Agenda and draft minutes

Minute of the meeting of 16 February 2017 to be approved and signed by the Chairman. (Copy attached).

There had been circulated copies of the Minute of 16 February 2017.

DECISION

AGREED the Minute.

Presentation by Elaine Torrance, Interim Chief Officer, Health and Social Care Integration.

2.1       The Chairman welcomed Ms Elaine Torrance, Interim Chief Officer Health and Social Care Integration, to the meeting to provide Members with an update of progress made with the Health and Social Care Integration Programme.  Ms Torrance began by summarising the reasons for integrating health and social care services and explained that the Public Bodies (Joint Working) (Scotland) Act 2014 had set the framework for integration to take place.  Integration would provide planned health and social care services in a seamless way, both from the perspective of the service user and carer, and would ensure greater focus on prevention, early intervention, resilient communities and a locality-based approach.  Progress to date included:  the designing of the Strategic Plan comprising nine local objectives; the Commissioning and Implementation Plan which indicated how those objectives would be met through a planned programme of change and redesign; the establishment of a Joint Learning Disability Team and a Joint Mental Health Team; and use of the Integrated Care Fund (ICF) to fund eighteen projects so far, including Stress and Distress training.  ICF funding had been guaranteed for three years by the Scottish Government and Ms Torrance went on to explain the principles supporting the Tiered Model of Partnership Projects and how this was applied to a range of projects such as the Community Transport Hub, Borders Ability Equipment Store and Men’s Sheds.

2.2       With reference to new models of health and social care, the configuration of services and the person-centred model, Ms Torrance explained that there were a number of shared principles which would be applied across all services, whilst always ensuring that the individual was at the centre of what was being put into practice.  ICF funding had been agreed to take forward Community Led Support (CLS) projects intended to make health and social care more visible within local communities via Community Hubs staffed by individuals specifically trained to advise and support service users.  Two pilot Hubs were currently being developed in Burnfoot and Ettrick Valley and would be operational in May 2017.  Community Led Support would build on the skills of individuals and community assets and would invest in early intervention and prevention thus simplifying the way in which people could access support.  This approach also made best use of professional workers’ time by decreasing the hours that they spent travelling between appointments and therefore increasing the number of clients who could be seen in a day from perhaps two to five.  Service users who were unable to travel to a Hub would continue to receive a home visit when necessary.  In order to maintain the person-centred approach, staff, service users, carers and members of the public were involved in the planning groups for the various CLS projects. 

2.3       Ms Torrance explained that Buurtzorg was a nursing model of care with its main focus on prevention.  It had originated in the Netherlands and had been well-received by the Scottish Government.  Buurtzorg involved close, collaborative working relationships with GPs and health and social care professionals.  ...  view the full minutes text for item 2.

Update on outcomes of the Scrutiny Review Programme from March 2012 to date. (Copy attached).

3.1       With reference to paragraph 4 of the Minute of 16 February 2017, there had been circulated copies of the updated list of subjects which Scrutiny Committee had been asked to review and which included the source of the request, the stage the process had reached and the date, if identified, of the Scrutiny meeting at which the information would be presented.  Members noted that all subjects which had been included in the programme of reviews had now been presented to the Scrutiny Committee and were advised that update Reviews would be presented to the Committee during 2017/18 as previously agreed by Members.

3.2       There had also been circulated copies of the Action Tracker for Reviews undertaken by the Scrutiny Committee between May 2012 and February 2017, indicating the decisions and outcomes following each Review.  With reference to the item on Protection of Private Water Supplies presented to the Committee on 18 February 2016, it was noted that no further information had been received from Mr Taylor and it was agreed that the Clerk to the Council would progress this matter and update the Action Tracker in due course.  The List of Reviews would be amended to reflect that the Review on Non-Schooling and Home Schooling presented to the Scrutiny Committee on 20 August 2015 had been requested by Councillor Gillespie.  Discussion then took place on the role of the Scrutiny Committee and on the use of the Call-in procedure for the examination of decisions by the Executive.  Further discussion was deferred until after the Local Government elections in May 2017 when the new Committee members would be in place.

DECISION

NOTED:-

(a)       the list of subjects reviewed by the Scrutiny Committee between 2016 and March 2017 and those scheduled for update review in 2017/18 as appended to this Minute at Appendix 1; and

(b)       the Scrutiny Committee Action Tracker for May 2012 to February 2017, subject to the above amendment, as appended to this Minute at Appendix 2.

The next meeting is scheduled to take place on 8 June 2017.

The next meeting of the Scrutiny Committee would take place on Thursday, 8 June 2017.

            DECISION

            NOTED.

The Chairman noted that this was the final meeting of the Committee prior to the Local Government Elections in May 2017.  He took the opportunity to thank Members and Officers for their contribution to the work of the Scrutiny Committee since its establishment in 2015.

Before proceeding with the private business, the following motion should be approved:-

“That under Section 50A(4) of the Local Government (Scotland) Act 1973 the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in paragraph 6 of Part 1 of Schedule 7A to the aforementioned Act.”

DECISION

AGREED under Section 50A(4) of the Local Government (Scotland) Act 1973 to exclude the public from the meeting during consideration of the business detailed in the Appendix to this Minute on the grounds that it involved the likely disclosure of exempt information as defined in Paragraph 6 of Part I of Schedule 7A to the Act.

SUMMARY OF PRIVATE BUSINESS

The Scrutiny Committee noted the Private Minute of the meeting of 16 February 2017.