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The Vale Monitorring Group

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The Vale Monitorring Group 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 West Dunbartonshire 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. Helensburgh & 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 Glasgow & 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 Inverclyde, 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 Greater Glasgow 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: Improve resource utilisation Shift the balance of care Focus resources on greatest need Improve access Modernise services Improve individual health status Be an effective organisation 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 Scotland 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,
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