Item No ANGUS COMMUNITY HEALTH PARTNERSHIP

Transcription

1 Item No MINUTE ANGUS COMMUNITY HEALTH PARTNERSHIP Minute of the Meeting of Angus Community Heath Partnership Committee held on Monday, 6 June 2011 at 13:30, Lintrathen Room, Whitehills Health & Community Care Centre, Forfar Present Mr Andrew Richmond, Non-Executive Director, (Chair) Ms Alison Andrews, Convenor, Social Work & Health Committee, Angus Council Dr Roger Blake, Lead Clinician, General Adult Psychiatry, Angus CHP Ms Mai Hearne, Chief Officer, Angus Association of Voluntary Organisations Ms Angela Murphy, AHP Lead, Angus CHP Dr Robert Peat, Director of Social Work & Health, Angus Council Ms Gail Smith, Clinical Services Development Manager/Lead Nurse, Angus CHP Ms Vivien Smith, Community Planning Manager, Angus Council Dr John Tainsh, Consultant Radiologist, Stracathro Hospital Dr Rebecca Wheater, Clinical Director, Angus CHP Ms Susan Wilson, General Manager, Angus CHP Apologies Dr Charles Allison, Consultant Anaesthetist, Dr Gordon Crosby, General Practitioner, Carnoustie Health Centre Ms Elizabeth Forsyth, Non-Executive Director, Ms Rhona Guild, Primary Care Development Manager, CMRR Programme Lead Dr Brian Kidd, Lead Clinician, Addiction Services, NHST Mr Len McAllister, Community Pharmacist Mr John Patullo, Angus Public Partnership Network Ms Ameen Sattar, Community Optometrist Mr Ken Shaw, Staff Partnership Representative In Attendance Ms Hilde Barrie, Corporate Services Manager, Angus CHP Mr Alexander Berry, Accountant, Ms Anne Craig, Scottish Health Council Mr David Gill, Head of Pharmacy, Angus CHP Ms Liz Goss, Service Manager, Older People & Community Hospitals Mr Christopher Smith, Workforce, Ms Ruth Swanston, Service Manager, Child, Family & Health Improvement Services Mr Bill Troup, Head of Integrated Mental Health Services Ms Anna Michie, Communications Team, Presenters Mr Thane Lawrie, Alcohol & Drugs Partnership, for item 5.2 only Ms Freda Stewart, Health Improvement Partnership Manager, Angus CHP for item 5.3 only Mr Andrew Richmond in the Chair NB: Items 5.2 and 5.3 were taken first to allow staff to return to their duties. 1.0 APOLOGIES - as above 2.0 CHAIRMAN S WELCOME AND INTRODUCTIONS 2.1 Declaration of Interests: None HBarrie docs_ doc NB: All papers are embargoed until after meeting date 14

2 3.0 MINUTES OF PREVIOUS MEETING 3.1 Dr Tainsh highlighted he had been noted in the apologies when he was, in fact, present. With this amendment, the minute was agreed. 3.2 Points Update these were noted Angus CHP Work Plan Priorities Following discussion at the January CHP Committee it was agreed Ms Wilson would provide a briefing presentation on Angus aspects of Steps to Better Healthcare. This was amended to also incorporate work of the Change Fund and the Integrated Resource Fund to provide the committee with an overview of the CHP workplan priorities.. Ms Wilson described the key priority areas as: Local Development Plan for Government, Population Health, Steps to Better Healthcare, Health Equity Strategy and Working with Communities and the work that was taking place with partners to achieve these. The CHP management structure had been amended to reflect delivery of the key priorities through 3 managed pathways: Community Medicine & Rehabilitation Redesign [CMRR] also known as Integrated Communities; Integrated Mental Health Services, and Children & Families (including health improvement). These pathways were supported by professional and specialist lead officers. Ms Wilson then outlined the top priorities for each of the 3 managed pathways. There followed a discussion about the key areas, including: Integrated Resource Fund - had resulted in a greater and fuller understanding about spending across the whole Partnership. CMRR completion of the bed modelling was anticipated by the end of 2011 and the committee would be expected to determine its recommendations on the future provision of services in Angus to be forwarded to Board for its decision. Health Visiting meeting challenges in relation to capacity may require review of workload priorities to provide the suitable level of support to families. There may also be a role for the use of alternative communication methods, eg telehealth. Public Health need to ensure balance of resource between Angus and Tayside levels. There may be some economies of scale from development of Tayside-wide projects. 4.0 PERFORMANCE ISSUES 4.1 Finance Report, March 2011 (ACHP 21/2011) Mr Berry highlighted the paper detailed the year end position and he was not yet in a position to give any details in relation to 2011/12. The overspend at the end of 2010/11 was 545k which was 15k more than anticipated. The committee explored the following areas: Hospital & Community Health Service Budget the year end overspend was 225k, with services achieving c88% of devolved savings of 1890k. 15

