Minutes of Meeting Held on
Monday 6 October 2003
Doreen Bell, Lead Nurse – Caithness LHCC, Highland Primary Care NHS Trust
Julie Catterall, Community Care Manager, Highland Council
Jane Coll, Caithness Community Care Forum
David Flear, Chair, Joint Committee for Action on Community Care
Miles Greenford, Public Health Practitioner, Highland Primary Care NHS
Ian Hargrave, Acting Area Manager – Caithness Highland Council
Katherine Lewis, Redesign Facilitator – Caithness Highland Primary Care
James McAdie – Highland Health Council
Alison Phimister – LHCC Manager, Highland Primary Care NHS Trust
Bob Silverwood – Area Community Care Manager, Highland Council
Elizabeth Smith – Highland Health Council
Bill Fernie, Portfolio Holder – Area Housing and Social Work Committee
Stella Jones, Community Nurse – Learning Disability, Highland Primary Care
Mairi MacLeod, Community Mental Health Team Manager, Highland Council
1.0 REVIEW & AGREEMENT OF TERMS
The draft Terms of Reference as produced by Alison, Kas and Bob was
discussed and the following amendments agreed:-
1.1 Group Purpose
The first paragraph should read “To support the integrated planning of
community health services and social work services …..”
Bullet point two should read “…
have objectives in line with local, National and Regional strategies … “
Bullet point two should read “Establishes a forum for local interpretation
of local, National and Regional policy.”
1.3 Group Membership
1.4 Frequency and venue
1.5 Reporting Mechanisms
It was agreed that reports should be made quarterly to the Caithness Area
Committee and Caithness LHCC Executive Group and this will be done via the
issue of the Quarterly Newsletter in order to avoid duplication.
It was agreed that the Caithness Network Newsletter would be issued
quarterly. This Newsletter would also be issued as an insert with
the Scorrie Newsletter. Communication would also be via the
1.7 Decision Making
This paragraph should now read “The group will make its recommendations by
consensus. However, there may be occasions when consensus cannot be
reached. On these occasions, the group will identify a way to take them
The importance of Governance was
discussed and the support / approval of each representative’s parent
organisation in recommendations made by the group.
1.8 Current Membership
The current membership list was approved, however, some members questioned
whether it would be appropriate for a “healthy living representative” to
be included ie. Graham Nicol, Community Learning & Resource Services
Manager for Caithness & Sutherland ?. After much discussion it was agreed
to invite Graham to the next meeting with a view to introducing him to the
Group and thereafter he would be invited to attend as and when required on
the basis of the Agenda tabled.
It was agreed that the Terms of
Reference would be amended as noted above and issued with the Minutes of
2.0 INTEGRATED WORKING
Alison Phimister advised that as part of the implementation of the Joint
Future Report and embodied within the local partnership agreement that
went to the Scottish Executive, is the need to promote integrated working
across health and social work for older adults.
Alison updated the group on the
progress of this work which was overall progressing well and was in the
process of being distributed to Chief Officers for further debate.
It was also noted that the
Partnership Agreement was well received by the Scottish Executive who
highlighted that Caithness was well forward in the process and forward
3.0 CAITHNESS & SUTHERLAND
COMMUNITY HEALTH PARTNERSHIP (CHP)
Alison wished to advise the group on the Organisations response to the
Scottish Executive White Paper, Partnership for Care. This promoted a
single system for health in regions and within that Community Health
Partnerships and service redesign were high on the Agenda.
CHPs were to design and deliver and
take responsibility for principle community health services with
substantive relationships with LHC colleagues and public engagement. A
Scheme of Establishment will be produced to set out what we will do and
how we will approach it.
An event was held in Brora at the
end of August looking at the proposal for a single CHP for Caithness and
Sutherland. This was attended by colleagues in both counties and the
document has now been circulated to organisations, all staff, The Highland
Council, Community Councillors and participants of the workshop. To date
there has been only a positive response to the document which has now been
submitted in draft to Jackie Agnew, the Project Manager for CHP
Development with the Highland Primary Care NHS Trust.
The Highland Council also supports
the Caithness & Sutherland CHP with only one area of concern being that
Caithness General Hospital and the Belford Hospital should be consultant
led and that this may involve the inclusion of a fourth CHP.
Care Without Barriers and NHS
Highland response to Partnership for Care are putting forward a single
organisation to lead health in the future. The consultation period closed
today with a meeting arranged for tomorrow with a further special meeting
on 14 October.
It was noted that the Trust will
submit one Scheme of Establishment to the Board which will then be
submitted to the Scottish Executive. It is hoped that feedback will be
received from the Scottish Executive in December. In the meantime more
formal guidelines were awaited from the Scottish Executive to enable
discussions to progress.
