British Association for Music Therapy
British Association of Art Therapists
British Association of Dramatherapists
British Association and College of Occupational Therapists
The British Dietetic Association
British Association of Prosthetists and Orthotists
British and Irish Orthoptic Society
Chartered Society of Physiotherapy
College of Paramedics
Royal College of Speech and Language Therapists
Society of Chiropodists and Podiatrists
Society and College of Radiographers
AHPFS MEETING
Thursday, 10 September 2015 between 10.30am and 3.30pm
Room 3, NHS Education for Scotland, Westport 102, Edinburgh
MINUTES
1.
Welcome and introductions
Present
Dawn Mitchell – Deputy Convenor (Chair)
Emma Maclean – British Association for Music Therapy
Kate Pestell – British Association of Art Therapists
Karen Fenna – British Association of Art Therapists
Gen Smyth – British Association of Dramatherapists
Adam Longhorn – College of Paramedics
Lynne Rowley – British Association of Prosthetists & Orthotists
Marjory Macleod - British Dietetic Association
Margot McBride – Society & College of Radiographers
Lawrence Ambrose – Society of Chiropodists & Podiatrists
Janice McNee – Chartered Society of Physiotherapy
Kenryck Lloyd Jones – Chartered Society of Physiotherapy
Marie Gascoigne – Royal College of Speech & Language Therapists
Shonagh McEwan - Royal College of Speech & Language Therapists
Mary McFarlane – Secretariat
Guests
Iain Colthart – Research & Information Officer, NES
Lucie McAnespie – AHPFS rep on Scottish Government Health & Social Care Partners Group
2. Apologies
Rachael King, Convenor
Fiona Monaghan, British Association of Prosthetists & Orthotists
Joyce Thompson, British Dietetic Association
Neil Freshwater, British Dietetic Association
Dahrlene Tough, College of Paramedics
Maria Murray, Society of Radiographers
Kim Hartley Kean , Royal College of Speech & Language Therapists
Kirsty Dewar, College of Occupational Therapists
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Gaby Stewart, College of Occupational Therapists
Robert Peat, Society of Chiropodists and Podiatrists
Karen Utting, Society of Chiropodists and Podiatrists
Philippa Derrington,British Association for Music Therapy
3. Approve Minutes
The Minutes of the meeting held on 14 May 2015 were approved, subject to
amendments: p8 substitute ‘Art Therapy’ for ‘dramatherapy’ in BAMT report; and
p10 correction of initials for CSP under Work plan.
4. Guest Speakers
The Chair welcomed Iain Colthart (IC) to the meeting. IC reported that eight AHP
Workforce reports had been produced by NES with the intention of establishing a
robust data platform looking at AHPs in training and in the workplace (one still in
preparation). Multiple data sources had been accessed to inform these reports.
NES is now looking at the value of the reports and what to do next. IC would
welcome feedback from members – comments included absence of reference to
CYP services (SLT); absence of data relating to therapists working outside NHS of
whom there are increasing numbers; reference to data from HEIs in Scotland but
training not provided for all therapies; problems identified over data gathered by
smaller professions - lack of anonymity due to small numbers; information on
demand for services not included. A number of questions not answered eg. age
profile might be useful in planning for future, no reference to educational needs
across services.
Action
The Chair thanked Iain Colthart for attending the meeting and urged members to
send feedback as quickly as possible.
Members
IC’s presentation would be circulated to members by e-mail.
Sec
The Chair welcomed Lucie McAnespie (LM) to the meeting. LM had been
appointed as AHPFS representative on the Scottish Government’s Health and Social
Care Partners Group and had just attended the first meeting of the group.
The group was large - amalgamates the Integration Implementation Group and the
Health and Socialcare Delivery Group. Discussion of the group’s remit had taken
place. There will be four meetings during the year – the next one will be in mid
November.
LM needs a steer from AHPFS on what is important to convey to the group. Aim to
show civil servants that AHPs are positive and progressive. It was suggested that it
would be good to put together a short paragraph on the value of AHPs in relation to
each of these – with an example for each outcome.
Updates on the National Conversation would be reported to the group – LM asked
members to share with her any contribution they make to this. Suggested that
AHPFS might organise an event to tie in with the National Conversation – create a
platform to celebrate good practice – to a wider audience (non AHPs).
All
All
LM listed some of the topics discussed - postcode lottery in service provision; how
are partnerships working; housing; our voice; communication; workforce (not just
doctors and nurses); GP contracts; Healthier Scotland – review of primary care.
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LM would like to hear from AHPs what they think of primary care.
All
Lots of small alliances within the group – where should AHPFS sit? Have something
in common with Alliance and other third sector organisations but is this the right
position.
Members were challenged to say something about Integration and importance of
working in partnership – remember AHPs are there. Examples of partnerships in
health and social care integration would be useful.
LM needs information about the professions to fill gaps in her knowledge. More
depth on certain topics may be required. Janice McNee will look for snapshot
information on AHPs used by HIS.
JM
The Chair emphasised the importance of responding promptly to requests for
information/feedback – timescales often short so communication should be direct
not via Secretariat.
All
To facilitate communication between members and LM it was agreed that Sec
would send open address list to LM.
5. Matters Arising
 Help for Smaller Professions
No update. Check any progress with TM.
 Scottish Parliament Debate: AHPs enabling active and independent living
KLJ reported that an amendment about loss of Band 7 posts had been accepted as a
result of debate – he would meet with Tracy MacInnes to discuss this; opportunity
here for other professions too. Focus must be on patient need. Concern about
erosion of specialist services. Parliamentarians supportive of AHP services. Discuss
where to go with this under Work Plan.
KLJ will report back on meeting with TM. Suggest Professional Bodies might
identify where cost saving is false economy – evidence of impact needed. Good to
pool information – KLJ agreed to set up a file to gather information from across AHP
bodies.
Adam Longhorn stressed the importance of evidence to support investment in
services and demonstrate how investment saves money eg. falls tool.
 Possible meeting with Academic Heads
Chair to follow up contact locally.
 Draft Terms of Reference of AHP Strategic Workforce Steering Group
Members agreed this was an important group – and that workforce planning was
needed at strategic level. The Chair indicated that for HEIs this group is vital. It
appeared that AHP students were being disadvantaged in relation to nursing
students in terms of funding and conditions. Important to push for AHPs and to
demonstrate breadth of impact. Need for investment in professional development
as well as in recruitment and training of students. Long term view.
Members agreed that the group should continue to exist – present solutions to the
Scottish Government.
Comments on the draft: a patient group representative should be on the Group; no
reference to what constitutes a quorum.
Sec
Chair
DM
MM
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CSP template for patient stories can be shared.
JM/Sec
6. Reports
a) Convenor’s Report (Circulated in advance)
The Convenor’s report had been circulated. The Chair highlighted the main points
discussed with Tracy MacInnes – meeting with ADSG ; Sustainability and Seven Day
Working; meeting with the Cabinet Secretary for Health (24 September); student
support – no further information on equitable treatment for AHP students.
b) Professional Body Reports

