Scottish Borders Council

Agenda and minutes

Venue: Council Chamber, Scottish Borders Council

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

Items
No. Item

1.

ANNOUNCEMENTS & APOLOGIES

Minutes:

 

Apologies had been received from Cllr Helen Laing, Mrs Claire Pearce, Ms L Gallagher, Mr David Bell and Mr David Robertson.

 

The Chair confirmed the meeting was quorate.

 

The Chair welcomed Ms Linda Jackson who was deputising for Mrs Lynn Gallagher.

 

The Chair welcomed members of the public to the meeting.

 

 

2.

DECLARATIONS OF INTEREST

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 business.

Minutes:

 

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.

Authorisation to Sign Off Annual Accounts 2017/18 pdf icon PDF 75 KB

Minutes:

 

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

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD considered and agreed that Mr David Robertson as Chief Financial Officer of Scottish Borders Council should sign off the Integration Joint Board (IJB) Annual Accounts 2017/18 in the current absence of a Section 95 Officer for the IJB.

 

 

4.

MINUTES OF PREVIOUS MEETING pdf icon PDF 192 KB

23.04.18

Minutes:

The minutes of the previous meeting of the Health & Social Care Integration Joint Board held on 23 April 2018 were amended at page 5 to read “Mr Tris Taylor declared a potential conflict of interest in the autism item due to a close relationship with someone who may have autism” and at page 7, item 7.9, paragraph 2, line 2, to read “... slow. The project ...” and with those amendments the minutes were approved.

 

 

5.

MATTERS ARISING pdf icon PDF 85 KB

Action Tracker

Minutes:

5.1       Minute 6: Scottish Borders Health & Social Care Partnership Financial Plan 2018/19: Mr Colin McGrath noted that 100% of the social services budget for adult services was allocated to the partnership and he enquired what percentage that was of the total social services budget. Mr Robert McCulloch-Graham advised that he would pick up the matter with Mr McGrath outwith the meeting.

 

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

 

 

6.

CHIEF OFFICER'S REPORT pdf icon PDF 127 KB

Minutes:

Mr Robert McCulloch-Graham gave an overview of the content of the report and highlighted several elements including: continued pressures on the Borders General Hospital and Community Hospitals; utilisation of the Craw wood facility; external auditors review of inspection action plan; Scottish Parliament Health and Sport Committee review of partnerships; appointment of an Adult Social Care Chief Officer; update on regional work; and on going work on the primary care improvement plan.

 

Discussion focused on: usage of Craw wood and the set criteria for the facility; 10 days average length of stay at Craw wood; presentation on population demographics to a future Development session; analysis of care home beds and care hours; future provision of specialist dementia beds; 6 inspections of adult support and protection services currently underway across Scotland; and commonality across partnerships in regard to set aside.

 

Mr Murray Leys confirmed he would be happy to provide a presentation to a future development session on demographics and the empirical number of beds and care hours to be commissioned in the future along with a rationale as to how such numbers were identified and if the numbers were unaffordable some suggested options to worked through.

 

Mr John Raine commented that he believed where there was a coterminous Local Authority and Health Board there was no need for a set aside budget and he was keen to have that point clarified for both the Integration Joint Board and the Health Board.

 

Mr McCulloch-Graham also highlighted the formation of the primary care improvement plan.

 

Mr John McLaren commented that he was aware that the GPs had been involved in the early formulation of the plan and he enquired how and when the organisations would have the opportunity to input to the plan. Mr McCulloch-Graham advised that there was a timetable of various meetings and groups that the plan would be presented to.

 

Dr Angus McVean advised that an awayday had been held the previous week with those likely to be impacted by the proposed changes. Views had been expressed at the event in regard to how to take the plan forward, how to match the money to the plan, and an engagement strategy with stakeholders.

 

Mrs Jane Davidson reminded the Board that the formation of the plan was a joint responsibility between the partnership and the Health Board with a need for a joined up planning approach as the aim of the plan should be to direct change in how primary care and community services might be provided moving forward.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the report.

 

Mrs Tracey Logan arrived.

7.

Refresh of Health & Social Care Strategic Plan 2018 - 2021 pdf icon PDF 37 KB

Update on progress.

Additional documents:

Minutes:

Mr Robert McCulloch-Graham gave an overview of the content of the report and highlighted the work of the strategic planning group in producing the refreshed draft and the revision of objectives from 9 to 3.

