Item 5.1 NHS TAYSIDE DUNDEE CHP COMMITTEE Minute of the above meeting held at 2.00pm on Thursday 25 February 2010 in the Board Room, Conference Centre, Kings Cross, Dundee Present Mrs Karen Anderson, Head of Allied Health Professions, Dundee CHP Mr Alan Baird, Director of Social Work, Dundee CHP Mr Sandy Berry, Finance Manager, Dr David Dorward, Clinical Director, Dundee CHP Mr David Dorward, Chief Executive, Dundee City Council Mr Charles Ferguson, Community Pharmacist Dr Jenny Hanslip, Consultant Physician, Medicine for the Elderly Dr David Shaw, General Medical Practitioner Mrs Margaret Sherriff, Staff Side Representative Mr David Smith, Dundee Public Partnership Group Mr David Lynch, General Manager, Dundee CHP Mrs Betty Ward, Chairperson, Dundee CHP Mrs Joan Wilson, Head of Nursing and Public Health Apologies Cllr Ken Lynn, Dundee City Council Ms Morna Wilson, Chief Executive, Dundee Voluntary Action Dr Andrew Yuill, Dental Adviser, Primary Care Services In Attendance Mr Paul Ballard, Deputy Director Public Health, Ms Laura Bannerman, Manager, Community Services, Dundee City Council Ms Carol Greig, MS Physiotherapist, Dundee CHP Prof James Hogg, Independent Convenor, Adult Support and Protection Committee Ms Jane Martin, Manager for Children s Services and Criminal Justice, Dundee City Council Ms Lucy Rennie, Strategy & Performance Manager, Dundee CHP Ms Lynn Millar, Corporate Services Manager, Dundee CHP Ms Angela Scott, Non-Executive Member, NHS Board Mrs Betty Ward (in the Chair) 1. Apologies ACTION Apologies were noted as above. 2. Chairman s Welcome and Introductions Mrs Betty Ward, Chair, welcomed Prof James Hogg, Jane Martin, Carol Greig and the MS Project Team to the Committee Meeting. 3. Declaration of Interests Intimation of any update There were no declarations of interest noted. 24
4. Minute of Previous Meeting 4.1 Minute of 22 October 2009 The above minute was approved and adopted as an accurate record. 4.2 Action Points Update David Lynch confirmed Action Point 14 Prescribing Update would be brought to the next meeting following the Tayside plan on prescribing being presented to the Delivery Unit Committee on 3 March 2010. Action Point 15 - Health Equity Strategy and Action Point 16 - Performance Report will be brought to the April meeting. 4.3 Other Matters Arising There were no other matters arising. 5. Presentation Act against Harm Prof James Hogg the Independent Convenor of the Dundee Adult Support and Protection Committee gave a briefing to the Committee. Prof Hogg confirmed that work was progressing around legislation for adults at risk of harm to encourage collaboration between Local Authorities, NHS, Police and the wider community. A national framework is currently being developed which involves Local Authorities and the NHS and is now moving into the second year. Prof Hogg agreed to forward a copy of the annual report for circulation to the Committee members. Lucy Rennie asked if domestic violence abuse was included in this agenda or was this being addressed separately. Prof Hogg confirmed this was being dealt with separately but a representative was on the Committee from the Domestic Abuse Forum. Karen Anderson asked if a patient was in hospital and a professional was concerned around harm issues should they discuss this with the Consultant or should they approach Social Work. Prof Hogg confirmed there would be no objection to discussions with the Consultant but the Social Work Department should be notified. It was confirmed that were issuing guidelines in due course. The Committee thanked Prof Hogg for attending the meeting and looked forward to receiving updates. Update on Multiple Sclerosis Physiotherapy Project (dchp 01/10) Karen Anderson introduced Carol Greig and the rest of the MS Operational 25
Group to the Committee who gave an update on the physiotherapy Multiple Sclerosis project. The project has been very successful and the team have worked very well together. The original physiotherapy post was part funded by the Dundee branch of the MS Society and Dundee CHP for 1 year and the Social Worker post was funded by Dundee City Council and the MS Dundee Branch for 3 years. Since the completion of the 1 year physiotherapy post, recurring funding has been secured through the CHP for continuation of the part time post and the MS branch are again part funding additional hours to increase the service available. Angela Scott asked how the GPs linked in with this service and Karen confirmed that Shona Flucker is exploring ways to ensure GPs are aware of the services available. Angela also asked how this work would link in with the Long Term Conditions planning outlined in the Commissioning Plan being presented to the Board. David Dorward responded by saying that GPs were not specialists in this condition and required specialist input and it would be helpful if the information on this project could be sent out to practices again. David Lynch advised that the Commissioning intentions on Long Term Conditions was not disease specific but a Long Term Conditions Framework which describes the key characteristics and identifies areas of support around the holistic needs of the patient. It was also confirmed that an audit through TARPC for technical support was a good idea to measure quality of life and how we can support people at home. Alan Baird indicated he was really impressed with the information presented and confirmed that in terms of multi agency working this had been a very smooth process and thanked everyone for their work and hoped we could ensure this service is sustained for the longer term. The Committee noted and approved the work and outcomes of the project and looked forward to updates on the full project at a future date. 6. Performance Issues - 6.1 Performance Report (dchp 02/10) Lucy Rennie presented the performance report and asked the Committee to note the hot spot areas and confirmed that work was ongoing on how we reduce the gaps in these target areas and it was hoped linking into the Health Equity Strategy would help to close these gaps. It was agreed that a report would be brought to the next meeting. The Hot Spot areas were reported on and it was noted that the Mortality rates were increasing and a full report on this information was requested. Paul Ballard confirmed that a standardised data collection system was being developed and the Health Equity Action Plans will be drawing on this work with a targeted approach within the Commissioning area. 26
