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Argyll and Bute HSCP Clinical and Care Governance Committee held on 3 August 2023

Argyll and Bute Council · 30 August 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 30 August 2023 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, 3 AUGUST 2023 
Present: Graham Bell  (Chair) 
Fiona Davies
Liz Higgins
Alison McGrory
Councillor Dougie Philand 
Attending: Sarah Compton-Bishop, Chair of NHS Highland Board
Fiona Thomson, Associate Director of Pharmacy
Duncan Clark, Clinical Director for Child and Adolescent Mental Health Service
Alyson Turnbull-Jukes, Director of Psychology
Evan Beswick, Head of Primary Care
Caroline Cherry, Head of Adult Services
Shona Williams, Senior Justice Manager, Children and Families
Charlotte Craig, Business Improvement Manager
Fiona McCallum, 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:- 
David Gibson, Head of Children, Families and Justice/Chief Social Work Officer
Jillian Torrens, Head of Adult Services
Fiona Broderick, Admin Services Manager (Staffside Lead for Argyll & Bute HSCP) 
2. MINUTES 
The Minutes of the meeting of the Clinical and Care Governance Committee held on
1 June 2023 were approved as a correct record. 
3. ACTION LOG 
Having given consideration to the Action Log, the following was agreed – 
Action 1 Charlotte Craig confirmed that the report on waiting times in Cowal and
Bute would be brought to the Committee once it had been presented to
the Clinical and Care Governance Group.

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4. CLINICAL GOVERNANCE GROUP 
(a) Minute of 15 June 2023 
The Committee noted the Minute of the meeting of the Clinical and Care
Governance Group held on 15 June 2023. 
(b) Minute of 27 July 2023 
The Committee noted the Minute of the meeting of the Clinical and Care
Governance Group held on 27 July 2023. 
5. DASHBOARD REPORT 
Consideration was given to the dashboard report, which provided information on
stage 2 complaints; adverse events recorded in NHS Highland between April 2023
and June 2023; the total number of incidents recorded in Argyll and Bute over the
last 13 months; the total number of incidents recorded by site over the last 13
months; the number of Significant Adverse Event Review (SAER) information
declared in NHS Highland as compared to Argyll and Bute for same period; the total
number of Argyll and Bute hospital inpatient falls and falls with harm over the last 13
months; the total number of grade 2-4 pressure ulcers within Argyll and Bute over
the last 13 months; data in relation to infection rates within Argyll and Bute; medical
errors; and violence and aggression incidents by location. 
Decision 
The Clinical and Care Governance Committee considered and noted the information
provided within the dashboard report along with responses to a number of questions
asked. 
(Reference:  Report by Business Improvement Manager dated 3 August 2023,
submitted) 
6. PERFORMANCE AND RISK - CHILDREN, FAMILIES AND JUSTICE 
Consideration was given to a report noting and updating on work across integrated
Children and Families and Justice Services.  The report noted multiple challenges
and responses already instigated. 
Decision 
The Clinical and Care Governance Committee considered and noted the content of
the report along with responses to a number of questions asked. 
(Reference:  Report by Head of Children, Families and Justice dated 3 August 2023,
submitted) 
7. PERFORMANCE AND RISK - ACUTE AND COMPLEX CARE 
It was noted that this report would be presented to the next meeting of the
Committee in October 2023.

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8. PERFORMANCE AND RISK - HEALTH AND COMMUNITY CARE 
Consideration was given to a report outlining an overview of key risks and issues
and provided assurance to the Committee in relation to services provided by Health
and Community Care. 
Decision 
The Clinical and Care Governance Committee considered and noted the report
indicating assurance in relation to services under health and community care. 
(Reference:  Report by Head of Service – Health and Community Care dated 3
August 2023, submitted) 
9. PERFORMANCE AND RISK - PRIMARY CARE 
Consideration was given to a report providing a summary update on activity and
mitigation of risk for assurance to the Committee in relation to Primary Care. 
Decision 
The Clinical and Care Governance Committee considered and noted the content of
the report along with responses to a number of questions asked. 
(Reference: Report by Head of Primary Care dated 3 August 2023, submitted) 
10. COMPLAINTS PERFORMANCE REPORTING 
As a partnership of three public bodies which require to follow regulated processes in
complaints handling, consideration was given to a report outlining the arrangements
for each partner with regulatory duties and the IJB’s own arrangements. 
Decision   
The Clinical and Care Governance Committee noted the process for management of
complaints within the governance. 
(Reference: Report by Business Improvement Manager dated 3 August 2023,
submitted) 
11. DATE OF NEXT MEETING 
The date of the next meeting was noted as Thursday 5 October 2023.