SCOTTISH PARTNERSHIP FORUM. Tuesday 5 February 2013 Conference Room 4ER, St Andrew s House, Edinburgh. Minute

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1 SCOTTISH PARTNERSHIP FORUM Tuesday 5 February 2013 Conference Room 4ER, St Andrew s House, Edinburgh Minute Present: Calum Campbell Chief Executive NHS Borders (Chair) Alan Boyter Director of HR and Organisational Development, NHS Lothian Wilma Brown for Tom Waterson - Unison John Connaghan - Director of Health Workforce and Performance, Scottish Government Derek Feeley Director General, Health and Social Care, Scottish Government and Chief Executive, NHSScotland Theresa Fyffe Director, Royal College of Nursing Lilian Macer - Unison John Matheson Director of Health Finance, Scottish Government Fiona MacKenzie for Ros Moore Scottish Government Patricia McNally Chartered Society of Physiotherapists Jackie Mitchell for Gillian Smith Royal College of Midwives UK, Scotland Andrew Russell Medical Director, NHS Tayside (via Video Conference) Jacqui Simpson Director of Regional Planning for South East and Tayside Jill Vickerman Policy Director, The Quality Unit, Scottish Government Martin Woodrow Scottish Secretary, British Medical Association In attendance: Andrew Anderson Scottish Government (Minute) Marilyn Barrett Scottish Government Jane Hamilton, Head of Staff Governance and Employee Experience Unit, Scottish Government Grant Hughes Scottish Government Janice Lennen - Scottish Government (Minute) Colin Mackenzie SOLACE (Scotland) Darren Paterson Scottish Government Liz Reilly NHS Tayside Garrick Smyth COSLA Alison Taylor Scottish Government 1

2 Apologies: Anne Buchanan Nursing Director, NHS Fife John Callaghan Society of Chiropodists and Podiatrists John Davidson - Head of Staff Governance, Scottish Government Stewart Donnelly Royal College of Nursing Sharon Duncan Unite Fiona Farmer Unite Angiolina Foster Scottish Government John Gallacher Regional Organiser, Unison Lorraine Hall NHS Shetland Anne Hawkins NHS Greater Glasgow & Clyde Aileen Keel Deputy Chief Medical Officer, Scottish Government Rona King Director of HR, NHS Fife Derek Lindsay Director of Finance, NHS Ayrshire and Arran Alex McLuckie GMB Scotland Ros Moore Chief Nursing Officer, Scottish Government Shirley Rogers - Deputy Director, Workforce, Scottish Government Gillian Smith Royal College of Midwives Laura Simpson Society of Personnel & Development (SPDS) Elizabeth Stow Scotland Officer, Society of Radiographers Agenda Item 1 Welcome, introductions and apologies The Chair welcomed everyone to the meeting. Members were informed of the list of apologies (noted above) and that the meeting today was quorate. Agenda Item 2 Minutes of meeting held on 10 October 2012 The minutes of the meeting held on 10 October 2012 were agreed by members. Progress on action points were noted as follows: Secretariat agreed that a Local Government representative should be invited to and that the issue should be considered as part of the substantive discussions on integration. Complete On Agenda Item 8; Auto Enrolment has not yet been discussed by the Scottish Terms and Conditions Committee but will be on the agenda for the Committee s December 2012 meeting where a decision will be made on whether it gets implemented in 2013 or 2017; Update: The Scottish Government position is that it is a matter for individual employers to decide, in partnership, whether to proceed with Auto-Enrolment in 2013 or to use Transition and defer to Staff Side wished to record that they would like to see Auto-Enrolment go forward as quickly as possible and did not, therefore, support Transition. It was noted, however, that discussions were still on-going within NHS Greater Glasgow and Clyde and that 2

