South West Glasgow Community Health and Care Partnership

South West Glasgow Community Health and Care Partnership Development Plan 2007/2008

FOREWORD I am delighted to be presenting the second Development Plan for the South West Glasgow Community Health and Care Partnership. Our first Plan for 2006/2007 focused on much of the transitional work that required to be carried out across both NHS Greater Glasgow and Clyde and Glasgow City Council Social Work Services. During this first year of operation our staff and Committee members worked extremely hard to ensure that we began to deliver our priorities and objectives over the year and to demonstrate how, by working together, we can make a difference to people living within the South West area. We have listed a number of things that have worked particularly well last year in the Achievements section of this Plan which includes integrated working and streamlining service access; establishment of our PACT teams; co-location of our mental health staff into two sites at Brand Street (Govan) and Rossdale (Pollok) and the establishment of effective partnership working arrangements. This Plan develops further much of the work that has been started and during 2007/2008 we will continue to deliver on a diverse range of CHCP activities in partnership with many agencies and organisations to deliver better health and social care services and to improve the health and well being of our service users. I hope that you will find this Plan informative and interesting. If you have any comments on the content or if you want to find out more about South West Glasgow CHCP, please contact: Fiona Moss/Janet Hayes South West Glasgow CHCP Strata House 135 Fifty Pitches Road Cardonald Business Park Glasgow G51 4EB Phone 0141 276 4609 Councillor Stephen Curran, Chairperson, South West Glasgow CHCP South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 3

4 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

CONTENTS FOREWORD... 03 1 INTRODUCTION... 07 2 KEY CHALLENGES... 09 3 KEY ACHIEVEMENTS...10 4 LOCAL PRIORITIES...13 5 EQUALITIES...16 6 THEMES...18 6.1 FOCUS RESOURCES ON GREATEST NEED...19 6.2 IMPROVE HEALTH AND REDUCE VULNERABILITY... 23 6.3 IMPROVE ACCESS... 29 6.4 GETTING THE BEST FROM PUBLIC FUNDS... 32 6.5 CREATE AN EFFECTIVE ORGANISATION... 37 6.6 MODERNISE SERVICES... 40 6.7 SHIFT THE BALANCE OF CARE... 44 6.8 ENHANCE INCLUSION FOR EFFECTING CHANGE...51 7 HOSTING RESPONSIBILITIES... 55 8 FINANCIAL PLANNING AND RESOURCING... 56 APPENDICES: 1 CHCP SENIOR MANAGEMENT TEAM AND COMMITTEE MEMBERS... 62 2 CHCP STRUCTURE CHART... 63 3 INVESTMENT PRIORITIES AND RESOURCE SHIFTS... 64 South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 5

6 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

1 INTRODUCTION South West Glasgow Community Health and Care Partnership (South West Glasgow CHCP) was formally established in April 2006 and our first Development Plan was produced during a year of transition and great change. This Plan reflects the priorities and planned action of South West Glasgow CHCP for 2007/08, setting these in context with progress made during our first year of operation where appropriate. The Plan is focused on 2007/2008 but recognises longer term requirements throughout. The one-year focus enables the CHCP to align with Community Planning timescales. Our development plan reflects the requirements we have for NHS Greater Glasgow and Clyde, Glasgow City Council Social Work Department and priorities and pressures coming through from our services, our service users and our partners. Our actions for 2007/08 are given under seven core themes, in line with planning guidance. We have added one further theme around our ambitions for developing an inclusive organisation. The themes are ordered according to the level of priority given to each by local stakeholders: Improve Health and Reduce Vulnerability: change key factors and behaviours, which impact on health Focus Resources on Greatest Need and Reduce Inequalities: ensure that the more vulnerable sectors of our population have the greatest access to services and resources that meet their needs Improve Access: ensure service organisation, delivery and location enables easy access Improve Resource Utilisation: making better use of our financial, staff and other resources Create Effective Organisation: be credible, well led and organised and meet our statutory duties Modernise Services: provide our services in ways, and in facilities, which are as up to date as possible Shift the Balance of Care, closer to home: delivering more care in, and close to, people s homes South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 7

Enhance inclusion for effecting change: seeks to work with partners and communities to raise the standards and range of care available across the area and contribute to the wide social renewal agenda locally. This Plan also identifies our financial and investment priorities over the years 2007/10 with an emphasis on 2007/2008 describing how we intend to deliver services to begin to meet these investment priorities. 8 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

