South West Glasgow Community Health and Care Partnership
Development Plan 2007/2008
FOREWORD
I am delighted to be presenting the second Development Plan for the South West Glasgow Community Health and Care Partnership.
Our first Plan for 2006/2007 focused on much of the transitional work that required to be carried out across both NHS Greater Glasgow and Clyde and Glasgow City Council Social Work Services. During this first year of operation our staff and Committee members worked extremely hard to ensure that we began to deliver our priorities and objectives over the year and to demonstrate how, by working together, we can make a difference to people living within the South West area.
We have listed a number of things that have worked particularly well last year in the Achievements section of this Plan which includes integrated working and streamlining service access; establishment of our PACT teams; co-location of our mental health staff into two sites at Brand Street (Govan) and Rossdale (Pollok) and the establishment of effective partnership working arrangements.
This Plan develops further much of the work that has been started and during 2007/2008 we will continue to deliver on a diverse range of CHCP activities in partnership with many agencies and organisations to deliver better health and social care services and to improve the health and well being of our service users.
I hope that you will find this Plan informative and interesting. If you have any comments on the content or if you want to find out more about South West Glasgow CHCP, please contact:
Fiona Moss/Janet Hayes South West Glasgow CHCP Strata House 135 Fifty Pitches Road Cardonald Business Park Glasgow G51 4EB Phone 0141 276 4609
Councillor Stephen Curran, Chairperson, South West Glasgow CHCP
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 3 4 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership CONTENTS
FOREWORD ...... 03
1 INTRODUCTION ...... 07
2 KEY CHALLENGES ...... 09
3 KEY ACHIEVEMENTS ...... 10
4 LOCAL PRIORITIES ...... 13
5 EQUALITIES ...... 16
6 THEMES ...... 18 6 .1 FOCUS RESOURCES ON GREATEST NEED ...... 19 6.2 IMPROVE HEALTH AND REDUCE VULNERABILITY ...... 23 6.3 IMPROVE ACCESS ...... 29 6.4 GETTING THE BEST FROM PUBLIC FUNDS ...... 32 6.5 CREATE AN EFFECTIVE ORGANISATION ...... 37 6.6 MODERNISE SERVICES ...... 40 6.7 SHIFT THE BALANCE OF CARE ...... 44 6.8 ENHANCE INCLUSION FOR EFFECTING CHANGE...... 51
7 HOSTING RESPONSIBILITIES ...... 55
8 FINANCIAL PLANNING AND RESOURCING ...... 56
APPENDICES:
1 CHCP SENIOR MANAGEMENT TEAM AND COMMITTEE MEMBERS ...... 62
2 CHCP STRUCTURE CHART ...... 63
3 INVESTMENT PRIORITIES AND RESOURCE SHIFTS ...... 64
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 5 6 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 1 INTRODUCTION
South West Glasgow Community Health and Care Partnership (South West Glasgow CHCP) was formally established in April 2006 and our first Development Plan was produced during a year of transition and great change.
This Plan reflects the priorities and planned action of South West Glasgow CHCP for 2007/08, setting these in context with progress made during our first year of operation where appropriate. The Plan is focused on 2007/2008 but recognises longer term requirements throughout. The one-year focus enables the CHCP to align with Community Planning timescales. Our development plan reflects the requirements we have for NHS Greater Glasgow and Clyde, Glasgow City Council Social Work Department and priorities and pressures coming through from our services, our service users and our partners.
Our actions for 2007/08 are given under seven core themes, in line with planning guidance. We have added one further theme around our ambitions for developing an inclusive organisation. The themes are ordered according to the level of priority given to each by local stakeholders:
Improve Health and Reduce Vulnerability: change key factors and behaviours, which impact on health
Focus Resources on Greatest Need and Reduce Inequalities: ensure that the more vulnerable sectors of our population have the greatest access to services and resources that meet their needs
Improve Access: ensure service organisation, delivery and location enables easy access
Improve Resource Utilisation: making better use of our financial, staff and other resources
Create Effective Organisation: be credible, well led and organised and meet our statutory duties
Modernise Services: provide our services in ways, and in facilities, which are as up to date as possible
Shift the Balance of Care, closer to home: delivering more care in, and close to, people’s homes
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 7 Enhance inclusion for effecting change: seeks to work with partners and communities to raise the standards and range of care available across the area and contribute to the wide social renewal agenda locally.
This Plan also identifies our financial and investment priorities over the years 2007/10 with an emphasis on 2007/2008 describing how we intend to deliver services to begin to meet these investment priorities.
8 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 2 KEY CHALLENGES
We have faced a number of particular challenges in the South West during 2006/2007 including:
Developing a new partnership organisation: this was a significant challenge during 2006/2007 as we had to bring together different structures, ways of working and responsibilities for staff within Glasgow City Council and NHS Greater Glasgow and Clyde. Over the year there have been developments within both the NHS Agenda for Change and the City Council’s Workforce Pay and Benefits Review and both these pay modernisation programmes will address a number of employment issues including equal pay.
Children’s Services: The key challenge for Children’s Services within the South West is to move to more integrated provision to support all children but to target the most vulnerable children within the area. South West Glasgow CHCP, together with the other Glasgow City CHCPs, are planning to integrate their health and social work services to better support children who use our services.
Older People: A key local challenge is the number of older people whose discharge from hospital is put back because of the delay in the provision of packages of care at home. However, we worked with the hospital services to ensure more joined up planning and over the next year we will continue to link with these services to improve in this area.
Health Improvement: South West Glasgow is performing poorly in relation to a number of indicators of good health, with parts of our area having the third lowest life expectancy for men in Scotland. Of particular local concern are the proportion of residents still smoking, high levels of alcohol use, suicide rates, exceptionally poor oral health for children and growing levels of obesity.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 9 3 KEY ACHIEVEMENTS
In 2006/2007 we have established a number of new services to allow people to directly access services more easily and increases the range of services offered to the public. These include:
Parents and Children Together Teams (PACT): Two PACT teams bringing together Family Resource Teams from Social Work, Health, Education and the Voluntary Sector were developed during 2006/2007. The teams are co-located in Govan and Pollok and have provided parenting support, health improvement and individual intensive support to a number of vulnerable families across both areas.
Mental Health Teams: Our mental health staff have co-located across two sites during 2006/2007. Brand Street for the Govan area with Carr-gorm Scotland, our voluntary sector partner, also based there from April 2007 and Rossdale Centre for the Pollok area. Plans are near completion for an extension to Rossdale in order to accommodate Psychiatry and Psychology services, currently being delivered from the Southern General Hospital.
Oral Health Action Team: Ensuring the successful integration of new staff and the implementation of the Childsmile project has been the overall priority for the oral health action team this year. As the South West has the highest levels of dental decay (74%) in 0-5 year olds in Greater Glasgow, reaching the national target of 60% of 0-5 year olds caries free was not a realistic goal. However with the expansion of the Team and effective partnership working with Health Visitors, Dental Practices, the Parents and Children Together Team, a range of Voluntary Organisations and others we have started to make headway on this. A new Community Dental Service specifically for children was introduced in the South West Glasgow area recently; with greater access to dental services it is envisaged this initiative will significantly improve children’s access to dental health services in the area.
Foot and Ankle Triage: This service improvement was developed as part of a collaborative between community based Podiatry and hospital based consultants. This has meant those who require this service accessing help more quickly and avoiding delays for initial assessment to establish eligibility.
Learning Disability: Our Learning Disability services have relocated to a new base in the Wedge building in Pollok and have developed several outreach services within community bases. We have also introduced a ‘health check tool’ to improve
10 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership the physical health of people using our services. Addictions Services: In 2006/2007 our Addictions Services supported around 2,000 people and helped 132 individuals into employment, training and education.
We have also been reorganising the way in which we plan and deliver other services, which will improve the way we provide our services this year.
Partnership working within the CHCP. We have established an effective CHCP Committee, Staff Partnership Forum, Professional Executive Group and Public Partnership Forum. All have nominated permanent reps to Committee. The PPF Executive is functioning well and a further public event was held during the summer. Good links are established locally with our local Community Planning Partnerships, Local Economic Development Company and Strathclyde Police.
Children and Families: Working within the context of the city-wide planning arrangements for Children’s Services, we established a local planning group to begin the process of looking at how we can deliver integrated Children’s Services across the South West area. A local Area Children’s Services Forum was established and includes key representatives from New Learning Communities, Community Planning, Police, Culture & Sport Glasgow, Voluntary Sector, Health and Social Work and initial priorities and actions have been identified for development during 2007/2008. This will mean that Children’s Services will be provided in a more joined up way to meet families needs.
Health and Community Care: a Rehabilitation and Enablement Services management team has been created bringing together managers from social work and primary health care to focus on the key issues facing older people and adults with long-term conditions.
Criminal Justice: Social Work Criminal Justice Services play a key role in developing services across the South West area. During 2006/2007, we added an enhanced management structure by appointing a specialist Criminal Justice Operations Manager which allowed us to develop a local set of priorities for this year. Over 2007/2008 a number of developments will continue to be made and a range of services will be devolved to the South West area, namely, Community, Probation and Through Care Services.
Accommodation: This was a significant issue across the South West area, particularly in Govan. Part of our Children’s Service was relocated to the Pollok Civic Realm and a lease was agreed for Rowan Park to enable us to co-locate mainstream services for the Govan area. We have relocated a number of our other services including learning disabilities to the Wedge (Pollok), staff from Shawbridge
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 11 (Pollokshaws) office relocated to Langton Road (Pollok) and an additional lease for Strata House (Cardonald) has been secured to allow more CHCP management staff and the local Community Planning Partnership teams to be located together.
12 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 4 LOCAL PRIORITIES
We engaged with over 100 staff, 80 key stakeholders and local people and our Committee members in February 2007 to ensure a wide range of people and organisations were able to influence our local work programme for the year ahead. Staff from local organisations, partner agencies and local people were represented at the stakeholder session and were able to vote on key local gaps and priorities. Although no single mechanism can adequately reflect all needs and priorities we were heartened by the level of agreement achieved at, and across, these events.
