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EAST DUNBARTONSHIRE COMMUNITY HEALTH PARTNERSHIP

COMMITTEE MEETING

To be held on Wednesday 18th January 2012, 9.30am Corporate Meeting Room, Ground floor, CHP Headquarters,

Stobhill Hospital, Balgrayhill Road, Glasgow G21 3UR

No. Topic Paper No & Time

Associated paper

Welcome and Introductions Chair

09.30am

Apologies

09.35am

1.

Minutes of CHP Committee Meeting held on Friday 25th November 2011 Chair

12/01

09.40am

Paper 12.01.doc

2. i) ii) iii)

Matters Arising Winter Plan Head of Planning & Health Improvement Facing the Future Together and Agile Working Head of Mental Health & Partnerships AHP Redesign AHP Lead

12/02 09.45am

09.50am

12/14 09.55am

Paper 12.02.doc

To be tabled

PERFORMANCE MANAGEMENT

3.

Performance Improvement Report Head of Planning & Health Improvement

12/03

10.00am

Paper 12.03.doc

4.

Organisational Performance Review Head of Planning & Health Improvement

12/04

10.10am

Paper 12.04.doc

5.

Draft Development Plan Head of Planning & Health Improvement

10.20am

Presentation

6.

Finance Update Head of Finance

12/05

10.30am

Paper 12.05.ppt

1

7.

Corporate Risk Register Head of Finance

12/06

10.45am

Paper 12.06.pdf

8. HR Update / Staff Governance Monitoring Update Standing Item Head of HR

12/15

11.00am

Paper 12.15.doc

STANDING ITEMS

9.

NHS GG&C Board Meeting CHP Chair

12/07

11.05am

Paper 12.07.pdf

10.

Older People’s Transformational Change Fund Update Lead Nurse

12/08

11.10am

Paper 12.08.pdf

ITEMS FOR DISCUSSION

11.

Mental Health Improvement David Law, Health Improvement Practitioner (Mental Health) Senior

11.20am

Presentation

12.

Oral Health Directorate Strategic Group Minutes and Oral Health Update Standing Item CHP Director

12/09

11.40am

Paper 12.09.doc

ITEMS FOR NOTING

13.

Public Partnership Forum Update Public Partnership Representative(s)

11.45am

14.

NHS GG&C Corporate, Local and OHD Team Briefs – December 2011 & January 2012 CHP Director

12/10a,b,c

d,e,f 11.55am

Paper 12.10a.pdf Paper 12.10b.pdf

Paper 12.10c.doc Paper 12.10d.pdf

Paper 12.10e.pdf Paper 12.10f.doc

2

15. i) ii) iii) iv)

Minutes of Meetings Staff Partnership Forum 9th November 2011 (Not yet ratified) Public Partnership Forum 10th November 2011 (Not yet ratified) Partnerships Infection Control Steering Group 10th November 2011 (Not yet ratified) PEG Meeting 28th September 2011 (Not yet ratified)

12/11i,ii,iiiiv

12.05am

Paper 12.11i.doc

Paper 12.11ii.doc

Paper 12.11iii.doc

Paper 12.11iv.doc

16. i)

Any Other Competent Business Register of Interest Forms CHP Director

12/12

12.15pm

Paper 12.12.doc

17.

Schedule of Dates for 2012 Next Meeting: Wednesday 14th March 2012, 9.30am.

12/13

12.30pm Close

Paper 12.13.doc

3

TO BE RATIFIED Paper 12/01

Minutes of East Dunbartonshire Community Health Partnership Committee Meeting held at 9.30am on Friday 25th November 2011,

in the Corporate Meeting Room, CHP Headquarters, Stobhill Hospital, 300 Balgrayhill Road, G21 3UR

MEMBERS PRESENT NAME DESIGNATION Dr Ian Gordon Clinical Director, Vice Chair Mrs Karen Murray Director Ms Annemargaret Black Lead Nurse Mr Ross McCulloch Staff Partnership Forum Dr Graham Morrison Professional Executive Group Mrs Heather Gartshore Public Partnership Forum IN ATTENDANCE Ms Sandra Cairney Head of Planning & Health Improvement Mr Mark Richards Head of Mental Health & Partnerships Mr James Hobson Head of Finance Ms Sarah McChristie Health Improvement Senior Ms Geraldine McMartin Minutes

No. Topic Action

by WELCOME AND INTRODUCTIONS

Dr Ian Gordon welcomed all to the meeting.

APOLOGIES

Apologies were intimated on behalf of Ms Rani Dhir, Mr Gordon Thompson, Mr Ian Fraser, Mr Ray McAndrew, Mrs Michelle McLauchlan, Mrs Audrey Murdoch, Mr Martin Brickley, Councillor Amanda Stewart and Ms Serena Barnatt. NOTED

96. MINUTES OF CHP COMMITTEE MEETING HELD ON FRIDAY 30TH SEPTEMBER 2011

Paper 11/67 Approved as an accurate record.

Page 1 of 7


97. MATTERS ARISING i) ii)

Children’s Integrated Assessment Framework Implementation Following discussion at the previous meeting, Ms Annemargaret Black, Head of Primary Care and Community Services, advised the Committee that agreement has been reached in relation to the electronic Integrated Assessment Framework, which will now be implemented by December 2011. Mrs Karen Murray, Director, asked if this was through SharePoint. Ms Black advised yes. Dr Gordon asked if compliance would be monitored. Ms Black advised that there is already a monitoring process in place. Mrs Murray acknowledged progress made to encourage staff to complete IAFs, however requested that the Committee could be given assurance that actions identified through the IAF process were implemented by the agencies involved. Dr Gordon thanked Ms Black for the update. NOTED Change Fund – Older People Update Paper 11/68 Ms Annemargaret Black updated the Committee on progress of the Older Peoples Transformational Board and advised of new guidance for local partnerships for 2012/13. The Board have been concentrating on strategic work and a draft older people’s strategy is available for comment until 2nd December 2011. Ms Sandra Cairney, Head of Planning and Health Improvement and Ms Jean Campbell, Planning and Development Manager, East Dunbartonshire Council, are currently working on development of a Joint Commissioning Strategy. Ms Cairney is also working on a Joint Performance Framework, both to include service planning and accountability. Ms Black also updated the Committee on plans to commission a health economist to analyse the bed days lost data and how the 50% reduction target can be met over the next 4 years. Ms Black advised that the CVS Annual General Meeting and Seniors Conference took place on Tuesday 22nd November. The session was well received and both Ms Black and Mrs Gartshore expressed thanks to CVS and Mr Martin Brickley for organising a productive conference. A report is required to be submitted to the Scottish Government by 17th February 2012, which needs to demonstrate that 20% of the change fund investment will be supporting carers. The Committee requested that a draft of the report to the Government be presented to the January 2012 meeting. Ms Black advised that the chairs of both East Dunbartonshire Council Social Work Committee and CHP Committee will meet in January 2012 to discuss holding a joint session. Dr Gordon thanked Ms Black for the update. NOTED

AB/SC

Page 2 of 7


98. FINANCIAL UPDATE

Paper 11/69 Mr James Hobson, Head of Finance, presented the finance report for the period to 31st October 2011. The CHP continued to show an overspend against prescribing but was achieving overall balance in core group budgets. OHD continued to show a small surplus. Following discussion around prescribing costs, it was agreed that Mr Hobson would attend the next GP Forum Meeting to give a financial overview as prescribing costs remain the most significant in year financial risk for the CHP. Mr Hobson advised the Committee that work was progressing on finalising the Partnerships Savings Plan for 2012/13 and these will be reported at the next meeting of the Committee. The chair thanked Mr Hobson for the update. NOTED

JH

99. GG&C NHS BOARD MEETING

Paper 11/70 The Core Brief of 18th October 2011, was circulated. The full set of Board papers are available on NHS GG&C website for members to access. If any Committee members have any questions relating to topics within the Board papers, please contact the relevant Senior Management Team member or Mrs Murray. NOTED

100. EAST DUNBARTONSHIRE HEALTH IMPROVEMENT NUTRITION PROGRAMME

Ms Sarah McChristie, Health Improvement Senior, was welcomed to the meeting to give an update on the Health Improvement Nutrition Programme. Ms McChristie gave a presentation which included the following areas of work:

East Dunbartonshire Food Co-op ACES Programme Community Nutrition Skills Programme Cookery Skills Tutors Resource Development

The Committee thanked Ms McChristie for her informative presentation and raised the following questions: How would the cookery courses be advertised? This will be advertised through the Food Co-op Newsletter. Dr Morrison highlighted the prevalence of elderly men in the Milngavie/Bearsden areas and that it might be useful to offer cookery classes in this area also. Ms Black suggested that this

Page 3 of 7


could be linked into the Change Fund as there is scope within this to do both nutrition and smoking cessation health improvement work. Dr Morrison asked where the courses would take place. Ms McChristie advised that the ACES programme use the home economics classrooms within the school and the therapeutic kitchen within KHCC. Mr Mark Richards, Head of Mental Health and Partnerships, asked in relation to the impact of the food co-op on wider determinants of health, and how would that be measured. Ms McChristie advised that an evaluation report had been carried out by an MSC student on the impact on the volunteers. The chair thanked Ms McChristie for the presentation. NOTED

101. WINTER PLANNING 2012/13

Ms Sandra Cairney, Head of Planning and Health Improvement, gave an update to the Committee on Winter Planning for 2012/13. Questions Mrs Murray asked when the final version of the plan will be available. Ms Cairney advised that further information is required from the team leaders, however once this has been received the plan will be available in the next week. THE COMMITTEE NOTED THE CONTENT OF THE PRESENTATION AND ASKED THAT THE WINTER PLAN BE CIRCULATED TO THE COMMITTEE NEXT WEEK

SC

104. FACING THE FUTURE TOGETHER

Paper 11/72 Mr Mark Richards, Head of Mental Health and Partnerships, updated the Committee on progress to date with the Facing the Future Together Programme. The programme which was launched on 7th November 2011, aims to support the delivery of further changes and improvements in the quality of the care we offer and focuses on the following topics:

Our Patients Our People Our Leaders Our Resources Our Culture

A suite of information is available on the intranet and also includes an “Ask the Boss” section, where staff can directly ask Mrs Murray or Mr Robert Calderwood questions. A programme of events is also available and has been advertised on the intranet and through the local Team Brief. Mrs Murray highlighted the opportunity to take forward agile working. Mr Richards will take

MR

Page 4 of 7


this discussion to the Communications Group. NOTED

105. HR UPDATE/STAFF GOVERNANCE MONITORING UPDATE

Paper 11/72 The HR update paper was circulated to the group. Ms Serena Barnatt, Head of HR was unable to attend the meeting. Mrs Murray gave an overview of the content of the HR report submitted. Concern around KSF progress and in particular reported low levels of signed off PDPs was highlighted. All heads of service were reminded to ensure all staff have PDPs in place and KSF reviews completed. Mrs Murray updated the group on the planned industrial action on Wednesday 30th November. Services will run on a public holiday basis. Patients have been informed of cancellation of clinics and all appointments cancelled must be rescheduled by 31st January 2011. Ms Sandra Cairney and Mrs Fiona McCulloch, Planning & Performance Manager, will take all telephone calls in relation to the industrial action on Wednesday. Ms Black to discuss with Mrs Wendy Mitchell, Senior Community Nurse Manager, that all practices are informed of the public holiday cover arrangements. NOTED

SC/FM AB/WM

102. AHP REDESIGN UPDATE

Ms Black updated the Committee on changes to the NHS GG&C podiatry services. Renfrewshire will manage board wide podiatry services on behalf of NHS GG&C; however the CHP will retain governance responsibilities for the service within East Dunbartonshire. Mr Paul Higgins has been appointed as the CHP manager and Ms Black will inform the group once the local team leader post has been filled. Physiotherapy redesign is also progressing and will also move to a quadrant model. Ms Black will inform the Committee of contact details for the new CHP Physiotherapy Manager. Dr Ian Gordon advised that Dr Brian Kennon will attend the February 2012 meeting of the GP Forum to give an update on diabetes foot care. NOTED

AB

AB

IG/BK

103. OHD STRATEGIC GROUP MINUTES OCTOBER 2011

Paper 11/71 The minute of the OHD Strategic Group meeting of 26th October 2011 was circulated for information. Mrs Murray gave an update on the main issues covered at the October meeting. NOTED

106. PPF UPDATE

Page 5 of 7


Paper 11/74 The Committee was saddened to hear of the death of Mr David Paul, PPF member. David was a very active member of the PPF and committed a great deal of his time to the PPF. David will be sadly missed amongst staff and partners of the CHP. Mrs Heather Gartshore updated the group on the recent change in office bearer for the PPF. Mr John P. Kelly has resigned as chair. Mr Martin Brickley has been appointed as Chair of the PPF and Mr Richard Thomson a Vice Chair. Mrs Cairney to check which agency or group Mr Thompson represents. NOTED

SC

105. NHS GG&C CORPORATE & LOCAL TEAM BRIEFS OHD & CHP – OCTOBER & NOVEMBER 2011

Papers 11/75a,b,c,d,e,f Circulated for information. It was highlighted that the Woodlands Garden won the Chairman’s Award and the Chairman will be visiting Woodlands soon. Mrs Murray was congratulated on her recent IHM Companionship Award. NOTED

106. MINUTES OF MEETINGS

Papers 11/76a,b,c Papers circulated for noting. NOTED

107. AOCB

Mrs Cairney updated the Committee on the recent changes to licensing legislation, which now requires the local authority to consult health boards on all licensing applications. There are two representatives on the Licensing Forum, namely Mrs Cairney and Mr Richards. Mrs Cairney will provide a more detailed presentation at the next meeting of the Committee on the requirements of the CHP. Mrs Gartshore asked Ms Black to provide Mr David Radford, Health Improvement Senior, with a note of the podiatry redesign information. The group were encouraged to consider topics for the two seminar meetings planned for 2012. This will be discussed at the January Committee Meeting. NOTED

SC

AB

108. DATE OF NEXT MEETING

The schedule of dates for 2012 has been circulated. Committee meetings will now take place

Page 6 of 7


Page 7 of 7

on a Wednesday morning. Committee Meetings Wednesday 18th January 2012, 9.30am – 12.30pm, Corporate Meeting Room Wednesday 14th March 2012, 9.30am – 12.30pm, Corporate Meeting Room Wednesday 16th May 2012, 9.30am – 12.30pm, Corporate Meeting Room Wednesday 4th July 2012, 9.30am – 12.30pm, Corporate Meeting Room Wednesday 5th September 2012, 9.30am – 12.30pm, Corporate Meeting Room Wednesday 14th November 2012, 9.30am – 12.30pm, Corporate Meeting Room Seminars Wednesday 28th March 2012, 9.00am – 12.00pm, Corporate Meeting Room Wednesday 26th September 2012, 9.00am – 12.00pm, Corporate Meeting Room

East Dunbartonshire Community Health Partnership Reports cover 1 Title of paper

East Dunbartonshire CHP Winter Plan 2011/12

2 Report by

Sandra Cairney

3 Date of Commitee Meeting

18th January 2012

4 Contact number

0141 201 4209

5 Email address

[email protected]

6 Agenda item number

2

7 Agenda paper number

Paper 12/02

Purpose of Report:- On the Committee Meeting of 25th November 2011, the Committee agreed to circulate a copy of the CHP Winter Plan. Background:- The CHP is required by the Board to produce and circulate a Winter Plan by November each year to inform staff and partners about the availability of services and contingencies should severe weather occur. Recommendations:- The Committee are asked to note the contents of the plan.

mailto:[email protected]

East Dunbartonshire CHP

Winter Plan 2011/12 Sandra Cairney Head of Planning & Health Improvement Fiona McCulloch Planning & Health Improvement Manager

East Dunbartonshire CHP Winter Plan 2011-12Page 2 of 7

TASK ACTION LEAD UPDATE

Confirm community capacity and availability particularly OOHs including overnight and weekends over winter and the festive period.

Rotas for festive period are finalised to cover the essential elements of each service for over the festive period.

There are well established service agreements with OOH/weekend city wide services for Nursing adult/older people’s mental health and learning disability services.

Back up rotas are finalised

All operational managers

SMT


Completed

Put in place appropriate and robust joint arrangements to manage demand and response over the winter period.

Arrangements in place for triaging /identifying priority patients within all teams.

Winter planning arrangements a standing agenda item at all Direct report meetings


All Heads of Service/operational managers

List of patients prepared and reviewed on an ongoing basis

Daily meetings with mental health and social work rep who also tables priority clients from all other care groups known to EDC

Winter Planning on Team Meeting agendas. Staff informed of GG&C information available on

www.nhsggc.org.uk/staffwinterinfo

Prepare escalation plan in anticipation of rising demand and increased pressure with suitable contingencies

Completed contingencies available on the shared drive for each service.


Submitted escalation plans available on shared drive in Winter Planning folder

Jointly review common set of situational data from SITREP reports provided by the Board complemented by available local

Process for gathering and submitting SITREP data in place. More formalised local monitoring and review system needs to be established.

Head of Planning Will be reviewed when produced

http://www.nhsggc.org.uk/staffwinterinfo


intelligence on regular basis to guide local response.

All managers have systems in place to contact and brief their staff if and when required either by email or face to face.


Managers have communication systems in place

Ensure briefing of staff on local planning.

Managers to make staff aware of winter plan


Winter Planning is a standing item on agenda at Team Meetings.

Information and useful contact numbers available on GG&C web

www.nhsggc.org.uk/staffwinterinfo

Confirm health OOH contact rota with contact details and on call social work availability.

Telephone numbers for health and social work OOH contact details have been widely circulated to all relevant staff/services.

SMT on-call rota provided to Board


SMT

OOH info forwarded to Head of Admin for distribution

Telephone numbers included in CAT Festive Campaign

Completed

Facilitate discussions with local authorities to ensure that adequate gritting operations are in place to help reduce the number of emergency admissions due to falls and fractures (including pavements).

Discussions with EDC Roads Department to discuss issues re gritting issues and access to KHCC and Woodlands.

Process for contacting Roads Duty Officer to access highly vulnerable patients agreed

Head of Planning/Planning Manager

Planning Manager/Operational Managers

Complete

Process agreed and outlined in Winter Planning folder on Shared Drive

Ensure community teams provide rapid response for vulnerable people.

All services identify vulnerable patients on a daily basis and prioritise accordingly.


List of patients prepared and will be regularly reviewed.

HI will support community teams in reaching vulnerable people.




Ensure links are in place between community teams and hospital teams to ensure services work together to cover peaks in demand

Physio managers links with both MSK leads and IRIS lead.

Podiatry have systems in place across primary and secondary care.

Linkages in place with in-patient mental health and learning disability services to ensure cover with particular focus on impact of adverse weather.


Rehab Team have appropriate links in place

Discussion with Head of MH & Partnership re agreed protocols for cover arrangements in agreement with Tier 4 Services.

Identify patients at risk of admission via local systems including SPARRA and assess actions with primary care, OOH, social work and hospital to prevent admission and facilitate discharge,

Discussions with Local Authority to agree system for a joint approach to providing services and sharing resources


Meetings established and ongoing throughout winter period. OOH / Public Holiday service contacts shared. Severe weather daily meetings will be initiated only by a member of the SMT from either agency. SMT emergency on-call contacts to be shared

Encourage uptake of Flu vaccination by staff and vulnerable patient groups

Staff encouraged via email, core briefs, team briefs, and team meetings


Complete

Ensure leave planned in hospital, community health services and social work to cover anticipated peaks in January

Rotas for all CHP services have been planned for over festive period.

