to the Bowmore Practice was proving very difficult. Efforts to attract anyone under the GMS (General Medical Services) contract or a salaried GP had failed to attract any interest. The GPs based in Port Ellen and Port Charlotte are now looking at a joint approach to recruit a replacement GP for Bowmore.

Duncan mentioned that there had recently been two local public meetings regarding the proposal to provide out of hours cover for patients of the Tighnabruaich and Strachur practices. The GP based in Tighnabruaich had agreed three years ago to provide cover for Strachur but under the GMS contract he has now opted out of

3 providing out of hours cover for both areas with effect from 17 th March. Duncan reported that he had attended the meeting in Strachur and he stated that the public now have a much greater realisation of the issues / challenges faced by NHS Highland / CHP to provide out of hours service when GPs do exercise their right to opt out. Derek Leslie had attended both meetings and provided frank responses to concerns raised and questions asked. Robin C stated that local people gave satisfaction of the process followed but not the outcome.

There then followed a general discussion about the perceived acceptance by people to travel to a centre, normally the community hospital, rather than a home visit by a GP unless absolutely necessary. Local taxis are available under contract by the CHP for anyone unable to get to the community hospital themselves.

Margaret asked who determines whether a patient is fit to travel by taxi if they are unwell. She said most people, especially elderly, are worried doctors will no longer visit them at home if they are too unwell to travel. If someone becomes unwell NHS 24 should be called. In an emergency people should dial 999.

It was agreed that people should be generally made aware of who to call and when, as not everyone knows what to do under some circumstances. Lack of understanding in itself generates concern.

Peter stated that the British Red Cross have a checklist of questions they ask to ensure people are appropriately given the support they require. Taxi firms do not ask key questions let alone probably the most important one, whether the person is able to travel by car. Some people may not be fit to travel.

Duncan reported that at the last CHP Management Team meeting Pat Tyrrell, Lead Nurse had reported on the implementation of the national plan for maternity services.

Viv reported on the work ongoing as part of the Better Health Better Care Better Value programme. She said that despite a lot of work being done within the localities, the timetable is slipping reflecting the significant challenges faced which cannot be rushed through, for example issues associated with displaced staff.

Tom expressed his objection to the proposed staffing model for the future of mental health services in Argyll and Bute. He stated that in his opinion, the proposed 0.60 wte chaplain was discriminatory. He said non-religious beliefs must be taken into account and many people who are non-believers do not wish to have any contact with someone of a particular faith, indeed some would resent such an approach. He suggested there are two options : 1) have nothing at all and use the funding to support front line staff; 2) have an entirely non-religious post where they are not attached to a particular denomination. Members agreed this is an important issue in general

4 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

terms, the individual wishes of patients should be respected, this be minuted in the notes of the meeting, and that the matter should be referred to the Mental Health Project Board.

Action CC / DM / GMcG

On this issue, Mairi mentioned that NHS Greater Glasgow & Clyde had previously stated they do not encourage individual ministers visiting patients in their hospitals and that their appointed hospital chaplains would meet the spiritual needs of patients.

5 Report from Locality PPFs

5.1 Bute Locality PPF Jeanette provided a report on behalf of the Locality PPF.

Practice Patient Participation Group (host the locality PPF) – the last meeting took place on 26 th January. Dr Shaw, who has taken over from Dr Boyd, attended representing the GPs. The night time ambulance is working well although the frustration is it takes patients to the RAH in Paisley, not IRH which is the local hospital for Bute. This service is being trialled and concern locally is whether it will continue after the six month period. Jeanette asked which organisation had funded the landing lights as the fear is these will be withdrawn impacting on the night ambulance service; if this happens there is little equity with other islands where landing lights have been installed on a permanent basis. Viv gave assurances that she believed the trial was to look at activity levels. Robin C suggested the lights were more than likely funded by either the Scottish Ambulance Service and / or Coast Guard.

Jeanette said that there remains a lot of discontent about the continuing practice of patient transfers between ambulances taking place at the pier. As yet, there is no solution to this issue.

Ellen stated that patients had been unaware that Dr Boyd was retiring and many were his patients for a number of years. There is a general feeling that communication between the practice and patients could be improved greatly.

