THE VALE MONITORING GROUP

FIRST MEETING

ON MONDAY 23RD NOVEMBER, 2009 AT 0930

IN DUMBARTON BURGH HALL

AGENDA

No Item Lead Papers

1. Welcome & Apologies Bill Brackenridge 2. Chairman’s Introductory Remarks Bill Brackenridge GGC Board Paper 09/45 News release 16 July 2009 3. Membership Introductions 1 Argyll & Bute CHP Derek Leslie Submitted Paper 2 CHP Keith Redpath Submitted Paper 3 Mental Health Division Anne Hawkins Paper from Anne 4 Argyll & Bute Council Cllr George Freeman Submitted Paper 5 West Dunbartonshire Council Cllr Ronnie McColl Paper from Chief Executive 6 Argyll & Bute PPF Mairi Proctor Submitted Paper 7 West Dunbartonshire PPF Anne Ferguson Submitted Paper 8 Lomond Patients’ Group David Bruce Submitted paper 9 Hospitalwatch To be advised Paper to Follow 10 United Campaigns Group Jackie Pollock Submitted Paper 11 West D’shire Mental Health Forum Harry McCormack Submitted Paper 12 Acumen David Harrison Submitted Paper

4. Proposed Trajectories Jane Grant Presentation

5. Community Midwifery Unit – update on Jane Grant Oral operational plans

6. & Lomond Planning Issues 1 Minutes of last meeting for approval Derek Leslie Draft Minutes 2 Draft of Annual Report Derek Leslie Oral 3 Annual Meeting – arrangements Derek Leslie Oral 4 Other business items Derek Leslie 7. Future Communications 8. Any Other Business

To be proposed to the Chairman in advance of the meeting 9. Date & Time of next Meeting

ARGYLL & BUTE COMMUNITY HEALTH PARTNERSHIP

BRIEFING

23 November 2009

Argyll and Bute Community Health Partnership (CHP)

The Argyll & Bute Community Health Partnership is one of 4 CHPs within NHS Highland. It has an operating budget of around £170m and employs approximately 1700 staff.

It manages Primary, Community, Mental Health and acute services across Argyll and Bute, including the commissioning of a significant range and value of services from NHS Greater & Clyde.

Argyll and Bute covers a geographical area of some 2,600 square miles. It contains a diverse range of settlements including 6 towns, 46 villages, 156 small settlements and 26 inhabited islands.

The population of Argyll and Bute is 91,036 (2001 census). The locality profile, population and configuration of Argyll and Bute CHP is as follows:

Locality Population Locality Description Oban, Lorn & the Isles 20,094 Easdale to Oban, to Port Appin to Dalmally & Isles of Mull, Tiree, Coll & Colonsay Mid Argyll, Kintyre & Islay 21,330 Southend, Campbeltown, Muasdale, Carradale, Tarbert, Lochgilphead, Ardfern, Inveraray, Isles of Islay & Jura Cowal & Bute 22,872 Lochgoilhead, Strachur, Tighnabruaich, Dunoon, Bute Helensburgh & Lomond 26,740 Helensburgh, Kilcreggan, Garelochhead, Arrochar Argyll & Bute CHP 91,036

There are 35 GP practices, 1 rural General Hospital, 6 Community Hospitals, with A&E, acute medical in-patient facilities, community midwifery units and 1 hospital providing services for the mentally ill. Community based services such as Pharmacists, Dentists and Opticians, as well as services including Community Mental Health, District Nursing, Health Visiting, Speech & Language Services, Physiotherapy, Occupational Therapy and District Nursing are also provided throughout the community.

The map attached illustrates the positioning of the Argyll & Bute CHP within NHS Highland, together with the location of any major health facilities.

Whilst the vast majority of the population receive their health care locally in their community or rural general hospital, a wide range of secondary care services are provided by hospitals in , Alexandria, Paisley and Glasgow, either through residents travelling to the location of provision or through outreach services provided in each locality.

