Argyll and Bute HSCP Clinical and Care Governance Committee held on 6 February 2025
Argyll and Bute Council · 26 March 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 26 March 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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MINUTES of MEETING of ARGYLL AND BUTE HSCP CLINICAL AND CARE GOVERNANCE COMMITTEE held in the BY MICROSOFT TEAMS on THURSDAY, 6 FEBRUARY 2025 Present: Councillor Dougie McFadzean (Chair) Karen Leach Rebecca Helliwell Elizabeth Higgins David Gibson David Gibson Alison McGrory Councillor Ross Moreland Attending: Fiona Duff, Interim Head of Primary Services, Argyll and Bute HSCP Caroline Cherry, Head of Adult Services – Health and Community Care, Argyll and Bute HSCP Linda Currie, Associate Director of AHP, NHS Highland Fiona Thomson, Associate Director of Pharmacy, NHS Highland Charlotte Craig, Interim Head of Service Strategic Planning, Performance and Technology, Argyll and Bute HSCP Anke Rowe, Clinical and Care Governance Manager, Argyll and Bute HSCP Katie McKenzie, Committee Services Officer, Argyll and Bute Council 1. WELCOME AND APOLOGIES The Chair welcomed everyone to the meeting. Apologies for absence were intimated on behalf of Graham Bell, Fiona Broderick and Kevin McIntosh. 2. MINUTES (a) Minute of the previous meeting of the Clinical and Care Governance Committee, held on 28 November 2024 The Minute of the previous meeting of the Clinical and Care Governance Committee, held on 28 November 2024 was approved as a correct record. (b) Minute of the Clinical and Care Governance Group, held on 12 December 2024 The Minute of the Clinical and Care Governance Group, held on 12 December 2024 was noted.
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3. ACTION LOG Having given consideration to the Action Log, the Committee agreed – Action 1 - It was noted that a paper was being taken to SLT and in order to provide a more fulsome update, this item would remain on the action log and an update would be provided at the next meeting of the Committee. Action 2 – The Interim Head of Service Strategic Planning, Performance and Technology provided a brief update on the overlap of inspections spreadsheets and it was agreed that an update on progress would be provided at the next meeting of the Committee. Action 3 – The Chief Officer provided a brief update on Sexual Health Provision and it was agreed that an update would be provided at the next meeting of the Committee. Action 4 – The Deputy Medical Director provided a brief update on HIS Oban Police Custody and it was agreed that an update would be provided at the next meeting of the Committee. Action 5 – The Interim Head of Primary Care provided a brief update on the number of 2c practices within Argyll and Bute. Noting the ongoing work required in this regard, it was agreed that an update should be provided to the next meeting of the Committee. (Reference: Action Log dated 6 February 2025, submitted) 4. HEALTH AND SOCIAL CARE PARTNERSHIP - PERFORMANCE REPORT - FQ2 2024/25 (JUL - SEPT) The Committee gave consideration to a report which detailed the performance for FQ2 2024/25 (July - September) highlighting key performance trends cross the 84 Key Performance Indicators. The report also included performance updates from Heads of Service and Service Leads across the twelve service areas; the latest performance against the National Health and Wellbeing Outcome Indicators and the latest national update on Delayed Discharges. Decision The Clinical and Care Governance Committee – 1. acknowledged performance for FQ2 2024/25 (July- September); 2. acknowledged supporting performance commentary from Heads of Service and Service Leads; 3. acknowledged performance update on the National Health & Wellbeing Outcomes and Ministerial Steering Group Integration Indicators as outlined in Appendix 1 of the report; and 4. noted Delayed Discharge Sitrep as of 30 September 2024 as outlined in Appendix 2 of the report.
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(Reference: Report by Head of Strategic Planning, Performance and Technology dated 6 February 2025, submitted) 5. DASHBOARD REPORT The Committee gave consideration to the dashboard report, which provided information on stage 2 complaints over the last 13 months; adverse events over the last 13 months; the number of inpatient falls over the last 13 months; the number of tissue viability incidents over the last 13 months; the number of violence and aggression incidents over the last 13 months and the number of medication errors over the last 13 months. Decision The Clinical and Care Governance Committee considered and noted the information contained within the dashboard report. (Reference: Report by Clinical and Care Governance Manager dated 6 February 2025, submitted) 6. HOSPITAL DIALYSIS REVIEW The Committee gave consideration to a report detailing the demand and local capacity to provide hospital haemodialysis in Argyll and Bute. A strategic service review commenced in January 2025 which will assess the configuration of hospital haemodialysis services within Argyll & Bute, and include the overall number and location of units required within the partnership area. Decision The Clinical and Care Governance Committee noted the background and timelines for the review of hospital dialysis services. (Reference: Report by Senior Service Planning Manager dated 6 February 2025, submitted) 7. REVIEW OF THE COMMITTEE TERMS OF REFERENCE The Committee gave consideration to a report reviewing the Terms of Reference to ensure that they are still fit for purpose and meet the oversight requirement of the Integration Joint Board. Decision The Clinical and Care Governance Committee approved the revised Terms of Reference and recommended them to the Integration Joint Board. (Reference: Report by Interim Head of Service Strategic Planning, Performance and Technology dated 6 February 2025, submitted)
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8. ANY OTHER BUSINESS The Deputy Medical Director updated the Committee on challenges being experienced with Bristow Helicopter Company regarding the use of the Coastguard helicopter for life and limb emergencies. This followed risk assessments carried out that would prevent the Coastguard helicopter landing at some of the current locations used. It was noted that this could present a significant clinical risk and it was agreed that an update would be brought to the next meeting of the Committee. The Associate Director of Nursing advised the Committee that a Safe Delivery of Care Inspection had been carried out in Oban, Lorn and the Isles Hospital. It was agreed that the Inspection Report would be circulated to the Committee when it was published, and that an update would be brought to the next meeting. The Chief Social Work Officer briefed the Committee on the challenges being faced by Children and Families and Social work due to a severe shortage of staff. It was noted that discussions were ongoing between the HSCP and Argyll and Bute Council, and also with the Chief Social Work Adviser of Scotland to establish an action plan. It was agreed that an update would be brought to the next meeting of the Committee. 9. DATE OF NEXT MEETING The Clinical and Care Governance Committee noted that their next meeting was scheduled to take place at 2:00 pm on Thursday, 1 May 2025.