South East Community Health & Care Partnership (SE CHCP) 29 March 2010 Author Kevin Fellows/Sheena Morrison Paper No. 10/17 SOUTH EAST CHCP PROFESSIONAL EXECUTIVE GROUP MINUTE OF MEETING HELD ON 21 ST JANUARY 2010 AT SAMARITAN HOUSE Present: Kevin Fellows Marie Pirret Graeme Marshall Carrie Lynch Karen Dyball Marion McMahon Nicola Brown Gillian Wilson Laura Hendry John Harty Theresa McCulloch Natalia Hedo In Attendance Duncan Goldie Clinical Director (Co-Chair) GP GP Senior OD Advisor Integration and Service Development Manager Practice Manager Health Improvement Manager Head of AHP/Clinical Service Manager Head of Prescribing & Community Pharmacies Nurse Representative Community Learning Disability Nurse Care Governance Administrator (Minutes) Planning Manager 1 WELCOME AND INTRODUCTION Kevin Fellows welcomed all present and thanked them for attending. Action 2 APOLOGIES Apologies were received from David McColl, Carol Allen, Thomas Cunningham, Frank Munro, Linda Wright, Alison Mitchell, Alison Rennie and Jonathan O Reilly. 3 MINUTES OF LAST MEETING The minutes from meeting held on 15 th October 2009 were agreed as accurate. Marie Pirret proposed the minutes and Theresa McCulloch seconded them. 4 4.1 MATTERS ARISING Living and Dying Well: KF stated that a Palliative Care Seminar was held on 13 th January 2010 at Pollokshields Burgh Hall. Speakers delivered presentations using the Scottish Guidelines and referral procedures. A further half day event has been arranged to take place on 10 th March 2010 on communication skills in breaking bad news, flyer to be sent out shortly. 1
4.2 Update on Flu Pandemic: KF reported that the level of consultation is not as high as before, the Children under 5 years old will be targeted next and the vaccination process will be carried out by the end of this month. LH added that few patients have egg allergy but no major problems have occurred. 5 5.1 REPORTS ON SUB GROUPS OF PEG Dementia Update: KF stated that a number of GP Practices will be carrying out the Annual Reviews end of February 2010. 5.2 5.3 TM provided an update from a Dementia Group meeting on 4 th December 2009, she stated that the referral groups were run for six weeks. Next meeting is scheduled to take place on 29 th January 2010, TM to feedback to this group at the next meeting. Audits: MP provided an update on the ongoing audits as follows: GPs: NSAID: results received and report to be completed. COPD MRC Grade 4: ongoing. Infant Feeding: Training ongoing. Pharmacy: The Fridge Audit is now completed. The logger audits are ongoing, LH to pull together the audit outcomes and indentify the main issues. LH added that the main reason for carrying out these audits was to give the practices an idea of the cost wasted. Allied Health Professionals (AHPs) - Learning Opportunities Questionnaire: the report has been completed; an action plan to be developed. The AHP is undergoing a service redesign in SE and SW CHCPs as well as Adult Speech Service and Learning Disability Service. Nursing - Record Keeping - the community district nurses had a lawyer-led review of case records and evaluate the records vulnerability in case of a complaint. This was very beneficial. Treatment Room audits are ongoing. Other Audits: CPR and Anaphylaxis: Report to be taken to the Board Resuscitation Group meeting and will be taken to the Directors to find out if more priority would be given to the CPR citywide. For the time being, CPR sessions are provided at SMILE events. Vitamin D: Ongoing. Protected Learning Events (SMILE): MP stated that the SMILE events are back in place. Two major events should be taking place in March and September 2010. Those present were asked if they would consider having a SMILE event on TM 2
a Thursday if GEMS/NHS24 were not able to provide cover on any of the Wednesdays in September, those present did not agree on this. MMcM to take to the Practice Managers meeting and feedback to this group at a future meeting. KF stated that for the practice based SMILE events, practices will be asked to complete a participation form and provide emergency contact numbers. MMcM 5.4 5.5 Incident Reports (IR1s): Copies of a summary of IR1 reports were distributed and discussed. The Immunisation Errors incidents are being reviewed at a board wide level. Datix: NH informed those present that Datix will be going live on 22 nd February 2010. All the Reviewers and Approvers should have been contacted to book a training session. Datix System could only be accessed through MetaFrame and a paper form will be available on the website to be printed out and made available to those members of staff who don t have access to MetaFrame. Service Managers and Team Leaders are encouraged to print out a number of copies to be available for staff when required. Guidance for the reporters will be sent out to staff to follow when reporting an incident, also there are drop-sessions carried out in Jan March 2010 for reporters to attend. A summary of the Datix Implementation Group minutes is to be sent out with this minute. 5.6 The Datix Team are currently mapping out different areas at the CHCP and the people in the centre would know what problems are common. Respiratory Medicine: GM stated that the first meeting of the above group will be taking place a week on Monday and the CHCP is involved. A request had been made for a management representative from the CHCP was sent out to the CHCP. KF suggested that Jacqueline Torrens the Head of Health and Community Care might consider representing the CHCP. GM to e-mail the details to KF for action. NH GM KF 6 CHCP DEVELOPMENT PLAN Copies of the above paper were distributed to the group. DG stated that a 3 year cycle is coming to an end in March 2010. A process of annual review is carried out every year and updates have been provided at previous PEG meetings. The CHCP is currently awaiting planning frameworks such as the LTC and Primary Care Frameworks from the Health Board at Dalian which should be received by the end of this month. These will inform the content and structure of the Plan, as will Social Work Guidance. DG stated that each of the CHCP services had been asked to hold 3
