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					Governance & Strategic Planning Directorate

            Department Meeting Notes
Meeting Title:                            World Class Commissioning Dignity & Respect Steering Group
                                                               Meeting Notes
                                                                 17 December 2009
Date & Time:
                                                                                   st
                                               Universal House Room 2 Neptune 1 Floor West Wing
Venue:

Attendees: ( )                KEY       Title & Organisation
Yvonne Lochhead               YL        CECPCT Chair - Head of Governance and Patient Safety
Ken Clemens                   KC        Policy & Campaigns Manager Age Concern Cheshire
Rose Smith                    RS        ? title
Betty Wright                  BW        Older People‟s Representative for the Public
Cathy Fulham                  CAF       CECPCT Clinical Quality Project Manager (notes for EMS)
Diana Bishop                  DB        CECPCT Community and Patient Engagement Co-ordinator
Hayley Reading                HR        MCHFT Matron
Roger Marsh                   RM        Alzheimer‟s Society
Lyn Bailey                    LB        ECT East Cheshire Trust – Patients and Staff
Ruth Knighton                 RK        ECT HR
Philippa Pordes               PP        MCHFT Matron
Rose Smith                    RS        CECH Community Services Manager – Crewe and Nantwich
Ruth Williamson               RW        CECPCT HR Business Partner
Sarah Humphries               SH        CECPCT Primary Care Facilitator
1.    Apologies ( )
Audrey Fitzpatrick            AF        CECH Deputy Director of Community Services
Bernadette Bailey             BB        CECPCT Commissioning Manager Older People
Fiona Field                   FF        Director of Governance & Strategic Planning
Jayne Hartley                 JH        MCHFT Deputy Director of Nursing Staff and Patients
Maria Nelligan                MN        CWPFT Deputy Director of Nursing & Therapies
Tracy Ault                    TA        CECPCT Commissioning Manager
Helen Wilcock                 HW        CWPFT
Helen Kershaw                 HK        East Cheshire Trust
Alison Phillips               AP        CECPCT Joint Commissioning Facilitator Older People
Stephanie Lawley              SL        CECPCT Equality and Diversity Manager
Sandra Murphy                 SM        Cheshire East Commissioning
Catherine Albright            CA        ECT – Patient and Staff
Christine Pickthall           CP        Chief Executive – Vale Royal Disability Services
1.   Welcome                                                                                  Action Log
                                                                                              No
                                                                                              By Whom:


YL welcomed Roger March from the Alzheimer‟s society, Ruth Knighton HR and Sarah
Humphries CECPCT, Primary Care.

2.   Action Register and Notes from Previous Meeting


o    Action Log and notes of previous meeting dated 12/11/09 agreed correct.



Location:        CECPCT HQ Universal House Room 2 Neptune 1st Floor West Wing     Page:           1 of 5
Meeting          17.12.09   Time:   9.30am to 11am     Completed by:     YL/
Date:                                                                    Cathy.fulham@cecpct.nhs.uk
Meeting Title    Notes of the World Class Commissioning Dignity & Respect Steering Group
Governance & Strategic Planning Directorate

            Department Meeting Notes
o    Matters Arising - None

o    Age Concern Assessment Tool
     Adapted to local needs to be used by main providers – with the exception of Primary Care
     as they will be having a separate tool. Tool to be ready for use by April 10.

      There are still some outstanding concerns that KC needs to discuss with CT, KC stated
      that CT is away until 7/1/10 - it was therefore decided to exclude these areas of concern
      and to use the document as it is rather delay the process. This audit tool is part of the
      provider contract that the PCT have implemented.

      Further discussion followed e.g. what is in place of Standards for Better Health –          93. All/CAF
      there is no alternative at present therefore need to adhere to these standards until
      further notice. Any slight amendments to be sent to CAF in order to make final
      alterations ASAP and CAF to re-circulate ready for use.

     A debate took place around the work relating to the 10 dignity challenges. YL stated that
     this is a more in depth piece of work, it is an annual measurement of how we are meeting
     the action plan. By relating to the 10 dignity challenges a feedback from what people said
     in this tool will show we have evidence from public point of view. Another way of
     measuring is to link up with other PCTs who have similar demographics and encourage
     them to use the same toolkit in order to have some form of benchmarking process in place.


