Psychological Health Sub-Group 1000 – 1200 on Monday 14 July 2014 at E-volve Business Centre, Houghton-le-Spring MINUTES Present: Becci Clark-Dowd, Clinical Psychologist, Northumbria Healthcare Clare Davies, Consultant Clinical Psychologist, South Tees Donna Dickinson, South Tees NHS FT Sian Dogan, Consultant Clinical Psychologist, Northumbria Healthcare Mary Douthwaite, Chartered Clinical Psychologist, South Tyneside Alison Featherstone, Network Manager, Northern England SCN Geoff Gulston, Patient Representative Nick Hartley, Clinical Psychologist, Northern Centre for Cancer Care Kate Kendell, Clinical Psychology Lead (Chair) Kathryn Mannix, Consultant in Palliative Medicine, Newcastle Hospitals Veronica Oliver-Jenkins, Clinical Psychologist, Newcastle Hospitals Kate Reilly, Clinical Psychologist, NUTH Nancy Vanderpuye, Clinical Psychologist, NT&H Michelle Wren, Network Delivery Team Facilitator, Northern England SCN In Attendance Naomi Tinnion, Network Administration and Support Officer, NHS England Apologies: Nicky Asbury, Consultant Clinical Psychologist, Northumbria Jackie Bailey, Clinical Psychologist, NHCT Peter Blackburn, Consultant Clinical Psychologist, NTW Anna Chaddock, Clinical Psychologist, NUTH Elspeth Desert, Consultant Clinical Psychologist, Cumbria Karen Ellis, Psychological Therapist, Northumbria Healthcare Kate Farnell, Service User Representative Kirsty Kennedy, Clinical Psychologist, South Tees Rachel Morse, Clinical Psychologist, NCCC Elaine McWilliams, Consultant Clinical Psychologist, NT&H Sophie Williams, Clinical Psychologist, Newcastle Hospitals 1. BCD CD DD SD MD AF GG NH KK KM KR NV MW NT NA JB PB AC ED KE KF KKN RM EMc SW INTRODUCTION 1.1 Welcome and Apologies KK welcomed everyone to the meeting and introductions were made around the table. Apologies were noted. 1 1.2 Minutes of the previous meeting (24 April 2014) A couple of minor changes were requested (please see under Manchester supervisory scale in 1.3) Other than that, the minutes were agreed as an accurate record of the meeting. 1.3 Action points from previous minutes Level 2 training: MD explained that South of Tyne had planned to hold palliative care specific training from May. However, as this training had not taken place since last year, there had been more of a mixed attendance than planned. More training is due to take place in September. MD will update the Group on this at the October meeting. Advanced Communication Skills Training (ACST): the Group had expressed concern that the removal of this element will have massive implications for Level 2 training. AF explained that everything has been put on hold while peer review measures are reviewed / amended.. AF suggested writing to Tony Branson in the Network to ask for an update on this especially as the current peer review measures state that at least one core member of the MDT must have done training by attending a nationally approved training programme. The Group agreed that AF and KK should take this forward and that this issue should be discussed in more depth at the October training day. AF advised that the Network is doing Sage and Thyme training in partnership with Macmillan and that the Network Comms Group is currently looking at pulling together emergency care planning information from across all Networks to create one network wide communications plan. She will keep the Group informed of progress on this. Survivorship project: NV agreed to let EMcW know that information requested at the last meeting is around past rather than current work. AF confirmed that David Oxenham will remain in post as Joint Clinical Lead for End of Life Care until February 2015. KK advised that the Annual Report had now been finalised and will be uploaded onto the Network’s website. Cancer Network Steering Group: AF agreed to enquire about membership of this Group and how often it meets and come back to KK with details. Manchester supervisory scale: VOJ agreed to send an amended paragraph for inclusion in the minutes. Psychology Assistant: it was agreed to approach the Network on this 2 when more was known about the future role of the Group. SIGOPAC: CD had attended the last event and reported that it had been an interesting day. There had been a range of speakers including four trainees. She agreed to send copies of the presentations around the Group. These are also available on the SIGOPAC website. 1.4 2. Circulation List (Standing item) AF asked for herself and MW to be added to the circulation list and for Lynda Dearden to be removed. It was also agreed that Donna Dickinson should be added, Kirsty Kennedy’s title amended, Don Brechin be shown as ‘information only’ and Sarah Straughan removed. SPECIFIC ISSUES ARISING 2.1 Northern England Strategic Clinical Networks update AF advised that, as she now had responsibility for Parity of Esteem, she would be the Network representative on the Group. MW would become a member of the Group too. AF would like this Group to become more wide reaching and cut across all networks rather than just focus on cancer. She agreed to discuss how to achieve this with KK and come back to the Group. AF informed the Group that the Network is holding a Parity of Esteem event in October. The aim of the day is to raise awareness and hold practical workshops including one on assessment of physical and mental health and how to help those who need psychological support. She asked if the Group would be interested in running this workshop. The Group agreed to get involved. The Survivorship Project Manager, Mathew Crowther, is now in post. He will be working alongside locality groups to get the Project up and running. KK advised that she had attended a Network leadership event on 2nd July which had gone well. The day will be followed up with individual meetings withTony Woods, the facilitator. 