Joint work with local authority on planned leave and cover for services over winter period

All operational managers Head of Planning

As above

JLDT health staff rota / annual leave projected until end Jan 2012

Ensure early notification to social work teams regarding anticipated increase in assessment and discharge activity to release beds

Discharge planning systems in place across health and social work

Head of health and community services/operational managers

Current discharge planning arrangements adhered to

Check adequacy of local Nursing staff stock some essential Senior Nurse Essential equipment ordered and



equipment stock available for discharge teams

equipment locally for patient purposes over the winter period.

available

Snow shovels purchased and available for staff if required

Patients to be reminded to re-order repeat prescriptions in advance of the festive period particular emphasis on methadone prescriptions

All practices have received communications around:

repeat prescriptions etc

GMS contract requirements for opening hours especially over holiday period.

List of pharmacies opened during festive period made available to all practices

All staff are briefed to remind patients on reordering repeat prescriptions

List of pharmacies opened during festive period made available to staff

Local systems in place to ensure methadone prescriptions are managed over festive period.

Clinical director

All Operational managers

All Operational managers

Nurse Team leader

EDCAT

Distributed as information made available from NHSGG&C

Discussed at team Meetings

Distribution follow Board release of this. Information available on GG&C web site. www.nhsggc.org.uk/staffwinterinfo

Complete

Remind Patients to have Prescriptions filled at pharmacy in advance of needing medication.

GP Practices and pharmacies remind patients

Clinical director Patient information will be provided

Communication Circulate weather and policy briefs to operational managers

Escalate local issues to the Board if the policy does not cover these.

Director/Heads of service

System in place to circulate widely as received.





Inform GP practices of available services during festive period

Provide information to Service Leads

Planning Manager

Planning Manager

Completed

Completed. All information is available on the CHP Shared Drive


Performance Improvement Report

2 Report by

Sandra Cairney


18th January 2012

4 Contact number

0141 201 4209

5 Email address

[email protected]


03


Paper 12/03

Purpose of Report: To provide the Committee with an update of the CHP performance against selected HEAT and GG&C targets. Background The Performance Improvement Report forms part of the CHP’s routine performance management and reporting framework and is informed by a range of data. Recommendations:- The Committee are requested to note the contents of the report

PIR Jan 12 1


PIR Jan 12 2

Performance Improvement

Report

January 2012

Foreword The Performance Improvement Report (PIR) forms a part of the CHPs routine performance management and reporting framework and is informed by a range of data captured from electronic recording systems, audit or inspection data. The PIR is produced for every alternate Committee meeting and pays specific attention to our key targets and imperatives (HEAT targets, National Outcome Measures and local improvement targets). The intention is to develop a comprehensive performance monitoring system which informs service planning and development to achieve patient outcomes.

PIR Jan 12 3

CONTENTS

1 Acute Services 4 2 Adult Mental Health 5 3 Alcohol and Drugs 6 4 Children and Maternal Health 7 5 Long Term Conditions, Older People and Disability 8 6 Unplanned Care 9 7 Health Improvement 10 8 Effective Organisation, 11 9 Cancer 12 10 Quality 12 11 Sexual Health 12 12 Tackling Inequalities 12 13 Primary Care 13 14 Oral Health 14

PIR Jan 12 4

ACUTE SERVICES

Performance Measures As At E/D Actual E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status

E/Dun Direction of Travel

Reduce number of DNAs Jun11 9.8% 11.3% GREEN 13.8% RED ↑ Delayed discharge:

6 weeks Nov 11 0 0 GREEN 16 RED ↑ < 6 weeks Nov 11 5 N/A N/A 193 N/A ↑

Delayed discharge exception codes

6 weeks Nov 11 6 N/A N/A 99 N/A → < 6 weeks Nov 11 0 N/A N/A 10 N/A →

Delayed discharges, patients waiting over 6 weeks

0

5

10

15

20

25

30

35

NHSGGC 0 16 21 33 29 33 22 16

East Dunbartonshire CHP 0 0 0 0 0 0 0 0

April May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11

Delayed discharges for greater than 6 weeks continue to be maintained at zero. The CHP is working with partner agencies to reduce the delayed discharges for excluded codes and those less than 6 weeks through the change fund project. The change of HEAT targets from 6 weeks to 4 weeks in April 2013 will prove challenging for partner agencies.

PIR Jan 12 5

ADULT MENTAL HEALTH Performance Measures As At E/Dun

Actual E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Reduction in anti-depressant prescribing (DDD per capita – GP list size)

Apr 10 – Mar 11

31.22 N/A N/A 39.65 N/A ↓

Access to psychological therapies Delayed Discharge Adult Mental Health:

> 6 weeks Nov 11 0 0 GREEN 0 GREEN - < 6 weeks Nov 11 0 N/A N/A 0 N/A -

Delayed discharge exception codes > 6 weeks Nov 11 0 N/A N/A 2 N/A - < 6 weeks Nov 11 0 N/A N/A 4 N/A -

PCMHT Waiting Times Nov 10 1 week - - - - -

Anti-depressant DDDs (defined daily dose) per capita aged 15yrs and over

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

45.00

East Dunbartonshire CHP 30.42 30.97 31.81 32.02 31.22

East Renfrew shire CHCP 35.10 35.49 36.16 36.33 35.26

GG&C 38.77 39.46 40.36 40.66 39.65

Year to Mar 2010

Year to Jun 2010

Year to Sep 2010

Year to Dec 2010

Year to Mar 11

The Defined Daily Dose (DDD) prescribing of anti-depressants a slight downward trend from September 2010, which is consistent with the pattern across NHS GG&C and East Renfrewshire CHCP (as a comparator). Formulary compliance has been monitored by our prescribing team, and this shows a high level of compliance with the formulary across all practices. This information is reported to GP practices through individual practice prescribing review reports. The PCMHT continues to perform well with regard to waiting times for assessment. Controlled self referral was introduced on 29th August 2011, and this has been successful in driving down the wait for assessment. The PCMHT is consistently meeting a locally set standard of completing a telephone based assessment within 3 working days of receipt of referral. The CHP is preparing for the introduction of the new access to psychological therapies HEAT target through ensuring that all evidence based psychological therapies are being recorded. The CHP is also undertaking an audit of our capacity to deliver and supervise psychological therapies across adult and older people’s mental health service, addictions, and learning disability services.

PIR Jan 12 6

PIR Jan 12 7

ALCOHOL AND DRUGS

Performance Measures As At E/Dun Actual 2010/11

E/Dun Target 2010/11

E/Dun Status

GG&C Actual

GG&C Status


Drug Treatment: Referral to assessment date offered:

% <21 days Sept 11 64% 78% RED 90% AMBER ↑

Assessment to treatment date offered Sept 11 40% 78% RED 80.5% RED ↑ Number of Alcohol Brief Interventions

Apr- Sept 11

226 325 9370 N/A -

Number of HEAT staff trained to deliver ABIs

Mar11 44

Number of Non HEAT staff trained to deliver ABIs

Mar 11 33

Alcohol Fast Screening Tool Apr-Sept 11

2058 N/A N/A 29,626 N/A -

Proportion of GP practices signed up to deliver ABIs

2011/12 70.6% N/A N/A 76.6% N/A

Number of drug related deaths (per 100,000 pop)

2010 5.7 N/A N/A 13.9 N/A ↑

Reduce rate of alcohol related admissions

June 10 1.1 N/A N/A 2.6 N/A ↑

Alcohol Treatment: Referral to assessment date offered Sept 11 60% N/A N/A 85.1% N/A ↑

Referral to treatment date offered Sept 11 % N/A N/A % N/A ↑

ABIs Cumaltive by Period

0

500

1000

1500

2000

2500

3000

3500

East Dun CHP 1389 1410 1469 1620 1846

Target 2122 2338 2,410 2572 2897

Apr 08 - Sep 10 Apr 08 - Dec 10 Apr 08 - Mar 11 Apr 08 - Jun 11 Apr 08 - Sept 11

The CHP’s performance against the ABI target remains a challenge. 12 out of 17 GP practices are now delivering this intervention. The cumulative total of ABIs remains below target, but figures show a steady cumulative increase. In partnership with East Dunbartonshire Council, we are working to build capacity to deliver ABIs through re-structuring the Glasgow Council for Alcohol input into East Dunbartonshire to focus more of this resource on ABI delivery. This will ensure that gaps in ABI delivery are addressed, thus ensuring more equitable access to this evidence based intervention. For 2012/13 NHS Boards and their ADP partners are being encouraged to continue to develop delivery in wider settings and to build the evidence base around these. The remainder of delivery can therefore be derived from wider settings in accordance with the ABI HEAT standard national guidance for 2012-13 which will be issued shortly. The new HEAT waiting times for drugs and alcohol is now being routinely reported to the Government’s Information and Statistics Division. The HEAT target is that by March 2013, 90% of people who need help with their drug and/or alcohol problem will wait no longer than three weeks for treatment. For the first reporting period against this target (April-July 2011) the CAT reported waiting time performance of 78% against this target, in line with the national waiting times trajectory of 78% for this period. For the next reporting period, (July-September 2011), performance was reported as 64%. Action has been taken to ensure that the waiting times trajectory is met, with confidence that the target will be met during the next reporting period.

PIR Jan 12 8

CHILDREN AND MATERNAL HEALTH

Performance Measures As At E/Dun Actual

E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Number of children with completed IAF

167 ? ? N/A N/A

Breastfeeding: At birth Sep 11 58.9% N/A N/A 50.5% N/A ↓

At discharge Sep 11 46.8% N/A N/A 38.2% N/A ↓ At health visitors first visit Sep 11 37.3% N/A N/A 30.6 N/A ↓

6-8 weeks Sep 11 29.2% 44% RED 23.7% RED ↑ deprived Sep 11 15.3% 44% RED 14.5% RED →

Reduce the % of 3 – 5 year olds with decayed, missing or filled teeth

June 09 70% 60% GREEN 56% AMBER N/A

Number of 3 – 5 year olds registered with a dentist

Mar 11 83.5% 76% GREEN 86% GREEN N/A

Number of child fluoride varnishing applications

UNDER DEVELOPMENT -

Number of children completing 30% of child healthy weight intervention programme

Mar 11 13 25 RED 256 RED -

MMR: 24 months Jun 11 95.4% 95% AMBER 92.4% AMBER ↑

5 years Mar 11 96.7% 95% AMBER 96.4% GREEN ↓ Smoking in pregnancy Sep 11 9.8% 20% GREEN 20% GREEN ↑ Smoking in pregnancy most deprived quintile

Sep 11 32.1% N/A N/A 25% N/A ↑

Breastfeeding at 6-8 weeks

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

50.00%

Breast Only 29.80% 29.90% 29.20%

15% most deprived datazones

15% 16.30% 15.30%

Target 44% 44% 44%

Jan 10 - Dec 10 Apr 10 - Mar 11 Oct 10 - Sep 11

Recently East Dunbartonshire CHP achieved UNICEF stage 3 award for breast feeding and have received the final report and accreditation letter. The CHPs performance against the HEAT target remains fairly static although there have been small increases in exclusive breastfeeding in the 15% most deprived datazones. The Children and Families Team continue to work to support mothers to breastfeed and to reduce mixed feeding. The ACES programme has hosted 1 community programme with 12 participants. Active Choices has delivered 3 primary school programmers to 6 year groups with a total of 153 children participating. The programme has recruited a full time (12 month) coach with support from ED Leisure Trust for and is in the process of recruiting a part time coach. Planning to roll out a further ACES and Active Choices (primary school programme) in the first quarter of 2012 is at an advanced stage. Planning towards a sustainable roll out of the Active Choices programme within educational settings has commenced. Engagement with Primary Schools regarding toothbrushing programme is proving challenging due to capacity of Primary Schools to provide resources to ensure toothbrushing within Primary schools is maintained. Partnership developed, with referrals now being made, with Maternity hub to target pregnant woman who smoke into the service offered by the Cessation Team.

PIR Jan 12 9

LONG TERM CONDITIONS, OLDER PEOPLE & DISABILITY

Long Term Conditions


E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Long Term Conditions – Crude discharge rate (per 100,000 pop)

COPD Jun 11 415.9 N/A N/A 735.9 N/A Asthma Jun 11 129.1 N/A N/A 186.7 N/A

Diabetes Jun 11 94.7 N/A N/A 159.8 N/A CHD Jun 11 1245.9 N/A N/A 1227.7 N/A

Older People Number of patients on GP register with dementia

Oct 11 636 N/A N/A 9,513 GREEN ↑

Emergency bed days rates for patients aged 75 years+

Jul 11 4,901 N/A N/A 6,307 N/A -

Disability Increase the number of health checks provided to people with a learning disability

Jan 12 25 25 GREEN N/A N/A

LTC Crude discharge rates per 100,000 pop

0.0

200.0

400.0

600.0

800.0

1000.0

1200.0

1400.0

COPD 347.7 357.3 369.7 414.6 414.0 408.3 415.9

Asthma 128.0 101.3 106.0 113.7 134.8 140.6 129.1

Diabetes 96.5 84.1 75.5 74.5 81.3 87.0 94.7

CHD 1178.8 1244.7 1299.2 1262.9 1315.7 1302.4 1245.9

Jan 09 - Dec 09

Apr 09 - Mar 10

Jul 09 - Jun 10

Oct 09 - Sep 10

Jan 10 - Dec 10

Apr 10 - Mar 11

Jul 10 - Jun 11

Change Fund – delays relating to recruitment for a number of service developments. We should start seeing an impact on older people’s KPIs in the next quarter.

UNPLANNED CARE

As At E/Dun

Actual E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


New A&E attendances crude rate per 100,000 pop

Dec 10-Nov 11

1554 GREEN 2841 GREEN ↑

A&E attendances referred by GP (per 100,000 pop)

Nov 11 180 N/A N/A 282 N/A ↓

A&E attenders by site by month

0

100

200

300

400

500

600

700

800

900

GRI 256 225 566 702 765 652 681 711 701 676 720

Stobhill 755 641 323

Stobhill MIU 461 476 549 523 518 576 509 563 561 496 514

WIG 452 449 457 431 476 451 439 462 498 488 468

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

East Dunbartonshire CHP continues to monitor A&E attendances particularly around attendances at Stobhill MIU and its impact on attendances at GRI.

*(The total figures correlate with those provided in the graph and do not include the very small number that attend other A&E departments across GG&C).

PIR Jan 12 10

HEALTH IMPROVEMENT

Performance Measures As At E/Dun

Actual E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Smoking Cessation: Deprived Sept 11 34 45 RED 2261 GREEN ↓

Quit Rate in Acute Sept 11 35% N/A N/A 36% N/A ↓ Quit Rate in Community Sept 11 60% N/A N/A 53% N/A ↓

Quit Rate in Maternity Sept 11 50% N/A N/A 37% N/A - Quit Rate in Pharmacy Sept 11 29% N/A N/A 28% N/A ↑

Quits from the 40% most deprived Board areas

0

100

200

300

400

500

600

North East NorthWest

South East Dun East Ren Renfrew Inverclyde West Dun

No

. o

f q

uit

s

0

100

200

300

400

500

600

Tar

get

Actual Total (Pharmacy, Community, Acute, Maternity)

Target quits from the 40% most deprived Board areas April 11 - Sept 11

Cessation figures at 4 weeks continue to increase. On target to comply with NHS GGC Target overall. Group sessions continue to be well supported alongside 1:1 support, mainly provided within identified areas. Pilot with Addictions Team is progressing. Uptake of youth smoking cessation service has been disappointing, revising model and approach in 2012. Ongoing partnership with Pharmacy, where public health pharmacist reports very high attendance rates within all participating pharmacists. Annual GP Smoking Cessation newsletter completed and forwarded to all GP’s across East Dun. Greater emphasis will be to target resources in deprived areas to address lower cessation rates. .

PIR Jan 12 11

EFFECTIVE ORGANISATION


Actual E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Sickness absence: Oct 11 5.3% 4.0% RED 4.5% RED ↑ Short term Oct 11 1.3% N/A N/A 2.41% N/A ↑ Long term Oct 11 4% N/A N/A 2.15% N/A ↓ Staff with an e-KSF (CHP) Jan 12 69% 80% RED 65.86% RED ↑ Staff with an eKSF (OHD) Nov 11 68% 80% RED

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

East Dun CHP 4.9% 5.4% 4.6% 3.8% 5.0% 4.8% 5.3%

GGC 4.5% 4.9% 5.1% 4.8% 5.0% 5.1% 5.1%

Target 4.0% 4.0% 4.0% 4.0% 4.0% 4.0% 4.0%

Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11

Sickness absence is monitored monthly and managed on an ongoing basis. The HEAT target has now become a standard with the expectation that NHS Boards aim to achieve 4% sickness absence levels as the standard. Managers are continually supported in ensuring that absence is managed and staff are supported during periods of ill health. The Committee also receive a separate detailed report on attendance at each Committee meeting in support of Staff governance

Sickness Absence Rate

PIR Jan 12 12

CANCER


E/Dun Target

E/Dun Status

GG&C Actual

GG&C Status


Uptake of HPV vaccinations Routine Cohort (S2)

2010/11 84.8% N/A 78.7% N/A -

HPV vaccinations Routine and Catch Up Cohorts (S2; S4 & S6)

2009/10 90.0% N/A N/A 87.2% N/A -

Uptake of cancer screening programmes:

Cervical Sep 11 82.4 80% GREEN 76% AMBER ↓ Bowel 2009-10 60.2% 60% GREEN - Breast Jul11 79.1% 70% GREEN 70.9% GREEN -

QUALITY: CREATING A PERSON CENTRED AND MUTUAL NHS


Actual 2010/11

E/Dun Target 2010/11

E/Dun Status

GG&C Actual

GG&C Status


% of complaints received and responded to within 20 working days

Sep11 93% ( 1 patient

in 15)

70 N/A 75.4% GREEN -

SEXUAL HEALTH

Uptake of LARC (Long Acting Reversible Contraceptive)

June 10 0.15% N/A N/A 1.8% GREEN ↓

TACKLING INEQUALITIES

Number of quality assured EQIAs completed

Dec 11 3 4 AMBER N/A N/A -

The anticipated 4th EQIA has been delayed due to service pressures. This will be completed by the end of January 2012.

PIR Jan 12 13

PRIMARY CARE

Performance Measures As At E/Dun Actual E/Dun

Target

E/Dun Status

GG&C Actual

GG&C Status


48 hour access to appropriate GP practice team

Mar 11 94.9% 90% GREEN 95.4% GREEN -

Advance booking to an appropriate member of GP Practice teams

Mar 11 92.9% 90% GREEN 89.2% AMBER -

SCI Gateway referrals Oct 11 97% 95% GREEN 92% GREEN - AHP Waiting Times: ↓

Podiatry Nov 11 9 WKS(N=43) N/A N/A Physiotherapy Nov 11 19 WKS (N=247) N/A N/A -

Dietetics Nov 11 11 WKS(N=4) N/A N/A -

AHP Waiting time graphs

0

5

10

15

20

25

Dietetics 6 7 8 10 7 8 7 13 11 14 15 11

Physios 19 21 22 22 19 19 17 15 16 16 17 19

Podiatery 8 7 7 7 9 0 9 9 9 9 9 9

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

May-11

Jun-11

Jul-11Aug-11

Sep-11

Oct-11

Nov-11

Podiatry and Physiotherapy services across NHS Greater Glasgow & Clyde have undertaken a comprehensive redesign process in order to support and facilitate continued improvement to deliver better services for patients. Podiatry Services across NHS Greater Glasgow and Clyde will be a single service hosted by Renfrewshire CHP, while Physiotherapy services will be hosted by West Dunbartonshire CHP. The CHP will monitor the effect of service changes on waiting times within East Dunbartonshire CHP.

