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Mid Highland CHP Committee Minutes

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Mid Highland CHP Committee Minutes Mid Highland Community Health Partnership CHP General Manager’s Office Larachan House Docharty Road Dingwall IV15 9UG Telephone: 01349 869221 Fax: 01349 865870 www.nhshighland.scot.nhs.uk MINUTE of MEETING MID HIGHLAND CHP COMMITTEE Friday 29 August 2008 Moorings Hotel (10.00 am – 1.30 pm) Banavie, Fort William Present: Mrs Ann Bethune (Chair) Non Executive Director, Highland NHS Board Mrs Gill McVicar General Manager, Mid Highland CHP Dr Angus Venters Clinical Director, Mid Highland CHP Dr Jim Douglas Clinical Lead, Lochaber Mr Tom Slavin Head of Finance, Mid Highland CHP Mrs Alison Hudson CHP Lead Nurse Mr Okain McLennan Non Executive Director, Highland NHS Board Mr Bob Cameron Highland Council Corporate Manager, Ross, Skye & Lochaber Mrs Isabelle Campbell Local Councillor, Wester Ross, Strathpeffer & Lochalsh Mrs Margaret Paterson Local Councillor, Dingwall & Seaforth Mr Findlay Hickey Lead Pharmacist, Mid Highland CHP Mr Colin Shields Health & Safety Advisor, Mid Highland CHP Dr John May Raigmore Representative Mrs Jackie Jefferson CHP Administrator (Minutes) In Attendance: Mr Larry Wilmot Area Community Care Manager, Highland Council Social Work Services By Invitation: Ms Sarah McLeod Consultant Midwife, NHS Highland Apologies: Mrs Kate Earnshaw Acting Locality General Manager, Skye & Lochalsh Mrs Theresa James Locality General Manager, Lochaber Mr Brian Murphy Local Councillor, Lochaber Mr Bren Gormley Local Councillor, Lochaber Dr Andrew Evennett Acting Clinical Lead, RC&WN Ms Kerry McLennan Voluntary Sector Representative Ms Maxine Johnston Deputy Voluntary Sector Representative Ms Tracy Ligema Out of Hours Operational and Development Manager Mr Hugh Campbell Ophthalmology Representative Ms Lyn Wormald Area Partnership Forum Representative 1 WELCOME AND APOLOGIES The Chairman welcomed everyone to the meeting, particularly Ms Sarah McLeod, Consultant Midwife. Apologies were noted as above. 2 MINUTE OF PREVIOUS MEETING The minute of the meeting held on 4 July 2008 was accepted as an accurate record of the meeting. 3 MATTERS ARISING 3.1 Record of Attendance at Committee Meetings At an earlier meeting it was agreed that Locality General Managers (LGMs) would restrict their attendance at Committee meetings to those taking place in their Locality. However, attendance is now audited and if LGMs do not attend, this is interpreted as “absence”. Mrs McVicar indicated that, for clarity, a formal Committee membership list would be issued and those members attending for specific issues would be noted as ‘In Attendance’. Cllr Paterson suggested that local councillors have substitute representation on the Committee. Mrs McVicar indicated that, prior to last year’s Highland Council reorganisation, this was the case. She suggested that local councillors approach the Highland Council with the suggestion that substitute members once again be appointed. The Chair suggested that the Committee take the opportunity to review and update its membership and this was agreed. The Committee: • Agreed that Local Councillors should revert to the Highland Council with the suggestion for substitute representation • Noted that the method of recording attendance and absence in Committee minutes is to be reviewed • Agreed that Committee membership should be reviewed and updated, noting any statutory requirements 3.2 Lochaber Review of Services for Older Adults Mrs McVicar confirmed that contractors will commence work on alterations at the Abbeyfield site on 1 September 08. The work will create space for a further six beds, with office and clinical space for community staff, both Health and Local Authority. Day-care and lunch club facilities are already in place. It is anticipated that the work will run for 18 weeks following which a phased occupation of the building will commence. With a confirmed timescale, a further meeting will be held with staff at Glencoe Hospital. A decision will also need to be taken on admissions to Glencoe to allow for transfer of patients, training and redeployment of staff etc. Once Glencoe Hospital has closed, the official Scottish Government disposal process will be implemented. A more comprehensive update report will be provided at the next Committee meeting. 