Highland NHS Board
11 August 2009
Argyll & Bute Community Health Partnership
MINUTE OF MEETING OF THE ARGYLL
ARGYLL & BUTE CHP COMMITTEE PA31 8LB
Commodore Hotel, Helensburgh 3 July 2009 – 13.00pm
Present Mr Bill Brackenridge, Chairman, Argyll & Bute CHP
Mr Derek Leslie, General Manager, Argyll & Bute CHP
Ms Evelyn Hide, Vice Chairman, Public Partnership Forum
Ms Elaine Garman, Public Health Rep.
Mr Neil Robinson, Area Pharmaceutical Committee Rep.
Mr Robin Creelman, Public Partnership Forum Chairman
Mr John Herrick, Area Dental Committee
Mrs Anne Clark, Non Executive Director, NHS Highland,
Cllr Elaine Robertson, Non Executive Director, NHS Highland
Ms Mary MacLeod, AHP Rep, Argyll & Bute CHP
Cllr George Freeman, Argyll & Bute Council Rep
Ms Pat Tyrrell, Lead Nurse, Argyll & Bute CHP
In Attendance Mr George Morrison, Head of Finance, Argyll & Bute CHP
Mr David Ritchie, Communications Manager
Mr Jim Robb, Argyll & Bute Council
Ms Yvonne McGrinder, Clinical Governance Facilitator, Argyll & Bute CHP
Mrs Margaret Johnston, Admin Assistant – Minute Secretary
1 CHAIRMAN’S WELCOME
The Chairman opened the meeting by welcoming everyone to the Commodore Hotel,
Apologies for absence were received from:
Dr Michael Hall, Clinical Director, Argyll & Bute CHP
Mr Donald Barr, Area Optical Committee Rep
Ms Kate MacAulay, Staffside Rep
Mr Douglas Hendry, Argyll & Bute Council Rep
Cllr Donald McIntosh, Argyll & Bute Council Rep
Ms Glenn Heritage, CVO Rep
Ms Tricia Morrison, CVO Rep
Dr Alan Davidson, Consultant Rep
3 MINUTE FROM PREVIOUS MEETING HELD ON 8 MAY 2009
3.1 Minute of Meeting held on 8 May 2009
The minute of the meeting on 8 May was accepted as a complete and accurate record of the
Approved the content of the Minute
3.2 Minute of Question & Answer Session held on 8 May 2009
The minute of the Question and Answer Session on 8 May was accepted as a complete and
accurate record of the meeting.
Approved the content of the Minute
4 MATTERS ARISING
All items covered by agenda.
5 HIGHLAND NHS ORGANISATIONAL ISSUES
5.1 Draft Minute of Highland NHS Board Meeting – 2 June 2009
The Chairman spoke to the previously circulated draft minute of the meeting on 2 June 2009.
Mr Brackenridge highlighted Item 65 Community Nursing – Implementation of Key Standards
of Practice and confirmed all 15 standards had been agreed by the Board. Ms Tyrrell
reported that following a meeting between the Cabinet Secretary Nicola Sturgeon, the key
Unions, the Acting Chief Nursing Officer for Scotland and the Nursing Officer for Primary
Care on 21 June in Edinburgh a decision had been made to establish a Modernising
Community Nursing Board which will be chaired by Margaret Smith, Dean of Nursing at
Dundee University. Ms Tyrrell also confirmed that NHS Highland will continue with its
Nursing in the Community pilot sites and will implement the 15 standards within the model
being developed. Mr Brackenridge also drew attention to Item 53 Redesign of Mental Health
Services in Argyll and Bute and the Board’s endorsement to recommend Option 4 be
implemented with caveats to the Cabinet Secretary.
noted the content of the draft minute
6 CLINICAL GOVERNANCE
6.1 Clinical Governance & Risk Management Report
Ms Tyrrell spoke to a previously circulated paper and advised that this incident report covers
the first two months of the year. The report has been broken down to localities and shows a
greater tendency for reporting throughout hospital sites compared to community sites. Work
continues to improve the reporting of incidents within Primary Care and Community Services.