2 KEY CHALLENGES We have faced a number of particular challenges in the South West during 2006/2007 including: Developing a new partnership organisation: this was a significant challenge during 2006/2007 as we had to bring together different structures, ways of working and responsibilities for staff within Glasgow City Council and NHS Greater Glasgow and Clyde. Over the year there have been developments within both the NHS Agenda for Change and the City Council s Workforce Pay and Benefits Review and both these pay modernisation programmes will address a number of employment issues including equal pay. Children s Services: The key challenge for Children s Services within the South West is to move to more integrated provision to support all children but to target the most vulnerable children within the area. South West Glasgow CHCP, together with the other Glasgow City CHCPs, are planning to integrate their health and social work services to better support children who use our services. Older People: A key local challenge is the number of older people whose discharge from hospital is put back because of the delay in the provision of packages of care at home. However, we worked with the hospital services to ensure more joined up planning and over the next year we will continue to link with these services to improve in this area. Health Improvement: South West Glasgow is performing poorly in relation to a number of indicators of good health, with parts of our area having the third lowest life expectancy for men in Scotland. Of particular local concern are the proportion of residents still smoking, high levels of alcohol use, suicide rates, exceptionally poor oral health for children and growing levels of obesity. South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 9

3 KEY ACHIEVEMENTS In 2006/2007 we have established a number of new services to allow people to directly access services more easily and increases the range of services offered to the public. These include: Parents and Children Together Teams (PACT): Two PACT teams bringing together Family Resource Teams from Social Work, Health, Education and the Voluntary Sector were developed during 2006/2007. The teams are co-located in Govan and Pollok and have provided parenting support, health improvement and individual intensive support to a number of vulnerable families across both areas. Mental Health Teams: Our mental health staff have co-located across two sites during 2006/2007. Brand Street for the Govan area with Carr-gorm Scotland, our voluntary sector partner, also based there from April 2007 and Rossdale Centre for the Pollok area. Plans are near completion for an extension to Rossdale in order to accommodate Psychiatry and Psychology services, currently being delivered from the Southern General Hospital. Oral Health Action Team: Ensuring the successful integration of new staff and the implementation of the Childsmile project has been the overall priority for the oral health action team this year. As the South West has the highest levels of dental decay (74%) in 0-5 year olds in Greater Glasgow, reaching the national target of 60% of 0-5 year olds caries free was not a realistic goal. However with the expansion of the Team and effective partnership working with Health Visitors, Dental Practices, the Parents and Children Together Team, a range of Voluntary Organisations and others we have started to make headway on this. A new Community Dental Service specifically for children was introduced in the South West Glasgow area recently; with greater access to dental services it is envisaged this initiative will significantly improve children s access to dental health services in the area. Foot and Ankle Triage: This service improvement was developed as part of a collaborative between community based Podiatry and hospital based consultants. This has meant those who require this service accessing help more quickly and avoiding delays for initial assessment to establish eligibility. Learning Disability: Our Learning Disability services have relocated to a new base in the Wedge building in Pollok and have developed several outreach services within community bases. We have also introduced a health check tool to improve 10 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

the physical health of people using our services. Addictions Services: In 2006/2007 our Addictions Services supported around 2,000 people and helped 132 individuals into employment, training and education. We have also been reorganising the way in which we plan and deliver other services, which will improve the way we provide our services this year. Partnership working within the CHCP. We have established an effective CHCP Committee, Staff Partnership Forum, Professional Executive Group and Public Partnership Forum. All have nominated permanent reps to Committee. The PPF Executive is functioning well and a further public event was held during the summer. Good links are established locally with our local Community Planning Partnerships, Local Economic Development Company and Strathclyde Police. Children and Families: Working within the context of the city-wide planning arrangements for Children s Services, we established a local planning group to begin the process of looking at how we can deliver integrated Children s Services across the South West area. A local Area Children s Services Forum was established and includes key representatives from New Learning Communities, Community Planning, Police, Culture & Sport Glasgow, Voluntary Sector, Health and Social Work and initial priorities and actions have been identified for development during 2007/2008. This will mean that Children s Services will be provided in a more joined up way to meet families needs. Health and Community Care: a Rehabilitation and Enablement Services management team has been created bringing together managers from social work and primary health care to focus on the key issues facing older people and adults with long-term conditions. Criminal Justice: Social Work Criminal Justice Services play a key role in developing services across the South West area. During 2006/2007, we added an enhanced management structure by appointing a specialist Criminal Justice Operations Manager which allowed us to develop a local set of priorities for this year. Over 2007/2008 a number of developments will continue to be made and a range of services will be devolved to the South West area, namely, Community, Probation and Through Care Services. Accommodation: This was a significant issue across the South West area, particularly in Govan. Part of our Children s Service was relocated to the Pollok Civic Realm and a lease was agreed for Rowan Park to enable us to co-locate mainstream services for the Govan area. We have relocated a number of our other services including learning disabilities to the Wedge (Pollok), staff from Shawbridge South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 11

