Argyll and Bute HSCP Clinical and Care Governance Committee held on 15 August 2024
Argyll and Bute Council · 25 September 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 September 2024 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 BY MICROSOFT TEAMS on THURSDAY, 15 AUGUST 2024 Present: Graham Bell (Chair) Karen Leach Evan Beswick Rebecca Helliwell Elizabeth Higgins Fiona Broderick David Gibson Councillor Dougie McFadzean 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 Lucy Dornan, Interim Clinical and Care Governance Manager, Argyll and Bute HSCP Charlotte Craig, Business Improvement Manager, Argyll and Bute HSCP Duncan Clark, Clinical Director, Child and Adolescent Mental Health Services, NHS Highland Lynsey Innis, Senior Committee Assistant, Argyll and Bute Council 1. WELCOME AND APOLOGIES The Chair welcomed everyone to the meeting. Apologies for absence were intimated on behalf of Councillor Ross Moreland. 2. MINUTES (a) Minute of Previous Meeting of the Clinical and Care Governance Committee, held on 6 June 2024 The Minute of the previous meeting of the Clinical and Care Governance Committee, held on 6 June 2024 was approved as a correct record. (b) Minute of Clinical and Care Governance Group held on 27 June 2024 The Minute of the meeting of the Clinical and Care Governance Group, held on 27 June 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 this item was on the agenda for discussion at item 8 (Review of Cardiac Services). Action 2 - Having noted that the Interim Clinical Governance Manager would provide a verbal update in relation to this item, it was agreed to mark as complete and remove from the Action Log. Action 3 - It was noted that this item was on the agenda for discussion at item 9 (Operational Risk Register Review Update). Action 4 - It was noted that this item was on the agenda for discussion at item 5 (Medication Incident Report). Action 5 - The Depute Medical Director advised that this item had been discussed by the Clinical and Care Governance Group and that an update would be brought to the next meeting of this Committee. Action 6 - The Business Improvement Manager advised that this piece of work was being taken forward by the Clinical and Care Governance Group and that an update would be brought to a future meeting of this Committee. Action 7 - It was noted that the issues relating to the integration of the Eclipse System were being taken forward by the Clinical and Care Governance Group and would be reported back to this Committee through the provision of the minutes of the Group meetings. It was therefore agreed that this item could be removed from the Action Log. Action 8 – It was noted that the Digital Strategy would be revisited at the Board Development Session scheduled for 28 August 2024 and as such this item could be removed from the Action Log. Action 9 - It was agreed that this item should be brought to the next meeting of the Committee. Action 10 - The Interim Chief Officer advised that an update would be provided to a future meeting of the Committee. Action 11 - It was noted that this item was on the agenda for discussion at item 10 (Justice Social Work Serious Incident Reviews: National Report). 4. 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.
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Decision The Clinical and Care Governance Committee considered and noted the information contained within the dashboard report. (Reference: Report by Interim Clinical and Care Governance Manager, submitted) 5. MEDICATION INCIDENT REPORT Consideration was given to a report which provided an overview of NHS medication incidents from 1 May 2023 to 30 June 2024 together with the review processes in place. The report also provided in-depth analysis on the type of incidents, medicines involved and themes identified from incidents between 1 June 2023 and 30 June 2024. Decision The Clinical and Care Governance Committee noted the contents of the paper and the recommendations outlined at section 2 of the report. (Reference: Report by Associate Director of Pharmacy, dated 15 August 2024, submitted) 6. SPSO HEALTH ACTIVITY Consideration was given to a report which provided an overview of Scottish Public Services Ombudsman (SPSO) enquiries received by the HSCP relating specifically to health enquiries. It was noted that out of a total of nine cases, the SPSO had closed seven cases within the first six months of 2024 and that a further two cases remained open and under consideration by the SPSO. Decision The Clinical and Care Governance Committee noted the contents of the report. (Reference: Report by Interim Clinical Governance Manager, dated 15 August 2024, submitted) 7. WINTER PLANNING REFLECTIONS AND LESSONS LEARNED The Committee gave consideration to a report which provided a summary of reflections and lessons learned for the overall Winter Plan for the Argyll and Bute HSCP. The report highlighted the impact and learning from specific elements of planning and intervention with a view to both guiding future workstreams and providing assurance that the necessary measures are in place to deliver health and care for the local population during winter months. Decision The Clinical and Care Governance Committee:- 1. Noted the review of winter planning arrangements for 2023-24.
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2. Discussed the wider developments of systems pressures within 2024-25. (Reference: Report by Head of Adult Services – Health and Community Care, dated 15 August 2024, submitted) 8. REVIEW OF CARDIAC SERVICES - ACTION PLAN The Depute Medical Director spoke to the terms of the action plan, arising as a result of the recent review of cardiac services. Dr Helliwell advised that most actions had been concluded and outlined the plans in place to progress those that remained outstanding. Decision The Clinical and Care Governance Committee agreed to note the update provided. (Reference: Cardiac Services Review - Action Plan, submitted) 9. OPERATIONAL RISK REGISTER REVIEW UPDATE Having noted that the Strategic Risk Register is considered by the Integration Joint Board (IJB) on a six monthly basis with the risk appetite being updated annually, the Committee gave consideration to a report which provided an update on the review of the Operational Risk Register. The report outlined the actions identified during an audit of the Operational Risk Register and the progress made to ensure effective risk management and provide partial assurance to the IJB. Decision The Clinical and Care Governance Committee reviewed the update to activity. (Reference: Report by Business Improvement Manager, dated 15 August 2024, submitted) 10. JUSTICE SOCIAL WORK SERIOUS INCIDENT REVIEWS: NATIONAL REPORT The Committee gave consideration to a report which advised of the national report on serious incident reviews submitted to the Care Inspectorate from Justice Social Work during the period 1 January 2022 – 31 March 2024. The Head of Children, Families and Justice Services provided a short verbal update on the safeguards around the release of high risk prisoners. Decision The Clinical and Care Governance Committee noted the contents of the report and the information provided by the Head of Children, Families and Justice Services. (Reference: Report by Senior Manager, Children, Families and Justice Service, dated 15 August 2024, submitted)
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11. DATE OF NEXT MEETING The Clinical and Care Governance Committee noted that their next meeting was scheduled to take place at 2:00pm on Thursday, 3 October 2024.