From these events, a range of common priorities emerged including:
Gaps in Existing Services and Priorities
• Alcohol: our Professional Executive Group has prioritised alcohol use due to the higher than average number of alcohol related admissions to hospital of our local population • Domestic Violence: the need for a domestic violence strategy has been raised to ensure that we respond to this issue locally and link to other appropriate services eg. housing providers • Resources for Carers: respite for carers and appropriate support and training are required • Older People’s Day Care: in line with city-wide planning, we will review the existing provision of day care to identify required new developments
Organisational Effectiveness
• Staff Development: training and development of our first line managers • Developing practice standards which values staff and service users • Administration Review: South West Glasgow CHCP is currently leading on the review of administration services. There is a significant disparity in access and support provision for staff teams and professional groups across the South West Glasgow CHCP • Co-ordination across services: need to ensure that there is clarity around how we link across our own services as well as with external agencies and the local community who use these services • Making it easier for people to access services • Getting people to the right service at the right time
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 13 Service Pressures
• The Quality of Care for Looked after Children: we need to ensure that all these children have an allocated worker and a completed care plan in order to ensure that we are offering the highest level of support required • Provision of Parenting Support: we will be undertaking an audit of provision across the area identifying any gaps and this will link in to the development of a range of family supports to assist parents with caring for their children • Sustainability and continuity of services/projects: there is a need to ensure that resources available are targeted at areas where there is most need and at the most vulnerable people living across the South West area • Specialist Children’s Services: South West Glasgow CHCP does not have a dedicated specialist children’s health service. However, work is ongoing to address this issue in order that this key service will be delivered to children within our local area • District Nursing is under real pressure to meet the demands of the shift from hospital to community care. Additional resource is required to manage this demand and to allow a proper review of the range of services necessary to support and care for people at home • Greater demand is being placed on Allied Health Professionals to establish preventative services and to provide direct access arrangements. This is highlighted in Podiatry’s innovative Foot and Ankle Triage and in Physiotherapy’s Direct Access process • The move towards self-managed care has accentuated the need for a service wide review to free up resource to extend schemes such as Direct Payments
The following diagrams reflect the most commonly voted major gaps and top priorities from the Stakeholders event. South West Glasgow CHCP has used these, along with our knowledge of the needs of children, young people, vulnerable families and other excluded groups to construct the work programme for 2007/8.
14 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Major Issues
Priority Issues
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 15 5 EQUALITIES
Single Equality Scheme
For the first time, public sector organisations are required to develop Equality Action Plans as part of equalities legislation requirements. South West Glasgow CHCP welcomes this policy drive and will pilot an Impact Analysis performance approach in any redesigned services prior to extending this to all parts of the service.
Over and above this, our first action plan will focus on the review of Reception Services and Referral Management Processes. In developing integrated accommodation we have agreed to develop central access points across South West Glasgow CHCP where a range of services can be provided.
This will provide a one stop shop approach and we will ensure that this service is accessible and responsive to all equalities issues.
Gender
Gender is one of a number of factors contributing to inequalities in health status. In Glasgow, life expectancy for men is currently 7 years less than for women. Last year the CHCP extended the funding to the Wellman Clinic service beyond the trial funding made available from the Scottish Executive and we are awaiting the outcome of the national evaluation. This year we will assess the findings of the evaluation and agree a sustainable approach for this activity.
Inequalities Sensitive Practice Initiative (ISPI)
This initiative received funding in 2006 from the Scottish Executive and aims to embed inequalities sensitive practice in and across the diverse health settings of addictions, children’s services, maternity and primary care mental health. The lead for primary care mental health is based within the CHCP. Last year, we clarified that the two key themes for the ISPI are gender and poverty.
16 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Over the next year we will:
• Increase detection of poverty related issues and access to support from financial inclusion services • Increase detection of domestic violence experienced by women and men • Increase access to support for survivors of domestic violence • Increase uptake by equalities groups to mental health services in South West Glasgow
Asylum Seekers/BME Communities
During 2007/2008 work will be done within the South West Glasgow CHCP to develop integrated asylum seeker services. Our service hubs will implement the findings of the BME impact pilot and this will ensure that BME service users receive an efficient and effective service that is suitable to their needs.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 17 6 THEMES AND KEY RELATED ACTIONS
This Development Plan outlines what we will do based around the seven corporate themes for NHS Greater Glasgow and Clyde, the strategic objectives for Glasgow City Council Social Work Services, our performance during 2006/2007 and activities we are committed to delivering in response to local need and priorities identified. A summary of the key actions we intend to develop this year include:
Developing our Services
• Reception Services – simplifying public access to services across our area • Co-location of our staff and services to improve access and response times and joined up interventions for people using our services • Developing community based supports for families, specialist children’s health, young people, children and adults with a disability, early intervention for older people, people with dementia, carers, mental illness, mental health crisis service and asylum seekers • Employability – developing a local strategy and implementing our new employability bridging service • Alcohol – developing early intervention responses across our area
Developing our Organisation
• Focus on First Line Managers as key leaders in our service • Improve our Customer Care focus • Review of Health Improvement, Community Engagement and Development and Admin services • PPF development – putting our PPF at the heart of our service • Practice Development – improving standards and implementation of best practice • Changing the culture of how we deliver services
The following section provides more detail on what we will do related to these key actions and the Corporate Themes.
18 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 6.1 FOCUS RESOURCES ON GREATEST NEED
Greatest need means different things to different communities, professionals and organisations. In the South West Glasgow CHCP ‘greatest need’ is used to describe:
• The most excluded/vulnerable residents who have the shortest life expectancy and poorest life experiences. In South West Glasgow this relates to particular neighbourhoods, specific service user groups and groups with a common bond e.g. asylum seekers. Need is determined by research evidence, professional opinion and community views.
• Greatest need is also partly reflected in the demand for existing services. CHCP services that are struggling to meet local demand are seen as reflecting an unmet need for health and social care that we must consider and address. This is especially true where we have strong evidence that a person’s quality of life is fundamentally improved by having access to these services.
Across the South West, we have a number of communities that feature within the most deprived and poorest areas of Glasgow, as described by the Scottish Index of Multiple Deprivation (SIMD). The SIMD was updated in October 2006, and showed that the number of neighbourhoods or ‘cluster of streets’ (known as datazones) within the worst 15% ranking reduced from 374 to 330 in Glasgow. The following table shows the shift in deprivation across the two local Community Planning Partnership areas in South West Glasgow.
Greater Pollok & Govan/Craigton LCPP Newlands/Auldburn LCPP
2004 20062004 2006
Total population in 60,453 54,917 61,504 53,852 LCPP area (-1.7%) (+2%)
Total no. of datazones 72 72 62 62
No. of datazones within 40 37 31 28 the worst 15%
No. of datazones within 35,288 31,713 27,756 25,080 the worst 15% (57.4%) (52.5%) (51.5%) (45.7%)
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 19 With over half our population (56,793) still living within the worst 15% of datazones, there is much work still to be done. The most affected neighbourhoods are Ibrox and Central Govan.
Following on from the ‘Let Glasgow Flourish’ report the Centre for Population Health will analyse and present information on the well-being of people living in the South West of Glasgow later in 2007. This will be used to assess key areas of action and gaps.
Last year South West Glasgow CHCP became aware of the lack of support for children affected by addiction and mental health problems within their family life. During 2007/8 we will investigate the needs of these children and young people and consider, with them, how best to address these needs.
Vulnerable Children and Families
South West Glasgow CHCP is committed to providing seamless services for vulnerable children and their families at the earliest possible stage. We have implemented various initiatives this year and will continue to provide further support mechanisms for those greatest in need including:
• Women’s Reproductive Health Service
In order to improve services for women pre birth and to support positive parenting, the Women’s Reproductive Health Service is now operating within the CHCP. This service offers early identification for those women and children who are of greatest need and offers a range of supports and interventions to them. The service over the next year will begin to develop pre birth group work activity for women in order that they can receive consistent advice and support on parenting and lifestyles.
• Drug and Alcohol Misuse
The impact of addictions on children in the South West area is significant and our Addictions Services will continue to focus resources on families affected by drug and alcohol misuse over the next year.
• Development of an Integrated Family Support Strategy
The CHCP is committed to developing a range of family supports to assist parents with caring for their children. This will be developed around the Parents and Children Together (Pact)Teams who will work closely with a range of
20 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership agencies to offer individual and group support for the most vulnerable children and their families. This strategy will clearly focus on improving parenting skills and will support parents to develop confidence and safe care skills.
The strategy will also have a clear link to the community capacity building agenda and will assist the most socially excluded families to become active members of their community and will link to the developing employment and training agendas within the area.
• Child Protection Services
This is a key statutory service provided by every CHCP. We are committed to working collaboratively in the field of child protection to ensure that children who are of the greatest need within our community receive effective interventions. A local Child Protection forum will be established to ensure that all agencies are working together to support children and to keep them safe. This group will address issues that will enhance local child protection practice and delivery of services. A key priority of this group will be the development of a Gap Analysis in order to ascertain the level of need of children affected by:
- Parental substance misuse - Parents experiencing mental health issues - Domestic Violence
This Gap Analysis will assist us to plan and develop more effective services in the South West area during 2008/2009. The local Child Protection Forum will have a key responsibility in delivering Child Protection training to staff and stakeholders across the CHCP. This Forum will work in conjunction with the Child Protection Unit (CPU) based at Yorkhill, the Glasgow Child Protection Committee and Social Work Child Protection Services. The CHCP will liaise with the CPU to deliver training to GPs in order that they can research more of these affected children.
Development of Integrated Disability Services
There are significant opportunities within the CHCP to streamline services for children with additional support needs. With the development of the Integrated Children’s Services base within Pollok Civic Realm there is a real opportunity to examine how we deliver our services for children with additional support needs across the area. It is our clear intention to begin to bring these services together in order that children receive as seamless support as possible. This will include the
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 21 co-location and closer collaboration of Social Work Disability Services and Specialist Children’s Health Services including; speech and language therapy, physiotherapy and child development services.
