Scottish Borders Council

Agenda and minutes

Venue: Council Chamber, Scottish Borders Council

Contact: Iris Bishop  Tel: 01896 825525 Email:  iris.bishop@borders.scot.nhs.uk

Items
No. Item

1.

ANNOUNCEMENTS & APOLOGIES

Minutes:

Apologies had been received from Cllr Catriona Bhatia, Cllr Jim Torrance, Mrs Evelyn Rodger, Mrs Elaine Torrance, Mr John McLaren, Mrs Fiona Morrison, Dr Angus McVean, Mrs June Smyth, Mrs Tracey Logan and Ms Sandra Campbell.

 

The Chair confirmed the meeting was quorate.

 

The Chair welcomed newly appointed Andrew Murray, Medical Director, NHS Borders to the meeting.

 

The Chair welcomed members of the public to the meeting.

 

2.

DECLARATIONS OF INTEREST

Minutes:

The Chair sought any verbal declarations of interest pertaining to the single item on the agenda.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted there were none.

 

3.

Health & Social Care Partnership Financial Statement 2016/17 and assurance over the sufficiency of resources pdf icon PDF 144 KB

Additional documents:

Minutes:

Mr Paul McMenamin gave an overview of the content of the paper highlighting: historical funding; temporary measures; savings targets; determination of 16/17, 17/18 and 18/19 budgets; mitigation of risks; horizon scanning; and the governance arrangements in place for the partnership.

 

Mrs Jane Davidson advised that the budget from NHS Borders was indicative as was the efficiency plan and that it would be confirmed as the year progressed as the Health Board had yet to approve the budget.  She reiterated that it was a fair and reasonable assessment of NHS Borders’ expectation from Scottish Government.

 

The Chair questioned if the amount of outstanding efficiency was reducing.  Mrs Davidson advised that the main areas were the Alcohol and Drug Partnership and Dental Services.  She advised that plans were being worked up to redesign to deliver similar outcomes and other opportunities were also expected to be identified.

 

Mr John Raine thanked Mr McMenamin for a comprehensive and detailed report.  He noted that the £5.26m made available by Scottish Government in respect of health and social care was to be split, with 50% of the sum used for releasing cost pressures in social work taking into account the living wage and cost of reducing charging thresholds.  Mr Raine enquired how the other 50% would be used, if it was intended to be additional monies and represented additionality, and if it was for the Health & Social Care Integration Joint Board to determine the use of that funding?

 

Mr McMenamin confirmed that the uncommitted amount in theory was for the Health & Social Care Integration Joint Board to direct as additionality and he cautioned that the full implications of the cost of the living wage on the full financial year were not yet known as well as other unknown factors.  Mr Raine sought confirmation that Mr McMenamin was suggesting the full £5.26m could be swallowed up in meeting the cost of the living wage and unknown factors as anticipated at present and Mr McMenamin confirmed that this may in fact be the case given the current estimates represented only a part year impact.

 

Mr Raine commented that he understood there was a clear steer from the Cabinet Secretary that part of the £5.26m (50%) would represent additional money to support integration for the Health & Social Care Integration Joint Board to develop integration in the way that it wished to see it developed.  Mr McMenamin commented that he aspired to that being the case and advised the letter from Mr Swinney was quite clear on the intended use of the £5.26m.

 

Mr David Robertson advised that the funding from the Scottish Government around the living wage was predicated on care home providers themselves providing 25% of the cost of the uplift and he suggested in reality that cost would flow back to the Health & Social Care Integration Joint Board in terms of care home providers.  He supported the aspiration of resources to be open to the Health & Social Care Integration Joint Board for integration and urged caution around  ...  view the full minutes text for item 3.

4.

ANY OTHER BUSINESS

Minutes:

There was none.

 

5.

DATE AND TIME OF NEXT MEETING

Monday 18 April 2016 at 2.00 pm in Committee Room 2, Scottish Borders Council

Minutes:

The Chair confirmed that the next meeting of Health & Social Care Integration Joint Board would take place on Monday 18 April 2016 at 2.00pm in Committee Room 2, Scottish Borders Council.

 

 

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