South East Community Health & Care Partnership (SE CHCP) 1 June 2010 Author James Scanlon Paper No 10/48 South East Community Health & Care Partnership (SE CHCP) GOVERANCE SUB COMMITTEE MINUTES OF MEETING HELD ON 25 TH JUNE 2010 AT FORSYTH HOUSE, 151 COPLAW STREET Present: Bailie James Scanlon Donald Sime Cllr Sadie Docherty Cllr David Meikle Hamish Battye Colin McCormack Sheena Morrison Tom Quinn Gillian Wilson Chair South East CHCP Vice Chair South East CHCP Councillor Councillor Head of Planning and Health Improvement Head of Mental Health Head of Children and Criminal Justice Services Head of HR Clinical Services Manager In Attendance: Natalia Hedo (minutes) 1. WELCOME AND INTRODUCTION Action Bailie Scanlon welcomed everyone to the Governance Sub Committee meeting and thanked them for attending. 2. APOLOGIES Apologies were received from Cllr James Dornan, Cllr Anne-Marie Millar, David Walker, Kevin Fellows, John Goldie, Les Jacobs, Evelyn MacKinnon, Jacqueline Torrens and Carrie Lynch. 3. MINUTES OF LAST MEETING The minutes of the meeting held on 22 nd April 2010 were agreed as accurate. Donald Sime stated that he had submitted apologies for the pervious meeting but they were not noted in the minutes. 1
4. 4.1 MATTERS ARISING CHCP Update: Bailie Scanlon informed the group that a letter had been sent from Cllr Gordon Matheson, Council Leader to Mr Robertson, NHS Board Chairman, with regards to the NHS Board s decision to move to a CHP. A meeting with Sir John Arbuthnott was to take place on Tuesday 6 th July to find a solution. DS explained the outcome of the NHS Board meeting was regrettable. The Board had to provide security to their staff and officers were changed by the Board to report on a plan B. From the Board s point of view, the Board were keen to make the scheme of establishment real. Cllr Scanlon said he would feed back to the committee on the outcome of the meeting. Cllr Scanlon TQ stated that the CHCP s Extended Management Team had met, and managers were disappointed with the outcome due to the work that had been done to progress integration. 4.2 Response to Request for Information from Cllr Meikle at previous meeting: Cllr Meikle stated that he was happy with the response. 5. CARE/CLINICAL GOVERNANCE REPORT Cllr Docherty invited Sheena Morrison to provide an update on Care/Clinical Governance matters within the CHCP in Kevin Fellows absence. SM highlighted some of the standard issues, she stated that the Care Governance Plan has been shared widely and services are currently picking up on any objectives. The Violence and Datix incidents were attached to the paper and summarised, there was an issue at the last meeting providing the Datix information but we have a bit of improvement now. The SMILE Group are currently planning the event in September. Other local events are carried out regularly covering city-wide issues such as child trafficking. The audits activity was discussed. A small group is taking the Vitamin D Healthy Start forward to help raise awareness and identify potential gaps in our service. A Summary of the PEG Minutes was also attached to the paper, SM provided a feedback from a meeting she had attended with Kevin Fellows, considering the role of PEG and how effective the PEG meetings are in achieving objectives. The Sub Committee noted the content of the Care/Clinical Governance Report. 2
6. STAFF GOVERNANCE REPORT Cllr Scanlon invited Tom Quinn to present the Staff Governance report. TQ stated that the walking groups in Forsyth House and Twomax were continuing on a weekly basis. The Virtual West Highland Way walking challenge was very successful with one of the teams finishing 4 th overall. The integrated learning plan was to be concluded during August. The H&S Committee Minutes were attached to the paper, TQ informed those present that this was the first H&S Committee to include members of both Social Work and NHS and shows that teams were working together. TQ stated that work continued with the staff survey and an outline framework for an action plan had been developed and new policies workshops within NHS were planned across the summer. The level of PDPs (SWS) was now at 70%. E-KSF usage in health had increased by 300% since last meeting. Staff Governance Plan: Copies of the plan were distributed and reviewed by those present. The key issues were: Well Informed: TQ provided a feedback on how well people were informed within the CHCP. The team meetings were on the whole affective in engaging with staff. HB gave an example on Planning and Health Improvement meeting, the team consists of 30 people and they all share information at the meeting. Notice Boards were used for displaying materials relating to the Healthy Working Lives and are also used for sharing other information. We also need to make sure people were sharing information by internet and Staff Net. Appropriatly Trained: staff were encouraged to challenge mangers if they have given something to do and don t have the right skills for it. Learning plans were regularly updated to make sure staff are updated with the skills they may need. All staff have annual reviews of their PDP and all the information is captured and accumulated. Involved in decisions that affect you: If we can show people the plan and the actions taken, they will be more encouraged to give their opinion of things. The staff survey was completed by 90% of staff in the CHCP last year and staff had mentioned that they were not included when making changes to service. We need to take comments on board to make changes quicker and better. Staff should also receive copies for the SPF/TU Liaison minutes for information. TQ added that staff were aware of the changes within their services but not within the CHCP overall. If people knew what was happening 3