Current Organisational Risks & Priorities

• Health improvement /addressing health inequalities • Redesign of services for the mentally ill • Provision of sustainable unscheduled care in a remote and rural environment • Services for older people • Responsive tertiary/out of area provision • Achievement of the targets set out in the Local Delivery Plan and Single Outcome Agreement • Financial break-even • Patient safety • Shift in the balance of care

West Dunbartonshire CHP is responsible for managing and delivering community- based health care services and leading programmes to improve the overall health of all communities within West Dunbartonshire. The CHP is an devolved operational unit of NHS and Clyde (NHS GGC); and is accountable to NHS Greater Glasgow & Clyde (GGC) Health Board.

Its work reflects the corporate themes of NHS GGC to:

ƒ Improve resource utilisation ƒ Shift the balance of care ƒ Focus resources on greatest need ƒ Improve access ƒ Modernise services ƒ Improve individual health status ƒ Be an effective organisation ƒ Tackle health inequalities

The delegation of services now managed by the CHP includes a wide range of primary care and other community based services including:

• District Nursing • Community Physiotherapy • Community Dietetics • Community Podiatry • Health Visiting • Local Older People and Physical Disability Services • Specialist Child Development Services – Speech and Language Therapy • Palliative Care • Addiction Services • Learning Disability Services • Community Mental Health Services • Smoking Cessation Services

The on-going development of much of the above has been underpinned by the recent establishment of joint integrated management arrangements for all community health and care services for adults and older people between the CHP and the Social Work Service of West Dunbartonshire Council.

The CHP holds contractual budgets for and is responsibly for managing relationships with:

• General Practice • Dentistry • Optometry • Community Pharmacy

The CHP has a key strategic role in advocating for and leading collective action to improve overall health and wellbeing of the local communities of WD, particularly

1 those who experience the most socio-economic deprivation. This is most visibly expressed through the work of the CHP’s Health Improvement Team; and particularly through the CHP’s participation within the local Community Planning Partnership (CPP). The CHP is a core statutory agency partner within the the West Dunbartonshire CPP; and a co-signatory to the local Single Outcome Agreement (SOA), the “health” elements of which it leads on behalf of and across all local CPP stakeholders.

On behalf of NHS GGC, the CHP also:

• Has a lead role on behalf of all CH(C)Ps in relation to the Diabetes Managed Clinical Network. • Hosts the Diabetic Retinal Screening Service and has a lead role on behalf of CH(C)Ps in relation to the Integrated Eyecare Scheme. • Hosts the management responsibility for the Glasgow and Clyde Condition Management Programmes.

The West Dunbartonshire CHP Public Partnership Forum (PPF) is the CHP’s primary mechanism for engaging with patients, carers and members of the public on service developments and plans. The PPF is convened by the CHP and formally meets every two months (with meetings open to any local resident). The PPF is chaired by members of the local community (who are elected into that role by PPF members for a term of office); and has two representatives on the CHP Committee (again, these individuals being members of the local community elected into that role by PPF members for a term of office).

2 NHS Greater Glasgow and Clyde

Mental Health Partnership

This brief paper summarises the main responsibilities of the Mental Health Partnership which was created in April 2006 as part of the reorganisation of NHS Greater Glasgow which at 1st April 2006 became NHS Greater Glasgow and Clyde.

The Mental Health Partnership has three key roles which it delivers on behalf of CH(C)Ps.

• Management and delivery of adult inpatient and specialist services across NHS GG&C. Examples of inpatient services are admission, rehabilitation and longer stay services for adults (people aged 18-65). Examples of specialist services are Eating Disorders, ESTEEM – a service for younger people with early onset psychosis and forensic services.

• For CH(C)Ps the Mental Health Partnership provides the performance management processes for the entire mental health system of care. This performance process ranges from the production of service specifications, through to comparative data which is considered by the MHP Committee and a range of other groups/committees with a view to improving practice.

