SUMMARY NOTES Skye, Lochalsh & Wester Ross Redesign Steering Group Tuesday 8 March 2016 – 1:00pm to 3:00pm Seòmar B, VC Suite, Àrainn Ostaig (Ground Floor), Sabhal Mòr Ostaig, Sleat, Isle of Skye IV44 8RQ

Present: Gill McVicar, (GMV) Director of Operations, NHS Highland Kate Earnshaw, (KE) District Manager, NHSH Caroline Gould, (CG) Skye & Lochalsh Access Panel James Greer, (JG) Skye & Lochalsh Access Panel Ross Mackenzie, Area Manager West, NHSH John Docherty, on behalf of SOS, NHS Finella MacKinnon, (FMK) Representing Struan Community Council Catriona Leslie,(CL) Portree & Braes Community Council Maimie Thompson (MT), Head of PR & Public Engagement, NHSH Kevin Lawley, (KL) Alzheimers Scotland Julia Rudram, (JR), Allied Health Professional, NHSH Alistair McPherson, (AMP) Broadford & Strath Community Council

Above noted as in attendance at Sleat College as per Attendance Sheet completed on the day By VC Heather Cameron, (HC) Senior Project Manager, NHSH Paul Davidson, (PD) Clinical Director, North & West Operational Unit Isobel A MacLeod, (IML) Skeabost Community Council – CONNECTION FAILED

Apologies: Diane Forsyth, (DF) Project Manager, NHSH Hamish Fraser (HF) Highland Council (Skye) John Gordon Malcolm Henry, (MH) Representing Minginish Community Council Alastair Innes, (AI) Rural Practitioner, Broadford, NHSH Marjory Jagger, (MJ) S&L Young Carers Gordon Laurie – ACDD Lochaber & Skye Tracy Ligema, (TL) Area Manager, West, NHSH Willie MacKinnon, (WMK) Ward Manager (Eilean a’Cheo), Highland Council Sarah Macleod – Lead Midwife, NHSH Sarah Marshall, (SM) SOS NHS Skye Ian Renwick – Highland Council Kirsty Shaw Lesley Unwin

Apologies as noted to Lyn Plenty by email

Summary Notes 1 WELCOME & APOLOGIES

Gill welcomed everyone to the meeting of the Steering Group.

Apologies for absence are noted above.

2 NOTES OF PREVIOUS MEETING (4 August 2015)

 Suggestion was made that notes were not submitted since last meeting except for when they were sent with the Agenda for 8 March 2016. MT confirmed that they were sent out in August and that they were also on the website.  Spelling of Caroline Gould (Garoline).  Under Item 8 – circulation of Hugo’s presentation. It was confirmed that this had been circulated.

1 3 INITIAL AGREEMENT

Updated Clinical Model: It was advised that the Scottish Government required the Clinical and Care Model to be further developed. A meeting has been arranged with the Scottish Government and Capital Investment Group for April. A presentation has been developed for this meeting which will outline what the plan is.

Presentation: GMV showed the group a presentation. It was emphasised that it was in draft format and comments were welcomed.

Key elements included:  Primary Care development ongoing and through new contract:  Anticipatory care  GP Clusters  Teams strengthened  Virtual wards  Consultant Geriatrician appointed.  3 Integrated Teams in place – North Skye & Raasay; South Skye & Lochalsh and Wester Ross.  Developed Care at Home – review under way.  Intermediate Beds in Care Home – being discussed.  Single Point of Access – in place.

PD described Quality Outcomes Framework QOF (which is a contract with funding arrangements for GP Practices) replacement by Practice Quality Leads (PQL) and Cluster Quality Leads (CQL) in the interim year 2016/17.

Question: Portree Hospital – will NHS Highland stop maintaining and thereafter close? GMV advised plan for Portree Medical Practice to move to be co-located within the Spoke. HC advised that a fairly major update of part of the hospital occurred in 2006 including rewiring and services replaced. Parts of the building are in good condition, the main issue is that it is not suitable for inpatient services, including provision of single room, en-suite.

Question CL: Where do you get the people? General discussion on workforce planning including freeing up staff from co-locating in-patient beds, introduction of Living Wage, developing staff including care Academy and using social enterprises models. The Small Isles Model was also discussed and how working in partnership with local communities is providing positive solutions.

What happens when communications breakdown in a storm? Discussion on resilience and business continuity. It was emphasised that there are tried and tested models in place to cover all eventualities with an emphasis on looking after vulnerable adults lists. Power company support and work with partners. Small Isles Model – paid for hours worked.

There followed a general discussion on language and use of phrases like buzzwords: Huddle – Clusters – Quality Circles – will confuse members of the public and emphasised the importance of being able to explain changes as clearly as possible.

4 TRANSPORT & ACCESS SUB-GROUP

 The last meeting scheduled for 1 March 2016 was cancelled. It was noted that short notice cancellation was not helpful.  The Group will be revamped to ensure the required outputs are delivered on time. ACTION: GMV agreed to pick up with HF.  CG updated that the Access Panel were meeting with Cal Mac and she would feedback.  Difficulty in getting transport providers together was recognised.

5 NORTH SKYE SERVICES & SPOKE SUB GROUP

 The last meeting of the group on 30 November 2015 did not go as planned.  Meeting which was scheduled for 1 March 2016 will now take the form of a workshop on the morning of Friday 18 March in the Portree Community Centre.  Outputs will be available to open event in the afternoon for comment.  Drop-in session will go on into the evening.  Notes will be produced and circulated.

2 6 PROJECT STRUCTURE

Project Board:  Have met twice and steering group representatives are HF; MG and CG.

Project Team:  Meet monthly.  Working on Risk Register and Initial Agreement.  Outputs are uploaded onto website following each meeting.  Project Milestones – Initial Agreement is not yet approved. Timelines will be set once the Initial Agreement is approved.

7 OPERATIONAL & WORKFORCE PLANNING

 For the Outline Business Case a detailed workforce plan will be required. Work is under way and it was confirmed that it would cover NHS Highland and other commissioned services with third and independent sector.

8 ONGOING WORK OF STEERING GROUP

Community Engagement:  Helpful discussion and reflections on how the Group has functioned and next steps. A range of perspectives but general consensus that the Steering Group needs to be forward looking. Continue to work with NHS SOS and all communities to answer their questions and concerns as part of further developing the Clinical and Care Model and Workforce Plan.  GMV – there is a role for community planning – what has been done to attract workers, housing availability, etc.

9 NEXT MEETINGS

1 June 2016 – 2:00pm to 4:00pm – Monkey Puzzle Room, Broadford Hotel, Broadford, IV49 9AB 8 December 2016 – 1:00pm to 3:00pm – Portree Chamber, Tigh Na Sgire, Portree, IV51 9GP

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