(Pollokshaws) office relocated to Langton Road (Pollok) and an additional lease for Strata House (Cardonald) has been secured to allow more CHCP management staff and the local Community Planning Partnership teams to be located together. 12 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

4 LOCAL PRIORITIES We engaged with over 100 staff, 80 key stakeholders and local people and our Committee members in February 2007 to ensure a wide range of people and organisations were able to influence our local work programme for the year ahead. Staff from local organisations, partner agencies and local people were represented at the stakeholder session and were able to vote on key local gaps and priorities. Although no single mechanism can adequately reflect all needs and priorities we were heartened by the level of agreement achieved at, and across, these events. From these events, a range of common priorities emerged including: Gaps in Existing Services and Priorities Alcohol: our Professional Executive Group has prioritised alcohol use due to the higher than average number of alcohol related admissions to hospital of our local population Domestic Violence: the need for a domestic violence strategy has been raised to ensure that we respond to this issue locally and link to other appropriate services eg. housing providers Resources for Carers: respite for carers and appropriate support and training are required Older People s Day Care: in line with city-wide planning, we will review the existing provision of day care to identify required new developments Organisational Effectiveness Staff Development: training and development of our first line managers Developing practice standards which values staff and service users Administration Review: South West Glasgow CHCP is currently leading on the review of administration services. There is a significant disparity in access and support provision for staff teams and professional groups across the South West Glasgow CHCP Co-ordination across services: need to ensure that there is clarity around how we link across our own services as well as with external agencies and the local community who use these services Making it easier for people to access services Getting people to the right service at the right time South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 13

Service Pressures The Quality of Care for Looked after Children: we need to ensure that all these children have an allocated worker and a completed care plan in order to ensure that we are offering the highest level of support required Provision of Parenting Support: we will be undertaking an audit of provision across the area identifying any gaps and this will link in to the development of a range of family supports to assist parents with caring for their children Sustainability and continuity of services/projects: there is a need to ensure that resources available are targeted at areas where there is most need and at the most vulnerable people living across the South West area Specialist Children s Services: South West Glasgow CHCP does not have a dedicated specialist children s health service. However, work is ongoing to address this issue in order that this key service will be delivered to children within our local area District Nursing is under real pressure to meet the demands of the shift from hospital to community care. Additional resource is required to manage this demand and to allow a proper review of the range of services necessary to support and care for people at home Greater demand is being placed on Allied Health Professionals to establish preventative services and to provide direct access arrangements. This is highlighted in Podiatry s innovative Foot and Ankle Triage and in Physiotherapy s Direct Access process The move towards self-managed care has accentuated the need for a service wide review to free up resource to extend schemes such as Direct Payments The following diagrams reflect the most commonly voted major gaps and top priorities from the Stakeholders event. South West Glasgow CHCP has used these, along with our knowledge of the needs of children, young people, vulnerable families and other excluded groups to construct the work programme for 2007/8. 14 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

Major Issues Priority Issues South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 15

5 EQUALITIES Single Equality Scheme For the first time, public sector organisations are required to develop Equality Action Plans as part of equalities legislation requirements. South West Glasgow CHCP welcomes this policy drive and will pilot an Impact Analysis performance approach in any redesigned services prior to extending this to all parts of the service. Over and above this, our first action plan will focus on the review of Reception Services and Referral Management Processes. In developing integrated accommodation we have agreed to develop central access points across South West Glasgow CHCP where a range of services can be provided. This will provide a one stop shop approach and we will ensure that this service is accessible and responsive to all equalities issues. Gender Gender is one of a number of factors contributing to inequalities in health status. In Glasgow, life expectancy for men is currently 7 years less than for women. Last year the CHCP extended the funding to the Wellman Clinic service beyond the trial funding made available from the Scottish Executive and we are awaiting the outcome of the national evaluation. This year we will assess the findings of the evaluation and agree a sustainable approach for this activity. Inequalities Sensitive Practice Initiative (ISPI) This initiative received funding in 2006 from the Scottish Executive and aims to embed inequalities sensitive practice in and across the diverse health settings of addictions, children s services, maternity and primary care mental health. The lead for primary care mental health is based within the CHCP. Last year, we clarified that the two key themes for the ISPI are gender and poverty. 16 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