3.3 Control of Infection/Hand Hygiene The Lead Nurse reported that work continues in the CHP to meet targets for reducing healthcare associated infections. This is delivered through the CHP Infection Control Group which meets monthly; through regular environmental audits; informal “walk-abouts”; and through both national and local hand hygiene audits across the CHP. The results from the most recent National Hand Hygiene Audit in August showed a slight fall in compliance levels from May. An action plan is in the process of being developed although further analysis will 2 be required to fully understand the reasons behind these results. Some hospital sites have however performed very well, with 95% compliance. A great deal of work is ongoing across the CHP to ensure that cleanliness is of the highest standard. Environmental issues are currently being addressed at Ross Memorial Hospital in Dingwall and a business case is being developed for Broadford Hospital on Skye. Infection control will be a key performance indicator in the Clinical Indicators Project over the coming year and occupies a high profile in the Senior Charge Nurse Review. Mrs McVicar highlighted the recent NHS Highland Annual Review at which the Minister for Public Health had advised that the Scottish Government was adopting a zero-tolerance policy towards hand-hygiene breaches. The Lead Nurse acknowledged this, adding that infection control was everyone’s responsibility. In response to a point raised by Dr Douglas about consistency and the criteria used, Mrs Hudson confirmed that the auditors were all trained to the same standard by the Health Protection Unit in Edinburgh. 3.4 Managerial Changes in Skye & Lochalsh Locality Mrs McVicar advised that the proposed managerial changes in Skye & Lochalsh Locality were taking a little longer to implement than planned. She confirmed that consultation is ongoing and a report will come to Committee in due course. 3.5 Out of Hours Services and Scottish Ambulance Service Issues At the last Committee meeting Mrs McVicar had indicated that high-level discussions were taking place. The difficulties being experienced by Scottish Ambulance have been well- documented by the media and some of the local issues, including single manning, have been particularly difficult to resolve. Meetings are taking place between the Chairman of NHS Highland, and the Chief Executives of both NHS Highland and Scottish Ambulance and it is hoped progress will be achieved. Mrs McVicar assured Committee that the CHP would continue to highlight this issue at every opportunity and stressed that there were excellent working relationships with local SAS staff. 3.6 The Pines, Acharacle Mrs McVicar confirmed that Dr Rob Colebrook will take up his new post as GP at The Pines on 1 September. He is currently working in the area in a locum capacity. Mrs McVicar emphasised that Dr Colebrook would receive all support necessary to enable the process of restoring and rebuilding trust and relationships with the local community, patients and staff. 3.7 Tain Health Centre – Outline Business Case The outline business case went to an extraordinary meeting of the CHP Management on 23 July to which Committee members were invited. This was agreed at the meeting and subsequently submitted to the Board of NHS Highland on 5 August. Approval was received to move to the next stage, submission to the Scottish Government for consideration of allocation of capital. 3.8 Integrated Eye Care Service Mrs McVicar reported that there was a funding issue associated with the new Integrated Eye Care Service which could delay its implementation across Highland. 3.9 Association of Community Health Partnerships – Annual Conference Mrs McVicar indicated that the Association of Community Health Partnerships Annual Conference will take place on 9/10 September at The Thistle Hotel, Glasgow. She confirmed that places are still available for this event. 3.10 Western Isles Health Board Support from NHS Highland Following media reports of a possible collaboration between Western Isles NHS Board and Highland NHS Board, Mrs McVicar had obtained an update from the Chief Executive of NHS Highland. She confirmed that a partnering arrangement has been developed between the 3 two Boards, mainly for support and developmental matters. At the NHS Highland Annual Review the Chief Executive for NHS Scotland, Dr Kevin Woods, stated that there is no intention to dissolve Island Health Boards but there is a clear recognition that, because of their size, they need support with such issues as performance management, governance structures, CHP development etc. Support is also being sought from other Health Boards. The Committee: • Noted progress on the issues detailed above. 4 PRESENTATION: KEEPING CHILDBIRTH NATURAL & DYNAMIC (KCND) The Chair introduced Ms Sarah McLeod, NHS Highland Consultant Midwife, who was giving a presentation on Keeping Childbirth Natural and Dynamic (KCND). Ms McLeod explained that she has been seconded for one year to lead the national KCND project in NHS Highland. The programme was developed following recommendations made in the Framework for Maternity Services (2001) and the Expert Group on Acute Maternity Care (2003) and is endorsed by the Scottish Government in ‘Better Health, Better Care’. KCND was established to support the
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