Public Document Pack Argyll and Bute Council Comhairle Earra Ghaidheal agus Bhoid Corporate Services Director: Nigel Stewart Kilmory, Lochgilphead, PA31 8RT Tel: 01546 602127 Fax: 01546 604444 DX 599700 LOCHGILPHEAD e.mail –[email protected] 16 June 2004 NOTICE OF MEETING A meeting of ARGYLL AND BUTE COUNCIL will be held in the COUNCIL CHAMBER, KILMORY, LOCHGILPHEAD on WEDNESDAY, 23 JUNE 2004 at 11:00 AM, which you are requested to attend. Nigel Stewart Director of Corporate Services BUSINESS 1. APOLOGIES FOR ABSENCE 2. DECLARATIONS OF INTEREST (IF ANY) 3. NHS ARGYLL AND CLYDE CLINICAL STRATEGY (a) PRESENTATION AND DISCUSSION OF CONSULTATION DOCUMENT (Pages 1 - 60) (b) NOTICE OF MOTION UNDER STANDING ORDER 13 By Councillor Macaskill, seconded by Councillor Walsh “That the Council appoint a short life Policy Development Group of five Members with at least one Member from each of the Council’s four sub- areas to formulate a draft response to the Consultation document after consultation with Area Committees and other stakeholders as appropriate – the draft response to come to the Council meeting on 15 September 2004.” (c) MATERNITY SERVICES Report by Director of Community Services (Pages 61 - 86) 4. MINUTES Argyll and Bute Council 12 May 2004 (Pages 87 - 92) 5. MINUTES OF COMMITTEES (a) Helensburgh and Lomond Area Committee 4 May 2004 (Pages 93 - 102) (b) Bute and Cowal Area Committee 4 May 2004 (Pages 103 - 106) (c) Mid Argyll, Kintyre and Islay Area Committee 5 May 2004 (Pages 107 - 112) (d) Oban, Lorn and the Isles Area Committee 5 May 2004 (Pages 113 - 122) (e) Strategic Policy Committee (Education) 6 May 2004 (Pages 123 - 128) (f) Strategic Policy Committee 6 May 2004 (Pages 129 - 134) (g) Appeals Committee 20 May 2004 (am) (Pages 135 - 136) (h) Appeals Committee 20 May 2004 (pm) (Pages 137 - 138) (i) Appointments Committee 24 May 2004 (Pages 139 - 140) (j) Helensburgh and Lomond Area Committee 1 June 2004 (Pages 141 - 150) (k) Bute and Cowal Area Committee 1 June 2004 (Pages 151 - 156) (l) Mid Argyll, Kintyre and Islay Area Committee 2 June 2004 (Pages 157 - 164) * (m) Strategic Policy Committee 3 June 2004 (Pages 165 - 174) The above minutes are submitted to the Council for approval of any recommendations on the items which the Committee does not have delegated powers. These items are marked with an *. 6. HOUSING STOCK TRANSFER: SUBSIDY ARRANGEMENTS Report by Director of Community Services (to follow) 7. (a) UNAUDITED ANNUAL ACCOUNTS - 31 MARCH 2004 Report by Head of Strategic Finance (Pages 175 - 216) (b) MEMBERS ALLOWANCES - TO 31 MARCH 2004 Report by Director of Corporate Services (Pages 217 - 224) 8. PROJECT ISOLUS Report by Director of Corporate Services (Pages 225 - 228) 9. EDUCATION NPDO PROJECT MANANGEMENT BOARD AND SPECIAL COMMITTEE - VACANCY Report by Director of Corporate Services (Pages 229 - 230) 10. CAMPBELTOWN LEGALISED POLICE CELLS VISITING COMMITTEE - VACANCY Report by Director of Corporate Services (Pages 231 - 232) 11. CHARLES AND BARBARA TYRE TRUST - APPOINTMENT OF GOVERNORS Report by Director of Corporate Services (Pages 233 - 234) 12. MICROGENERATION OF ELECTRICITY AND THE MICROPOWER COUNCIL Correspondence from Sustainable Energy Partnership (Pages 235 - 238) 13. ERSKINE BRIDGE TOLLS Report by Leader (Pages 239 - 240) COUNCIL ALL MEMBERS Contact: Melissa Stewart Tel: 01546 604406 Page 1 Agenda Item 3a Shaping the Future The Clinical Strategy for NHS Argyll & Clyde Paper for Public Consultation 14 June – 17 September 2004 Page 2 NHS Argyll & Clyde Consultation paper 2 Page 3 NHS Argyll & Clyde Consultation document Executive Summary 1. This document contains proposals for the future provision of health services for the people of Argyll and Clyde. It is based on a set of seven key principles – safety, sustainability, quality, affordability, integration, access and timeliness. 2. A clear plan for health services in NHS Argyll & Clyde is necessary to help tackle both the pressures that health services across Scotland and the UK are experiencing generally and those that apply to the particular circumstances of Argyll and Clyde. These pressures mean that we are unable to sustain the current way in which we provide health services in Argyll and Clyde. If we do not address these pressures effectively, there is a real danger that services will fail and that a poorer quality of service with much diminished access will result. 3. As part of this process of developing a clear plan for the future, we have talked with, and listened to, a great many people from across Argyll and Clyde. These have included patients, carers, people in local communities, our partners and our staff. The proposals contained in this consultation paper are based on these discussions and on the work that took place in the many workshops and meetings across Argyll and Clyde over a period of eight months. We have also looked carefully at professional standards and advice and taken these into account in our proposals. 