MINUTE OF THE HEALTHY AND ACTIVE OUTCOMES GROUP
Held on Wednesday 6/4/16 at 1.30pm in Meeting Room 2 at
Summerfield House
Present:Dr. Elaine Allan - CHAIR
Anna Brockman
Joy Hay
Elaine McConnachie
Cecilia Thompson
Marlene Westland
Hilary Young
Apologies:Graham Donald
Pamela Cornwallis
Lorraine Currie
Maggie Hepburn
Jenny McNicol
Rachael MacDonald
Alex Paterson
Hazel Robertson
Laura Dodds
In Attendance:Anna Britain
Rachel Thompson
Lead Nurse, School Nursing, Aberdeen Health and Social Care Partnership
Lead AHP (Acute) Royal Aberdeen Children's Hospital
Senior Analyst - Public Health and Performance - NHS Grampian
Health Improvement Officer - Schools, Aberdeen Health & Social Care
Partnership
Interim CAMHS Manager & Head OT Adult Mental Health Directorate
Senior Health Improvement Officer, Aberdeen Health & Social Care Partnership
Service Manager, Aberdeen Health and Social Care Partnership &
Grampian Lead, Family Nurse Partnership,
Health and Wellbeing Development Officer, Aberdeen City Council
Lead AHP, SALT, Aberdeen Health & Social Care Partnership
Strategic Co-ordinator, Child Health, NHS Grampian
Liaison Officer, Integrated Children’s Services, ACVO
Head of Midwifery, NHS Grampian
Midwifery Manager, Aberdeen Maternity Hospital
Development Officer - Performance Improvement, Education and Children's
Services
CYPA Project Development Manager, NHS Grampian
Project Manager (Maternity Review & Child Health 2020)
Public Health Administrator (Minute)
Assistant, Health Improvement Officer - Schools, Aberdeen Health & Social Care
Partnership
No.
1.
Item
Welcome and Apologies
Elaine A welcomed everyone to the meeting and apologies were noted.
2.
Minute of the Last Meeting
Minute of the Last Meeting held on 2nd March 2016 was noted and approved as an accurate
account.
Healthy & Active Outcomes Group Minute - 6.4.16
Page 1
No.
3.
Item
Matters Arising from the Minute of the Last Meeting 2nd March 2016
Bernadette Oxley
Elaine A advised that Bernadette’s role had now changed and advised that the new
Chair for the ICS Improvement and Performance Group was Euan Couperwhite and she
would confirm with David Bliss that the agreement was still in place for an update to be
submitted from the HAOG every 3 months.
Mental Health Stretch Targets for Children and Young People
Elaine McC confirmed that a briefing paper on the proposed stretch aim had been
submitted to the ISC Board. They had decided not to accept these, with Gayle Gorman’s
concern being that they were based on using data from SALSUS. Valid points had been
made regarding children not in education or school would not be completing SALSUS. It
was suggested the Inclusion team and Rights Respecting Team may have appropriate
data and Graham Donald will be taking this forward on behalf of the HAOG. Cecilia
pointed out that a lot of young children do not have the necessary resilience. Elaine
advised that there had been a Resilience Matrix created and Cecilia asked to have sight
of this. Elaine McC confirmed that this could be sourced via Graham Donald and Cecilia
will make contact with him.
Elaine McC stressed the importance of the stretch aim being around wellbeing rather
than illness and the importance of keeping this to the forefront as not to lose sight of this.
Elaine McC explained that she had set up a small working group which will look at
establishing a dataset of indicators that could sit under the stretch aim to help in
achieving the necessary target.
ACTION: Graham will follow up with the Inclusion Team and Rights Respecting
Team to see if there is alternative data available.
ACTION: Cecilia to make contact with Graham Donald for the Resilience Matrix
(from Harlaw Academy).
Healthy & Active Outcomes Group Minute - 6.4.16
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No.
4.
Item
Healthy and Active Outcomes Group Action Plan
Elaine A confirmed that agreement had been reached that an update would be
submitted on a quarterly basis and it would be good if all the Outcome Groups
responded in the same way.
Alex Paterson, who has taken over from James Martin, has offered his support in
updating the covalent for us.
Teenage Pregnancy – Elaine A advised that Laura Dodds was leaving her current post
and drew attention to the need to have the correct membership on the HAOG.