 

Discussion focused on: language; shared objectives; inclusion of hyperlinks; unclear on what we are asking the audience; seek more information on the detail of the governance structure and how it works; be clear in Appendix 2 that all services listed have been delegated to the partnership; what has been removed from the original strategy and why; what are the fundamental changes between the 2 documents; is it a yearly refresh or a final strategy for the next 3 years; work to be done on co-production with stakeholders; are we listening to the local population and doing what they want or are we telling them what they can have; spending diagram is paternalistic and does not show any funding/commissioning going to the third sector; difficulties of commissioning in remote and rural areas; meaningful engagement in shaping our services for the future; marrying up initiatives with the provision of services instead of promoting something and then removing the funding; language around being a carer; and providing a realistic strategy for the future; and to help the public make realistic choices, provide them with the choices and ask them to prioritise them.

 

Mr Malcolm Dickson welcomed the easy read format, commented that parent bodies should be changed to partnership bodies and noted several of the timescales had already passed. He suggested inclusion of the results of the actions that had been completed and sought assurance that exit strategies and mainstreaming plans had been instigated accordingly.

 

Mrs Jane Davidson welcomed sight of the early draft and highlighted the importance of setting out the partnership ambition.

 

Mr John Raine welcomed the strategy and enquired when the move would be made from being aspirational to measuring success, against targets, resources and timescales.

 

The Chair thanked the Board for a valuable discussion and in summary suggested the document provided a good sign post of where the partnership had been and its aspirations for the future. He commented that over the past 3 years the partnership had continued to mature and evolve. He further reminded the Board that the Strategic Plan was a live document that should be reviewed annually and it was apparent that demographic changes were already impacting earlier than forecast.

 

The Chair acknowledged the wide range of comments that had been made and advised that they would be taken on board and the document revised to better reflect co-production and meaningful language for the public.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the progress made on refreshing the Strategic Plan.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD commented on the content and format of the refreshed Strategic Plan.

 

 

8.

Annual Performance Report 2018/18 pdf icon PDF 125 KB

Update

Additional documents:

Minutes:

Mr Robert McCulloch-Graham gave an overview of the content of the report and highlighted that the Board had issued directions in regard to Hospital to Home and Discharge to Assess.

 

Mrs Jenny Smith commented that the wording around the matching unit was unclear as it suggested the unit would not be subject to the usual integrated care fund evaluation process. Mr McCulloch-Graham acknowledge the need to revise the wording and commented that the intention was to mainstream the matching unit funding.

 

Mr John Raine suggested as the contribution of volunteers was included and quantified the contribution of carers should also be included and quantified.

 

Mr Tris Taylor enquired of the intended audience of the document. Mr McCulloch-Graham advised that the audience would be the public, staff and Scottish Government.

 

Mr Taylor commented on several elements of the document including: inconsistent numbers and percentages; no page numbers; inconsistent indicators; lack of assurance on performance data; inconsistent measures; no comparators; no underlying logic or indicators to measure against; quality of evidence was missing; and being opaque by omission.

 

Mr Taylor further sought evidence that public involvement was routinely sought.

 

Mr McCulloch-Graham welcomed the scrutiny provided and suggested meeting with Mr Taylor outwith the meeting to explore those comments in greater depth.

 

Mr John McLaren suggested an explanation of generic services also be included in the document.

 

Ms Linda Jackson advised that she had already fed back comments however she highlighted that the spot lights were on Scottish Borders Council and NHS Borders and she would welcome the inclusion of a spotlight on the Third Sector.

 

The Chair welcomed the scrutiny provided to the document and the comments received. He reminded the Board of the directions that it had made over the past year and commented that at a recent national meeting of Integration Joint Board (IJB) Chairs he had been surprised to find out that several other IJBs had yet to make any directions. He observed that the Board should remember that it had achieved progress and would continue to strive to achieve more.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted progress made on the development of a draft Annual Performance Report and Summary Report.

 

Cllr David Parker suggested given the timescale for approval of the report was end of July and the Board did not meet in July, authority to approve the report for publication be delegated to the Chair and Chief Officer. The motion was seconded by Mrs Karen Hamilton.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD agreed that the Chair and Chief Officer be delegated authority on behalf of the Board to approve the report for publication by the end of July.

 

 

 

9.

ANY OTHER BUSINESS

Minutes:

9.1       Update on the Finance Officer: Mr Robert McCulloch-Graham advised the Board that there would be a re-advertisement of the position and support would also being utilised from employment agencies.

 

 

 

10.

DATE AND TIME OF NEXT MEETING

Monday, 11 June 2018 at 2.00pm 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 11 June 2018 at 2.00pm in Committee Room 2, Scottish Borders Council.

 

 

 

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