workshops with staff to review progress to date and to consider future priorities and plans in light of the above frameworks and guidance. It was agreed that the PEG doesn t need to do anything separate as the above workshops will be held for the different CHCP services represented at the PEG. However, in addition KF suggested taking the paper to the GP Sub Group, Practice Managers Forum and Community Pharmacists Forum. In addition, PEG members will get the opportunity to comment on the draft taken to Committee for approval. 7 PRIMARY CARE STRATEGY FRAMEWORK (PCSF) Copies of the PCSF were distributed to the group. DG informed the group that each of CHCPs has been asked to feedback on the citywide actions and also the local actions indentified within the CHCP. DG stated that this is the draft framework of the whole process and we are planning to pull together a response by the CHCP. Comments should be sent back to Duncan Goldie or Hamish Battye by beginning of February 2010 as the response is to be sent by the 12 th February 2010. DG pointed out that the structure of engagement with GP Practices in pages 15 19 ties in with the issues highlighted on page 6 in Relationships. The SMT are visiting different practices to improve communication. 8 CARE GOVERNANCE STRUCTURE Copies of the Clinical/Care Governance Review Report were distributed. The purpose of this paper is to review the structure of the C/CG groups within the SE CHCP. It was suggested last year that the structure is to be reviewed in a paper that was taken to the SMT and since then 2 meetings had been arranged to discuss further and the outcome of the two meetings has been included in this report. SM is working on the remit for the Social Care group to be added to the report. 8.1 8.2 8.3 SMT: The Risk Register has now become a standing item on the SMT agenda as its part of the SMT responsibilities and they could ask at times if CGWG could look in detail at some of the risks. CHCP Governance Sub Committee: The purpose of the above committee is an overview of what s happening governance wise without involving the public. Bullet Points of the PEG and numbers of IR1 & Violence incidents are reported at the meeting. PEG: It was noted that the Paediatricians are not able to attend the PEG meetings due to lack of time. KF noted that those who attended and 4
contributed to the PEG found it helpful. GW stated that people should not refuse a chair at the table and then complain of no communication, she added that this could be raised at the CHCP Committee. KF stated that the main concern is that the SMT might be looking for papers coming to the Committee that affect front line professions. CL suggested having Committee Papers as a standing item on the PEG agenda. After further discussion it was decided that the PEG meetings should be held 2 weeks prior to the Committee meetings and to have a PEG every 2 months for 2hrs instead of having the meetings on a quarterly basis for the whole afternoon. And ask the SMT for the relevant papers prior to presenting them at the Committee. 8.4 8.5 CGWG: The group is keen to encourage Social Care Representation. Non Medical Prescribing Group: LH stated that a lot of the Pharmacists can not attend these meetings as they are unable to get a way from work at daytime. LH informed the group that the law currently allows Nurses and Pharmacists to prescribe without holding a licence and therefore these meetings are very important and from the Clinical Governance point of view, the Community Pharmacists can share good practice when attending these meetings. LH asked the group for their support in promoting the Non-Medical Prescribing Group. LH will also contact Gillian Halyburton with regards to the Practice Nurses attendance at the meetings. LH 8.6 8.7 Senior Nursing Group: Next meeting will be held on 2 nd February 2010, the paper is to be taken to the meeting and feedback to this group. AHP Group: The AHP Forum is a citywide group and therefore is not mentioned in Care Governance Structure. Other groups mentioned in the paper were L&DW Action Plan Group, Social Care, Community Pharmacies, Practice Managers Group and SMILE Group. 9 DNA CPR Copies of the final draft DNA CPR Policy were distributed and discussed. This policy was widely promoted in Lothian and it s likely to be adopted in Glasgow. KF stated that it has become a national paper. Not everyone is appropriate for CPR and it s to be discussed with patients if it s appropriate to carry out a CPR or not. Comments on paper are to be sent to KF. ALL A patient s information leaflets have been sent out but people find it hard to understand. Training will be provided once this draft policy if 5
finalised. Training Sessions are already booked for members of staff at the CHCP who will be passing the training to their staff. It will be more relevant to GPs and Nurses and will be implemented in May June 2010. 10 10.1 AOCB Parenting: Copies of the above paper were distributed to the group to provide an update on Glasgow s commitment to a population approach to Parenting through the use of Triple P and note the inclusion of parenting in Growing a Healthier Glasgow the report of Glasgow s Health Commission. As well as highlighting the role of SE CHCP s Parenting Co-Coordinator and to reflect on the staffing implications of the training commitment and the ongoing provision of Triple P programmes. A substantial budget and a significant funding has been allocated to the CHCP for this year and next year. Training will be provided to everyone by practitioners and then it will be looking at the increase need and demand as some people will get training as 1:1 but others will be getting it in a group. This project will be brought to the next PEG in more detail. Seminars are to be delivered by April 2010. KF suggested a presentation at the next PEG and a training session at the SMILE Event by Mary Ann Tanzilli. 11 DONM Tuesday 16 th March 2010 at 1.30 for 2.00-4.00pm at Samaritan House, 79 Coplaw Street. 6