School Nursing –Eunice Chisholm and Elaine Allan had raised an SBAR across
Grampian with regard to resource issues as a consequence of the immunisation
programme in schools. Elaine confirmed that 75% of school nursing time was taken up
with immunisation. The outcome has been that 6 fixed term 30 hour annualised hour
Band 5 Nurse posts and one 30 hour fixed term annualised hour administrative post
will be recruited, to support the immunisation programme. The fixed term time contract
will be from September until June 2017 and this is being looked at further to ascertain
whether these posts should be made permanent. Previously bank staff had been
utilised.
5.
Terms of Reference ‘refresh’
The revised paragraph to the front of the Action Plan was noted and approved.
6.
Plans 2015/16
 What has been achieved / What has been successful / Lessons Learnt
Marlene explained that the paper circulated was a summary of the outcomes from the
workshops undertaken over the past nine months.
It gave a reminder of the issues raised and highlighted at the events; it was very much an
‘aide memoir’. It was important to focus in on inequalities and how they are being
addressed and look at what has been achieved.
It was appreciated that not all in
attendance had attended all the workshops but any actions since then can be added.
Hilary said that the Health Visitor Pathway will be launched in May. All parents will
receive a booking pack and leaflet with a cover letter from their Health Visitor and will
have core visits, mostly in the first year. There are capacity issues; however an
incremental will be imbedded into the programme. There will be five new recruits
starting next year and in two years it is hoped that the health visiting service will be in
good shape.
There is currently no system in place other than from midwifes advising the Health
Visitor and as such some teenage mums are slipping through the net.
Healthy & Active Outcomes Group Minute - 6.4.16
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No.
6.
(Cont’d)
Item
Breastfeeding
Elaine McC said that she and Graham had raised the issue regarding breastfeeding in
schools and confirmation has been given that this is not discussed in schools. It was felt
there could be an opportunity for breastfeeding discussions to take place in the context
of parenting/life skills and a package that would be suitable is being looked into for
implementation.
Teenage Pregnancy
Elaine A explained that Westburn Centre had requested an identified NHSG lead for
Sexual Health. Westburn Centre support very vulnerable and Looked After Children
and the HSCP is looking to find a process that ensures that all get the necessary
immunisations. There are difficulties as some of the young people are not attending
school and it is a question of getting the gaps filled. Elaine A said that she had spoken to
one of the teachers who had indicated that there is a possibility that the Sexual Health
Lead will accompany the young person to the clinic and as such will give the necessary
support and help as needed. Lisa Allerton MCN has identified an appropriate contact.
Rachel drew attention to the work being undertaken at St Machar and will take this to
the learning partnerships with a view to rolling this out. One of the problems identified
was the lack of clarity among staff on where to signpost young people to and actions are
being identified to address this.
Elaine A said that there were difficulties arising within schools regarding supply of
condoms, and the lack of clarity as to who supplies them and drew attention to the
issues at Northfield. These issues are being led by the Head Teacher.
Hilary advised that peer support workers are linked to the Maternity Unit and it was
suggested that Teresa Hendry be invited to a meeting to explain the role of the peer
supporters and give an update on the project.
Marlene confirmed that she would be attending a MIN meeting on 21st April and Teresa
would be in attendance. It is hoped to have a clearer picture and identify what has been
successful.
ACTION: Teresa Hendry to be invited to a future meeting.
Mental Health of Children and Young People
Cecilia explained that ACC were reviewing/redesigning the CAMHS service and this
would give an opportunity to explore the best options. Cecilia said she would keep the
Group updated.
Healthy & Active Outcomes Group Minute - 6.4.16
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No.
6.
(Cont’d)
Item
Elaine McC said that the Mental Health Improvement Group required to have a model
of support in place for the framework, and with her imminent move to a new post there
was a need to identify who was going to take this forward. There are issues raised by
staff, such as lack of signposting and lack of support which needs to be addressed.
Elaine drew attention to the £75,000 Innovation Fund and suggested that consideration
could be given to utilising some of that. A small group has been set up to oversee the
spending of this fund and Cecilia is responsible for reporting back to the Scottish
Government. Elaine McC suggested getting feedback from young people for ideas and
also to look into support for teaching staff.
Marlene drew attention to David Alexander’s role and the risk attached to his
retirement. Cecilia expressed concern that there would not be someone in a mental
health role whilst mental health was such a high priority.
Hilary felt that there was a need for mental health to be part of nurse training and
advised that RGU will undertake bespoke training.
Anna Brockman said that she had recently been to an event at which Pauline Burns was
a speaker and gave an inspirational talk.