2.2 Supervision documents KM thanked Kate Reilly who had done a lot of work on these documents which had been updated following comments at the last meeting. They were now considered to be ready to use. It was agreed that the documents should be formatted to include the Network logo and be uploaded onto the website as PDFs. KM had recently held a conversation with Marie Curie who advised that 3 they had made a commitment to do two supervision sessions per quarter so that they are spread evenly over the year. The Group agreed that this advice should be included in the guidelines. KK agreed to ask KR to update the documents and send them across to AF for formatting and posting on to the website. 2.3 Service User Questionnaire 2nd Pilot KK gave a brief history of this questionnaire which has now be re-piloted on a new group of thyroid cancer patients, limited to those within five years of diagnosis. On the basis of the first pilot, wording from NICE guidance was used to define emotional support and some of the wording had been changed to help people understand the different levels of psychological support. KM advised that the use of Macmillan Nurse is no longer helpful and recommended that the term Palliative Care Nurse be used instead. She also recommended that the term Cancer Nurse Specialist be used instead of Clinical Nurse Specialist. The Group agreed these recommendations. AF asked about the use of the term Oncologist. The Group agreed that the term Cancer Doctor should be used instead. As the next step, AF suggested taking the documents to the Lead Nurses Group and User Partnership Group for discussion and dissemination as all Trusts are represented on these Groups. AF agreed to take this forward and let this Group know of the response to these documents. MD asked that, as the documents will now be going regionwide, could something be included to identify the location of the patient completing the questionnaire as some patients are referred to other areas for treatment. AF agreed to discuss this question with the Lead Nurses and come back to the Group. 2.4 Core competencies A lot of work has previously gone into developing these for Advanced Communication Skills Training, with the aim of standardising training.. However there is now some doubt that this will continue to be implemented. AF agreed to address this issue in the letter to Tony Branson. KM advised that core competencies for CBT first aid training are being developed and agreed to share the draft measures for this with the Group. However she stressed that these must not be circulated any wider. 4 2.5 Gaps in service provision by locality MD advised that she is putting together a service report and asked for information from those around the table to include in this report. The service needs assessment document needs updating as the latest version, although dated July 2013, contains information gathered in November 2012. To clarify her requirements, she agreed to send the text of an email message to NT for circulation around key people in each locality. It was agreed to look at level 4 initially, if level 3 information is not readily available. 2.6 Pre and post Level 2 questionnaires It had been noted that there were a different number of questions on the pre and post questionnaires during the previous Level 2 evaluation and that this issue needed to be addressed. VOJ thought that the pre questionnaire had to have an extra question for assessment purposes but agreed to clarify this and come back to the Group. 2.7 Plans for October meeting As previously agreed, the October meeting will be extended to run from 10am to 2pm. The first hour will be for the business meeting followed by a three hour training update meeting. It was agreed that the following should be included on the agenda for discussion: Advanced comms training Supervision Level 2 refresher training Evaluation Bolt-on training The Group discussed whether the meeting should be locality or theme based. KK agreed to contact the key people in each locality to discuss how to approach the day and come back to the group with their views. 3. REGULATORY 3.1 Any Other Business AF asked for views on how the Group workshop could run at the October event. It will be a one hour workshop for a mixed audience of up to 50 people with the aim that attendees will learn a practical skill. The Group agreed that the distress thermometer and holistic assessment tools could be used for this and possibly a presentation on the PAAST project. AF, KK, CD and MD agreed to meet separately to discuss how to take this forward. 5 BCD advised that Nicky Asbury had begun a two year career break. The Group asked BCD to wish Nicky best of luck on their behalf. NV asked if it would be possible for some of these meetings to be held in the afternoon so that the same clinics are not always affected by the timing of these meetings. It was agreed that this should be discussed at the October meeting when setting up the 2015 meeting dates. 3.2 Date and time of next meeting 10am – 2pm on 14 October 2014 at Evolve. Contact: Naomi Tinnion Email: [email protected] Tel: 0113 825 3317 6
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