3 Prescribing - the year end position includes estimates for February/March and details an overspend of 299k. Whilst significant savings have been achieved during 2010/11 other prescribing pressures have had an offsetting effect against overall savings delivered. Savings Targets the overall out-turn for 2010/11 is that 79% of savings were delivered, ie 2.042m, which corresponds to the year end overspend of 545k. 2011/12 Plans - reviews have taken place with service managers and the CHP s General Manager and the estimated savings required from most services will be between 2-2.5%. This is a significant reduction from previous years although it will remain a challenging target for services. Ms Wilson advised that due to prioritisation of early years and vulnerable families, in particular, the Child & Family Health Service had been exempted from 2011/12 savings target, however, this would mean other services taking up the apportionment. Risk Log Mr Berry confirmed the anti-coagulation service would be included in future risk log. Ms Smith highlighted that there may also be cost implications in relation to the estates issues to meet HAI compliance. A Berry 1. Noted the financial position as detailed in report ACHP21/ Acknowledged the work of service managers in identifying recurring savings. 3. Supported the ongoing work within the CHP to further improve the recurring financial position. 4.2 Angus CHP Performance Report (ACHP 22/2011) Ms G Smith provided the following updates to the report presented: Future changes to the performance measures or graphical presentation of Quit for You; Teenage Pregnancies; Substance Misuse Service; Waiting Times. As some performance charts were becoming difficult to read, it was agreed to move test a 2-graph per page format. H Barrie 1. Noted the service performances detailed within report 22/2011 and the measures planned or taken forward to address improvement. 2. Welcomed moves towards detailing performance risks within future reports and encouraged continuance of this across services. 3. Approved the testing of a 2-graph per page format. 5.0 STRATEGIC ISSUES 5.1 Community Medicine & Rehabilitation Redesign Programme Ms Wilson provided a verbal update to the committee on the work of the Programme. She particularly highlighted: New medical contract aiming to commence August 2011 for North West locality and December 2011 for North East locality. 16

4 Additional nursing appointments within Change Fund plans to Dementia Liaison Team and to support Prevention of Admission Scheme. Long Term Conditions - development of a fatigue management programme for rheumatology patients. Provision of support to Care Homes, particularly around training and how to manage challenging residents. Members considered this an important issue and requested further details of support being given to this care group. Admissions to Ninewells it was reported there had been a significant reduction in Angus patients admitted to Ninewells over the last 5 years; equivalent to 41 beds per day. 1. Were reassured by the continuing progress of the Programme as described by Ms Wilson. 2. Requested a report be submitted to the committee detailing work to support dementia patients and care home staff. 3. Suggested consideration be given to developing a real patient experience story to example the impacts of service improvement work. This could be presented at an Board meeting, E Goss R Guild 5.2 Alcohol & Drugs Partnership (ACHP 23/2011) Mr Lawrie spoke to his report which detailed progress against the priorities for , particularly highlighting: The results of the development day, subsequent restructuring of the Alcohol & Drugs Partnership (ADP) and the creation of sub groups for: Recovery (chaired by Ian Taylor); Child Protection; Focus on Alcohol; and Finance. Needs assessment partnership with Dundee and Perth & Kinross and the Substance Misuse Information Tayside project, led by Dr Brian Kidd. The position of the Montrose Link Up project within the GIRFEC agenda and the work to develop plans to carry forward the learning from this after the project s end in November Dr Blake was keen to be involved with the Link Up project and discussions about this was to be taken forward in the future. Dr Blake and Mr Lawrie to discuss further outwith the meeting. 1. Noted the continuing work of the Angus Alcohol & Drugs Partnership as detailed in 23/ The committee continued to support the work of Angus ADP and in particular the work to take forward the learning from the Link-Up initiative. 3. Requested Mr Lawrie to update the committee on the ADP s continuing progress in a year s time. 17