3 nothing had been decided yet. If Transition is applied, all sides agreed that a campaign should be run to publicise the benefits of being in the NHS Scotland Pension Scheme. Complete; John Matheson to provide a form of words to clarify the Financial Position of NHSScotalnd; Update: June 2012 minute amended to state Resource under spend has been achieved through a partnership approach which has been essential from a political and policy perspective. The savings of 17.9 million are ring-fenced and can only be used for restricted purposes. Complete; Derek Feeley to send an advance copy of the Chief Executive s Annual Report to Members Complete; Staff Experience project to be on the agenda for the February 2013 meeting. Complete On agenda item 5; Shirley Rogers will ensure that the NHSScotland Partnership structures are engaged on Pan Scotland Workforce Planning. A paper for information has been circulated in advance of this meeting. Complete. Agenda Item Workforce Vision This is a standing item for. An update paper was circulated in advance of this meeting. Marilyn Barrett and Darren Paterson presented jointly on progress and during this and subsequent discussion the following points were noted: 2020 Workforce Vision programme progressing according to plan; Due for launch in June 2013 at NHSScotland event; Capability and Leadership workstream due to receive Leadership Review and Capability Review at the end of February 2013; Modernisation and Capacity workstream coordinating a number of workgroups focussed on service sustainability. It was noted that Staff Side didn t feel engaged with this workstream and requested improved arrangements for this particular workstream; Governance and Engagement workstream focussed on staff engagement currently; Revised deliverables for the programme discussed with Cabinet Secretary and HRDs; Need to engage with Local Authority and 3 rd Sector staff around integration acknowledged and will be taken account of in the 2020 Workforce Vision allowing flexibility of approach moving towards 2020; encouraged to support at NHSScotland event; The Board Level toolkit was issued on 13 December 2012 and contains guidance for Boards, power point presentations, posters, web banners, key messages and questions to be used in discussions; There is no need to duplicate work already undertaken, however, it is important for Boards to use the National branded (Everyone Matters) Posters etc; 3

4 The National Online Discussion Forum was launched on 7 January 2013 and will be used to supplement local facilitated discussions. Users will be guided through the key messages contained within the Board Toolkit, before participating in the online discussion forum; The Online Discussion Forum is hosted by SHOW and is accessible via the Boards internet at the following address: Scottish Government Assurance Returns are included in the Toolkit, the 1 st Return is due on 11 January and the 2 nd on 28 February Any anomalies between the Return and the Online Discussion Forum will be fed back to Boards; members were asked to raise awareness of the workforce vision website, online discussion forum and encourage staff to participate; A verbal summary of the online discussion was presented to. Outcome: members noted the update and recognised the importance of this work and the on-going engagement with staff. Agenda Item 4 Nottingham University Report on Partnership Working A paper was circulated in advance of the meeting. Jane Hamilton led a discussion on the development needs of Local Partnership Forums (LPFs). During the discussion the following points were noted. The Nottingham University Report on Partnership Working recommended that consider the development needs and support that health board partnership will require in the next 5 years; It was recognised that each LPF is different and they will have different development needs, although Core Business discussed locally will be generic at all LPFs; Concerns raised around having numerous short life working partnership groups and the risks this imposes on in keeping everyone informed; It was suggested that there is some confusion around when it is appropriate for Partnership Groups to report to or through Staff Side; It was agreed that there is a need for and LPF to improve communications up, down and across all partnership groups. Outcome: It was agreed that Alan Boyter and Jane Hamilton would draft a letter for co- Chairs to send to each Local Partnership Forum requesting details of their development needs. Action: A letter from signed by the 3 co-chairs will be sent to each Local Partnership Forum requesting details of their development needs. Alan Boyter and Jane Hamilton to lead on this work. 4

5 Agenda Item 5 Staff Experience Project Liz Reilly presented an update on the Staff Experience Project. During this presentation and the subsequent discussion the following points were noted: The aim of the project is to develop tools for monitoring staff experience and ultimately this should enhance patient experience; A Staff Experience Framework has been developed and signed off by the Staff Experience Steering Group; Two tools have been developed: Bespoke staff survey, with input from workforce, providing questions to staff linked to the 20 Employee Engagement Components; and Team Vitality Questionnaire which was an existing tool and has been further developed; Three Boards were involved in the 1st Pilot testing and four Boards in the 2nd Pilot testing of products. Three Boards will be involved in the 3rd Pilot testing of Bespoke Survey which was launched on 18th January 2013 and will last for 3 weeks. One Board has taken part in pilot three of Team Vitality. External validation report is due 1st March 2013; The Bespoke staff survey is being considered for validation by the University of West of Scotland and Team Vitality will be validated internally; This project has close links across all 2020 Workstreams; It was acknowledged that this was an excellent piece of work designed by the staff for the staff; Bespoke survey has been copyrighted as a number of sources are keen to use it; National Staff Survey will be informed by the Bespoke questions. Outcome: Progress noted and it was acknowledged that this excellent work is breaking new ground at a National and European Level. Agenda Item 6 Governance Narrative and Agreement A paper was circulated in advance of the meeting. Jill Vickerman led a discussion on the shared understanding and responsibilities for delivering governance which assures and improves the quality of healthcare in Scotland. During the discussion the following points were noted: The paper Governance for Quality Healthcare in Scotland has been developed to give an understanding of the role of governance in supporting the Quality Ambitions. The last page sets out in simple terms everyone s roles and responsibilities in delivering governance which assures and improves the quality of healthcare in Scotland. The paper does not replace any of the detailed strands of existing governance, but rather aims to clarify for Partnership colleagues how the different types of governance, 2020 Workforce Vision and the Healthcare Quality Strategy all fit together; 5

