GGCHCP(West)(M)01/08 Paper No. 08/12 Minutes 1 West Glasgow Community Health Care Partnership Committee Minutes of the Meeting held at 1.30 p.m. on Tuesday, 19 February 2008 in the Councillors Corridor, City Chambers, George Square, Glasgow PRESENT Bailie Hanzala Malik (Chair) Terry Findlay, CHCP Director Marie Garrity, Staff Partnership Forum Thelma Sneddon, Public Partnership Forum Frances Farrell, Public Partnership Forum Lorna Barr, Professional Executive Group Bailie Gordon Matheson, Glasgow City Council Councillor Kenny McLean, Glasgow City Council Councillor Aileen Colleran, Glasgow City council Councillor Dr. Christopher Mason, Glasgow City Council IN ATTENDANCE West Glasgow CHCP Executive Management Team Valerie Smith, Business Support Manager Dr John Nugent, Clinical Director Pam Fenton, Head of Health and Community Care David McCrae, Head of Mental Health Ray de Souza, Head of Planning and Health Improvement Amanda Taylor, Joint Head of Learning Disability Jean Middleton, Head of Finance Matt Forde, Head of Children s Services Willie Kelly, Head of Addiction Services Justine Murray, Head of Human Resources Janice Turnbull, Senior Organisational Development Adviser Irene King West Glasgow CHCP (Minutes) 1. APOLOGIES Apologies were received from Paul Higgins, Professional Executive Group; Cathy Holden, Professional Executive Group
2. MINUTE OF LAST MEETING HELD ON TUESDAY 18 DECEMBER 2007. The Minutes of the last Meeting held on 18 December 2007 (Paper No. 08/01) were agreed as an accurate record. Matters Arising: The Chair intimated that the Committee Seminar in January was a successful occasion and that we should have more of these type of events. He expressed his thanks for the Presentations made by staff and his appreciation of their efforts staff; he thanked all who participated in this event. Baillie Malik also acknowledged that this is a very busy time of the financial year and that if any officers in attendance had to leave the Committee Meeting early due to other work commitments, they should feel free to do so. 3. REPORTS FROM SUB-COMMITTEES a) Professional Executive Group (PEG) (Paper No. 08/02) Lorna Barr, Professional Executive Group tabled an update on recent activity in the PEG. She stressed the importance of how we engage with patients and in relation to the Review of Children's Services (Health Visitor Review) there was a Working Group event on 14 February 2008. Feedback will be provided at the next meeting. Matt Forde, Head of Children's Services said that the event was organised at short notice and it was difficult for some people to attend but he clarified that workshops will deliver outcome of next phase and a detailed plan will be issued setting out the number of work streams identified by Directors. Adequate consultation required with those on the ground and there is a strong local element for these issues. A local Implementation Group is to be established in the CHCP. b) Public Partnership Forum (PPF): Progress Report: (Paper No. 08/03) Ray de Souza, Head of Planning and Health Improvement referred to his report which highlighted a range of issues and developments the PPF Executive Group has been engaged in over the last three months. The Group s Chair has resigned for personal reasons and a process will be implemented to nominate a new Chair as well as to recruit more members following a number of resignations. A public engagement event will take place on 15 March 2008 with a focus on hearing participants views on the key issues in relation to the services provided by the CHCP and what the priorities should be in the context of increasing demands. This Event will also give members of the public the opportunity to learn more about the CHCP and the PPF and contribute to the production of the next Development Plan. Mr de Souza indicated that he PPF requires an increasing level of support to enable it to operate effectively in view of the increasing demands on members to be involved in community planning and engagement structures and joint planning arenas. 2
c) Staff Partnership Forum Marie Garrity, Joint Chair of the Staff Partnership Forum reported that the full Partnership Meeting was not until the 19 March 2008 and that she would provide a Report for the next Meeting in April. d) Employability Services in West Glasgow: Progress Report: (Paper No. 08/04) Ray De Souza, Head of Planning and Health Improvement introduced his report which highlighted the progress and developments made by the partners in relation to delivering the employability agenda over the last 3 months. The excellent performance and achievements of the West Referral Team (WRT), and the Chinese Employability Project (CEP) were noted. The WRT has exceeded its targets and appears to have been a victim of its own success. The CEP is also being accessed by Chinese people from other parts of Glasgow and a decision has been made to allow this to happen until the end of the financial year. Staff from CHCP/WRT, Jobcentre Plus and NHSGG&C s Working for Health are working together to secure opportunities for clients who have a learning disability to progress into employment within the NHS by designating a vacant clerical assistant post. Mr De Souza reported that the only downside in this area of work was that funding is short term. Terry Findlay, CHCP Director said the CHCP would continue to seek investment in this area as part of the next three-year Development Plan. He invited the Committee to reaffirm Employability as one of the key local priorities in order to secure funding from appropriate internal and external sources. Members agreed that employability should continue to be