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South West Surrey
Valuing People
Group
South West Surrey Local Valuing People Group - November 2016 Minutes Page 1
Minutes of our November 2016 Meeting
We met at:
10:00am to 12:30pm
The Meeting was Chaired by
Nicky Palmer and Daz
Anderson.
Ash Community Centre, Ash Hill
Road, Ash, Surrey, GU12 5DP.
What we talked
about today
South West Surrey Local Valuing People Group - November 2016 Minutes Page 2
Minutes of our last meeting
Updates from members
Community Event
Smoking Cessation
Health Update
Who came to our
meeting
South West Surrey Local Valuing People Group - November 2016 Minutes Page 3
Alison Cooper Parity for Disability
Amanda Swindell In Touch
Barry Hobbs KAG
Chris Esson Surrey County Council
David Muir Service User/SABP LD Governor
Daz Anderson Service User/Co-Chair
Joyce Simms Surrey and Borders Partnership
Kathryn Fisher Guildford and Waverley CCG
Linda Stonestreet Service User
Lisa Knapman Surrey Choices
Nicky Palmer Surrey and Borders Partnership
Rob Berry Surrey and Border Partnership
Sarah Linington Surrey County Council
Sian Williams Phyllis Tuckwell
Tisha Mitchell In Touch
Tony Hall Family Carer
Yasmin Broome Surrey Coalition
Apologies Received from:
Anthony Gorham
Craig Farr Surrey County Council
Jill Budd Surrey Choices
Mathew Hall End User
Matthew Peaker Surrey Couty Council
Natasha Hall End User
Rosie Broomer SCC Mallow Crescent
Samantha Hart Halow
Sara Truman National Autistic Society/Family Carer
Thursday 15 September 2016
Minutes of our
last meeting
South West Surrey Local Valuing People Group - November 2016 Minutes Page 4
The Minutes from the last meeting on 15 September
2016 were agreed as being correct.
Tony Hall said that the group is moving in the right
direction and these were a good set of Minutes.
Surrey and Borders Partnership Tobacco
Management Strategy
The Surrey and Borders Partnership (SABP) Tobacco
Management Strategy states: “Our core purpose is
to work with people and lead communities in
improving their mental health and physical wellbeing
for a better life”. Collaborating with partners, Surrey
and Borders Partnership will work with people to
eliminate or support their reduced dependence on
tobacco in their lives, including enabling people to
remain abstinent from tobacco whilst on the premises
and/or whilst conducting Trust business (staff).
Smoking Cessation
Presentation from Rob Berry
Presentation from Rob Berry
Smoking Cessation
South West Surrey Local Valuing People Group - November 2016 Minutes Page 5
From 2 October 2017, people who use services, staff
and visitors will no longer be permitted to smoke
tobacco on any Surrey and Borders Partnership
(SABP) NHS Foundation Trust premises, including all
grounds and gardens. This follows NHS England
guidance which recommends all mental health trusts
should be smoke-free by 2018.
It does not apply to private or group homes.
To help support this transition, SABP will be working
alongside the smoking cessation service, Quit 51, to
ensure all relevant staff have the training to provide
effective advice to people who use services.
Presentation from Rob Berry
Smoking Cessation
South West Surrey Local Valuing People Group - November 2016 Minutes Page 6
A smaller number of staff will receive higher levels
of training to undertake assessments and provide
Nicotine Replacement Therapy (NRT), which will
be carried out within 30 minutes of people’s arrival
at Trust hospitals. NRT uses replacement nicotine
substances such as gum, patches, inhalators,
tablets, lozenges and sprays to assist with
abstaining from tobacco.
Studies show that stopping smoking is also
associated with reduced depression, anxiety and
stress and improved mood and quality of life, with
an effect that is equal or larger than
antidepressant treatment.
About 20% of adults in Surrey smoke. People with
a Mental Health condition are more likely to smoke
and those with a learning disability are less likely
to smoke.
How will staff be affected?
Staff will not be able to smoke during paid working
hours, including whilst travelling during the working
day or in paid breaks. Staff will be able to smoke
during unpaid breaks, although not on SABP
premises. To ensure staff have a proper break
from the workplace, they will not be able to split
longer unpaid breaks in to shorter, more frequent
breaks.
