2013.H.S.C.P.28. HEALTH & SOCIAL CARE PARTNERSHIP - GLENROTHES THURSDAY, 28TH NOVEMBER, p.m p.m.

Transcription

1 2013.H.S.C.P.28 HEALTH & SOCIAL CARE PARTNERSHIP - GLENROTHES THURSDAY, 28TH NOVEMBER, p.m p.m. PRESENT: Fife Council Councillor Andrew Rodger (Co-Chair) Councillor Tim Brett Councillor Judy Hamilton Councillor Neale Hanvey Councillor Ian Sloan Private Provider Sector Rachel Payne, Scottish Care NHS Fife Anne McGovern (Chair) Susan Archibald Vicky Irons Heather Knox Susan Manion Joan Mitchell Dr Brian Montgomery Voluntary Sector Kenny Murphy, Fife Voluntary Action ATTENDING: Stephen Moore, Interim Director of Health & Social Care, Fife Health and Social Care Integration; Roseanne Fearon, Head of Service (Adult Services), Martin Thom, Head of Service (Older People Services), Helen Townsend, Service Manager, Adult Services (West), and Peter Corbett, Service Manager (Chair of Fife Joint Strategic Advocacy Planning Group), Social Work Service; Keith Winter, Executive Director (Environment, Enterprise and Communities); Louise Sutherland, Service Manager (Estates Management), Housing and Neighbourhood Services; Robert McGregor, Sustainable Communities Manager; Liz Mitchell, Health & Social Care Partnership Co-ordinator; David Henderson, Team Manager/Adviser, Committee Services; Mark Steven, Partnership & Policy Co-ordinator (Alcohol & Drug Partnership) and Diane Barnet, Committee Administrator, Corporate Services, Fife Council; Dr Alex Baldacchino, Consultant Psychiatrist; Andrew McCreadie, Assistant Director (Finance), Neil Hamlet, Consultant in Public Health, Mary Porter, General Manager, Kirkcaldy & Levenmouth Community Health Partnership; and Aileen Whyte, Community Services Manager, Glenrothes and North East Fife Community Health Partnership, NHS Fife; and Superintendent Andy Edmonston, Police Scotland/Chair of Fife Alcohol and Drug Partnership (ADP). APOLOGIES FOR ABSENCE: Councillor Alex Rowley, Fife Council and John Wilson, Chief Executive, NHS Fife. 56./

2 2013.H.S.C.P DECLARATION OF INTEREST Councillor Tim Brett declared a non-material interest in paragraphs 59 - Fife Alcohol and Drug Partnership (ADP) Annual Report: Update and 60 - Preventing Drug Related Deaths (DRD) in Fife. 57. MINUTE The Partnership considered the minute of the Health & Social Care Partnership meeting of 29th August, The Partnership approved the minute. 58. MATTER ARISING - REPORT ON ALLOCATION OF FUNDING FROM THE CHANGE FUND (previous minute reference para 52.(2) of 2013.H.S.C.P.25 refers) In response to a query by Councillor Tim Brett, reference was made to the availability of a Change Fund Mid-Year Review 2013/14 report as part of the agenda for this meeting. It was felt, however, that this did not sufficiently cover the request at the previous meeting of the Partnership for a report on financial investment, changes achieved and impact on older people who were in hospital care, intermediate care and care in the community in Fife. The Partnership agreed to consider a report, including all information previously requested as well as information on future plans when funding ceased, at the next meeting scheduled for 20th March, This report would be considered, in the first instance, by the Partnership Management Group. 59. FIFE ALCOHOL AND DRUG PARTNERSHIP ANNUAL REPORT: UPDATE Prior to consideration of this item, Councillor Tim Brett declared an interest in this item as a Director of the Fife Alcohol Support Service. The Partnership considered a report by Superintendent Andy Edmonston, Fife ADP Chair, providing information on Fife Alcohol and Drug Partnership Annual Report 2012/13. The Partnership:- (1) noted that initial formal feedback from the Scottish Government on the Annual Report had been positive; (2)/

3 2013.H.S.C.P.30 (2) commended the many achievements made by the Partnership during 2012/13 and for its commitment to continual improvement based on value for money and service users views and needs; (3) noted that the Scottish Government had requested similar annual reports be submitted in September 2014 and 2015; and (4) agreed that further area specific information would be presented to Area Committees for information as appropriate. 60. PREVENTING DRUG RELATED DEATHS (DRD) IN FIFE Prior to consideration of this item, Councillor Tim Brett declared an interest in this item as a Director of the Fife Alcohol Support Service. The Partnership considered a joint report by Superintendent Andy Edmonston, Chair of Fife ADP and Mary Porter, General Manager, Kirkcaldy and Levenmouth Community Health Partnership, providing information on Fife ADP s actions to reduce drug related deaths in Fife. Dr Alex Baldacchino expanded on the contents and responded to questions and comments by members. The Partnership:- (1) noted the contents of the report which highlighted some of the complex issues surrounding drug related deaths; (2) noted the ADP Overdose Prevention Group action plan which outlined the actions Fife ADP and other agencies were taking to reduce drug related deaths; (3) endorsed and agreed to support the work being undertaken by Fife ADP and other agencies to reduce drug related deaths in Fife; and (4) requested a follow-up report to a future meeting on any impact of the use of Naloxone/Take Home Naloxone in reducing the instances of drug related deaths in Fife. 61. WELFARE REFORM The Partnership considered a joint update report by the Executive Director (Environment, Enterprise and Communities), Fife Council and the Director of Public Health, NHS Fife, which raised issues and options relating to the role of health and social care agencies in supporting vulnerable clients/patients and how services would need to adapt to provide this support appropriately. /