Vulnerable Adults and Older People
A major focus of our work will be strengthening the links between community and hospital based care to ensure continuity of care for those who require our services. This will require a review of current services and will lead to real improvements in how these are provided.
• The creation of the Early Intervention Service in Health and Community Care will ensure that the required service is provided timeously to avoid further deterioration of the person’s condition or the use of inappropriate or costly alternatives. • Further work will be done around older people with mental illness or dementia to ensure that community based supports are available equally across the CHCP. • A local review of people with long-term conditions will be carried out to test out new approaches to the management of their care. An initial focus will be on Diabetes. • There is an urgency in reviewing the Out-of-Hours and Crisis Care services.
The Adult Support and Protection(Scotland) Act 2007 provides an excellent opportunity to revise practice and procedures and to raise the standards in assessment and care management.
22 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 6.2 IMPROVE HEALTH AND REDUCE VULNERABILITY
Health Improvement
All staff within the South West Glasgow CHCP act to optimise the health and quality of life of residents. Many staff already consider prevention and health promotion aspects as part of their interaction with service users. This includes:
• GP referral schemes for exercise, smoking cessation, adult literacy and money advice in addition to advice/support normally offered by the primary health care team • Children and Families social work and health staff referral to oral health programmes, credit unions, counselling and emotional support services, and specific local prevention activities for young people • Community Older People Team support and referral into the exercise programme established in Penilee for older residents
The health improvement roles of CHCP staff will continue to develop over 2007/2008, and be supported by our team of dedicated health improvement specialists. This section captures the key additional/new activities of the CHCP for 2007/2008 supported by the Health Improvement team.
To support the integration of health improvement into the South West Glasgow CHCP, the Health Improvement Team will be reorganised during 2007/2008 and the necessary move from an interim to a substantive structure will take place. During the past year, the team worked on a number of areas for health improvement and many of the 2007/08 ambitions stem from this preparatory work. These include:
• Oral Health: Health Improvement Priority Project
Our Committee has agreed that the Early Intervention project for children and families will continue to operate this year. Key themes that have been recognised for the coming year include:
- Further development and promotion of a family support strategy to South West Glasgow - Working with partner organisations to improve access to training and employment for vulnerable families - Ensure all children in pre 5 nurseries take part in tooth brushing initiative. The successful integration of new staff and implementation of the Childsmile Project was a key development last year.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 23 A new Community Dental Service for children was introduced in the area last year with greater access to dental services and the continued implementation of the oral health programmes locally.
During 2007/08 we will:
- Develop and implement the Oral Health Action Plan - Track the uptake and impact of the newly established service
• Physical Activity
Over the last five years there has been a significant increase in the proportion of residents that are overweight, nutrition and physical activity both contribute to this trend in Glasgow. During 2007/08 we will:
- Develop a local steering group to take forward the recommendations of the local food review completed in January 2007 - Contribute to co-ordinated CHCP wide Physical Activity Action Plan - Identify geographical priority areas and work with partners to develop activity in these areas
• Smoking
Last year the CHCP ran a rolling programme of group support for people who wanted to stop smoking, as well as personal advice being available through local pharmacies.
During 2007/2008 we will:
- Work with NHS GG&C to develop wider Tobacco Strategy for South West Glasgow CHCP - If funding is secured, we will pilot a project aimed at young people who smoke both tobacco and cannabis
• Alcohol and Drugs
Alcohol is now one of the most common causes of death and binge drinking is increasing at worrying levels. In Ibrox, alcohol related hospital admissions are 200% higher than the Scottish average.
A South West Alcohol Working Group was established in January 2007 to develop a local action plan, key areas for action during 2007/08 will be:
24 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership - Extending the range of staff using brief ‘conversations’ (using evidence based guidelines) with service users, including NHS, Social Work and contractors to raise awareness of problem drinking - Extending the early and preventative work already established, particularly in the Govan/Craigton area - Developing a register of services available for older people for whom alcohol use is, or is becoming, an issue
• Breast Feeding
Evidence shows that, the more mothers that breast feed, the healthier the population as breast milk protects both mothers and babies from a range of infections and diseases throughout life. However there are specific areas where breast-feeding rates are very low in South West Glasgow, for example, only 1 in 10 new mothers in Nitshill breastfeed.
The Health Improvement Team and Children and Families staff will work together with partners to develop specific support programmes for mothers living in our most deprived communities, particularly to support young and vulnerable new mothers to be able to breastfeed.
• Sexual Health/Teenage Pregnancy
The number of sexually transmitted infections in Glasgow has risen by 93% over the 8-year period 1996-2004. The number of teenage parents is also growing and in the South West rates are higher (5.3 rate per 100 females) than the Scottish average (4.3) with the rate for Govan double the national rate at 8.9.
The youth health drop-in in Pollok and Govan offers young people aged between 13 and 25 access to free and confidential health information. This service includes sexual health advice, contraception and STI testing. As part of the wider service young people can also access counselling and health improvement services offering information on various topics including mental health, drug and alcohol issues. During 2006/07 there was a growing awareness that young people are not using the services in Govan as widely.
During 2007/08 we will:
- Survey the views of young people in Govan to explore the changes required to the service, including potential relocation within an existing New Learning Community - Continue to develop the services available to young people in both areas
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 25 • Mental Health
Several efforts have gone into addressing mental health problems across Scotland in recent years, for example the Choose Life Strategy which targeted suicide prevention.
Last year, the CHCP developed a network of mental health providers to map the current picture of initiatives and to support capacity building and understanding of mental health issues through a range of training programmes. During 2007/08 we will work with the Mental Health Partnership and others to:
- Enable the Mental Health Network to develop a three year development plan for mental health improvement - Evaluate training delivered and agree a further training commitment for the year - Develop a sustainable model for stress centre (youth and adult) services locally - Contribute to reducing alcohol misuse and violence, recognising the growing evidence of the impact of high levels of alcohol use on mental well-being
• Children’s Health Service
Improving the health of children and young people within South West Glasgow CHCP was identified as a key priority last year. One of the targets of this CHCP will be to review how we effectively deliver our community children’s health services. This CHCP will be involved in the NHS Greater Glasgow and Clyde review of Health Visiting, which will ensure that our community health professionals offer as efficient and effective a service as possible.
As a part of the development of early intervention services this CHCP will develop a more co-ordinated support to women and children where there are concerns regarding their emotional wellbeing. We will work in partnership with the voluntary sector to look at support to women pre and post birth with their emotional and mental health.
• Health in Later Life
A stakeholders event took place in February 2007 to consider how we can promote healthy ageing across the South West area. This was the first session in this process and further sessions will take place for service users and carers. From these events we will:
26 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership - Consider current services and identify service gaps - Identify potential actions to be taken forward to improve and enhance service delivery
• Employability
The rate of unemployment is a key issue across the South West. We have been developing a model of service to provide better access to employability opportunities for all our service users. This is called the Bridging Service and involves a number of local agencies seconding staff to provide advice, guidance and referral into employability options as well as support to sustain this. The Employment Development Network Co-ordinator working within our Mental Health services will move to sit alongside the new Bridging Service for employment opportunities in South West. This is an important aspect of the care and treatment of individuals with mental disorders and the ongoing work will be developed in line with the requirements of Mental Health Legislation.
Even with this significant development it will be challenging to meet the employment targets for CHCP areas within the City Strategy. This service will come into operation in May 2007 and a programme of awareness raising, tracking and service developments will progress during the year to:
- Improve information sharing across services and agencies, including participation in joint briefings and training - Enable 80 service users with health and social care needs to re-enter the workplace, working with up to 400 clients during 2007/08 - Develop and implement a referral tool, for incorporation within CHCP services - Highlight areas for service improvement - Increase the number of staff who raise employability issues with service users as part of their package of care. As a service user said ‘I don’t want a life of care, I just want a life’
During the year our Addictions Service worked with Progress to Work, and a number of clients attending one of the local methadone clinics, with a view to increasing referrals into this service and progressing people into work. This pilot had a poor uptake and research was undertaken to understand why. The outcome of the research, together with the findings from the Equal Access attitudinal survey carried out in 2006, will provide us with the information required to enable us to offer a more effective approach to employment and training for our service users within Addictions.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 27 South West Glasgow CHCP’s Pathways to Work/ Conditions Management Programme is now co-located with Job Centre staff in the area and is making significant progress in meeting its DWP targets. To date 207 people have been assessed and 109 are actively involved in the programme.
• Tenancy Sustainment Development
During 2006/07 we worked with colleagues from Glasgow Housing Association to begin to develop a project, which may attract some investment from the Big Lottery Fund. The aim of this project will be to develop the life skills of young people who become tenants for the first time (including young people leaving care) by providing support and information on assisting them to live on their own for the first time. This year we will conclude with partners and submit a formal Big Lottery Fund application to pilot a support service with key housing associations in our area.
28 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 6.3 IMPROVE ACCESS
Development of Reception Services
This CHCP will lead on a city wide initiative to make it easier for residents to access the CHCP services they need. We will create two CHCP one stop service hubs, one in Pollok Health Centre and one at Rowan Park in Govan. These sites will become the locations for a number of CHCP services.
These CHCP Hubs will enable residents to contact us easily and be directed through to the services they need, reducing the ‘running around’ service users have to do to get to the services needed.
To achieve this the Hubs will have:
• Properly trained and supported reception staff, who can offer effective customer care and screening of enquiries
• Organised and managed frontline receiving services in order that service users receive appropriate support when needed
• Service reconfiguration across the CHCP to meet the public access requirements and ensure efficient joined up pathways through services, including older people, people with physical disabilities, mental health, children and families and learning disability.
• Our Criminal Justice services will be combined into one team around Pollok Social Work office
Working with Hospital Services
Last year we noted that closer relationships between and across primary care and hospital services were essential in order that patients have easier access to, and a more seamless journey, through the services they require. South West Glasgow CHCP will now lead on behalf of CH(C)Ps in the areas of Cancer, X-rays and similar tests to investigate illness.