Waiting times in weeks Number waiting over target of 9wks

300

250

200

150

100

50

0

Nov-11

Oct-11

May-11

Apr-11

Mar-11

Feb-11

Jan-11

Dec-10

Dietetics 1 0 0 0 2 0 0 Jun- 11

3 Jul-11

4 Aug- 11

0 Sep -11

0 4

Physios 234 169 138 121 77 177 13 0 141 132 192 191 247

432838 31 46 0 00002015Podiatry

PIR Jan 12 14

ORAL HEALTH

Performance Measures As At GG&C

2010 Actual

GG&C 2010/11 Target

GG&C Status

Direction of Travel

60% of all 5 year olds (P1) with no sign of dental disease 2010 To be

maintained 58.2% 60% Amber

60% of 11 year olds (P7) with no sign of dental disease 2010 To be

maintained 62.6% 60% Green

100% of Nursery Schools participating in tooth brushing schemes in school year 2010/11

Dec 2011

97% 100% Amber

100% of Primary Schools in most deprived SIMD quintile participating in tooth brushing schemes in school year 2010/11

Dec 2011

65% 100% Amber

80% of 3-5 year olds to be registered with a dentist by 2010/11 Sept 2011 87.2% 80% Green

By 2010 increase child registrations to 85% (0-17 years) Sept 2011

86.8% 85% Green

Increase adult (under 65 years) registrations to 65% by 2010 Sept 2011

74.9% 65% Green

Increase the numbers of elderly registered to 50% by 2010 (65-74) (75+)

Sept 2011

65.7% 56.0%

50% Green

All GDPs must be Glennie compliant by 31/12/12 Aug 11 90.3% 100% Green

Childsmile Core / Nursery and school toothbrushing Nurseries Nurseries 474 out of 489 (97%) provide a toothbrushing programme.

The 15 nurseries not offering a toothbrushing programme are unable/unwilling to participate due to time and staff constraints.

Action taken to target non participating nurseries: Ongoing partnership work with CH(C)Ps and Education.

Schools 204 out of 305 schools are participating in the school toothbrushing programme (67% of NHSGG&C schools) 78 out of 121(65%)Primary Schools in most deprived SIMD quintile are participating in tooth brushing schemes The 101 schools not offering a toothbrushing programme are unable/unwilling to participate due to time and staff constraints.

Actions taken to target non participating schools:

Ongoing partnership work with Directors of Education, CH(C)Ps and OHD – after talks with Education (Glasgow City) toothbrushing will commence in 100% of their schools in January 2012.

Childsmile Practice

From 1st October 2011, the Childsmile Practice programme payments were incorporated into the Statement of Dental Remuneration (SDR). This means that all GDP practices (269) within NHS GG&C can deliver Childsmile Practice activities. 19 CSDS Clinics in NHSGGC are also delivering Childsmile interventions. A Childsmile Awareness event is planned for February 2012 where dental practitioners will be invited to attend to increase their awareness of Childsmile and delivering Childsmile in the practice setting. The national roll out of the Childsmile Early Years Pathway and Inclusion in the National Child Health Surveillance 6 – 8 week assessment will take effect from 04/01/2012. Childsmile Schools (Fluoride Varnish Programme) There are 309 primary schools in NHS GG&C across 8 CHCP’s. The programme targets 144 schools. The programme commenced in April 2010 (Academic Year 2009/10).

PIR Jan 12 15

PIR Jan 12 16

Academic Year 2009/2010

• The Childsmile School Fluoride Varnishing Teams provided fluoride varnishing services to the consented Primary 1 and Primary 2 children.

• During this academic year of applications we targeted 4378 children, received 2634 consents (60%) and varnished 2086 children (48%)

Academic Year 2010/2011 • The Childsmile School Fluoride Varnishing Teams provided fluoride varnishing services to the consented Primary 1,

Primary 2 and Primary 3 children. • During this academic year of applications we targeted 23759 children, received 16869 consents (71%) and varnished

13478 children (57%)

The School Fluoride Varnishing Teams commenced targeting children from Primary 1 to Primary 4 in September 2011 for Academic Year 2011/2012. Academic Year 2011/2012 (As at Dec 2011)

• To date, during this academic year of applications we have targeted 15248 children, received 12264 consents (80%) and varnished 10370 children (68%)

Childsmile Nurseries (Fluoride Varnish Programme) Programme commenced 23 February 2011 (Academic Year 2010/2011) and gradually rolled out across NHSGGC for twice yearly fluoride varnish applications for 3 and 4 year olds as per 2014 HEAT target. A total of 87 nurseries (18% of nurseries in NHSGGC) are included in the programme. These are feeder nurseries for the 50 schools identified as having the highest percentage of SIMD 1 children enrolled in P1 and P2. Academic Year 2010/2011

• During this academic year of applications we targeted 5759 children, received 4028 consents (70%) and varnished 2833 children (49%)

The Nursery Fluoride Varnishing Teams recommenced targeting 3 and 4 year old nursery school age children in September 2011 for Academic Year 2011/2012. Academic Year 2011/2012 (As at Dec 2011)

• To date, during this academic year of applications we have targeted 4753 children, received 3561 consents (75%) and varnished 2583 children (54%)


Organisational Performance Review Action Plan

2 Report by

Sandra Cairney


18th January 2012

4 Contact number

0141 201 4209

5 Email address

[email protected]


04


Paper 12/04

Purpose of Report:- To update the CHP Committee on the Action Plan following the Organisational Performance Review. Background:- The Organisational Performance Review forms part of the CHP’s 6 monthly performance management and reporting framework to the Board. Recommendations:- The Committee are asked to note the contents of the report.

1


EAST DUNBARTONSHIRE CHP ORGANISATIONAL PERFORMANCE REVIEW 24TH OCTOBER 2011

ACTION PLAN

ACTIONS AGREED Action/Progress Lead 1 ACUTE SERVICES 1.1 Dental Chair

Prepare a committee paper on dental chairs for the next Quality and Performance Committee and ensure the paper references what was agreed in the Vale Vision.

Completed and presented to Q&P Committee in November. Work to be progressed to plan for relocation of outreach student dental clinic from Greenock to Alexandria Medical Centre in completion on completion of the medical centre.

KM

2 ADULT MENTAL HEALTH 2.1 Psychological Therapies

Resolve the issue of data entry into PIMS in order to measure progress towards the HEAT target.

MR

2.2 PCMHT Ensure CHP wide whole system learning is achieved from the successful PCMHT review key learning points.

MR

2.3 Anti-Depressant Prescribing Resolve difficulties around anti-depressant prescribing by the end of December 2011.

MR

3 ALCOHOL AND DRUGS 3.1 Alcohol and Drugs

Implement the Step Care Recovery Model and ensure fully operational by end of November 2011;

Ensure delivery of the Global Health Clinic by the end of December 2011; and

Resolve the data issues around waiting times and develop an improvement plan prior to the next OPR.

MR

3.2 ABIs Continue to deliver ABIs in localities where there is a demand.

MR

2

3.3 ADP Action Plan The development of the local ADP Action Plan will be informed by the use of the disaggregated equality data and the findings of the recent comprehensive needs assessment. Report on the services changes that have resulted as a consequence of the findings at the next OPR.

MR

4 CANCER PLANNING 4.1 Smoking Cessation

Discuss the Equally Well pilot in West Dunbartonshire CHCP with Linda de Caestecker.

SC

5 CHILD AND MATERNAL HEALTH 5.1 Breastfeeding

Address the increasing gap between East Renfrewshire and East Dunbartonshire by: Working more with ante-natal care

specifically targeting women who have expressed an interest in breastfeeding;

Focus more effort on hospital discharge; and

Use the work currently underway with Eleanor Stenhouse to identify further action.

SC

5.2 IAF Discuss capacity and commitment issues and agree an operational implementation date for electronic IAFs at the DCYPP Meeting on 25th October.

AB

5.3 Parenting Strategy

Await Council approval for the draft Joint Parenting Strategy, expected in March 2011.

SC

5.4 Triple P Discuss funding, sustainability and whole system approach to parenting with Linda de Caestecker prior to the next OPR.

SC

6 CHANGE FUND PLAN 6.1 Draft Older People’s Strategy

Prepare a draft Older People’s Strategy by

AB

3

November 2011 for wider public consultation alongside a draft Commissioning Plan with the aim of improving joint working.

6.2 Continuing Care Resolve the continuing care issues through Change Fund resources.

AB

7. LONG TERM CONDITIONS 7.1 Transformational Changes

Share the transformational change successes with the Ageing Population Planning Group.

AB

7.2 SPARRA/Anticipatory Care Management Work with GPs to actively manage patients using this tool and report on the outcomes of this work at the next OPR.

AB

7.3 Single Point of Access Scope out options to move to a joint SPOA with the Council.

AB

8 PRIMARY CARE 8.1 GP Access

Develop a new process to ensure no deterioration in the excellent performance reported to date. Raise this through the GP Forum.

IG

8.2 Prescribing Resolve the primary care prescribing data issues prior to the next OPR.

Completed.

KM

9 SEXUAL HEALTH 9.1 Under Age Sex

Complete the Joint Under Age Sexual Health draft Protocol by March 2012.

SC

10 FINANCIAL INCLUSION, EMPLOYABILITY AND RESPONDING

TO THE RECESSION

10.1 Employability Continue to deliver significant and sustainable achievements around the employability agenda.

SC

4

11 HEALTH IMPROVEMENT 11.1 Smoking Cessation

Focus more effort in deprived communities.

SC

12 QUALITY 12.1 Complaints

Continue to ensure excellent performance in relation to complaints response times.

ALL

13 SUSTAINABILITY 13.1 CO2 Omissions / Energy Reduction

Update Alex McIntyre with the current list of properties in East Dunbartonshire CHP.

JH

14 TACKLING INEQUALITIES 14.1 Total Places

Develop a joint action plan outlining joint actions and re-orienting existing services to tackle inequalities. Share the joint action plan and timeline with the Corporate Inequalities Team and to report progress at the next OPR.

SC

15 EFFECTIVE ORGANISATION 15.1 e-KSF/Sickness Absence

Continue to deliver excellent performance in relation to e-KSF and sickness absence.

ALL

16 WIDER MANAGEMENT RESPONSIBILITIES

16.1 Child Fluoride Varnishing Monitor the actual numbers and trajectory which is likely to remain low until December 2012.

MMc

16.2 18 Week RTT Share the referral guidance report with the Corporate Performance Team.

Completed.

KM/IG

17 FINANCE REPORT 17.1 Finance Report

Pick up the detail of the finance report as part of the six monthly financial review. Provide a breakdown of the hosted services finance to inform the six monthly discussion.

JH

5


Finance Report for the period to 30 November 2011

Paper 12/05

2

Executive Summary

This summary report is prepared for each CHP Committee meeting and is designed to give the CHP Committee an overview of the CHP’s current financial position, year end out-turn forecast and progress towards achievement of cost savings targets. The report also includes an assessment of the potential impact of current and future financial risks on the CHP.

Detailed monthly financial reports are prepared by Management Accountants and issued to Heads of Service to facilitate financial monitoring and control. In addition, meetings are arranged with Heads of Service and their teams on a regular basis to discuss budgets and performance. On 1 August 2010 the CHP took on management responsibility for the Oral Health Directorate which was previously managed by the Board’s Acute Division. On 1 April 2011 the Oral Health Division’s chart of accounts was fully integrated with the CHP’s other budgets although separate budget reports are provided for the Directorate Management Team showing Oral Health expenditure.

The CHP’s overall financial position has continued to improve during the year and the CHP has reported an underspend of £47.2k for the first 8 months of the year against all budgets. The Oral Health Directorate has reported an underspend of £44.1k for the period to 30 November which is included in the overall underspend of £47.2k. CHP service budgets excluding prescribing are underspent by £56.9k while primary care prescribing budgets are overspent by £53.8k at this point of the year.

The main financial challenges during the year are likely to be:

Prescribing expenditure;

Achievement of savings targets;

Successful realignment of budgets to meet the additional costs of the recently opened Dental facility at the Royal Alexandra Hospital; and

The impact of the Board’s overall financial position.

Further detail is provided on page 8 of this report.

At this stage of the year the CHP is on track to achieve a breakeven out-turn for 2011/12 (assuming the prescribing variance remains at the current level or better ) and achieve savings target of £809k. However, this continues to be a challenging year and the financial position will require to be very closely monitored during the final months of the year.

The CHP Committee is asked to note the financial performance for the first 8 months of the year.

3

Overall Financial Position

At 30 November 2011 the CHP’s revenue budgets show an overall underspend of £47.2k against a year to date budget of £53.4m.

Care Groups reporting overspend at this stage of the financial year are:

Accommodation & Administration Costs - £47.8k (includes an element of double running costs and non recurring property costs)

Community Mental Health Services - £16.5k

Primary Care Prescribing - £53.8k

Executive - £0.3k

The CHP has reported an overspend of £53.8k against primary care prescribing budgets for the period to 30 November 2011 representing the CHP’s share of the Board’s overspend of £1.4m This has shown an improvement during the past few months and is partially due to correction of coding errors where NHS Lanarkshire expenditure was charged against the CHP prescribing budget.

In 2011/12 the Scottish Government has established a Change Fund of £70.0m to promote service improvements for Older People. The CHP in partnership with East Dunbartonshire Council and the Voluntary and Independent sectors will receive £0.8m of this fund (full year effect £1.2m) and expenditure plans for this additional allocation have now been finalised for 2011/12. This has now been allocated and expenditure is now being incurred.

4

Oral Health Service

From 1 August 2010 East Dunbartonshire CHP assumed responsibility for management of the Oral Health Service for NHS Greater Glasgow & Clyde. This is managed by a “hosting” arrangement where the CHP manages the service for the Greater Glasgow & Clyde NHS Board area.

With effect from 1 April 2011 the chart of accounts for Oral Health has been reassigned from the Acute Division to East Dunbartonshire CHP and is now reported as a Care Group within the CHP finance reports. Work is now under way to review the structure of the chart of accounts in order to design a more appropriate suite of finance reports for distribution to service managers within the Directorate. This work is due to be completed by the end of December 2011.

At 30 November the Oral Health Directorate reported an underspend of £44.1k (October £57.0k) against a year to date net expenditure budget of £12,394.3k. Savings targets have been removed from budgets and at this stage the Directorate is reporting full achievement against this target although an element of this remains to be confirmed as recurring.

Within Secondary Care pay budgets are running ahead of budget by £178k mainly within medical staffing (£128k). In addition, non pay budgets are showing an overspend of £183k principally due to additional expenditure on instruments and sundries within the Glasgow Dental Hospital where pharmacy items are currently reporting an overspend of £274k. This is currently being reviewed to identify the underlying cause and assess the scope for remedial action.

Primary care budgets are showing a significant underspend in particular against pay budgets (£435k). The current exercise to review financial coding arrangements will include an assessment of whether budgets should be realigned to more accurately reflect current service provision.

.

Specialty

Annual Budget £000

YTD Budget £000

YTD Actual £000

Variance £000

Health Improvement 2,217.1 1,088.4 1,022.5 65.9

Primary Dental Services 11,549.0 7,226.0 6,862.4 363.6

Secondary Dental Services (GDH) 11,131.5 7,480.8 7,841.8 (361.0)

Administration 383.4 237.4 230.4 7.0

25,281.0 16,032.6 15,957.1 75.5

Recharge of Primary Care Costs to Non Cash Limited Funding (5,854.4) (3,606.9) (3,606.9) 0

Savings adjustments to be processed (17.9) (31.4) 0 (31.4)

Total 19,408.7 12,394.3 12,350.2 44.1

5

Savings (CHP)

Plans have been identified to achieve recurring savings with a full year effect of £309k in 2011/12. The above table shows the current position at 30 November 2011 where £189.3k of the recurring target is already being reported as fully achieved against a target of £206.0k.

At this stage of the year it should be noted that item 2 above should be considered as being achieved non recurrently until the redesign process has been completed and the target for administration will need to be covered non recurrently as it will not be achieved until 2012/13.

However, notwithstanding the above comments the CHP is currently forecasting that the 2011/12 savings target will be achieved by 31 March 2012.

6

Savings (OHD)

Plans have been identified to achieve recurring savings with a full year effect of £500k in 2011/12. Savings plans have now been allocated to individual budget lines and budgets adjusted accordingly.

The above table shows the current position at 30 November 2011 where £333.3k of the recurring target is already being reported as fully achieved and plans will be in place to achieve the balance by 31 March 2012. However, it should be noted that item 5 above should be considered as being achieved non recurrently until the posts in question are formally disestablished.

Progress towards achievement of the savings target will continue to be reported during the year as this will be a key factor in the Directorate’s ability to achieve a breakeven out-turn for 2011/12.

NHS Greater Glasgow & Clyde is required to achieve cost savings of 3% of budget in 2011/12. This equates to £57.0m across the Board of which OHD is required to contribute £500k in the current year.

In 2010/11 the Oral Health Directorate reported a surplus of £563k after achievement of savings of £515k. However, this surplus position can not be sustained as it has been used up to meet the current year savings target of £500k. For this reason the Directorate is now in a position where it is now necessary to exercise financial prudence to ensure a breakeven position is maintained.

7

Capital Programme

The Oral Health Directorate has a significant ongoing capital programme. The funding allocations as set out in the Board’s Capital Plan for 2011/12 are set out in the table above.

The Board’s current capital plan for 2011/12 also includes a specific capital allocation to develop the Alexandria Medical Centre which when completed will include facilities for community dental services.

Funding has now been made available to enable the proposal to develop a Central Decontamination Unit at the Glasgow Hospital to proceed during 2011/12.

At 30 November 2011 expenditure for the year to date was £1,147k.

Current Year Allocation

Spend to Date Balance

£k £k £k

Scheme

Dental Hospital - Phased upgrade (includes flood damage) 1,428.0 723.0 705.0

Royal Alexandra Hospital - Completion of Laboratory 170.0 31.0 139.0

Dental Equipment & Facilities - RAH 110.0 - 110.0

Central Decontamination Unit - GDH 964.0 - 964.0

Decontamination 501.0 393.0 108.0

Total Oral Health Projects 3,173.0 1,147.0 2,026.0

8

Financial Risks

The most significant financial risks that will require to be managed during 2011/12 are:

Prescribing Expenditure – At this stage in the year prescribing expenditure is being reported as running £53.8k over budget for the CHP. The Board is currently reporting a prescribing overspend of £1.4m for the first 8 months of the year but it is expected that recent national developments will result in significantly reduced expenditure in the last quarter of the year;

Achievement of Savings Targets – At this early stage of the year savings targets are generally reported as being achieved. Full achievement of the CHP and OHD savings target will be important if the CHP is to achieve a breakeven year end position;

Successful realignment of budgets – The additional cost impact arising from the opening of the new dental facility at the Royal Alexandra Hospital has generated additional facilities costs. It has been necessary to review budgets to secure the funding required to meet the additional costs of the recently opened Dental facility but this is now complete and funding has been transferred to the Acute Division; and

The Board’s overall out-turn – The Board’s most recently reported results for the period to 30 November 2011 showed a deficit of £1.6m against the budget for the year to date. The Board is forecasting a breakeven out-turn at this stage but to achieve this will be extremely challenging and will require full achievement of the Board’s savings target of £57.0m.

The CHP Committee (and OHD Strategic & Operational Groups) will be updated on the financial position and the impact of existing and emerging risks at each meeting during the year.

East Dunbartonshire Community Health Partnership Reports cover

1 Title of paper Corporate Risk Register

2 Report by James Hobson


18th January 2012

4 Contact number 0141 201 4774

5 Email address [email protected]

6 Agenda item number 07

7 Agenda paper number Paper 12/06


Purpose of Report: To share with the Committee the action taken to update the CHP’s risk register within the context of the NHS Board’s overall Risk Management Framework. Background: NHS Greater Glasgow & Clyde has developed a boardwide framework to report and review key business risks. Individual operating units (including CHPs) are required to implement and maintain local arrangements within this framework. One of the key elements of this framework is that each CHP is required to prepare a risk register and update it on a regular basis (usually either once or twice per annum). The “top 5” risks are submitted to the NHS Board to be considered for inclusion in the NHS Greater Glasgow & Clyde overall Risk Register. In addition, each major service area or major project within the CHP is also encouraged to maintain a risk register. East Dunbartonshire CHP currently has the following arrangements in place:

A “corporate” risk register has been in place within the CHP since 2007 and has been reviewed and updated on a regular basis by either the Senior Management Team, the Extended Management Team and on one occasion by the CHP Committee in a Committee seminar.