4.0 PROJECT FEEDBACK
4.1 Social Inclusion
A web site is being developed for access by mental health users in
Caithness. This work is being developed with help from the Community
Mental Health Support Group. A bid has been submitted for discretionary
allowance for the web site and a further bid submitted to “mobius” for IT
Equipment and a decision is awaited on this. The next stage will be an
open meeting with key stakeholders and mental health support groups in
Caithness to develop the web site further and including agreement on
content and how we monitor the web site and organise and monitor the
A training plan has been developed
with TAG, with a identified link person, to provide training for service
users on how to use the internet and maintain the website. Miles is
currently looking at options for funding for this training and CASE may be
approached for assistance.
4.2 Older Adults & Respite
A business case is being developed for the downstairs of Bayview and this
was due this month with the draft going to stakeholders. This will be
discussed at the next meeting of the Strategic Redesign Group.
4.3 Housing & Accommodation
The Area Committee have agreed that housing is an issue for someone with
mental health problems and that they will provide accommodation in line
with allocations policy.
At the last meeting it was decided
to invite someone from Birchwood Housing and it has now been decided to go
to Birchwood to benefit from their experience and approach. The
development of a handy man scheme for people in mental health was
discussed and it was agreed that this was a very useful and much needed
4.4 Place of Safety
Alison advised the group that a number of people had been recruited for
the place of safety which was hoped to be fully operational in the New
Year. The interim period from October through to December would be used
for staff training. The final walking through of each of the two
facilities was planned to take place in the next few weeks.
It was noted that members of the
team had been utilised in a recent call-out and it had proved very
successful with the staff attending at the patient’s home.
Alison noted that the group should
be commended on their hard work over the last two years in setting up the
place of safety.
4.5 Learning Disability
Katherine distributed to the group a copy of a questionnaire entitled
“Services for People With Learning Disabilities in Caithness” and
explained the purpose of it. Katherine noted that Stella would be
assisting people on a one to one basis if required for completing the
form. Funding had been secured for this purpose.
The consultation exercise was due
to be completed at the end of October and fedback to the Learning
Disability Network on the 25th November when LIG leads would also present
there business cases for addressing 3 of the “Same As You Objectives”. LIG
leads are attending a highland wide event on the 10th of October to share
experiences on participating in LIG’s. A community nurse and 2 service
users will provide a presentation on behalf of Caithness
It was noted that work on the Grant
Street property had been agreed and this would provide respite services
for people in Caithness. The proposal to utilise the top floor of the
premises as a short term hostel was also discussed. This would be
discussed further at the Housing & Social Work Committee in November.
4.6 Joint Future & Older Adult
The data collection is complete and the Audit Department were still
inputting the information. The report is therefore still awaited. Over a
four week period 36 forms were completed by people over the age of 65.
This item will be discussed further at the next meeting of the Strategic
Alison advised the group that a
Winter Planning meeting had been arranged to take place later in the
MDT Day Care
Katherine advised the group on the work which was continuing to encourage
health professionals to develop clinics within day care centres. A bid for
funding had been submitted and the outcome was awaited to allow dedicated
time from the Change facilitator to carry out some of the action points
Two information sessions will be
held at the end of October with the aim of providing information about
current resources available for older people. The sessions are open to
staff and voluntary groups working with older people.
Part of the old Physio department at the Dunbar Hospital had been
highlighted as a possible area for a joint store in Thurso with somewhere
in Wick still to be located. A meeting to discuss this was due to be held
tomorrow. A list of equipment to be held in the joint store would be drawn
up. It was noted that anyone who had completed the Single Shared
Assessment would be allowed access to the store, however policies and
procedures for access would be required to be developed.
Training has been confirmed as
being available to all staff carrying out Single Shared Assessments. This
training will provide assessors with the skills and knowledge to access
some equipment without referral to an occupational therapist.
The return of equipment, in
particular toilet equipment, was also discussed. There would be an
infection control issue regarding this. Infection control however was not
yet being fully considered until the outcomes were received from the
Highland wide group which was currently considering infection control in
4.7 Home Care
It was noted that foot care sessions for Home Carers was due to start this
month. It is anticipated that once this facility was fully operational
that this would prevent unnecessary referrals to Podiatry and provide a
better service for users. The question was raised to ascertain if the
sessions would be available to family/informal carers in the future,
Katherine agreed to take this question forward.
5.0 ANY OTHER BUSINESS
Jane Coll noted that she was attending the meeting as a representative of
the Community Care Forum and as a Care Worker for People with Parkinsons
Disease. Jane advised that she was being made redundant from her post as
Care Worker and that her future participation in the group would be
The question of voluntary workers
attending meetings was discussed in relation to travel and associated
expenses. David Flear agreed to speak to Simon Steer and Sheena Munro
regarding this issue.
6.0 DATE AND TIME OF NEXT
The next meeting was arranged for Monday 1 December at 10.00am in the
Conference Room at Caithness General Hospital.