North West PPF Meeting

Glasgow City: North West Sector North West PPF Meeting Welcome & Apologies for absence Thursday 5 July 2012 Albany Centre, 44 Ashley Street 10.00am - 12.30pm 1. Minutes 24 May 2012 10.00 Matters arising (i) Short term working group Health Screening (May Simpson) (ii) Visit to NHS24 (May Simpson) 2. CAMHS Children and Adolescence Mental Health Service 10.05 Lynn Ackland (Clinical Psychologist) 3. Youth Health Service 10.25 Gale McCallum (Youth Health Service Nurse, Health Improvement) Break 10.45 11.00 4. Round Table Discussions (25 minutes per discussion) 11.00 Dumbarton Road Corridor 4 young people + sessional worker to talk about Peer Education programme, health issues and Youth Club activities Young Carers - young carers + Young Carers Workers Glasgow Disability Alliance Rights - young people + Marianne Scobie (GDA Youth Dev Worker) + Julie Ann Skinner (Out and About, Disability Community) What Next? 12.15 5. Reports - For Information 12.20 (i) NW Sector Joint Planning Group for noting (ii) Glasgow City CHP Performance and Scrutiny for noting (iii) NW Sector Palliative Care for noting (iv) Glasgow City CHP to follow (v) West Locality Group for noting (vi) Maryhill, Kelvin and Canal Locality Group - noting (vii)glasgow City CHP Clinical Governance Committee to follow 6. AOCB 12.25 Date of next meeting Thursday 16 August 2012 in Mitchell Library at 5.30 7.30pm Dates for the Year 27 Sept 2012 in Albany Centre at 10.00-12.30pm 8 November 2012 in Albany Centre at 12.30 3.00pm

Item 1 GLASGOW CITY COMMUNITY HEALTH PARTNERSHIP NORTH WEST SECTOR Draft Minutes of meeting held on Thursday 24 May 2012 in Mitchell Library Present: Robert Smith (RS- Chair), Thelma Sneddon (TS) Jean Findlater (JF) Walter McLaren (WMc), Alex Esson (AE), Donald Hewitson(DH), Martin Allan (MA), Lilias Alison (LA) Roy Greatorex (RG) Tommy Dunne (TD) Alan Gow (AG) Bill Walker(BW) Ellen Hurcombe (EH) Mohammed Jamil (MJ) Jane Maguire (Jane M) Kate Walker (KW), Bill Rossine (BR), Janet Murphy (Janet M) Evaline Kennedy (EK), Abdul Benjellon(AB), Alan McDonald (AMc) Muriel Anderson (Muriel A) Jack Green (JG) Apologies: Sadie Gordon (SG) Frances Scott (FS) James Montgomery(JM), Louise Lawson (LL) Nicky Neilson (NN), Elizabeth Skelton (ES) Annie Mead (AM), Ronnie Rodden (RR), Meg Wilson (MW) Frank Miller (FM) In Attendance: Robert Smyth, NW Sector, Primary Care & Community Services Evelyn Borland (EB), NW Sector Performance and Planning May Simpson (MS), NW Sector - CEDO INTRODUCTIONS AND WELCOME Robert Smith (Chair) welcomed everyone to the North West Glasgow PPF meeting. Action 1 Minutes 12 April 2012 agreed (i) Complaints Procedure re Child Protection EB explained both the Complaints procedure in relation to a CHP member of staff making a complaint regarding a service provided by Health and making a complaint regarding a service provided by Social Work services. The CHP works in partnership with Glasgow CC in relation to Child Protection. (ii) Voluntary Sector Grants List of Youth Organisation involved in the North West Youth Network was given to MA. J Maguire asked for a copy. EB advised that there was a number of Health Improvement contracts, which are not really grants, which work with range of organisations on specific health issues or in specific areas. If you would like a copy of the information contact MS MS MS (iii) Carers Update AG noted that there would be a Carers Update at the August meeting. 2 Podiatry Service (Robert Smyth, West Dunbartonshire and North West Sector Podiatry Quadrant Manager)

