1.1 Welcome and Apologies ST. 1.2 Declaration of Interest All. 1.3 Minutes of the previous meeting ST Enc 1

Transcription

1 Meeting: Healthy Lifestyles, Harm Reduction & Tobacco Date: Tuesday 17 November 2015 Time: Venue: pm Bede House, Belmont Business Park, DH1 1TW AGENDA 1. INTRODUCTION Lead Enclosure 1.1 Welcome and Apologies ST 1.2 Declaration of Interest All 1.3 Minutes of the previous meeting ST Enc Matters Arising 2. AGENDA ITEMS 2.1 Smokefree Events - debrief from ; planning for CM/SF/ LC/MW 2.2 Update from Joint Communications Group MW 2.3 Community Pathways Update CS/LC/ SF 3. STANDING ITEMS 3.1 Any Other Business All 3.2 Next Meeting 4. MEETING CLOSE

2 Name of Group / Meeting: Healthy Lifestyles, Harm Reduction - Tobacco Date: 6 October 2015 Time: Venue: Present: Apologies: Brief Summary of Meeting: pm Bede House, Belmont Business Park Suzanne Thompson, Network Manager, NESCN ST - Chair Lesley Colley, Smoking Cessation Project Lead, TEWV LC Catherine Haigh, Chair, North East Together CH Mish Loraine, Regional Co-ordinator, North East Together ML Carol Mayes, Network Delivery Facilitator, SCN CM Sally Faulkner, Health Improvement, NTW SF Martyn Willmore, Performance Improvement Delivery Manager, Fresh MW Dianne Woodall, Public Health, County Durham DW Carole Johnson, Head of Health Improvement, Hartlepool Borough Council CJ Joy Evans, Public Health Lead, Gateshead Council - JE Anne Lewis, Network Administrator, SCN AL Paul Goldsmith, Neurological Conditions Clinical Lead PG Michelle Turnbull, Health Commissioning Manager, Sunderland CCG MT Angus Bell, MH Clinical Lead AB Claire Sullivan, Deputy Director of Health and Wellbeing, PHE CS Catherine Scott, Joint Commissioning Manager, Gateshead Council CS To progress with the work programme to tackle the physical health needs of those with mental health problems. Focusing initially on smoking/tobacco for both patients and staff in acute mental health services

3 KEY NOTES/ACTION POINTS: Draft until ratified at next meeting Agenda 1.1 Welcome and introductions ST opened the meeting, introductions were made and apologies recorded. 1.2 Declaration of Interest Nothing declared 1.3 Notes from previous meeting 25 Aug 15 Correction - Lloyds are being paid for delivery of level 2 stop smoking services for staff PHE have a slot on the 5 Nov meeting with CCG chairs to discuss Smoking in Secondary Care, Peter Kelly is presenting a paper and MW will be in attendance. The slide on Nicotine Withdrawal discussed at 1.4 iv is enclosed. 1.4 Matters Arising i. NRT consumables inconsistency AL Enc 1 The issue is CO2 monitoring consumables not NRT. TEWV have two registered in the trust and NTW have six. They are not being used consistently due to limited numbers. It has been discussed whether they should be used or not but due to low numbers they will not. ii. A smoke-free mental health service; suggested guidance for service users and carers A focus group was held and ML went through the feedback with the group. These will be circulated to the group. ML

4 Key points TEWV have recommend the use of e-cigarettes Carers felt that it was a potential Human rights issue It was felt that it was an undue pressure at an already stressful time Contraband finds its way onto the wards currently Would the NHS then go onto banning smoking on home visits for treatment The only time someone leaves their room is to go for a cigarette How would it affect therapeutic relationships with staff taking patients outside for a cigarette The smoking ban may lead to more people being sectioned as opposed to voluntary admissions They were not aware that this has happened elsewhere in the country Some patients might think an e-cigarette was some kind of conspiracy The smoking room should not be the same room as the TV room Other lifestyle factors should be considered when mentioning life expectancy Inpatient diets need to be better More availability of gyms and fitness trainers needed Lack of opportunity for escorted leave for smoking breaks Smoking is something that patients have control over Page 3 of 7

5 Once controls are imposed on people the knee-jerk reaction is to do the opposite Smoking cessation should be part of a care plan and done on an individual basis Would e-cigarettes be allowed through both trusts? Staff could be viewed as police on the wards The needs of non-smokers need to be considered also Support needs to be in place for patients to stop smoking before a hospital admission Lack of Talking Therapies available The overall mood of the discussion was that all could see the value of not smoking and the reasons behind it but were uncomfortable taking something away from people that they currently rely on. Emerging Themes for the events E-cigarettes Other activities that people can do How to use the intelligence available Perception of risks and countering these Psychosis some drugs are much more effective without nicotine Managing challenging behaviour Human rights demonstrate previous judgements Page 4 of 7

6 iii. Friends and Family (F&F) Test update (TEWV) 2.1 Service User and Carer Stakeholder Events A staff survey has been completed and the analysis has been done. 153 staff responded, 30% were smokers, 31% previously smoked 80% smoke at least 20 a day 61% spend over 20 a week on smoking Willpower was considered the most important thing. 63% either not smoking or starting to stop smoking. 7% did not want to stop at all. A high proportion of staff want a voice about stopping smoking in the trust. More communication is needed to all staff to make them aware of the timescales and why the trust is doing this. LC will link with the TEWV communications team to enable this. The draft agenda was circulated and discussed. TEWV Lead Elizabeth Moody, Director of Nursing & Governance able to attend for the Welcome. The group discussed the importance of having a senior member of the Trust as a co-chair and discussed the option of possibly changing the date if it was impossible to find a representative for the date. LC will check whether Elizabeth can stay for the whole afternoon to co-chair the day. LC LC Page 5 of 7

7 NTW Lead Damian Robinson & Sally Faulkner CS has confirmed that Seamus Watson will be at both events but will need clarification on the presentation required. CM/MW/LC/SF Simon & Phil Hough Daily rate is charged, group to decide how best to utilise their time for the whole day Themes Perception of risk Use of e-cigarettes Questions raised in advance Questions & answers facilitated by Simon & Phil, give them the feedback from the focus groups Use of a video during the events TEWV do not have the facility to create a video but the communications team at NTW do although there are no service users available to be involved. ML will get in touch with Angela? who has been involved with NTW previously The group discussed this further and agreed that this is something that would be better used when trusts actually go smoke free. Consent to use images from the day MW continuing to look into this. ML MW Page 6 of 7

8 Evaluation & Feedback Comments to be made through the day via post-it notes on the tables. Catherine to work with Carol to find the best way of doing this. Need facilitators for table discussions with job titles. MW to provide brief for Seamus Watson. CH/ML to provide brief for Phil & Simon. ST to contact the Trusts to discuss the funding of service user expenses. CH/CM CH/CM MW CH/ML/CM ST 2.2 Update on Trust project plans 2.3 Update on SCN project plan 2.4 Update on Communications Group Not discussed. Defer to next meeting. Not discussed. Defer to next meeting. Not discussed. Defer to next meeting. 3.1 Any Other Business None. 3.2 Next Meeting Tuesday 17 November 2015, pm, Bede House, Belmont Business Park, DH1 1TW. Page 7 of 7