The Acute Services Review and the creation of a new South Glasgow Hospital and Victoria Infirmary will be a powerful stimulus for how the Health Board defines health care. Key joint areas for development during this year include:
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 29 • Further work to prevent people staying in hospital longer than they need to • Consideration of the needs of patients who are admitted to hospital again and again, to try and prevent avoidable hospital admission • The service developments required in primary care to enable more people to return home on the day of their surgery
The new General Medical Services (GMS) contract with GP’s created a mechanism to measure and improve the quality of care in general practice. However, there has been a concern that ‘housebound patients’ are not receiving the same quality of care and consequently were more at risk of developing complications and being admitted to hospital. The contract enables the numbers of such patients to be identified between practices and to begin to explore the process of delivering high quality care to these groups.
South West Glasgow CHCP will participate in a six-month pilot to assess the clinical and cost effectiveness of providing a home-based condition management service to this group of patients. The pilot will have two components; a home based blood-testing service followed by either a clinical review at the patient’s surgery (accessing the patient transport service) or a clinical review at the patient’s home for those unable to leave the house. This pilot study will be evaluated and reported on in the Autumn 2007.
Waiting Times
Within the South West Glasgow CHCP we have been actively working to reduce waiting times for local people and, for example, our local GP’s are committed to ensuring that access to appropriate primary care services is available within 48 hours. During 2007/08 we will promote an electronic booking system within GP practices, which will enable patients to access x-ray investigations and suspected cancer investigations within the waiting time standards now being sought nationally. We will also promote the use of the Community Health Index (CHI) to ensure patient safety.
Similarly, our Learning Disability Service will offer an initial screening and single shared assessment process to assist with prioritising all cases referred to this service. This will ensure that those in greatest need will be seen early. This will also minimise the risk of high priority cases remaining on waiting lists.
Our Addictions Service will continue to operate direct access clinics and work will be done to improve waiting times for services.
30 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership A monthly performance reporting framework will be created to include all Allied Health Services (podiatry, physiotherapy, dietetics and occupational therapy) and will include our usage of aids and adaptations.
Sexual Health Strategy
Some of the sexual health services currently offered through the citywide ‘Sandyford’ service will become available more locally through the establishment of a ‘Sandyford hub’ for South West residents in the Autumn 2007. This service will form one of the services offered in the Civic Realm in Pollok. The CHCP will work with Sandyford during 2007/8 to ensure that these services are accessible to residents, integrate with existing services and meet local need. This development will also provide support to learning disabilities staff within the CHCP to enhance the implementation of the Sexual Health Strategy for adults with a learning disability, in line with the Scottish Executive/NHS Scotland “Rights and Responsibilities” Policy.
Responsive Community Transport
The Scottish Executive’s ‘Transport with Care’ policy sets out a framework for greater collaboration among transport providers to ensure that those who are ill, disabled or socially excluded have equal access to transport in their communities. South West Glasgow CHCP has begun some pilot work with Glasgow Community Transport to improve services to housebound patients.
Work will continue to develop further opportunities to create the range of responsive transport initiatives, bringing better coordination and better use of pressurised budgets.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 31 6.4 GETTING THE BEST FROM PUBLIC FUNDS
Absence Management
Last year, staff absence levels caused concern, impacting on the service we were able to provide. We are addressing this and over 2007/2008 we will:
• Review and refine internal processes for reporting and recording absence information in health and social work • Create a joint forum to review absence cases and agree an action plan for supporting managers and employees • Introduce core management training for first line managers
Administration
The CHCP leads on the review of administration services across the city and a core joint administration structure will be proposed for each CHCP for NHS Greater Glasgow and Clyde and Glasgow City Council agreement.
Other areas to be reviewed over the year include:
• Current practice and standards across all sites to establish a consistent and streamlined approach to administrative tasks • Review of Facility Management and Risk Management across the CHCP to establish effective processes and systems • Review section requirement to establish processes and procedures to support service delivery and fieldwork and clinical staff • Quantify the current resources to identify gaps within the CHCP and develop plan to resource this • Support the implementation and delivery of new service design models and assessment frameworks • Develop the reception and administration role with the new service access hubs
Criminal Justice
Following on from the Social Work Inspection Agency report on Criminal Justice services in Glasgow during 2004, work around the reconfiguration of budgets and staffing levels was introduced in order to facilitate improvement in service delivery across the city.
32 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership South West Glasgow CHCP is committed to offering a high quality and effective Criminal Justice service. In order to do this, our three main areas of work cover:
• Assessment of Offenders
Monitoring systems have been developed to regularly review the quality of assessment in Social Enquiry Reports, which will in turn determine effective recommendations for the Court’s consideration. Assessments have a vital role in addressing the cycle of offending thus promoting community safety, reducing the incidence of criminal behaviour, reducing the risk of harm and promoting the social inclusion agenda for offenders.
• Intervention
A range of interventions are offered to Criminal Justice service users by South West Glasgow CHCP. These include:
- Probation Services - Community Services - Throughcare Services - Voluntary Supports
These services include 1:1 work, co-working arrangements and group work interventions. The services are specifically designed to reduce offending and promote pro social attitudes and behaviour.
• Positive Outcomes
The Criminal Justice service recognises that offending behaviour not only impacts on victims and the community but also upon the life of the offender and their family. In addressing offending behaviour there is a clear remit to promote positive and productive options. The Criminal Justice service puts considerable emphasis on promoting volunteering, training and employment. The Criminal Justice staff work in close partnership with colleagues within the CHCP and with other key agencies. This assists with the promotion of positive outcomes for this group of services users.
Over the next year, the South West Criminal Justice services will:
- Continue to promote high quality assessments for courts and other key partners
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 33 - Expand and develop a range of effective group work programmes for all offenders - Develop more effective and realistic local options for offenders who are subject to Community Service Orders. This will in turn support the integration of this group of service users within the local community - Ensure that Criminal Justice services will be able to refer clients onto the Employability Bridging Service in order to ensure these clients are supported into training and/or employment.
Medicines
CHCP staff in South West Glasgow prescribed £22million of medication last year. This represents a third of the total NHS spend for the CHCP. Last year the CHCP appointed a Prescribing Lead and a Prescribing Support Pharmacy Team who, together with the newly established Prescribing Group, will support appropriate use of medicines by local staff. Their aims include increasing patient safety with regard to the use of medicines bearing in mind that 7 – 17% of all hospital admissions are related to medication issues.
During 2007/8 the CHCP will continue this work through:
• Supporting health care workers in getting the appropriate medicines to patients at the right time • To work with relevant CHCP staff to promote access and informed use of prescribed medicines by patients • Development of a 3 year Prescribing Plan aiming for high quality prescribing whilst promoting greatest value for money from the limited prescribing budget • Patient safety and quality of care are at the heart of what a CHCP does. The CHCP will take the opportunity to look at prescribing in relation to hospital admissions and access to services and quality of care
Nursing
The South West Glasgow CHCP has nurses employed in a broad range of clinical activity. During 2007/2008 these nurses will work closely together to ensure that inappropriate duplication of activity is identified and acted upon. We will implement with the standards for Community Mental Health Nursing and review requirements across other nursing groups.
34 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Health Care Contractors
Within South West Glasgow CHCP there are 27 GP Practices, 19 Dental Practices, 29 Pharmacies and 14 Opticians which all have separate national contracts for payment of the services they deliver. Presently, the CHCP manages the contracts of all of these contractors and we will continue to develop the structures and mechanisms for engagement instigated last year. The new contracts offer a real opportunity to redesign services that impact on all these contractors. A particular example is health improvement, which is now included within the Pharmacy contract.
A new national contract for Pharmacists began in April 2006. The contract recognises and will ensure the development of:
• Minor ailment services • Health improvement advice • Support to patients with long term conditions
We will support Pharmacists in enhancing their range of services giving residents a wider range of settings where their health care needs can be met.
The introduction of electronic transfer of prescriptions to pharmacies affords another opportunity to improve patient safety with respect to prescribing.
During 2007/08 these relationships will enable:
• Development of areas for service redesign to allow us to have more efficient working practices within the community recognising their role in preventative and self-managed initiatives • Development of coherent business continuity plans able to respond to health and social emergency situations for our population
The impact of poor vision on people’s quality of life cannot be underestimated and we need to use the opportunities afforded by the new Optometry (eye) contract to ensure that the patient’s journey from presentation to surgery is as efficient as possible. This will enable the new national waiting targets for cataract surgery will provide an impetus to redesign services.
A recurring theme is that we need to maximise the skills of all the contractors so no matter where people present in the system they will be quickly seen by the appropriate person.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 35 Workforce shape and productivity
At the end of 2006, almost 434 whole-time equivalent NHS staff and 410 Social Work staff were employed within our organisation. We are working to develop new systems to capture information to enable us to report more consistently and accurately on our workforce.
For 2007/2008 we will:
• Establish a Staff Governance infrastructure in order to provide regular updates to our Committee • Implement an appropriate information system to allow us to produce effective and efficient reporting to our Committee
36 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 6.5 CREATE AN EFFECTIVE ORGANISATION
Governance
Last year a number of important structures within the CHCP were created. The Professional Executive Group has been established and is a key vehicle for involving front-line staff in Practice Governance and redesign. The Practice Governance Group meets monthly and helps to ensure the quality safety and effectiveness of services across the CHCP.
NHS Greater Glasgow and Clyde completed a Governance Audit for all CHCPs last year. In addition, Social Work Services are separately and independently inspected and audited by:
• Scottish Commission for the Regulation of Care • Social Work Inspection Agency (SWIA) • Social Work Services Council • HM Inspectors of Education
A SWIA inspection was undertaken during 2006/2007 and the findings will be actioned during 2007/2008. Some of the recommendations have already been addressed locally and future action will continue during 2007/2008.
Standards
A key theme for the CHCP is to ensure that our services are fit for purpose and that they truly meet the needs of the community that they serve. We need to start to develop standards of practice and service delivery across the CHCP that are approved and measured by the Public Partnership Forum. In order to assist with this, we have set up a Standards Group comprising of representatives from each of our services. This group will work alongside Glasgow City Council and NHS Greater Glasgow and Clyde clinical governance section.