Extra Care Housing – a meeting had taken place on 28 th January to explain how this project would operate. In Ferfadd Court, up to ten tenants would be able to access tenancies and where necessary some people would have their homes adapted for special needs. The criteria for tenancies would remain as set out for Sheltered Housing. This is an extension to the present Home Care service and staff would have backing of the Overnight Care Team. The service should lead to a reduction in those needing residential care as most older people would prefer to stay at home for as long as possible.

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Bute Plan Project Board - last meeting took place on 15 th February. The Project Lead is Dougie Hunter. Detailed discussions are still ongoing especially in terms of staffing issues. The single point of access is being refined, enabling doctors and ward staff to directly commission care services which will hopefully reduce the number of hospital admissions and shorten stays. A newsletter for staff and the wider public is planned. The Victoria Annexe is due to close at the end of March.

Viv mentioned that the Local Authority has new software which should support the single point of access. This is currently being tested out to establish whether it is compatible with NSH systems. If it can, the system will be trialled on Bute. She stated this was a positive move towards improving the integration of services.

Robin C asked how many practices had a Practice / Patient Participation Group. Caroline stated that this was something she was keen to ‘map’ out but currently this information was unknown. Fiona said there was only one on Mull and it’s taken a long time for the benefits to be realised. Richard mentioned the outcome from the GP surveys conducted last year and stated that there is good evidence to support the value of practice based patient groups.

Ellen stated that Dr Shaw’s attendance at the last meeting had been very well received. The discussions had been very open, honest and it is hoped Dr Shaw will continue to attend the meetings on behalf of the GPs.

5.2 Cowal Locality PPF Ken provided a brief update on behalf of Irene Edwards and Evelyn Hide.

Five sub groups with each providing regular progress reports to the Cowal Plan Project Board:

• Bed Modelling • Discharge Planning • Out of Hours • Day Surgery • Scottish Ambulance Service

Membership of the Project Board and sub groups includes representatives from the locality PPF and local communities.

Viv stated that the out of hours service for Tighnabruaich and Strachur surgeries had been provided by Dr Carle however he had given notice to NHS Highland of his intention to opt out with effect from 17 th March. The Health Board has been working with local communities to have a new model in place by this date.

Ken is a member of the Palliative Care Sub Group and Bill involved in the Scottish Ambulance Service Sub Group. Bill advised that the Sub

6 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

Group had identified a number of increased risk areas, for instance issues around shift patterns – drivers are not allowed overtime and responding to calls within the last hour of their shift can be problematic. Ken mentioned that the Cowal Plan Project Board are planning to hold a public drop in event on 19 th April to explain to the wider local community what is going on and why. This is very much at a planning stage but details will be made available nearer the time.

Bill said that there had been a number of articles in the local press about the Cowal Hospice. He stated that the public representatives are trying to stand back from this issue as it is something NHS Highland and Cowal Hospice Group.

5.3 Helensburgh & Lochside PPF The Locality PPF had not yet had its first meeting however it is anticipated a date would be agreed sometime soon. The key will be hooking people in with key topics of interest rather than just a general meeting.

Mairi advised that as member of the Vale Monitoring Group, anyone wishing to discuss issues, make comments or share their experiences of services at the Vale of Leven Hospital can do so through her by email.

Robin C mentioned that he had heard of several patients being transferred to Paisley as the Vale had insufficient beds available. Despite reassurances given by NHS Greater Glasgow & Clyde, this has always been a fear for local people and now it looks like these fears are founded.

5.4 Islay & Jura Locality PPF There was no report from the Islay / Jura Locality PPF. Caroline said the next meeting was due to take place on Thursday 24 th February at Islay Hospital. Copies of agendas and notes from previous meetings are available on the webpage.

Caroline highlighted a couple of key issues that were discussed at the previous meeting including patients experience on discharge from hospital, in particular where there has been a breakdown in transport. This links with the joint project being run by A&B CHP and Citizens Advice Bureau / Independent Advice and Support Service which has been running for a year.

Discussion then focussed on what happens when people do provide feedback or submit an official complaint. Josie stated that CAB do help with official complaints and where these relate to services provided by NHS Greater Glasgow & Clyde, an anonymous copy of the complaint is sent to NHS Highland to be picked up as part of the contract monitoring discussions held between A&B CHP and NHS

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GG&C. Mairi stated that as a member of the Clinical Governance Committee, such matters are discussed but to date she has never seen references to complaints from Argyll and Bute patients. It is uncertain whether complaints form part of the contract monitoring process but Caroline agreed to pick this up before the next A&B PPF meeting.