While the numbers of reported incidents for medication errors are low it is widely recognised
that these are underreported across all health care organisations. An action plan for the
CHP has been developed, based on the recommendations of the Safety in Doses report from
the NPSA. This action plan is being progressed and a sub-group of the Medicines
Management Group is being established to encourage reporting of incidents, to review
incidents and oversee the action plan. The first meeting of the group will take place in
Mr Leslie confirmed that he had met with Pharmacy staff during a Patient Safety Walk Round
within Lorn and Islands Hospital and was advised that they will be looking at Medication
incident reporting. Cllr Freeman asked if the report contain figures on miss-prescribing by
GP’s or on Pharmacies issuing the wrong medication. Mr Robinson confirmed that because
of present Legislation on Dispensing within the Community these figures do not include
figures on dispensing errors. Ms Tyrrell confirmed the figures would include all incidents
reported. Cllr Freeman requested that in future reports the Incident Reporting Table should
show further breakdowns between Hospitals and Community based reporting.
Incident Information Management System
The Argyll & Bute CHP Datix Administrator continues to input incidents into the Web based
version of the new NHSH wide Datix Incident Management System. Eventually incidents will
be reported directly on to the system by the person reporting the incident rather than via the
current paper form. The pilot of this approach is continuing in New Craigs and there will be a
phased roll-out across NHS Highland .Dunoon Hospital has been identified as the first pilot
site in A&B CHP and will commence using this system in September / October 2009.
Detailed plans for staff training and introduction of the system in Dunoon are to be developed
From 1st April 2009 NHS Highland moved back to an internal system for logging complaints
with monthly reporting resuming.
The monthly report contains information on all complaints received in that month – both open
and closed. It also includes the outcome, issues and staff group reports based on complaints
received in that month that are also closed.
In April 2009 there were three complaints received, all of which were responded to within the
20 days timescale which is challenging. The top three issues regarding complaints are
Attitude, Communication and Transport. Ms Tyrrell reported that of the two complaints
received from Islay one was Partly Met and one was Upheld. Issues that arose from these
complaints were being addressed.
Moving and Handling and Violence and Aggression Training
Ms Tyrrell reported that due to there being a limited number of trainers for Moving and
Handling and a sharp reduction in trainers being available to deliver Management of Violence
and Aggression training there is concern about the ability to sustain the models of both
training types. The lack of Violence and Aggression training has been recognised and
registered as a HIGH risk on the CHP Risk Register.
A risk assessment is being undertaken at the moment and measures are being putting in
place to meet the training requirements for staff. A report on these measures will be
compiled and taken to the Core Team meeting in July for discussion.
Record Keeping and Care Planning
Ms Tyrrell advised that an annual audit is carried out across the CHP looking at the
standards set out by the Nursing and Midwifery Council for record keeping for Nurses and
Midwives. A detailed report on the findings has been received which shows an overall
improvement against compliance with standards since the last audit. Local and CHP action
plans will be developed based on the findings.
HFS Food in Hospitals Audits
A programme of site visits was undertaken by the CHP Clinical Governance Team to identify
the main gaps and the actions required.
Food, Fluids and Nutritional Care
The draft report for NHS Highland has been received from QIS following their review visit to
Highland in late March 2009. This will be checked for factual accuracy and will then be
followed by the final report in autumn.
Healthcare Services for People with Learning Disabilities
The final QIS report was received in May 2009. An action plan based on the findings and
recommendations will be developed in Argyll and Bute through the Integrated Learning
HMIe Follow Through Report on Services to Protect Children and Young People in Argyll
HM Inspectorate of Education (HMIE) published a report on the joint inspection of services to
protect children and young people in the Argyll and Bute Council area in March 2007. The
final report was received in May 2009. HMIE were happy to sign off the report and confirmed
there would be no further visits in relation this. There were a number of key areas identified
in the final report where the development of services would be continued and in particular
Child and Adolescent Mental Health Services and equity of access to better meet the needs
of children with disabilities regardless of where they live. There was also further work
required on the allocation of staff and resources in some localities to address issues of risk
and more fully meet the long term needs of vulnerable children
Ms Tyrrell confirmed the next round of national inspections by HMIE will take place in 2010.