Presentation from Rob Berry
Smoking Cessation
South West Surrey Local Valuing People Group - November 2016 Minutes Page 7
How will a smoking ban be enforced?
Surrey and Borders Partnership acknowledge that a
smoking ban will be very difficult to enforce and their
energy will be focussed on supporting people to quit,
rather than seeking out those who cannot or will not.
Where people are found to be smoking, this will be
managed in a non-confrontational way. It is proposed
that relevant policies will be written and/or amended
to reflect policy. SABP will review care plans of
people who use services who persistently smoke on
the premises. Likewise, SABP may consider taking
appropriate action against staff.
Won’t a smoking ban for people who are
inpatients increase incidents of aggression, as
well as the number of people who go missing?
This is a real concern for many people, but it is not
supported in the literature or in the reported
experience of other trusts. SABP hope that their
reviewed activities and staff time which is freed from
taking people outside to smoke will offer people
increased opportunities to engage positively.
Additionally, full support, including NRT, will be
available on all SABP wards.
SABP do recognise, however, that this will be very
difficult or disagreeable for some people.
Presentation from Rob Berry
Smoking Cessation
South West Surrey Local Valuing People Group - November 2016 Minutes Page 8
Joyce Simms said that she will be encouraging staff to
use the recording system to show incidences of a
change in behaviour linked to the smoking cessation.
What about vaping?
This currently remains an unanswered question and an
area SABP are particularly keen to hear from people
about.
SABP plan to allow the use of disposable e-lites/e-
cigarettes in outdoor spaces and possibly some
designated indoor spaces. This includes our inpatient
units. This is broadly in-keeping with other mental health
trusts which are already managing the use of tobacco.
As of yet, SABP are undecided about the use of
chargeable vaping devices (of the refillable variety). The
smoking cessation service advice is that they are a
valuable tool in quitting smoking, but it is believe that
other mental health trusts do not allow their use in
inpatient services. There are possible risks, for example,
with charging, consumption of the liquid and ‘vaping’
other substances.
Issues raised by Group Members
Kathryn Fisher said information will be needed in Easy
Read. Rob Berry said that he would feed this back.
However there already exists an Easy Read Draft
Strategy.
Presentation from Rob Berry
Smoking Cessation
South West Surrey Local Valuing People Group - November 2016 Minutes Page 9
Rob accepted Barry Hobbs’ invitation attend to the
Self-Advocacy Group Meetings.
Next Steps
• Surrey and Borders Partnership will be gathering
views until 19 December 2016.
• The recommendations will be presented to the
Surrey and Borders Partnership Trustee Board
during January 2016.
• March/April 2017 will see the start of the
implementation phase.
Further Information
Website: www.sabp.nhs.uk/aboutus/care-2-quit
Email: helen.wood@sapb.nhs.uk
South West Surrey Local Valuing People Group - November 2016 Minutes Page 10
Update from Sarah Linington
Community Event
The group discussed arrangements for the
next Community Event which is due to take
place on 15 December 2016.
At the last meeting it was agreed to base the
event around the theme of ‘Keeping well
during winter’. Members of the group
suggested including the following:
• Keeping Warm – Claire Dawson (Surrey
Community Action) – possibly link with
Telecare
• Fire Safety – Tessa Schooling (Surrey Fire
and Rescue)
• Alcohol Awareness – Street Angels
• Chair exercises – Nicky and colleagues
• Keeping Healthy – Nicky and colleagues
• Mental Health stands (Safe Havens)
• Sensory Session – TBC (Parity)
Barry Hobbs said that he would produce a
flyer which lists all the activities available over
Christmas such as lunches. He also said that
he would bring the sound system.
Action: Barry Hobbs
Kathryn Fisher said she would also invite the
Rock Choir.
Action: Kathryn Fisher
South West Surrey Local Valuing People Group - November 2016 Minutes Page 11
Priorities
The commissioning of Learning Disability
services has now been transferred to
Guildford and Waverley Clinical
Commissioning Group (CCG).
The same people are responsible for both
children and adult services. Guildford and
Waverley CCG are looking at how to achieve
an all age Learning Disability service to
prevent the issues which often emerge during
transition. A new Transition Manager has
been appointed.
