ARGYLL & BUTE CHP COMMITTEE MEETING Wednesday 24 April
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ARGYLL & BUTE CHP COMMITTEE MEETING Wednesday 24 April 2013 at 1pm Guide Hall, Kinloch Road, Campbeltown AGENDA 1. Chairman’s Welcome Robin Creelman 2. Apologies Robin Creelman 3. Conflicts of Interest Robin Creelman 4. Minutes from Previous Meeting 4.1 Minute –20 February 2013 (attached) Robin Creelman 5. Matters Arising 6. NHS Highland Organisational Issues 6.1 Highland NHS Board Media Briefing (attached) Robin Creelman 6.2 Director of Operations Report (attached) Derek Leslie 6.3 CHP Draft Annual Report (attached) Derek Leslie 7. Clinical Governance 7.1 Clinical Governance & Risk Management Report (attached) Pat Tyrrell 7.2 Infection Control Report (attached) Pat Tyrrell 7.3 Health Improvement (attached) Elaine Garman 8. Financial Governance 8.1 Finance Report (attached) George Morrison 9. Staff Governance 9.1 PDP/R and eKSF Implementation (attached) David Logue 10. Partnership Working 10.1 Draft Minute of CPP Management Committee 06-02-13 (attached) Derek Leslie 11. Performance Management 11.1 Balanced Scorecard Summary (attached Derek Leslie 11.2 Delayed Discharge Update (verbal) Derek Leslie 11.3 Operational Delivery Plan (attached) Stephen Whiston 12. Review and Redesign of Hospital, Community and Care Services in Kintyre (attached) Stephen Whiston 13. Mental Health Modernisation Update (attached) Derek Leslie 14. Papers for Noting: 14.1 Argyll & Bute CHP eHealth Steering Group Draft Minute 06-02-13 (attached) 15. AOCB* 16. Date, Time & Venue for Next Meeting Wednesday 19 June 2013 at 10.30am J03-J07, Mid Argyll Community Hospital & Integrated Care Centre, Lochgilphead * to be notified to Chairman in advance of meeting The Committee meeting will be followed by: 3.30pm : Public Session Argyll & Bute CHP Committee Date of Meeting : 24 April 2013 Item : 4.1 Argyll & Bute Community Health MINUTE OF MEETING OF THE Partnership ARGYLL & BUTE CHP COMMITTEE Aros Lochgilphead Argyll PA31 8LB www.nhshighland.scot.nhs.uk/ J03-J07, Mid Argyll Hospital, 20 February 2013 Lochgilphead Present Mr Robin Creelman, Chairman, Argyll & Bute CHP Mr Derek Leslie, Director of Operations, Argyll & Bute CHP Dr Michael Hall, Clinical Director, Argyll & Bute CHP Ms Pat Tyrrell, Lead Nurse, Argyll & Bute CHP Ms Elaine Garman, Public Health Representative, Argyll & Bute CHP Ms Mary Wilson, AHP Representative, Argyll & Bute CHP Ms Elizabeth Reilly, Area Dental Committee Representative Ms Glenn Heritage, CVO Representative Mr Duncan Martin, Chairman, Public Partnership Forum Mr Michael Roberts, Vice Chair, Public Partnership Forum Councillor Elaine Robertson, Argyll & Bute Council Representative Councillor George Freeman, Argyll & Bute Council Representative In Attendance Mr George Morrison, Head of Finance, Argyll & Bute CHP Mr David Logue, Head of HR, Argyll & Bute CHP Mr Stephen Whiston, Head of Planning Contracting & Performance, Argyll & Bute CHP Mr David Ritchie, Communications Manager, Argyll & Bute CHP Mrs Sheena Clark, PA to Director of Operations - Minute Secretary Ms Rose MacVicar, PA to Head of HR & Head of Planning Contracting & Performance Apologies Ms Tricia Morrison, CVO Representative, Argyll & Bute CHP Ms Dawn Gillies, Staffside Representative Ms Liz McMillan, Staffside Representative Jim Robb, Head of Service, Adult Care, Argyll & Bute Council 1. CHAIRMAN’S WELCOME The Chairman opened the meeting by welcoming everyone to the Mid Argyll Hospital and Integrated Care Centre. 2. APOLOGIES Apologies for absence were noted as above. 3. CONFLICTS OF INTEREST No conflicts of interest were declared. 4. MINUTE FROM PREVIOUS MEETING 4.1 Minute of Meeting held on 19 December 2012 Page 1 - It was noted that Raymond Stewart, NHS Highland Employee Director was not in attendance at the meeting. Page 14 – Mr Creelman reported on a communication received from Mr Law, Hunters Quay Community Council representative regarding the interpretation in the Minute of his comment in relation to the appropriateness of referrals to Inverclyde. Mr Law wished it to be clarified that this was not a complaint regarding GPs’ referrals to Inverclyde. The Committee: Approved the content of the Minute of the meeting on 19 December 2012, with the above amendment and clarification noted. 5. MATTERS ARISING FROM PREVIOUS MEETING HELD ON 19 December 2012 Aortic Abdominal Aneurysm Screening Mr Roberts raised concern about the uptake within the CHP not being accurately recorded. Ms Garman advised that this is a key performance indicator which has a 60% uptake target nationally. The national reporting will be on a yearly basis, however a request has been made for interim data. In the meantime speaking to local staff they estimate a 60% uptake within the CHP. Patient Management System (PMS) Mr Martin enquired if there had been further discussion with NHS Highland NHS Board regarding the implementation of PMS and the implications of this for Argyll & Bute patients. Mr Creelman gave assurance that this continues to be a focus of discussion in various forums and concerns were recently noted from the public health representative on the eHealth Group. Mr Leslie clarified that the specific concerns raised are in efforts to ensure that Argyll & Bute residents do not have equity of access to services compromised as a result of being managed through the Highland ‘instance’, whilst patient flows are, with very few exceptions, to NHS Greater Glasgow and Clyde and are being considered proactively. Mr Leslie stated that the CHP has acknowledged and will take responsibility for any resourcing issues which may arise. Mr Martin reiterated that equity of access for Argyll & Bute patients was non-negotiable. 