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    Wednesday 19 February 2014

    Rooms J03-J07 Mid Argyll Community Hospital & Integrated Care Cen tre,


    12.30pm – Lunch

    1pm – Committee Meeting 1. Chairman’s Welcome Robin Creelman 2. Apologies Robin Creelman

    3. Conflicts of Interest Robin Creelman

    4. Minutes from Previous Meeting Robin Creelman 4.1 Minutes of 18 December 2013 (attached) 5. Matters Arising 6. NHS Highland Organisational Issues

    6.1 NHS Highland Board Meeting 4-2-14 (verbal) Robin Creelman 6.2 Director of Operations Report (to follow) Derek Leslie

    7. Clinical Governance 7.1 Clinical Governance & Risk Management Report (attached) Pat Tyrrell 7.2 Infection Control Report (attached) Pat Tyrrell 8. Financial Governance 8.1 Finance Report (attached) George Morrison 8.2 Revenue Budget Report (attached) George Morrison

    10.30am - 12.30pm – Committee Members Development Session

    • Health Aspects of the Single Outcome Agreement – Alison McGrory, Health Improvement Principal

    • Health and Safety Improvement Plan – Fiona Campbell, Clinical Governance

  • 3.30pm : Public Session

    9. Staff Governance 9.1 PDP/R and eKSF Implementation (attached) Derek Leslie 9.2 Minute of Partnership Forum Meeting of 14-11-13 (attached) Derek Leslie

    10. Partnership Working 10.1 Marie Curie Delivery Choice – Brief & Programme Plan (attached) Pat Tyrrell 10.2 Public Partnership Forum – Localities Update (verbal) Duncan Martin 10.3 Joint Performance Report – December 2013 (attached) Derek Leslie 11. Performance Management

    11.1 Delayed Discharge Quarterly Census (attached) Derek Leslie

    12. Mental Health Modernisation Update (attached) John Dreghorn 13. Noting 13.1 Mental Health Newsletter (attached) 14. AOCB*

    15. Date of Next Meeting Wednesday 23 April 2014 at 1pm, The Pavilion, Rothesay

    * to be notified to Chairman in advance of meeting

    The Committee meeting will be followed by:

  • Argyll & Bute CHP Committee 19 February 2014

    Item : 4.1



    Argyll & Bute Community Health Partnership Aros Lochgilphead Argyll PA31 8LB

    RSR Braeholm, Helensburgh

    18 December 2013 – 1.00 pm


    Mr Robin Creelman, Chairman, Argyll & Bute CHP Mr Derek Leslie, Director of Operations, Argyll & Bute CHP Dr Michael Hall, Clinical Director, Argyll & Bute CHP Ms Pat Tyrrell, Lead Nurse, Argyll & Bute CHP Ms Elaine Garman, Public Health Representative, Argyll & Bute CHP Ms Mary Wilson, AHP Representative, Argyll & Bute CHP Ms Elizabeth Reilly, Area Dental Committee Representative Mr Duncan Martin, Chairman, Public Partnership Forum Ms Elaine Wilkinson, Non-Executive Member

    In Attendance Apologies

    Mr George Morrison, Head of Finance, Argyll & Bute CHP Mr David Logue, Head of HR, Argyll & Bute CHP Mr David Ritchie, Communications Manager, Argyll & Bute CHP Ms Christina West, Locality Manager, Mid Argyll, Kintyre & Islay Councillor John McAlpine, Argyll & Bute Council Mrs Sheena Clark, PA to Director of Operations - Minute Secretary Councillor Elaine Robertson, Argyll & Bute Council Representative Councillor George Freeman, Argyll & Bute Council Representative Ms Glenn Heritage, CVO Representative Mr Jim Robb, Head of Service, Adult Care, Argyll & Bute Council Mr Michael Roberts, Vice Chair, Public Partnership Forum Ms Dawn Gillies, Staffside Representative Ms Elizabeth McMillan, Staffside Representative Mr Stephen Whiston, Head of Planning Contracting & Performance, Argyll & Bute CHP

    1. CHAIRMAN’S WELCOME The Chairman opened the meeting by welcoming everyone to the RSR Braeholm, Helensburgh. 2. APOLOGIES Apologies for absence were noted as above. 3. CONFLICTS OF INTEREST There were no conflicts of interested noted.