Over the next year we will: Increase detection of poverty related issues and access to support from financial inclusion services Increase detection of domestic violence experienced by women and men Increase access to support for survivors of domestic violence Increase uptake by equalities groups to mental health services in South West Glasgow Asylum Seekers/BME Communities During 2007/2008 work will be done within the South West Glasgow CHCP to develop integrated asylum seeker services. Our service hubs will implement the findings of the BME impact pilot and this will ensure that BME service users receive an efficient and effective service that is suitable to their needs. South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 17

6 THEMES AND KEY RELATED ACTIONS This Development Plan outlines what we will do based around the seven corporate themes for NHS Greater Glasgow and Clyde, the strategic objectives for Glasgow City Council Social Work Services, our performance during 2006/2007 and activities we are committed to delivering in response to local need and priorities identified. A summary of the key actions we intend to develop this year include: Developing our Services Reception Services simplifying public access to services across our area Co-location of our staff and services to improve access and response times and joined up interventions for people using our services Developing community based supports for families, specialist children s health, young people, children and adults with a disability, early intervention for older people, people with dementia, carers, mental illness, mental health crisis service and asylum seekers Employability developing a local strategy and implementing our new employability bridging service Alcohol developing early intervention responses across our area Developing our Organisation Focus on First Line Managers as key leaders in our service Improve our Customer Care focus Review of Health Improvement, Community Engagement and Development and Admin services PPF development putting our PPF at the heart of our service Practice Development improving standards and implementation of best practice Changing the culture of how we deliver services The following section provides more detail on what we will do related to these key actions and the Corporate Themes. 18 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

6.1 FOCUS RESOURCES ON GREATEST NEED Greatest need means different things to different communities, professionals and organisations. In the South West Glasgow CHCP greatest need is used to describe: The most excluded/vulnerable residents who have the shortest life expectancy and poorest life experiences. In South West Glasgow this relates to particular neighbourhoods, specific service user groups and groups with a common bond e.g. asylum seekers. Need is determined by research evidence, professional opinion and community views. Greatest need is also partly reflected in the demand for existing services. CHCP services that are struggling to meet local demand are seen as reflecting an unmet need for health and social care that we must consider and address. This is especially true where we have strong evidence that a person s quality of life is fundamentally improved by having access to these services. Across the South West, we have a number of communities that feature within the most deprived and poorest areas of Glasgow, as described by the Scottish Index of Multiple Deprivation (SIMD). The SIMD was updated in October 2006, and showed that the number of neighbourhoods or cluster of streets (known as datazones) within the worst 15% ranking reduced from 374 to 330 in Glasgow. The following table shows the shift in deprivation across the two local Community Planning Partnership areas in South West Glasgow. Govan/Craigton LCPP Greater Pollok & Newlands/Auldburn LCPP 2004 20062004 2006 Total population in LCPP area 61,504 60,453 (-1.7%) 53,852 54,917 (+2%) Total no. of datazones 72 72 62 62 No. of datazones within the worst 15% 40 37 31 28 No. of datazones within the worst 15% 35,288 (57.4%) 31,713 (52.5%) 27,756 (51.5%) 25,080 (45.7%) South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 19

With over half our population (56,793) still living within the worst 15% of datazones, there is much work still to be done. The most affected neighbourhoods are Ibrox and Central Govan. Following on from the Let Glasgow Flourish report the Centre for Population Health will analyse and present information on the well-being of people living in the South West of Glasgow later in 2007. This will be used to assess key areas of action and gaps. Last year South West Glasgow CHCP became aware of the lack of support for children affected by addiction and mental health problems within their family life. During 2007/8 we will investigate the needs of these children and young people and consider, with them, how best to address these needs. Vulnerable Children and Families South West Glasgow CHCP is committed to providing seamless services for vulnerable children and their families at the earliest possible stage. We have implemented various initiatives this year and will continue to provide further support mechanisms for those greatest in need including: Women s Reproductive Health Service In order to improve services for women pre birth and to support positive parenting, the Women s Reproductive Health Service is now operating within the CHCP. This service offers early identification for those women and children who are of greatest need and offers a range of supports and interventions to them. The service over the next year will begin to develop pre birth group work activity for women in order that they can receive consistent advice and support on parenting and lifestyles. Drug and Alcohol Misuse The impact of addictions on children in the South West area is significant and our Addictions Services will continue to focus resources on families affected by drug and alcohol misuse over the next year. Development of an Integrated Family Support Strategy The CHCP is committed to developing a range of family supports to assist parents with caring for their children. This will be developed around the Parents and Children Together (Pact)Teams who will work closely with a range of 20 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