• Providing leadership to the strategic planning of mental services across GG & C. Each CH(C)P with their Local Authority partners has a local Planning and Implementation Group for their patch. The MHP provides an overall strategic framework and development plan for mental health. The MHP leads specific cross-system planning activities eg. Review of Health Autism services, Redesign of Eating Disorder service. The implementation of Clyde Mental Health strategy has been lead by the MHP.

The Mental Health Partnership also has responsibility for Learning Disability and Addictions beds across Greater Glasgow and Clyde.

Anne Hawkins 15.11.2009 BRIEFING ON ARGYLL & BUTE AND THE HELENSBURGH & LOMOND AREA

Argyll and Bute Council covers a vast mainland and island area on the west coast of which equates to approximately 10% of the land area of Scotland. It boasts six major centres of population (Helensburgh, Oban, Dunoon, Campbeltown, Rothesay and Lochgilphead) and includes many of the best known of our Scottish islands, each with its own unique culture and characteristics. These include Islay, Jura, Bute Tiree, Mull, Coll, Iona, Gigha, Lismore, Colonsay and Oronsay. In total, Argyll & Bute has 25 inhabited islands.

In the 20th century, tourism became a vital part of the Argyll and Bute economy, growing up alongside the more traditional industries of forestry, fishing and agriculture. Whilst all of these remain key industries, Argyll and Bute is looking to the future and today is at the forefront of supporting and developing new industries in new technology, renewable energy such as wind and wave power and aquaculture or fish‐farming.

Physically, Argyll and Bute is stunning. Our claim to be the “best environment” is not exaggerated. Our wild and rugged countryside, mountains, lochs and coastlines support the most extensive range of flora and fauna in the UK. With such a precious asset, sustainability and environmental protection lie at the very heart of all development.

Living and working in Argyll and Bute offers the best of both worlds with a tranquil yet stimulating cultural environment with easy access to central Scotland and beyond. Islands and mainland locations are linked to central Scotland by a range of transport options – road, ferry, rail and air ‐ ensuring efficient connections to both national and international destinations. Transport is crucial to the area's economy and Argyll and Bute Council works to maintain a network that is accessible, sustainable and affordable.

ARGYLL & BUTE COUNCIL

Argyll and Bute Council delivers a full range of services to its 89,750 population. Education, Social Work, Transport and Planning all fall within the Councils remit. The administration within the Council is an Independent / SNP coalition. The Council’s 36 elected members and 5,000 staff aim to deliver quality services to everyone, whether they live in the heart of one of its thriving towns or on a remote island croft. The Council's use of new technology such as video conferencing to overcome distance, has won recognition from many quarters.

Alongside the delivery of quality services, the Council aims to promote the overall prosperity of Argyll and Bute. It is recognised as a major stakeholder in the area, taking a leading role in a variety of partnerships with other key agencies and working towards a shared vision for the future development of Argyll and Bute.

1

Although the Council's administrative headquarters lie in the town of Lochgilphead (65 miles from Helensburgh and 74 miles from Dumbarton), the size and diversity of the area is recognised through its four Area Committees ‐ Helensburgh and Lomond, Bute & Cowal, Mid Argyll Kintyre and Islay, and Oban Lorn and the Isles, each of which has the power to take decisions that affect service delivery within their own area to make sure that it meets local conditions. Although Argyll & Bute has a strong Community Planning Partnership, the Council, along with its partners, is currently devolving a number of Community Planning functions to each of the 4 decentralised areas via new Local Area Community Planning Groups (LACPG’s).

Heath Services in Argyll & Bute are the responsibility of NHS Highland and are delivered via the Argyll & Bute Community Health Partnership (CHP). The CHP boundaries are coterminous with the Council’s boundaries. Most health services that are not available locally within the Helensburgh & Lomond Area are purchased from NHS Greater Glasgow & Clyde Health Board via a Service Level Agreement (SLA) valued at approximately £44 million.

