Minute of the previous meeting of the Clinical and Care Governance Committee held on 5 February 2026
Argyll and Bute Council · 12 May 2026
Back to Argyll and Bute HSCP Clinical and Care Governance Committee — 12 May 2026 and its agenda
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MINUTES of MEETING of ARGYLL AND BUTE HSCP CLINICAL AND CARE GOVERNANCE COMMITTEE HELD BY MICROSOFT TEAMS on THURSDAY, 5 FEBRUARY 2026 Present: Graham Bell (Chair) Karen Leach Evan Beswick Rebecca Helliwell Fiona Broderick Alison McGrory Councillor Dougie McFadzean Councillor Ross Moreland Attending: Eilidh Gallagher, Head of Primary Care Caroline Robertson, Head of Hospitals and Community Care Nicola Gillespie, Head of Complex Care and Registered Services Kristin Gillies, Head of Strategic Planning, Performance and Technology Leah Smith, Clinical Governance Manager Charlotte Craig, Business Improvement Manager Lynsey Callaghan, Professional Lead, Maternity and Child Health Fiona Thomson, Associate Director of Pharmacy Linda Currie, Associate Director of AHP Lorien Cameron-Ross, Clinical Lead, NHS Highland Lynsey Innis, Committee and Democratic Services Officer 1. WELCOME AND APOLOGIES The Chair welcomed everyone to the meeting. Apologies for absence were intimated on behalf of:- David Gibson, Head of Children, Families and Justice/Chief Social Work Officer Dr Duncan Scott, Secondary Care Representative 2. MINUTES (a) Minute of the previous meeting of the Clinical and Care Governance Committee held on 6 November 2025 The Minute of the previous meeting of the Clinical and Care Governance Committee, held on 6 November 2025 was approved as an accurate record. (b) Minute of the previous meeting of the Clinical and Care Governance Group, held on 11 December 2025
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The Minute of the previous meeting of the Clinical and Care Governance Group, held on 11 December 2025, were noted. 3. ACTION LOG Having given consideration to the Action Log, the Committee noted that an update report would be provided in relation to Action 1 (Overlap of inspections spreadsheet) to their meeting in May 2026. The Chair advised that going forward the intention was that a deep dive report would be presented at each meeting, focusing on topics of particular interest or concern to the Committee. He invited Members to identify and suggest areas that would benefit from more detailed consideration by the Committee. It was noted that a deep dive on Primary Care should be brought forward to a future meeting of the Committee. 4. HEALTH AND SOCIAL CARE PARTNERSHIP - PERFORMANCE REPORT - FQ2 2025/26 (JULY - SEPTEMBER) The Committee gave consideration to a report which detailed performance for the Financial Quarter (FQ) 2 2025/26 (July – September). The report also provided details on performance against each of the service areas and supporting IPMF Key Performance Indicators; the latest National Delayed Discharge Sitrep and the National Health and Wellbeing Indicators. The Head of Strategic Planning, Performance and Technology outlined a number of changes that would be implemented in the reporting format going forward. Discussion took place around the governance processes, noting that these had implications for reporting timelines, with it being noted that going forward verbal updates would be provided outlining the most up-to-date position, where possible. Further discussion was held regarding the worsening national benchmarking position for Delayed Discharges since the data contained within the report had been produced. Decision The Clinical and Care Governance Committee:- 1. Acknowledged performance for FQ2 2025/26 (July – September). 2. Noted that the performance KPI’s would be reviewed for FQ3 with improved alignment to the Operational Improvement Plan indicators and National measures and the format of the Argyll and Bute performance reports with Head of Service collaboration will be reviewed. 3. Noted the Delayed Discharge Sitrep as of 15 December 2025, as outlined in Appendix 1 to the report.
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4. Acknowledged the performance update on the National Health and Wellbeing Outcomes and Ministerial Steering Group Integration Indicators, as outlined at Appendix 2 to the report. 5. Noted supporting Service Feedback commentary from Heads of Service and Service Leads, as outlined at Appendix 3 to the report. (Reference: Report by Head of Strategic Planning, Performance and Technology, dated 5 February 2026, submitted) 5. DASHBOARD REPORT Consideration was given to the dashboard report, which provided information on stage 2 complaints; Social Work and Care complaints; adverse events; inpatient falls; tissue viability incidents; violence and aggression incidents and medication errors over the last 13 months. Decision The Clinical and Care Governance Committee considered and note the information contained within the dashboard report. (Reference: Report by Clinical and Care Governance Manager, submitted) 6. REALISTIC MEDICINE AND VALUE BASED HEALTH AND CARE Having noted that all Health Boards in Scotland are required to report to the Scottish Government on the implementation of Realistic Medicine and Value Based Health and Care, the Committee gave consideration to a report which presented the Realistic Medicine and Value Based Health and Care Action Plan for 2025-26 and the 6-month progress report which were submitted to the Scottish Government by NHS Highland outlining current challenges and successes. Discussion took place around collaborative working to ensure a personalised approach to care. It was noted that the Scottish Government’s long-term aim is that, by 2030, all health and care professionals will be supported to deliver value based health and care. Decision The Clinical and Care Governance Committee:- 1. Noted the refreshed Action Plan and Report. 2. Agreed that consideration be given to updating the reporting template to incorporate the principles of Realistic Medicine and Value Based Health and Care. (Reference: Report by Project Manager, Strategy and Transformation, NHS Highland, dated 5 February 2026, submitted) 7. NEURODIVERSE PATHWAY UPDATE
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The Committee gave consideration to a report which provided an update on the work undertaken to develop a neurodiversity strategy and the ongoing work to tailor strategic ambitions to the unique strengths, capacities and needs of local services. Decision The Clinical and Care Governance Committee:- 1. Noted the position paper. 2. Noted the concerns regarding capacity and sustainability for ASD and ADHD diagnostic services. 3. Noted that the Senior Manager for Learning Disability, with support from the SIO, will re-establish a SLWG to ensure all services are involved in developing pathways. 4. Noted that a further update report will be provided once significant progress has been achieved. (Reference: Report by Head of Complex Care and Registered Services, dated 5 February 2026, submitted) 8. 6.1 ARGYLL AND BUTE JAN REPORT FOR NORTH HIGHLAND CLINICAL GOVERNANCE COMMITTEE The Committee gave consideration to a report which had been presented to the NHS Highland Clinical Governance Committee on 15 January 2026 and provided a summary of key clinical governance topics from each of the services within the Argyll and Bute HSCP. The report sought to provide assurance of effective Clinical Governance frameworks in place within the Partnership. Decision The Clinical and Care Governance Committee reviewed the report for transparency. (Reference: Report by Clinical Governance Manager, dated 5 February 2026, submitted) 9. DATE OF NEXT MEETING It was noted that the next meeting of the Clinical and Care Governance Committee was scheduled to take place on Thursday, 30 April 2026.