Planning and Performance Management
Over the past year the Glasgow City CHCP Joint Performance Reporting System has been implemented. This includes:
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 37 • Quarterly initiative reports on progress towards over 30 city wide targets
• Quarterly response report giving a self assessment of performance including separate reports for each area where there is a significant shift from the target
• Qualitative quarterly report enabling assessment of performance in relation to areas where there is no performance indicator routinely available, for example, community engagement, health improvement, organisational development and equalities issues.
During 2007/2008 the CHCP Committee will consider regular reports on performance against targets, and action plans to address areas of concern.
Communications
Clear information on the range of services we offer to local people is vital if we are to be confident that they have an understanding of what we do and how they can influence this agenda. We also have a role in ensuring that our staff and partners have the information that they require to deliver the best possible service to their patients and service users. For 2007/08 we will:
• Establish a communications strategy for staff and partners • Establish a service directory • Continue to develop the internal staff newsletter and other initiatives • Develop the CHCP website • Develop links and information sharing via Glasgow City Council and Health Board intranet sites • Review customer care requirements and establish internal programme to train staff and set standards across CHCP
Developing our Organisation
We want to develop a new culture within the CHCP, which brings together the best elements of both organisations and is explicit about the way we deliver services. This is about improving service and practice and management standards, and developing a culture, which values the input of all including people who use services, staff, managers and committee members. This will mean:
• Involving our staff in developing priorities and strategic plans, ensuring ownership for implementation and outcomes
38 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership • Equipping our first line managers to lead and manage with confidence • Involving our PPF in setting priorities and in quality assurance • Ensuring our Committee has a working knowledge of services and challenges • Working with local stakeholders to deliver wider partnership working in our area.
During the first operational year of South West Glasgow CHCP, substantial effort was given to creating the relationships and governance arrangements that would enable the organisation to be inclusive and responsible. During 2007/08, the Organisational Development (OD) Plan will support the next phase of this endeavour. Development programmes and pathways will be specifically undertaken to:
• Continue to support the Committee, management structures and partnerships to operate effectively and appropriately • Enable first line managers to drive change • Develop a shared ‘statement of ambition’ for the organisation to support staff to have ownership of the CHCP concept and be able to optimise the benefits of integration • Develop the ability of the CHCP to operate as a confident organisation that is creative as well as effective • Develop activities to maximise the benefits of co-location in Rowan Park and the Civic Realm which become operational sites during the year • Instigate processes that monitor the organisational culture and climate and respond to these
Learning & Education
An organisation which intends to thrive requires effort and investment to develop its people. Through our local Learning Plan, we seek to ensure that people development and integrated working are the key priorities, skilling our staff either individually or through joint involvement with the key aim of improving services.
The Learning Plan will give direction showing service priorities and the development and education implications arising from them as we strive to develop the Learning Organisation.
One of the key priorities for 2007/08 is the implementation of integrated induction that is the foundation of development to staff and the service.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 39 6.6 MODERNISE SERVICES
Facilities and Accommodation
We have responsibility to ensure that we have an efficient and effective estate for both our staff and service users. Accommodation has been a major issue in the South West over the past year. However, a number of significant achievements in terms of relocating and upgrading our offices have enabled us to begin to operate more effectively and efficiently.
During 2007/2008 we will: • Review Facility and Risk Management procedures and systems to establish effective joint processes • Establish effective contingency and emergency planning process and procedures • Consult the community and involve them in the development of the new purpose built service hub for Govan (2009) • Co-locate staff in Rowan Park to provide main services for Govan area • Develop a Reception Services Hub at Pollok Civic Realm and Rowan Park and locate joint children’s services at Pollok • Relocate Govan Criminal Justice services to Langton Road
Craigton Road
In February 2007, Glasgow City Council approved capital finance for the development of two new service hubs for Govan. An options appraisal was undertaken from which a recommendation was made that a site at Craigton Road, Drumoyne should be developed as the main service delivery site for the South West Glasgow CHCP. This site will enable us to further develop our integrated services and the building will also act as the CHCP headquarters. In addition, other Council departments and partner organisations will be located within the building Currently,it is intended to support almost 500 staff from a variety of public agencies.
Information services and technology
We are looking at how we can best join up the IT systems across the organisation in a way that will enhance how we operate in and across our services.
During 2007/2008 we will:
40 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership • Review IT requirements across the CHCP and establish consistent provision of equipment to ensure adequate resources for all staff • Implement various IT systems to support service delivery and ensure effective practice such as electronic appointment booking systems and collation of statistical information
Children and Young People
South West Glasgow CHCP is committed to being at the forefront of modernising children services in order that we offer effective services at the time when they are most needed. As part of the broader restructuring of children’s services in Glasgow this CHCP has developed the following planning forums to support integration:
• Area Children’s Services Planning Forum
This group has been developed to ensure the better planning and delivery of children and family services across the area. Some of the key actions of the group are:
• Development of Health Services with New Learning Communities
The CHCP is committed to offering easily accessible services for children and young people. Youth Health clinics will be developed across the area in order that young people can get information and advice regarding their health.
• Alcohol and Drug Misuse
The growing amount of young people involved or affected by substance misuse is on the increase. This CHCP is committed in working with key agencies to develop services to support young people and their families in this area. These services will include working with Education to offer information and advice to children and young people. Working with key partners such as Education, Culture & Sport Glasgow and the Police in developing a range of community based activities to divert young people from becoming involved in alcohol or drug misuse.
• Improving Interface with the Children’s Hearing System
In order to support the work of the children’s hearing system and to ensure
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 41 that children are appropriately referred and supported within this system, work is now being undertaken in the area between Social Work, Health, Education and the Scottish Children’s Reporters Administration (SCRA) to ensure that children are appropriately referred to the Hearing system and receive support when they need them.
This group will also work closely with the developing Child Protection Forum and Youth Justice Forums.
• Early Intervention and Prevention Planning Forum
This CHCP is leading on developing a range of city wide initiatives to support early intervention and prevention to vulnerable families. We lead in developing joint work between Health, Social Work and Education in order to maintain children within their communities. A city wide planning group has been established to develop services that will best support children who may become vulnerable. The focus of this group will be to deliver:
- Enhanced community supports for vulnerable families. - Contributing to shifting the balance of care of looked after and accommodated children. - Development of an effective integrated family support strategy - Development of co-ordinated supports at key transitional stages of a child’s life. - Contributing to the community capacity building agenda by supporting the most vulnerable children and their families into training and employment. - Closing the opportunity gap for the most vulnerable children and families.
The group intends to:
- Develop an integrated Family Support Strategy - Development of key transitional support from nursery to primary school - Contribute to the implementation of Health for All Children 4 (Hall 4) - Action plan on the recommendations of Getting our Priorities Right and Hidden Harm. - Contribute to the action planning and development of the Family Learning Centres - Develop key transitional supports from primary to secondary school to assist children to be maintained within mainstream school. - Contribute to the reduction of the number of exclusions truancy in mainstream schools for vulnerable children. - The development of a range of initiatives for the engagement of parents of
42 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership vulnerable children in education setting, - The development of key transitional support for vulnerable children and young people moving onto training and employment.
The CHCP will also continue to implement Health for All Children 4 (Hall 4) which is a key government policy to ensure that children’s health services become targeted to meet the needs of the most vulnerable.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 43 6.7 SHIFT THE BALANCE OF CARE
Children’s Services
Children and Family Services within South West Glasgow CHCP have a number of priorities over 2007-2008 to begin to shift the balance of care and maintain children and young people within their families and communities and reducing the amount of children and young people who are looked after and accommodated away from home.
• Improving Assessment and Care Management
The Integrated Assessment Framework tool will be implemented in South West Glasgow CHCP from April 2007 onwards. This will mean better integration between Health, Social Work and Education when assessing children and their families needs and developing support and services to meet the need. This will be supported by the development of multi agency forums to plan support for individual children and groups of children and young people.
• Development of a Commissioning Programme for Community Supports
There will be a range of enhanced community supports on offer for children and young people who may be at risk of becoming looked after and accommodated by the local authority. This will include group work and individual support. Children’s Services within the CHCP will work in conjunction with our partners in Education and the voluntary sector to ensure that a range of different supports are put in place to maintain children and young people within their own school and community.
• Development of an Area Youth Justice Forum
In order to support young people living safely within the community the South West Glasgow CHCP and its key partners in Police, Education, Community and Safety Services and SCRA will develop an area based Youth Justice Forum (linked to the Area Children’s Services Planning Forum) to support a range of initiatives in working with young people who are in the criminal justice system or are on the periphery of offending. The forum will support better co-ordination of services and have a clear focus on developing a range of diversionary activities that will support young people and the wider community. This will be a key group to begin to tackle the anti social behaviour agenda.
44 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Health and Community Care
For our older people’s services, we will focus our activity on furthering how we care for and support elderly people within their own homes. We also need to work closely with our colleagues within the hospital sector in order that patients being discharged from hospital have the appropriate level of support and care packages available to them so that they can continue to live within their own homes and, therefore, reduce the risk of being readmitted to hospital.