It was also highlighted that work was progressing to develop dashboards to link CHP and Local Authority data reporting and a timeline should be presented to this Committee showing the progress of this work. The Committee noted the report and agreed a report on Mortality, Waiting Times and Absence Rates would be brought to the April meeting. 6.2 Finance Report (dchp 03/10) Sandy Berry presented the finance report and confirmed that the Associate Medical Director, Primary Care is leading a group looking at opportunities for achieving further improvements in prescribing practice. Sandy also confirmed that all cost pressures are being monitored. Angela Scott asked Sandy if a conclusion on the Resource Transfer budget had been reached. Sandy advised that discussions between Dundee CHP and Dundee City Council around Resource Transfer had been taking place around savings targets. A resolution has been agreed for 2009/10 and discussion will take place between the Chief Executive and the Chief Executive of Dundee City Council around the Resource Transfer agreement for 2010/11. Recent discussions have taken place at the Health and Local Authority Management Group around Community Equipment costs and it was anticipated that the work ongoing around Integrated Resource Funding would impact on this and the service is being looked at holistically. The Committee agreed to note the information contained in the report. 6.3 Dundee Single Outcome Agreement Delivery Plan (dchp 04/10) Lucy Rennie presented the Single Outcome Agreement Delivery Plan and confirmed this was work in progress and further population of the plan would take place over the next few weeks. LR It was anticipated that further information would be available to bring to the August meeting. LR 7. Governance Issues 7.1 Child Protection Improvement Plan Response to Immediate Concerns (dchp 05/10) Jane Martin, Chair of task group improving immediate response to concerns presented a reported. Jane confirmed that following HMIe inspection, which indicated this area was unsatisfactory, the team had looked at areas of best practice and engaged in two staff consultation events. These events using tabletop exercises were extremely successful. The launch of the child protection line 307999, single agency and multi agency working, meetings of Chief Officers of Police, Health and Council and recruitment of a new Project Manager has had a major impact on improvements. A timeframe has been agreed by Chief Officers and an implementation plan is being prepared and an update will be brought back to this meeting later in the year. 27
Betty Ward asked if there was any way we could ensure the child protection line 307999 was continually promoted and kept in the public mind. Alan Baird confirmed this had been promoted on Radio Tay and all Primary Schools had been given wristbands with the number on them. All Council staff had been given the details on their payslips and it was agreed this would be progressed by the Communications Team for Health Board staff. The Committee noted the progress and agreed a further report with detailed implementation plans would be brought back to the meeting in August 2010. JM 7.2 Health Visiting Improvement Plan Update (dchp 06/10) Joan Wilson presented the most recent update on the Health Visiting Improvement plan and confirmed that progress was being made in a number of areas. Joan confirmed that the new Community Nursing Management team was now in place and Dundee now had a fully staffed service. Joan reminded the Committee that recruitment issues in Health Visiting had been reported but through reviewing the skill mix within the service and nurses going on Health Visiting training this had been resolved and the service was fully staffed. Joan also confirmed that an extensive training programme up to the end of 2010 was in place for nursing staff to ensure continuous training and upskilling. The Committee noted both the progress and challenges relating to the implementation of the improvement plan and were pleased to see improvements in joint working. The Committee expressed thanks to Joan for all her hard work. 7.3 Audit Report CHP Joint Working and Accountability (dchp 07/10) David Lynch presented the CHP Joint Working and Accountability Report. A review of joint working, particularly with Local Authorities and other Community Planning Partners had taken place in each of the three CHPs and the findings are set out in the report. The report indicated that Dundee CHP were making good progress recommendations for improvement were made. The relevant actions are contained within the Action Plan attached to the report. The Committee noted the report and agreed the General Manager would ensure the relevant actions contained in the action plan were implemented. It was also agreed that a further update on the actions would be brought back to this Committee at the August 2010 meeting. DWL 8. Items for Information 8.1 Health Equity Strategy Dundee CHP Response to Consultation 28 The final report was presented and it was confirmed that discussion would take place with Drew Walker to agree an action plan for Dundee CHP which would be presented to the Board by June 2010.
8.2 Record of Attendance The record of attendance was noted for information. 9. Date of Next Meeting The next meeting will be held on Thursday 29 April 2010 in the Board Room, Conference Centre, Kings Cross, Dundee. 29