Scottish Borders Council

Agenda item

Draft Health and Social Care Strategic Framework discussion

Update from Elaine Torrance, National Team for Development and Inclusion.

Minutes:

5.1       There had been circulated copies of a slide deck from Elaine Torrance of the National Development Team for Inclusion (NDTI).  The Chair welcomed Ms Torrance to present an update on the development of a Health and Social Care Strategic Framework for Scottish Borders.  Ms Torrance was in attendance to gather feedback and comments on the draft framework which set out how health and social care services would be delivered over the next three years.  The aims of the NDTI’s engagement activity were summarised which were to update attendees on work in the development of the strategic framework, to present an outline of the framework and seek further comments and to seek further involvement in the planning, design and monitoring of the framework.  The framework had been informed by the NDTI engaging and listening to communities to understand their expressed needs which the NDTI summarised in their We Have Listened report; understanding the public health needs of the population which was presented in the NDTI Needs of our Communities report; reviewing performance against national health and wellbeing outcomes; and considering current and future challenges.  Ms Torrance explained that the We Have Listened report included information specific to Berwickshire.  85 responses were received to the NDTI survey of what was important about health and social care, and a community event took place in Duns. Ms Torrance presented the high level mission, vision and aims of the framework.  These were:

·                Mission: “to help the people of the Scottish Borders to live their lives to the full, by delivering seamless services that place their needs at the heart of everything that we do”;

·                Vision: “That all people in the Scottish Borders will be able to live their lives to the full”

·                Aims: “To improve and continue to support the health and wellbeing of the citizens of Scottish Borders”.

 

5.2       Ms Torrance presented the strategic issues of the framework and the objectives, which detailed what the Health and Social Care Partnership would prioritise the deliver its vision.  Ms Torrance explained to attendees that the NDTI were seeking views on the framework, and if anything was missing; how communities could be involved in developing the framework and actions; and on monitoring the implementation and impact of the framework at community, local and Borders-wide levels.  In discussion of the draft framework, Ms Torrance advised that the framework would be approved by the Integrated Joint Board (IJB) which consisted of NHS officers and elected Members, and would be presented to the Scottish Government.  Attendees discussed how the consultation of the framework would operate alongside place making, that communities may feel ‘consultation fatigue’ and that duplication should be avoided.  It was noted that previous place making exercises had highlighted concerns about a lack of nursing home places.

 

5.3       Councillor Anderson led attendees in advising what would be priorities for health and social care in each of their communities.  Issues raised during the exercise were

 

  • Access to services
  • Social care support
  • Transport to GP services and local surgeries
  • Prevention measures

 

  • Care in the community
  • Recruitment into the Borders
  • Dementia services
  • Available parking at health surgeries
  • Distance to dentist surgeries

 

 

5.4       Attendees discussed workforce challenges in health and social care and noted that a multi-agency approach to recruitment would be needed to promote the Borders as a viable place to move for work.  Councillor Anderson thanked Ms Torrance and attendees noted the presentation.

 

5.5       The Chair invited attendees to present the issues of importance to their localities.  The following issues were presented by attendees:

 

  • Relationship between public transport, housing and jobs
  • Public transport, education and apprenticeship opportunities
  • Costs associated with place making activities
  • Redevelopment of existing buildings for social housing
  • Lack of community facilities in Berwickshire to engage with Borders College
  • Public transport as a factor for young people leaving Berwickshire
  • Public transport services for the Borders General Hospital
  • Availability of affordable and rented housing
  • Housing for retirees
  • Homes lying empty in communities
  • PINGO and investment in community transport
  • Parking in Duns industrial estate
  • Waiting list for new Duns dental practice
  • Apprenticeship opportunities

 

5.6       Attendees discussed and noted the items raised.

 

Supporting documents:

 

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