Subsidiary Registers are in place for the CHP’s Clinical Governance Executive and a number of service areas. Risk registers have been used to support major projects as part of project management arrangements e.g. Change Fund, Rehab Team project etc.

Current Position The attached risk register records the results of the most recent update by the Senior Management Team in December 2011. The SMT reviewed the previous version of the register and updated its


assessment of the scores for each risk. In addition, the register was reviewed in the context of the Planning & Risk Framework document prepared by Audit Scotland in planning for the 2011/12 Audit of NHS Greater Glasgow & Clyde to ensure all major areas of risk were considered for inclusion. Recommendations: The Committee is asked to:-

1. Note the process followed by the CHP to develop and maintain the CHP Risk Register 2. Note the main risks identified by the CHP Senior Management Team

NHS Greater Glasgow and ClydeCHP/CHCP Risk Register

Likelihoodonsequence(L) (C) (LxC)

1 Failure of partnership workingDevelopment of National Health & Community Care Arrangements, Action Learning Set to improve communication.

4 4 16 2 All Heads of Service

Failure of Child Protection Procedures

System in place to ensure that all CHP staff and GPs have attended the appropriate child protection training for their role as determined by the Child Protection Agency.

3 5 15 2 Annemargaret Black

Vulnerable Adults - failure of protection procedures

Workplan in place for audit, training & development. Inter agency referral framework launched. East Dunbartonshire Adult Protection Committee now in place.

3 5 15 2 Mark Richards

2 Medication errorsRegular training for employed staff, educational events for contractors, complaints handling procedures within CHP

4 3 12

2Ian Gordon/Malcolm Campbell

4Suicide/Harm to others - effect of failure on staff and organisation

Training and development opened to all staff across CHP and Community Pharmacy staff. Choose Life Steering Group established and a number of funded projects in place.

3 4 12 2 Mark Richards

6 Clinical Performance IssuesAnnual appraisal of all staff, review of significant events, PDPs for all staff, Protected learning time events

3 4 12 2Ian Gordon/Malcolm Campbell

8Decontamination compliance by December 2012

Established sudit cycles and recording systems to demonstrate effective clincal governance systems. Regular reports to PEG, CHP and any work undertaken by the clinical governance committee.

3 4 12 2Annemargaret Black/Michelle McLaughlin

Pandemic Flu - inability to maintain service continuity

Development of local action plan, current overall NHS Board action plan in place 3 4 12

2Annemargaret Black/Sandra Cairney

10 Health & Safety - Lone Working, Violence etc

Health and Safety Committee established with representation from all areas of the CHP. Reporting of all incidents and near misses in accordance with procedures and undertaking of appropriate follow up action.

3 3 9 3 Louise Martin

Changes within Organisation: AfC, Community Nursing Review

Systems in place to ensre that staff receive appropriate training and suport to implement KSF outlines and PDP to agreed local targets.


15 Infection Control - impact of major outbreakDevelopment of local action plan, current overall NHS Board action plan in place

3 3 9

3Annemargaret Black/Michelle McLaughlin

16Communications across disciplines and agencies

Communication group established. Joint Planning structures now in place. SPF established. CHP Newsletter and staff bulletins produced regularly. System in place for distribution of core brief to ensure total coverage. Regular operational manager meetings and SMT and EMT. Informal 1 to 1 meetings established between CHP Director and CE of LA

3 3 9 3 Karen Murray

19Inability to recruit, retain and register appropriate numbers of trained staff to meet requirements

Recruitment ProcessesNational Procedures/negotiationsWorkforce Planning


Business Continuity - failure to deliver services

Development of local action plan, current overall NHS Board action plan in place


20Inability to deliver appropraite level of services within financial resources allocated

Regular Budgetary reports(Financial Control Measures)Warning systems for predicted budget overspendBest value AuditCorporate PR Section

3 3 9 3Karen Murray/James Hobson

Lack of Staff Training: Moving & Handling, Aggressive Behaviour, Health & Safety issues

Systems in place to deliver and record all mandatory training appropriate to CHP staff


21Loss of confidence in Senior Management Team

Meetings of SMT and extended MT established. Performance apprasal system fully implemented, objectives set and PDPs agreed to ensure SMT have required skills and competencies to deliver CHP objectives. OD plan approved to ensure ongoing team development. Communication group established.

2 3 6 3 Karen Murray

Ref

Org

anis

ati

on

al are

a THE RISK - what can happen and how it can impact

Following review by Risk Management Group, PPPG, Chief

Executive & Audit CommitteeC

HP/C

HC

P

OWNERFURTHER ACTION REQUIREDCONTROLS IN PLACE

RISK RATING

RISK RANKING PRIORITYRISK EXPOSURE


HR Report

2 Report by

Serena Barnatt


18th January 2012

4 Contact number

01389812304

5 Email address

[email protected]


08


Paper 12/15

EAST DUNBARTONSHIRE CHP

Purpose of Report: To provide the commitee with an HR update on:

1. Attendance Management 2. KSF

Background This paper provides the committee with an update on how the CHP is performing in relation to contributing to towards the NHS Boards target for attendance management and KSF Recommendations:- Committee are asked to note this report and receive further updates.

1. HR Update This paper provides the committee with an update on how the CHP is performing in relation to contributing towards the NHS Board’s target for attendance management and information relating to the KSF target. 2. Attendance Management The NHS in Scotland has an ongoing national target of 4 percent sickness absence across all services. The current absence rate for the CHP during October 2011 5.31% was which is an increase on the previous month 4.79%. The average for the CHP from start of current financial year was 4.82%.

CHP Overall OHD Only Month % % April 4.87 2.81 May 5.38 3.45 June 4.59 3.23 July 3.84 2.40 August 5.01 3.97 September 4.79 4.40 October 5.31 4.06 Average 4.82 3.47 As part of corporate reporting, the CHP has been asked to present a monthly breakdown of long and short term absence. This is will now be included in the Committee report also. These figures are an average for the CHP and is one of the performance measures used as part of OPR process. Break down of Long and short term absence for CHP Overall Month Long term % Short term % April 3.22 1.65 May 3.84 1.54 June 3.40 1.20 July 2.51 1.32 August 3.14 1.87

September 2.81 1.98 October 3.51 1.91 Break down of Long and short term absence for OHD only Month Long term % Short term % April 1.77 1.05 May 1.96 1.50 June 2.02 1.21 July 1.38 1.02 August 3.97 2.37 September 2.20 2.20 October 3.14 0.92 It is important to note with respect to the 4% target, the CHP will be assessed on its total staffing which includes the oral health directorate therefore we will be required to report absence in this way. The CHP and Oral Health will continue to monitor the level of sickness absence but reporting absence figures is only one facet of a number of measures the CHP/Oral Health is implementing to achieve this target. As a CHP we want to ensure appropriate methods are in place to support staff during ill health in line with positive supportive practices around Staff Governance and implementation of Healthy Working Lives locally. 3. KSF NHS Boards have recently been provided confirmation of the KSF/PDP targets. You will be aware that NHSGGC met the March 2011 HEAT target on KSF with a compliance rate of 85% (target 80%) and the CHP achieved 80%. As with previous HEAT targets, such as sickness absence, this now becomes a Service Standard. The standard is as follows and will continue to be reported to SMT, SPF, Corporate Management Team for OPRs, Area Partnership Forum and the Staff Governance Committee:

Every employee covered by Agenda for Change has an annual KSF, PDP and Review meeting

with their manager/reviewer with summary information from that meeting recorded on e-KSF. The table below show the performance the CHP is making towards the service standard. Table 1 shows overall performance while Table 2 shows performance for OHD.

Table 1: KSF/PDP position for CHP overall

Jun Jul Aug Sep Oct Nov KSF % 57.5 65 68 67 68 69 PDP % 62 59 60.5 59 60 56 ED Trajectory % 80 80 80 80 80 80

Table 2: KSF/PDP position for OHD only Jun Jul Aug Sep Oct Nov KSF review % 71 71 75 74 74 68 PDP % 59 59.5 61.5 59 60 55 ED Trajectory % 80 80 80 80 80 80

In addition to the service standard above, the Board’s performance will continue to be annually monitored by the Scottish Government Health Directorate. This will be achieved through a new target which is part of the Workforce Engagement measures within the Healthcare Quality Outcomes Framework; one of which will be: - The number of staff participating in learning and development activities as demonstrated by

agreed and completed PDP activities recorded on e-KSF. The expectation is that this indicator will increase over a 2 – 3 year period. There is no target to be achieved by a certain date. This information is expected to be gathered through the e-KSF tool and we await confirmation how this will be measured. Conclusion The committee are asked to note this update.

Tuesday 20 December 2011

Introduction This issue of Core Brief provides an update from today’s Board meeting including information on the Director of Public Health’s third biennial report, the Health Secretary’s confirmation of approval of our proposals to maintain adult inpatient mental health services for the Vale of Leven catchment area at Gartnavel Royal and details of the HAI report. ________________________________________________________________________ “The greatest public health challenge of our time” Director of Public Health Dr Linda de Caestecker unveiled her third biennial report “Keeping Health in Mind” at today’s Board meeting and revealed plans for a significant public launch event on January 23. It sets out a powerful case for the need to focus on mental health as the key to improving health and wellbeing and reducing health inequalities. Dr de Caestecker stated: “poor mental health is both a consequence and cause of health inequalities and mental health problems are one of our greatest public health challenges of our time”. The report describes how the current difficult economic climate is likely to impact disproportionately on the mental health of the population compared to other causes of poor health. The report uses data from the mental health profile of Greater Glasgow and Clyde developed by the Glasgow Centre for Population Health which shows that our population area has 60% higher self-reported mental health problems than the rest of Scotland. The report argues that this disturbing rate is driven by high levels of depression in women and also high levels of anxiety in men. A section of the Report on older people describes the predicted increase in the number of people with dementia over the next 30 years with the numbers in NHSGGC being expected to increase by around 64%, to 23,000 by 2033, exerting major impacts on patients, their families and carers; and the formal health and social care systems. The report recommends that we learn from the WHO ‘Global Age-friendly Cities’ movement to optimise opportunities for health, participation and security and to enhance quality of life as people age. Click here to access the full Board Paper. Health Secretary decision on adult inpatient mental health services for the Vale of Leven catchment We have today received confirmation from the Health Secretary, Nicola Sturgeon, of her decision to approve our proposals to maintain adult inpatient mental health services for the Vale of Leven catchment area at Gartnavel Royal Hospital.

Produced by NHS Greater Glasgow and Clyde Communications

http://library.nhsggc.org.uk/mediaAssets/Board%20Papers/11-56.pdf

Produced by NHS Greater Glasgow and Clyde Communications

Robert Calderwood, Chief Executive said: “We are pleased that the Health Secretary has approved these proposals which we believe provide the right balance of high quality community and inpatient care provision for mental health patients in this catchment.

“Patients and carers have expressed positive experiences at Gartnavel Royal, in particular the facilities were viewed as a significant improvement with patients all having single en suite rooms, garden access and extensive recreational and therapy facilities.

“We have also made a major investment in community and primary care mental health services which again have received extremely positive feedback from patients and their carers.” Encouraging HAI report Medical Director Dr Brian Cowan told the Board today that excellent progress is being made to deliver the very challenging targets set for reducing Staphylococcus aureus Bacteraemias (SABs which includes MRSA) across Greater Glasgow and Clyde. In a very positive Health Associated Infection Report Board members heard how SABs reduced by 35% by April 2010 then was reduced by a further 15% to meet the March 2011 target. Dr Cowan said the challenge NHSGGC faced at the outset was dramatic but that we were now on the way to matching the “best in class” target of 0.26 cases per 1000 acute occupied bed days by March 31st 2013. Our health system currently stands at 0.291 cases which is below the Scottish average and represents “very good progress”. His report also gives a hugely encouraging position in the drive to reduce even further our rates of C-difficile - which are currently the lowest in Scotland. Click here to access the full Board Paper. To access all of today’s Board Papers click here.

Are your contact details up-to-date? Click here to check.

http://library.nhsggc.org.uk/mediaAssets/Board%20Papers/11-55.pdf

http://www.nhsggc.org.uk/content/default.asp?page=s109_9_11

http://www.staffnet.ggc.scot.nhs.uk/Pages/Online%20Directory.aspx

East Dunbartonshire Community Health Partnership Reports cover

1 Title of paper

Older People’s Transformational Board

2 Report by

Annemargaret Black


18th January 2012

4 Contact number

0141 201 4210

5 Email address

[email protected]


10


Paper 12/08


Purpose of Report: To update the Committee on the progress of the Older People’s Transformational Board and receive comments on the proposed government submission due on 17th February 2012. Background The Programme Board last met on 22nd December 2011 with the Programme Executive meeting on 23rd December 2012. Update on Projects Nine projects are at various stages of progress with implementation. A spreadsheet (Appendix 1) has been compiled and is attached to give a visual overview of progress against start date, length of delay and impact date. Following comments about the voluntary organisation re-submitted PID, a meeting with representatives from the voluntary service, health and council was held during November 2011. Following that meeting, it was agreed that the PID would be summarised and circulated to the Programme Board for approval. This has since been agreed and the Programme Executive approved the investment on 23rd December 2011.


Risks & Challenges Delays have been reported in most PIDs this will have an impact on delivery of agreed KPIs’ as set out in previous committee reports. The most common reasons given for a ‘delay’ have been operational issues such as: Internal recruitment process; length of time doubling for disclosure checks; longer than anticipated lead in time; hesitation of organisations to proceed unless ‘written contract’ is in place to ensure funding

goes beyond year one.

Some work has been progressing with the ‘process’ to prepare the ground for the commencement of the respective work stream. Once staff are in post and teams fully established, the New Year will require a rapid acceleration to achieve the identified outcomes. Other risks which have been identified; the full engagement of project leads, demonstrated by a lack of involvement with flows of necessary information, to ensure joined up whole system thinking and planning for implementation. Sustainability There remains, as yet, no update on the sustainability plans beyond year four for 8 out of 10 projects. The two remaining projects of LTC & ACP will conclude the financial year 2012/13 unless partners assess the particular developments should have continued investment. These will be reviewed with all PIDs to determine impact on KPIs. The Joint Commissioning Strategy will allow partners to progress discussions about sustainability plans. Financial The delay associated with project start dates has resulted in a review of the overall in year slippage. The schedule below summarises the current position against the Change Fund Allocation of £1,218,000 for 2011/12. The forecast is based on returns from partners and is based on information received at 30 November 2011. The available funding of £1,218,000 was initially allocated to 10 schemes totaling £876,939 leaving £341,061 to be allocated plus any in year slippage against the original allocations. Updated forecasts from each initiative showed that a revised amount of £412,892 was likely to be available mainly due to additional in year slippage against the allocation for Anticipatory Care and the proposals to increase capacity within the Acute Division of NHSGGC.

The Programme Executive (23rd December 2011) gave authorisation to officers of East Dunbartonshire Council and the CHP on how any available slippage should be allocated in year as follows - In order to create additional capacity the Acute Division of NHSGGC has been opening

additional beds for older people as a result of being unable to discharge significant numbers of people who are medically fit. This is essentially a short term measure until this capacity is created in a community setting as the Change Fund initiatives start to take effect. This required to be funded and NHSGGC had proposed that all available slippage is transferred to the Acute Division subject to agreement by each individual partnership (at 08/01/12 there were 171 acute beds occupied by patients fit for discharge across the 7 NHSGGC acute hospital sites).

Within the Local Authority setting there are ongoing pressures within the Homecare service. An

allocation of non recurring funding would reduce the pressure on the service over the next few months as a short term measure.

The Programme Board had previously discussed an option to invest non recurrently in Telecare

and Aids and Adaptations to enable clients to remain within their homes and alleviate pressure on Social Care and Healthcare services.

Following discussion the following allocations were agreed; 1) Allocation of £200,000 to the Acute Division of NHSGGC to fund additional beds to provide

capacity for acute activity currently lost to acute beds occupied by patients fit for discharge awaiting transfer.

2) Allocation of £140,000 to East Dunbartonshire Council with the intention that the Council will invest this in community aids and adaptations and Telecare; and

3) Allocation of the balance of £72,892 to East Dunbartonshire Council to support the Homecare Service over the coming months

As a result, the allocation of funds for 2011/12 would be:

NHSGGC

3rd Sector

784,924 371,576

61,500 1,218,000 100%

5%

31%

64%EDC £

% Allocations

Progress with Performance & Outcomes There has been minimum progress against agreed impact dates, which were in most cases identified as being three months from implementation of the projects. However, some projects have made progress in the last three months and this has been noted within the spreadsheet. Performance has been reviewed as part of the process for the Change Fund update report due to be submitted in February 2012. The establishment of a joint operational practice group will enable the sharing of the lessons learned, as well as practice and systems issues, which support the progression against outcomes. As previously mentioned as a ‘risk’, full engagement with project leads remains a challenge. Senior Managers have been notified of engagement issues and have arranged for engagement to improve. The Programme Board has been unable to reach agreement on reviewing the bed days lost target that is currently 50% reduction over 4 years. This refers to people who are still in a hospital bed and fit for discharge. Social Work managers have the view that the partnership would not be able to deliver a reviewed target within a shorter timescale as it would have an impact on capacity of community services. The issue was raised at the Health, Care and Protection Community Planning group as agreement was not reached. It was requested that the issue be taken to the Programme Executive for further discussion, this will happen at the next Executive meeting. At present the partnership are not delivering on the 50% reduction in bed days over 4 years. The current year to date target as of October 2011 is 3437 bed days however our actual bed days used is 4224. Investment in Social Workers should start to impact on performance in the next quarter. The partnership have developed guidance for acute staff on early referral for a community care assessment and this should support a reduction in bed days lost within existing resource. Revised HEAT targets for delayed discharge in next 2 years will reduce bed days lost further with the expectation that no people will wait more than 28 days to be discharged from hospital into a more appropriate care setting, once treatment is complete from April 2013; followed by a 14 day maximum wait from April 2015. Change Fund Guidance & Letter-Government Reporting Guidance, including a template on progress towards Joint Commissioning, has been received to be returned by 17th February 2012. The draft report will be tabled and we seek any comments from the Committee. The Programme Executives have noted that any additional investment coming into East Dunbartonshire in 2012/13 should be invested in a joint way and demonstrate a whole systems approach, a move away from uni organisational developments.

Joint Commissioning and Older People’s Strategy

East Dunbartonshire Older People’s Joint Strategy & Commissioning Framework Group is now established and has had a first meeting. An action plan has been compiled to scope the relevant stages for the commissioning process to begin which will include engagement with key stakeholders, staff and the public. Although we are not required to have a comprehensive Joint Commissioning plan for February, we continue to work towards the March 2012 deadline to have a draft strategy. A Joint Strategy for the ageing population has emerged from joint working and exchange of views that has been part of Change Fund planning. The first iteration, which remains a work in progress, has been circulated within the last month for comments, to the Transformational Programme Board members and the GP forum. It is now circulated to the Executive Group for their overview and comments. Following completion and refinement, this document will inform the commissioning process and will come back to the CHP Committee for approval. The Chairs of the CHP Committee and Social Work Committee will meet in February to discuss joint commissioning across the partnership as part of our engagement process. Evaluation This group is at an early stage, but the intention will include possible collaboration with research bodies, to progress investment support for external evaluation.

