Tuesday 21 January 2014

Minutes of the South Lanarkshire Public Partnership Forum
21st January 2014, 2pm – Boardroom, Udston Hospital, Hamilton
Present
Jack Ferguson
Margaret Moncrieff
Derek Morgan
Wilson Paton
Anne Berney
Helen Biggins
Sushmita Chakravarty
Anne Lindsay
John Lindsay
Colin Angus
Susan Morgan-Jones
Jen Whyte
Fiona Boyle
Linda Craig
James McStay
Craig Cunningham
Calvin Brown
Gillian Ventura
Julie Arthur
Chair, SL PPF
Vice Chair, SL PPF
EK & District PPF
EK & District PPF
EK & District PPF
EK & District PPF
EK & District PPF Admin Support
Clydesdale PPF
Clydesdale PPF
Clydesdale PPF
Clydesdale PPF
Clydesdale PPF
Cambuslang/Rutherglen PPF
South Lanarkshire Carers Network
South Lanarkshire Alzheimer Scotland
NHS Lanarkshire
Communications, NHS Lanarkshire
Scottish Health Council
PFPI Project Assistant (Minute Taker)
In Attendance
Susan Dunne
Kirsty Cole
Organisational Development
Organisational Development
Apologies
David Downie
1. Minutes of previous meeting
Minutes of the previous meeting were approved, proposed by Linda and seconded by
Colin.
2. Matters Arising
PPF Badges – Julie advised that the purchase of these was in progress.
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3. Values in Action – Susan Dunne/Kirsty Cole
Susan explained that she was here to update members on the progress that had been
made since she updated the PPF back in January last year on A Healthier Future:
Proposed Organisational Development Plan and findings of the Organisational
Development Review. She spoke to a presentation that explained how a huge piece of
work had been undertaken where staff from Organisational Development met with
colleagues from all across NHSL to gather their opinions on how to embed the Values
(Fairness, Respect Quality & Working Together) into daily working life. It was identified
that staff wanted to see these classed as responsibilities of all colleagues. Staff also felt
that if they didn’t feel appreciated they didn’t perform as well as they could. The findings
of these sessions were taken to the Board to discuss how to implement and develop
them. It was agreed that this would be built into Induction, Recruitment, Training,
Leading and Coaching, Exit/Retirement interviews and reflected through Recognition &
Reward mechanisms. The Scottish Government also had a similar set of measures
which NHSL Values fitted in very well with. A resource pack had been produced which
would be trialled by certain staff initially then rolled out. This would provide the tools for
managers and staff to sit down and have a conversation about the values. It could also
be used at team development meetings. The work in developing pack had gained
compliments from other NHS Boards. Susan then asked for any comments/questions
members may have.
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Colin asked if the Staff Survey would have any emphasis on Values in Action and
Susan advised that this would be looked at as part of it.
Helen asked if they would include the Spiritual Care team and Volunteers.
Susan advised that the Spiritual Care team was working on something that fits in
with the Values. The Volunteer Services manager was looking to include this in
their induction plan. Helen also asked how you would evaluate the patient
experience. Susan confirmed that this would be done under the Patient
Experience feedback and that work needed to be carried out around this.
Margaret commented that she had been involved in discussion sessions and that
they had been facilitated by an independent person so people could be open and
honest. The wide ranging discussion sessions that had taken place had
highlighted that people were saying a lot of the same things.
Wilson asked if Susan felt they would be able to instil this ethos in senior
consultants and management as unless they were seen to be enthusiastic it
would be a difficult journey. Susan said they would be working hard to instil this
and had the backing of the Board. Tapping into the current HSMR issues would
be an ideal time for this.
Anne B commented that the work seemed very positive and encouraging and
that things tended to work best when teams delivering services worked well
together. She asked if it was in the plan to encourage and support someone in a
team who didn’t agree with something and be able to feel free to speak up.
Susan advised that this would be embedded in the Quality Action Plan and staff
would be encouraged to speak up.