Guildford and Waverley CCG are currently
looking at how to transform services.
Learning Disability is one of the top health
priorities for the CCG. Kathryn said she
would do a presentation about this at a future
meeting.
Action: Kathryn Fisher
Health Action Plans
A Health Action Plan is a personal plan
about what a person needs to do to stay
healthy. It lists any help that they might need
in order to stay healthy and makes it clear
about what support they might need.
Health Update
Update from Kathryn Fisher
South West Surrey Local Valuing People Group - November 2016 Minutes Page 12
Barry Hobbs said that there is a template on
easyhealth.org.uk which is hosted on the
health section of the Surrey Learning
Disability Partnership Board website:
http://www.surreypb.org.uk/
Tisha Mitchell said that whilst a lot of people
have Health Action Plans, they often don’t
use them.
Nicky Palmer said that she would speak to
the new Nurse Manager for Acute and
Primary Care Liaison.
Action: Nicky Palmer
Kathryn said that she will be sending out
Health Action Plan data.
Chris Esson said that from April 2017, all
CCG’s will be required to state in their
operational plans how they will make sure all
GP’s do Annual Health plans/checks.
Kathryn said that the Learning Disability
Health Programme Board has recently been
re-started and people can feedback their
concerns.
Health Update
Update from Kathryn Fisher
South West Surrey Local Valuing People Group - November 2016 Minutes Page 13
Sian Williams said that she was a clinical
nurse specialist in palliative care. She does
training for nurses and health and social care
assistants.
Sian has looked into the issue of carrying out
pain assessments. She has used the Abbey
Pain Scale, which is for the measurement of
pain in people who cannot verbalise. She
said she would like to see the CCG’s
promoting this. Nicky Palmer said that she
would send Sian information about previous
training Surrey and Borders Partnership
(SABP) have done around pain management.
Nicky also said that she would link Sian to the
Surrey Recovery College.
Action: Nicky Palmer
David asked for a contact within NE
Hampshire and Farnham CCG. Nicky said
that she would send him details.
Action: Nicky Palmer
.
Health Update
Update from Kathryn Fisher
South West Surrey Local Valuing People Group - November 2016 Minutes Page 14
Health and social care integration
Chris Esson said Surrey Heath Clinical
Commissioning Group (CCG) and Surrey
County Council are starting a wide-ranging
and ambitious programme of integrating
health and Adult Social Care.
Health Update
Update from Chris Esson
South West Surrey Local Valuing People Group - November 2016 Minutes Page 15
The aim is to create a one place, one budget, one team model with the
CCG as the lead organisation.
These integration plans follow 18-months of change in the CCG area
including:
• 8 to 8 working for General Practice.
• Three GP hubs created with integrated care teams encompassing
Mental Health, Community Nursing and Social Care (7 staff now
appointed and dedicated to the Integrated Care Team).
• Co location of rapid response and reablement staff.
• A single point of access to the above services (one telephone number).
Chris said that one of the benefits is that people only have to tell their story
once. Nicky asked if the primary and acute liaison nurses have been
involved. Chris said they have not, as services are primarily aimed at
people aged 65+.
The Voluntary sector are also included.
Chris said that there are some logistical issues, such as IT and space.
Chris said that the way the integrated care teams are being set up in Surrey
Heath may be different to other areas.
Nicky said that Surrey and Borders also will have a ‘Single Point of Access’
with the launch of their new 24 hour crisis mental health service, which will
include telephone advice and triage, home based assessment and home
based treatment for Surrey and NE Hants.
Health Update
Update from Chris Esson
South West Surrey Local Valuing People Group - November 2016 Minutes Page 16
Flu vaccination:
• Neurological conditions, including learning disability,
are now included within the eligibility criteria for
getting a free flu vaccination.
• Carers (including young carers) and people who live
in the same household as someone with a diminished
immune system are also eligible.
• You can get this from your GP, or (if over the age of
18) from a number of local pharmacists.
• For those who cannot have an injection, GPs do have
vaccine in the form of a nasal spray. However, this
has been developed and purchased for 2-4 year olds,
not adults. Whilst it can be used on others, it may not
be as effective as the injection. It is up to each
individual GP practice to decide if they have enough
stock and are able to give the nasal spray to others,
so please discuss with your GP.