British Association of Dramatherapists (circulated in advance)
Genevieve Smyth reported that one dramatherapist from Dundee rep Theatre has
gained funding to establish a Dramatherapy Service in Castle Huntly prison and has
been warmly welcomed there.
Criminal Justice would be raised at a meeting with Shona Robison.

Society of Radiographers
Margot McBride reported that main concerns centred around workforce.

Chartered Society of Physiotherapy
Janice McNee reported that CSP working on policy development- 3 key strands:
primary care, integration and workforce planning.
MSK 4 week target remains a challenge.
Recent appointment of a .5 WTE professional advisor based in Scotland.
Falls tools launched.
Conferences: Physio UK in October; Student conference in October.
Scottish Board training on promoting the profession and dealing with the media
followed by evening reception with key stakeholders and MSPs early December.

Royal College of Speech & Language Therapists
Shonagh McEwan reported current main workstreams: Holyrood influencing,
Manifesto asks, CYP Act, Community Justice Act and Inclusive Communication.

British Association for Music Therapy
Emma Maclean reported that there had been a Parliamentary Debate at
Westminster on Music Therapy and Dementia in June and a strategy is being
developed. A similar eventat the Scottish Parliament is being planned in January –
she invited members who are interested in this to get in touch.
BAMT will be holding a Conference in Glasgow in 2016. This event is about revisioning the music therapy voice in line with service users, health professions and
funders. http://www.bamt.org/about-british-association-for-music-therapy/bamtconference-2016.html. Deadline for submission of papers is the end of October.