agencies to offer individual and group support for the most vulnerable children and their families. This strategy will clearly focus on improving parenting skills and will support parents to develop confidence and safe care skills. The strategy will also have a clear link to the community capacity building agenda and will assist the most socially excluded families to become active members of their community and will link to the developing employment and training agendas within the area. Child Protection Services This is a key statutory service provided by every CHCP. We are committed to working collaboratively in the field of child protection to ensure that children who are of the greatest need within our community receive effective interventions. A local Child Protection forum will be established to ensure that all agencies are working together to support children and to keep them safe. This group will address issues that will enhance local child protection practice and delivery of services. A key priority of this group will be the development of a Gap Analysis in order to ascertain the level of need of children affected by: - Parental substance misuse - Parents experiencing mental health issues - Domestic Violence This Gap Analysis will assist us to plan and develop more effective services in the South West area during 2008/2009. The local Child Protection Forum will have a key responsibility in delivering Child Protection training to staff and stakeholders across the CHCP. This Forum will work in conjunction with the Child Protection Unit (CPU) based at Yorkhill, the Glasgow Child Protection Committee and Social Work Child Protection Services. The CHCP will liaise with the CPU to deliver training to GPs in order that they can research more of these affected children. Development of Integrated Disability Services There are significant opportunities within the CHCP to streamline services for children with additional support needs. With the development of the Integrated Children s Services base within Pollok Civic Realm there is a real opportunity to examine how we deliver our services for children with additional support needs across the area. It is our clear intention to begin to bring these services together in order that children receive as seamless support as possible. This will include the South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 21

co-location and closer collaboration of Social Work Disability Services and Specialist Children s Health Services including; speech and language therapy, physiotherapy and child development services. Vulnerable Adults and Older People A major focus of our work will be strengthening the links between community and hospital based care to ensure continuity of care for those who require our services. This will require a review of current services and will lead to real improvements in how these are provided. The creation of the Early Intervention Service in Health and Community Care will ensure that the required service is provided timeously to avoid further deterioration of the person s condition or the use of inappropriate or costly alternatives. Further work will be done around older people with mental illness or dementia to ensure that community based supports are available equally across the CHCP. A local review of people with long-term conditions will be carried out to test out new approaches to the management of their care. An initial focus will be on Diabetes. There is an urgency in reviewing the Out-of-Hours and Crisis Care services. The Adult Support and Protection(Scotland) Act 2007 provides an excellent opportunity to revise practice and procedures and to raise the standards in assessment and care management. 22 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

6.2 IMPROVE HEALTH AND REDUCE VULNERABILITY Health Improvement All staff within the South West Glasgow CHCP act to optimise the health and quality of life of residents. Many staff already consider prevention and health promotion aspects as part of their interaction with service users. This includes: GP referral schemes for exercise, smoking cessation, adult literacy and money advice in addition to advice/support normally offered by the primary health care team Children and Families social work and health staff referral to oral health programmes, credit unions, counselling and emotional support services, and specific local prevention activities for young people Community Older People Team support and referral into the exercise programme established in Penilee for older residents The health improvement roles of CHCP staff will continue to develop over 2007/2008, and be supported by our team of dedicated health improvement specialists. This section captures the key additional/new activities of the CHCP for 2007/2008 supported by the Health Improvement team. To support the integration of health improvement into the South West Glasgow CHCP, the Health Improvement Team will be reorganised during 2007/2008 and the necessary move from an interim to a substantive structure will take place. During the past year, the team worked on a number of areas for health improvement and many of the 2007/08 ambitions stem from this preparatory work. These include: Oral Health: Health Improvement Priority Project Our Committee has agreed that the Early Intervention project for children and families will continue to operate this year. Key themes that have been recognised for the coming year include: - Further development and promotion of a family support strategy to South West Glasgow - Working with partner organisations to improve access to training and employment for vulnerable families - Ensure all children in pre 5 nurseries take part in tooth brushing initiative. The successful integration of new staff and implementation of the Childsmile Project was a key development last year. South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 23