6 It was noted that Staff Side didn t feel engaged with Workforce planning issues and the 2020 Workforce Vision Modernisation and Capacity workstream: A Workforce Planning paper is currently being prepared and is to be discussed at the next meeting; It was noted that Cultures and Behaviours were not mentioned in the 4 quadrants and Jill invited input from the forum to change/add wording to improve paper. Outcome: Paper supported, with the addition of cultures and behaviours being added into the 4 quadrants. Robert Francis Inquiry report - NHS Mid Staffordshire The discussion on the Governance paper led into a discussion about the Francis Inquiry Report which was due for publication the following day. The following points were made: It was noted that the Francis report on the inquiry into NHS Mid Staffordshire was due to be published on Wednesday 6 February 2013; The report will outline identified system failures; There will be a number of recommendations which will need careful consideration so can anticipate any issues and learning for Scotland; The report will be analysed quickly to ensure consistency of response to issues and to reduce duplication. The analysis will be shared with ; The report and analysis will be discussed at a future meeting. Outcome: The Francis report is to be discussed at a future meeting. Action: Members to feed into Jill Vickerman any amendments to the paper Governance for Quality Healthcare in Scotland. Action: Workforce planning paper to be discussed at the next meeting. Action: Scottish Government will consider the issues raised in the Francis report and will share an analysis of these with members. Action: Issues and learning for Scotland from the Francis report to be discussed at a future meeting. Agenda Item 7 Integration of health and Social Care Alison Taylor and Grant Hughes joined the meeting and provided an update on progress. During the update and discussion, the following points were made: Analysis report of consultation responses published 19 December 2012 on Scottish Government Website; 6

7 The Scottish Government Response to the consultation is currently awaiting Cabinet Secretary approval and is on schedule to be published in the coming weeks; Team currently working on a range of subjects: - Governance and Accountability issues - Integrated Resources and Finances - Joint Accountability Officer - Joint Commission of services - Capacity planning - Locality Planning and professional engagement Work continues in developing surrounding guidance and documentation relating to the Bill; On schedule to introduce the Draft Bill to Parliament in May 2013; HR Short Life Working Group (SLWG) looking at the characteristics of the Jointly Accountable Officer (JAO) as well as terms and conditions, pay and governance and accountability issues. Colleagues within the group from local authorities and COSLA have helped with this scoping work; The next steps are to arrive at a job description for the JAO which is useable and which translates into good sense both for Local Government and NHS guidance on Joint Appointments, which, by and large, has worked well, is to be refreshed. The intention would be to rebrand this and reissue the guidance at an appropriate time which reflects progress being made on integration and the group is moving forward on this; It was noted that there are huge workforce issues (not just for JAOs) going forward with the integration agenda; The other HR group dealing with integration is the NES/SSSC group led by Prof Jim McGoldrick on workforce development. Outcome: noted the work in progress and asked to be kept up-to-date. Agenda Item 8 Extending Local Partnership Arrangements The Chair led a discussion on how the successful Partnership Model working across NHSScotland might be extended to Local Authorities and 3 rd Sector Organisations in the first instance to support the Integration of Health and Social Care. The Nottingham University Report recommended that consider the process of how to effectively integrate exemplary partnership working structures and practices into the broader industrial relations processes to integrate health and social care; Colin Mackenzie SOLACE (Scotland) and Garrick Smyth COSLA were invited to share their thoughts with the ; It was noted that there was a lot going on at a strategic level in NHS Scotland and Local Authorities; 7

8 There is a need to recognise the strengths and weaknesses of both NHS Scotland and Local Authority Models; It was acknowledged that there are sensitivities and development challenges for local Authority Staff Side going forward in partnership; Local Authorities should be able to share a paper on their Industrial Relations Model in due course; There is a need to connect with Community Planning Partnerships; It was noted that more thought is needed to integrate the 3 rd Sector. Outcome: The direction of travel was noted. AOB Financial Position of NHSScotland: John Matheson confirmed that the 2013/2014 budget will be confirmed to Boards in the next couple of weeks. Action: John Matheson to be invited to give presentation on Quality Driven Financial Performance at the next. Soft Facilities Strategic Review: A paper was circulated in advance of the meeting. The Chair highlighted that the review of the NHS Scotland Soft Facilities Management Services has started and that Martin Henry (Programme Director) will link in with Staff Side to ensure appropriate engagement. Date of Next Meeting The next committee meeting will be held on Friday 7 June 2013 in Conference Room 4ER, St. Andrews House, Edinburgh from Chair will be John Gallacher. 8