No date has been received for Argyll & Bute.
Mrs Clark asked if School Nurses have received training is Child Protection. Ms Tyrrell
confirmed that all School Nurses and Staff Nurses who work in schools have received
training on Child Protection.
noted the contents of the Clinical Governance and Risk Management Report
6.2 Healthcare Acquired Infection
Ms Tyrrell spoke to a previously circulated paper and which gave an overview of the current
status and progress in Argyll and Bute in meeting the standards and targets for reducing
healthcare acquired infection.
Staph aureus bacteraemias (SAB)
Ms Tyrrell advised that there was one case of SAB reported within Lorn & Isles Hospital in
June. This case was reported after the Healthcare Acquired Infection report was submitted.
C.difficile Infection (CDI)
Ms Tyrrell confirmed that cases of C.difficile Infection in Argyll & Bute have been
considerably lower in comparison to the rest of Highland since April 2008.
Hand Hygiene (HH) programme
Ms Tyrrell confirmed that the next national Hand Hygiene Audit will begin on 13 July 2009
and will run for three weeks. NHS Highland have a longer period of time to complete the
audit with only have one part time Hand Hygiene Coordinator to cover the whole of NHS
The last audit took place in May and included two sites in Argyll and Bute CHP. The
provisional figures for NHS Highland would suggest a compliance rate of 91% for
Opportunities i.e. people washing their hands at the right time and 66% for Technique.
Mr Tyrrell report that individual results for Argyll and Bute showed that Cruachan Ward, Lorn
and Islands Hospital had compliance rates of 95% for Opportunities and 63% for Technique
with work being required on technique. The compliance rates for GP Acute Ward in
Campbeltown were disappointing with 75% for Opportunities and 40% on Technique.
Meetings have taken place with the Clinical Services Manager and Ward Manager in
Campbeltown and an action plan implemented. The re-audit results for Campbeltown have
shown improved compliance.
Mrs Clark highlighted the role of the non-executive members in carrying out the hospital visits
regarding hand hygiene and confirmed she would like to visit Campbeltown Hospital. Ms
Tyrrell confirmed that both Mid Argyll and Campbeltown Hospitals have still to be visited and
this will be planned in the near future along with next years visits to hospitals.
Mr Brackenridge asked for reassurance that the results for Campbeltown will be above the
90% in a few months time. Ms Tyrrell advised that work is on-going to improve compliance
and also confirmed internal monthly audits are carried out in our in-patient areas and these
figures will be included in the future reports. Mr Brackenridge asked how hand hygiene is
audited in the Primary Care setting. Ms Tyrrell confirmed that staff working in Primary Care
have received hand hygiene training however no audits have been carried out.
Ms Tyrrell referred to the Domestic Services Monitoring Report April 2009 and confirmed all
hospitals except Rothesay achieved the ‘green’ status. Both Rothesay and Islay were below
the 93% threshold set by NHS Highland. The issues identified in Rothesay were largely due
to estates problems and these have now been addressed. Standards in Islay have also
improved since the last report. Ms Tyrrell confirmed the need to ensure that results are
reported to local Manager immediately to ensure issues are addressed.
Ms Tyrrell also reported that funding for three new domestic posts for Argyll and Bute from
the Scottish Government will be allocated across the three localities which have in-patient
facilities. They will initially be targeted towards areas where performance against the
standards has been inconsistent.
In order to address the issues associated with meeting the standards for decontamination an
Argyll and Bute sub group of the Cleanliness, Hygiene and Infection Control group has been
established. The group, chaired by David Ross, is currently scoping the work required and
will develop a prioritised action plan to address the key issues.