A new Community Dental Service for children was introduced in the area last year with greater access to dental services and the continued implementation of the oral health programmes locally. During 2007/08 we will: - Develop and implement the Oral Health Action Plan - Track the uptake and impact of the newly established service Physical Activity Over the last five years there has been a significant increase in the proportion of residents that are overweight, nutrition and physical activity both contribute to this trend in Glasgow. During 2007/08 we will: - Develop a local steering group to take forward the recommendations of the local food review completed in January 2007 - Contribute to co-ordinated CHCP wide Physical Activity Action Plan - Identify geographical priority areas and work with partners to develop activity in these areas Smoking Last year the CHCP ran a rolling programme of group support for people who wanted to stop smoking, as well as personal advice being available through local pharmacies. During 2007/2008 we will: - Work with NHS GG&C to develop wider Tobacco Strategy for South West Glasgow CHCP - If funding is secured, we will pilot a project aimed at young people who smoke both tobacco and cannabis Alcohol and Drugs Alcohol is now one of the most common causes of death and binge drinking is increasing at worrying levels. In Ibrox, alcohol related hospital admissions are 200% higher than the Scottish average. A South West Alcohol Working Group was established in January 2007 to develop a local action plan, key areas for action during 2007/08 will be: 24 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

- Extending the range of staff using brief conversations (using evidence based guidelines) with service users, including NHS, Social Work and contractors to raise awareness of problem drinking - Extending the early and preventative work already established, particularly in the Govan/Craigton area - Developing a register of services available for older people for whom alcohol use is, or is becoming, an issue Breast Feeding Evidence shows that, the more mothers that breast feed, the healthier the population as breast milk protects both mothers and babies from a range of infections and diseases throughout life. However there are specific areas where breast-feeding rates are very low in South West Glasgow, for example, only 1 in 10 new mothers in Nitshill breastfeed. The Health Improvement Team and Children and Families staff will work together with partners to develop specific support programmes for mothers living in our most deprived communities, particularly to support young and vulnerable new mothers to be able to breastfeed. Sexual Health/Teenage Pregnancy The number of sexually transmitted infections in Glasgow has risen by 93% over the 8-year period 1996-2004. The number of teenage parents is also growing and in the South West rates are higher (5.3 rate per 100 females) than the Scottish average (4.3) with the rate for Govan double the national rate at 8.9. The youth health drop-in in Pollok and Govan offers young people aged between 13 and 25 access to free and confidential health information. This service includes sexual health advice, contraception and STI testing. As part of the wider service young people can also access counselling and health improvement services offering information on various topics including mental health, drug and alcohol issues. During 2006/07 there was a growing awareness that young people are not using the services in Govan as widely. During 2007/08 we will: - Survey the views of young people in Govan to explore the changes required to the service, including potential relocation within an existing New Learning Community - Continue to develop the services available to young people in both areas South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 25

Mental Health Several efforts have gone into addressing mental health problems across Scotland in recent years, for example the Choose Life Strategy which targeted suicide prevention. Last year, the CHCP developed a network of mental health providers to map the current picture of initiatives and to support capacity building and understanding of mental health issues through a range of training programmes. During 2007/08 we will work with the Mental Health Partnership and others to: - Enable the Mental Health Network to develop a three year development plan for mental health improvement - Evaluate training delivered and agree a further training commitment for the year - Develop a sustainable model for stress centre (youth and adult) services locally - Contribute to reducing alcohol misuse and violence, recognising the growing evidence of the impact of high levels of alcohol use on mental well-being Children s Health Service Improving the health of children and young people within South West Glasgow CHCP was identified as a key priority last year. One of the targets of this CHCP will be to review how we effectively deliver our community children s health services. This CHCP will be involved in the NHS Greater Glasgow and Clyde review of Health Visiting, which will ensure that our community health professionals offer as efficient and effective a service as possible. As a part of the development of early intervention services this CHCP will develop a more co-ordinated support to women and children where there are concerns regarding their emotional wellbeing. We will work in partnership with the voluntary sector to look at support to women pre and post birth with their emotional and mental health. Health in Later Life A stakeholders event took place in February 2007 to consider how we can promote healthy ageing across the South West area. This was the first session in this process and further sessions will take place for service users and carers. From these events we will: 26 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