Recommendations:- The Committee is asked to – Note risks associated with progress against the agreed outcomes of the PIDs’ currently

approved. Note financial update and decision on in year slippage Comment on draft report to be submitted to government on 17th February

Change Fund Performance Summary

GROUP JIT Ref.E/Dun. ( from 17KPIs' selected for

inclusion for chnge fund) Actual Start

Date DELAYEDEXPECTED

IMPACT DATE

(KPI 1) Number of acute bed days lost to

delayed discharges

(KPI 3) Number of acute bed days lost to delayed discharges for Adults with Incapacity

(KPI 5) Reduction in unplanned acute bed days for people over 65

(KPI 7) No. int. home care packages of 10+ hours (no/1,000 population 65+

(KPI 14)Number of people in care homes

Key Theme:Building Community Capacity

Key Theme: Supporting People @ Home

Number of people in care homes

Number of people receiving personal care at home

Number of clients accessing Care and Repair services

Number of patients with anticipatory care plans (No information system currently in place)

Number of patients with complex circumstances recorded on register (No information system currently in place)

Uptake of Self Directed Support (direct payments)

Number of people in care homes

Number of carers accessing self management training

Numbers accessing housing adaptation from both public and private sector

Number of people with a palliative care package who die at home or in homely setting (No information system currently in place)

8 Befriending Plus Dec-11 3 months Jan-12 Carers 9 Voluntary Organisation(SPOA) ? Jan-12 4 months ?

Sub-Total

2 Anticipatory Care Link Team Jan-12 4 months Mar-12 10 Care & Repair Sep-11 4 months Jan-12

Supporting people at home 6 LTC/Self Management Jan-12 3 months Mar-12

7 Self Directed Support Nov-11 2 months Feb-12 1 Reablement Model Jan-12 4 months Mar-12

Sub-Total

3 AWI Sep-11 Nil Nov-11 5 Acute Integrated AHP Services Jan-12 4 months Feb-12

Institutional Care 5 Acute O/T/Physio W/E working Jan-12 4 months Feb-12

5 Acute Assess/Discharge* Jan-12 4 months Feb-12

*Geriatrician in post since Oct 11others follow Jan 12

Sub-Total

4 Dementia Advisory Clinic Sep-11 Nil Nov-11

DementiaSub-Total

Sub-Total

TOTAL

NOTES;Befriending Plus-commenced mid Dec (11). Volunteers matched to older person. VO If approved should commence ?Jan 12ACP 17/18 G/P practices 'signed up' to enage with programme. Substantial 'prep' in advance of full team in post by Jan12Care & repair- Inspite of delays in recruiting 'driver', internal contigency arrangements resulted in home safety checks exceeding target by 5% and substantial progress with other outputs. LTC-recruitment delayedSDS- tentative start re numbers of Older People accessing projectRe-ablement - delayed due to increased 'lead in time' caused by union concernsAWI-recruited MHOs' seeing service users and +ve impact recordedAcute-recruitment underway- all staff will be inplace by end Jan 12. Progress within the west from additonal geriatrician - not yet quantifiable DAC-Substantial progress with the establishment of clincs. Interface arrangements in place with acute/G/Ps' Carers impact - mextrix required - some projects predict high levels of support

EAST DUNBARTONSHIRE CHP - UPDATED DEC 11

1 of 2


Oral Health Directorate Strategic Group Minutes

2 Report by

Karen Murray


18 January 2012

4 Contact number

0141 201 4217

5 Email address

[email protected]


12


Paper 12/09


Purpose of Report: To provide the CHP Committee with an overview of key issues for the Oral Health Directorate Strategic Group at December 2011. Background The Oral Health Directorate Strategic Group meets bi-monthly to consider strategic issues for the Directorate and to srutinise progress against key performance areas for the Directorate.

Waiting Times Childsmile Programme Capital Developments Finance Oral Health Improvement

Recommendations:- The Committee are asked to note the minutes of the 14 December 2011 meeting of the Oral Health Strategic Group.

ORAL HEALTH DIRECTORATE

STRATEGIC GROUP

Wednesday 14 December 2011 at 4.00pm

Board room, Glasgow Dental Hospital

MINUTES Present: Karen Murray, Director of Oral Health and East Dunbartonshire CHP Michelle McLauchlan, Interim General Manager, OHD Ray McAndrew, Associate Medical Director (Dental) Tony Coia, General Dental Practitioner Isabel Diamond, General Dental Practitioner Kevin Jennings, Clinical Director, GDH Vince McGarry, Performance Planning Manager, OHD James Hobson, Head of Finance In Attendance: Linda Armstrong, Sandra McNamee and Craig Williams

ACTION1. APOLOGIES Apologies were received from David Koppel, Jeremy Bagg, Aileen Duncan,

Sandra Cairney, Serena Barnatt and Lorna Macpherson.

2. MINUTES OF THE MEETING HELD ON 26 OCTOBER 2011

The minutes of the meeting held on 26 October 2011 were approved as a correct record.

3. MATTERS ARISING

(a) Oral Health Public Health Report The report is not yet available; it will be presented at the next meeting. (b) CSDS Review Report Mr McAndrew confirmed that the report was now almost complete. He will forward a copy of the current draft to Mrs Murray.

AD RMcA

4. INFECTION CONTROL Dr Williams explained that they were looking at the infection control structures in

general. Alison Balfour has been identified as the Lead Doctor for Infection Control for GDH. They had also now agreed a standard set of reports for the Directorate. Dr Balfour will be invited to attend the Directorate Clinical Governance Committee.

LA

Mrs McLauchlan explained the current governance structure within the Directorate and how the local groups, including Infection Control reports to the Directorate Clinical Governance Committee. Dr Williams said it would be helpful to receive an indication from Mr McAndrew on the main issues affecting the directorate. Mr McAndrew said that it had been agreed that he would produce a report for the Board bi annually, detailing the key issues and actions. Mr Murray said that for 2012 there was the need for Glennie compliance. Processes were in place for this, however as yet there has been no clear indication from the CDO of any action to be taken for those areas which are not compliant. It was agreed that Mrs McLauchlan will ensure that the minutes of the local infection control meeting will be sent to Dr Williams and Ms McNamee and Mr McGarry will share the paper on decontamination with them.

RMcA MMcL VMcG

5. HR UPDATE It was noted that the absence rate for September 2011 was 4.40%, which is an

increase from last month. The KSF/PDP figures were also noted.

6. HEADS OF PLANNING In the absence of Mrs Duncan the content of the report was noted for information.

7. FINANCE UPDATE Mr Hobson advised that for the period to 31 October 2011 the Oral Health

Directorate had reported an underspend of £57k which was included in the overall underspend of £17.8k for East Dunbartonshire CHP. The main financial challenges for the year remain: Prescribing expenditure Achievement of savings targets Successful realignment of budgets to meet the additional costs of the recently

opened facility at RAH The impact of the Board’s overall financial position Mrs Murray suggested that by the end of January a clearer picture on capital spend and what may be carried forward was required. For 2012/13 the Boards savings target will be around £50m, the Oral health Directorate target is expected to be £184k. Mrs McLauchlan advised that over the next 3 months they may require additional funding for waiting times. Mr Hobson asked that she quantify this and let him know.

MMcL

8. CAPITAL UPDATE The detail of the paper was noted. Mr McGarry highlighted the following: RAH – meeting arranged for today with the preferred bidder for the lab to

discuss. Satellite Clinic refurbishment – Mrs Duncan will initiate a local consultation

process with the CHP for Linwood and Foxbar. A plan has to be developed for the refurbishment of Ferguslie although this will be dependant on the outcome of the CSDS review.

AHCC – The full business case went to the Health Board in November and the Scottish Government CIG in December. They have come back with a number of questions.

Estates level refurbishment – Work is ongoing Intra-oral x-ray replacement – Allocation will be subject to future plans and

timescales for each site following CDS review and will be part of the estates level refurbishment.

Prosthodontic clinic relocation/CDU expansion – The Project Board and Implementation group continue to meet. The decant arrangements have been a challenge but are now in place. The capacity is available with just some timetabling issues to be sorted.

Decontamination Project – The final business case paper was submitted to CHP Directors for consideration. CHP Directors agreed that Alex McKenzie will highlight the cost implications to Board CE and Director of Finance so that they are reflected in the Board’s financial plan for 12/13. An implementation plan will start to be developed by Vince McGarry for the dental decontamination proposals.

Prisons – There is a suggestion that the Health Board will undertake any upgrading work and cross charge the prisons for it. Mr Hobson will check if there has been any transfer of capital money to accommodate this.

VMcG JH

9. WAITING TIMES

The detail of the paper was noted for information. In particular Mrs McLauchlan highlighted the following: The waiting time for IP/DC cases and OP is currently 7 weeks or less. New patient DNA rates decreased last month with the exception of FRP,

Orthodontics and Periodontology. The increase in Periodontology is due to a move away from PFB to straight booking as the waiting time for new patients was only 3 weeks. Overall return DNA rates decreased.

There has still been no additional activity required at GDH since May. Kelvin Suite – additional sessions are required in December to maintain the

National Guaranteed Waiting Time. GA Comprehensive list at RHSC- All patients waiting on pre assessment

clinic appointments have been reviewed. These patients should be listed for GA before attending the pre assessment clinic if the time they are waiting for this clinic is to be counted in the 18 week RTT.

The overall compliance with 18 week RTT is 87%. The data to support this is currently being analysed. Any resultant changes required would be notified to GDPs.

Two Pathway events have been arranged for January (Paediatric and CDS) both will have GDP representation.

10. PRACTICE IMPROVEMENT GRANTS

The paper was noted for information. There was a discussion about whether or not they should re issue the questionnaire regarding compliance again at the beginning of the year. Mrs Murray said her only concern would be that practices may think there is more funding available and this is not the case. It would need to be made clear that this was being issued for monitoring purposes.

11. SDAI

The paper giving the updated position in relation to the allocation of grants was noted for information. The group continues to meet monthly and monitoring visits are ongoing.

12. FACING THE FUTURE TOGETHER Mrs Murray advised that this is NHSGGC’s new corporate change programme which has been developed and designed using input from staff themselves.

13. REGIONAL PATHWAYS FOR RESTORATIVE DENTISTRY PERIO AND ENDO

PROPOSED PILOTS

Mrs Murray advised that this was being discussed at the West of Scotland Dental

Consortium meetings. The next step will be a pilot however further work is required to produce a work programme validate the data and agree timescales prior to this commencing.

14. AOCB No other business was discussed at this time. 15. DATE & TIME OF NEXT MEETING The next meeting will be held on Wednesday 29 February 2012 at 4pm in Board

Room, Glasgow Dental Hospital.

Robert Calderwood, Chief Executive talks about: Record number of staff protected against flu Winter is upon us and plans are in place to prepare services for what is always a most challenging time for the NHS and other frontline partner agencies. The weather is one risk but as in recent years the threat of a flu pandemic looms as an additional and real risk to our resilience capabilities. A great deal of detailed planning has gone in to delivering convenient immunisation sessions by the Staff Flu Programme Planning Team and direct staff communications around the importance of flu vaccination have been unprecedented this year. This co‐ordinated activity has delivered very encouraging results. Immunisation sessions have delivered the best vaccination rates this Board has ever recorded. In a four week period from its launch in September almost 10,000 staff were vaccinated compared to 4,100 the year before. Peer immunisation rates have also soared from 74 during those same four week to 2,450 this year. This is hugely encouraging and I want to record my thanks to those who have organised the programme and to those staff who have taken up the immunisation opportunity. I would urge those of you who have yet to be vaccinated to protect themselves and their patients in preparation for the winter months ahead. Appointments for staff vaccinations can be made by contacting Occupational Health on 0141 201 5600 Monday to Friday 9am to 5pm. Industrial Action I want to thank everyone who contributed to ensuring that we were able to deliver essential services to the most sick and vulnerable in our hospitals and in the community during the national strike last Wednesday. Such actions create immense difficulties for individual members of staff and healthcare teams on the ground, but professionalism and dedication to our core principles of caring for patients was evident in the midst of national industrial unrest. A huge amount of co‐operation and hard work by managers and Trades Union officials helped us through this most difficult time. Clearly the issues which caused the action remain to be resolved and further challenges may lie ahead but I am proud of the way our staff, managers and the Trades Union officials rose to that challenge last week.

UK first for NHSGGC in World Health Organisation UNICEF status I was delighted to learn that we have become the first NHS authority in the country to achieve 100 per cent World Health Organisation UNICEF UK Baby Friendly accreditation. It has taken a lot of work over many months by staff in our community and acute service areas to deliver this best practice standard of care for women and babies. Many parts of our health system have held the Award for some time now but it is a credit worthy of comment that our commitment to quality and to drive up breast feeding rates has resulted in the largest health authority in the UK delivering whole‐system gold standard facilities and support in this important area of health improvement. Over the last 18 months all of our five maternity units have been assessed and achieved reaccreditation. All of the CH(C)Ps have also now achieved full accreditation. As a Board we are committed to improving the standards of care for new mothers and the initiative to achieve this UNICEF award is an important part of that drive. I am also aware that there remains a significant challenge for us to meet the national performance target for breastfeeding but I am encouraged that despite this we have seen the most statistically significant increase (+ 3.9 per cent) in Scotland. Our work in this area remains an important priority but we should all feel encouraged by recent progress and by this important system wide accreditation. Facing the Future Together We launched this important change programme at the beginning of November. Thanks to those of you who have already begun to use the StaffNet interactives, lets all keep accessing the site and contributing to making NHSGGC a better place to work.

Robert Calderwood Chief Executive

Issue – December 2011

Comments/feedback to: [email protected]

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December 2011

FESTIVE GREETINGS As this will be the last Team Brief for 2011, I wish all our staff a very Merry Christmas and best wishes for 2012. Thank you all for the hard work you have undertaken over the course of this year. All of your efforts are very much appreciated, particularly those of you who will be at work over the festive season making sure our service users are cared for during the holiday period.

Karen Murray CHP and OHD Director

INDUSTRIAL ACTION I would like to take this opportunity to thank staff for all of the work which went in to ensuring that services were provided safely and efficiently during the industrial action. Please pass on my thanks to those who helped to coordinate cover and responded to requests for information. This ensured that our response to the industrial action was effective, and that we were able to provide core services within the CHP, as well as support service delivery in other areas that were challenged in providing core staffing cover. It was a challenging time and I appreciate the commitment shown by all.

Karen Murray CHP and OHD Director

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FACING THE FUTURE TOGETHER Our People We have discussed the importance of staff engagement at previous meetings and are pleased that the development group is leading the process of staff engagement work by organising three focus groups for early December. We want our CHP to have strong and authentic values, with clear evidence of trust and fairness, where two way promises and commitments are understood and fulfilled. Listening carefully to staff concerns is an important priority for the CHP. To initiate a wider process of staff engagement we will be asking the majority of staff for their views on a range of issues, identified as important through the previous responses to the staff survey. The first focus groups will be facilitated by an OD colleague, Frances Millar. The next group will be held as follows:

14th December 2.30pm-4.00pm All staff are welcome to participate. To book a place, contact Aileen Murphy.

Our Culture We encourage staff in all teams to work together to discuss what Facing the Future Together means for them and to spend time in reflecting how team work can be improved. We already have many, many good examples of team work in the CHP but see the Facing the Future Together programme as an opportunity to re-energise our thoughts on effective team working and to spend time together in how to improve team working so as to improve services to our patients. Resources are available on the intranet pages to support this work but Jane McKinlay and Janis Howie can work with you to develop tailored solutions where you request this. To promote our work in encouraging a supportive leadership culture Janis Howie and Jane McKinlay will be facilitating a ‘Coaching Conversations’ workshop on the 24th February 2012 next year for all managers and leaders. Contact Aileen Murphy to book a place. Our leaders There will be many opportunities in the coming months for staff at all levels to develop leadership skills on the job – work for the Releasing Time to Care Work and on the Change Fund project, for example will be supported, where needed with leadership support. To facilitate the development of leadership skills for service improvement a short workshop will encourage dialogue on this important topic. We know that the financial challenges bring additional pressures on leaders and the CHP wishes to encourage staff to participate in supportive networks. A workshop on ‘resilience’ has been organised to support thinking on this important topic. Our resources To encourage the many current strands of our work on improving our use of resources, such as the Change Fund, the Releasing Time to Care Work the development group are leading a project on improving meetings throughout the CHP. To support this work there will be a workshop on ‘Managing Meetings Effectively’ – all staff are welcome to attend. Contact Aileen Murphy to book a place. All team leaders have been advised to collate information using a standard Training Needs Analysis form so that we can build a benchmark and appropriate activity to support the use of LEAN tools where needed. Our patients Effective consultation and dialogue with our patients is an increasingly important aspect of our work. For example the Change Fund ShowCase event held with the Kirkintilloch Older People’s Forum on the 22nd November 2011. We want to hear your views on how to improve services for our patients and the FTFT programme will open up new ways for you to put forward your suggestions. Involvement in Facing the Future Together – the development group would be pleased to hear from anyone who would like to be more involved in this programme – we can offer development opportunities for those who are interested.

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If you would like further information on Facing The Future Together, please contact Jane McKinlay at [email protected].

PLAY SAFE

In the lead up to Christmas the NE Sector Healthy Working Lives group has, in collaboration with Glasgow Council on Alcohol, organised two Play Safe sessions for staff:

Monday 12th December, 12pm – 1pm, at Eastbank Conference & Training Centre, 22 Academy Street, Shettleston, G32 9AA

Wednesday 14th December, 12pm – 1pm, at the Corporate Management Room, CHP building, Stobhill Hospital, 300 Balgrayhill Road, G21 3UW

There is a choice of 4 workshop options: Plan your night out and stay safe; Alcohol, the body and health; Alcohol, calories and nutrition; Alcohol and driving. 20 places are available at each venue; bookings will be on a first come first served basis.

If you would like to know more about how your ‘carry out’ really affects you OR planning a safer night out OR how it affects your weight OR when you’re safe to drive the morning after please complete and return the attached registration form to book your place.

NMC REGISTRATION Please note that it is the staffs own responsibility to ensure that they update their registrations on an annual basis. Once you have updated your registration you should notify your Line Manager of this. Staff should note that if your registrations lapse then you cannot work or be paid as a registered professional.

DIZZY HEIGHTS Firstly, I'd like to thank Christine Woods for her leadership role in encouraging people in the CHP to have Healthy Working Lives. Working in the NHS usually means a very busy job and it is important that we look after ourselves and build our personal resilience. One of the best ways of doing that is exercise and Christine often reminds the SMT and CHP staff that we should exercise and keep healthy. I'm going to share some of my healthy habits with you and challenge you to be the next person in the staff brief encouraging others to have healthy habits. I have always loved the outdoors, hill walking and camping are my favourite pastimes. There's nothing like the wind and rain in your face to refresh you and build your appetite for a big bowl of homemade soup when you get home. This year I have 'climbed' Ben Lomond, Ben Ledi, Dumgoyne and Meikle Bin. These hills are all less than an hour away from East Dunbartonshire and the views are amazing when you get to the top. I believe a couple of District Nurses climb some of these hills after work through the summer. Now that’s impressive! The photo you see is my dog and I on top of Ben Lomond looking across the Highlands. Sometimes when you get to the top you can't see a thing because you are standing in the clouds but there is always an enormous sense of satisfaction in getting to the cairn anyway. In November I climbed Ben Ledi in the rain with really poor visibility. It has three false summits I thought I had cleared but when I got home I looked at photos of the cairns and it turns out I only managed to the third false peak! It just means I need to go back again and make it to the top!

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I also like walking and in East Dunbartonshire there are many walkways on the rivers, canal and through forests. I used to walk my dog on these paths but he is so fit I either need to run or cycle to tire him out now. Before I worked in the CHP I was quite serious about running however personal circumstances meant I was demotivated and stopped this activity. I have recently found myself a running partner and have started again. Already I can feel the difference it makes to my energy levels, sleep and general stamina. If you don't do much exercise walking is a very good place to start. I would encourage you to get out in the air, even if it’s just for 15 minutes every day and you will feel the difference. For those who want a little more, some CHP staff play netball and go running. I'm sure Christine Woods would help you with some contacts if you are interested in alternative exercise opportunities or there is always Zumba if you like dancing! Get fit for Christmas!