Elaine McC said that many schools have access to counsellors and Sheila Sansbury was
looking into counselling provision in schools across the City. Maggie Hepburn was
looking into establishing standards around counselling and it was agreed that she be
asked what is happening regarding this.
ACTION: Maggie Hepburn to give an update on the progress regarding standards
around counselling.
Effects of Drugs and Alcohol Abuse on Children and Young People
Elaine McC advised that education was doing an audit over the next year on drugs and
alcohol in schools. Marlene advised that alcohol licensing at events on school premises
had been brought up at the Health & Wellbeing Thematic Group and this was being
looked into further.
Marlene confirmed that Fraser Hoggan and Heather Wilson could complete the action
section on this.
ACTION: Fraser and Heather to be contacted to complete this section.
7.
Priorities 2016/17
Elaine A advised that she had already drawn Bernadette’s attention to the fact that there
was no lead officer to support the HAOG.
Elaine advised that the option appraisal which has just been undertaken for the HIO –
Schools posts outcome could lead to support for the HAOG and an update would be
available for the next meeting.
Healthy & Active Outcomes Group Minute - 6.4.16
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No.
8.
Item
GIRFEC – Briefing Paper
The paper circulated was noted.
9.
A.O.C.B.
Elaine A extended thanks to Louise Beaton, Elaine McC and James Martin for their
contribution to the HAOG.
Louise Beaton’s vacated post is currently being advertised.
Funding
Marlene highlighted the proposed cuts of approximately 10% to funding which could
affect future resources. She also advised that funding from NHSG would be coming
down in bundles. She suggested that finance in specific identified areas be looked into
at a future meeting. Elaine drew attention to the priorities for 2020 and these could be
looked at and discussed under finance.
Child Sexual Exploitation http://www.csethesigns.scot/
Rachel T drew attention to this and Elaine A said that there was a multi-agency group
that was looking at this with information being circulated on buses, taxi drivers and
doormen. Elaine A said she would circulate information on this.
ACTION: Elaine A to circulate relevant information.
Mental Health Work
Mental Health Work
Joy pointed out that work was being undertaken Grampian wide to look at bed
modelling and impact if services were moved. This includes Acute and Cornhill and
undertaking Adult Services first. Joy is also beginning a project to look at demand and
capacity modelling across Mental Health Services.
In March Joy attended a conference in Perth on Transforming Children's Services, which
included a data workshop focusing on a survey that was conducted by 5 health boards
and local authorities (not including Grampian) called ChildrenCount. She said she
would send information to the Group on the dataset.
There was a discussion around the Children's Mental Health Conference and Elaine McC
thought that Graham may be attending this on 12th May and Rachel agreed to check if
he was, as he could give feedback.
ACTION: Rachel T will check if Graham is attending this event.
School Profiles
Elaine McC drew attention to these, which had been discussed at the last meeting.
Rachel T is pulling a paper together which will be circulated when complete. Elaine A
said that this would be very useful for School Nurses.
ACTIION: Rachel to present paper at future meeting.
Healthy & Active Outcomes Group Minute - 6.4.16
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7 Golden Questions http://www.cypcs.org.uk/ufiles/Golden-Rules-children.pdf
Elaine A has sent away for these for School Nursed and LAC and will take to the Group
when they are received.
Infographics
Marlene advised that Health Scotland are putting this together and the link to this will
circulated to the Group when available.
No.
9.
Item
Date of Next Meeting
The next meeting and will take place as follows:
Date:
Wednesday 4th May 2016
Time: 1.30pm
Venue: Meetings Room 1, Summerfield House
Diary – Dates of 2016 Meetings:Day
Date
Time
Wednesday
04/05/16 1.30pm
Wednesday
01/06/16 1.30pm
Wednesday
06/07/16 1.30pm
Wednesday
03/08/16 1.30pm
Wednesday
07/09/16 1.30pm
Wednesday
05/10/16 1.30pm
Wednesday
02/11/16 1.30pm
Wednesday
07/12/16 1.30pm
Healthy & Active Outcomes Group Minute - 6.4.16
Page 7
Venue
Meetings Room 1, Summerfield House
Meetings Room 2, Summerfield House
Seminar Room, Summerfield House
Seminar Room, Summerfield House
Meetings Room 1, Summerfield House
Seminar Room, Summerfield House
Meetings Room 2, Summerfield House
Meetings Room 4, Summerfield House