- Consider current services and identify service gaps - Identify potential actions to be taken forward to improve and enhance service delivery Employability The rate of unemployment is a key issue across the South West. We have been developing a model of service to provide better access to employability opportunities for all our service users. This is called the Bridging Service and involves a number of local agencies seconding staff to provide advice, guidance and referral into employability options as well as support to sustain this. The Employment Development Network Co-ordinator working within our Mental Health services will move to sit alongside the new Bridging Service for employment opportunities in South West. This is an important aspect of the care and treatment of individuals with mental disorders and the ongoing work will be developed in line with the requirements of Mental Health Legislation. Even with this significant development it will be challenging to meet the employment targets for CHCP areas within the City Strategy. This service will come into operation in May 2007 and a programme of awareness raising, tracking and service developments will progress during the year to: - Improve information sharing across services and agencies, including participation in joint briefings and training - Enable 80 service users with health and social care needs to re-enter the workplace, working with up to 400 clients during 2007/08 - Develop and implement a referral tool, for incorporation within CHCP services - Highlight areas for service improvement - Increase the number of staff who raise employability issues with service users as part of their package of care. As a service user said I don t want a life of care, I just want a life During the year our Addictions Service worked with Progress to Work, and a number of clients attending one of the local methadone clinics, with a view to increasing referrals into this service and progressing people into work. This pilot had a poor uptake and research was undertaken to understand why. The outcome of the research, together with the findings from the Equal Access attitudinal survey carried out in 2006, will provide us with the information required to enable us to offer a more effective approach to employment and training for our service users within Addictions. South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 27

South West Glasgow CHCP s Pathways to Work/ Conditions Management Programme is now co-located with Job Centre staff in the area and is making significant progress in meeting its DWP targets. To date 207 people have been assessed and 109 are actively involved in the programme. Tenancy Sustainment Development During 2006/07 we worked with colleagues from Glasgow Housing Association to begin to develop a project, which may attract some investment from the Big Lottery Fund. The aim of this project will be to develop the life skills of young people who become tenants for the first time (including young people leaving care) by providing support and information on assisting them to live on their own for the first time. This year we will conclude with partners and submit a formal Big Lottery Fund application to pilot a support service with key housing associations in our area. 28 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

6.3 IMPROVE ACCESS Development of Reception Services This CHCP will lead on a city wide initiative to make it easier for residents to access the CHCP services they need. We will create two CHCP one stop service hubs, one in Pollok Health Centre and one at Rowan Park in Govan. These sites will become the locations for a number of CHCP services. These CHCP Hubs will enable residents to contact us easily and be directed through to the services they need, reducing the running around service users have to do to get to the services needed. To achieve this the Hubs will have: Properly trained and supported reception staff, who can offer effective customer care and screening of enquiries Organised and managed frontline receiving services in order that service users receive appropriate support when needed Service reconfiguration across the CHCP to meet the public access requirements and ensure efficient joined up pathways through services, including older people, people with physical disabilities, mental health, children and families and learning disability. Our Criminal Justice services will be combined into one team around Pollok Social Work office Working with Hospital Services Last year we noted that closer relationships between and across primary care and hospital services were essential in order that patients have easier access to, and a more seamless journey, through the services they require. South West Glasgow CHCP will now lead on behalf of CH(C)Ps in the areas of Cancer, X-rays and similar tests to investigate illness. The Acute Services Review and the creation of a new South Glasgow Hospital and Victoria Infirmary will be a powerful stimulus for how the Health Board defines health care. Key joint areas for development during this year include: South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 29

Further work to prevent people staying in hospital longer than they need to Consideration of the needs of patients who are admitted to hospital again and again, to try and prevent avoidable hospital admission The service developments required in primary care to enable more people to return home on the day of their surgery The new General Medical Services (GMS) contract with GP s created a mechanism to measure and improve the quality of care in general practice. However, there has been a concern that housebound patients are not receiving the same quality of care and consequently were more at risk of developing complications and being admitted to hospital. The contract enables the numbers of such patients to be identified between practices and to begin to explore the process of delivering high quality care to these groups. South West Glasgow CHCP will participate in a six-month pilot to assess the clinical and cost effectiveness of providing a home-based condition management service to this group of patients. The pilot will have two components; a home based blood-testing service followed by either a clinical review at the patient s surgery (accessing the patient transport service) or a clinical review at the patient s home for those unable to leave the house. This pilot study will be evaluated and reported on in the Autumn 2007. Waiting Times Within the South West Glasgow CHCP we have been actively working to reduce waiting times for local people and, for example, our local GP s are committed to ensuring that access to appropriate primary care services is available within 48 hours. During 2007/08 we will promote an electronic booking system within GP practices, which will enable patients to access x-ray investigations and suspected cancer investigations within the waiting time standards now being sought nationally. We will also promote the use of the Community Health Index (CHI) to ensure patient safety. Similarly, our Learning Disability Service will offer an initial screening and single shared assessment process to assist with prioritising all cases referred to this service. This will ensure that those in greatest need will be seen early. This will also minimise the risk of high priority cases remaining on waiting lists. Our Addictions Service will continue to operate direct access clinics and work will be done to improve waiting times for services. 30 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

