MINUTES OF THE MODERNISING NURSING IN THE COMMUNITY BOARD
MEETING ON 1 FEBRUARY 2011 AT ST ANDREWS HOUSE, EDINBURGH
Present
Derek Barron (also representing Mark Adderley) NHS Ayrshire & Arran
Margaret Smith(Chair)
University of Dundee
Jane Cantrell
NHS Education Scotland
Gavin Fergie
UNITE
Andy Kilpatrick
NHS Fife
Bill Matthewson
RCGP
Ros Moore
Scottish Government
Susan O’Rourke
NHS Greater Glasgow & Clyde
Susan Polding-Clyde
Care Commission
Julia Quickfall
QNIS
Janet Syer
Patient & Public Representative
Rhoda Walker
NHS Orkney (Teleconferencing)
Angela Wallace
NHS Forth Valley
Apologies
Rosslyn Crockett
Fiona Dagge-Bell
John Davidson
Michael Fuller
Theresa Fyffe
Fiona Francey
Bridget Hunter
Mary Kenyon
Dean Marshall
Heidi May
Eddie MacDonald
Alan McDevitt
Gordon McKay
Kathy Munro
Anne Neilson
John Paterson
Margaret Simpson
Pat Tyrrell
Sheena Wright
NHS Greater Glasgow & Clyde
QIS
Scottish Government
SWAG
RCN
NHS Grampian
UNISON
Scottish Health Council
BMA
NHS Highland
Stirling CHP
RCGP
UNISON
Queen Margaret University/SHANAHP
NHS Lothian
ADSW
NHS Tayside
NHS Highland
NHS Borders
In Attendance
Jane Harris
Deirdre McCormick
Mags McGuire
Gillian Overton
Karen Wilson nee Lockhart
Scottish Government
Scottish Government
Scottish Government
Scottish Government
Scottish Government
Welcome and Apologies
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1.
Margaret Smith welcomed members to the meeting. She advised the Board that
Sheena MacDonald, NHS Borders who represented Primary Care Leads had resigned and
Andy Kilpatrick was the new representative. Apologies had been received as above.
Presentations
The Assets Model – Dr Harry Burns, Chief Medical officer, Scottish Government
2.
Dr Harry Burns, Chief Medical Officer, Scottish Government gave a presentation on
the Assets Model Approach which builds on the strengths of individuals and local
communities rather than their deficits, and views them as co-producers of health and
wellbeing, rather than recipients of services.
The Assets Approach is not new however. In individual encounters, assets based practice
may be described as: strength based approach; self-management support; enablement and reablement; and recovery. At community level, the approach may be described as: asset based
community development; co-production; community empowerment; and building social
capital.
The approach also extends beyond health into areas such as Justice, tackling poverty,
employability and community regeneration. Examples of these need to be shared across
sectors and improvement methods applied to spread what works.
You can read more at http://www.abcdinstitute.org/ or by reading the following publication
“A Glass Half Full – how an assets approach can improve community health & wellbeing.”
Releasing Time to Care in the Community – Carole Morton & Sam Atkinson, Scottish
Government
3.
Carole Morton & Sam Atkinson gave the background to Releasing Time to Care
(RTC) in the Community which is a long term organisational change programme based on
Lean improvement methodology. The product is designed to be implemented in any
community setting and can be adapted to local needs. It is a standard stepped module
approach which was launched to NHS Boards in June 2010.
Findings from pilot sites in NHS England suggest that successful implementation can lead to
increased patient-facing time, improved quality and safety, satisfied patients and productive,
high performing staff.
It takes approx. 15 months for full implementation. All 14 Boards have signed up to its
implementation but are all at different stages of development. It is being fully tested in 2
sites, NHS Dumfries & Galloway and NHS Grampian across health and social care
partnerships. 40 NHS staff and 2 social care staff have been trained to date. Each NHS
Board has a RTC in the community lead.
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4.
Angela Wallace reported that NHS Forth Valley is taking forward Releasing Time to
Care in the Community and expressed her support for the programme which was seeing real
benefits in her Board area. Sam distributed a Baseline Reporting Exercise Proforma to be
completed by Board members and returned to Sam at sam.atkinson@scotland.gsi.gov.uk
5.
It was agreed that Sam and Jane Harris would meet to discuss how to share the
learning, resources and baseline assessment. It was agreed that Carole & Sam would attend a
future meeting to provide an update.
Action: Jane Harris
Board Vision
6.
Angela Wallace reported that a draft vision for Modernising Nursing in the
Community had been developed. It required to be discussed further with Nurse Directors and
the Chief Nursing Officer. It was hoped that a paper would be available for the next Board
meeting on 11 March.
Action: Executive Nurse Directors
Sub Group Progress Reports
7.
A summary of the sub group reports had been circulated along with the sub group
reports.
Children, Young People and Families (CYPF) – Progress report from SG Lead, Deirdre
McCormick
8.
Deirdre McCormick reported that the work of the Children, Young People and
Families Working Groups was progressing well. Further information is contained in her
report.
Keeping People at Home – Update from Derek Barron, Chair
9.
Derek Barron reported that sub group members were progressing with their
workstreams.
Review of Nursing in the Community
10.
Susan O’Rourke reported that the evaluation team had permission to start the study
and fieldwork had begun in NHS Tayside & Borders.
Draft Minutes and Action Plan of Meeting on 14 December 2010
11.
The draft minutes of the previous meeting were approved.
12.
Jane Harris spoke to the action “To reflect on the work of the Board in 2010” and
reported that she and Margaret Smith had met to discuss the most appropriate way of taking
this action forward. They suggested to the Board that this action should be amended to a
“forward look” of innovative community nursing practices taking place in Boards. Jane
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suggested that a virtual event is planned using “WebEx”. This might involve selected Boards
presenting on the innovative work they are taking forward. This information could also be
included in the Toolkit. After discussion it was agreed that a draft programme for the event
or proposal paper would be available for the next Board meeting on 11 March.
Action: Jane Harris
Any Other Business
Publication of Early Years Framework: Progress So Far
13.
Deirdre McCormick reported that the Scottish Government had published a progress
report on the Early Years Framework. Her report contained further information and the
report can be found on the Scottish Government website
http://www.scotland.gov.uk/Publications/2011/01/13114328/0
14.
Bill Mathewson reported that RCGP were to publish a report on A Vision for General
Practice. He thought it would be published around April/May and would bring the report to a
future Board meeting for information.
Action: Bill Mathewson
15.
Julia Quickfall reported that QNIS were holding their Annual Conference on 10
March which will showcase community nursing and research. (Programme and booking
form issued to Board members on 4.2.11). Jane Harris and Annie Buchanan are attending
the conference to speak about Modernising Nursing in the Community.
16.
Jane Harris reported that her visits to all 14 Boards for an update on their plans to
modernise nursing in the community were going well and there were only a few more visits
to be undertaken. A report of the findings will be discussed at a future Board meeting.
Action: Jane Harris
17.
Jane Harris reported that they had received a number of applications to design the
website. The applications were being shortlisted and they hoped to make an appointment
soon.
Next Meeting
18.
Arrangements for the Board’s next meeting were confirmed as 11 March, 10am to
1pm, Conference Room 2, Victoria Quay, Edinburgh
The Scottish Government
Chief Nursing Officer Directorate
February 2011
The temporary website for Modernising Nursing in the Community information is
http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/nursing/Modernisation
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