a local priority. Councillor Mason intimated that the Autism Working Group has a Sub Group on Employability with representations from other organisations and this will operate citywide. Councillor Mason said that he would ensure Mr de Souza is kept in touch with developments of the Working Group. CM 4. HEALTHY LIVING CENTRES: (Paper No: 08/05) Ray de Souza, Head of Planning and Health Improvement outlined the work being progressed by the CHCP to determine the type of "Healthy Living" services and or initiatives required in the West Glasgow area in the context of the reduced level of funding available in 2008/2009. The two current Healthy Living Projects in West Glasgow are Annexe HLC and Drumchapel LIFE. Mr de Souza stated that he hoped to be in a position to report to the next meeting on the outcome of the review and identify options on how the available level of funding should be spent. He advised members that the CHCP would be seeking to fund one organisation to deliver healthy living initiatives in the area from this funding source. Contingency arrangements will be put in place to secure the continuation of the existing service providers if necessary if the review process requires to be extended. Mr de Souza informed members of an announcement that morning by the Cabinet Secretary 3
For Health and Wellbeing Nicola Sturgeon of transitional funding for Healthy Living Initiatives. The terms of the funding would be studied closely by the health board and a share of these national monies would be attracted for local services. Councillor Aileen Colleran said that any future decisions should be taken by the Committee and that a key consideration in deciding the on the service model and the prospective service provider should be the capacity of the provider to deliver on an outreach basis and in a flexible way to accommodate the needs of communities that had no input from healthy living initiatives. R de S Councillor Mason expressed his concern that one agency could cover the whole area; although he acknowledged that it would be a more cost-effective option. In concluding the discussion the Chair, Baillie Malik said that any decisions would of course be made by the Committee on the basis of Mr de Souza s report to the next meeting. AGREED 5. WEST END GP PRACTICE: (Paper No: 08/06) Mr Findlay reported that the conclusion of the last Report was that in the West End area there was evidence of increasing demand and population growth. An advert was placed in the Herald in November 07 inviting expressions of interest from GP s in the NHS Greater Glasgow and Clyde Performers List to provide increased General Medical Services in the Hillhead area of West Glasgow. Seven expressions of interest have been received. As part of the further investigation consideration was given to letters of support from patients, the impact of the planned Murano Medical Centre Student Service relocation to Glasgow University Campus at University Avenue and the second phase of Sandy Road. This will include physical capacity based on the equivalent of a three Doctor Practice and the proximity of this accommodation to the Waterside Developments would provide an accessible option for these new residents. Mr Findlay concluded by stating that existing practices, including the relocated student practice have identified sufficient capacity and committed to meet the current and projected needs for GMS Services. To ensure residents needs are being met additional access monitoring, above the 48 hour access target, require to be implemented over the next two years and could be implemented by monitoring both registration and appointment access. By changing the criteria for leasing the Sandy Road facility to include additional capacity and/or premises improvement, will contribute to overall access as well as addressing potential demand from the increasing population in the Waterside Development. Councillor Mason then asked whether there is a Capital Cost for this. Mr Findlay stated that there would be no additional cost to Sandy Road as funding was included in the existing programme and said that if a GP Practice did not go in, then it would be used for other purposes. TF AGREED 6. REHABILITATION AND ENABLEMENT SERVICE REDESIGN: (PAPER NO: 08/07) Pam Fenton, Head of Health & Community Care stated that there was a Consultation document attached to the Report and confirmed that there had been an extensive period of consultation with Partners and Stakeholders. The Paper was produced to provide 4
strategic director for the Health and Community Care Service under single management and to allow a more streamlined point of access. The paper was produced by the Heads of Health & Community Care Group. It sets out the rationale for change e.g. inconsistent service delivery, clients passed from one to another the main thing service users want is one access point. This would be developed through streamlined Care Management arrangements and with realigned geographical teams of health and social care. It would depend on us having a fully integrated team of professionals with different professional skills. Councillor Mason asked whether there were resources available to deliver this e.g. people who have a stroke have psychological problems. The paper does not make clear where future resources are coming from. He stated that the throughcare approach was a good one but asked it includes a GP as there is no mention of that in the paper. Ms Fenton stated that the GP remains the primary carer. The GP is referred to as a lead member of the Practice Team although most frequent contact is usually with the District Nurse working with the