GGCHCP(West)(M)06/08 Paper No. 08/36 Minutes 3 West Glasgow Community Health Care Partnership Committee Minutes of the Meeting held at 1.30 p.m. on Tuesday, 17 June 2008 in the Councillors Corridor, City Chambers, George Square, Glasgow PRESENT Jessica Murray, NHS Board (Chair) Catriona Renfrew, CHCP Director Dr Christopher Mason, Glasgow City Council Councillor Kenny McLean, Glasgow City Council; Councillor Aileen Colleran, Glasgow City Council Dorothy McErlean, Staff Partnership Forum Thelma Sneddon, Public Partnership Forum Frances Farrell, Public Partnership Forum Cathy Holden, Professional Executive Group IN ATTENDANCE West Glasgow CHCP Executive Management Team Janice Turnbull, Senior Organisational Development Adviser David McCrae, Head of Mental Health Pam Fenton, Head of Health & Community Care Matt Forde, Head of Children s Services/Criminal Justice Willie Kelly, Head of Addiction Services Amanda Taylor, Joint Head of Learning Disability Jeanne Middleton, Head of Finance Justine Murray, Head of Human Resources Dr John Nugent, Clinical Director Ray de Souza, Head of Planning & Health Improvement Valerie Smith, Business Support Manager Kirsty Goldie West Glasgow CHCP (Minutes) ACTION BY 1. APOLOGIES Apologies were received from: Councillor Bailie Hanzala Malik, Glasgow City Council; Councillor Bailie Gordon Matheson; Paul Higgins, Professional Executive Group; Marie Garrity, Staff Partnership Forum; Mary Hanley, Professional Executive Group, Social Work Representative.
ACTION BY 2. MINUTE OF LAST MEETING HELD ON TUESDAY 17 JUNE 2008 The Minutes of the last Meeting held on 17 June 2008 (Paper No. 08/25) were agreed as an accurate record. 3. REPORTS FROM SUB-COMMITTEES a) Professional Executive Group (PEG) (Paper No. 08/26) Dr John Nugent, Clinical Director gave apologies for Paul Higgins and introduced Cathy Holden, PEG member, to lead this report. Cathy Holden advised the Committee that a pilot on the acceptability of an early warning system for patients with respiratory disease, that might improve their quality of life and reduce hospital admissions, had finished and that consideration would be given to rolling out this system to other practices in the Board area. A recent survey had been conducted on previous Protected Learning Events and more were being planned using that feedback. Preparation was well under way for the planned HMIE in section of Children s Services. A local Diabetes Group was being established to ensure that there was good joint working between the diabetic services in primary and secondary care. Andrew Millar had been appointed to a Clinical Effectiveness post, looking at how well services were being delivered with a view to learning what might need to be done to improve them. The Annual Clinical Governance Report is being finalised and will include data from practice level annual reports and will be made available to members. Dr John Nugent updated the Committee on the Prescribing Sub Group; HEAT Target for reduction in growth of anti depressant prescribing (predicated upon the need to ensure that there was an appropriate availability of suitable alternatives), we have formed a group that includes mental health, GPs and pharmacy. Thelma Sneddon, Public Partnership Forum (PPF) asked what HEAT stands for Health Improvement, Efficiency, Access and Treatment. Councillor Christopher Mason stated that we had discussed alternatives to anti depressants over several months now and that we needed to discuss this issue in more detail, preferably at the next meeting. Councillor Mason also asked about GP involvement in the development of the alternatives to anti depressant strategy, as otherwise he thought they might not agree with it. David McCrae, Head of Mental Health, stated that he had attended a conference with Councillor Christopher Mason, at which alternatives to anti depressants had been explored, and was confident that significant progress could be made here. He undertook and will provide an update at the next meeting. Deleted: top Councillor Christopher Mason asked if this would require additional resources or would be expected to be delivered from within existing ones. No new resources had been identified, although it was stated that alternatives to anti depressants would be 2
cheaper in some cases. b) Public Partnership Forum (PPF) (Paper No. 08/27) Ray de Souza, Head of Planning & Health Improvement summarised the outcome of the PPF public meeting on 31 May 2008. Extra efforts were made to publicise the event as widely as possible. He said that 9 out of 13 vacancies on the PPF Executive Group has been filled through an election process. The 4 vacancies are for committee memebers of voluntary organsaitions: Ray de Souza said that further discussion would take palce with the West Voluntary Sector Network on how best to fill these vacancies. A work place identifying issues of concerns for those who attended the event was produced for the PPF Executive Group to address. Thelman Sneddon and Frances Farrell supported Mr de Souza s view that the meeting was positive and benefitical for all who attended. It was agreed to endorse the proposed changes to the PPF Working Agreement. Jessica Murray enquiried about the scope for joint working between the PPF and its counterparts in the city. Ray de Souza said that the five CHCP s are keen to explore how the PPF could develop links with each other and where appropriate do more work together. Catriona Renfrew suggested that PPD links with Community Planning might be one area where a joint approach across the city might behelpful with another being the development of community engagement links with the Acute Services on redesign and signposting to services issues. She undertook to