Action CC / GMcG

Peter said that the Islay / Jura Patient Transport Forum were established to look at issues relating to patients travelling to Glasgow hospitals. The Group had not met for a while however he said there is an intention to reconvene.

5.5 Kintyre Locality PPF Susan stated that she is involved in the Kintyre Redesign Group along with Elaine Hemmings and Margaret Turner. They had attended two meetings looking at bed modelling (the number of beds needed in the hospital given the increased level of care now provided in the community), and working on the options for the use of the hospital. After a long options appraisal process, Susan said that at their meeting on 16 th February, the Group had agreed the best option.

Susan reported that the opening of the new dental access centre had been delayed.

Susan said that she had attended the Argyll Voluntary Action (AVA) event and Kintyre Public Network event but disappointingly very few members of the public came along. At both events, Alzheimer research project was discussed which is looking at support for carers looking after people with dementia. Davy MacDonald, Development Worker has been invited to attend the next Public Health Network meeting on 15 th March.

A successful bid had been submitted by the Kintyre Forum on Community Care to Awards for All to support the development of a local newsletter. The first edition has been published and currently being distributed. Health matters will be featured in future editions.

Building of the MacMillan Palliative Care Sun Room has now been completed and will open on 8 th March.

Susan outlined concerns about the Link Club based in Campbeltown. She said they really need support to help with the running of the club and meeting the cost of renting the room where they meet.

People are getting in touch with Susan worried about patients who are too unwell to return home, being kept in Glasgow hospitals longer than necessary rather than being transferred back to Campbeltown for rehabilitation. This issue is being picked up locally.

There was then a general discussion about the ophthalmic service

8 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2 which could be carried out locally but opticians are ‘not allowed’ to as Glasgow is not keen to support this.

5.6 Mid Argyll Locality PPF There was no report from the Mid Argyll Locality PPF. Caroline said attendance at the last meeting had been disappointing and a challenge to have topics on the agenda that people are really interested in. The date for the next meeting had yet to be confirmed.

Peter asked why there is a delay in implementing the new chemotherapy service in Mid Argyll. Rona stated that the new service was going ahead as planned but delay due to determining which beds within the hospital would be used for patients and issues relating to pharmacy.

Rona said that she had not received any negative feedback as a result of the merger of Glassary Ward and Glenaray Ward, even though the number of beds had decreased.

5.7 Oban, Lorn & Islands Locality PPF Lasta provided a brief update on behalf of the Locality PPF.

There has been no further progress regarding the proposed new dental access centre in Oban.

Lasta and Robin D were members of the Hospital Redesign Task Group. Work is currently being carried out to implement the proposed combining of two wards. Not all staff are happy with the proposals.

The number of people not attending scheduled appointments (DNAs), either for out patient appointments or day surgery, is very high. Reception staff have been phoning patients to ascertain reasons however despite this there has been no improvement. The cost associated with DNAs is significant.

Fiona raised the issue of people with fractures having to wait up to three weeks following their accident. Temporary casts are being applied at Dunaros but the length of time before being seen at the fracture clinic is too long. Fiona asked whether the two incidents highlighted had been reported to locality management. Caroline agreed to follow this up with David Whiteoak.

Action CC / DW

Referring to the Community Outreach Service, Fiona stated that the grant funding to support this lifeline service will cease at the end of March, and as such the service will be withdrawn. Argyll and Bute Council carried out a survey in 2008 and as a result funding was allocated. The service is essential for people in remote and rural communities as the only means to access essential services and in

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some cases people have become dependent on it enabling them to remain at home.

Fiona stated that funding to support the Mull Progressive Care Centre had hit a further hurdle and there is fear this will result in further delays to the project.

Lasta said the next meeting of the Locality PPF meeting is due to take place on 14 th March.

6 Quality and Patient Safety

Leading Better Care

Pat Tyrrell, CHP Lead Nurse stated that the Leading Better Care is a Scottish Government initiative to improve the quality of care on hospital wards, with the role of the senior charge nurse being pivotal to the successful implementation of policy through the delivery of safe, effective and timely person-centred care, evidenced through a positive patient experience and excellent clinical outcomes.

The job description for the new role is currently being finalised and once this process has been completed, all senior charge nurses’ job descriptions will change to reflect the new one.