Control of Infection Workplan
The NHS Highland Control of Infection Workplan for 2009-2010 has been agreed by the
Board and will be implemented across all operating units. The Argyll and Bute workplan will
be drawn from this and will be monitored through the Argyll and Bute Cleanliness, Hygiene
and Infection Control Group.
As Chief Inspector of the new Healthcare Environment Inspectorate, Susan Brimelow will
spearhead a programme of unannounced hospital inspections throughout the NHS in
Scotland. Ms Brimelow, currently the Care Commission's Healthcare Regulation Director,
will lead inspection teams to ensure infection control measures and the hospital environment
generally are of the highest standard.
Plans are already in hand to test the new inspection model in two NHS Boards this summer.
Every acute hospital will receive at least one planned and one random visit within the three
year inspection cycle, with extra visits as required.
NHS QIS have developed a self assessment tool which will be used by Boards to measure
current performance against the standards and put in place plans to address identified
deficits. Work is currently underway in Argyll and Bute to carry out self assessment.
Mr Creelman advised two Scottish sites will be visited by the Healthcare Environment
Inspectorate these being the Beatson in Glasgow and Perth Royal Infirmary. Mr Creelman
confirmed that he will take part in the Perth Royal Infirmary visit and will provide feedback
from that visit.
Ms Tyrrell also reported that Quality Improvement Scotland visited NHS Highland, NHS
Orkney and NHS Grampian and produced a comprehensive report based on C.difficile
Infection outbreaks which happened in the three Boards. The report identifies five key
recommendations which will be taken forward by the Boards.
1. Lack of implementation of guidance
2. Fragmented approached to management of control of infection
4. Antibiotic prescribing
5. Engagement and collaboration at national level
Mr Brackenridge thanked Ms Tyrrell for her report.
noted the contents of the Healthcare Acquired Infection report
6.3 Swine Flu Outbreak in Argyll & Bute
Ms Tyrrell spoke to a previously circulated paper which gave the background to managing
Development of outbreak and early impact
The first two cases were confirmed in Dunoon on Friday 29 May 2009, with three the
following day and 12 cases on Monday 31 May. The CHP implemented the major
implementation plan within the first 48 hours of the incident onset. Initially the calls were
coming through Public Health from Inverness and during the Saturday and Sunday two GP’s
worked carrying out home visits for swabbing and anti-viral distribution. Public Health also
started to trace people who had been in contact with confirmed cases. The capacity to
undertake home visits for swabbing was rapidly overwhelmed, and other arrangements had
to be made. The Cowal and Bute experience is that home delivery of anti-viral medication is
not practical once case numbers escalate.
Site control centres were required in Dunoon, and later on Bute. A CHP Control Team was
established which included the General Manager, Lead Nurse, Infection Control Nurse,
Public Health Specialist and the Locality Manager for Cowal & Bute. An IT generic mailbox
was set up which brought all relevant information from Public Health together and allowed
Managers access to up to date information.
Cowal Community Hospital was used as the site of anti-viral distribution. A Health Care
Assistant (HCA) took personal details, and then directed them to a treatment area. While
taking bloods for serology was still required the HCA also undertook this role.
In Dunoon, it became clear that home delivery of anti-virals was not sustainable even in a
relatively small community. Patients therefore had to be invited in to the anti-viral distribution
centre, both for swabbing if appropriate, and for provision of anti-viral drugs. Within 72 hours
of incident onset improvements were made to the queuing system and masks distributed to
those symptomatic patients who were waiting and by day six two different parts of the
hospital were used to allow complete separation of symptomatic and asymptomatic patients.
Initial queues were long. Additional seating was provided, and two portacabins were
delivered by the Local Authority which allowed sheltered waiting, and the further segregation
of symptomatic and asymptomatic patients.
Extraordinary levels of staff were needed for the incident. Staff had to be redeployed rapidly
from other duties. The experience in Cowal and Bute was that staff were incredibly resilient
with goodwill, and willingness to adapt to remarkable circumstances enormously helpful.