Annemargaret Black Head of Primary Care & Community Services

WE NEED YOUR INPUT Please remember that the purpose of the Team Brief is for the sharing of local information and we are looking for any examples of good news or good practice within East Dunbartonshire CHP. If you have a submission for, or any comments regarding the Team Brief, please submit this through your line manger or directly to [email protected]

If you have any items that you would like to have included in the Oral Health Directorate Team Brief, you can send these direct to Linda Armstrong, Clinical Governance Officer, [email protected]

tel: 0141 232 9701.

Issue – December 2011

ORAL HEALTH DIRECTORATE BRIEF Glasgow Dental Hospital & School Central Decontamination Unit Expansion/ Clinic Relocation To achieve compliance with the ‘Glennie’ report, the Central Decontamination Unit (CDU) at GDHS will be expanded. The Prosthodontic clinic on level 2 will be relocated and integrated with the rest of restorative dentistry on levels 6 and 7, where certain areas/clinics are being redesigned to provide the chairs required. There will be an overall loss of 7 chairs in restorative dentistry however the existing activity can be accommodated through adjustments to timetables. Some staff in non-clinical accommodation will be affected and the detail is still to be finalised. The capital works are due to start on 16 January 2012, with all of the work in clinical areas anticipated to be completed by 4 June 2012. The CDU extension and neighbouring office suite will be completed between June and mid-August, with no impact on clinical or teaching activity. An Operational Group, including clinical and University representation, has been established, and meets weekly. It is currently engaged in detailed planning of the logistics. The Operational Group will be issuing regular communications to keep all staff up to date with progress and will make every effort to keep the inevitable disruption to a minimum. Datix Awareness Sessions The Oral Health Management Team identified a need for clinical incident reporting awareness sessions for staff. This followed discussions at each governance committee relating to the quality of the data within Datix reports. Eight awareness sessions were delivered over two days. 99 staff attended from both GDH and community. A summary paper with recommendations will be submitted to each governance group for discussion. Adult Support and Protection A poster giving guidance to staff is being circulated to all clinical areas. Staff should ensure that they familiarise themselves with the information provided. Clinical Governance Event 94 members of staff from all disciplines across the Directorate attended the Clinical Governance Event on Tuesday 22 November 2011. The purpose of the event was to raise awareness and understanding of the component parts of clinical governance as applicable to the oral health directorate. The event was very well evaluated with participants finding the sessions very informative with a good range of speakers and workshops. GDC Standards Review Representatives from the Oral Health Directorate attended the GDC event in Edinburgh on “Setting Standards”. There is a website which all staff can access to comment http://www.gdc-uk.org/GDCcalendar/Consultations/Pages/Review-of-Standards.aspx, the closing date for comments is 31 December 2011. Scottish Ambulance Service The Scottish Ambulance Service has provided an update on Patient Transport Service for patients, carers and the public in October 2011. You should have received this via your Line Managers, further information can be obtained from the website www.scottishambulance.com Forthcoming Events

The Childsmile Event for General Dental Practitioners is being planned for January 2012. Congratulations Congratulations to Yvonne Blair, Senior Dental Officer who has recently passed her Doctor of Dental Surgery examination and will graduate in the summer also to Christine Goodall and the Medics Against Violence Team who won the Lord Provost’s Medal for Community Service.

http://www.gdc-uk.org/GDCcalendar/Consultations/Pages/Review-of-Standards.aspx

http://www.gdc-uk.org/GDCcalendar/Consultations/Pages/Review-of-Standards.aspx

http://www.scottishambulance.com/

Issue – January 2012

Robert Calderwood, Chief Executive talks about: Meeting targets Over the last few years we have been on a journey together to streamline our elective and diagnostic services to ensure patients were delivered a more rapid pathway to treatment and discharge. Our goal was to create a system that would see patients who are referred following a GP consultation go on to receive a consultation/diagnosis/treatment and discharge within 18 weeks as the norm. I appreciate that this has been a long, and at times a challenging, journey. I also have no doubt that there will have been some sacrifices along the way but I am impressed with the work of our teams in delivering the significant improvements to waiting times over the past 12 months. The validated position re our achievement of the December Target; where no less that 90 per cent of patients will have accessed acute treatment within 18 weeks; will not be confirmed until later in 2012 but for now I want to take this opportunity to say how proud I am to be able to congratulate you all on your efforts. I continue to take pride in the quality of the services we offer to the people of Greater Glasgow and Clyde – and for those of us who have worked in the service for many years I think we can all agree that today’s services are a significant improvement on what we were able to deliver a decade ago. Organisational challenges met 2011 was another challenging financial year where the Board had to deal with significant cost challenges that required a significant programme of service change and redesign to enable budgets to be balanced. We had to face up to a range of challenging issues including VAT increasing to 20 percent, record levels of energy costs, drug budget pressures to meet unprecedented demand and the expense of new and sophisticated medicines. All these inflationary pressures required to be absorbed within a fixed budget. We have met these challenges head on and have successfully absorbed approximately £60m of inflationary pressures while delivering on key Quality improvement targets. Again – I am proud of the efforts of all staff in delivering this outcome.

Impressed at SPSP progress I and the Board have been hugely impressed at the record progress from the Scottish Patient Safety Programme. Undoubted and clearly evidenced improvements to patient care and outcomes – this work has been nothing less than outstanding. We are to the forefront within NHSScotland in this work and that is testament to the professionalism, dedication and commitment to quality and patient care of you all. Moving forward My final reflections on what has been a remarkable year of challenge and achievement is to record the historic moment in March 2011 when much of the old Stobhill Hospital was decommissioned seeing many staff and thousands of patient activities transferred to the GRI. This move was a vital part of our overall modernisation of acute services in the city but it also marked the end of a proud era of service for inpatient services at one of our oldest and respected hospital institutions. And as the year drew to a close we also saw the fruition of a number of years of planning and partnership working when the £18m Barrhead integrated health and care centre was officially opened on December 12. The strengthening of our integrated health and social care services is something we can rightly be proud of. Facing the Future Together I would like to remind everyone as we start the new year of the Facing the Future Together programme which represents a fresh look at how we support each other to do our jobs, provide an even better service to patients and communities and improve how people feel about NHSGGC as a place to work. Since the launch of the programme in November 2011 we have already received more than fifty improvement ideas and questions from staff and these are in the process of being considered and responded to. Your ideas, questions and their responses are being published on the Facing the Future Together interactives on StaffNet which are developing all the time so please take a look, contribute your improvement and savings ideas or tell us what we could do to help you do your job better. Let’s make 2012 a year when we pull together to make positive change in challenging times.

Comments/feedback to: [email protected]


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January 2012

HAPPY NEW YEAR

Happy New Year to all staff and a big thank you to all of you who have provided important and valued services to the population of East Dunbartonshire over the last 12 months There have been many challenges over the last year and we will no doubt face more over the coming year . I am sure that all of you will do your very best to continue to provide high quality, patient centred services to your patients.

As part of our Facing the Future Together activities I had the opportunity to spend some time during December at KHCC speaking to staff and listening to their ideas and suggestions. Arrangements are being made for me to visit each of our staff bases over the coming weeks so that I can hear more from staff directly about the issues of importance to them. I will also be meeting with the Glasgow Dental Hospital Medical Staff Association in mid January. Meantime, a quick reminder that staff wishing to ask me questions can do so through the Facing the Future Together website on Staffnet.

Best wishes for 2012.

Karen Murray

CHP Director

HEALTHY WORKING LIVES GOLD AWARD

The CHP is delighted to announce that it has achieved the Healthy Working Lives Gold Award and is the first partnership in NHSGG&C to gain this top level award. The Gold follows the CHP’s earlier achievement of Bronze in 2008 and Silver in 2010.

To achieve the Gold award standard the CHP has demonstrated long-term commitment to improving health and wellbeing both within the workplace and in the wider community. A strategy and action plan have been developed for the next three years which are influenced by staff views obtained from the health needs assessment. Topics flagged up during 2011 have included lifestyle checks, mentally healthy workplace training for managers and commitment to the environment by supporting Board energy awareness/ sustainability campaigns.

Thanks to all staff for their time, effort and commitment for Gold. The CHP is now progressing the Mental Health Commendation Award.

For further information please contact [email protected]

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ANTICIPATORY CARE TEAM This project is one of ten initiatives in East Dunbartonshire funded by the Scottish Government transformational change process for older people’s services. The initiative will establish processes and systems for collaborative working across health, social care, housing and voluntary organisations that will aim to improve the quality of patient-determined and patient-focussed care, and assist in the prevention of unplanned hospital admissions and promote timely discharge back into the community. The impact will be the development of a sustainable, effective model that will be embedded across mainstream services that will target care in a planned manner and reduce unplanned emergency care. The Anticipatory Care Team will liaise and integrate the processes with the existing community health, social and voluntary sector services to develop long-term case management and anticipatory care planning for older people in East Dunbartonshire. The team consists of: John Dennis Anticipatory Care Team Leader Elaine Bowhay Clinical Pharmacist Ann Hunter Practice Development Nurse Claire Ireland Project Co-ordinator Caroline Lilley Project Co-ordinator Two project support workers have been appointed and are due to start mid January 2012.

Contact details for further information are: John Dennis, East Dunbartonshire CHP HQ, [email protected] 0141 201 3446

ALCOHOL BRIEF INTERVENTIONS TRAINING Alcohol screening and brief intervention is a national programme based on the whole population approach to alcohol use. The approach targets the large percentage of alcohol users in the population who drink beyond safer limits but are not dependant on alcohol (hazardous or harmful drinkers). A short (4 hours) training course supports particularly health staff to assist an individual to use an alcohol screening tool and provide a brief, structured intervention to promote behaviour change. This programme of training is a central part of the East Dunbartonshire Alcohol and Drug Partnership/East Dunbartonshire Community Health Partnership. Please see below list of training dates:

DATE TIME VENUE

Friday 20th January 2012 12.30-16.30 KHCC

Thursday 26th January 2012 09.00-13.00 KHCC

Friday 27th January 2012 12.30-16.30 KHCC

Monday 20th February 2012 12.30-16.30 KHCC

Tuesday 21st February 2012 09.00-13.00 KHCC

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If you would like to book a place on ABI training, please complete the attached form and pre course questionnaire then send by email to:

BOTH [email protected] and [email protected]

ACTIVE CHILDREN EATING SMART

NHS Greater Glasgow and Clyde and local authority partners in response to the increase of childhood obesity in Scotland. The ACES programme is aimed at children and young people (aged 5-16 years old) who are overweight and is designed to help them, with the support of their families and coaches to make long-lasting lifestyle changes. The programme is free and lasts for 12 weeks. The programme includes:-

Fun information classes on healthy eating including food labelling, hidden fats and sugars and the Eatwell plate etc.

Practical cookery sessions - Healthy breakfasts, lunch and snack ideas and family meals. Physical activity sessions - swimming, team games and much more! The opportunity to learn, make lifestyle changes and have FUN!

A new ACES block will be starting in January 2012 and we are looking for local families who could benefit and want to get involved in the programme. If you or anyone you know might be interested in ACES please don’t hesitate to get in touch.

For more information please contact Emma McCluskey (ACES Lifestyle Coach) on 0141 355 2402 or email [email protected]

TAKE HOME NALOXONE CHRISTMAS CAMPAIGN 2011

Naloxone is a drug which reverses the effects of opiates (heroin/methadone)

In an overdose state it can be LIFESAVING...

A huge thank you to all East Dunbartonshire Community Addiction Team Staff for their efforts in delivering training in Overdose Awareness and Management and supplying take home Naloxone to service users during our Festive Campaign 2011. 31 service users engaged in the training and 31 Naloxone kits were issued under a Patient Group Directive. During 2012 the Community Addiction Team will be focussing their efforts on increasing the uptake of the Naloxone Programme as a routine harm reduction intervention.

For further information please contact Kirsteen Jack, Community Addiction Team at [email protected]

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CH(C)P PROJECT MANAGEMENT TOOL KIT AND SELF DIRECTED LEARNING RESOURCE

This new resource has been developed to support and guide staff taking forward projects. There are 2 documents :- The Project Management Tool Kit is aimed at staff who are experienced in using project

management tools. The tools should be used to plan, monitor, evaluate and report on their project.

The Self Directed Learning Resource is aimed at staff who need to learn or refresh aspects of

project management. It provides information which will support and guide them in initiating and progressing a project.

The toolkit and the self directed learning resourse can be found on the East Dunbartonshire Facing the Future Together intranet pages under “Our Resources” http://www.staffnet.ggc.scot.nhs.uk/Info%20Centre/FTFT/LocalFTFTAreas/EastDunbartonshireCHPAndOralHealth/Pages/Ourresources.aspx

For further information contact Janis Howie, Senior Learning Advisor at

[email protected]

BEST WISHES

The Children and Family Team would like to wish Brenda Walker, who as been a School Nurse within the Team for many years, every success as she takes up her new role as Health Visitor at Milngavie Clinic. Brenda recently attained the Specialist Community Public Health Nurse qualification having been awarded Caledonian University's prize for best student on the course.

WE NEED YOUR INPUT Please remember that the purpose of the Team Brief is for the sharing of local information and we are looking for any examples of good news or good practice within East Dunbartonshire CHP.

If you have a submission for, or any comments regarding the Team Brief, please submit this through your Line Manager or directly to [email protected]

0141 201 3553.

If you have any items that you would like to have included in the Oral Health Directorate Team Brief, you can send these direct to Linda Armstrong, Clinical Governance Officer, [email protected] tel: 0141 232 9701.

Issue – January 2012

ORAL HEALTH DIRECTORATE BRIEF Glasgow Dental Hospital & School Central Decontamination Unit Expansion/ Clinic Relocation Timescales – The project is due to start with clinic works taking place between mid January 2012 and end June 2012. Works to expand the CDU will continue through until end August 2012. Construction – The capital projects team have spent time negotiating with the preferred contractor on cost and ensuring that they are aware and sensitive to the need to provide ongoing clinical care during these works. Award has now been made and contractors (DH Allan Ltd) will come on-site on 16th January. The affected clinics will close on Friday 20th for actual works to start on Monday 23rd January. Office moves will happen in the interim. Clinical Decant – Timetables have been confirmed and plans put in place to allow Hygiene/Therapy clinical training to move to the Level 5 clinic for the period of the project. A group of orthodontic students will relocate to the emergency centre on Level 1 on Tuesday mornings to make this possible. There will be other minor changes affecting small numbers of chairs. Oral Surgery Sedation – Minor works are also planned to allow relocation of Oral Surgery Sedation to level 4 where it will sit alongside Minor Oral Surgery. The necessary plans are being completed, including the removal of the operating-light battery back-up system. This is not now required with the new emergency generator in place. This change has been made in agreement with clinical staff. Parking – Unfortunately, parking will be severely restricted. Only key site-operations staff and those who are required to travel between multiple sites throughout the length of the project will have access. Staff affected will be notified through facilities management team by Friday 13th January. GDC Registration All dentists should now have renewed their registration with the GDC. You must ensure that you provide your line manager with a copy of your registration documentation for inclusion in your personal files. Line Managers must ensure that comprehensive records are available and maintained for all staff and cross checking to the GDC website is in place. Healthy Working Lives The Directorate has secured a small grant award of £500. The HWL group will then recommend how this is to be used. Further information to follow. Health & Safety A Stress in Health Care Seminar was attended by oral health directorate staff in December. The event was well evaluated and future attendance is encouraged. IR(ME)R Audit Feedback Event 104 General Dental Practitioners attended the IR(ME)R Audit Feedback Event on 29 November 2011. The purpose of the event was to feedback IR(ME)R Audit results to participants and highlight positive and negative feedback. To provide information regarding IR(ME)R governance and to give specific details around the optimisation of x-rays and digital imaging and the interpretation of digital x-rays. The event was well received with good overall evaluations indicating that the event aims and objectives were met and all presentations were rated overall good to very good.

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EAST DUNBARTONSHIRE STAFF PARTNERSHIP FORUM

WEDNESDAY 9TH NOVEMBER 2011, 2PM – 4PM CORPORATE MEETING ROOM

PRESENT: Ross McCulloch (RM) RCN, Co-Chair Louise Martin (LM) Head of Administration Fiona Laird-Walker Society of Chiropodists and Podiatrists Anne McDaid (AM) RCN Gerry Bartley (GB) RCN Stephen Fullerton (SF) Unison Mark Richards (MR) Head of Mental Health and Partnerships Andrew McCready (AC) Unite, Oral Health Jane McKinlay (JM) Senior OD Advisor Gillian Notman (GN) Joint O.T Lead Advisor James Hobson (JH) Head of Finance Wendy Mitchell (WM) Senior Community Nurse Manager Serena Barnatt (SB) Head of HR Diane Wilding (DW) Senior HR Advisor Annemargaret Black (AB) Head of Primary Care and Community

Services IN ATTENDANCE: Geraldine McMartin (GM) CHP Administrator (Minutes)

No. Topic

Action

1. Welcome and Apologies

RM opened the meeting and welcomed those present. Apologies were received from Karen Murray, Sandra Cairney, Heather Glennie, Janis Howie, Audrey Murdoch and Catherine Marlin.

2. Minutes of previous meeting – Wednesday 19th September 2011

Approved as an accurate record.

3. Matters Arising i) ii) iii)

OHD Update SB advised that the workforce planning workshop will take place in January 2012. Following this, the workforce planning group will be reconvened to take forward the actions arising from the workshop session. A paper will then be drawn up and brought to this group. AC gave an update on work ongoing within OHD around decontamination, electronic patient records, Childsmile relocation, CSD review and planning for Vale of Leven and Possilpark services. Admin Review LM advised that the demand and capacity study is complete and is currently being analysed. Further information will be available in the next few weeks and a meeting of the Admin Review Group will be reconvened. Savings 2010/11 Update Following the presentation given at the previous meeting, JH updated the group on the financial position. There is a CHP overspend of £80k, with a £146k overspend in prescribing, therefore there is a £66k underspend in other budgets. A financial planning

Paper 12/11i

iv) v)

session is taking place on 17th November and JH will attend this. MR asked in relation to previous risk sharing arrangements for prescribing within the Board. JH clarified that the position remains the same, however due to the overspend across the Board, the Board’s ability to absorb an overspend in prescribing; this needs to be shown in the CHP budget reports. RM highlighted that energy costs continue to be volatile and asked if there was any way this could be looked at to reduce outgoings. JH advised that there are 2 elements to this; rates and usage, both of which are being considered within the board’s financial plan. Overall, the financial position remains difficult however progress is being made in a positive direction. Change Fund Update An update was given on the Change Fund for Older People. Ten projects have been agreed by the Programme Board, all of which have completed PID’s. All of the projects are at different stages of implementation. The mid year performance report has been submitted to the JIT. Facing The Future Together and Staff Engagement Process in response to Staff Survey Results The Facing The Future Together Programme was launched on Monday 7th November 2011. The programme includes live web based resources and covers five key workstreams. There is a corporate FTFT website for staff and also a local East Dunbartonshire & OHD website, which can be found at: http://www.staffnet.ggc.scot.nhs.uk/Info%20Centre/FTFT/LocalFTFTAreas/EastDunbartonshireCHPAndOralHealth/Pages/Homepage.aspx The five areas covered are:-

- Our culture - Our leaders - Our patients - Our people - Our resources

JM gave an overview of the activities taking place in each of the above five areas, all of which are detailed within this months Team Brief and will be highlighted on display boards within main service areas, as well as through direct reports and meetings structures. MR advised that in terms of staff engagement work, external OD support has been secured to hold a staff engagement event with the extended SMT, with a wider staff event taking place in December 2011. MR circulated draft questions that would be asked of participants to the event in December for comment. WM asked why work around older people was included? MR advised that this was for a number of reasons in relation to a paper which has just been released and also as its one of the main priorities for the board, therefore there are a number of strategic reasons for asking this question. WM felt that it would be helpful to staff to explain the reasons for this question being asked. MR agreed. WM also felt that most of the questions were in relation to what could be done better, however highlighted that there is also a need to include questions on what is being done well in the interests of sharing good practice. MR agreed and will look at adding in a further question around this.

http://www.staffnet.ggc.scot.nhs.uk/Info%20Centre/FTFT/LocalFTFTAreas/EastDunbartonshireCHPAndOralHealth/Pages/Homepage.aspx

http://www.staffnet.ggc.scot.nhs.uk/Info%20Centre/FTFT/LocalFTFTAreas/EastDunbartonshireCHPAndOralHealth/Pages/Homepage.aspx

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vi) vii)

SF commented on the need to ensure that all staff members, especially those with limited access to IT, are made aware of the event and other activities around FTFT. It was agreed that the CHP Team Brief would be circulated to members of the SPF regularly. AM asked if a report would be made available to the SPF following the event. MR advised yes, the report of the event will be brought back to the SPF. WM suggested that an information sheet on the purpose of the information being collected and highlighting the organisations commitment to respecting and valuing staff opinions be included with the questions. MR agreed. DN Review This is progressing in line with the board and a GP representative has now been recruited to the DN Review Group. WM advised that the DN team have expressed an interest in being a showcase site and an application has been submitted. The next meeting of the group takes place on Thursday 17th November. The Releasing Time to Care work has been incorporated into the DN review however is being looked at across all of the other teams within children and families also. Communications Group Update MR advised that the membership and activities of the group have been refreshed. Membership has been extended to include OHD and PPF. The group plan to undertake a review of the local team brief and are keen to get a view on external communications. MR has written to the PPF regarding the website and other external communications. LM is the lead for the accessible information policy work and will ensure through the communications group that all communications adhere to the accessible information policy.