2 6. NHS Highland Organisational Issues 6.1 Meeting of Highland NHS Board Meeting – Action Plan – 5 February 2013 Mr Creelman reported that with the exception of the amendment noted in 4.1 above, there were no actions for Argyll & Bute CHP. The Committee: Noted the above comment. 6.2 Director of Operations Report Mr Leslie provided a summary of points in the circulated report. Islay The challenges of providing safe and sustainable services on Islay continue, which has resulted in significant political interest, and a review of services is due to commence on 1 March 2013. An Islay Clinical Services Review Steering Group has been established and will be chaired by Mr Robin Creelman, NHS Highland Non-Executive and Chair of the CHP, with support from Gordon Peterkin, independent clinical expert, who was appointed following an inclusive recruitment initiative, with input from the local community and GPs. The CHP has agreed a further 1 year transitional support with the three GP practices to underwrite their participation in the Review, as a result of which the GPs formally notified the CHP of the withdrawal of their out of hours opt out notice. The Islay review has been promoted as part of a fundamental piece of work being undertaken by NHS Highland following a request from the Cabinet Secretary for Health and Social Care to develop and submit a proposal that will explore the development and testing of models for the delivery of sustainable person-centred, safe and effective primary care in remote and rural areas. Mr Whiston has been actively liaising with Ms Gill McVicar, who is leading on this project for NHS Highland, to inform the proposal and a bid has now been submitted to the Scottish Government, the outcome of which is awaited. The building works in Islay hospital outpatients’ department are now completed. The dental van is scheduled to return to the hospital site at end March 2013. Actions are continuing to alleviate the problems with car parking and access to the site for public transport. Ms Heritage reported that the voluntary car scheme is underway but at present this service is being under utilised. Mull & Iona Progressive Care Centre A public meeting was recently held on Mull, chaired by the Council Leader, to discuss and address a number of integration issues, particularly associated with the allocation of extra care housing. 3 Integrating Care in Argyll & Bute A paper was submitted for noting to the Highland NHS Board on 5 February 2013 to provide an update on the integration process and ongoing discussions between NHS Highland and Argyll & Bute Council. CHP Locality Updates Mid Argyll, Kintyre & Islay o At a recent bed modelling meeting agreement was reached that Campbeltown Community Hospital will operate with a total of 21 beds with effect from 1 April 2013. A contingency plan will be in place for the availability at short notice of a further 3 beds if required. Concerns highlighted by the Community Council regarding public engagement in the exercise are being examined. o The Board’s Director of Nursing recently visited Campbeltown Hospital and Mid Argyll Hospital, with positive feedback being given to both sites that reflected the Healthcare Environment Inspectorate (HEI) approach. o GP locum cover for Inveraray/Furnace practice has been secured for the period March-June 2013 to ensure service continuity. Dr Hall advised that the CHP are endeavouring to employ long term locums to ensure a consistent knowledge of the clinical systems in place within the practice and close monitoring of this is in place. He also advised that a local GP has been appointed as a locum to specifically oversee the review and updating of the current systems. Oban, Lorn & Isles o The Raigmore Operational Unit has committed to supporting the CHP Urology service at Lorn & Islands Hospital, Oban with the recruitment of an additional Urology Consultant to provide an outreach specialist service. The patient’s referral pathway to NHS Greater Glasgow and Clyde will remain unchanged. o Further discussions have taken place with the Taynuilt Community Council in relation to their interest in establishing a satellite hospital dialysis facility on Lorn & Isle Hospital. Mr Creelman gave a commitment that the CHP will continue to work with the community and to monitor hospital dialysis, and further review this and the potential location of a unit in 2015/2016. Mr Whiston reported that letters have been issued to individual dialysis patients to encourage them to contact the CHP directly to discuss their individual transport needs.