Agenda and minutes

Apologies had been received from Cllr John Greenwell, Mrs Susan Swan, Dr Cliff Sharp, Mr John McLaren, Mrs Jill Stacey, Mrs Jane Davidson, Mrs Carol Gillie and Mrs Claire Pearce.

The Chair confirmed the meeting was quorate.

The Chair welcomed Dr Annabel Howell to the meeting who was deputising for Dr Cliff Sharp, and Mrs Sue Holmes who was deputising for Mrs Jill Stacey and Mrs Erica Reid who was deputising for Mrs Claire Pearce.

The Chair welcomed members of the public to the meeting.

Members should declare any financial and non-financial interests they have in the items of business for consideration, identifying the relevant agenda item and the nature of their 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.

12.02.2018

The minutes of the previous meeting of the Health & Social Care Integration Joint Board held on 12 February 2018 were amended at page 4, paragraph 6, inclusion of final sentence: “It was recorded that Mr Tris Taylor had expressed reservations not to support the decision.” and with that amendment the minutes were approved.

Action Tracker

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the action tracker.

Mr Tris Taylor commented that the Board needed to be sure that its governance was working well and he was assured there was an Integrated Care Fund criteria. However he reiterated the point that if the Board was asked to allocate money from a fund and had not been afforded the opportunity to scrutinise the criteria, then it was not in a position to make those decisions with the full knowledge of the facts and was therefore not discharging its duties. He acknowledged that such a position was not good governance and sought a commitment to full transparent documentation for the Board in future to allow it to make fully informed decisions.

Mr Robert McCulloch-Graham gave an overview of the content of the report.

A discussion on the finer points of detail had taken place in an earlier development session.

During the meeting it was recognised that better transparent financial information was required by the Board in order to enable it to make fully informed decisions.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the current position of the ICF.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD agreed the proposals for exception ICF funding in respect of Community Led Support, the Matching Unit, Hospital to Home and Crawwood.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD considered each of the projects funded by the ICF that were due to end between February and April 2018 in Table 4 and concluded the following:

Table 4 Projects

·           Independent sector representation – Not Agreed

·           Community Transport Hub – Agreed

·           Delivery of Localities – Not Agreed

·           Community Led Support – Agreed

·           Matching Unit – Agreed

·           Buurtzorg – Withdrawn from these recommendations

·           Craw wood – Agreed to fund until 1 October and further continuation will be subject to budget agreement either carry forward or further ICF funding or mainstreaming in the future based on financial information at the next meeting.

·           Hospital to Home – Agreed to fund until 1 October.

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD considered each fo the projects funded by the ICF in Table 3 and concluded the following:

Table 3 Projects

·           Agreed that the Matching Unit to be removed from Table 3 as already agreed to fund until 1 October.

·           Agreed to remove Community Capacity Building from Table 3 as already agreed to funding at previous meeting with reporting back timescale.

·           Agreed that all remaining projects be reviewed for decision on 23 April in regard to future funding or cessation.

6.1       Integrated Care Funding: Neither a recommendation, nor a decision was made in regard to the presumption that £2.13m of the NHS baseline budget, might be identified as potential future ICF funding.  However it was agreed that it be included in terms of financial planning purposes for the partnership.

Monday 23 April 2018 at 2.00pm in Committee Room 2, Scottish Borders Council, Newtown St Boswells

The Chair confirmed that the next meeting of Health & Social Care Integration Joint Board would take place on Monday 23 April 2018 at 2.00pm in Committee Room 2, Scottish Borders Council.