3.    Standing items


    BME
     SL unable to attend meeting, written feedback as follows:
          “I have recently attended a number of local BME events when BME people were
          asked about dignity and respect, amongst BME responses is still poor. They feel
          they are not always treated with dignity and respect due to cultural issues, language
          barriers, information needs etc”

     Work is ongoing and when attending events BME issues in the community are                      94. SL
     discussed. SL to be invited to talk about piece of work that are ongoing and
     intended outcomes.

    Publicising what we do
     YL reported on the work shop which took place at the Reebok Stadium, Bolton, organised
     by the SHA. MCHFT had a display at this event and PP gave a presentation, HR also
     attended the event. YL had discussions with HR/PP/JH and following this felt that it
     would be good to have a display at CECPCT Reception Foyer from all providers
     showing all the work that is ongoing around D&R in the area – probably in April/May
     2010. YL congratulated PP on the excellent work.
    KC – this would merit a press release, on the good practice website SCIE/Dignity in           95. ALL
     Care,
    Publicising needs to be on a continual basis, it was suggested that perhaps this
     should be a transferable display

    Feedback from Organisations
     MCHFT
     o    PP gave feedback from the patient satisfaction survey, areas requiring improvement:

Location:       CECPCT HQ Universal House Room 2 Neptune 1st Floor West Wing        Page:            2 of 5
Meeting         17.12.09      Time:   9.30am to 11am    Completed by:     YL/
Date:                                                                     Cathy.fulham@cecpct.nhs.uk
Meeting Title   Notes of the World Class Commissioning Dignity & Respect Steering Group
Governance & Strategic Planning Directorate

            Department Meeting Notes
                   Noise at night
                   Response times to call bells
    o       Comments about staff have been good,
    o       Protected meal times – very good reports and very positive, people available to
            assist with meals, help patients to the toilet before lunchtimes etc
    o        DSSA – SHA led a peer review of MCHFT which included clinical reps form
            Salford Hospital Trust which was an all day visit where they looked around
            most areas. Results were very positive e.g DSSA group meet on a regular
            basis, induction and respect training in place and ongoing, discovery                96. PP
            interviews enabling patients to discuss any issues
    o        P&D in care indicators with RAG status – these are questions that are not
            picked up in other surveys. PP agreed to send to CAF/YL.


    ECT
    o   SSA work to be completed by 18/12/09
    o   Centralised all stroke facilities e.g. Acute and Rehab together which is a big
        improvement, however on the short stay unit there is work still to be done, and there
        is more potential to have mixed sex issues and therefore throwing up in December
        survey.
    o   Building work having an impact
    o   Very positive comments received from patients on units
    o   Noise at night – a patient information leaflet has been written e.g. patients
        encouraged to bring in their own ear plugs – LB to email CAF information.                97. LB
    o   Dignity training DVD has now been uploaded on intranet where staff can access it. It
        has been advertised in team brief and flyers across the Trust.
    o   Junior doctors have had training sessions
    o   Picture appointment letter developed for patients with Learning Disabilities in
        Audiology
    o   Advertising campaign sent around Trust „I Challenge You‟ – Dignity Champions
    o   Laminated paper – HR shared with the group this initiative, patients can write
        comments/views on this and it can be wiped off and reused. – this is also placed in
        communication box on ward
    o   Dignity in Care survey – on going
    o   Volunteers on ward help with mealtimes
    o   LEAN event around nutrition raised awareness, saved money around wastage of
        food, protected meal times – signs more forceful – YL queried whether this system is
        policed – it s on an adhoc basis by the housekeepers
    o   Survey on medical outliers e.g. chat/tape conversation

    CECH
    o   CECH have now agreed a format to monitor services around Dignity and Respect. A
        pilot will take place Jan – Feb and this will be used as a benchmarking tool for CECH
        as at present they do not have anything to measure against e.g. Acute Trust
        measure against outcomes of the National Patient Survey
    o   Reviewing training – mandatory that D&R training is for all staff
    o   A forum meeting for managers/clinicians for PPI – how to engage has been set up
    o   RS will be attending meetings with SL to highlight issues – getting to minority groups
        as in the community it is very difficult – Deaf society attending meeting in January,
        not a good referral system in place for those patients that are deaf
    o   Monthly meetings with Acute where they review discharge issues
    o   Most meetings now has Dignity and Respect on their agenda as a standing item.