  • 2

    4. MINUTE FROM PREVIOUS MEETING 4.1 Minute of Meeting held on 23 October 2013 The Minute of the meeting on 23 October 2013 was accepted as an accurate record of the meeting. The Committee: • Approved the content of the Minute. 5. MATTERS ARISING FROM PREVIOUS MEETING HELD ON 23 October 2013 Opiate Substitute Prescribing – Mr Leslie advised that 1 nurse prescriber is now available to prescribe in the Kintyre community. Health Care in the Ross of Mull & Iona – Mr Leslie reported that the GP has now withdrawn his resignation. A meeting between relevant stakeholders and the public is being arranged to take place in January 2014 to address concerns originally attributed to the resignation and to ensure a continued sustainable GP service to the population. 6. NHS Highland Organisational Issues 6.1 Highland NHS Board Briefing 3 December 2013 Reference was made to the comments in the Briefing relating to the financial position within Argyll & Bute CHP. Mr Morrison reaffirmed that the current underspend position has been achieved by not applying the additional uplift to the SLA payment to NHS Greater Glasgow & Clyde of £1m and applying restrictions in the CHP to non-essential expenditure. The Committee noted there is no expectation that the CHP’s £1m contribution to address this year’s potential deficit in the NHS Highland Board position will be recurring and that there are no ongoing discussions regarding this. The Committee: • Noted the content of the NHS Board Briefing. 6.2 Director of Operations Report Mr Leslie referred to the circulated report and highlighted: Staff Flu Vaccine Uptake - the latest report has indicated an uptake of 44% of the staff flu vaccine this year. This is to the credit of the Flu Champions who have managed to encourage such a good uptake – this is 7% higher than last year and is now not too far off the 50% target. A final reminder will be sent out to staff within the next week for anybody who will reconsider if they have not yet received the vaccine.

  • 3

    Integrated Equipment Store Redesign - commencing in 2011 a 12 month review of the Integrated Equipment Service was undertaken. This identified that the existing HUB and SPOKE model had significant shortfalls in providing a safe, sustainable value for money service. Throughout 2012/13 various options were considered culminating in a service redesign paper. The paper concluded that a single store based in Helensburgh, distributing to all localities was the most appropriate way forward. This paper was approved and the redesign moved to an implementation stage with the development of a plan to take this forward The Integrated Equipment Service Redesign Implementation Plan was approved to progress during the summer of 2013. Within the plan there are some 49 actions split into two distinct areas of work, namely operational and property. Work is progressing in parallel in both areas. Operational actions primarily focus on a move towards a more technically focused department operating from a single base, this has resulted in a full review and rewriting of job descriptions. Transition from existing to future service is ongoing Property actions are progressing with a view to purchase of the Lomond Street, Helensburgh store within the current financial year and adaptation to suit the new service early in financial year 2014 -2015. With implementation of the operational aspects and completion of the new facility it is intended that the new service will be operational by late summer 2014. Cowal Out of Hours - the out of hours non-emergency for Cowal is close to being implemented. One Doctor has been appointed at Dunoon Hospital, with another due to start early in 2014. There is also a Rural Fellow in place, a qualified doctor who wishes to expand his experience with work in a more rural environment. Negotiations are currently taking place with the British Medical Association to reach an agreement about employing Cowal’s rural doctors to cover evenings and weekends on a permanent basis. Cowal Community Mental Health Team – Change of Base - the Community Mental Health Team in Cowal has expanded greatly and outgrew their existing base in Dochas Lodge. The have now moved to bigger and more accessible premises within Cowal Community Hospital. Some issues have been raised by members of the public about the access to the services being through the main hospital entrance or via the ambulance station roadway at the side of the hospital. Public re-engagement will take place to address the concerns raised. Oban Dental Centre - the Dental Access Centre is now open and the new leaseholders are due to move by January 2014. Two Open Days were successfully held recently. Lorn & Islands Hospital - Surgical Services - a third Consultant Surgeon has recently been appointed. The current long term locum will remain in post until early 2014. Lorn & Islands Hospital - Physician Post - long term locum cover continues. The post was recently re-adverti