Cooperation and liaison with the Local Authority and the Police was excellent, and
contributed greatly to the smooth working of the emergency response.
Good communication was essential. A daily telephone conference was established with
some but not all members of the Operational Incident Management Team (OIMT), as in the
CHP Pandemic Flu Plan. In the first few days this daily meeting focused on the containment
of the outbreak in Cowal and Bute. However once the initial stages of the outbreak had
passed, the full OIMT met and took on the role of considering wider CHP impact and required
actions. There was a 5pm wash-up meeting every day, and this also contributed to
Control centres were set for all localities including the islands of Mull and Islay. Venues for
the Control Centres and management and staffing requirements were organised. Systems
were also set up on the management of people should there be a huge escalation in activity.
Ms Tyrrell referred to the graph contained in the report illustrating CHP confirmed cases.
Public Health specialists advised that this graph shows perfectly how a containment strategy
Mr Leslie confirmed that as General Manager it was extremely rewarding to see a team of
Clinicians, Senior Managers and the whole support team pulling together in a great team
effort during this outbreak. The Pharmaceutical community across the CHP were excellent.
Partnership working with the Emergency Planning Team, Local Authority staff and the Police
was excellent. From a cultural point of view this has been fantastic for the CHP. Mr Leslie
reported that throughout this period the CHP advice was that it business as usual to ensure
Work is now underway pulling together a portfolio of lessons learned, looking at referral
routes and patterns and also working on contingencies to ensure readiness and efficiency
should the situation escalate.
The Committee commended the team and all members of staff for the work carried out
during this outbreak.
noted the contents of the Swine Flu Outbreak Report
7. FINANCIAL GOVERNANCE
7.1 Finance Report
George Morrison spoke to a previously circulated paper asking the Committee to note the
Financial Performance – Two months to 31st May 2009
Mr Morrison reported that after the two month period ended 31st May 2009, Argyll & Bute
CHP recorded an overspend of £147,000. He summarised the financial position and
forecasted a break-even position highlighting a number of financial risks and challenges
facing the CHP including:
The challenge to fully achieve a £4m efficiencies and transformation programme.
An expectation that resources will be distributed to CHP on a fair and equitable basis.
The potential for unforeseen costs to arise which the CHP has not planned for, for
example, a higher than expected rate of successful appeals against AfC bandings.
Latest figure received are 36% appeals have been successful.
Savings programme – Progress report
Mr Morrison reported on progress to date advising that £1.2m savings have been declared.
Two main areas of risk to achieving the £4m savings target are Oban, Lorn and the Isles
Locality and Mid Argyll, Kintyre & Islay locality to achieve savings targets.
Mr Morrison advised that the three biggest challenges to achieve savings will be:
Support Payments to GP Practices.
NHS GG&C Commissioning.
Some progress has been made towards the £4m target, although it is clear that there is still a
lot of work to do in a number of areas.
Forecast Year–end Outturn
Mr Morrison confirmed that the overall combined pressures of reduced bridging funding, a
£4m savings target and emerging cost pressures will make this a very challenging year for
the CHP. He advised that every endeavour will be made to manage the CHPs financial
position to achieve a year-end break-even position.
Resource Distribution to Argyll & Bute CHP
Mr Morrison referred to the Distribution of Resources table contained in the paper and
explained how resources come into the CHP. Funding allocations are made by the Scottish
Government Health Department (SGHD) to NHS Highland and shares of these allocations
are passed to Argyll & Bute CHP.
Funding to the NHS Board is updated by a monthly allocation letter from SGHD. In turn,
Argyll & Bute CHPs budget is updated to reflect the allocation of additional resources by
SGHD through the NHS Board.
Mr Robb asked what the time-scale was for receiving In-Year allocations. Mr Freeman also
articulated his concerns regarding the delay in receiving In-Year allocations which may not
be distributed in time to be used by the year end. Mr Morrison confirmed these allocations
are received throughout the year however there can be slippage in the distribution of these
resources which does have an impact on the CHP capacity to deploy resources.
