Minute of previous meeting of the Clinical and Care Governance Group, held on 9 July 2026
Argyll and Bute Council · 13 August 2026
Back to Argyll and Bute HSCP Clinical and Care Governance Committee — 13 August 2026 and its agenda
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Page 1 of 3 Minutes of meeting of Clinical and Care Governance Group Held by MS Teams on Thursday, 09 July 2026 Chair: R Helliwell Attendees: James Mullins, Leah Smith, Nicola Gillespie, Caroline Robertson, Fiona Thomson, Linda Currie, Anke Roexe, Eilidh Gallagher 1. Welcome and Apologies The Chair welcomed attendees. The agenda order was adjusted to accommodate availability for the Eclipse item. 2. Previous Minutes and Matters Arising The minutes of the meeting held on 28 May 2026 were approved as an accurate record. Previous actions were reviewed, with updates noted across ID badge governance, Oban Hospital governance visibility, recruitment escalation, transitions, adult protection reporting, governance mapping, child protection follow-up, governance framework development and the community paediatrics service model. Outcome: Recruitment escalation and adult protection visibility actions were closed. Remaining actions continue where further updates, mapping or formal governance routes are required. 3. SAER The Group noted that no SAERs had been ratified since the previous meeting. Work continues to strengthen SAER monitoring and compliance reporting through existing governance arrangements. 4. Clinical, Professional, Governance, Patient and Staff Safety Risks Associated with Eclipse OLM The Group considered the clinical governance risks associated with Eclipse, including record-keeping, system functionality, information sharing and the wider impact of multiple electronic systems across services. The discussion focused on the need to better understand system-related risks, information flows and the extent to which current arrangements support safe and effective practice. Outcome: Further assessment will be undertaken on the ongoing use of Eclipse, potential alternatives and clinical governance risks. Quality Improvement or SAER methodology may be used to map information flows and identify system risks. The Group also received an update on the Governance Short Life Working Group. Progress was noted against the governance review, including use of Quality Improvement methodology, development of
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Page 2 of 3 diagnostic tools and planned pilot activity to support clearer governance reporting, assurance and risk visibility. 5. Hospitals and Community Care The Group received an overview of ongoing pressures across hospital and community care services, including discharge delays, workforce gaps, staffing resilience, community capacity and service sustainability. Specific risks were highlighted in relation to dialysis, Tiree out-of-hours arrangements and pharmacy provision. Outcome: Risks will continue to be monitored through governance reporting. The Tiree position will be updated to reflect the absence of a confirmed post-August solution, and pharmacy risks will be made more visible within relevant governance routes. 6. Complex Care The Group considered key risks and activity across complex care, including workforce pressures, inpatient pathway challenges, ADHD pathway implementation, psychological therapies performance, transitions between services, forensic mental health expertise, registered services and adult protection. The discussion highlighted significant pressure across mental health and complex care pathways, particularly where specialist placements are difficult to secure and where workforce pressures affect service resilience. Positive progress was noted within registered services, including strengthened care-at-home arrangements, medication governance and partnership working. Outcome: Mental health inpatient pathway risks will be escalated through wider NHS Highland governance mechanisms. Support will be provided to develop standardised responses for anticipated ADHD pathway enquiries. Adult protection reporting was received for assurance, with ongoing actions noted in relation to performance, audit recommendations, recruitment and learning reviews. 7. AOB The Group received a primary care update which identified localised risks including capacity, prescribing backlog, IT implementation, results processing and infection prevention issues. Mitigations include additional workforce support, digital support and formal action plans. Risks relating to forensic medical services compliance and information governance were also noted, alongside a high volume of complaints in one practice area being managed through existing governance routes. The Group was updated on high consequence infectious disease preparedness, including multi-agency planning, pathway review,
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Page 3 of 3 environmental assessment and PPE training considerations. This was noted as an active governance risk. 8. Date of Next Meeting 20 August 2026, 10:30 – 12:00