Docstoc

WEST LOTHIAN NHS TRUST

Document Sample
WEST LOTHIAN NHS TRUST Powered By Docstoc
					                                                                           3.9

                              Minute of the West Lothian CHCP Sub Committee
                                         Thursday 13 November 2008
                             Meeting Rooms 2 & 3, Strathbrock Partnership Centre


Present:              Theresa Douglas               Chair, West Lothian CHCP
                      Jim Forrest                   Acting Director, West Lothian CHCP
                      Grahame Blair                 Head of Social Policy, West Lothian CHCP
                      Mary-Denise McKernan          Manager, Carers of West Lothian
                      Paul Weddell                  PPF Representative
                      Julie Cassidy                 Public & Patient Involvement Worker
                      Ellen Glass                   Councillor, West Lothian Council
                      Jim Thomson                   Scottish Ambulance Service
                      John Jack                     Director of Facilities NHS Lothian
                      Gordon Ford                   Director of Education, West Lothian Council
                      Rachel King                   CHCP Pharmacist

Apologies:            James Hendry                  Acting Clinical Director, West Lothian CHCP
                      Lynda Cowie                   Chief Nurse, West Lothian CHCP
                      Jane Houston                  Partnership Rep, West Lothian CHCP
                      Sally Westwick                Therapies Services Manager, West Lothian CHCP
                      Robin Thompson                General Dental Practitioner
                      Matt Stewart                  Optometrist Representative
                      Avis McDonald                 PPF Representative
                      Ian Quigley                   Senior Manager, Learning Disability/Mental Health
                      Pamela Main                   Senior Manager, Older People/Physical Disability
                      Alan Bell                     Communications Manager, West Lothian CHCP
                      Richard Duffner               Director, VAWL
                      Jennifer Scott                Senior Manager, Children & Families, West Lothian CHCP
                      Phil Harrison                 Service Manager, Mental Health & Care of the Elderly
                      Jane Kellock                  Health Manager, Social Policy, West Lothian CHCP

In Attendance:        Moira Wainwright              Administrative Manager, West Lothian CHCP
                      Mairead Hughes                Development Manager
                      William John                  Community Pharmacist
                      Jackie Helanor                Oral Health Development Manager

                                                                                                  ACTION:

1.   APOLOGIES FOR ABSENCE

     As above.

2.   ORDER OF BUSINESS INCLUDING NOTICE OF URGENT BUSINESS

     No urgent business notified.

3.   ANY OTHER BUSINESS FOR TODAY

     None notified.
4.   DECLARATION OF INTEREST

     No declarations of interest notified.

5.   DRAFT MINUTE OF WL CHCP SUB COMMITTEE - 2 OCTOBER 2008

     The draft minute was approved as an accurate record.

6.   CONFIRMATION OF ACTION POINTS

     Completed action points were confirmed, a reminder was given of those still outstanding.

     It was noted that future action lists will be presented in a new format, identifying those
     actions completed and those which remain outstanding.

7.   MATTERS ARISING FROM THE PREVIOUS MINUTE

     7.1 Scottish Ambulance Service (SAS) Escorted Journeys
     An increase in escorted and aborted journeys was noted. Figures submitted for October
     illustrated that 13% of journeys were escorted and 12.5% of journeys were aborted, both
     of which impact on waiting list and clinic times. Whilst mostly related to the acute side,
     there are also issues around community setting. It was felt that a “joined-up” approach to
     determine a solution was crucial, and to this end. John Jack proposed that he take this
     issue to the Hospital Management Group, he also suggested engagement with SAS in                 J Jack
     attempts to resolve the situation.

     Jim Forrest asked that SAS look operationally at aborted journeys and circulate the current    J Thomson
     position in advance of the next meeting.

     7.2 SAS Transport Eligibility Criteria
     It was requested that the criteria for escorted journeys be circulated with the minute.       M Wainwright

8.   PROCEDURAL ARRANGEMENTS (Previously Circulated)

     In order to maximise best use of time, a recommendation was made that a number of
     procedural arrangements be adopted by the Committee. The Committee agreed and
     accepted the rules of engagement.

9.   NOTIFICATION OF BUSINESS (Previously Circulated)

     In order to ensure that all members are actively involved in the process of agenda setting
     for the Sub Committee, it was proposed that members be contacted in advance of the
     meeting, inviting items for inclusion in future agenda (templates have been prepared).
     These would then be considered by the Committee prior to being progressed to agenda
     status.
     The Committee accepted and agreed the proposal.

     Chair gave advance notice of a Development Day (9 April 2009) for Partnership Board and
     Sub Committee members. This will be confirmed following discussion and agreement by
     the Partnership Board.

