Agenda and minutes

Minutes of an Extra Ordinary meeting of the Health & Social Care Integration Joint Board held on Monday 30 January 2017 at 9.30am in Committee Room 2, Scottish Borders Council

Present:                                  (v) Cllr C Bhatia (Chair)          (v) Mrs P Alexander

                                                (v) Cllr J Mitchell                     (v) Dr S Mather

                                                (v) Cllr F Renton                     (v) Mr D Davidson

                                                (v) Cllr S Aitchison                  (v) Mrs K Hamilton

                                                (v) Cllr G Garvie                     Mrs A Trueman

                                                Mr M Leys                               Dr A McVean

                                                Mrs E Torrance                       Mr J McLaren

                                                Mr D Bell                                 Ms L Jackson

In Attendance:                       Miss I Bishop                           Mrs J Davidson

                                                Mr P McMenamin                   Mrs T Logan

                                                Mrs J Stacey                          Mrs C Gillie

Ms C Petterson                       Mr D Robertson

1.         Apologies and Announcements

Apologies had been received from Mr John Raine, Dr Annabel Howell, Mrs Lynn Gallacher, Mrs June Smyth, Mr Andrew Murray, Mrs Evelyn Rodger, Mrs Jenny Smith and Mrs Alison Wilson.

The Chair confirmed the meeting was quorate.

2.         Declarations of Interest

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

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

3.         2016/17 Integrated Budget Monitoring Position – Recovery Plan

Mr Paul McMenamin gave an overview of the content of the paper and highlighted that the adverse variance for the budget delegated was £5.6m with a variance of £3m for the large hospital budget (set aside).  He advised that in order to mitigate the social care element of the projected pressure (£378k) £145k was directed towards this pressure for the purchase of additional equipment by BAES.  Scottish Borders Council remained committed to the identification of further management actions to address the social care financial pressures.

Mr McMenamin commented that the overall projected pressure of £5.2m and set aside of £3m were part of NHS Borders wider financial pressures of £13.9m in the current financial year.  NHS Borders had committed to the application of £2m of contingency to reduce the overall financial cost pressure to £11.9m.  Work had been undertaken on a recovery plan for the residual pressure which included £11.7m of mitigating savings, however further cost pressures across NHS wide functions of £1.6m had been projected as recently as the previous week, due to a range of emerging factors. 

Mr McMenamin drew attention to section 4.6 in the report and commented that following the application of the £2m contingency, the residual financial pressure amounted to £11.9m in NHS Borders, of which just over £4m related to the budget delegated with the rest related to the large hospital budget and other NHS functions.  He emphasised that section 4.7 of the report detailed the summary of how the recovery actions would deliver the mitigating savings.

Mr McMenamin advised that the partnership Executive Management Team had met and discussed the mitigating actions to be taken forward in December and January and had recommended that £677k of remaining Social Care funding  be directed to mitigate the forecast outturn pressure on the delegated budget.  Although it would not address  ...  view the full minutes text for item 1.