Cowal Locality Public Partnership Forum

COWAL LOCALITY PUBLIC PARTNERSHIP FORUM 9th April 2014 2pm

NOTE OF MEETING

Present: Jimmy Bell Convener, CLPPF Robin Creelman Chair, Argyll & Bute Community Health Partnership Lorraine Paterson NHS Highland, Clinical Services Manager Aileen Hoey Hunter’s Quay Community Council/CCCF Aily Thomson Dunoon Link Club Bruce Marshall Argyll & Bute Council Eleanor Stevenson South Cowal Community Council Evelyn Hide Public rep, CLPPF Fulton McInnes Hunter’s Quay Community Council George Allan Public rep, CLPPF Gordon Neish Member of the Press - Dunoon Observer Heather Grier 24/7 OOH/CLPPF member Kate Stephens Public rep, CLPPF Nicola McGaw Mariners Support Associates Tom Law Hunter’s Quay Community Council Susan McFadyen Cowal Community Care Forum, CLPPF Administrative Support

Guest: Dick Walsh Argyll & Bute Council Leader

Apologies: Viv Hamilton, Eileen Lea

1. WELCOME

Jimmy welcomed everyone to the meeting and all attendees introduced themselves.

2. REVIEW OF NOTE OF LAST MEETING – HEALTH AND SOCIAL CARE ONLY

The Health and Social Care section of the note of February’s meeting was reviewed and found to be accurate.

3. COUNCILLOR DICK WALSH – An update on local progress in Health and Social Care Integration

The Council and NHS boards have agreed a joint paper for Health and Social Care Integration. This will be a body corporate model. The H & SC partnership will have a pool budget to deliver the services that are agreed.

Benefits of a body corporate model are that all NHS staff will be retained and employed by the Health Board and all Council staff will be retained and employed by the Council.

A shadow integration board will be set up with equal numbers of representatives from the Council and NHS – four from each. This is an interim board with no power apart from integration. This board will then be involved in transitional arrangements.

1 | P a g e The scope of services will have to be discussed in detail by the shadow integration board.

Both organisations have agreed to a collaboration arrangement for communication and engagement. This will be finalised by the end of April. Action Dick to forward a copy of the communications and engagement plan to Susan for distribution. All stakeholders with an interest will be involved in this. CLPPF will be heavily involved. A reference group will feed into the shadow integration board and will be vitally important.

Planned dates at the moment for communication and engagement are:  Staff involvement – 28th April to 27th June  Community involvement – 12th May to 27th June  Commissioning – 12th May to 27th June There will be ongoing continuing dialogue with all parties.

Key messages

 All services will be person centred  Localities will lead on the H & SC partnership  Services will be delivered without interruption  Regular information will be given to staff and management to ensure involvement at every stage.  A positive attitude is key.

4. QUESTIONS AND COMMENTS RE COUNCILLOR WALSH’S PRESENTATION

Evelyn: Is the joint paper for Health and Social Care Integration for Argyll and Bute only? Dick: Yes it is.

Robin: Commented that the Health Board has no disagreement with the Council on the way forward. Over the past few years they have worked together as a strategic partnership.

Heather: Where does public involvement come? Dick: The public will be part of the reference group that feeds into the shadow integration board. Robin: Commented that this is a recommendation from the government and is noted in section 5.3 of the joint paper for Health and Social Care Integration. Robin didn’t think that the public should be part of the integration board as it has a governance function and it should be asking question such as “Are we engaging with the public?" Dick: The Council has a history of valuing partnership working. The best way to do this is together. Robin: Working together gives us a better chance at sustainability. There should be proactive rather than reactive public engagement. Heather: There should be public involvement at the design stage. This has happened previously in Health but not aware of it happening with the Council.

Lorraine: Will acute hospitals remain separate? Dick: Yes Robin: Would imagine Lorn & Islands Hospital will be included

2 | P a g e Robin: There is an issue with broadband in Argyll and Bute. The Community Planning Partnership needs to address this. We rely on good broadband to provide good healthcare.

Robin: We should have a new name for the CLPPF with includes the Council and Health. Action Susan to put this on the agenda for the next CLPPF

Evelyn: The informal Comms group which has been set up in Cowal has a lot of social care providers in it and may have an important part to play. Heather: Agrees. The group is not ready to be formalised yet. Suggests that the informal comms group is invited to the next CLPPF. Action Susan

There was general concern over the short timeframe planned for public involvement.

5. NEXT STEPS FOR CLPPF RE HEALTH AND SOCIAL CARE INTEGRATION

It was agreed that Health and Social Care continues as a standing item on the CLPPF agenda.

6. HEALTH CENTRE FACILITY AT THE HOSPITAL?

Tom presented the proposal that the CLPPF endorse the suggestion that the Cowal Community hospital make available some form of health centre facility since the GP appointment system appears to have broken down. He maintained that GP appointments are virtually inaccessible for the majority and is suggesting a supplementary service to help out local GPs.

Robin felt that from a non-operational point of view:  There is a lack of evidence of there being a problem  GPs are independent practitioners and the Health Board only has a degree of control over them.  The first port of call if there is a problem should be the GP surgery.  It would be a major change and the GPs would probably object.

Heather: Is this relating to Dunoon GPs? Tom: Yes it relates to one Dunoon surgery.

Tom spoke about how there is a period of time in the morning in which you can make appointments and said that it is very difficult to get through on the phone at this time.

Robin: If we have hard evidence then the PPF could write to practices. Tom: People want to remain anonymous. Robin suggested using Patient Opinion – this is an anonymous service. Robin receives notifications of comments put on Patient Opinion for Argyll & Bute. Susan offered to help people use Patient Opinion when needed and said she was happy for her contact details to be made public.

Lorraine suggested approaching the practices asking to set up a Patient Participation Group. Action Susan to send Alison McCrossan’s details to Tom for help with doing this.

3 | P a g e Lorraine acknowledges the problem and noted that this is a national problem. She said that at the moment the hospital policy is to not turn anyone who turns up at Casualty away. She noted that legally the hospital doctors would be unable to see other GPs’ patients as an alternative “GP” but can see patients as an accident or emergency or as a hospital inpatient.

Robin noted that a GP’s skillset is different to that of a Casualty doctor.

Tom thanked the meeting for considering his proposal.

7. AOB

Robin asked for the CLPPF minutes to be copied to the Argyll & Bute PPF. Action Susan

NEXT MEETING:

Friday 20th June 2014 2pm to 4pm, Training Room, Cowal Community Hospital Tea/coffee registration from 1:30pm

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