Kirsty advised that the NHSL induction programme would be revised to include
what it’s like to work in Lanarkshire, the different range of staff, and that
volunteers and PPFs were involved in the work of the NHS. “Every Voice
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Matters” would be rolled out soon in relation to complaints and this would
similarly link in to this work.
Linda asked if the ‘iMatter’ scheme was only available to the NHS? Susan
confirmed that this was the case and would be happy to share more of the detail
of ‘iMatter at a future PPF meeting if it would be helpful.
Craig commented that this ‘Values in Action’ presentation had been shared with
the Corporate Management Team, the Community Health Partnerships and the
Board. As such, it had been shared and owned at the most senior levels of the
organisation and was seen as a big part of the organisation’s corporate
objectives.
Jack commented that immense strides had been made in the last year to take the
work forward and thanked Susan and Kirsty for an informative and interesting
presentation.
4. HSMR (Hospital Standardised Mortality Ratios)
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Jack advised members that a letter had been received from Healthcare
Improvement Scotland (HIS) thanking the PPF for their valued participation at the
meetings last year.
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The Review report has now been published and a plan has been developed that
addresses the 21 actions as well as a few additional things. More urgency will be
placed on work that was already ongoing that would ultimately address some of
the issues. For example, the Values in Action work had been in progress for the
last year. The report highlighted that NHSL was good at responding to
complaints on time but that the approach was perhaps too factual and not patient
centred enough eg. didn’t use the appropriate language. It was recognised that it
was difficult to capture feedback from patients when they did not wish to raise a
formal complaint but just wanted to feedback in some way. Different methods
are being looked at to make it easier to obtain and collate feedback from patients
and visitors including the pilot of a feedback station at Monklands. It was noted
that DATIX should be used more productively to highlight repeat issues. NHSL
have provided the action plan to the Scottish Government and a governance
support team been established and will meet regularly to update on things being
done.
Gillian asked whether feedback stations would be introduced in all acute sites but
it was confirmed that, at this stage, this was being piloted at Monklands as it was
the main site highlighted in report.
Susan asked how DATIX tied in with Health & Safety accident books. Craig
explained that these were replaced by the DATIX system. Colin advised that this
system can grade incidents.
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5. Update on NHSL matters (Craig Cunningham)
Development of Health &Social Care Partnerships – Craig advised that a paper had
gone to the NHS Lanarkshire Board on 26th November with the proposed voting
membership of the South Lanarkshire Transition Board. This would comprise of 4
councillors (Jackie Burns, Allan Falconer, Maureen Devlin and Lynsey Hamilton), 1
executive director (Dr Iain Wallace) and 3 non executive directors (Sandra Smith, Phillip
Campbell and Michael Fuller). The first meeting of the Transition Board was being held
in the next few days and would also be attended by the Chief Executives of both North
and South Lanarkshire Councils. It was anticipated that a process to appoint the Chief
Officer and timelines for other key developments would be established at that time.
Craig also advised that it was anticipated North Lanarkshire Council would consider
establishment of a similar Board in the North at a meeting around 12th February.
Integrated Community Support Team (ICST) – The rollout to Hamilton was currently
taking place and should be up and running by the end of February. An event would be
held in the Clydesdale area around the end March/early April to look at what would be
the most appropriate model there. Craig confirmed that the PPF would be involved in
this. In East Kilbride the ICST was moving to phase 2 where consultants would
discharge patients who were frail, with complex needs and who wanted to be cared for
at home in a shared care model with GPs. This allowed early access to the consultant
when the GP or community team wanted to speak to them for early advice on the
ongoing needs of the patient.
Anne Lindsay highlighted a recent scenario whereby a relative who required palliative
care and wanted to be at home couldn’t be cared for in this way due to a lack of
resources to provide 24 hour care. The patient was subsequently admitted to a hospice.
Craig advised that the ICST could not provide a 24 hours a day/7 days a week
permanent presence in a patient’s home, but that they do try as far as possible to work
with families/relatives/friends/carers and others to support people to have their wishes
met that they could die at home. This also involves the use of home care, Macmillan,
Marie Curie, Befriending and other services to try and provide as comprehensive service
as possible. Each case would be looked at individually and as much support provided
as possible.
