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LOCHABER HEALTH and SOCIAL CARE REDESIGN STEERING GROUP Conference Room, Fort William Health Centre Thursday, 16Th August 2018

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LOCHABER HEALTH and SOCIAL CARE REDESIGN STEERING GROUP Conference Room, Fort William Health Centre Thursday, 16Th August 2018 LOCHABER HEALTH AND SOCIAL CARE REDESIGN STEERING GROUP Conference Room, Fort William Health Centre Thursday, 16th August 2018, 1100 - 1350 Present: Tracy Ligema (Chair), Head of Community services North & West Division TL Ross MacKenzie, Area Manager West RM Brian Murphy, Public Member BM Flora McKee, Public Member FM John Hutchison, Belford Action Group JH Christine Hutchison, Public Member CH Andy Cooper, Community Liaison, Police AC Diane Falconer Tweeddale Practice Manager DF Anne Boyd-MacKay, Rural General Hospital Manager, Belford ABM Alex Kelso, Pharmacy Manager, Belford Hospital AK Chris Evans, HUG (Action for Mental Health) CE Dr Jim Douglas, GP, Lochaber Primary Care Clinical Lead JD Eileen Hester, Practice Manager Glen Mhor EH Marie Law, District Manager, Lochaber ML Gordon MacDonald, Project Manager, Estates GM (By teleconference) Emma Tayler, Assistant Ward Manager, Highland Council ET Elspeth Caithness, Royal College of Nursing Staffside Rep, NHS Highland ES Apologies: Mamie Thompson, Heather Cameron, Patricia Jordan, Dr Katharine Jones, Sandy Stoddart, , Dr Brian Tregaskis, David Sedgwick, Dr Patrick Byrne, Ben Thompson, John Gillespie, Liz Fotheringham, Kevin Smith and Shirley Buchanan. 1 Welcome and Introductions JD and others had queries on the membership of the Steering Group. TL confirmed that attendance sought to be inclusive as possible and noted that as progress is made on the Strategic Assessment and Scottish Capital Investment Manual requirements the future role of this group will need to be reviewed. Action – Share the distribution list with members for update on changes ALL / and additions as required. GM 2 Notes of Last Meeting & Matters Arising Notes of the last meeting were accepted Version 1 Matters Arising CE advised of the recent report for Place of Safety / Safe Place for mental health care. Action: GM to distribute Mental Health document to the group GM 3 Highlight Report Recent focus has been the Public Event for the Strategic Assessment to be drafted. TL confirmed that capacity is being identified to maintain momentum in particular in finalising the Clinical Model paper. GM spoke about the Risk coding re Severity and Likelihood. He confirmed that the colour coding was as per the NHS Highland Risk policy. Action: NHS Highland Risk Assessment Matrix to be circulated GM 4 Project Team/Sub-group Updates Communications MT submitted her apologies but 4 group members were in attendance. This group was key in getting a good attendance at the Strategic Assessment event and will continue to work on regular updates of FAQs etc. It was suggested that a public statement is drafted following the Steering Group to provide an update and thank all who contributed to the Strategic Assessment event. Action: Communications team to be requested to do draft public GM statement of thanks and update. Clinical Modelling It was noted that this group had been on hold pending the Strategic Assessment event. TL confirmed that resource to support completion of the clinical model was being identified. JH queried future dates for the Group and whether invitations were going to David Sedgwick and Michael Foxley. It was confirmed that both had received the draft clinical model paper, as had the rest of the Steering Group. Once dates are set for future meetings of this group the full membership will be informed as normal. Version 1 JD reflected that in the 70th year of the NHS our strapline for all that we do could go back to the original intentions – providing a local response to care and a Cradle to Grave approach. There was common consensus by the group membership. TL requested that the Communication group create a Lochaber Health & Social Care Redesign ‘vision’ statement to use in all our documentation. Action: Strapline to be developed by Comms & Engagement sub-group. MT JD also raised the potential for a Stress Test on the Clinical Modelling to clarify processes carried out under normal conditions vs. processes followed in emergency/extreme circumstances. Clin. Action: Clinical Modelling Group to ensure model is Stress Tested with Mod / the aim of using this to support wider understanding of the clinical model Comms and how this changes under different conditions. Transport Group BM advised that the group had paused meetings subject to the outcomes of the Transport Review for Lochaber that is based on the Scottish Government’s Scottish Transport Appraisal Guidance (STAG). AECOM is the company carrying out this work. 6. Strategic Assessment Event – Debrief & Strategic Actions A wide