Robert started by giving some background in relation to the Board wide re-organisation of Allied Health Services (Podiatry, Dietetics, Physiotherapy) services. The local Podiatry service is now part of a quadrant model covering North West Sector and West Dunbartonshire. The quadrant is split into 2 teams Audrey Murdoch is the North West Team Leader and is based in Community Centre for Health, Partick. There has not been a clinical re-organisation of podiatry services and Robert agreed that in some areas there are still problems accessing podiatry services. Work needs to be done on improving relationships and working together to develop and improve the services and it is hoped in the future to a provide a better service which has equal and consistent access and care MA raised a concern regarding the reduction of managers and asked why during a management re structure resulting in a change in personnel, was information not passed on in order to minimise disruption to services. Robert advised that in the Progression Plan one of the recurring themes over the last 15 years was access services. In implementing the plan one of important roles is to engage, listen and take away concerns. Robert reassured MA that if he left tomorrow someone could take over. Some of the issues raised by the meeting were an automated system can be a problem for someone with a visual impairment; Sandy Road telephone number is engaged a lot of the time; there is limited times to call to make an appointment at many of the bases and there is a 2 tiered system of access comparing North with West ie the Podiatry call centre can take new referrals from West but for people living in the North it can take new referrals and make an appointments. Robert advised that there was limited administrative support and resources through out North West Sector and this is one of the areas being looked at. For example it may make sense to reduce the number of days and times to make appointments and concentrate all our resources. Robert advised JG that the Podiatry call centre was not part of NHS 24 system but linked to the Out of Hours Service for GP s which operates from 6.00pm to 8.00am. The Podiatry call centre was developed in order to utilise this resource during the day hours and that he was looking at this resource and service. MA asked why an automated call back system is not implemented. Robert emphasised that the age of the majority of the podiatry service clients were older and like to speak to a real person but that they are looking into utilising all forms of media to make appointments. Robert agreed to alter all the information and publicity materiel to include a fax number in the future. KW asked if the home visiting service was going to improve as she waited 25 weeks for an initial appointment. Robert agreed that this length of time was unacceptable would look in to it at the end of the meeting. RS asked what is happening to Plean Street. EB advised that the Sector

was looking at all options of making better use of Plean Street as Glasgow Dental Hospital no longer had a long term interest in it. Any changes to use of Plean Street needed to be cost neutral and as the building was designed for a dental service the gas and under floor water was a consideration. It is still hoped that a Dental Practice is going to move into the ground floor. The top floor is office space and the Sector is looking how to make best use of this, for example, Learning Disability teams don t have clinical space. 3 NHS GG & Clyde Clinical Service Review (Evelyn Borland, Head of Planning and Performance) EB gave a full presentation on Fit for the Future (presentation attached) and finished by detailing the 7 review workstreams and the request for PPF volunteers for each of the groups interest to MS. MS Evelyn highlighted that Alex McKenzie and Dr Margaret Roberts (Geriatric Clinical Lead) was leading on the Older People workstream and that RS is the one of the vice chairs. EB advised that Population Health workstream was looking at health trends and long term changes. The Health Board as looking at all options to improve services including tele-care and tele-health. For example Dumfries and Galloway make good use of new technology due to the rural setting but new technology could be used in an urban setting as well. JG explained telecare is a term used to describe using new technology in the caring and health services ie internet consultation and diagnosis, monitors and alarms in homes, personal alarms etc DH and RS worried that the increase in new technology would mean a reduction in jobs. EB advised patients in the future are going to have to be more responsible for their own health and supported to manage their health conditions but with some patient groups, who often have chaotic lifestyles, this can be quite difficult to achieve. Members queried if the role of GP was diminishing for example private companies determining if a person is fit for work or not. EB advised that GPs would be involved in this review. AMcD felt GP s need to know more about dialysis and have time to talk to patients. LA expressed concerns about care being determined by economics and not health needs. EB agreed that there will be challenges in the future. 4 City Wide PPF Meeting 2 July 2012(May Simpson, CEDO) MS advise the citywide PPF meeting was scheduled for Monday 2 July 2012 in John Wheatley College - Haghill Campus and would focus on the Consultation Paper Integration of Adult Health and Social Care in Scotland 5 Equality Monitoring (May Simpson, CEDO) MS reminded PPF members to complete and return the Equalities monitoring form. ALL 6 PPF Priorities I. Saracen Street Health Centre update at August Meeting

II. Podiatry see item 2 III. Reshaping Care update at September Meeting IV. Engagement with Young People July meeting agree to start at 10.00am but the young people will be in attendance from 11.00am 7 Reports from Meetings I. NW Sector Joint Planning Group for noting II. Glasgow City CHP Performance and Scrutiny for noting III. NW Sector Dementia Sub group circulated and for noting IV. Glasgow City CHP for action MS emphasis the need to monitor equality of service and ensure that members were made aware of consultations to be able to participate. V. NHS GGC Clinical Service Review Meeting for noting VI. NHS GGC Transport and Access Forum circulated and for noting AE highlighted that G61 area is now covered by the hospital visiting service but you need to telephone and register to access the service. Patients with travel passes have to show a hospital appointment card before 9.00am and between 4.30 6.30pm when using buses and trains 8 AOCB I. Norman MacLeod has resigned and committee thanked him for his involvement and wished him well as a Glasgow City Councillor. II. Gerry McAdam from Broomhill Community Council sought nomination to serve on the PPF executive committee nomination accepted. III. Pharmacy application Vitalis Healthcare, 59 Cambridge Street no objections. IV. CAT Review meeting 13 June 2012 distributed. V. When Julie MacCarthy, Health Improvement attended the PPF meeting and members asked how the PPF assist. Agree to organise a meeting to explore how PPF could increase screening uptake those interested - names to MS. VI. MS clarified that the role of the PPF was related to local health CHP services. VII. JG offered to organise a visit to NHS24 Call Centre those interested - names to MS. MS ALL ALL Date of Next meeting: Thursday 5 July 2012 at 10.00am In The Albany Centre