This year we will work on realigning services with a focus on preventative care and rehabilitation alongside care management teams focussing on the areas of mental health/dementia, physical impairment and older people’s care management. This will result in:
• Earlier assessment of people who may require services • A more focused intervention which will lead to greater independence and encourage people to manage their own care • Improvement in our front line service delivery
During 2007/08 we will:
• Improve communication with RAD (Rehabilitation and Assessment Directorate) through the creation of a joint Strategic Planning Group • Influence the process of commissioning local community care housing by working closely with local housing providers and colleagues within Glasgow City Council • Continue to develop our integrated Older People’s and Physical Disability Services • Analyse available data to reduce the number of older people being re-admitted to hospital
Housing
South West Glasgow CHCP recognises the importance of working in partnership with local housing providers, the Glasgow Housing Association and Glasgow City Council Development and Regeneration Services (DRS). Last year we began to develop these relationships and held regular meetings with DRS and Social Work Services commissioning staff to ensure that a co-ordinated approach was taken with regard to local housing investment priorities. An initial meeting was held in January 2007 with local housing providers to discuss relevant issues. We plan to establish a local group across the service areas and with the local housing providers to pick up on a range of themes that we can develop.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 45 During 2007/2008 we will:
• Develop our Housing Liaison Group ensuring representation across all local housing providers • Co-ordinate effective working arrangements between the South West Glasgow CHCP and local housing providers in order to resolve issues in the most appropriate and effective way
Improving Health Care
NHS Greater Glasgow and Clyde operate planning groups that bring together various stakeholders including staff, patients and voluntary organisations to ensure the quality of health care for specific medical conditions. These planning groups include staff working in CHCPs. Working arrangements between CHCPs and these working groups will be developed. Some of these groups are known as ‘Managed Clinical Networks’ (MCNs) and each have priorities for action up to 2010.
Key activities that the CHCP will contribute to over the next year are:
• New developments that help more of the care for patients with heart failure to be provided through primary care • Contribute to the development and use of electronic patient information sharing to support patient journeys through health services • Support hospital systems to prioritise primary care referrals according to need • The introduction of screening for colon cancer which is anticipated over the next two years • Initiatives that support diabetes care and support self care • The implementation of the ‘Long term Conditions’ Strategy which considers the care for patients who live with conditions including heart disease, diabetes, respiratory disease, Multiple Sclerosis (MS), dementia and many others. • Improve the care available for people with an acquired brain injury and address some of the current weaknesses in existing care provision
The CHCP will establish a Long Term Conditions Working Group to ensure local coherence across these significant streams of activity.
Through national investment South West Glasgow CHCP will begin to participate in the ‘Keep Well’ pilot, which began in North and East Glasgow during 2006/7. This investment is aimed at enabling more people in our poorest communities to access, and benefit from, health programmes. During 2007/8 we will support a
46 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership number of GP practices in the South West to engage and deliver services.
Mental Health
South West Glasgow CHCP has the responsibility of managing and delivering community mental health services across the area. Last year’s plan identified specific areas of development in relation to a number of steps, actions and developments to move the network of mental health services towards better integration of services and moving services to within the community to prevent and shorten hospital stays.
As well as our co-location of key services within Brand Street and Rossdale Centre, the Primary Care Mental Health Team will move out of Clutha House to the Wellgreen Clinic at Shawbridge. This will greatly improve access to the service and strengthen relationships with the rest of the network. Our Early Intervention Service (Esteem South) started taking referrals in January 2007 and although this is not solely for South West Glasgow, our population will benefit from it. The service aims to identify individuals with psychotic illness and make treatment and support available to them and their families as this can greatly improve outcomes for the individual.
The Crisis Service will be available from the beginning of April 2007. This will provide intensive support to individuals who are acutely unwell to try to prevent a hospital admission or bring them home as early as possible. It operates slightly longer during the day than the other services and is available at weekends. It will work closely with the Out of Hours service. Together these services will provide round the clock care, 7 days a week for individuals with mental illness.
During 2007/2008 we will develop:
• Integrated practices: In the forthcoming year, we will implement a common tool across health and social care agencies for recording the needs of individuals who use our services. Training is underway at present and all staff should be using the tool from around July 2007. This should reduce the need for multiple assessments and duplicate gathering of information, a major source of frustration for service users and their carers. We will also be seeking to streamline our duty processes for managing new and urgent work through reorganising our systems and developing our staff.
• Primary Care Mental Health Services: These offer a wide range of choices to individuals with mild to moderate Mental Health problems through provision of
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 47 self-help materials, educational inputs and if necessary, brief interventions to develop coping skills on an individual basis. The Pathways Team has published its first report for the year, August 2005 – July 2006. By offering a range of alternatives to individuals, it was anticipated that this would have a positive effect on reducing the amounts of medication individuals required, particularly for depressive illness. Over the forthcoming year we will work with the team and Clinical Director for the CHCP and Pharmacy Services to gain a better understanding of the patterns of prescribing and whether or not the Primary Care Mental Health Team has any effect on this. This will help us plan in the future what changes might be advised to help keep people away from medication if possible and to better develop their own ways of coping with stresses in their lives.
Homelessness
Households experiencing homelessness or potential homelessness can access services locally from the Community Casework Teams (managed by the Glasgow Homelessness Partnership). This service offers advice and information on homelessness and the prevention of homelessness. Advice and support is also provided to clients accessing temporary accommodation. The team make the statutory assessment of homelessness and access permanent accommodation when that is required from social landlords in the area.
Last year, the Locality Development Coordinator for Homelessness developed a wider understanding within the CHCP of our staff’s role in preventing homelessness. Towards the end of last year we completed a Health and Homelessness Action Plan to assist us in thinking about how we can begin to mainstream homelessness into all aspects of our service delivery. This action plan allowed us to identify some key actions and operational priorities that we require to implement over the next three years.
For 2007/08 the South West Glasgow CHCP will:
• Continue to play an active role in the work of the South West Glasgow Homelessness Providers Forum, which comprises non-statutory and statutory service providers for people who are homeless or at risk of homelessness • Ensure social inclusion for people with a learning disability by working closely with the Community Casework Teams and the Learning Disability Homeless Service to implement any gaps identified within the Health and Homeless Action Plan and work closely with the Locality Development Co-ordinator to monitor change
48 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership • Continue to contribute to the Glasgow Homelessness Partnership’s objectives
Addictions
The Addictions Service in the South West aims to provide community based services for people experiencing problems with drug and alcohol misuse. We have been working closely with our colleagues in other services across the CHCP in order to jointly develop our services over the next few years.
Last year, we worked with over 2,000 clients who have drug and alcohol related issues. During this time we have seen a 10% increase in the number of our clients with alcohol related addictions issues.
We will continue to develop our integrated Addictions Service in conjunction with the Addictions Partnership and our priorities for the year include:
• Focus on the interface between Addictions and Children and Families services in order to enhance links and implement the recommendations outlined in the Scottish Executive publication, Hidden Harm, the Next Steps. Addictions staff will also be trained in Integrated Assessment Framework
• In conjunction with other partners we will identify how we can have an impact on the high level of alcohol related to Accident and Emergency admissions in the South West
• Ensure effective joint working between adult addiction services and community mental health teams for service users experiencing mental illness and addiction issues
• Monitor access to and reduce waiting times for addictions services
Learning Disability
Learning Disability Services aim to improve the health of our client population and we will use the 21st century health check document as a ‘health check tool’ when offering checks to all people with a learning disability across the South West. This work commenced in February 2007.
We will continue to work in partnership with colleagues from Culture & Sport Glasgow to develop a strategy that will enable people with profound
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 49 learning disabilities to maximise the benefits of increased physical activity and we will continue to deliver our Healthy Lifestyle programmes for individuals who cannot take part in general health improvement initiatives.
In addition, during 2007/08 Learning Disability services will:
• Develop our transition processes with Children and Families • Initiate the formal recording of unmet need in respect of new demand on services • Focus on epilepsy: increase the team’s awareness and knowledge of epilepsy and establish a local epilepsy database for service users affected by this condition • Establish a Complex Needs Risk Register to deal with the monitoring of complex cases
50 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 6.8 ENHANCE INCLUSION FOR EFFECTING CHANGE
As an inclusive organisation the South West Glasgow CHCP seeks to work with partners and communities to raise the standards and range of care available across the area and to contribute to the wider social renewal agenda locally.
Community Planning
South West Glasgow CHCP is a formal partner on the Govan/Craigton and Pollok/ Newlands/Auldburn Community Planning Partnerships. As such, the CHCP will act as the lead partner in progressing the ‘health’ theme of the Regeneration Outcome Agreement and Community Plan. During 2007/08 the CHCP will establish the strategic partnership for health, agreed by local partners in November 2006.This will result in agreement on the key priorities for partnership action for health within the South West. The CHCP will contribute to the learning, working, safe and vibrant themes as they develop locally. During 2007/08 we will focus on:
• Leading the Health Strategy Group development on behalf of, and develop a Health Strategy in partnership with, Community Planning partners and the community • Developing Community Engagement mechanisms around public services, bringing coherence across partner efforts as described in the FMR South West Community Engagement report concluded in March 2007 • Contribute to the development of the Regeneration Outcome Agreement for 2008 – 2011 • Contribute to decisions on the use of Community Regeneration Funds across the area • Contribute to the implementation of the Central Govan Action Plan and action to maximise the regeneration potential of the South Glasgow Hospital development
Community Development and Engagement
As part of a cross city initiative, we will implement a redesign of the organisation and function of the community development and engagement specialists within the CHCP, creating an integrated team of dedicated staff to support communities and the CHCP in this endeavour. The team, and many other staff in the CHCP, will promote community service user and carer engagement in our services and strategies.
CHCP staff support a wide range of community groups and organisations. During 2007/08 this will include:
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 51 • Mental Health Networks and service user engagement • Health Improvement community organisations • Local GAIN (Glasgow Advice and Information Network) organisations e.g. Credit Union, Money Advice as required • Integration Networks: support the development and activity of the three Asylum Seeker and Refugee Integration Networks operating in South West Glasgow City Council
Public Partnership Forum (PPF)
Last year CHCP staff were very heartened by the range of service users, residents and community organisations that engaged with us in developing the PPF concept and making this engagement structure a reality. A PPF Executive Group, with 19 members, was established in October 2006 and there has been active engagement in processes and decisions at the CHCP Committee since that time.
During 2007/08 we will continue to support the development of the PPF, in terms of
• Continuing to provide community development and engagement support to the developing PPF • Broadening the representation on the Executive Group for communities and interests across the area, especially in areas under represented presently, for example, ensure PPF representation from the learning disability services local service user and carer forums which will be established this year • With the PPF Executive Group host an event by July 2007 providing the broader PPF members with feedback on 2006/07 and engagement processes for the year ahead • Identify and engage the PPF in specific service developments and redesign components • Work with staff to bring to life the community engagement standard principals in the operation of the organisation
Engaging with Children and Young People
South West Glasgow CHCP will work with our partners in Culture & Sport Glasgow services and Education services to link with the establishing Glasgow Strategic Youth Partnership to look at how best we can inform and engage with young people to ascertain views at to how well we deliver services for them within this CHCP.