A monthly performance reporting framework will be created to include all Allied Health Services (podiatry, physiotherapy, dietetics and occupational therapy) and will include our usage of aids and adaptations. Sexual Health Strategy Some of the sexual health services currently offered through the citywide Sandyford service will become available more locally through the establishment of a Sandyford hub for South West residents in the Autumn 2007. This service will form one of the services offered in the Civic Realm in Pollok. The CHCP will work with Sandyford during 2007/8 to ensure that these services are accessible to residents, integrate with existing services and meet local need. This development will also provide support to learning disabilities staff within the CHCP to enhance the implementation of the Sexual Health Strategy for adults with a learning disability, in line with the Scottish Executive/NHS Scotland Rights and Responsibilities Policy. Responsive Community Transport The Scottish Executive s Transport with Care policy sets out a framework for greater collaboration among transport providers to ensure that those who are ill, disabled or socially excluded have equal access to transport in their communities. South West Glasgow CHCP has begun some pilot work with Glasgow Community Transport to improve services to housebound patients. Work will continue to develop further opportunities to create the range of responsive transport initiatives, bringing better coordination and better use of pressurised budgets. South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 31

6.4 GETTING THE BEST FROM PUBLIC FUNDS Absence Management Last year, staff absence levels caused concern, impacting on the service we were able to provide. We are addressing this and over 2007/2008 we will: Review and refine internal processes for reporting and recording absence information in health and social work Create a joint forum to review absence cases and agree an action plan for supporting managers and employees Introduce core management training for first line managers Administration The CHCP leads on the review of administration services across the city and a core joint administration structure will be proposed for each CHCP for NHS Greater Glasgow and Clyde and Glasgow City Council agreement. Other areas to be reviewed over the year include: Current practice and standards across all sites to establish a consistent and streamlined approach to administrative tasks Review of Facility Management and Risk Management across the CHCP to establish effective processes and systems Review section requirement to establish processes and procedures to support service delivery and fieldwork and clinical staff Quantify the current resources to identify gaps within the CHCP and develop plan to resource this Support the implementation and delivery of new service design models and assessment frameworks Develop the reception and administration role with the new service access hubs Criminal Justice Following on from the Social Work Inspection Agency report on Criminal Justice services in Glasgow during 2004, work around the reconfiguration of budgets and staffing levels was introduced in order to facilitate improvement in service delivery across the city. 32 Development Plan 2007/2008 South West Glasgow Community Health and Care Partnership

South West Glasgow CHCP is committed to offering a high quality and effective Criminal Justice service. In order to do this, our three main areas of work cover: Assessment of Offenders Monitoring systems have been developed to regularly review the quality of assessment in Social Enquiry Reports, which will in turn determine effective recommendations for the Court s consideration. Assessments have a vital role in addressing the cycle of offending thus promoting community safety, reducing the incidence of criminal behaviour, reducing the risk of harm and promoting the social inclusion agenda for offenders. Intervention A range of interventions are offered to Criminal Justice service users by South West Glasgow CHCP. These include: - Probation Services - Community Services - Throughcare Services - Voluntary Supports These services include 1:1 work, co-working arrangements and group work interventions. The services are specifically designed to reduce offending and promote pro social attitudes and behaviour. Positive Outcomes The Criminal Justice service recognises that offending behaviour not only impacts on victims and the community but also upon the life of the offender and their family. In addressing offending behaviour there is a clear remit to promote positive and productive options. The Criminal Justice service puts considerable emphasis on promoting volunteering, training and employment. The Criminal Justice staff work in close partnership with colleagues within the CHCP and with other key agencies. This assists with the promotion of positive outcomes for this group of services users. Over the next year, the South West Criminal Justice services will: - Continue to promote high quality assessments for courts and other key partners South West Glasgow Community Health and Care Partnership Development Plan 2007/2008 33