Mr Robb also expressed his surprise that Managers were not aware of the total amount of
budgets two months into the financial year. Mr Leslie confirmed that operational managers
know exactly what their budgets are. In Year allocations, which come in throughout the
financial year, are for specific ring-fenced purposes.
Mr Freeman highlighted Prescribing costs showing a £27K overspend after only two months
and asked what can be done to resolve this. Mr Leslie confirmed the Lead Pharmacist is
engaging with the 6-8 practices which are currently overspending to try to support and
encourage them to change their prescribing practices.
Ms Clark referred to the savings programme savings report and expressed her concern that
localities are having difficulties identifying savings targets. Mr Morrison confirmed each
locality target represents a 1% efficiency savings target and he proposes to have early and
regular meetings with Locality Managers regarding their ability to achieve targets without
having an impact on service delivery.
Cllr Robertson asked if the Committees concerns will be taken back to the Board. Mr
Brackenridge confirmed that the draft minutes of this meeting will be taken to the next Board
meeting in August where he will have the opportunity to highlight any issues of concern.
Mr Leslie confirmed that a paper will be going to the Board in August which will reflect the
risk for the CHP financial planning.
Mr Leslie gave assurance that the next Finance Report which comes before the Committee
will contain either declared savings or evidence of a plan to achieve savings
noted the contents of the Finance Report
8. STAFF GOVERNANCE
8.1 Agenda for Change Update
Mr Leslie spoke briefly to a previously circulated paper prepared by David Logue and
reported that at the middle of June the total of substantive staff still to be assimilated was 17.
These posts remain outstanding for various valid reasons in relation to complexity of work
history, long term sickness absence and secondments.
Mr Brackenridge and Mrs Clark acknowledge the completion of assimilation for all eligible
Mrs Clark asked for clarity on the paragraph covering Mainstreaming of Agenda for Change.
Mr Brackenridge advised that an explanation will be brought to the next Committee meeting.
noted the contents of the Agenda for Change Update report
8.2 KSF Implementation
Mr Leslie spoke to a previously circulated paper prepared by David Logue and confirmed that
targets set by the Scottish Government has been achieved at May 2009.
Mr Leslie confirmed the next target facing the CHP is to ensure 80% KSF outlines are
available and accessible electronically by March 2011. The CHP will develop a plan and will
take an incremental approach to ensure this target is achieved by March 2011 in a timely
Mr Brackenridge highlighted the tremendous achievement of management and staff to meet
the 100% target.
Noted the contents of the KSF Implementation report
2.50pm–3.10pm Coffee and Question and Answer Session with members of the public.
9 PARTNERSHIP WORKING
9.1 Data Protection Report on availability of Information on PPF Locality Members
Mr Creelman gave a brief summary of the problems regarding access to membership
information. Members of the public attending public events who wish to become a member
of the Argyll and Bute PPF complete the relevant registration form and this information would
then be put into a database which is administrated centrally to ensure compliance with the
Data Protection Act.
Mr Creelman explained that problems have arisen due to Locality Public Partnership Forums
being unable to obtain lists of their local members from headquarters.
Mr Creelman advised that to allow this information to be shared the PPF registration form
has been amended to collect the necessary consent which non members will be asked to
complete and this will be submitted to CHP.
Mrs Clark suggested existing members should also be contacted to give their permission and
advised that her primary aim regarding this was to ensure that the administrator for the local
PPF had access to appropriate information.
Mr Leslie confirmed that this will be taken to the NHS Highland Data Protection Officer to
ensure that local administrators have legitimate and appropriate use of this information.
Mr Brackenridge added that he would like this problem resolved within three months.
Noted the contents of the Data Protection Report
10.1 Local Delivery Plan and CHP Action Plan 2009/10
Mr Leslie spoke to a previously circulated paper prepared by Stephen Whiston.