The revised role will see senior charge nurses working Monday to Friday, being more available to patients and their families / relatives, and having more of a developmental role for the staff they manage. Pat said this is a big role but if effective, patients can expect to see continuing improvement in the quality of care they receive.

In recognition of just how big the new role of the senior charge nurse will become, it will be essential to have a deputy as it is too much for one person to take on.

Pat said there are four Clinical Quality Indicators (CQIs) and these are:

• food, fluid and nutrition • falls • pressure ulcer prevention • monitoring and observation

Senior charge nurses will be able to compare their ward (s) against others to share good practice, for example staff sickness levels, incidents on wards, etc.

Development training sessions are being planned for all senior charge nurses but this will be ‘topped up’ through continual development based on the individual needs of staff.

10 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

Pat concluded saying that this is early days but taking the NHS in the right direction in terms of improving quality of care.

Richard referred to the Better Together programme and two national surveys for patients who have stayed in hospital for one or more nights. He stated that all Health Boards should have an action plan in place to address specific outcomes and the role of his team is to look at the five themes and what is happening at a local level. He mentioned that there had been no detailed submission from NHS Highland.

Tom asked how recipients of the surveys are selected. Richard responded by saying that each Health Board will select the representative sample for their surveys. A check on the patients selected to participate is normally completed three months before going “live” and this should include a check against the death register. Surveys are anonymous.

Bill asked why only a selection of patients are included in a survey rather than all patients. Richard responded by suggesting the cost would be astronomical. Tom suggested that giving everyone the chance to complete a questionnaire is key to getting a better outcome rather than using a random sample of patients.

Tom outlined details of a formal complaint that he was aware of. This was acknowledged and was being dealt with through the NHS Highland Complaints procedure.

Richard mentioned an independent website where staff and patients can record their stories / experiences online, good or bad. The website administrators pass individual stories to the hospital / NHS Board it relates to ensure the right people receive feedback, highlight areas for improvement, aiming to make a real difference. The web link is : http://www.patientopinion.org.uk/

Josie stated that national surveys are alright however getting feedback locally is essential otherwise changes where necessary will not happen. Referring to the official complaints policy, Josie mentioned that if a complaint is highlighted in the press the official process is stopped. She asked Richard whether this would be the same for people reporting experiences through the patient opinion website because if it is, people should be made aware and in some cases might put people off. Richard said he didn’t think this would be the case but agreed to seek clarification.

Action RMcC

Pat stated that local action plans should include better public / patient involvement and agreed to discuss this further at a future A&B PPF meeting.

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Action PT / CC / GMcG

Tina asked whether the patient survey includes people who are mentally unwell? Richard said it did not and the other exclusions include children and young people, and people with dementia because these groups would need to be surveyed in a different way.

Tina asked how patient opinion fit in with the role of the ombudsman. Richard said he was working with the Patient Rights team to ensure there is no cross over. Tina stated that it is important people understand that if they are not happy with a response, there is another option through which they can pursue the matter.

Pat mentioned that Dr John Lyon, Locality Clinical Lead (Oban, Lorn and the Isles) and GP based at Connel Surgery is currently involved in a group looking at the results of the GP survey carried out last year.

Scottish Patient Safety Programme

This item was moved to the next A&B PPF meeting. Pat suggested that Veronica Kennedy, Clinical Services Manager be invited to attend to discuss this.

Action PT / CC / GMcG / VK

Infection Control

Pat reported on the recent HEI inspection at the Lorn & Islands Hospital earlier this year. She said that this was the first unannounced visit by the inspectorate in Highland, no one had been given advance warning.

The inspection team was made up of four inspectors, lead by Gerry Kennedy, plus one person providing a supporting role. Hospital staff had been anxious about what would happen but the team was very good and respectful.

Verbal feedback at the end of the visit was very positive; the hospital is clean and the inspection team were very impressed with staff and that protocols were being used appropriately.

Written feedback has been received which included three requirements for improvement :

• three infection control policies were beyond their review date • ensuring all staff adhere to guidance regarding protective clothing at the appropriate time • eight patients had been interviewed during the inspection – four had received information about infection control on admission but four had not

12 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

Audits on each ward are routinely carried out and an action plan agreed where things need to be improved. The inspection team highlighted the need to provide evidence where improvements have been made / issues resolved.