in different services, they might take it back to their service and consider making a change from lessons learned. CMcC stated that the results of a survey within Mental Health showed that some people thought there was a lack of communication and others thought too much information was given. The Sub Committee noted the content of the Staff Governance Report. 7. QUARTER 4 PERFORMANCE REPORT 2009/10 Donald Sime invited Hamish Battye to provide an update on the Performance Report. HB stated that this report was focused on the Q4 position for the CHCP, the information attached to the paper did not include updates on the Organisational Performance Review meetings with Social Work Services and NHS Board, as these only concluded this week. The key points from the NHS Performance Report were discussed: HB informed those present that there had been an improvement in the last quarter, as the number of indicators that were previously red have now changed to amber or green. For example there had been an improvement in level of people who are being discharged from hospital. Among the cases that remained red were the number of adults, young people and children being supported by the Addiction Services; but these targets were subject to review. A challenging target had been set for breast feeding, but the rate continues to improve, and exceeds the Board s target. HB explained that the CHCP would be pulling together a report showing performance over the last 2-3 years which would be presented to the August CHCP Committee meeting. HB stated that the Q4 Performance Report also included local indicators, which reflected the information collected locally. Cllr Docherty enquired on the actions taken to make sure all the Kinship Service users are receiving services. HB responded that SM will be asked to respond to this enquiry. HB/SM Bailie Scanlon informed the group that he had attended a meeting with John Goldie, where it was noted that there is a decrease in Methadone. Cllr Docherty stated that the violence against women incidents had increased to 700 in this area. CMcC in agreement stated that according to the information supplied at the Govanhill Hob by the police in relation to crimes in general, the incidents within Govanhill area were increasing and decreasing elsewhere. It was noted that the SE had the worst record in fire deaths. Fire 4
lectures were provided to staff to encourage the fitting of fire alarms. JS added that the fire brigades were providing training to house holds. The Q4 Performance Focus Report was to be circulated to the Sub Committee for information. The Sub Committee agreed the recommendation of this paper. 8. FINANCE REPORT Bailie Scanlon invited Hamish Battye to provide an update on the Financial Report in Les Jacobs absence. HB stated that the NHS financial position was reporting an overspend of 81,200 at end of March 2010; the position reflected only a minor variance of 0.1% from budget. The financial position to end of May was not available yet. It was noted that the main reason for the overspend was the city-wide continence service. It was planned to achieve a break even position by the end of March 2011. Work was underway to achieve an indicative Prescribing target of a net 6.7m savings across the NHSGG&C which would be applied to local targets once the proposed efficiency plans had been agreed. No end of year position report on Social Work was available at present. Cllr Docherty enquired about the time table for the introduction of free prescriptions. It was noted this would be from 1 st April 2011. Cllr Meikle asked about the source of funding for providing a free personal care at the Home Care Services in paragraph 3.3. TQ stated; that this mainly covers the meals, there is no additional budget from council to cover it. The Sub Committee agreed the recommendations of the Finance Report. 9. CRITICAL INCIDENT REVIEW DISRUPTION TO CONTINENCE SERVICES TQ introduced this item. A critical incident review had been completed last year at the request of the then CHCP Director, into the disruption to Continence Services in July 2009, a service hosted by South East Glasgow CHCP on behalf of Greater Glasgow CHCPs. The review report lessons learnt and subsequent actions that were being implemented were being reported to the sub Committee to provide the necessary assurance that the conclusions from the review were being adopted. TQ explained the review process, and progress made in implementing the action plan. After discussions, Sub Committee agreed the recommendations in 5
the paper. 10. AOCB None 11. DATE OF NEXT MEETING Tuesday 12 th October 2010 at 2.00 4.00pm in Committee Room at Forsyth House. 6