4. Five overall themes emerged in our discussions, reflecting the views of public, patients and staff about the health services we should provide. These included the wish of patients and carers to be treated as equal partners in the healthcare process, the importance of better access to care and how these, and other improvements, could be achieved through building on the patient pathway approach. Maximising care in local communities and making sure of continued access to high quality acute services were also highlighted. This paper contains proposals for service redesign to deliver the improved services that people told us they wanted to see. 5. We need to change the way in which our health services are provided to meet the aspirations of patients and public. We believe we can do this through developing primary care, introducing intermediate care models more widely and building a healthcare network across Argyll and Clyde. But before we can do this, we must make sure our services are stable. 6. This paper contains our proposals to provide services that are safe, sustainable and of high quality. In some cases this means significant change to the current pattern of services. We propose to maintain our main acute hospital sites although we will have to change some services to do this. We intend to provide additional services as we shift the emphasis of care from institutional to community-based care for older people, people with a mental health problem or with a learning disability. 7. We propose to develop services at the Royal Alexandra Hospital as the major acute hospital for Argyll and Clyde. This will include the major accident and emergency department networked to other emergency services across the area. We have outlined the options for the provision of services in the Inverclyde and Lomond areas to provide as many services as possible locally. We will work with Page 4 NHS Argyll & Clyde Consultation paper local communities in Argyll and Bute to develop health services for remote and rural services. 1 Page 5 NHS Argyll & Clyde Consultation document Contents 1. Introduction 2. The need for change 3. Redesign of services and working practice 4. Modernisation and reform of services and infrastructure 5. How to give us your views Glossary References Page 6 NHS Argyll & Clyde Consultation paper 2 Page 7 NHS Argyll & Clyde Consultation paper 1. Introduction This paper describes NHS Argyll & Clyde’s plans for future health services in our area. When making these plans we need to consider the geography of Argyll and Clyde, the kind of communities we live in, and projected changes to the population of Argyll and Clyde. We also need to take into account the views of the 418,000 people in Argyll and Clyde whom we serve, and the staff who provide the services. In doing this, we must have a view to the future and our responsibilities to the next generation of service users, to local communities and to our staff. Since October 2003 we have been talking with people across Argyll and Clyde to hear their views about the development of our NHS. These discussions have been with members of the public, politicians (MSPs and MPs) and local councillors, as well as many of our staff, patients, carers, advocacy groups and other organisations, both statutory and independent. More than 4000 people have been directly involved so far in these discussions. We have listened carefully to what we have been told over the last eight months by patients, the public, staff and partners. People want healthcare services that work better together to meet their needs as fully as possible. They want assurance that the healthcare services they use are consistently of high quality. They want to be able to rely on their services, and be reassured that the services they require will be available to them when they need them. This paper describes, therefore, not simply an acute services strategy but covers all healthcare services for the people of Argyll and Clyde. Neither does it suggest short term or quick “fixes” that would only mask underlying challenges and problems. Instead, we have outlined the tough decisions that need to be made both now and into the future. 1.1 Key principles It was also clear from the discussions we have had over the past eight months that some principles must shape the future design of services. Taken together, these principles provide us with a robust framework within which to develop the Clinical Strategy. They are: Safe services A service is safe when we can be confident that the care provided by our staff compares well against national standards and that, for most people, the expected health outcomes will be achieved. We are confident that all the proposals in this plan are consistent with this view on safety.