Location:        CECPCT HQ Universal House Room 2 Neptune 1st Floor West Wing      Page:          3 of 5
Meeting          17.12.09   Time:   9.30am to 11am     Completed by:     YL/
Date:                                                                    Cathy.fulham@cecpct.nhs.uk
Meeting Title    Notes of the World Class Commissioning Dignity & Respect Steering Group
Governance & Strategic Planning Directorate

            Department Meeting Notes
      CWPFT
     o No representation


4.       Creating Staff Audit Template


The intention is to have one template to use as a baseline. Ruth Knighton and RW to                   98. RK/RW
agreed to meet and produce one template to cover staff perspective

5.       Update on Staff Constitution


     o     A staff handbook is being devised – Jan 10
     o     ECT new staff handbook – being finalised RK to check – also statutory and mandatory
           training taking place - 2 yearly update
     o     MCHFT working on Privacy and Dignity Leaflet around staff constitution to go with
           payslips




6.       WCC


     o     Dementia Register – Alzheimer‟s‟ society – Roger Marsh attended the meeting and
           gave a brief update to the group.
                o A Dementia Strategy is being implemented and taken on board
                o Since June 08 the PCT and Local Authority have set up 4 working groups
                    looking at implementing the Dementia Strategy, i.e. early diagnosis, quality of
                    care, end of life
                o WCC Dementia – one target is to increase the number of people on the
                    dementia register
                o PCT commissioned the Alzheimer‟s society to carry out some focus groups for
                    carers of those with dementia – areas work carried out included, improving
                    public and professional awareness, good quality and early diagnosis, good
                    quality information, improved homecare, improved care homes.
                o Alzheimer‟s society have been commissioned to do a baseline assessment –
                    Exec summary may be available
                o 2 GPs work with the early diagnosis group - if diagnosis is better then referral
                    process needs to be addressed in order for patients to access the service
                o All that come into contact with those with Dementia should have some training
                    – on workforce plan for proposals around training
                o Issues around quality of care – main issue secondary care dealt with
                    appropriately but dementia was not
                o A Care Service Delivery Programme – 5 day event is planned in January to
                    merge the work sub groups have carried out. This programme had already
                    taken place in Cheshire West – very productive – strong recommendation
     o     PP updated the group on her attendance at the Alzheimer‟s Conference - press only
           really concerned with bad news stories not good practice, PP gave a presentation at
           the Kingsfund – very positive meeting.
                o PP working on electronic guidelines for patients with dementia
                o PP had been approached by the DOH to give some information around the
                    quality bill,

Location:         CECPCT HQ Universal House Room 2 Neptune 1st Floor West Wing          Page:             4 of 5
Meeting           17.12.09    Time:   9.30am to 11am       Completed by:     YL/
Date:                                                                        Cathy.fulham@cecpct.nhs.uk
Meeting Title     Notes of the World Class Commissioning Dignity & Respect Steering Group
Governance & Strategic Planning Directorate

            Department Meeting Notes
              o   Activity lounge at MCHFT has been set up, and the Alzheimer‟s magazine
                  have produced a 2 page spread „Living with Dementia‟.


7.    Dignity Champion Group - update


      o   DB reported that a letter has gone out from DB/CAF to the Dignity Champions who are
          registered in our area asking if they would be happy to be included in information flows
          and asked them to report back to the group stories of best practice etc.
      o   LAY Dignity Champion – Christine Pickthall will be the representative to this group.
          DB/Geoff Wood attended their AGM where it was noted that D&R is at the top of their
          agenda.

8.    RCN DVD Dignity and Respect


      o   HR agreed to send the link to CAF to circulate to the group in order that they can         99. HR/CAF
          views this at their leisure.

9.    Any Other Business

Sandra Murphy (LA Rep) asked if any of the Dignity Champions would be interested in                  100.
attending a safeguarding adult event in the new year – CAF to find out further info.                 SM/CAF

10.       Date and Time of Next Meeting

                                                                                           st
Thursday 21 January 2010 9.30am to 11.30 am Universal House Room 2 Neptune 1 Floor
West Wing




Location:         CECPCT HQ Universal House Room 2 Neptune 1st Floor West Wing         Page:            5 of 5
Meeting           17.12.09   Time:   9.30am to 11am       Completed by:     YL/
Date:                                                                       Cathy.fulham@cecpct.nhs.uk
Meeting Title     Notes of the World Class Commissioning Dignity & Respect Steering Group

				
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