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 Mr John Raine, Cllr David Parker, Mr David Bell, Mr John McLaren, Mrs Jenny Smith, Mrs Lynn Gallacher, Dr Angus McVean, Mrs Carol Gillie, Mr David Robertson, Mrs Tracey Logan and Mrs Jill Stacey.

 

The Chair confirmed the meeting was quorate.

 

The Chair welcomed Mr Ewan Jackson, Chief Executive Officer, LIVE Borders, Mrs Sarah Watters, Dr Tim Patterson and Ms Sue Elliot to the meeting who would be presenting various items on the agenda.

 

The Chair welcomed Mrs Vikki MacPherson to the meeting who was deputising for Mr John McLaren.

 

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 interest.

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.

MINUTES OF PREVIOUS MEETING pdf icon PDF 154 KB

Minutes:

The minutes of the previous meeting of the Health & Social Care Integration Joint Board held on 17 September 2018 were amended at Item 7, paragraph 2, to read “A robust discussion ensued which included the NHS voting member Mr T Taylor indicating his dissent. Other members joined in the debate, including Mr C McGrath on behalf of the Public Partnership Forum supporting his contention that there was not sufficient time to look at this matter in depth and further discussions needed to take place…” and at paragraph 3, to read “Various points were raised including: purpose of the document; legislative requirements...” and insertion of a new paragraph 4, “During the robust debate in response to Mr Taylor, Mr McCulloch Graham stated that he saw two types of situations, one where the IJB was led by the community and where the IJB could lead public opinion on health. Mr McGrath immediately interjected stating his opposition to that view as it was against the IJB Corporate Governance and the law.” and at paragraph 5 to read “The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD agreed to defer a decision until further discussion had taken place.” and at Item 11 insert new paragraph 2 to read “Mr McCulloch-Graham raised the Strategic Plan. Mr McGrath advised the IJB that at their latest meeting in August the Public Partnership Forum did not accept the Strategic Plan as it related to the PPF.” and with those amendments the minutes were approved.

 

 

4.

MATTERS ARISING pdf icon PDF 87 KB

Action Tracker

Minutes:

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

 

 

5.

LIVE BORDERS

Minutes:

Mr Ewan Jackson gave a presentation and introduced LIVE Borders to the Integration Joint Board and spoke about its vision, mission and remit. During his presentation he highlighted several key elements including: targeted outcomes; funding streams and financial commitments; provision of opportunities for children and young people to have healthier futures through physical activity as well as education; monitoring data for active schools; collaborative working with partner agencies; Diabetes classes; developing health and wellbeing; charitable status and a reinvestment of all funds raised.

 

Various points were raised during discussion including: input of the NHS and Local Councillors at Board level; diabetes outcome figures were attained through interviews held by LIVE Borders; discretionary prices for children as well as benchmarking across the country to ensure the pricing point was as good as it could be; bundling opportunities together to create a more competitive price; use of mosaic profiling and concentrating on promotion and benefit of activity; partnerships with education on activity in schools; welcome any contributions to help scale up for chronic illnesses more quickly; and aspiration to look at cooking and nutrition for all age groups in the future.

 

The Chair thanked Mr Jackson for his presentation.

 

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

 

 

6.

CHIEF OFFICER'S REPORT pdf icon PDF 120 KB

Minutes:

Mr Robert McCulloch-Graham gave an overview of the content of the report and highlighted: Hospital to Home recruitment; potential need to increase Crawwood bed provision; recruitment to the Chief Officer for Adult Social Care position; the appointment of the new Care Inspectorate Link Inspector; the appointment of Mr Stuart Easingwood as the new Chief Social Work Officer; the report also discussed the Housing contribution to the partnership.

 

Various points were raised during discussion including: succession planning; and recruitment to hospital to home and the potential for job shares.

 

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

 

 

7.

Integration Joint Board Annual Audit Report 2017/18 pdf icon PDF 122 KB

Additional documents:

Minutes:

Mr Mike Porteous gave an overview of the content of the report and highlighted the key messages from the annual audit report, specifically that the 2017/18 Annual Accounts had been given an unqualified report by the auditors.

 

Cllr Shona Haslam left the meeting.