4 2013.H.S.C.P.31 The Partnership, in considering next steps :- (1) agreed to commission research to better understand the welfare reform implications for health and social care clients and services; (2) agreed that NHS Fife would consider the offer of the Scottish Government/NHS Lothian support to develop an NHS Fife response on welfare reform; (3) acknowledged the need for specific health and social care management and governance arrangements to oversee and lead on welfare reform preparation; and (4) recognised: the need to develop further quantification and reporting mechanisms across the Fife Partnership; that Fife Council had established new services, enhanced existing services and evolved policy in response to welfare reform (as far as possible within its responsibilities and available powers); and was working with partners, including NHS Fife, to mitigate, as far as possible, adverse implications for vulnerable people. 62. REVENUE BUDGET - PROJECTED OUT-TURN 2013/14 (REPORT TO 30TH SEPTEMBER, 2013) The Partnership considered a report by the Chair of the Partnership Finance Group, advising on the 2013/14 projected out-turn for the Partnership s Revenue Budget. The Partnership noted:- (1) the projected overspend of 4.4 million on the Partnership budget; (2) that NHS Fife continued to aim to reduce overspend through specific actions agreed and other programs of expenditure reduction, in order to support the delivery of break even by year end; and (3) that Fife Council Social Work Service remained committed to managing the budget and implementing management and mitigating actions so as to reduce the current projected overspend, while ensuring that no individual is knowingly left at an unacceptable level of risk. 63. FIFE ADVOCACY STRATEGY The Partnership considered a joint report by the Head of Adult Services, Fife Council and the Executive Director of Nursing, NHS Fife, providing an update on the development of the Fife Advocacy Strategy /

5 2013.H.S.C.P.32 The Partnership agreed to:- (1) approve the Fife Advocacy Strategy and accompanying action plan in order to streamline and provide a stable environment for the voluntary sector in Fife and establish best practice on how to respond to local need, support on-going development of service provision and ensure delivery on statutory responsibilities; (2) remit to the Joint Strategic Advocacy Planning Group to take forward further development and implementation of the action plan over the period of the Strategy; (3) remit to the Joint Strategic Advocacy Planning Group to bring forward a further progress report at an appropriate time following the end of the 2013/14 transitional year; and (4) consider a performance report on Fife Advocacy at a future meeting. 64. FIFE COMMUNITY EQUIPMENT PARTNERSHIP - BEST PRACTICE REVIEW The Partnership considered a joint report by the Head of Service (Adult Services), Social Work, Fife Council and the General Manager, Glenrothes and North East Fife Community Health Partnership, detailing improvements made within the Fife Community Equipment Partnership (FCEP), along with key aspects for further development in a range of areas, and outlining a series of significant actions that had been developed and now required to be implemented. The Partnership noted:- (1) the significant amount of work which would be required to train staff across all agencies to widen access to the core equipment provided by the FCEP; (2) the financial report and mitigating actions which would require to be taken by Fife Council and NHS Fife; (3) the impact on service users with respect to the funding gap which would remain in place due to limited budget availability across the FCEP; and (4) that further funding would be required to develop in-house refurbishment - following the completion of a feasibility study in this respect, a report was to be submitted, in the first instance to Fife Council and NHS Fife and thereafter to this Partnership, outlining the proposal and including financial implications. 65./ Councillor Neale Hanvey left the meeting during consideration of the above item.

6 2013.H.S.C.P ITEMS FOR INFORMATION (a) Health and Social Care Partnership Business Plan The Partnership noted the Health & Social Care Partnership Business Plan 2013/14, which would be further updated as appropriate. (b) Interim Informal HSCP Meeting on Re-shaping Care for Older People/Change Fund and the Local Unscheduled Care Action Plan/Winter Planning Framework The Partnership considered a joint report by the General Manager, Glenrothes and North East Fife Community Health Partnership and the Head of Adult Services, Fife Council, providing a formal record of the discussions which took place at the Partnership s informal interim meeting of 24th October, This event included presentations on: Re-shaping Care for Older People and the Change Fund; and the Local Unscheduled Care Action Plan and Winter Planning Framework. The Partnership noted the content of the report. 66. VALEDICTORY/VOTE OF THANKS Due to the Scottish Cabinet Health Secretary s decision to terminate the posts of elected members to NHS Boards with effect from 31st December, 2013, this meeting was the last which would be attended by both Anne McGovern and Susan Archibald. Anne was commended for her input as Chair, and a vote of thanks was given to both members for their contribution to the work of the Partnership during their office. It was noted that NHS Fife would advise in due course who will succeed Anne McGovern as Co-Chair, as well as who will be taking the two vacated seats on the Partnership.