Caithness Strategic Redesign Group
Minutes of Meeting Held on Monday 1 December 2003
Julie Catterall, Community Care Manager - Highland Council
Jane Coll - Caithness Community Care Forum
Ian Hargrave, Acting Area Manager – Caithness Highland Council
Katherine Lewis, Redesign Facilitator – Caithness Highland Primary Care
James McAdie – Highland Health Council
Alison Phimister, LHCCManager, Highland Primary Care NHS Trust
Bob Silverwood, Area Community Care Manager – Highland Council
Elizabeth Smith – Highland Health Council
Bill Fernie, Portfolio Holder – Area Housing & Social Work Committee
Stella Jones, Community Nurse, Learning Disability – Highland Primary Care
Mairi McLeod, Community Mental Health Team Manager –
David McMillan, Finance
David Flear, Chair – Joint Committee for
Actio on Community Care
Doreen Bell, Lead Nurse – Caithness LHCC, Highland Primary Care NHS Trust
WELCOME & APOLOGIES
Alison Phimister welcomed everyone to
the meeting and apologies were received from Doreen Bell and David Flear.
MINUTES OF MEETING HELD ON 6 OCTOBER 2003
The Minutes of the Meeting
Held on 6 October 2003 were approved as an accurate record. The Updated
Terms of Reference that had been issued with the minutes, where also
MATTERS ARISING FROM THE MINUTES OF MEETING HELD ON 6
Caithness & Sutherland Community Health Partnership (CHP)
Alison advised that the
Scheme of Establishment had been submitted to the NHS Highland Board who
would be meeting tomorrow, Tuesday 2 December 2003. Copies of the
submission would be circulated to everyone who had been involved in the
proposal for Caithness and Sutherland, by the end of the week.
MENTAL HEALTH IMPLEMENTATION PROGRESS
Place of Safety
Mairi advised that there had been some resignations from
qualified staff but it was still hoped to be operational by the end of
January. The only remaining training was on Violence and Aggression the
date of which had been set for 21 January 2004.
Some minor repair work still needed to be completed with
the final check by Health & Safety due to take place on 21 January 2004.
Discussions were ongoing
regarding the development of Out of Hours working with a third meeting due
to take place this week. The group are considering options from previous
meetings. The criteria suggested is for cover to start from 5.00pm Monday
to Friday and throughout the weekend. There has been mixed reaction from
within the team about working out of hours. Mairi would be meeting with
Shona Blance today who is has been facilitating the meetings. Mairi
advised that they needed to be at the recruitment stage by January.
It was noted that approximately £60,000 had been awarded
for developing this service.
Mairi also noted that the team were
at its full compliment for the first time this year, however resignations
had been received from Lee Gordon and Derek McLean.
Waiting lists had been cleared and there had been a change
in the way the team worked. A series of meetings had taken place looking
at the pressures on the team and had resulted in a change from having team
meetings weekly to having GP liaison meetings at the surgery on a weekly
basis, meeting with GPs to discuss any referalls and discharges wanting to
be made. This has proved very successful in supporting the teams.
Meetings had taken place with representatives from
Birchwood and Pentland Housing looking at how to best draw up a business
plan. It was decided to start with a floating support plan to be able to
provide support to people in their own accommodation. Pentland Housing did
however note that it would not be a problem to use a bricks and mortar
plan in the long term. It was noted that Peter from Birchwood had
accessed some money to be used in Caithness to appoint a Project
Co-ordinator who would look at bringing support into peoples homes to
retain their own tenancies.
It was also noted that funding was still available from
within the LIG and agreement had yet to be reached on how best to use this
money. A meeting was due to take place soon of the Housing LIG to carry
4.4 Social Inclusion
Work was still ongoing to develop a website that would
incorporate all the mental health services within Caithness and also would
provide a support mechanism for users via a chat room and notice board.
A bid had been placed for funding, via George Bruce. The mental health
team would not own the website but it will be managed and developed by
mental health users. This bid would be going forward to the Council this
Subsequent funding for IT equipment has been held off for
the time being until broadband is available in Caithness as there was
concern that the equipment identified would not be compatible. Funding
was also being considered for training mental health users on how to
update and manage the website and how to use the internet.
Once funding had been identified/successful a meeting would
take place to review the data to be collected on the website etc.
4.4 Older Adults
Project Proposal to provide respite care for up to six people with
dementia had already been circulated to the group. This document has been
prepared and will be put forward in case funding becomes available. It was
noted that funding was currently being considered for the refurbishment of
Bayview and that submitting this proposal now may prove to be beneficial.
5.0 LEARNING DISABILITY PLANNING
It was noted that written plans had
been developed by Stakeholders for Short Breaks, Integrated Teams and
5.1 Short Breaks
Part of the plan for Short
Breaks had in fact already received the green light with the refurbishment
of Grant Street this was to enable access to time limited funding streams
to enable the work to be carried out, this may reduce funding for other
options. The group identified a number of recommendations for providing
short breaks as well as noting the need for housing to decrease the
pressure/need for respite and day care. Some of the options being
investigated included children having integrated play schemes and people
going on holiday with families to provide support to them.
5.2 Specialist Integrated Teams
Integration Project report – Proposal for Specialist Multi-Agency Learning
Disabilities Support Team for Caithness, had already been issued to the
Group. This report was based around how they would like the team to look
and the plan would be taken forward with the hope of getting a start by
April 2004 when it was hoped that funding would become available.
