Ninian advised there was an initial meeting of the group to discuss the current Lothian sleep service. A number of factors including other board referrals, lifestyles, and mandibular splints were discussed. From the discussion Ninian has put together a paper, which outlines suggestions of how to move forward and towards the savings suggested in the LDP. This includes looking to implement a referral pathway across all boards, encourage health behaviour change prior to being seen in the sleep service, and in particular around obesity/smoking/ and alcohol. noted the exercise referral programme which has 200 new participants a month. CBT with patients was also suggested. 10. AOCB informed the group that in the pneumoococcal vaccine was seen to have a positive effect on both the very young and very old, in preventing pneumonia however this was not found during tests in . It was found to have benefit for the very young but not for older people. Harry will circulate a copy of the paper. Harry will be travelling to to review the current algorithm for Pneumonia Harry informed the group that Professor Aziz Sheikh was made an OBE as part of the Queen’s birthday honours. Action: Forward copy of paper around vaccine (Harry) 11. Date and time of next meeting The next meeting of the group will take place: Date: Wednesday 16th July 2014 Time: 14:00 15:30 – Location: Seminar Room 6, Chancellor Building, RIE Summary of Actions Item Action Who When Done 2. Idiopathic Work up pathway for Nik/Ninian ASAP Pulmonary IPF with palliative/ Fibrosis (IPF) anticipatory care links. – Nik Hirani Add to MCN workplan Cat ASAP 3.1 Locate and send Bronchiectasis Bronchiectasis to Cat ASAP Shena website /SMP 3.3 Efficiency Data from Invest to Productivity Save project to be When work stream - when available Cat/Ninian Available
Ninian advised there was an initial meeting of the group to discuss the current Lothian sleep service. A number of factors including other board referrals, lifestyles, and mandibular splints were discussed. From the discussion Ninian has put together a paper, which outlines suggestions of how to move forward and towards the savings suggested in the LDP. This includes looking to implement a referral pathway across all boards, encourage health behaviour change prior to being seen in the sleep service, and in particular around obesity/smoking/ and alcohol. noted the exercise referral programme which has 200 new participants a month. CBT with patients was also suggested. 10. AOCB informed the group that in the pneumoococcal vaccine was seen to have a positive effect on both the very young and very old, in preventing pneumonia however this was not found during tests in . It was found to have benefit for the very young but not for older people. Harry will circulate a copy of the paper. Harry will be travelling to to review the current algorithm for Pneumonia Harry informed the group that Professor Aziz Sheikh was made an OBE as part of the Queen’s birthday honours. Action: Forward copy of paper around vaccine (Harry) 11. Date and time of next meeting The next meeting of the group will take place: Date: Wednesday 16th July 2014 Time: 14:00 – 15:30 Location: Seminar Room 6, Chancellor Building, RIE Summary of Actions Item Action Who When Done 2. Idiopathic Pulmonary Fibrosis (IPF) – Nik Hirani Work up pathway for IPF with palliative/ anticipatory care links. Add to MCN workplan Nik/Ninian Cat ASAP ASAP 3.1 Bronchiectasis website /SMP Locate and send Bronchiectasis to Shena Cat ASAP 3.3 Efficiency Productivity work stream - Data from Invest to Save project to be when available Cat/Ninian When Available