HELENSBURGH & LOMOND

The population of the Helensburgh & Lomond area (approximately 27,000) makes up approximately 30% of the population of Argyll & Bute. Apart from the town of Helensburgh, the area also includes many rural villages and communities including Arrochar, Clynder, Cove, Garelochhead, Kilcreggan, Luss, Portincaple, Rhu, Rosneath, Shandon and Tarbet. The area also includes HM Naval Base Clyde (Faslane and Coulport) which is the largest employer in Argyll & Bute. Faslane is also the largest single site employer in Scotland. Also located on Loch Long is the INEOS Oil Terminal where crude oil is imported and stored before being pumped via a pipeline across Scotland to Grangemouth.

There are 3 electoral wards in the Helensburgh & Lomond Area (Lomond North, Helensburgh Central and Helensburgh & Lomond South). Helensburgh Central is a 4 Member ward with the other two being 3 Member wards. The 10 local councillors make up the Helensburgh & Lomond Area Committee. The political make up of the Area Committee is 4 Independent councillors, 3 Lib Dem, 2 Conservative and 1 SNP.

Helensburgh was founded by Sir James Colquhoun and named after his wife, Lady Helen Colquhoun. This thriving town is the largest in Argyll and Bute. Helensburgh is situated on the north shore of the river Clyde opposite Greenock and provides beautiful views of the estuary and beyond. Many renowned architects including Charles Rennie Mackintosh, Alexander ‘Greek’ Thomson and Robert Wemyss built magnificent houses in the area for wealthy businessmen from Glasgow who were attracted to the scenic ambience of the area. Among the famous people who were born in

2

Helensburgh or who had a long association with the town are Henry Bell, Andrew Bonar Law, John Logie Baird, Jimmy Logan, Deborah Kerr and Jack Buchanan.

Colquhoun Square, situated in the heart of Helensburgh is just a block away from the sea front which links Colquhoun Street and West Princes Street. It is a picturesque area with gardens displaying an array of beautiful flowers and shrubs throughout the year.

Helensburgh has a mainly grid pattern road system. The streets are broad and grass verged, planted with flowering cherry or thorn trees. In the springtime the blossom display is spectacular with miles of daffodils providing a golden carpet. The golds, browns and burnished reds of autumn look magnificent against a backdrop of blue sky on a crisp sunny day.

The town provides many amenities for its citizens and visitors. There is an east and west bay for fine bracing walks. A large variety of shops together with restaurants, coffee shops, a swimming pool, bowling greens, tennis courts and fine golf courses are all centrally located. Hotels, bed and breakfast houses are again centrally located. The well maintained gardens of Hermitage Park are a favourite location for wedding photographs.

Adjacent to Hermitage Park is the resplendent Victoria Halls which were opened in 1887 in celebration of Queen Victoria’s Golden Anniversary. This building provides the stage for many local events, concerts and displays and is becoming a popular choice for couples wishing to hold their wedding reception in it’s opulent surroundings.

There are adequate parking facilities in the town which is also well served by a twice hourly train service running to and from Glasgow’s Queen Street Station. Helensburgh Upper train station, approximately one mile from the town centre, provides rail links to Oban, Fort William and beyond.

The city of Glasgow and its international airport are only an hour away by car. The southern end of Loch Lomond and Trossachs National Park is just seven miles further inland at Lomond Shores, boasting magnificent views of the Loch and surrounding area.

3

Argyll & Bute Public Partnership Forum (PPF)

Briefing Paper for Bill Brackenridge, Chairman, Argyll & Bute CHP

The Scheme of Establishment (SofE) for Argyll & Bute CHP was approved by the Minister in June 2006. The SofE set out the CHPs plans for Patient Focus Public Involvement (PFPI) including the Argyll and Bute PPF. The role of the PPF as detailed within the Statutory Guidance1 is as follows:

- Ensure the CHP is able to inform local people about local services, through the PPF and other means; - Engage local users, carers and the public about how to improve health services; and - Support wider public involvement through planning and decision making and to seek to make public services more responsive and accountable to citizens and local communities.