5.3 Dedicated Workers Within Generic
A report entitled “The Redesign of Learning Disability
Services, Caithness”, November 2003, had already been distributed to the
Group. It was noted that CASE had expressed an interest in providing
assistance. It was also hoped that funding for training could be obtained
from CHANGE. It was felt that training should be made available to all
generic workers and not just those based within the health service in
order to provide a higher quality of training for everyone. This training
would involve the users and also trainers from outwith the service.
It was noted that the long term goal was for the drop in
centres in Wick and Thurso to become self funding.
A lot of work had been obtained in relation to how the
working groups wanted the work to be carried out and that the formation of
another LIG group might be necessary to take this forward. Developments
on this would be discussed at the next Caithness Strategic Redesign Group
questionnaire had gone out to people with learning disabilities and about
150 had been returned, however, it was noted that some questionnaires had
been duplicated. The report on the response had not yet been finalised,
however it was already noted that a high percentage had said yes to the
question “did the plans meet the objectives for people in Caithness?”.
The additional comments received had still to be analysed.
been a good turn out last week and a lot of positive comments had been
received. The press had been invited, although at short notice they were
unable to attend, however, an email had since been received expressing an
interest to run the story. It was agreed that perhaps a Press Release
would be the most efficient way of getting the information out.
noted that there was not a lot of CHANGE money for this year.
majority of people at the meeting want to form a new LIG to bring them
altogether and bridge the gaps.
6.0 OLDER ADULT IMPLEMENTATION
6.1 Rapid Response
The data collection
questionnaires have been returned and now need to be considered by the
group who will be meeting again on Thursday to look at this with a hope to
shed some light on the demands for the service and develop a business
6.2 Health Promoting Day Care
Resources have been made available to develop a business
case for Falls Prevention. District Nurses in Wick are providing two
weekly visits to Laurandy. The development of a menu of individuals is
still ongoing. It was suggested that this be in the form of a booklet to
help improve links between Day Care and Health Services. It was noted
that this booklet may be useful for other community groups in particular
Bayview and Pulteney.
Citizens Advice had been invited to participate but had not
yet been involved. It was noted however that a member of the group was
attending one day a week for six weeks to progress work on Falls
Prevention and the booklet.
No feedback had yet been
received and it was noted that the events had not been well attended. It
was noted however that the events had been well organised and a lot of
useful information had been made available. It was felt important that
this information should be made available to users and the wider public.
Jane advised that she had collected a lot of leaflets and this information
would be publicised in the Scorrie. It was noted that the Caithness
event had been a pilot for the Highlands and was aimed at people who
worked with older people in both a voluntary and professional capacity.
Another similar pilot event had been held in Nairn but with day care
Sue Owen who is the lead for Home Carers across the
Highlands attended the last meeting and agreed to provide information on
medication policy and training for home carers. It was hoped that we
would get a copy of this policy document however it has to go to the Chief
Officers Group before it can be distributed generally.
A foot care package has been delivered to home carers with
podiatrists agreeing to deliver a package for informal carers when
It was noted that home care training events are being
organised as and when required with strong links with community nurses and
ward staff to provide informal training.
There are still contractual issues concerning home carers
in particular hours of work and mileage payments and these are currently
It was noted that the issues affecting the local group were
now highland wide issues and that as a result the group may come to a
The Joint Equipment store in
Thurso was now in situ. A risk assessment had been completed and a
dedicated washing area was being utilised.
Training for SSA Assessors
had been arranged for late January. Once assessors had completed their
training they would be able to make an assessment and collect equipment
from the store directly themselves which would hopefully take some
pressure off the work of the Community Occupational Therapists. Access to
the store would be seven days a week, 24 hours per day. It was noted that
at least ten people would be trained to access the equipment.
It was noted that a community infection control policy was
still awaited from the Highland Wide Infection Control Group.
A stock system of marking equipment had been explored and a
contact telephone number would be indicated on each item.
Training for Porters in installation had also been
highlighted in order for them to deliver and install some of the equipment
particularly in more rural areas, however this has not yet been actioned
Alison enquired if the group were now at a stage where they
could do a costing of the joint store. Kas advised that they do have an
outline of the resources that would be required but they had no indication
of the demand. Alison advised that they would need to bring this plan
into the CHP Development Plan before March next year.
It was noted that a venue for
the Wick Joint Equipment Store was still being considered. A specialist
equipment store was in place at the Town & County Hospital. It was noted
that the Social Work Department have a store at the Industrial Estate and
investigations were underway to see if the adjoining property there could
be used for a Joint Equipment Store.
6.5 Network Newsletter
Miles had drafted a newsletter which was hoped would go out
with the next edition of the Scorrie, however as the next edition was not
due out until mid January, it was felt that the information that had
already been prepared could be displayed on the Caithness.org website and
then updated in the New Year for the Scorrie. It was noted that the best
source for photocopying was still via the Caithness Voluntary Groups.
It was noted that the Minutes of the meetings of the
Caithness Strategic Redesign Group could be posted on the Caithness.org
website. The Minutes of the last meeting were approved for this purpose.
noted that Stephen Porter, Highland Project Manager for Same As You had
commended very highly the work on learning disability being carried out in
8.0 DATE AND TIME OF NEXT MEETING
meeting was agreed to take place on Monday 8 March 2004 at 10.00am in the
Conference Room at Caithness General Hospital.