Minutes of the South Lanarkshire Public Partnership Forum 17 th September, 2pm Boardroom, Udston Hospital, Hamilton Present Jack Ferguson Derek Morgan Anne Berney Alex Morrison Mervyn Jones Anne Lindsay John Lindsay Colin Angus David Downie John Jamieson Fiona Boyle Lena Collins Calvin Brown Gillian Ventura Julie Arthur Chair, SL PPF Hamilton PPF Hamilton PPF Cambuslang/Rutherglen PPF Head of Planning & Performance, South CHP(Interim) Communications, NHS Lanarkshire Scottish Health Council PFPI Project Assistant (Minute Taker) In Attendance Ruth Glassborow Geoff Holt Richard Brewster Penny Leggate Project Director, Healthcare Improvement Scotland Area Manager, Scottish Health Council Programme Manager, Healthcare Improvement Scotland's Scrutiny and Assurance Team Public Partner, Healthcare Improvement Scotland Apologies Margaret Moncrieff, Jen Whyte, Wilson Paton, James McStay, Susan Morgan-Jones 1. Welcome and apologies Jack welcomed members to the meeting and thanked them for their attendance. A special welcome was extended to Ruth Glassborow, Geoff Holt, Richard Brewster and Penny Leggat who were in attendance to present to members on Hospital Standardised Mortality Ratios and facilitate discussion groups. 2. Minutes of previous meeting Minutes of the previous meeting were approved and proposed by Anne and seconded by Colin. 1
3. Matters Arising - Health Board Boundary Changes Lena advised that NHSL health board boundaries were changing. There were 58,583 patients in Rutherglen and Cambuslang and 20,400 in the Northern Corridor who would transfer from NHS Greater Glasgow and Clyde to NHS Lanarkshire. Patients would continue to be able to use the same GP and hospital services as they currently do when the changes are introduced on 1 st April next year. A lot of community services were already transferred in 2009. The changes relate mainly to community health services which did not transfer in 2009 in particular GP s, Dental practices, Optometrists and Pharmacy contracts. Some of the changes are very complex due to certain specialised services offered in Glasgow. A lot of work is being done to give things a more local focus and link in with the South Lanarkshire Partnership arrangements.. Lena agreed to keep members posted on the progress of the work. Anne Berney asked if an older person was in a Glasgow acute facility but lived in an NHSL catchment area and were to be discharged, how would this work. Lena explained that there are already pathways in place between Glasgow hospitals and Lanarkshire health services to ensure effective discharge arrangements. There are discharge managers who link with the NHSL community services to facilitate a persons discharge from hospital. - GP Clinical Forums/Display TVs - Get issues from GPs and get support from PPF and vice versa. Displays were not kept up to date as well as TVs. Send any points to Julie. - Hairmyres Liaison Meeting Share the minutes. - Self Referral Process for AAA Screening - Calvin confirmed there was a self referral into the system and he would send Julie the number to share with members. - IT Support Julie advised she would contact Chairs individually to find out their requirements in order to take this forward on their behalf. - South PPF Action Plan Julie advised she would be circulating a date for the next meeting. It had been felt that some training for members was necessary in view of the forthcoming potential impact that Integration of Health and Social Care may have on the PPFs. Jack said that training requirements would need to be based on the way forward but, at this moment in time, we didn t know what that would be. 4. HSMR - Ruth Ruth spoke to a presentation on the Hospital Standardised Mortality Ratio (HSMR) and the Rapid Assessment Review which was being carried out within NHS Lanarkshire. She explained how this was a complex measure looking at mortality in acute hospitals, impacted by a number of factors, and although this showed that the figures in Lanarkshire for the 3 acute sites were higher than the average across Scotland, it did not necessarily mean that the quality of care was poor or that services were unsafe, but provided a prompt for investigation. After all findings from the Review were collated, HIS would meet with NHSL to agree an action plan. The action plan and a full report would be published in December 2013. Members then split into 2 groups facilitated by Gillian, Richard, Geoff and Penny to capture any experiences PPF members had of the 3 acute sites in the last 18 months. 2
The sessions proved extremely useful and generated lots of feedback, both positive and negative. A document had also been produced by HIS asking the public to share their healthcare experiences at the acute sites in the last 18 months. This could be done via a number of methods including a dedicated telephone line, email or in writing. Three surgeries were also being held on 8 th, 9 th and 10 th October in Wishaw General, Monklands and Hairmyres where the public could attend and share their experiences. PPF members were strongly encouraged to share this document as widely as possible with their forums. Colin expressed concerns over how they will be able to produce the report and action plan in the timescale but Ruth confirmed the deadline of December 2013 would definitely be achieved. Anne Berney queried how the story all of a sudden appeared in the press with such a negative headline. Ruth advised that very clear briefings were given to the press but how they used the information was out of their control. Jack thanked Ruth, Geoff, Richard and Penny for attending. 5. Performance Measures Lena Collins Following on from the last PPF meeting, Lena updated members on how performance and success around Reshaping Care for Older People was measured in South Lanarkshire. There was a performance framework that the South Partnership (NHSL and SLC) measure success against which was then used to report progress to various departments in both the Partnership and Nationally through the Joint Improvement Team (JIT). She shared a paper that had previously been viewed at the Joint Services Management Group as well as presentation slides which included a logic model. The paper showed each measure and its progress. The logic model was used to evaluate the effectiveness of the various RCOP projects of which there were 40. An independent analysis of the reporting structure and the logic model was being carried out by Dr Helen Alexander. A report of this work is due to be completed by the end of September which would show how successful the work has been in relation to the contribution each project has made towards the outcomes identified within the logic model.this evidence will be used by the Partnership to inform future investment based on effectiveness.. The report would be shared with members once complete. Anne Lindsay advised that she had previously sat on the Older People s Bed Reconfiguration group but this no longer met. She voiced concerns around the Clydesdale area having a voice around Reshaping Care for Older People. As such, Julie agreed to send Anne and Colin the papers from the Joint Services Management Group whenever there was a meeting. This information was available to all PPF members on request. John Lindsay advised they had asked local councillors for information on RCOP progress but they were unable to give it, however Lena confirmed that they were provided with it. ACTION Julie to send JSMG paperwork to. 3
6. Update from other groups/ppf Membership Representative for Review of Primary Care Out of Hours Service a request had been received for a representative on this group. Julie advised she would circulate the request and if anyone was interested in being involved they could contact her. Representative for Review of Tuberculosis (TB) Service a request had been received for interested PPF members to attend a Stakeholder Event on 28 th October. Members were advised to contact Julie if interested. South Operating Management Committee (MM) Margaret s report was shared with members. The key items at the meeting were an update of the staffing difficulties associated with the Out of Hours service, Primary Care Prescribing, Prison Healthcare, RCOP Joint Commissioning Strategy, Integration Health and Social Care and Health Board Boundary Changes. Further minutes and reports were available on request from Julie. Margaret had also shared a PPF report with the OMC attendees which was well received. Joint Services Management Group (JF) Jacks reports from the last 2 meetings were shared with members. The main points were the rollout of the Integrated Community Support Team to other areas and the Joint Commissioning Strategy. The full minute and reports from both meeting is available on request from Julie. Hospital Standardised Mortality Ratios (JF) - A programme board had been set up which Jack had been invited to join at short notice. Jack advised that he would keep members updated on any important matters. Treatment Room Implementation Steering Group (JF) Jack shared his report where the main discussion was around the Option Appraisal for the Hamilton Treatment Room. He advised that an agreement was made to review the implications on travel for outer Hamilton patients. A further meeting would be scheduled and Jack would update accordingly. South Lanarkshire Reshaping Care Comms Sub Group (JA) Julie had attended this meeting in Jack s absence and her report was circulated to members. The full minute of the meeting was available on request. Stakeholder Engagement Group (JA) Julie shared her report with members. Points discussed included the Homeopathy Service, Hospital Standardised Mortality Ratios, Equality Outcomes and Reshaping Care for Older People. Karon Hamilton (Head of Communications, NHSL) felt that, as a result of the implementation of the RCOP Communications Strategy, the public perception of RCOP was changing from that of a bed closing exercise and was now reflecting the good work happening in communities. The full minute was also available on request. Strategic Transport Action Group (DD) - David attended the STAG meeting where the Corporate Travel Plan was shared with attendees. This was a significant document which was available on request. 150 Health Board staff had been on a corrective driving course which had resulted in a saving of 8-10% on fuel consumption. An electric car pilot had been trialled but hadn t been successful. Teleconferencing in NHSL was being encouraged and it was suggested that the PPF could use this facility. Julie agreed to find out more from Graham Johnston and feedback at the next meeting. ACTION Julie to contact Graham Johnston re teleconferencing. 4
Lanarkshire Infection Control Committee (SM-J) Susan s report was shared with the group. The full minute can be requested. HAI Comms Sub Group (SM-J) Susan s report was shared which highlighted the main discussion points being the HAI communication plan for 2013/2014, a new leaflet on Clostridium Difficile and Hand Hygiene in hospitals. Hand Hygiene had been raised by the North PPF rep who had noticed that few men used the hand gel when coming onto a ward. It had been agreed that a questionnaire would be produced to gauge people s knowledge of hand hygiene. Based on the feedback from the questionnaires a way forward would then be decided on how to promote and encourage hand hygiene. It was anticipated that stalls would be set up within each acute site to assist with completing the questionnaires and the PPF would be invited to help support the stalls. Food, Fluid & Nutrition (SM-J) Susan s report was shared. Main points discussed were the possibility of pictorial menus and provision of snacks, practices pertaining to fluid balance charts. The full minute is available on request. 7. AOB Recruitment of non executive directors - Calvin advised of events taking place to drive this and invited members to attend the events. He also distributed packs for those interested. Anne shared the sad news with members that one of s longstanding members, Bob Hook, had passed away. Bob was a very active member in Clydesdale and would be a great loss. 8. Date and Time of Next Meeting Tuesday, 12 th November 2013, 2.00pm, Boardroom, Udston Hospital, Hamilton Please note the first part of this meeting will be the AGM. 5