John stated that he felt that there was an overestimation of the amount of savings that
could be made by Reshaping Care for Older People.
Linda commented that Communication around the ICST and its existence was extremely
important to ensure that people were aware that the ICST existed rather than
automatically phoning an ambulance.
Staff Survey – collated results from the last staff survey showed how NHSL fared in
comparison to previous years and how they compared with other Boards across a range
of areas. One of the findings it had highlighted was a high number of staff who felt
threatened by patients.
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6. Reshaping Care for Older People –
Jack’s report from the Joint Services Management Group was shared with members.
Papers from the meeting could be requested from Julie if required.
7. Update from other groups/PPF Membership
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Representative for St Andrews Hospice Patient Satisfaction Committee – Julie
had been approached by St Andrews Hospice who were looking for one PPF
representative on this committee. She was awaiting completion of the PPF
request form and advised she would circulate to members once available.
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Representative on Practice Development & Engagement Forum – Julie advised
that no one had volunteered to represent the PPF at this group. Janette Barrie,
who is the Chair, offered to meet with anyone interested in advance of them
committing themselves. Susan expressed an interest and Julie advised that she
would arrange for Susan and Janette to meet.
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South OMC (JF) – Jack’s report was shared with members. Presentations had
been given from Carers Network and Mental Health Services. Other items on the
agenda included Health Board Boundary Changes, Finance and Reshaping Care
for Older People. Integration was also discussed and Jack expressed that PPF
members were disheartened that there was still no clarity around the future of
PPFs.
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Modernisation Board (MM) – Margaret’s report highlighted that the main focus of
the meeting was discussion and consideration of submissions for funding for
2014-15 to ensure that all relevant information was available for the February
meeting where final decisions would be made.
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Care Assurance Board (MM) – The purpose of this board is to discuss and agree
how to take forward the recommendations from the Mid Staffordshire report.
Senior staff visit wards and get feedback from patients and carers which is
shared with the group. It had been agreed that Patient Feedback posters would
be designed that would be placed at the front of each ward. Margaret had fed
back that the writing on the first draft was too small and it contained too much
information. These recommendations had been taken on board and the poster
changed. A copy of the poster was shared with members.
The following reports were tabled.
request.
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Full minutes/additional papers are available on
Tobacco Control Strategy Group (MM)
Stakeholder Engagement Group (JF)
Quality Hub (MM)
Planned Care Quality Improvement Board (AL)
TB Event (JMcM, North PPF)
Acute OMC (WP)
Review of Out of Hours Services (CA)
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PASS (Patient Advice Service Scotland) (CA)
Health Board Boundary Changes (FB)
7. AOB
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Healthcare Improvement Scotland (HIS) Rapid Review – Wilson added that
this review had been ongoing when the Acute OMC last met. Now that the report
had been produced he felt that a private meeting between Ian Ross, Neena
Mahal, himself and Jack (as the South CHP and Acute OMC representatives)
would be helpful as there were some points in the report around management in
particular that required some discussion. Julie agreed to coordinate this.
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Speakeasy – Margaret advised members of a formal training programme that
was being run by Speakeasy. She explained this was a course for community
members to look at how they could influence services but that this was open to
any PPF members if they were interested. The course looks at how issues affect
health and takes place on the 3rd Wednesday of every month in Campbell Street,
Hamilton, between 10am and 1pm and a light lunch is provided. The course can
be done at 2 levels, one where additional work is required and you would receive
a qualification on completion or you can choose not to do the additional work but
receive an attendance certificate.
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Old Age Psychiatry Review – Jack advised that Calvin had been in touch
regarding this review, looking for feedback from Bill Angus, who had attended
and represented the PPF, on the engagement process. Colin agreed to get in
touch with Bill on behalf of the PPF and feedback.
ACTION – Colin to contact Bill re feedback.
8. Date and Time of Next Meeting
Tuesday, 11th March, 2.00pm, Boardroom, Udston Hospital, Hamilton
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