ITEM 5(I) MEETING: SERVICES NW SECTOR JOINT PLANNING GROUP ADULT DATE: 7 JUNE 2012 PPF REPRESENTATIVE: JAMES MONTGOMERY 1. A short life working group, involving GPs, staff from Hospital services and staff from Community Health services, has been set up to look at discharge from hospital and how it relates to re admissions - especially at weekends. 2. There was a discussion on the links, improved working and developments that have been achieved over the last year between housing agencies (Glasgow Housing Association and all the other local Housing Associations in North West Sector) and local health services. Other areas of work that need to progress to improve services and communication to support vulnerable households was also highlighted. 3. It was noted that the transfer of all continuing care patients from Blawarthill Hospital to Drumchapel Hospital was completed on the weekend of 19/20 May 2012. ACTION REQUIRED BY PPF

ITEM 5(II) MEETING: GLASGOW CITY CHP PERFORMANCE & SCRUTINY DATE: 25 MAY 2012 PPF REPRESENTATIVE: ALEX ESSON 1. There is a vast amount of complex information going through this committee and it is quite a feat to be familiar with all the information and abbreviations etc. PPF s role and input will improve as we get more familiar with the content of the meeting 2. The information is in a new layout which provides information on the 3 Sectors and the overall City wide performance and it is useful to compare the information. ACTION REQUIRED BY PPF

ITEM 5(III) MEETING: NW PALLIATIVE CARE GROUP DATE: 6 JUNE 2012 PPF REPRESENTATIVE: MURIEL ANDERSON 1. The Care Home Liaison Nurses have now been appointed. These nurses are second line prescribers and work in Care Homes to work on staff education and training, give advice, support and information on working with resident s affected by Dementia and poor mental health. Their role will also be to support residents move from Residential Homes to Nursing Homes as their condition progresses and they require nursing care. In the future residents will not have to go through Gartnavel Royal for assessment and placement they will go straight from the Care Home to a Nursing Home. 2. On the Sage and Thyme web site there are a series of programmes to help relatives and workers support and work with people in distress 3. Macmillan Cancer Information & Support Services @ Glasgow Libraries aims to improve access to information, emotional and practical support, and benefits advice for people affected by cancer living in Glasgow. The libraries identified serve neighbourhoods where there is multiple deprivation; known health inequalities and a high level of cancer incidence. The overall aim of the service is to ensure those affected by cancer in Glasgow have access within local communities to quality cancer information and support; maximising their quality of life. ACTION REQUIRED BY PPF

ITEM 5(IV) MEETING: GLASGOW CITY CHP COMMITTEE DATE: 18 JUNE 2012 PPF REPRESENTATIVE: MARTIN ALLAN AND ROBERT SMITH 1. Update and progress report on Re-shaping Care and Change Fund 2. The revenue position up until 31 March 2012 was an under spend of 790k for the CHP. Overspends against budget of 313K and 83k respectively were reported against the South Sector and Mental Health Central Services with under spends of 98K, 429k, 570k and 88k reported against CHP Central, North East, North West and Mental Health Specialist Directorate respectively 3. Discussion about lost bed days and significant cost off, and pressure on staff in relation patients delayed for discharge because for various reasons including Social work Assessment and destination management. 4: Approx 500 nurses trained in mental health support not currently being used and utilised in psychological support services. ACTION REQUIRED BY PPF MONITOR AND CHALLENGE ACCESS TO SERVICE AND COMMUNITY COOPERATION

ITEM 5(V) MEETING: WEST LOCALITY GROUP DATE: 31 MAY 2012 PPF REPRESENTATIVE: ALEX ESSON AND THELMA SNEDDON 1. District Nurse Review and Child Protection Action Plan 2. Palliative Care Action Plan discussed. A comprehensive plan but as it was a working document with a great use of abbreviations and acronyms that needed to be explained it was difficult to understand 3. Carers Event on 19 June 2012 to be put in the staff magazine to reach out to GP s, professionals and nursing staff. ACTION REQUIRED BY PPF

ITEM 5(VI) MEETING: MARYHILL, KELVIN AND CANAL LOCALITY GROUP DATE: 31 MAY 2012 PPF REPRESENTATIVE: SADIE GORDON 1 District Nurse Review discussed and it is anticipated that it will make a huge impact on services but its still in the early stage of discussion. 2 Palliative Care Action Plan discussed but it was difficult to follow due to the format of the paper presented. 3 Brief discussion on the proposal and short timescales to work up plans to replace Maryhill Health Centre and Woodside Health Centre. ACTION REQUIRED BY PPF

ITEM 5(VII) MEETING: GLASGOW CITY CHP CLINICAL GOVERNANCE COMMITTEE DATE: 26 JUNE 2012 PPF REPRESENTATIVE: MARTIN ALLEN 1:CHP Governance Structures diagram provided. 2: Complaints, Ombudsman Reports, Better Together Patient Survey? 3: Scottish Patient Safety Programme, Incident Reporting, Child Protection, Adult Protection 4: Feedback to Clinical Governance Forum including community cooperation and partnership governance measurement for outcomes. ACTION REQUIRED BY PPF MONITOR EFFECTIVNESS OF STRATEGIS THOROUGH PPF AND ON THE GROUND.