Pat stated that the HEI has really driven forward significant improvements in community hospitals. Argyll & Bute CHP accepts the findings from the HEI inspection and will carry out the areas highlighted for improvement. She stated that the outcome will be rolled out to all community hospitals in Argyll and Bute to ensure consistency but more importantly standards are maintained. Overall the feedback was both very positive and encouraging.

The results were formally published yesterday, 21 st February.

Robin C provided brief feedback following a recent visit to Victoria Hospital, Glasgow. He stated that two areas were inspected, accident & emergency and the acute medical receiving area. Both had scored well.

Ellen asked who is responsible for ensuring floors are kept dry in hospitals thus reduce the significant risk of falls. Robin C responded by saying this is the responsibility of the charge nurse and that he had not come across this problem during visits but accepted outwith these there may be a problem. It was agreed that this be picked up locally.

Robin C raised the issue that there is no formal feedback available to the A&B PPF or general public following local hospital cleanliness visits. He stated that this should be routine practice. Pat agreed and said she would follow this up.

Action PT / RC

Margaret said that in the past, the fabric of the buildings had been highlighted as areas for improvement but despite this there has been little maintenance carried out to improve the situation.

Discharge Policy

Duncan said that he was aware a new NHS Highland Discharge Policy had been agreed and is now being implemented. Pat confirmed this is the case but a separate policy would need to be agreed with NHS Greater Glasgow & Clyde to address related issues. Pat agreed to discuss the discharge policy at a future A&B PPF meeting.

Action PT / CC / GMcG

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7 A&B PPF Action Plan

This item was not discussed due to insufficient time available. Caroline proposed that she work with Duncan and Katy Murray to draft a revised A&B PPF Action Plan and circulate to members for wider comment / discussion.

Action CC / DM / KM

One key action agreed earlier in the meeting is to obtain a ‘map’ of practice participation groups attached to GP surgeries across Argyll.

Action CC / GMcG 8 Information Sharing

No items were discussed.

10 Any Other Business

Scottish Ambulance Service

Robin C stated that the issues highlighted on Bute regarding the Scottish Ambulance Service should be addressed. Viv said this would be picked up through the Project Board and would speak to Donald Morrison, Area Service Manager. Duncan suggested stated that it had been a while since the Scottish Ambulance Service had attended an A&B PPF meeting and suggested that they be invited back to the next meeting to give an update. This was agreed.

Action CC / GMcG

Locality PPF Feedback

Bill proposed that feedback from each locality PPF be restricted to five minutes; allowing any longer resulted in items not being discussed and deferred. The main focus of issues raised is generally local and as such should be addressed at a local level. This was agreed

Duncan noted that some issues raised had in fact resonated with the representatives from other areas. In some instances had they not been raised then the localities might have thought that the issue was confined to their specific area.

eHealth

Ken stated that the Vision system, which is a system for GPs, has been approved for all sites within Highland however a problem has been identified resulting in it not being fit for purpose.

He also mentioned that an audit of internet use had been carried out over a 24 hour period. The result has highlighted that some staff, during the period of the audit, have been using the internet for a lot of

14 Argyll & Bute CHP Committee Date of Meeting: 27 April 2011 Item No: 10.2

non-clinical activities, for example shopping. Viv stated that there is a very tight policy regarding use of the internet to prevent such misuse, use of the internet is constantly being audited and some websites blocked.

11 Date, Time Venue of Next Meeting

Tuesday 24 th May 2011 Tuesday 30 th August 2011 Tuesday 29 th November 2011

All meetings will be held in Rooms JO3-7 in the Mid Argyll Community Hospital and Integrated Care Centre, Lochgilphead , 10am – 3.00pm

Distribution

Argyll & Bute Public Partnership Forum (PPF) Members Argyll & Bute Members of Highland HealthVOICES Network (HHVN) Bill Brackenridge, Chairman, A&B CHP Derek Leslie, General Manager, A&B CHP Locality Managers, A&B CHP Stephen Whiston, Head of Planning, Contracting & Performance, A&B CHP Caroline Champion, Planning & Public Involvement Manager, A&B CHP Pat Tyrrell, Lead Nurse, A&B CHP David Ritchie, Communications Manager, A&B CHP (for information) Gill Keel, Head of Community Engagement, NHS Highland (for information)

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