4. Standing Items i) ii) iii) iv)

Committee Update The minutes of the Committee Meeting which took place on 29th July 2011 as minutes of the meeting on 30th September, have not yet been ratified. RM requested that the agenda for the most recent Committee meeting be included with the SPF agenda. APF Update RM updated the group on the lease car scheme. Staff who have claimed an average of > 2000 miles per year will have their lease renewed. Those who have claimed an average of < 1250 miles will not be eligible for renewal of a lease car. Those who fall between the two categories will have their current lease extended until agreement had been reached as to how this will be taken forward. SB asked in relation to the review of professional leadership and FLW advised that meetings are ongoing in relation to this. Revised Arrangements Mental Health Partnerships Update The revised arrangements were circulated for noting. RM asked if the minutes of the Mental Health Services Redesign Steering Group be a standing item on the SPF agenda, once the group has been established. PEG Minutes of the PEG Meeting were unavailable; therefore this was deferred to the next meeting. It was noted that the PEG minutes should routinely be included in the papers for this meeting.

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v) vi) vii) viii)

Health and Safety Update The next meeting of the group takes place on Thursday 10th November. A meeting to review the health and safety strategy took place on Monday 7th November. Concerns were raised in relation to requirements for fire. Budget has been identified by the board to carry out audits on all buildings not previously audited and fire assessment returns must then be made by each building. LM highlighted concerns around this due to lack of training for staff carrying out the returns as staff cannot complete this until training has been provided. Rehabilitation and Enablement Framework The Community Rehabilitation Team came into being in July 2011. A Rapid Improvement Event was held over 4 days, including 1 representative per area. The recommendations from the event have just been made available today. A three month pilot is being considered to explore some of the issues. The pilot will begin on 5th December and RM advised that he has been in contact with the Director responsible for the CRT to discuss issues which may need to be considered prior to the start of the pilot. GB will contact Fiona Munro and Elaine Marsh to collate comments, carry out an impact assessment and consider service issues on behalf of the group for feedback. WM suggested discussing this with the District Nursing Team also. WM and GB to meet re this. GN will also contact Stephen French in relation to the OOH work. Attendance Management The latest figures up to August 2011 were circulated to the group. This reported an increase in sickness absence. Children and Families Update WM gave an update on Children and Families. The activity audit process has been completed. The data has been collated and analysed, the results of which will be available shortly. The SN review continues and a good response has been received from potential candidates for the vacancies. The CSG have started the same process for Releasing Time to Care. There has not been an analysis yet of the 30 month pilot work required. WM and AB will bring the discussion papers from the Health Children Briefing which took place this morning to the next meeting of the SPF.

GB

WM/GBGN

5. Staff Engagement process in relation to staff survey results

Covered under matters arising.

6. Crisis Services Redesign

Draft 5 of the Crisis Services Redesign was circulated to the group, along with a benchmarking paper and some background information. The paper sets out two different models for the Crisis service. Option 1 describes an area model, covering both the East Dunbartonshire and North East Teams. Option 2 describes a stand alone team for East Dunbartonshire. As more focus grows around pan system approaches to redesign, it is thought that the preferred option would be option 1. The paper will be submitted to the Mental Health Services Planning Group Meeting which takes place tomorrow. Following this, the paper will then be submitted to the Directors Group. MR will update the SPF of the outcomes of further discussion.

7. AHP Redesign

Caroline Horn attended the meeting to give an update on recent developments around the AHP redesigns. It has been agreed that the Podiatry and Physiotherapy services will be managed by an overall head of service, with four quadrant managers, and two teal leads per quadrant. RM queried re responsibilities for delivering the services. AB clarified that quarterly or six monthly management reports will be available from the

Paper 12/11i

head of service that has overall responsibility, however in terms of governance arrangements, these will remain the same. RM asked for clarity that the staff governance responsibility will be passed from this group to other fora and that the other fora will be informed of this.

8. AOCB

AB advised that a validation event on the workplace survey will take place for Children and Families on 6th December.

9. Proposed Schedule of Meetings 2012

The schedule was circulated to the group for information. RM asked that the staff side pre-meetings also be detailed on the schedule. GM and Marie Grant have liaised regarding the dates to ensure all parties can be present, and once finalised will be circulated to the group.

10. Date of Next Meeting

To be inserted.

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East Dunbartonshire Public Partnership Forum

Minute from the Meeting held in the

Woodhill Evangelical Church, Bishopbriggs

Thursday 10th November 2011

Present: Martin Brickley (MB) Chair David Radford (DR) ED CHP

Bob Donald (BD) Service User Jenny Proctor (JP) Contact Point Tom Friel (TF) Service User

Pat Baird (PB) PPF Member Volunteer Beatson McMillan Bill Brady (BB) Service User Gordon Thomson (GT) Ceartas Clare Taylor (CT) Hillhead Housing Association Sheila Conlon (SC) PPF Member Bhagat Jhund (BJ) Ethnic Minority Forum Heather Gartshore (HG) Contact Point/Kirkintilloch Community Council Nigel Walker (NW) Citizens Advice Bureau Richard Thomson (RT) PPF Officer Group

David Delaney (DD) EDAMH Anthony Craig (AC) ED CVS Community Support Worker Attending: Dianne Rice (DRice) ED CHP (Minutes)

Engaging local people in local health matters

1

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2

Action

1. Welcome and Apologies The group were welcomed to the meeting and introductions

took place. Apologies were noted from Karen Murray, Rani Dhir, Susan Petrie, Sandra Cairney, Gina Livingstone & Gilbert Grieve

Announcement MB opened the meeting and announced the sad news of the

death of PPF member David Paul. MB made note to the contribution which David had made to the PPF and other groups within NHSGG&C over the years. The PPF wished to note that their thoughts are with David’s family at this time.

2. Moving Forward; the Role of the Chair and Vice Chair of the PPF

DR advised that all members should have received forms asking to note their interest in becoming Chair / Vice Chair and if so these should have been completed and sent back to DR. DR asked the members if there was anyone else, in attendance, who wished to stand for the position of Chair. There were no further notes of interest from the members. There was 1 form previously received for Chair which was sent by MB. MB noted that he would be willing to stand as chair of the PPF for the coming year, and stressed the importance of the PPF as they are the vital link between the public and the CHP. MB made a short speech to the group outlining his priorities if they elected him to be chair. MB explained that he would be committed to the agenda of the PPF and would expect the same from each and every member and that he was aware of other members commitments, however, stated that time is valuable and as a group they need to decide on where the PPF can make a difference and also make the PPF well known in the community.

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3

DR asked the group if they were in agreement for MB to take over as Chair of the PPF. The PPF members agreed. DR asked the members if there was anyone else, in attendance, who wished to stand for the position of Vice Chair. There were no further notes of interest from the members DR also advised that there had only been 1 form received for Vice Chair which was sent by RT. RT gave a short speech outlining his intention if he was nominated as Vice Chair; he believes that the PPF have an important role to play in consulting in strategies and other areas of NHS services. DR asked the group if they were in agreement for RT to take over as Vice Chair of the PPF. The PPF members agreed.

4. Minutes of Previous Meeting i) Accuracy

RT informed the group that his apologies hadn’t been noted on the previous minutes. DRice will amend this. A further amendment is to be made under Item 5 to state 2011 / 2012. The remainder of the minutes were agreed as correct.

DRice

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4

ii) Matters Arising Cleaning Services CT advised that her next visit would be on 1st December. CT spoke of her own experience within the Southern General Hospital and reported that the hygiene, staff and the building were not up to an adequate standard. HG advised that she has raised hand hygiene and general cleanliness on a number of occasions and assured the members that this seems to have been taken on board, however, she will continue to highlight this. CT also spoke of hand gel within Glasgow Royal Infirmary being diluted. BB asked if there was a complaints procedure for these incidents to be highlighted. CT advised that she had already taken this forward through the complaints process. DR advised that he will send a copy of the complaints procedure to the members.

DR

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5

Older Peoples Change Fund At the previous meeting PB asked about how grants would be afforded and would this be provided by the Older Peoples Change Fund. There was no further update on this, however, DR advised that all successful bids will be showcased at the Kirkintilloch Senior Forum Event on the 22nd November 2011. Podiatry MB advised that he had a meeting with Audrey Murdoch regarding the Podiatry service within East Dunbartonshire CHP and explained that the Podiatry department have the exact number of Podiatrists required for this area. MB advised that nail cutting continues to be an issue with patients. This is not a service provided by the Podiatrist Service; however, MB has suggested to Audrey that the Seniors Forum will be willing to look to identifying qualified podiatrists who are not currently in work, to discuss the feasibility towards the introduction of a specific nail service to older people. MB has also contacted Caledonia University regarding this but has not yet received a response. JP advised that she will contact podiatrists who she knows and will put them in contact with MB. SC asked if there would be assistants within the Podiatry department to help with this service or could this be a senior student. MB advised that this proposal is in the very early stages and he and the Seniors Forum would consider a wide range of options. PB reported that at the Clinical Governance Group advised that the latest waiting times for Podiatry had decreased. SC stated that when trying to get an appointment it proves difficult. MB advised that this has been highlighted and he will keep the group updated. East Dunbartonshire Dementia Network RT, who represents the PPF at this group, advised that he had not yet received minutes from this group. RT informed the group that an Alzheimer’s event took place for Alzheimer’s Day, this proved to be successful and it was well attended.

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6

5. Standard Items for Noting

i) CHP Committee Meeting

MB advised that he will now attend the CHP as Chair of the PPF and will support HG in taking forward the key points and discussions from the PPF to the Committee and feedback to the group. Discussion took place around representation on the CHP Committee and it was decided that clarity is needed on the role of the Committee representatives. DR to meet with MB and current Voluntary representatives to take this forward.

DR

ii) Clinical Governance

JP advised the group of the risk register which the Clinical Governance Group review at each meeting and that it was stressed that the actions attached to the register must be addressed. JP also informed the group that East Dunbartonshire is currently doing well with Cervical Screening. PB gave a handout to the group on the advance statements for their information.

iii) Communications Group

It was noted that though the Communications Group there was to be a review of the East Dunbartonshire CHP website, DR was asked to clarify if the Access Panel had been invited to this. RT also highlighted that the CHP website is not up to date and currently unavailable to people with visual impairments. DRice advised that the CHP are currently working towards updating the website and there is training being arranged to make the website accessible for visually impaired people.

DR

iv) CHP Primary Care Steering Group

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7

The Primary Care Steering Group work plan was circulated previously for the groups’ information.

6. PPF Officer Group Reports

AC advised that members had been previously invited to a meeting to formulate the priorities for the PPF. AC presented the action plan and gave a brief update to the group. The PPF decided that the action plan should become a standing agenda item.

7. PPF Priorities 2011 / 2012 – What we will achieve

The PPF revisited their key outcomes for their current and future activities. Specific programmes of work will be discussed at their next meeting, however, the PPF agreed that they would welcome the opportunity to work more closely with the CHP towards ensuring;

i) information on health services is increasingly communicated to the public in effective and appropriate ways,

ii) the view of the public on matters relating to health

and health services are communicated to the CHP regularly,

iii) work with the CHP to ensure the public are

increasingly involved in the planning and decision making processes of the CHP and its services,

iv) barriers that prevent equal access to services are

broken down. DR advised that the PPF could work with CVS to pull together a programme which will include training and awareness raising. MB/DR/AC will draft this programme for the next meeting.

MB/DR/AC

8. Consultation Updates

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8

DR advised that 2 consultations had taken place. Six members of the PPF attended a meeting to respond to the consultation on Adults with Incapacity (Scotland) Act 2000. This has been sent to the Scottish Government and DR has received an acknowledgement from the Scottish Government. DR thanked the members for their contribution.

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9

Mental Health Strategy Consultation RT advised that this is a large document and will require members to be involved. An event took place on Monday 7th November; unfortunately this was not well attended. It was suggested that another meeting should take place and if any member was interested in attending they should contact RT. DD advised that a Mental Health Improvement event took place and it proved to be successful, there were a few outcomes from this event and DD & GT agreed to meet to discuss this. The group were informed that David Law (HI Snr. – Mental Health) had expressed his commitment to supporting the PPF to carry out this consultation. DD suggested that this be carried out as a public event. MB & DR will speak to David Law regarding the public event suggested. NHS 24 Invite DR advised that the PPF had received an invite from NHS24 regarding a new strategy for 2012 / 2015, this is an online consultation and should be done on an individual basis. DR will sent details out to the members. Continence DR advised that the PPF have been asked to attend an event on the above to inform of the services changes and feedback. The event will take place on 23rd November 2011, 1 – 3pm, Teachers Building, St. Enoch’s Square. TF volunteered to attend. DR will send TF information. Invitation Cleaning Services Monitoring DR advised that CT attends this group but the group are looking for more public partners. DR advised that if anyone was interested then to contact himself. It was agreed that all knowledge from CT should be sent to AC who will then scan and send to the group.

DD / GT

MB / DR

DR

TF / DR

CT / AC

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10

9. Communication

PPF Newsletter DR advised that the draft newsletter was available. DR thanked all the members for their contribution. A pro forma will be sent to the members to collate feedback on the newsletter, following its distribution. Improving Dementia Care in Scotland The group were advised that the report from this conference is now available complete with audio notes. CVS will keep a master copy of this report PFPI Update This was previously discussed. DR advised that all documents relevant to the PPF will be saved in a library held at the CVS office. If anyone requires a copy of any document then they should contact AC.

10. Agree Points to Feedback to CHP Committee

It was agreed that RT, MB and DR will look at the minutes of the Committee and agree points to take to the Committee.

11. Agree Presentation to Next Meeting

It was agreed that DR, Sandra Cairney and Annemargaret Black will meet to inform of service provision.

12. AOCB

Feedback from NHSGG&C Annual Review

RT updated the group on the above review. RT spoke to Nicola Sturgeon regarding Dementia Nursing Posts, RT advised that this is only provisionally been funded for 2 years, however, Ms. Sturgeon advised that she was keen for these posts to continue but could not commit to a definite answer.

Paper 12/11iii NHS GREATER GLASGOW & CLYDE

Partnerships Infection Control Support Group

MINUTES of

meeting held in Corporate Meeting Room , East Dunbartonshire CHP Offices, Stobhill Hospital

at 1.00 pm

Thursday 10 November 2011 PRESENT

Chair – Mari Brannigan

MB

Director of Nursing, Mental Health Service, NHSGGC

Tom Walsh TW Infection Control Manager, NHSGGC Sandra McNamee SMcN Assistant Director of Nursing Infection Control, NHSGGC Dr Alison Balfour AB Infection Control Doctor, Partnerships, NHSGGC Maureen Stride MS Partnerships SICN, Clyde & Scottish Prison Service Rep Val Reilly VR Public Health Pharmacist, NHSGGC Elisabeth Sutherland ES Site Facilities Manager, Partnerships, NHSGGC Stephen McGinness SMcG Senior Nurse South, Mental Health Service Alistair Barclay ABar Lead Nurse, Renfrewshire CHP Margaret Millmaker MM Public Partner Representative Ann Matheson AM Public Health Protection Nurse, NHSGGC

In Attendance Stefan Morton Hand Hygiene Co-ordinator, NHSGGC Pauline Hamilton (Minutes), PA, Infection Control

Apologies Received

Dr Ian Gordon Dr Eleanor Anderson Carolyn McDermott Ann Kerr Catherine Brown Kate Eunson Michael Regan Dr John Henderson Clare Lewis

Item Action 1. Welcome & Apologies Mari Brannigan welcomed everyone to today’s meeting as Dr Ian Gordon was on

annual leave. Round the table introductions were made and apologies were received from the above mentioned. Margaret Millmaker asked that the sad passing of one of the other public partners David Paul be noted and expressed condolences to all of those who knew and worked with David.

2. Future Governance Arrangements for PICSG/ CHPs Mari Brannigan informed the group that she had met with Sandra McNamee and

Tom Walsh to discuss future governance arrangements for the PICSG. A paper had been submitted to the CHP Directors who agreed to nominate a lead from each CHP. This representative would be expected to feedback any relevant issues to their CHP and also take to the PICSG any significant issues, e.g. exception reports or action plans.

3. Minutes of the previous meeting held on 14 July 2011 The minutes of the previous meeting held on 14 July 2011 were accepted without

amendment. It was noted that the September PICSG had been cancelled.

Page 1 of 5



Item Action

Matters Arising Surveillance Reports are to be distributed to the CHP Directors along with

the PICSG Minutes. Toys in GP Practices: Tom Walsh explained NHSGGC has no jurisdiction

over GP Practices. The Toy Cleaning Policy does not cover GPs however they can use the policy. It was noted that all policies are distributed to CHP Directors so that the directorates can disseminate as appropriate, this includes GPs.

PH

4. Papers circulated to PICSG prior to meeting 4.1 BICC Minutes of 25.07.11 and 19.09.11

The Board Infection Control Committee minutes of 25.07.11 and 19.09.11 were distributed with the agenda and there were no exceptions to report that related to partnerships. It was noted that the new governance arrangements for PICSG were discussed at the BICC held in September.

4.2 HAIRT Report (August and October 2011) The HAIRT Reports were distributed with the agenda for information. The

HAIRT report is a public facing document which is published every two months and reports on NHSGGC performance against set SGHD targets. Sandra McNamee commented meeting the revised SAB target was going to be challenging and further commented that some work would now commence in relation to the analysis of community acquired SABs to try and establish if any actions could be taken in the community to prevent this type of infection. Ann Matheson confirmed she had received an out of hospital infection rates spreadsheet from Ann Kerr and that Public Health are currently looking at epidemiology and have started to collate post code data for nursing home linkage with CDI and SABs. Maureen Stride pointed out that the PVC Care Plan had not been introduced as yet in MHS areas. Sandra informed the group that care plans are SPSP initiatives and is therefore unsure how they are formally rolled out. Sandra agreed to ask Clare Mitchell to take this item to the MHS HAI Group. It was noted that any Cleanliness Champions previously registered would be given until 30 November 2011 to complete the programme otherwise they would be de-registered. Stephen McGinness agreed to forward a staff list for his area to Sandra so that she can provide an up-to-date list of Cleanliness Champions. Sandra offered to provide this for other areas if SCN list is forwarded to her.