52 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Voluntary Sector and Provider Organisations
The CHCP liaised regularly with the Community Care Providers Forum throughout 2007/08, enabling national, citywide and local organisations to understand and engage with it. In addition, local voluntary sector organisations worked in partnership with the CHCP on many of the structures, working groups and stakeholders events established/undertaken during the first year of operation, and through the PPF.
There is a further agenda of voluntary sector support locally, some of which is provided by the social economy team of the Local Development Company. Sustainability for the voluntary sector was identified as a key issue at the stakeholder event in February. We will seek to work with this sector and our Community Planning partners to consider the development needs of voluntary sector organisations locally. We will particularly contribute to the development of the financial inclusion sector through GAIN (Glasgow Advice and /Information Network).
Carers
Across the CHCP, there are two Carers Centres offering support, advice and a wide range of activities for carers and their families. We are actively involved with both Centres and offer direct support to these projects.
During 2006/2007 we established an internal Carers Reference Group to begin to look at improving our links with carers across the CHCP and to discuss how we can improve services for our clients, carers and their families.
During 2007/2008 we will:
• Develop a Carers Forum across the area ensuring representation from carers across the area • Ensure appropriate assessment and support is in place for carers • Develop appropriate training and identify carers requirements when supporting those who have long term need
Local Housing Forums
During 2006/07 Local housing Forums (LHFs) were established within each local Community Planning Partnership area in the South West. These Forums were
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 53 established to provide a link between communities and the investment forum which brings together social housing providers and funders at a city wide forum.
The CHCP is represented on both Local Housing Forums and will continue to contribute to the work of these forums locally.
54 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership 7 HOSTING RESPONSIBILITIES
Health at Work
South West Glasgow CHCP hosts the Health at Work Team. Health at Work delivers the Healthy Working Lives national strategy across the area covered by NHS Greater Glasgow and Clyde. Currently 30 organisations based within South West Glasgow are registered for the award programme.
The CHCP will demonstrate its commitment to the health of its own staff by joining these organisations and registering for the Healthy Working Lives award in 2007. Health at Work priorities over the coming year include:
• Increase health improvement activity in workplaces
• Ensure links to CHCP structures are strengthened
• Recruit and support Healthy Working Lives registered workplaces
• Working in partnership with strategic and operational agencies and bodies to develop employer engagement processes and initiatives to highlight the Employability agenda to local workplaces.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 55 8 FINANCIAL PLANNING AND RESOURCING
This section provides information on the overall budgets for the CHCP for 2007/2008. This section also describes some key aspects of how we will manage the resources for the CHCP and our investment priorities, for buildings and services. These figures represent ‘markers’ for investment and not confirmed investment. Agreement for additional investment can only be given through the financial planning processes of Glasgow City Council and NHS Greater Glasgow and Clyde, which will be reported later.
Revenue Annual Budgets for Financial Year 2007/08
The main elements of the budgets for Health and Social Work are as follows:
Health Social Work Total £000s £000s £000s
2006/07 Budget by Care Group
Mental Health – Adult Community 2,519 694 3,213 Addictions 661 1,047 1,708 Learning Disabilities 444 3,350 3,794 Health & Community Care 8,685 16,322 25,007 Children & Families 1,743 4,271 6,014 Planning & Health Improvement 2,582 312 2,894 Family Health Services (FHS) 25,428 25,428 Prescribing 23,180 23,180 Executive & Admin, Accommodation 2,215 Costs & Other 407 2,622 Criminal Justice 922 922 Support Services 1,736 1,736 Hosted Services Income (1,509) (1,509)
Total 67,457 27,552 95,009
56 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Health Social Work Total £000s £000s £000s
2006/07 Budget by Cost Headings
Pay 14,274 14,676 28,950 Transfer Pay 10,539 10,539 Supplies 4,026 3,845 7,871 FHS 48,606 48,606 Capital Charges 551 551 Income (1,509) (1,509)
Total (1) 67,457 27,551 95,008
Add Inflation
Pay Uplift (2.5 %) + Agenda for change 482 482 General Supplies Inflation (1%) indicative allocation 43 43 Primary Care Prescribing Costs Inflation 1,040 1040 Inflation uplift includes pay and supplies 459 459 Development funding - recurring 83 83 Non recurring development includes city wide 525 525 Adjustments – income/costs – non recurring 06/07 (1577) (1577) Savings- corporate/departmental (1,118) (1118) Developments 636 636 Adjustments 788 788
Total (2) 68,053 28,316 96,369
NHS budgets were devolved to the CHCPs during 2006/2007. Work continued during the 06/07 to align Social Work budgets to CHCPs and the 2007/08 budgets reflect the final position with regard to these budgets.
A key theme for the coming years will be an ongoing drive to ensure that best value is obtained for available resources. The coming together of health and social care services will be a key factor in delivering this objective.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 57 Getting the Best Value for Public Funds
As part of the overall Glasgow City Council Budget, agreement was reached that efficiency savings would be made to improve efficiency within various service areas and to provide the necessary funding to support service reform.
In order to support service reform highlighted within the plan, a review of budget allocations within the CHCP will be carried out annually. Areas for resource redirection will be identified and this, along with any additional investment funding provided, will be used to the agreed CHCP change programme.
With prescribing costs representing around one third of the NHS budget there will be a continued focus to ensure that medicine costs are managed for the best clinical benefit at the lowest possible cost.
Investment Priorities for 2007/2008 and beyond
A number of the developments and actions listed in this plan will be met through using existing resources differently. However, there are a small number of pressures for investment requiring NHS Greater Glasgow and Clyde and Glasgow City Council Social Work Services consideration:
• Existing primary care services, particularly community nurses, allied health professionals, changing the role of health visitors and blood testing services are struggling to meet the increase in demand arising from earlier discharge from hospital and more care at home • A significant proportion of professional and clinical staff within the CHCP have no administration support. The more time staff spend on paperwork the less capacity they have to provide care • There is an immediate demand for additional capacity within the CHCP to create and manage the pathfinder Craigton Road development. A worker is required to plan the services, partner arrangements and community input to this development and other integrated sites within the South West. This is crucial to realise the aspirations of creating a pathfinder hub for services in the South West • Health Improvement: significant investment is required to change the pattern of poor health locally. The CHCP is particularly aware of the need for health improvement programmes for vulnerable children and to address alcohol issues locally
Appendix 3 gives a more detailed breakdown of these investment priorities and other service aspirations
58 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Hosted Services
South West Glasgow CHCP is responsible for hosting some services on behalf of one or more CHCPs. Where this arrangement applies, the CHCP is expected to manage overall service expenditure within available funds. Where expenditure is greater than or less than budget by in excess of 5%, then the CHCP will take action to manage expenditure back into line with the budget during the remainder of the year, and as a last resort recharge/reimburse the difference pro rata to each CHCP.
South West Glasgow CHCP has management responsibility for the following service budgets:
• Elderly Inpatient Mental Health • Community Learning Disability Team • Liaison Nursing • Continence Nursing Team • Health at Work
Risks and Risk Sharing Arrangements
All CH(C)Ps have agreed to adopt a joint approach to the management of the Primary Care Prescribing Budget in 2007/08. All CH(C)Ps are responsible for managing expenditure within the allocated prescribing budget. The CH(C)P Directors have agreed to collectively share the financial risk on the prescribing budget under the agreed financial framework.
An equivalent risk sharing arrangement has been agreed for the management of overspends and underspend relative to budget for points achieved by GP practices in connection with their contract.
Capital Programme 2007/08
NHS Greater Glasgow and Clyde and Glasgow City Council each operate their own capital planning processes. Discussions are ongoing to ensure that CHCP capital plans are prepared and submitted for consideration alongside capital plans by other divisions of the Health Board and the City Council.
Details of individual programmes funded for South West Glasgow CHCP within the total capital allocation for both organisations are summarised below.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 59 South West Glasgow CHCP - Capital Allocation 2007/08
Annual Annual Source Total Allocation Allocation of Project Allocation 2006/07 2007/08 Funding £’000 £’000 £’000
Major Schemes
Thornliebank Health Centre 400 400 NHS GGC Govan Health Centre 200 200 NHS GGC Strata House – Ground Floor 64 64 NHS GGC Rowan Park 170 406 576 GGC & NHSGGC Pollok Health Centre 2,400 500 2,900 NHS GGC South West Glasgow 300 1,800 2,100 NHS GGC Elderly Resource Centre
MHP Capital Formula - Minor Schemes
Rossdale Resource Centre 450 450 NHS GGC Brand Street Centre 60 60 NHS GGC
Capital Formula
Dietetics Office Upgrade – Pollok Health Centre 11 11 Govan Health Centre – Health & Safety 10 10 Cardonald Clinic – upgrade projects 8 8 Pollok Extension – waiting area 31 31
4,104 2,675 6,779
Formula Capital
There will be an annual process led by the Head of Capital Planning and Procurement and involving all CHCP Directors to reach agreement on an allocation of formula capital funding to each individual CHCP. The Formula Capital funding will be allocated for minor works and minor equipment. Allocation for 2007/08 is still to be confirmed.
60 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership Capital Planning Working Group
In addition to progressing with the approved capital schemes reported above, the CHCP is currently preparing a 3 year capital plan following the outcomes of a strategic review of CHCP service priorities. The plan will contain an itemised list of proposed capital spending, set out in priority order and the final report will be submitted to the Joint Capital Planning Group (JCPG) for consideration. Following review by the JCPG the CHCP Capital Plan will be taken forward within the appropriate NHS Greater Glasgow and Clyde and Glasgow City Council Capital Planning processes.
