Managed Clinical Network for Eating Disorders
MINUTES of the MCN Steering Group held on Thursday 13th March
2014 in The Fulton Clinic Meeting Room, Royal Cornhill Hospital,
Aberdeen
Present:
Linda Keenan
Rachael Smith
Jane Morris
Sam Aitcheson
Pauline Milne
Phil Crockett
Via VC
Paula Collin & Lesley Dolan (NHS Tayside)
Yvonne Edmonstone & Anne Fraser (NHS Highland)
Minutes taken by: Alison Sherriffs, MCN Secretary
1 Apologies
Brian Grieve
Alastair McKinlay
David Morgan
Becky McKay
No Item
Action
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Minutes of Previous Meeting
Accepted as accurate
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Matters Arising
All matters arising are covered under the main Agenda.
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Updates
Representation
LK is to invite Stonehaven GP’s to attend future meetings and will LK
also send an invitation to Ann Gold.
Training
It was agreed to take Weighing ED Patients off the Agenda.
SA advised that a few members of the Grampian team attended
the FBT Training and that himself and another colleague had been
granted funding to attend the upcoming CFT Training. Would like
to take part in Schema Therapy Training but that it is difficult to
source and fund.
RS advised that half of their team were lucky enough to attend the
FBT Training and have funding secured for 2 people to attend the
CFT Training. A discussion took place regarding the difficulty in
obtaining funding to attend these training courses and the fact that
most people had to pay their own travel expenses and
accommodation costs to attend the FBT Training.
YE advised that Managers in Highland are very supportive of their
training needs and they don’t usually have any problems in
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securing funding for the courses they wish to attend. Highland
had 3 nurse therapists attend the FBT Training. YE & Laura Hulse
are attending the Radically Open DBT Workshop within the next
couple of weeks. Anne Fraser is hoping to be able to submit her
EEATS Accreditation by the end of the month and all staff should
be EEATS Accredited by the end of the year. YE is to send SA/LK YE
teaching for rest of the year. Discussion took place regarding
opening up all trainings across the region using VC.
PCollin advised that they had 4 members of their team attend the
FBT Training and have funding secured for 2 people to attend the
CFT Training, 1 for the Introductory Workshop and 1 for the
Advanced Workshop. Louise Richards is also doing the DBT
Training and Kareen Taylor did training up in Aberdeen at the
beginning of the year on weighing patients. Tayside team also
had 5 clinicians attending the Scottish Government Conference
and also find that funding is quite easily available for any training
they wish to undertake through the psychology training budget.
Some members are taking part in Schema-focused Therapy
Training which SA may be able to access and they have four
dates set up for in-house training.
PM advised that they also find it difficult to secure funding for
training. They had 5 members of staff attend the FBT Training but
also had to pay their own travel and accommodation costs. They
had 4 people attending the Scottish Government Conference.
Angie did CRT training and hoping that Lesley Pillans can
undertake this training this year too.
Grampian currently have 1 member of staff undertaking the
EEATS Accreditation, Tayside currently don’t have any and Eden
have 3 people accredited.
Educational Meetings
 SA is still working on a programme for this.
 LK to set up bridge links for any suitable training
 CFT Training is coming up in May & June.
 No Aberdeen or National Conference planned as yet.
 It was decided that the MCN Annual Clinical Event would
take place on Thursday 20th November and Paula Collin
suggested Perth Royal Infirmary or Murray Royal Hospital
as a possible venue. PCollin is to investigate booking the
venue. The topic for the Event will be “Treatment Resistant
Anorexia”.
 James Lock is coming back to Scotland in early September
and it was suggested to hold a review day and invite
Management to come along.
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Service Developments (by Region)
Highland
 Had a service away day in January which was very
successful and are focusing on how they can
 Anne Fraser talked about the new Highland Support Group
“HEaDSUP” which is launching on 1st May.
 Currently have a full complement of clinical staff but
Secretary has been on sick leave since December and this
is causing huge problems. Gill Hasson is back with the
Service one day a week on secondment.
 Still averaging around 100 referrals per year and managing
to see urgent patients within a week and other patients
within a month.
Tayside
 No new staffing changes. Still without a Secretary but
getting some cover on a part-time basis. Meeting with
management fell through but this has been re-scheduled for
1st April.
 Averaging around 100 referrals per year and managing to
see patients within the 12 week target.
 Running a Nutrition Education Group and a Bulimia Group.
 Have a Medical Student who is developing a Carer
Satisfaction Questionnaire.
 Kareen Taylor & Paula Collin are still in talks with a
colleague in Hong Kong regarding piloting some new
software – “Smart Eating Programme”
Grampian
 Currently averaging around 250 referrals per year and
managing to meet HEAT target. Dealing with a lot of
complex patients.
 Sally Hill, Nurse Therapist is retiring in the summer.
 ½ time Occupational Therapist post still vacant and
PCrockett is to chase up this being advertised.
 Speciality Doctor post still vacant.
 Team Secretary Rona Ligertwood is retiring at the end of
March.
 Have a Clinical Psychology Trainee starting.
 Currently developing Steps to Change Group and hoping to
start a CFT Group. Also running a Contemplation Group
and Binge Eaters Group. Hope to also run an MBT Group.
 Currently have 9 people on the waiting list for Individual
Therapy.
YPD
 1400 referrals per year to generic CAMHS with around 50
per year for Eating Disorders.
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Still very busy and extremely under staffed.
Building links with Tier 4 Network to forge better links with
other services.
Developing draft Junior MARSIPAN Pathway.
Presented at the Scottish Parliament.
Looking at FBT work.
JM advised that Becky McKay from Gastroenterology will be
leaving in the near future and that she will be a huge loss and very
greatly missed.
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The Eden Unit
 Bed Availability
YE asked whether they could have improved information on
bed availability which would help when planning
admissions. How can we facilitate this?
It was agreed to carry this over to the Agenda for the next
AS
Eden Unit Review Group meeting in May.
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Referral Guidelines
Carry forward to next meeting.
It was agreed to move Further Development of Care Pathways
across regions to the Quality Assurance Sub Group meeting.
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Audit and Quality Assurance
Quality Assurance Sub Group
SA advised that the Grampian team have adopted the Tayside
model in getting the Patient Satisfaction Questionnaires sent out.
The next Quality Assurance meeting is on 22nd April at 10:30am.
Morbidity & Mortality Reviews
Recent M&M day was very helpful and the report is yet to be sent YE
out. YE is to email LK with a list of the people the report needs to
be sent to.
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IT Developments
Not discussed
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AOCB
 Funding for Social Work Post for Grampian ED Service
Not discussed.
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Ambulance Transport
Not discussed.
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Provision of Evidence Based Treatment for Patients
under 18
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Not discussed
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Psychology Input
Not discussed
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Acute Hospital Care for Tayside Patients
Not discussed

Eating Disorder Awareness Week 2014
Not discussed
**Dates for Meetings in 2014**
Thursday 12th June 2014
Thursday 11th September 2014
Thursday 11th December 2014
All meetings will be held in The Fulton Clinic Meeting Room, Royal
Cornhill Hospital, Aberdeen from 12noon – 2pm. VC Facilities will
be available.
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