SMcN

SMcG

SMcN

4.3 HPS CDI and SABs Report Sandra reported that NHSGGC are on trajectory with HPS CDI/ SAB HEAT

Targets however there are now extra actions with regards to SABs.

4.4 HAI Point Prevalence Tom Walsh reported that the HAI National Prevalence Study carried out in

September / October and managed by Ann Kerr had been completed on time and all data has been submitted to HPS who will produce reports for each hospital in addition to a summary report. It was noted that this was a huge exercise over a 7-week period.

Page 2 of 5



Item Action 4.5 Hand Hygiene Audit Report (September 2011)

The National Hand Hygiene Report for September 2011 was distributed with the agenda. Sandra McNamee informed the group that figures apply to inpatient areas in acute sectors. NHSGGC was 94% compliant and national compliance was 95%.

4.6 AICP and Implementation Plan The implementation plan was distributed with the agenda and Sandra McNamee

reported that all actions were completed on time apart from a training needs analysis. Stephen McGinness agreed to take this to the next MHS IC Group meeting for comment. Item 9 (CHP/Exception Reports) was discussed at this time. Mari Brannigan asked that each of the CHP representatives could report on their actions in relation to the implementation plan. A proposed exception report would be issued and representatives would be expected to bring this to the PICSG Meeting.

SMcG

MB

5. Cleaning Services Standards – National Cleaning Services Monitoring Performance Report

Elisabeth Sutherland provided an overview of the most recent Facilities Directorate Monitoring Framework for Domestic Services Cleaning Specification Reports for Clyde and Glasgow Partnerships which were distributed with the agenda. Elisabeth confirmed that partnerships were now using the new combined tool for monitoring estates and domestic services. Elisabeth confirmed that she will feedback to PICSG cleaning audits once concluded by Lesley Anderson. Mari pointed out that it is crucial that estates monitoring is fed back to PICSG. Elisabeth stated that estates focus is very similar to what comes through SCRIBE. It was noted that issues have been picked up around facilities and estates. Tom referred to graph provided by David Pace’s department and asked if this was something that could be provided for partnership areas to be replicated across the sites. Sandra referred to the HEI Facilities section of the acute environmental audits where “red” highlights work priorities. Elisabeth Sutherland agreed to arrange to meet with David Pace to discuss best way to report and record. It was noted that funding is not held by David Pace and it was agreed that PICSG request CHP Directors to include named budget holder. It was noted that David Pace would attend the PICSG in future.

ES

ES

MB

6. Infection Control Policies Update Sandra McNamee advised that the following policies had been formally

distributed for comment, for final approval at the Board Infection Control Committee on 21.11.11.

Decontamination Policy Outbreak Policy Meningitis Policy

Sandra requested any further comments are forwarded to her. Mari Brannigan commented that the policies were very robust.

Page 3 of 5



Item Action 7. Hand Hygiene Audits within MHS Stefan Morton provided an update on hand hygiene audits within MHS areas and

tabled three audit tools currently used. Discussion followed and Mari suggested that Gillian Halyburton (Practice Nurse Advisor) is contacted to take forward the use of the audit tools within MHS/ CHP areas and that Stefan attend the MHS HAI Group to explain how the audit tools are currently used. It was also suggested that the tools are taken to the PFPI Group for comment.

MB

MB

8. Partnership Activity Report Sandra McNamee provided an overview of partnership activity and informed the

group that two reports are sent to Mari Brannigan every month. Norovirus reports are also sent to Mari during the winter season.

9. CHCP Reports / Exception Reports This item was covered earlier under Item 4.6.

10. Decontamination Update Dr Alison Balfour reported the Decontamination Group was re-initiated earlier

this year and that Alison is chairing in Dr Sarah Whitehead’s absence. It was noted that the TOR for this group includes all decontamination sites not just Cowlairs Decontamination Unit. Alison reported the group had suggested any relevant information is made available via the infection control website. Maureen Stride reported that the meeting arranged for 09.11.11 had been re-scheduled to 24.11.11 and hopefully a decision on final paper will be available at this meeting. Sandra asked Maureen to forward any relevant papers on reports to Pauline and confirmed she has told ICNs to stop decontamination audit.

MS

11. Antimicrobial Prescribing Usage Val Reilly provided an overview of the paper distributed with the agenda,

outlining the current types of prescribing within partnership areas across the board. Val pointed out that there was a reduction of prescribing antibiotics most likely to predispose patients to CDI, and that there has been particular focus on GPs not to prescribe Co-amoxiclav.

12. State Hospital: HEI Report It was noted that most of the actions required by the state hospital were already

in place in NHSGGC. One of the actions around mandatory update training was being addressed. Sandra McNamee had contacted Mari Brannigan and offered education on each of the sites which would be co-ordinated by the IC Lead for Education, Laura Imrie.

13. New Business since last meeting Scottish Prison Service Healthcare Maureen Stride provided an update on prison service healthcare which was

transferred to NHSGGC on 01.11.11. It was noted that there are upgraded dental surgeries in both Greenock Prison and Barlinnie Prison. Maureen reported difficulties around refurbishment of existing treatment rooms in Greenock and Barlinnie as both are Victorian Buildings. There are also issues around hand hygiene facilities and PPE in relation to treatment being carried out in cells for prisoners unable to attend treatment rooms. Other issues include cleaning specifications. Mari Brannigan agreed to speak to health service managers to help take prison service forward and also to make staff aware of NHSGGC support.

MB

Page 4 of 5



Page 5 of 5

Item Action 14. AOCB Tom referred to CMO letter Accurate Recording of Deaths from HAI and

Action. This letter was not included as an agenda item but the letter is to be forwarded to Mari Brannigan and the Partnership Directors.

Margaret Millmaker raised issue of patients potentially drinking alcohol gel. Mari Brannigan explained that each individual area within partnership areas are risk assessed and that alcohol gel is not visibility available as staff keep on their person or it is stored outwith ward area. Stefan pointed out that patients within acute areas are also risk assessed.

PH

13. Date and time of next Meeting The next meeting will be held on:

Thursday 12 January 2012 1.00pm Executive Meeting Room (first floor), East Dunbartonshire CHP Offices,

Stobhill Hospital Future dates for 2012 (all Thursday’s) 15.03.12 17.05.12 12.07.12 13.09.12 08.09.12

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1

CHP PROFESSIONAL EXECUTIVE GROUP MEETING WEDNESDAY 28th SEPTEMBER 2011, CORPORATE MEETING ROOM

PRESENT: Annemargaret Black (Chair) Head of Primary Care & Community Services (AB)

Paul Devlin Crisis Team Leader (PD) Fran McBride Head OT (FMcB)

Fiona Munro RAD Team Manager (FM) Carolyn Fitzpatrick Lead for Prescribing & Clinical

Pharmacy (CF) Eddie McVey Lead Optometrist (EMcV)

Iain MacDonald Pharmacist (IMcD) Graham Morrison GP Representative (GM) Jean Powell GP Representative (JP) Caroline Horn Physiotherapy Manager (CH) Morven McElroy Consultant Geriatrician (MM) Jane Howie Learning & Education Advisor (JH)

IN ATTENDANCE: Dianne Rice minute taker (DR)

ACTION

1 WELCOME & APOLOGIES

Apologies were received from Sandra Cairney, Malcolm Campbell, Ian Gordon, Karen Murray, Dr Pam Fraser, Andrew Millar, Yvonne Black, Ashley Fergie and Ray McAndrew. AB opened the meeting by welcoming members. Introductions were made for the benefit of Fran McBride and Paul Devlin who has joined the Group.

2. MINUTES OF PREVIOUS MEETING & MATTERS ARISING

The Minutes of the previous meeting held on 27th July were agreed as accurate.

MATTERS ARISING

Primary Care Framework AB advised that the Primary Care Framework Annual Report was now complete and asked that DR to circulate the report to the PEG members. PEG Membership The group were advised that Ashley Fergie, Consultant Old Age Psychiatrist had accepted the invited to be a representative at the PEG meetings. A representative for Paediatric Services had also been identified, however, will only attend as and when required. The group noted that there was still to be a Staff side rep to be identified, AB will speak to Ross McCulloch regarding this.

DR

AB

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2

OPTOMETRY UPDATE EMcV provided an update on the above, he informed the group that all GPs and Pharmacists had been sent letters to advise that Optometry should be the first base for referrals. EMcV also advised that the clinic and Gartnavel is now open and slots can be booked for a same day appointment, or for an appointment for within 48 hours via telephone. Discussion took place around budgets and EMcV advised that there has not been a clear decision made around this but will update the PEG members at future meetings. The group were advised that the Eye care Service Group has been established and that posters had been developed to advertise the services available. EMcV stated that they are hoping to look at the service in 3 months to analyse uptake of the service. EMcV also advised that prescription pads for prescribing should be distributed within the next 3 months. JP agreed to keep the PEG updated on optometry medication prescribed within her practice. QOF Update AB advised that all GP Practices should have now received their reports and should have been sent off by the 16th October, these reports will then be reviewed by both the CHP and Board. AB informed the group that there are 2 QOF events taking place this year the first being the 26th October 2011 and the second taking place on 10th November 2011. UNICEF Baby Friendly AB informed the group that she has received a formal report noting that the CHP the CHP had gained Stage 3 Accreditation from UNICEF

EMcV

JP

3. STANDING ITEMS 18 Weeks Referral to Treatment

The group were advised that there was no update for the above as there has been no further meetings. Rehabilitation & Enablement Redesign FM advised that the referrals have increased to 120 referrals over one month and they are now looking at SCI Gateway referrals into service. Discussion took place around who could refer into the rehab service and FM advised that all Health professionals, Social Work Department, Voluntary Organisations and Carers can all refer into the service. GM asked if a referral is made but it is deemed inappropriate for the service would the Rehab service contact the Practice directly. FM advised that the Rehab Team will contact all services regarding inappropriate referrals and they will also be sent a letter of clarification. JP asked if every patient over 75 receives an assessment for supported discharge, MM advised that all Consultants have a weekly multi-disciplinary meeting to discuss patients and their discharge. FM informed the group that there is work being carried between the CHP and Social Work Service around developing a joint SPOA.

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Children & Families AB advised that the Children & Families team have completed the 30 month assessment pilot, there will be a Board wide report written and once this is available AB will share this with the group. AB also advised that there was previously an issue regarding absence within the Children & Families Team and AB re-assured all that the CHP is starting to resolve this issue, however, there are some vacancies to address. Clinical Governance Workplan This was circulated to the group for information only SEA Analysis The group were informed that this was discussed at the GP Forum around significant events and the general feeling was that this was helpful and beneficial.

4. AHP REDESIGN CH explained that Physiotherapy, Podiatry and Dietetics will have 1 quadrant Manager

along with Team Leaders. CH also informed that there has been a draft HR process submitted and also Job Descriptions have been approved. It was discussed that it is hoped that the CHP can engage with the local communities within the health inequalities work, CH will take this back to the AHP Redesign Group.

5. CLINICAL GOVERNANCE ARRANGEMENTS FOR DENTIST Ray McAndrew was not available for the meeting to provide an update on the above.

The group asked that this item be put on the next PEG agenda for Ray to update.

6. MINUTES OF SUB GROUPS SPF – 13th July 2011

These minutes were previously circulated to the group for information only. GP Forum – 3rd August 2011 MM asked about a presentation which took place at the GP Forum under the heading of A&E analysis. AB advised that Fiona McCulloch had provided this presentation and if MM would like a copy of this to let AB know and she would send this on. Clinical Governance Sub Group – 30th June 2011 These minutes were previously circulated to the group for information only. Dental Clinical Governance Group – 23rd August 2011 These minutes were previously circulated to the group for information only.

MM

7. A.O.C.B Standing Items

The group agreed that they would like Nursing and Community Pharmacy to appear as a standing item within the PEG agenda. Community Medication Update IMcD advised they have an April target for registration, and that East Dunbartonshire were comparing well from the last figures he had received. IMcD also advised that there are 7 sites piloted this scheme and summaries have been sent to GP Practices regarding this. Optometry Prescribing

JR

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Discussion took place around the above and it was decided by the group that this issue would be taken to the GP Forum. Working Health Services CH updated the group on referrals into this services to date there has been 4 Mental Health, 2 for Musculo Skeletal and 9 unknown referrals. CH will also take this to the GP Forum.

AB

CH

8. DATE & TIME OF NEXT MEETING – Wednesday 30th November

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1 of 7 My Documents/BoardMem/ DecInt FormV2 2003

East Dunbartonshire Community Health Partnership Committee & Oral Health Directorate

Register of Interests All members of the CHP Committee are required to complete the Register of Interests annually. This is to ensure that any conflict of interests for members in respect of CHP business can be avoided. Members are advised to read the Ethical Standards in Public Life Etc (Scotland) Act 2000 and the Code of Conduct for Members of NHS Bodies, both included within this pack, to ensure that they have an understanding of the code of ethics as it relates to their role in a public body before completing the form.

If you require any assistance in completing this, please contact Louise Martin, Head of Administration, on 0141 201 3347 or at [email protected]


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Received

Date Entered

East Dunbartonshire Community Health Partnership & Oral Health Directorate

Ethical Standards in Public Life Etc (Scotland) Act 2000

Code of Conduct for Members of the NHS Greater Glasgow and Clyde

Register of Interests – January 2012 to December 2012

Note: If no interest in any category please state “None” or “Nil”. Where there is

insufficient space to record all registerable interests please request continuation sheet from ………………………. on 0141-………….

Name:

Position held with the Partnership:

SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy OOnnee:: RReemmuunneerraatt iioonn Remuneration from Employment

Name of Employer & Post held

Nature of Business Additional comments

Details of Employment held

Additional Employment held

Remuneration from self-employment

Name of Business Nature of Business Additional comments e.g. Frequency

Details of self- employment held

Additional self-employment held

Continued/-

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Remuneration as holder of paid office

Nature of Office held

Organisation

Additional comments e.g. Frequency

Details of office held

Additional details of offices held

Remuneration as a Director of an Undertaking

Name of Undertaking

Nature of Business

Additional comments

Details of directorship held

Additional details of directorship held

Remuneration as a Partner in a Firm

Name of Partnership

Nature of Business

Additional comments

Details of Partnership held

Additional details of Partnership held

Remuneration from a trade, profession or other work

Nature of work For whom undertaken & frequency

Additional comments

Details of remuneration from trade, profession or other work

Additional instances of remuneration from trade, profession or other work

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Continued/-

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SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy TTwwoo:: Related Undertakings

Name of subsidiary, parent

or other organisation

Relationship to organisation where

remunerated directorship under

Category One

Additional comments

Details of non-remunerated directorship

Additional instances of non-remunerated directorship

SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy TThhrreeee:: Contracts

Description of Contract

(excluding consideration)

Duration of Contract Additional comments

Details of contracts entered into

Additional instances of contracts entered into

SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy FFoouurr :: Houses, Land and Buildings

Description of interest

Description of approximate Location

Additional comments

Details of interests in houses, land and buildings

Additional instances of interests in houses, land and buildings

Continued/-

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SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy FF iivvee:: Shares and Securities

Description of undertaking

Description of nature of holding (value need not

be disclosed)

Additional comments

Details of interests in shares and securities which may be significant to, or relevant to, or bear upon the work of the Partnership

Additional instances of interests in shares and securities which may be significant to, or relevant to, or bear upon the work of the Partnership

SSeecctt iioonn 44 ooff CCooddee –– CCaatteeggoorryy SSiixx:: Non-Financial Interests

Description of interest

Additional comments

Details of non-financial interests which may be significant to, or relevant to, or bear upon the work of the Partnership

Additional instances of non-financial interests which may be significant to, or relevant to, or bear upon the work of the Partnership

Continued/-

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Date of Preparation: Number of Continuation Sheets: Signed: Revisions to registration Revision

No 1 No 2 No 3 No 4 No 5

Sections Covered

Date received

Entered in Register

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1

EAST DUNBARTONSHIRE CHP COMMITTEE

Meeting & Seminar Schedule

January 2012 to December 2012 DATE TOPIC/SUBJECT TIME/VENUE Date

Reminder sent

Date added to Committee agenda

18 January 2012 Meeting

PIR Head of Planning & HIT OPR Head of Planning & HIT Mental Health Improvement David Law Corporate Risk Register Head of Finance Older People’s Transformational Change Head of Primary & Community Service & Lead Nurse Adviser

9.30am-1230pm Corporate meeting room

14 March 2012 Meeting

Development Plan Head of Planning & HIT Health Children Programme Mark Feinmann Older People’s Transformational Change Head of Primary & Community Service & Lead Nurse Adviser


Mark confirmed his attendance 6/1/12

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2

OHD Waiting Times Director

DATE TOPIC/SUBJECT TIME/VENUE Date

Reminder sent


11 April 2012 Seminar

Clinical Governance Annual Report 2011/12 and Work Plan 2012/13 Clinical Governance Lead Corporate Risk Register Head of Finance OHD Waiting Times Director

9.00am-12 midday Corporate meeting room

16 May 2012 Meeting

PIR Head of Planning & HIT Joint Health Improvement Plan & Parenting Strategy Head of Planning & HIT Older People’s Transformational Change Head of Primary Care & Community Service & Lead Nurse Adviser Approval of 2012/13 Budgets Head of Finance


4 July 2012 Meeting

OPR Head of Planning & HIT Older People’s Transformational Change


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3

Head of Primary Care & Community Service & Lead Nurse Adviser OHD Waiting Times Director

DATE TOPIC/SUBJECT TIME/VENUE Date

Reminder sent


5th September 2012 Meeting

PIR Head of Planning & HIT Winter Plan & Business Contingency Plan Head of Planning & HIT Older People’s Transformational Change Head of Primary Care & Community Service & Lead Nurse Adviser


10 October 2012 Seminar

Corporate Risk Register Head of Finance Staff Governance Monitoring Update HR Lead and SPF Joint Chairs

9.00am- 12 midday Corporate meeting room

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4

14 November 2012 Meeting

Equality Monitoring Head of Planning and HI Older People’s Transformational Change Head of Primary Care & Community Service & Lead Nurse Adviser OHD Waiting Times Director


East Dunbartonshire CHP Programme of mandatory topics for Committee meetings Topic 18 Jan

2012 Feb 2012

14 March 2012

11 April 2012

SEMINAR

16 May 2012

June 2012

4 July 2012

Aug 2012 5 Sept 2012

10 Oct 2012

SEMINAR

14 Nov 2012

Dec 2012

CHP Development Plan Yearly

NO MEETING

x NO MEETING

NO MEETING

NO MEETING

CG Annual Report

NO MEETING

X NO MEETING

NO MEETING

NO MEETING

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Yearly

Per MC

Corporate Risk Register Twice yearly

X Per JH

NO MEETING

x NO MEETING

NO MEETING

X NO MEETING

Equality Monitoring Yearly

NO MEETING

NO MEETING

NO MEETING

x NO MEETING

Finance- Approval of 2012/13 Budgets Yearly

NO MEETING

x NO MEETING

NO MEETING

NO MEETING

Organisational Performance Review (OPR) Twice yearly

OPR x

NO MEETING

NO MEETING

OPR x

NO MEETING

NO MEETING

Topic 18

Jan 2012

Feb 2012

14 March 2012

11 April 2012

SEMINAR

16 May 2012

June 2012

4 July 2012

Aug 2012 5 Sept 2012

10 Oct 2012

SEMINAR

14 Nov 2012

Dec 2012

Older People’s Transformational Change Monthly for

X NO MEETING

X x NO MEETING

x NO MEETING

x x NO MEETING

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2012 Performance Improvement Report (PIR) Three time per year

PIR X

NO MEETING

PIRX

NO MEETING

NO MEETING

PIR X

NO MEETING

Winter Plan & Business Continuity Plan Yearly

NO MEETING

NO MEETING

NO MEETING

X NO MEETING

Staff Governance Monitoring Yearly

NO MEETING

NO MEETING

NO MEETING

X NO MEETING

OHD Waiting Times(Only when there is no PIR)

x x x

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