• A full list of eligibility criteria for free flu jabs is
available on the Guildford and Waverley CCG website
at www.guildfordandwaverleyccg.nhs.uk/health-
campaign.aspx
• Those who are not eligible for the free vaccination
may still purchase these at pharmacists.
Health Update
Update from Kathryn Fisher
Group Members told us their news
South West Surrey Local Valuing People Group - November 2016 Minutes Page 17
Updates from
Members
Group members told us their news
Self Advocacy Groups
KAG
Surrey County Council has been reviewing
advocacy services across the County in order to
improve and develop this valuable support
provision for local residents. As at result a
retendering for the provision of advocacy support
in Surrey has taken place.
The new tender is due to be awarded in January
2017.
Barry Hobbs said that the Advocacy Groups have
written to the commissioner of this service and
asked to be involved in the interviewing process.
Their request was declined.
David Muir said that he was concerned that this
would be the end of the Self Advocacy Groups.
It was agreed to get an update for our January
2017 meeting.
Group Members told us their news
South West Surrey Local Valuing People Group - November 2016 Minutes Page 18
Updates from
Members Continued
Group members told us their news
MPs Code of Conduct - Committee on
Standards
Chris Esson told the group about a consultation event
about MPs Code of Conduct - Committee on Standards.
It is being held as follows:
Date: Thursday 8 December 2016
Time: 13:30 - 16:00
Venue: Guildford Institute
Ward Street
Guildford
GU1 4LH
Booking Details:
https://www.eventbrite.co.uk/e/mps-code-of-conduct-
committee-on-standards-tickets-
29402652124?aff=eivtefrnd
Surrey County Council
Group Members told us their news
South West Surrey Local Valuing People Group – November 2016 Minutes Page 19
Updates from
Members Continued
Group members told us their news
AGM
Yasmin Broome said that Surrey Coalition held their
AGM on 11 October 2016. They had responded to
feedback from Advocacy Groups after last year’s AGM,
to make sessions more interactive and shorter.
Surrey Coalition
Alison Cooper said that she has heard that if anyone
needs more than 8 hours of care, the preferred model is
residential care. None of the other group members said
that they had heard this.
Nicky Palmer said that she would give Alison the contact
details for Surrey Down CCG, as they have the lead for
Continuing Health Care.
Action: Nicky Palmer
Parity
Group Members told us their news
South West Surrey Local Valuing People Group - November 2016 Minutes Page 20
Updates from
Members Continued
Group members told us their news
Christmas Closure
Lisa Knapman said that Surrey Choices would be closed
between 24 December – 2 January because of
Christmas.
Surrey Choices
Group Members told us their news
South West Surrey Local Valuing People Group - November 2016 Minutes Page 21
Updates from
Members Continued
Group members told us their news
Individual Updates
Tony Hall said that that we need to be clear about the
distinction between the Disability Action Alliance and
the Surrey Disability Alliance Networks.
Tony said that he recently attended a meeting for the
parents and carers of Rushmoor.
Tony said that he attended a session of Mixed Ability
Rugby being run by Chobham RFC.
South West Surrey Local Valuing People Group - November 2016 Minutes Page 22
Any Other Business
Group members told us their news
Nicky Palmer made a request for more service users
to attend our Valuing People Group Meetings.
Lisa Knapman said that she would look at this.
Action: Lisa Knapman
Sarah Linington said that she would circulate the 2017
Meeting dates.
Action: Sarah Linington
South West Surrey Local Valuing People Group - November 2016 Minutes Page 23
Date and venue of
our next meeting
South West Surrey Local Valuing People Group
Our next meeting will be on 19 January 2016 from 10am to
12.30pm.
We are meeting at:
Ash Community Centre,
Ash Hill Road, Ash, Surrey,
GU12 5DP.
For more information about our group contact:
Nicky Palmer:
Phone: 01932 876666.
Email: nicky.palmer@sabp.nhs.uk
Sarah Linington:
Phone: 01483 518880 / 0781 6077122.
Email: sarah.linington@surreycc.gov.uk
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