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Argyll and Bute HSCP Clinical and Care Governance Committee held on 6 April 2023

Argyll and Bute Council · 31 May 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 31 May 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, 6 APRIL 2023 
Present: Sarah Compton-Bishop (Chair) 
Jean Boardman
David Gibson
Rebecca Helliwell 
Councillor Amanda Hampsey
Councillor Douglas Philand 
Attending: Fiona Thomson, Associate Director of Pharmacy
Allyson Turnbull-Jukes, Director of Psychology
Evan Beswick, Head of Primary Care
Jillian Torrens, Head of Acute and Complex Care
Donald Watt, Senior Manager
Laura Stephenson, Interim ADP Co-ordinator
Ayshea Robertson, Lead Nurse, Primary Care
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:- 
Fiona Davies, Chief Officer
Elizabeth Higgins, Associate Director of Nursing
Caroline Cherry, Head of Health and Community Care
Alison McGrory, Associate Director of Public Health 
2. MINUTES 
The Minute of the Clinical and Care Governance Committee, held on 2 February
2023 was approved as a correct record. 
3. ACTION LOG 
Having given consideration to the Action Log, the following updates were agreed:- 
Action 1 – Complete, remove from log.
Action 2 – Complete, remove from log.
Action 3 – To remain on agenda as planning in between meetings.
Action 4 – To remain on, as item due to come to June meeting of the Committee.

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4. ARGYLL AND BUTE ALCOHOL AND DRUG PARTNERSHIP UPDATE 
Consideration was given to a report which outlined the work being undertaken to
refresh the Alcohol and Drugs Partnership (ADP) Strategy 2020-2023.  The report
also outlined the key 2023 priorities for the ADP and interim staffing arrangements. 
Decision 
The Clinical and Care Governance Committee – 
1. Acknowledged the report as assurance that work is being undertaken to bring the
Alcohol and Drug Strategy up to date. 
2. Acknowledged the report as assurance on the engagement undertaken for this
process. 
3. Acknowledged the interim staffing arrangements that are in place and that work is
being undertaken to review leadership and structure of the ADP support team in
order to meet Scottish Government demands. 
(Reference:  Report by ADP Coordinator, dated 6 April 2023, submitted) 
5. DASHBOARD REPORT 
Consideration was given to the dashboard report, which provided information on
Stage 2 complaints; adverse events recorded in NHS Highland between December
2022 and February 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 agreed to note the information
provided. 
(Reference:  Report by Associate Director of Nursing, dated 6 April 2023, submitted) 
6. MEDICATION ASSISTED TREATMENT (MAT) STANDARDS UPDATE 
The Committee gave consideration to a report which provided an update on the
Argyll and Bute MAT Standards Implementation Plan, which sets out the work being
done by ADP partners, including HSCP services, to meet the standards. 
Decision 
The Clinical and Care Governance Committee noted the progress on the Argyll and
Bute MAT Standards Implementation Plan.

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(Reference:  Report by Head of Acute and Complex Care, dated 6 April 2023,
submitted)   
7. HEALTHCARE IMPROVEMENT SCOTLAND (HIS) SAFE DELIVERY OF CARE
INSPECTIONS AND IMPLICATIONS FOR CARE ASSURANCES IN NHS
HIGHLAND 
The Committee gave consideration to a report which was presented to the NHS
Highland Clinical Governance Committee at their meeting, held on 12 January 2023
in respect of the Safe Delivery of Care Inspections and the implications for care
assurance in NHS Highland.   
Decision 
The Clinical and Care Governance Committee agreed to note the contents of the
report. 
(Reference:  Report by Associate Director of Nursing, dated 12 January 2023,
submitted) 
8. CHILDREN, FAMILIES AND JUSTICE UPDATE 
Consideration was given to a report which provided an update on the ongoing work
across the integrated Children and Families and Justice Services.  The report noted
multiple challenges which require response, some of which are more challenging in
the remote and rural environment and where partner services are out of the area.   
Decision 
The Clinical and Care Governance Committee noted the update from the Children
and Families and Justice Services. 
(Reference:  Report by Head of Children, Families and Justice/Chief Social Work
Officer, dated 6 April 2023, submitted) 
9. CHILDREN AND ADOLESCENT MENTAL HEALTH SERVICES UPDATE
REPORT 
Consideration was given to a report which presented the Children and Adolescent
Mental Health Services (CAMHS) update to the Scottish Government and outlined
the implementation of the CAMHS Service Specification.   
Decision 
The Clinical and Care Governance Committee considered and noted the report to
the Scottish Government on the implementation of the CAMHS Service
Specification. 
(Reference:  Report by Head of Children, Families and Justice/Chief Social Work
Officer, dated 6 April 2023)

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10. ENHANCED COMMUNITY DEMENTIA SERVICES 
The Committee gave consideration to a report which provided an update on the
current service pressures and challenges of the Enhanced Community Dementia
Service.   
Decision 
The Clinical and Care Governance Committee – 
1. Noted the current service pressures and challenges of the Enhanced Community
Dementia Service. 
2. Agreed that a report be prepared for the next meeting in June providing detail on
longest wait times in Cowal and Bute and the development of an in-patient
pathway. 
(Reference:  Report by Head of Acute and Complex Care, dated 6 April 2023,
submitted) 
11. DATE OF NEXT MEETING 
The Clinical and Care Governance Committee noted that their next meeting was
scheduled to take place on Thursday, 1 June 2023.