pursue this matter with the Acute Planning Directorate. Ray de Souza advised that an organisational development plan and wayts of improving communication between the PPF Executive Group, the CHCP and the CHCP Committee would be explored in the next quarter period. c) Staff Partnership Forum (SPF) (Paper No. 08/28) Dorothy McErlean, SPF introduced herself and apologised that Marie Garrity was not in attendance. Mrs McErlean stated that the Induction programme for health board staff was being rolled out in Glasgow. This includes a place for a Partnerships Induction process in addition to local induction to workplaces and roles. Chair, Jessica Murray asked about the People Strategy and Team Brief. Catriona Renfrew, Director explained how the joint People Strategy and Team Brief came together. This was launched together and the action plan is how we are going to make staffs working life better and although two we are working together as a single organisation. The Action Plan will be circulated at the next committee meeting. CR 3
d) Employability (Paper No. 08/29) Ray de Souza, Head of Planning & Health Improvement advised that Glasgow West Regeneration Agency (GWRA) had kindly prepared a briefing paper in response to the issues raised at the last meeting. Councillor McLean and Councillor Mason welcomed the detailed briefing paper and found it illuminating. There were a number of queries and issues arising from the report which Ray de Souza undertook to obtain the necessary clarification from Calum Graham, Chief Executive of GWRA in time for the next meeting if possible as most of them related to wider aspects of the employability which were beyond the remit and sphere of influence of the CHCP. Catriona Renfrew advised stability and to get ready for jobs; to this extent our partnership with GWRA has helped to create a pathway towards work settings. Ray de Souza informed the Committee that GWRA was going through a competitive tendering process with the result of their bid for funding for the next 2 years to Glasgow Works due to be annouced today. RdS RdS 4. HUMAN RESOURCES/ LEARNING AND ORGANISATIONAL DEVELOPMENT: (Paper No. 08/30) Valerie Smith, Business Support Manager reported the period two Human Resources Update on establishment and turnover within both Health and Social Work as detailed within the report. Justine Murray, Head of Human Resources informed the Committee that there is a September deadline for the Absence Management Programme, Workforce pay and benefits review and also the Agenda for Change. Nursing staff is the next group to be worked on. KSF/ PDP Implementation, point 3.1: deadline for Health staff has now been changed to December 2008, progressing towards with input from the Learning and Organisational Development Adviser. The social work deadline still remains. Staff Events, point 3.2: earlier in the year staff were asked to complete a survey with feedback which has contributed to this years events. CHCP Learning Plan 2008/09, point 3.4: is underway for development and equalities plan. Janice Turnbull, Senior Organisational Development Adviser informed the Committee that the Extended Management Team Meeting dates are detailed within the report. Team Brief and People Strategy, points 4.2.1 and 4.2.2: is being cascaded throughout the CHCP. The Ready to Lead programme, point 4.3 is being linked to Induction work within the CHCP/ PPF members which will highlight areas of communication on publication of services available. Action Learning, point 4.4: Few people have been trained but we are looking at business related projects to take this forward. Equality and Diversity Development Sessions, point 4.6: 20 people have registered to attend on 19 th June and will update at the next meeting. 4 JT
Management Development Sessions, point 4.7: 2 half day events have been planned for all CHCP staff in order for us to help them to be better managers. Councillor Mason asked what LTA/ STA and KSF stood for LTA: Long Term Absence, STA: Short Term Absence and KSF: Knowledge, Skills and Framework. Councillor Mason asked for a sickness breakdown and detailed in categories of staff. He also stated that it would be interesting to look at Strathclyde Police, other local authorities and Health Boards. Catriona Renfrew said we would look at the level of detail and provide a more consolidated report in a way which was more helpful. Councillor Mason stated that if you keep pressure up you should expect high absence, as it has been like this in Social Work for many years. Catriona Renfrew said CHCP are pushing for a more structured approach to absence management including a Management Development Event but she recognised the issues caused by staffing levels. Our aim is to increase performance as a Management Team and be supportive and assertive. 5. FINANCIAL AND CAPITAL WORK REPORT: (Paper No. 08/31) Jeanne Middleton, Head of Finance reported that the Revenue Position 2007/08 trend had been consistent for the year. Nothing to indicate that this will not be maintained. Social Work figures will be reported at the next Committee meeting in August. A few key areas to note Mental Health overspend 500,000 and Jeanne Middleton is working with David McCrae, Head of Mental Health to bring this back into balance. Prescribing has an underspend of 110,700 at year end. Social Work Health & Community Care have an overspend of 587,500 and actions are underway to address home care spends. The overspend is estimated at 600,000 by the year end. Catriona Renfrew drew to the attention of the Committee her concerns about levels of qualified social worker staffing in childrens and families services and her continuing efforts to achieve the Director of Social Work s agreement to recruit