5 5.3 Teenage Sexual Health & Relationships (ACHP 24/2011) Ms Stewart spoke to her report which detailed progress against the priorities for , particularly highlighting: The positive impact of the Young People s Health Worker Team. The positive partnership work taking place to develop and sustain joint initiatives that maximised limited budgets. Piloting of school based sexual health and relationship education in Brechin and Arbroath, and the interest of Montrose. Planned introduction of specialist sexual health services in Abbey Health Centre with the identification of space in which to view microscopy samples. There was discussion of the target for the reduction of teenage pregnancies in the yrs olds and the difficulties faced by the local services. It was agreed to defer further discussion of the target until it was clarified whether this was a local, regional or national target. S Wilson 1. Noted the positive work being undertaken to address teenage sexual health and relationships detailed within report 24/ Approved the Angus Sexual Health & Relationships Group Workplan as detailed in appendix 2; 5.4 Angus Community Plan and Single Outcome Agreement (ACHP 25/2011) Ms Wilson and Ms V Smith spoke to the report which detailed progress against the priorities for , particularly highlighting: The reduction in thematic partnerships to 5: Economic Development; Children s & Learning; Community Care & Health; Community Safety; and Rural & Environmental. Local outcomes had also been revisited to reduce to 12 and with a stronger strategic focus. As a result the Plan was much shorter and focussed, and there was a clearer demonstration of the thread of health impacts throughout the priorities. The Plan will be discussed and ratified by the Community Planning Partnership on 15 June. 1. Supported the changes to the format of the Angus Community Plan. 2. Agreed any individual comments could be passed to Ms Wilson or Mr Richmond prior for discussion at the Community Planning Partnership meeting on 15 June. 3. Endorsed the Angus Community Plan and Single Outcome Agreement

6 6. Clinical Director & General Manager s Report (ACHP26/2011) Dr Wheater spoke to report 26/2011, particularly highlighting the: She welcomed the appointments of additional specialist medical staff. Excellent partnership working with patient groups that resulted in improvements for those living with long term conditions. Positive results of the GP access survey and the anticipation that these may further improve as some general practices were now undertaking extended hours. There was some discussion in relation to Patients Rights and age discrimination legislation, particularly in psychological services where age limits were applied by third sector agencies. It was noted this was an area that may require to be addressed in developing service agreements and changes to limits amended to working age categorisation. 1. Noted the general updates contained within the report. 2. Approved the wider distribution of the report as part of the CHP s communication strategy. 7. ITEMS FOR INFORMATION 7.1 Joint inspection of services to protect children and young people in Angus Ms Wilson highlighted that the Record of Inspection Findings report noted the particular strengths in Angus that made a difference to children and families: Communication with children and families, including during child protection investigation. Early identification of vulnerable children across services. Access to a wide range of services to support families. Commitment to partnership working across all services. Examples of good practice that were noted were the help and support provided to children and families affected by parental substance misuse through the Link-Up Initiative and evidence of services working together, through the Joint Assessment Group, to share information to protect vulnerable children from adults and other young people who may pose a risk to their safety. The following areas for improvement with services within Angus have been agreed with the Inspectorate: Improve plans for children and ensure their individual needs are being met. Improve arrangements for managing and prioritising self-evaluation activities, ensuring it leads to better outcomes for children. The Executive Group for Child Protection and the Child Protection Committee to review and revise their vision for child protection services, providing clearer direction and improving outcomes for vulnerable children. It is particularly positive to note the progress identified within the school nursing service although further work still requires to be undertaken on evidencing outcomes from care planning. 19

7 An overall action plan is being developed and this will be shared with the committee in due course. 7.1 Joint inspection of services to protect with a learning disability in Angus Ms Wilson highlighted that the main finding in relation to the CHP had been waiting times for audiology. This had now been addressed through service redesign and was no longer an issue. 8. MINUTES OF SUB-COMMITTEE FOR INFORMATION AND CONSIDERATION 8.1 Improvement & Quality Forum, noted 8.2 Medicines Management Group, noted 8.3 Angus Healthy Safe & Caring Communities, noted 8.4 CMRR Programme Board, noted 9. RECORD OF ATTENDANCE noted It was noted that Mr John Patullo would be joining the committee as the public participant at a future meeting. 10. DATE & TIME OF NEXT MEETING 29 August 2011 at 1:30 pm in the Lintrathen Room, Whitehills Forfar Subject to any amendments recorded in the Minute of the subsequent meeting of the committee, the foregoing Minute is a correct record of the business proceedings of the meeting of Angus CHP Committee held on 6 June 2011 and was approved by the committee at its meeting held on 29 August CHAIR DATE 20