Capital Plan Proposals
The following table highlights the proposed aspirations and capital spend within the CHCP over the next three years and is reported in more detail within the CHCP Capital and Accommodation Plan 2006-2010:
2007/08 2008/09 2009/10 Total £’000 £’000 £’000 £’000
South West Glasgow CHCP Approved 2007/08
Pollok Health Centre 500 500 Rowan Park 406 406 South West Glasgow 1,800 1,800 Elderly Resource Centre 2,250 7,269 9,519 Craigton Road
Aspirations
NHS Greater Glasgow & Clyde
Govan Health Centre 400 400 Pollokshaws Clinic/MH Resource Centre redevelopment 200 200 Pollok Health Centre – Training Area 100 100
2,8062,250 7,86912,925
Glasgow City Council – Social Work
Total 2,8062,250 7,86912,925
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 61 APPENDIX 1 CHCP SENIOR MANAGEMENT TEAM AND COMMITTEE MEMBERS
CHCP Senior Management Team
Iona Colvin ...... Director Jacqueline Kerr ...... Head of Children’s and Criminal Justice Services John Owens ...... Head of Health and Community Care Fiona Moss ...... Head of Planning and Health Improvement Calum MacLeod ...... Head of Mental Health Robert Dolan...... Head of Addictions Sybil Canavan ...... Head of Human Resources Ken O’Neill ...... Clinical Director Susan Thomson ...... Business Support Manager Les Jacobs ...... Head of Finance
CHCP Committee Members
Councillor Stephen Curran ...... Glasgow City Council (Chair) Peter Daniels ...... NHS Greater Glasgow and Clyde (Vice Chair) Councillor John Flanagan ...... Glasgow City Council Councillor James McInally ...... Glasgow City council Councillor Iris Gibson ...... Glasgow City Council Councillor Ruth Black ...... Glasgow City Council Janice Greig ...... Professional Executive Group Allison Wallace ...... Professional Executive Group Dr. George Barlow ...... Professional Executive Group Stewart MacLennan ...... Staff Partnership Forum George Daly ...... Public Partnership Forum Eddie Aitken ...... Public Partnership Forum Iona Colvin ...... CHCP Director Jacqueline Kerr ...... Head of Service/Lead Social Worker
Contact Details
Strata House 135 Fifty Pitches Road, Cardonald Business Park, Glasgow G51 4EB Phone 0141 276 4609 • www.chps.org.uk
62 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership APPENDIX 2 STRUCTURE CHART
South West Glasgow Community Health and Care Partnership Director: Iona Colvin
Business Support Head of HR Planning and Health Manager Community Sybil Canavan Improvement Susan Thomson Addictions Head of Service Head of Service Senior HR Adviser Fiona Moss Robert Dolan Gillian Gall Health Improvement Community Manager Addictions Managers Susan Coull Children David Mair Learning and Education & Families Vacant Adviser Planning Manager Head of Service Connie Hendrie Janet Hayes Jackie Kerr
Community Integration and Development Officer Development Head of Finance Learning Disabilities Jan Sheach Manager Les Jacobs Head of Service Sean McKendrick Vacant
Operations Managers Operations Manager Joyce MacDonald Martin Hattie Health & Community Ann Marie Mercer Vacant Care Sue George Professional Leads Head of Service Clinical Director John Owens Operations Manager Ken O’Neill Criminal Justice Mental Health RES Managers Sandi Kerr Head of Service Lead Nurser Adviser Alison Wallace Calum MacLeod Laura Young Vacant Senior Nurse (Children) Operations Managers Lead Allied Health Operations Managers Linda Vernon Maggie Hart Professional OP/PD Lynn McKirdy Mandy Abbott Kate McAlpine Clinical Services Margaret Anne Dale Manager Lead Social Worker Gillian Wilson Jackie Kerr Senior Nurse (Adult) Senior Organisational Laura Young Development Adviser Yvonne Campbell
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 63 APPENDIX 3 INVESTMENT PRIORITIES AND RESOURCE SHIFTS
Social Work CHCP Financial Plan 2007/08 – 2009/10 Investment priorities and resource shifts
The following tables show investment priorities and resource shifts that have been identified by the CHCP. These priorities are a combination of some secured sources of funding together with our aspirations dependent on additional funding becoming available in the future.
64 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership ng New £’000 Funding (7) Revenue) t C Cost Non – Recurring a £ £’000 unding Source(s (Non – Recurring Internal Savings Funding Source(s) 168 New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue 20 £’000 £’000 (5) Capital
Non-Recurring Funding Brief Costs Start Up (including Description equipment) 8 6 1 £’000 09/10 (4) 168 £’000 08/09 Recurring Revenue Funding 80 £’000 07/08
(3) July Date Start 2007
Visiting (2) Shift Review CHCP: funding of the HV - Effective Proposal increased tasks and to support HV support Health Investment or Resource to support the mplementation infrastructure Review across administration i Description of - Implementation of
(1) No.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 65 New £’000 Funding (7) Revenue) Cost £’000 (Non – Recurring Internal Savings Funding Source(s) 95 New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue £’000 £’000 (5) Capital Non-Recurring Funding Brief Costs Start Up (including Description equipment) £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding 71 95 95 £’000 07/08 (3) July Date Start 2007 (2) Shift Proposal Structure Improving Improving Health and and reduce capacity to inequalities Community tackle need Investment or Resource resources to resources Care NursingCare Management Description of have sufficient have - Strengthening ensure that they that they ensure (1) No.
66 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership New £’000 Funding (7) Revenue) Cost £’000 (Non – Recurring Internal Savings Funding Source(s) 30 70 55 New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue £’000 £’000 (5) Capital Non-Recurring Funding Brief Costs Start Up (including Description equipment) 30 70 55 £’000 09/10 30 70 55 (4) £’000 08/09 Recurring Revenue Funding 41 23 53 £’000 07/08 (3) July Date Start 2007 (2) Shift illness Service Proposal - Increase - Create a- Create capacity of new post of new Investment Co-ordinator or Resource post for Long post for Physiotherapy Physiotherapy Elderly mentalElderly - Create a new a new - Create Description of Term Conditions Term Pscychologist for for Pscychologist (1) No.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 67 New £’000 Funding (7) Revenue) Cost £’000 (Non – Recurring Internal Savings Funding Source(s) 164 New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue £’000 £’000 (5) Capital Non-Recurring Funding Brief Costs Start Up (including Description equipment) £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding 60 400 400 20 20 340 123 164 164 £’000 07/08 (3) July July Date Start 2007 2007 (2) Shift AHPs) issues Support Children Proposal Nurses and affected by by affected Investment - Associated or Resource addiction and mental health Costs (District Description of (1) No.
68 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership New £’000 Funding (7) Revenue) Cost £’000 (Non – Recurring Internal Savings Funding Source(s) New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue £’000 £’000 (5) Capital Non-Recurring Funding Brief Description £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding 50 50 50 50 £’000 07/08 (3) ASAP Date Start (2) Shift rates rates around around women enhance Proposal Strategy and small budget to budget vulnerable vulnerable particularly particularly Investment coordinator coordinator or Resource breastfeeding breastfeeding Description of Breastfeeding Breastfeeding commissioning Breast Feeding Feeding Breast Development of Development - Recruitment of - Recruitment (1) No.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 69 New £’000 Funding (7) Funding Revenue) Source(s) Cost £’000 (Non – Recurring Internal Savings New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 50 50 Revenue £’000 £’000 Capital (5) Non-Recurring Funding Brief Further Further support required services sector is promote of family of family voluntary voluntary emotional well being. well to support issues and Description budget from budget parents withparents development development mental health Commissioning £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding £’000 07/08 (3) ASAP Date Start (2) Shift services Proposal Effective Roll Out of Investment or Resource Description of family support (1) No.
70 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership New £’000 Funding (7) Revenue) Cost £’000 (Non – Recurring Internal Savings Funding Source(s) New £’000 Funding (6) Revenue) (Recurring 10 35 Cost £’000 Internal Savings Funding Source(s) £’000 £’000 Revenue £’000 £’000 (5) Capital Non-Recurring Funding Brief worker project culture design, art and – social physical facilities including to deliver design not Fixed term community Description and partner £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding 20 35 45 £’000 07/08 (3) June Date 2007 Start (2) Shift Healthy Proposal Pathfinder Investment or Resource Description of Developments (1) No.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 71 New £’000 Funding (7) Funding Revenue) Source(s) Cost £’000 (Non – Recurring Internal Savings New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 50 50 Revenue £’000 £’000 Capital (5) Non-Recurring Funding Brief misuse Service of early Children Planning services. Linked to Linked Budget isBudget substance awareness awareness required to required Description support the intervention intervention Priority is the development development Commissioing raising agenda raising £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding £’000 07/08 (3) ASAP Date Start (2) Shift CHCP Proposal Improving Investment or Resource Drug Misuse Awareness in Description of (1) No.
72 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership New £’000 Funding (7) Funding Revenue) Source(s) Cost £’000 (Non – Recurring Internal Savings New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 50 50 Revenue £’000 £’000 Capital (5) Non-Recurring Funding Brief in schools in schools agenda ofagenda the Health Description and support children andchildren improvement improvement young people young £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding 25 50 £’000 07/08 (3) June ASAP 2007 Date Start (2) Shift CHCP Health Package Proposal Improving Investment or Resource Drug Misuse Improvement Awareness in Description of Alcohol Training (1) No.
South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 73 New £’000 Funding (7) Funding Revenue) Source(s) Cost £’000 (Non – Recurring Internal Savings New £’000 Funding (6) Revenue) (Recurring Cost £’000 Internal Savings Funding Source(s) £’000 £’000 80 80 Revenue £’000 £’000 Capital (5) Non-Recurring Funding Brief service in budget to Purchasing Description support the across CHCP youth health Communities roll out of the New Learning £’000 09/10 (4) £’000 08/09 Recurring Revenue Funding £’000 07/08 (3) ASAP Date Start (2) Shift Proposal Investment or Resource out of youth Effective roll Communities Description of health services in New Learning (1) No.
74 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership