NHS GRAMPIAN Minute of the Area Clinical Forum Meeting held on Wednesday 21 January 2015 at 4.30pm in the Training Room 233, 2 nd Floor, The Suttie Centre, Foresterhill Present: Dr Helen Moffat, ACF Chair and Chair, Grampian Area Applied Psychology Advisory Committee (GAAPAC) Mrs Jackie Berry, Chair, Allied Health Professionals Advisory Committee (AHPAC) Mrs Pamela Cornwallis, Vice Chair, AHPAC Ms Jenny Gibb, Vice Chair, GANMAC Ms Lynne Lawrence, Vice Chair, Area Pharmaceutical Committee Mr Chris Llewellyn, Chair, Area Healthcare Scientists Committee (HSC) Mrs Jenny McNicol, Chair, Grampian Area Nursing & Midwifery Committee (GANMAC) Dr Rebecca Riddell, Chair, GP Sub-Committee Mrs Ann Smith, Chair, Area Pharmaceutical Committee (APC) In Attendance: Mrs Jackie Bremner, Project Director (Item 6) Dr Nick Fluck, Medical Director Mr Derek Petrie, Tobacco Control Coordinator (Item 3) Mrs Elinor Smith, Director of Nursing & Quality Mr Graeme Smith, Director of Modernisation Mr Malcolm Wright, Interim Chief Executive Ms Tracey Leete, Minuting Secretary Item Subject Action 1. Apologies Mr David Corry, Chair, Area Optometric Committee (AOC) Dr Izhar Khan, Chair, Area Medical Committee (AMC) Mr Angus Lorimer, Vice Chair, GAAPAC Mr David Shaw, Chair, Grampian Area Dental Committee (ADC) Mrs Susan Webb, Acting Director of Public Health 2. Minute of meeting held on 12 November 2014 The Minute of the previous meeting was approved as an accurate record. 1
3. NHS Tobacco Policy Mr Petrie updated the Committee that with effect from 1 April 2015 all NHSG premises are to be completely smoke free and designated smoking areas will be removed. Mr Petrie sought the advisory structure s assistance with the implementation of the NHS Workplace Tobacco Policy and to help raise awareness of protocols and encourage staff to undertake the e-learning package. In response to queries raised by the Committee, Mr Petrie clarified that the use of any tobacco product, including e-cigarettes, will not be permitted anywhere on NHSG premises. Mr Petrie advised that the University is also committed to the policy and a common branding is to be used on shared sites with NHSG. Mr Petrie also explained that the policy applies to independent contractors and premises, i.e. anyone who is conducting NHS business, however it still needs to be established how this is to be disseminated. Dr Riddell suggested that the Primary Care Integrated Management Group (PCIMG) would be able to assist with dissemination of the policy to contractors. Mr Petrie is producing a brief for the Acting Director of Public Health to take to the next Executive Team Meeting. The ACF supported the move to NHSG grounds being smoke free, in line with the Scottish Government s tobacco control strategy. Members agreed to assist in disseminating information about the change amongst clinicians through the advisory committees, including information about prescribing Nicotine Replacement Therapy and the available e-learning package for staff. However ACF members did anticipate significant staff anxiety about enforcing this policy in practice. ALL The Committee recommended that this item be brought back to ACF in due course for an update. 4. Matters Arising 4.1 Clinical Advisory Structure Meeting 16 December 2014 A number of those present had attended the joint meeting on Tuesday 16 December 2014 and felt it had been beneficial. Its purpose was to build on the first joint meeting held on 10 June 2014 and to look at the Clinical Engagement Plan and Health and Social Care (H&SC) Integration and how this would shape the advisory structure in the future. 2
Feedback from the event was collated and highlighted common themes. These included the potential challenges for the advisory structure to provide strategic and timely advice and the need for a workable arrangement with the three Integrated Joint Boards (IJBs) in order to progress. The Committee agreed that both joint meetings had been illuminating and provided useful informal discussion with management and other professional advisory committee members. 4.2 Review of ACF Constitution The ACF constitution sub group had met to review the constitution and had suggested a number of specific changes and clarifications which were focused mainly on voting and the role of Chair. The group had drawn from local discussions as well as ACF constitutions of other Scottish Health Boards. Suggestions from the group included the creation of an ACF Vice Chair for succession planning and development. Those present agreed this would be beneficial but recognised that amendments would need to be circulated to all ACF members for agreement. It was queried if the Vice Chair would automatically move into the position of Chair; however there was not a strong argument for this to be the case given it could result with someone in the role of Vice Chair/Chair for up to 8 years. A frequent suggestion raised was that all constitutions have 2 votes per each advisory committee from the Chair and Vice Chair, which represents their Committee s view. This would include AMC and mean that the Consultant and GP sub committees would remain as sub committees, however, it was suggested that having an AMC chair and vice chair could ensure representation of both consultants and GP s. This idea was met by further debate from ACF members present and therefore it was agreed to take back to the constitution sub group for further consideration. The Committee also agreed to include a constitution review date. There was a largely positive response from members to the suggestions put forward and, whilst discussion is ongoing, it was hoped that the group would be in a position to present a new version of the constitution for the Board to consider in the near future. Dr Moffat to gain feedback from ACF members not in attendance and confirm with the ACF constitution sub group. HM 3