to vacancies for which the CHCP has the budget. She also noted her proposal to vire resources from the NHS budgets to provide for additional staffing in this critical area of the CHCP responsibilities. Catriona also noted the substantial challenge to achieve the homecare savings target and the work underway to plan the required action. Nothing to report within the Capital Programme position. Thelma Sneddon stated that the Drumchapel Older People Day Care Centre building was complete but only caters for 25 people instead of 45, she had been told there was no money to accommodate 45 and asked when will this be rectified. PF Pam Fenton stated that the GCC report on the future of residential care for older people did not address an identified a shortfall in day care in West CHCP. As indicated in a previous report to Committee she is conducting a review of Day Care with the Strategic Head of Older People s services. This review will revisit the elements of the Best Value Review of Day Services which have not been implemented and will update at the next 5
Committee meeting. Jessica Murray, Chair asked when the service at Focal Point will operate at full capacity. Pam Fenton confirmed there are 25 places and that it is operating at full capacity Monday to Friday and looking to have a flexible service with the hours extended over evenings and week ends, and this is being pursued with the Council. Catriona Renfrew stated there will be a more detailed review at the August Committee meeting. We acknowledge this is an important issue and we will be looking at the whole day care service across the CHCP. 6. LEARNING DISABILITY DAY SERVICES REFORM: (Paper No. 08/32) Amanda Taylor, Head of Learning Disability summarised the report and updated that the citywide report had been submitted to the Policy Development and Scrutiny (PDS) Committee. The proposed next steps are that a further report will go to PDS Committee, establishing a framework of clear principles for change across the City and with a position statement for each CHCP. For the West we have the potential to progress more quickly because of the work the Heads of Learning disability have done to get agreement to service changes with learning disabled pople and their carers. We are also in the position of having only one building serving the CHCP which would be retained and developed, if possible. Catriona Renfrew confirmed the draft West element of the report will be shared with the Committee. AT/ CR 7. TOWARDS A REHABILIATION AND ENABLE MENT SERVICE CONSULTATION OUTCOME: (Paper No. 08/33) Pam Fenton, Head of Health and Community Care summarised the report and advised that a co-ordinating group has been established to prepare an action plan and to take forward implementation of the plan. The draft version of the framework is being finalised and comments received are being considered. A wide range of services are covered by the report including acute Primary Care and Social Care Services and the report recommends structural changes in order to achieve integrated teams. The report also proposes that some services currently provided separately by the CHCP and the Acute sector be integrated to improve consistency and reduce the number of referrals from one service to another patients are currently subject to. Concerns have been expressed in the comments received on the need for district nurses to retain good operational links and integrated working within GP practice teams and Pam confirmed that these will be maintained. Pam Fenton advised that a further update will be made during the course of this process. Catriona Renfrew advised that our aim is to report back on what this will look like within the West. Councillor Mason asked if the strategy included people recovering from a stroke. 6
Pam Fenton, confirmed it does. 8. PARENTING DEVELOPING A FRAMEWORK FOR WEST CHCP: (Paper No. 08/34) Matt Forde, Head of Children s Services introduced a report on the development of a framework for parenting within the West CHCP area. He confirmed that children s services planning partners, including Education, had agreed that this was a shared priority and would support this work. A parenting co-ordinator is being recruited for the CHCP and the work to develop services would be coordinated with the citywide work being led by Dr Linda de Caestecker. The parenting co-ordinator, who will lead on development and implementation of evidence based on a high quality parenting service. Matt Forde will provide a detailed programme in due course. 9. ADDRESS EQUALITIES PROGRESS REPORT: (Paper No. 08/35) MF Ray de Souza, Head of Planning and Health Improvement introduced his report highlighting the work that has been progressed by the CHCP to address equalities issues. He drew the Committees attention to the various Equalities Impact Assessments that had been undertaken or planned to be undertaken in the near future in various parrts of the CHCP. Three hundred CHCP staff have attended Equalities training, mostly Social Work staff. A major challenge will be to develop appropriate information system in the CHCP in order to get a better all-round picture of people accessing the full range of services. Councillor Mason enquired whether all staff were provided with specific training on the Disability Discrimination Act (DDA). Catriona Renfrew responded that the CHCP intended to ensure that awareness of the DDA would be incorporated into an induction programme for all staff. The Committee approved the Equalities Action Plan update and its submission to the NHSGG&C and GCC Social Work centres. RdS 10. AOCB Jessica Murray, NHS Board (Acting Chair) asked if there was any further business. The meeting then concluded. Meeting Concluded at 3.30pm 7