ranging discussion on the Strategic Assessment Event resulted in the following strategic actions being identified: (a) Housing and Accommodation There is a connection between the new hospital development site and the planning for the surrounding areas / phases. There is a public event on 12th September for the Lochaber Development Plan there is a need for the NHS to formally confirm that this site is large enough for its purposes. Action: GM to Request formal confirmation of Site Suitability etc from GM/HC/ Heather Cameron &/or Eric Green. EG AC and others raised the option of accommodation and needs for incoming workers. There has been conversations with the NHS and Highland Council and it will be a point for discussion in next month’s Development event. Hugh Action: NHS to identify a representative attend this Planning event and Wright? ensure its needs are clearly represented. /Other? Education Version 1 JD had raised NHS training needs at the Strategic Assessment event and again at the meeting. This included training at Undergraduate and Postgraduate levels. It was agreed that a new sub-group would be established to ensure that these issues are addressed in the design. Action: Preliminary meeting to decide on membership, Terms of Reference and fit with the overall project and redesign of services. Initial GM points of contact are JH, JD, Nicky Turner, ABM and BT. Action: JH to formally be invited to the Steering Group in his role as Chair GM/TL of West Highland College. (b) Models of Service delivery Wide ranging discussion regarding services for the future. TL confirmed that the Clinical Model will describe ‘What’ we will deliver but we will need to work collaboratively to describe ‘How’ (workforce modelling etc) this can be achieved given challenges around staffing and sustainability of the current services. It was agreed that an additional sub-group would need to be set up in the future to support workforce modelling. (c) Mental Health Discussion regarding the need for enhanced transfers and place of safety. Action: ML agreed to convene an operational group to support improved ML responses for now and as part of the redesign. (d) Transport BM provided information on the AECOM’s report timeframe. JH also reflected on the historical context re 30yrs of discussions on the new road options. All agree that the road network and volume of users on the road is causing concern. With projected volumes from new housing and other developments this has potential to be problematic for service delivery. There was agreement that the ideal solution for the NHS and helicopter access would be for this to be included within the specification for the new hospital. TL confirmed that Eric Green had envisaged that this would likely be case. 7. Kate Forbes Visit Some group members had been present at the meeting that was held with Kate Forbes MSP. Feedback was that this she was supportive of the intended redesign and reflected on what support the Government could provide. Version 1 TL offered to write a letter to Kate Forbes representing the Steering Group and formally stating points for consideration and addressing. Action: Steering Group members to forward points for raising to TL and All/TL TL to draft letter. 8. Date of Next Meeting The next meeting is scheduled for 11.00hrs on Thursday 22nd November 2018. Venue Conference Room, Fort William H.C. VC available from Meeting Room 1, Birnie Centre, Raigmore, Inverness. Actions in Summary: Number Action Who 1 Share the distribution list with members for update on changes and GM additions as required. 2 GM to distribute Place of Safety document to group. GM 3 NHS Highland Risk Assessment Matrix to be circulated GM 4 Communications team to be requested to do draft public statement of GM thanks and update. (Edit/amendment – Gordon to draft and submit via TL and Communications team.) 5 Comms & Engagament group to develop strapline MT 6 Clinical Modelling Group to ensure model is Stress Tested with the aim of Clinical using this to support wider understanding of the clinical model and how Modelling this changes under different conditions. 7 GM to Request formal confirmation of Site Suitability etc. from Heather GM Cameron &/or Eric Green. 8 NHS to identify a representative attend this Planning event and ensure its Hugh needs are clearly represented. Wright/ ? 9 Preliminary meeting to decide on membership, Terms of Reference and GM fit with the overall project and redesign of services. Initial points of contact are JH, JD, Nicky Turner, ABM and BT. 10 JH to formally be invited to the Steering Group in his role as Chair of West GM/TL Highland College. 11 ML agreed to convene an operational group to support improved ML responses for now and as part of the redesign. 12 Steering Group members to forward points for raising to TL and TL to All/TL draft letter. Version 1 .
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