4.3 Clinical Engagement Plan The ACF recognised that most of the actions outlined in the Clinical Engagement Plan have now been achieved or are progressing. Work on streamlining communication and co-ordinating Board and ACF agendas is ongoing. Members welcomed the opportunities for informal discussion with Board members afforded by the meeting of the whole advisory structure on 16 December and the Board Seminar on 16 January, which included a focus on NHSG s proposed action plan in response to the Health Improvement Scotland reports and the Royal College of Surgeon s report. Members have highlighted the need for clarity in relation to whether actions are relevant only in the context of the ARI or across the whole of NHSG. The ACF also welcomed the executive s intention to incorporate the range of actions under discussion into one clear plan for the organisation. GS 4.4 Communication ongoing developments Mr Smith advised that the long-term aim for the advisory structure to exchange communication via a central source is in progress. Ms Leete is currently pursuing HI-Net as a possible interim route given a new HI- Net Advisor is now in post and the webpage is to be revamped with a password/protected area for ACF. The web page is as follows: http://www.hi-netgrampian.org/hinet/8645.4.894.html Ms Leete to provide a HI-Net update at the next meeting. TL 4.5 Mental Health Update Ms Gibb provided the Committee with a brief update of the ongoing service review and design which includes looking at finance, recruitment and admissions and will need to involve GP colleagues. The Committee agreed to keep this item on the agenda and Ms Gibb to provide an update when applicable. JB 4.6 Developing and Improving the GMED OOHs Service Dr Riddell advised that Dr Hogg, Clinical Lead for Modernisation, presented his draft paper to the GP Sub Committee on 19 January and will also attend its March meeting. It was recognised the development of GMED would implicate other services. The committee noted the ongoing challenge of staffing the out-of-hours service provided by GMED and the advisory committees are involved in 4
the discussion of creative multi-professional approaches to help address this challenge. Dr Moffat to circulate the draft paper to ACF to disseminate to their committees. Mr Smith to establish if there is a revised paper. HM/GS The Committee agreed to keep this item on the agenda and invite Dr Hogg to a future meeting. 5. Vale of Leven Report Mrs Smith is to take forward the Vale of Leven actions on behalf of NHSG and advised that recommendations for Health Boards include national policies, clinical governance, antibiotic prescribing and sharing learning. A paper has been submitted to the next Clinical Governance Committee and February Board Meeting. Mrs Smith to circulate the Board Paper to ACF. ES 6. Launch of Women s Hospital and Cancer Centre update Mrs Bremner gave an overview of current status of the project, including possible locations for the new facilities on the Foresterhill site. Dr Riddell noted that the favoured site for the women s hospital would involve the relocation of Foresterhill Health Centre. Briefings are ongoing throughout the advisory committees updating members on the launch of the Women s Hospital and Cancer Centre. The ACF members valued the opportunity to be involved in discussions about these developments and recognised the importance of the clinical strategy workshops in agreeing the services to be delivered in these settings by the end of April, and the schedule of accommodation after this. The Committee agreed for this to be a standing item on the agenda. HM/TL 7. Health and Social Care Integrated Joint Boards (IJBs) Integration Schemes for consultation Mr Smith introduced a covering paper and the draft integration schemes which have been prepared by the Moray, Aberdeen City and Aberdeenshire Transitional Leadership Groups (TLGs) on behalf of NHSG and the relevant local authority. The draft schemes need to be approved by 31 March 2015 and will be 5
submitted to the Board meeting on 5 March. Once approved amendments can only be made with the Scottish Minister. The ACF has considered how the Advisory Structure will relate to the three IJB s and is in discussion with the three Chief Officers to ensure that the nature of the relationship between the IJB s and the ACF is outlined appropriately in the Integration Schemes. The Committee were asked to provide any feedback to Mr Smith or Dr Moffat by 10 February 2015. The Committee agreed for this to be a standing item on the agenda. ALL HM/TL 8. Chair s Update ACF Report to the Board 12 November 2014 Report was circulated. Items for next Board meeting - Review of ACF Constitution - Clinical Engagement - Workforce - NHS Tobacco Policy - Women s Hospital and Cancer Centre HM 9. Director of Public Health Report The latest report was circulated for information. 10. Updates from the Advisory Committees Due to a lengthy agenda there was not enough time for each committee to provide an update, however previous minutes were circulated. 11. Minutes 12. AOCB Recent minutes were circulated for information. Cancellation of Dental Paediatric Exodontia General Anaesthetic Lists 6
Mr Shaw had asked the committee to note in his absence that there have been numerous cancellations of the above in Aberdeen due to circumstances outwith the control of Dental Services. This has resulted in over 300 children with dental sepsis or pain being on a waiting list and having to wait 6-7 months for treatment. Dr Moffat to circulate email received from Mr Shaw on behalf of ADC for the ACF s consideration. HM 12. Date of Next Meeting The next meeting will be held on Wednesday 18 March 2015 at 4.30pm in the Meeting Room, Foresterhill House, Aberdeen Royal Infirmary. 7