The Argyll & Bute PPF meet quarterly in February, May, August and November. Mapping, initial consultation and subsequent development work with the Argyll & Bute Public Involvement Network (PIN), community groups, voluntary organisations and Health Forum identified that the PPF should utilise existing locality health and local authority arrangements. As such, the Argyll & Bute PPF was established and configured as a communication organisation, with a central Argyll & Bute PPF with 7 locality PPFs representing the geography of the area. This is illustrated in the diagram below:

Kintyre Locality

Mid Argyll PPF Cowal

Locality PPF Locality PPF

Argyll & Islay / Jura Bute Locality Bute PPF Locality PPF PPF

Helensburgh / Oban, Lorn & Lomond the Isles

Locality PPF Locality PPF

1 “Community Health Partnerships: Statutory Guidance”, Scottish Executive Health Department, December 2004 Version 0.2 Version 0.1 Page 1 of 2

Locality PPFs (we now have 6 out of 7 established) also meet on a regular basis (usually quarterly) facilitating the 2-way communication between the CHP, Argyll & Bute PPF and local communities. Local meetings are advertised in the local press encouraging members of the public to attend and participate.

To date, there are circa 190 registered members of the Argyll & Bute PPF. Members are automatically registered members of their locality PPF, based on their postal address. For example, someone living in Lochgilphead will automatically be a member of the Mid Argyll Locality PPF.

Members can involve themselves in a variety of ways, from being recipients of information, to volunteering or nominating themselves to become full members of working groups or meetings such as E-Health, SAS, and locality redesign groups, etc. Some are involved at in Board-wide activities and at a national level.

The Argyll and Bute PPF is open to anyone living in the Argyll and Bute area or with a significant interest in the area. The PPF encourages membership from a broad range of individuals and groups so that a wide range of interests and views can be heard. The PPF welcomes registrations from all sectors within the Argyll and Bute community, regardless of age, gender, ability, faith, ethnicity or sexual orientation.

Caroline Champion Planning & Public Involvement Manager Argyll & Bute CHP

18th November 2009

Version 0.2 Version 0.1 Page 2 of 2

Mr Bill Brackenridge Hartfield Clinic Chair, Vale Monitoring Group Latta Street Dumbarton c/o Lorna Fitzpatrick G82 2DS Hartfield Clinic Latta Street Date: 13th November 2009 DUMBARTON Direct Line: 01389 812351 G82 2DS Fax: 01389 812339 E-Mail: [email protected]

Dear Bill

Vale Monitoring Group

At a meeting of the West Dunbartonshire Public Partnership Forum (PPF) held on Wednesday 11th November 2009 an agenda item was to elect two members from the PPF to sit on the Vale Monitoring Group.

The group received four nominees, but one was rejected as he has an upcoming court case against NHSGG&C and the group thought there was a conflict of interest.

A secret ballot was organised and each member received two voting slips. The votes were then counted by Selina Ross (Manager of WDCVS) and Margaret Walker (WDCHP Planning Manager). Ross McFarlane (Scottish Health Council Officer) observed the count.

The result was annouced to the PPF and our two nominees are;

Anne Ferguson Tom Nimmo 1 Brown Avenue 7 Burns Street Dumbarton Levenvale G82 3LA Alexandria G83 0SG

I also enclose a copy of the remit for West Dunbartonshire Public Partnership Forum for your information.

Yours sincerely

George Murphy Public Involvement Officer

West Dunbartonshire Community Health Partnership came into force on 1 April 2006 bringing responsibility for planning and delivering local health services across West Dunbartonshire together for the first time. One of our key priorities will be to ensure that patients, carers, members of the public, community and voluntary bodies and staff have a voice in the design and delivery of local services. The development of West Dunbartonshire Public Partnership Forum (PPF) is to ensure that patients, carers and citizens of West Dunbartonshire have an opportunity to get involved in the development of local services and provide feedback on a wide range of local issues. Different communities have very different health needs and priorities, which is why our plan for the future will ensure that services are tailored to meet the individual needs of the local communities we serve.