     A query was raised in relation to Agenda Item 08 “no tabled papers”. In response Chair
     confirmed that advance notice of business will be required to allow time for preparation.

     In response to a statement as to a lack of agenda items from Social Policy, Grahame Blair
     explained that neither Partnership Board nor the Sub Committee can make decisions for
     Council; thereby focus can only be made on areas of joint working between West Lothian
     Council and NHS.

     Chair advised discussion may be required around links with Scrutiny Panels in order to
     maintain a more robust agenda in future.



                                                           ii
10.   QUARTERLY REPORTS (1)

      Long Term Conditions Action Plan 2008/09 (previously circulated)
      Mairead Hughes updated on the significant pieces of work being carried out across West
      Lothian, following which she invited questions from the Committee.

      Ellen Glass commended the paper as giving clarity on the areas being covered. John Jack
      added his support to the redesign of front door and delivery of care at St John’s Hospital.

      Jim Forrest informed that, whilst work associated with delayed discharge is well underway,
      management of admissions through the front door targeting those most at risk and those
      who could have been maintained in their residential setting, requires to be evidenced in
      order to obtain funding. John Jack added his support to this.

      Ellen Glass conveyed favourable reports in relation to the service provided by OTs on
      Rapid Discharge. She also offered her support, should there be an opportunity in the
      future, to allow care home patients to be treated for dehydration in their residential setting
      rather than be admitted to hospital. It was also felt, that a medicines review of patients in
      care homes, with input from pharmacist and general practitioner would be beneficial.

      Mairead Hughes, was confirmed as having a key function in bringing together the Long
      Term Conditions Action Plan, with Lynda Cowie having overall responsibility.
                                                                                                       J Forrest/
      It was requested that regular updates be provided on the significant pieces of work carried       G Blair
      out. Jim Forrest and Grahame Blair to meet to discuss how the Sub Committee will be
      informed of this area of work.

      Congratulations were extended to Shena Brown for her work in relation to COPD.

11.   PRESENTATION - LIFE SMILE

      Jackie Helanor presented on the pilot project developed by the Lothian Salaried Primary
      Care Dental Services, to improve the provision of oral health care and support for older
      people in care homes throughout Lothian.

      Paul Weddell congratulated Jackie on her presentation and asked if IPCU and long-stay
      wards at St John’s Hospital would be included in the project. Jackie responded that this
      had already been discussed with the departments concerned, however individuals cannot
      be forced into accepting care.

      Chair thanked Jackie for a most interesting presentation.

12    QUARTERLY REPORTS (2)

      Prescribing Monitoring
      William John reported on cost pressures in West Lothian and the work carried out to date.
      He reported that all CHPs and CHCPs are overspent with smoking cessation drugs being
      one of the main cost pressures. He advised that he continues to visit and support practices
      to agree targets/actions for prescribing.

      The budget process is underway for years 2009/10, Donald Macaulay, GP Lead
      representes West Lothian on this group. Discussion ensued around the use of statins as
      preventative medicine, and the potential impact of their use on the overspend situation.

      Gordon Ford highlighted an increase in the use of inhalers by school-age children with
      asthma, and enquired if this was a UK-wide situation. Chair advised that a GP would be in
      attendance at the next meeting, giving capacity to respond to medical questions.

      Chair thanked William John for this report and asked that a paper be prepared to be               W John
      circulated with the minute.




                                                           iii
13.   PRESENTATION – PATIENT’S RIGHTS – PUBLIC CONSULATION DOCUMENT

      Julie Cassidy presented the Patient’s Rights Bill and explained the associated documents
      along with the timeframe for responses. Patient/Public responses are required by January
      2009. PPF have already responded as has Lynda Cowie, Acting Health of Health
      Services/Chief Nurse.

      Concern was raised over a tight timescale for response, allowing little opportunity of
      working together as a CHCP in the submission of an independent response.
                                                                                                 J Cassidy
      Julie indicated she would be pleased to assist with a CHCP response to be submitted
      before 16 January 2009. She agreed to circulate the full document to the Committee.

      The Chair thanked Julie for her presentation.

14.   ANY OTHER COMPETENT BUSINESS

      Nil.

15.   DATE, TIME & VENUE OF NEXT MEETING

      The next meeting will be held on Thursday 26 February 2009, 1400 – 1600 within Meeting
      Rooms 2 & 3, Strathbrock Partnership Centre.




                                                       iv

				
DOCUMENT INFO
Shared By:
Categories:
Tags: WEST, LOTHIAN, TRUST
Stats:
views:78
posted:3/8/2010
language:English
pages:4
Description: WEST LOTHIAN NHS TRUST