 

Various points were raised during discussion including: use of the word maturing; using phrases such as “under performing” instead of “in progress”; the degree to which an external audit can be considered as an effective judgment of governance arrangements; feedback from COSLA event where a presentation by Jeane Freeman MSP on IJBs was given; engagement with the public participation forum; and the risk register.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the independent auditor’s 2017/18 Annual Report and the key messages it presented.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD endorsed the audited Annual Accounts for 2017/18.

 

 

8.

Alcohol and Drug Partnership Investment Plan 2018-2021 pdf icon PDF 131 KB

Additional documents:

Minutes:

Dr Tim Patterson gave an overview of the content of the report and highlighted the £358k investment plan.

 

Various points were raised during discussion including: working collaboratively through a multi agency approach to assist children living in hidden poverty with drug and alcohol implications; need for further detailed costings and the potential for slippage in the fist year; direction of travel in line with the national strategy and planned actions meet the investment criteria; early identification of vulnerable children and proactive interventions; reinvigorated arrest referral scheme and brief interventions being delivered by custody officers; activity of brief interventions matches costs; high level investment plan with proposals still in development and owned by the Alcohol and Drug Partnership (ADP); support for approval in principle as the plan was still being developed.

 

The IJB had previously funded the ADP when national funding had been removed and was aware of the value of the work of the ADP.

 

Mrs Jane Davidson left the meeting.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the plan in principle and sought an update report in January 2019 with more detail and evidence of funding levels being adequate to fund a redesign of services.

 

 

9.

Integration Joint Board Business Cycle and Meeting Dates 2019 pdf icon PDF 32 KB

Additional documents:

Minutes:

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

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the proposed meeting dates and business cycle for 2019.

 

 

10.

Quarterly Performance Report pdf icon PDF 102 KB

Additional documents:

Minutes:

Mrs Sarah Watters gave an overview of the content of the report and the changes that had been previously agreed to the format of the report.

 

Various points were raised during discussion including: the revised format and that it was easy to scan it for information; a request was made to move to a red, yellow, green rag rating for future reports with arrows inside the colour to denote if there had been movement within that category; presently appears NHS focused; potential for an end of financial year comparator; and measures were in place to ensure people were discharged when they were medically fit and ready to ensure readmissions were minimised.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted and approved the move to a Red, Yellow and Green RAG status for the Performance Report.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the key challenges highlighted.

 

 

11.

Strategic Planning Group Report pdf icon PDF 83 KB

Minutes:

Mr Robert McCulloch–Graham gave an overview of the content of the report and highlighted progress against the inspection; overview of the primary care improvement plan and the communications strategy; and carer involvement.

 

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

 

 

12.

Monitoring and Forecast of the Health and Social Care Partnership Budget 2018/19 at 31 August 2018 pdf icon PDF 84 KB

Additional documents:

Minutes:

Mr Mike Porteous gave an overview of the content of the report and highlighted the forecast year end position.

 

Various points were raised during discussion including: potential for Health Boards and Integration Joint Boards to achieve a 3 year breakeven position within a variance of 1%; suggested that NHS Scotland were directing 45% of the budget to Health & Social Care; the IJB had delegated the monitoring of the risk register to the audit committee to monitor and to report to the IJB on an annual basis; and it was felt there was a need for the report to be clearer for the public to understand.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the forecast financial position for the Partnership for the year to 31 March 2018/19 based on available information.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD supported the Chief Officer and Chief Finance Officer of the IJB in compiling and agreeing a recovery plan with the Directors of Finance for NHS Borders and Scottish Borders Council.

 

 

13.

ANY OTHER BUSINESS

Minutes:

 

·         Health & Social Care Integration Joint Board Development Session: 19 November 2018: This is likely to be an all day event.

·         Scottish Government Medium Term Health and Social Care Financial Framework: Mr Mike Porteous gave a brief update on the item.

·         Director of Nursing, Midwifery & Acute Services: On behalf of the Board the Chair noted that it was the final meeting of the IJB for Mrs Claire Pearce, Director of Nursing, Midwifery & Acute Services who had been successfully appointed to the role of Director of Care Quality and Strategic Development at the Scottish Ambulance Service. The Chair thanked her for her attendance and input to the Board meetings as well as her work behind the scenes.

 

 

 

14.

DATE AND TIME OF NEXT MEETING

Monday 17 December 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 17 December 2018 at 2.00pm in Committee Room 2, Scottish Borders Council.

 

 

 

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