Mr Leslie advised the 2009/10 Local Delivery Plan is informed by Scottish Government’s
guidance which specifies the NHS Highland Local Delivery Plan targets set by the SGHD
and captured within the CHP Action plan. This plan gives:
The CHP local ownership.
This particular action plan shows the cascading of trajectories into CHP’s and identifies the
Corporate Lead for NHS Highland and the Lead Officers within the CHP for performance
indicators. Mr Leslie confirmed this document is an excellent source of information.
Noted the Local Delivery Plan and CHP Action Plan 2009/10
10.2 Balanced Scorecard
Mr Leslie spoke to a previously circulated paper prepared by Stephen Whiston which sets out
the areas where the CHP are having a degree of difficulty.
Smoking Cessation - One area the CHP is having difficulty meeting its target is Smoking
Cessation and performance is poor. The CHP had taken steps at the beginning of year
which had given some improvement in performance however this has now declined due to
the illness of the coordinator. Measures are being put in place to cover this. The CHP’s
target this year has been incrementally increased as last years target was not met. This is a
major area of challenge for the CHP and the same rigorous approach will be taken on this
particular target as was applied successfully in addressing poor performance in KSF and
Breast Feeding – Ms Tyrrell advised that the CHP has to increase the number of babies
being exclusively breast fed between 6 – 8 weeks to 33% by March 2011. The CHP has not
yet met this target and are the only CHP throughout Highland not to have done so. An audit
will be carried out to determine why mothers are giving up breast feeding.
Sickness and Absence – although the CHP did not meet its target by March 2009
performance is in line with the NHS Highland linear position and improving slowly. Return to
work interviews are considered to be the most effective intervention to support reduction.
Day Case Rates – Mr Leslie confirmed that data capture and SMR coding tolerance is now
between 4-6 weeks. Temporary measures have been put in place to maintain this with
longer term arrangements being examined.
Diagnostic Waiting Time – Imaging waiting times breach in March. Mr Leslie confirmed this
was a very last minute cancellation of a locum radiologist which resulted in a breach of 6
KSF – 49% complete in March 2009 with 99% complete by May 2009.
Delayed Discharge – Numbers shown on National Census in April was 0 and the target was
achieved however the CHP faces a number of challenges within the area of Delayed
Discharge which was highlighted in the report.
Noted the contents of the Balance Scorecard
10.3 Delayed Discharge
Derek Leslie advised that the same Delayed Discharge report will go to both the CHP
Committee and the Argyll & Bute Health and Care Strategic Partnership meetings. Mr Robb
advised that this report will be more analytical and informative.
Noted the delayed discharge report
11 MINUTES TO BE NOTED:
11.1 Argyll & Bute CHP Partnership Forum on 20 April 2009 and 1 June 2009
noted the minute of the Argyll & Bute CHP Partnership Forum on 20 April 2009 and
1 June 2009
11.2 eHealth Steering Group – 12 May 2009
noted the minute of the eHealth Steering Group on 12 May 2009
12.1 Argyll & Bute CHP Committee Date Schedule 2010
Mr Brackenridge drew attention to the list of dates which has previously been circulated. No
amendments made to the list.
12.2 Review of Older People’s Services in Argyll & Bute
Mr Leslie encouraged Health colleagues to support and be part of this consultation as this
will be a key priority for the CHP. Mr Robb advised that the Council have already received
good commitment from Health colleagues within the CHP. Mr Robb advised that the Council
summary document has been distributed throughout Argyll & Bute and there will be
supplementary work being carried out by local staff who will be visiting specific clients in
Homes and Lunch Clubs. The consultation will be carried out over an 8 week period.
Ms Hide advised she has not been advised of the Consultation through the PPF and this was
not in the local press. Mr Leslie confirmed that he would investigate the PPF issue.
13. DATE OF NEXT MEETING
The next meeting will take place on Friday 4 September 2009 at 13.30pm in Craignure
Village Hall, Isle of Mull.