Society of Chiropodists & Podiatrists
Lawrence Ambrose (LA) told the meeting that principal focus was on workforce
issues. A recent survey of members brought a 20% response – including 11% of
members in Scotland. Those members would be targeted for more information.
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
College of Paramedics (Report tabled)
Adam Longhorn reported that the COP Career Framework had been published –
interest from other professional bodies re format and content.

British Association of Art Therapists
Kate Pestell reported that she had been working to bring Arts therapies together.
Fellowship funding for training had been awarded – focus on mentalisation in Arts
Therapies.
Karen Fenna reported that she is employed by the Teapot Trust. She travels all over
the country providing Art Therapy in hospitals, predominantly for children. She
wonders how their service is represented in workforce statistics. Most of their
members work in NHS settings, but are not employed by NHS. She is keen to
encourage thinking beyond the NHS and hopes that integration will help – keen to
have representation in partnership working. She sees the Alliance as a powerful
ally.

British Dietetic Association
Marjory Macleod reported that Dietitians Week would become an annual event –
and would be linked to a Parliamentary event. The theme this year would be
Dementia. BDA has appointed a new Chair. Workplace health is a key theme for
BDA and they are seeking opportunity to raise this in Scottish Parliament.
Complex Nutritional Care standards have come into force. Food in hospitals must
meet specification for food and fluids. Allergens must be listed.
Independent prescribing for dietitians is progressing.
Scottish Government views on early intervention are relevant to dietetics.
7. Work Plan
The Chair thanked Marie Gascoigne (MG) for the work she had done on producing a
visual representation of the themes within the draft Work Plan. MG was asked to
update the plan based on the ensuing discussion.
MG
The headings were discussed and the acronym EASI was coined: Engage – Advise –
Support - Influence.
Need to agree what information is required to influence – can this be held centrally
where everyone can access it eg iCloud. Adam Longhorn suggested that NES might
be able to host this: he will make enquiries.
Janice McNee provided a visual representation of the bodies that AHPFS might
influence or forge links with. Some additions required. Copy to be circulated by email.
AL
JM
8. Any Other Competent Business
 RCN hosted workshops on National Primary Care Out of Hours Services Review
The Chair thanked Gaby Stewart for attending these workshops on behalf of AHPFS
and for her report. (circulated in advance)
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 SLD Mental Health Summit
Unfortunately no-one had been able to attend this event on 30 July. Sec to enquire
whether a report was published.
Sec
 Training in Public Health for AHPs
Delivery of public health messages should be integral to role of AHPs. Need for
training and consistent approach. Two on-line modules available through NES.
AHPFS could act as vehicle to highlight the opportunities available for AHPs to learn
about delivering the message. Agreed to raise the subject with Sonya Lam when
she attends next meeting of AHPFS and also at the NES AHP Advisory Group
meeting in December.
Lawrence Ambrose will send a paper for circulation to AHPFS members.
LA/Sec
 Buurtzorg Model of Healthcare
Tracy MacInnes had shared this modeal of healthcare with AHPFS and asked for a
view. Members agreed that cost savings were beneficial and that the whole person
approach was important. Although the Buurtzorg model was nurse centred it was
felt that this could equally be centred on AHP – multi disciplinary care is key.
The trial of the Alaska model had petered out when the GP leading it retired, but
members agreed there had been a lot of ‘good stuff’ in the model.
AHPs would be keen to work with Scottish Government to develop and trial
something new.
 NES Fellowship on AHP Enhanced Third Sector Working
An interim report on this Fellowship, awarded to three AHPs from Ayrshire and
Arran HB, was circulated prior to the meeting. These AHPs were interested in
meeting with AHPFS. Members suggested it would be good to have a report from
them and to invite a representative from the Alliance to the same meeting. (Feb?)
Sec/Chair
It was noted that there had been 128 applications for the current round of AHP
Fellowship funding.
9. Dates and venues of Forthcoming meetings
Thursday, 26 November 2015: Eric Liddle Centre, 15 Morningside Road.
Thursday, 11 February 2016: Healthcare Improvement Scotland, Gyle Square.
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