GP. She confirmed that the GP is the key part of delivering a community based service and as such is part of the future picture. Dr Nugent then gave example where enhanced services would be considered e.g. if a person had a stroke, there is a provision of psychological input. He also advised that GP s are concerned about the potential parallels with the HV Review process and intimated that working in teams that are out with the practice teams can cause tension with demands from GP lists. He concluded by stating that the paper will be discussed at the next PEG meeting. Councillor Mason said that in his experience, when a GP is not involved there is less likely to be good co-ordination. It would be helpful to hear PEG views on this paper but reiterated that he feels that it is a positive way to go but is concerned about the resource implications. Ms Fenton advised that there have been discussions with Direct and Care Services in relation to Home Carers and said that we need to help them understand their role in the whole system of rehabilitation and enablement and part of the aim of the Paper is to encompass what is required from all agencies. PF 7. THE FUTURE OF LOCAL AUTHORITY CARE HOMES: (Paper No: 08/08) Pam Fenton intimated that the Report identifies key elements of how the proposals affect patients, staff and relatives and all will be part of the consultation process. There is a need to make sure our Care Homes comply with Care Commission Standards. Currently our care homes fall short of the desirable elements of these standards and this is why, in the West CHCP, it will mean closure of Drumry House and Burnbank. These two homes will be replaced by the creation of a single 120 place Care Home. There is no location agreed as yet. The new homes will provide a homely environment with specialist units for people with residential care and nursing care needs. PF In relation to Day Care there are issues to address and now is the opportunity to do this formally. These include the future of multicultural provision, dementia provision and a need for greater clarity on specialist requirements. Focal Point and Purdon Street do not currently provide a 7 day a week service. 5
The Head of Health and Community Care advised that the report identifies these issues in detail and recommends a review with the SWS Strategic Centre and a further report back to Committee in future. This recommendation was approved by the Committee. AGREED 8. PRIMARY CARE MENTAL HEALTH: (Paper No: 08/09) David McCrae, Head of Mental Health advised that the creation of West CHCP in 2006 brought together two small NHS Primary Care Mental Health Teams to create one team based at Yarrowview Clinic in Whiteinch. There are significant challenges in managing the volume of Mental Health need within primary care ensuring people have easy access to a range of services. The Primary Care Mental Health Team receives on average 35 referrals per week. Mr McCrae further stated that the priority is to reduce waiting times and is identified as such within CHCP Planning Process. The waiting time for Primary MHT in September 07 was 6 months but this has been reduced to 4 months due to the extension of Group Activity and the introduction of self referral process. The introduction of Rapid Assessment Slots will speed up access to guided self help, group activities, sign positing to available services and one to one interventions. The aim is to reduce waiting times to between 2 and 6 weeks by September 2008. Councillor Mason wanted to see the evidence base for providing self help/care services and possibly a seminar involving staff could explore this. DMcC 9. HUMAN RESOURCES/LEARNING AND ORGANISATIONAL DEVELOPMENT: (Paper No: 08/10) Valerie Smith, Business Support Manager gave an update on the progress Report compiled by herself, Justine Murray and Yvonne Campbell, in relation to HR, learning and organisational developments and advised that there was a new OD Adviser appointed, Janice Turnbull. Ms Smith highlighted the absence levels at Appendix 1 for West and the other CHCPS which gives a breakdown of figures for different sections of the Department. Appendix 2, 3 and 4 highlights the problems area for short and long term sickness absences. It was also noted that an HR Consultant has been brought in to assist in this process. Ms Smith also reported that an implementation plan for KSF/PDP had now been rolled out which is joint sessions for Health and Social Work Managers who require knowledge of both systems. The Lead Group has pursued the development of Equalities Training to provide a basic training which will complement existing equality training, such as disability and race and will support the learning plan which is underway. 10. FINANCIAL AND CAPITAL WORK REPORT: (Paper No: 08/11) Jeanne Middleton, Head of Finance, reported that there is a significant overspend in some areas e.g. Section 3 clarifies the reason for the overspend in Homecare which is 6
currently 428,000 and attached is a recovery service plan to bring back to financial stability. Councillor Mason stated that it should be noted that Homecare in the West has the highest number of clients and we have a duty to raise with the Board and Council. 11. AOB Councillor Malik asked if there was any further business. The meeting then concluded. Councillor Malik advised those present that it was Terry Findlay s last meeting and stated that on a personal note he would wish to thank him for all his help and assistance in guiding us through the Committee process and giving us the benefit of his experience. Councillor Malik wished Mr Findlay well. Meeting concluded at 4.00 p.m. 7