Agenda item

Mr Robert McCulloch-Graham gave an overview of the content of the report and reminded the Board of the decisions agreed at the last meeting. He then drew the attention of the Board to table 4 page 6 and the recommendation suggested for each project.

 

Mr Tris Taylor declared a potential conflict of interest in the autism item due to a close relationship with someone who may have autism.

 

7.1       Delivery of the Autism Strategy: Mr Tris Taylor sought assurance that the action plan would not be compromised by disinvestment in the project. Mrs Tracey Logan assured the Board that mainstreaming of the project and outcomes to be achieved would be appropriate, it was more of a matter of thinking differently about how that was achieved.

 

Mrs Jenny Smith was mindful of autism in terms of public perception, press, education and working with partners. She accepted that the project was not delivering and wished to be assured on how the agenda around autism would be supported.

 

Cllr Shona Haslam accepted the inefficient use of resources, however she could not agree to disinvest in the project based on an outcome of too few individuals benefitting from the project, given there was no original objective in regard to numbers of people to benefit from the project.

 

Mrs Jane Davidson recollected that the Autism Strategy was about the reshaping of services, how the strategy could be mainstreamed and she commented that some of the strategy itself had been aspirational.

 

The Chair advised of the proposed recommendation within the paper.

 

Cllr Haslam proposed: funding the project for a further 6 months with a view to mainstreaming into other services; ensuring the autism strategy and action plan were delivered in the mainstream services; and identification of succession planning.

 

Cllr David Parker seconded the proposal.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the proposal to fund the project for a further 6 months with a view to mainstreaming into other services; ensure the autism strategy and action plan were delivered in the mainstream services; and for succession planning to be identified.

 

7.2       Delivery of the Alcohol Related Brain Damage (ARBD) Pathway: Both Cllr Shona Haslam and Cllr David Parker raised concerns in regard to the limited evidence and progress with the project. Cllr Tom Weatherston commented that it was a difficult group of people to assist, however he recognised the limited evidence available.

 

The Chair advised of the proposed recommendation within the paper.

 

Cllr David Parker proposed to cease the project as soon as practicable.

 

Cllr Shona Haslam seconded the proposal.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the proposal to cease with the project as soon as practicable.

 

7.3       Stress & Distress Training: Mr Tris Taylor enquired if the project was integrated with the general scheme of activities around executing the statutory duty required of Health Boards to look after the wellbeing of their staff. Mr Robert McCulloch-Graham advised that the project was focused on pump priming an effective training programme to enable people to deal with difficult behaviours.

 

The Chair advised of the proposed recommendation within the paper.

 

Cllr David Parker proposed to cease the project as soon as practicable and suggested mainstreaming be considered within the training programme.

 

Mrs Karen Hamilton seconded the proposal.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the proposal to cease with the project as soon as practicable.

 

7.4       Transitions: The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding.

 

7.5       Transitional Care Facility – Waverley Care Home: The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding with a view to mainstreaming the service at the project end.

 

7.6       Pharmacy Input: Cllr David Parker was fully supportive of the project and recognised the potential for savings to be achieved.

 

The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding with a view to mainstreaming the service at the project end.

 

7.7       GP Clusters Project: Cllr Shona Haslam commented that it was vital to progress with the project along with regular reporting and evaluation of the project as she was keen to see the demonstrative impact on health outcomes. Mr Robert McCulloch-Graham advised that it would form part of the primary care improvement plan.

 

Dr Angus McVean welcomed Cllr Haslam’s comments and advised that the Primary Care Improvement Plan would contain the detail of what the Cluster Leads would be doing. He also suggested there might be a move from 4 to 5 clusters or into 1 single cluster. He advised that the plan would be brought to a future meeting of the Board.

 

The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding.

 

7.8       Domestic Violence Pathway: The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding with a view to mainstreaming as part of the Public Protection Review. 

 

7.9       Buurtzorg Project Management: Cllr David Parker recalled that the Board had been fully supportive of the project in the past as it believed it could deliver the fundamentals of integration, however progress had been slow. He supported the project but wished to see some momentum behind it.

 

Mr Tris Taylor enquired of the options on merging with Hospital to Home. Mrs Jane Davidson recognised that progress had been slow.  The project was being led by community nurses and workers in the community. She suggested there were challenges around getting 3 organisations to work together namely, SB Cares, NHS Borders and Scottish Borders Council, and staff had been working through what they could and could not do together. She accepted that the project required some pace around it and commented that it did link to Hospital to Home.

 

The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding with a further update on progress.

 

7.10    Craw Wood: The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding with a review of the staffing rota.

 

7.11    Hospital to Home: The Chair advised of the proposed recommendation within the paper.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD approved the carry forward of funding.

 

Cllr David Parker requested that an indication be provided to the next meeting on the impact of the decisions made, updated timescales and projects to be mainstreamed.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD agreed to receive an update on the impact of the decisions made, updated timescales and projects to be mainstreamed.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD noted the review of ICF projects due to carry over funding in the financial period 2018-19.

 

The HEALTH & SOCIAL CARE INTEGRATION JOINT BOARD decided as above, which projects should have continued investment or disinvestment.