Agenda Discussion Action

Transcription

1 Paper 19 East Ayrshire Health & Social Care Partnership Integration Joint Board 12 October 2017 at 2pm Council Chambers, Council HQ, London Road, Kilmarnock Present: In Attendance: Councillor Douglas Reid, East Ayrshire Council (Chair), Chief Officer Alistair McKie, Non-Executive Director, NHS Ayrshire & Arran Councillor John Herd, East Ayrshire Council Professor Hazel Borland, Nurse Director, NHS Ayrshire & Arran Councillor John McGhee, East Ayrshire Council Councillor Clare Maitland, East Ayrshire Council Mr Ian Smith, PPF Representative Ms Shirley Ferguson, Unison Representative Ms Caroline Scott, Council of Voluntary Organisations Mr Brian O Suilleabhain, Public Health Consultant Mr Craig McArthur, Chief Financial Officer Dr John Freestone, Clinical Lead Ms Ruth McMurdo, Senior Manager Criminal Justice (attending for Ms Susan Taylor) Ms Amanda McInnes, Senior Manager Business Support Ms Margaret Phelps, Partnership Programme Manager Mr Erik Sutherland, Senior Manager Planning & Performance Ms Aileen Anderson, Committee Secretary (Minutes) Agenda Discussion Action 1. Welcome & Apologies Councillor Reid welcomed everyone and noted apologies from Ms Alison Graham, Mr Ian Welsh, Mr Craig Stewart, Councillor Ian Linton, Dr Phil Korsah and Ms Susan Taylor. 2. Minute of the Previous Meeting held on 31 August 2017 The minutes of the previous meeting was agreed as an accurate record of discussions subject to the following amendments: i. Mr Alistair McKie to be attend to the In Attendance list. 3. Matters Arising and Actions Integration Joint Scheme Review It was noted that the Integration Joint Scheme Consultation was

2 discussed that Council on 21 September 2017 and NHS Board on 09 October Inspection of HMP Kilmarnock A follow up report on the HMP Kilmarnock Inspection will be presented to the IJB in August 2018 Community Phlebotomy Scheme An update report on the Community Phlebotomy Scheme will be brought to the IJB in March Financial Monitoring Report Month /18 A medium term Financial Report will be presented to the IJB on 30 November East Ayrshire Council: Strategic Planning Commissioning & Delivery of Health & Social Care Services within East Ayrshire Mr advised that the test in the first stage of the review was if a change to the Integration Scheme was necessary or desirable. The finding of the review was that it was desirable to change some elements of the Integration Scheme however it has not been deemed as necessary at present as there may be scope within the present scheme to address these issues. Therefore a further stage two review is in abeyance until work has been undertaken, within current arrangements, this will be supported by Scottish Government. The full papers as presented to Council and NHS Board were disseminated to the group for information. 5. Unscheduled Care Report Mr presented the Unscheduled Care Report to provide information which is presented regularly to the NHS Board, providing a consolidated report on unscheduled care across the system and to highlight the implications for East Ayrshire. It was noted within the background reports that there was increasing pressure at the front door of the acute hospitals with admissions increasing despite the decrease in emergency department admissions, this is due to new models of working with the Combined Assessment Unit. Discussion took place regarding ensuring admissions and presentations at the Emergency Department are appropriate and the duty of care staff have to our residents across the Unscheduled Care Pathway. There was also discussion on adverse impact on East Ayrshire

3 Residents of decisions made by neighbouring IJBs. The Board noted and agreed the following recommendations: i. To note and comment on the NHS Ayrshire & Arran Report; and ii. Agree and direct the Director to bring forward proposals on how to shift the balance of support from unscheduled care to planned and preventative support. 6. Integrated Care Fund Mr Erik Sutherland presented the Integrated Care Fund report to appraise the IJB of progress in undertaking a prioritisation exercise in relation to the baseline of the Integrated Care Fund (ICF) and seeking delegation from the IJB to conclude this process and finalise the baseline of the resource. It was noted that the ICF aimed to test a range of supports and interventions to improve personal and population outcomes based on co-production, technology enabled care and assets-based approaches. Prioritisation work is underway to risk assess and mitigate workforce retention, perceived deterioration in the quality of service, public or political acceptability and IJB prioritisation or prevention and early intervention. Councillor John McGhee sought clarity on the HR implications specifically relating to job security and was advised that staff are currently on short term contracts due to the funding arrangements and steps are being taken to baseline services within the existing resources to maintain staff. The Board noted the report and agreed the following recommendations: i. Direct the Chief Officer in his capacity as Director of Health and Social Care to conclude the prioritisation exercise in relation to the ongoing investment of former ICF resources within the baseline budget; ii. Direct the Chief Officer in his capacity as Director of Health and Social Care to communicate the results of the prioritisation exercise with programme leads for the former ICF; iii. Direct the Chief Officer in his capacity as Director of Health and Social Care to consider the implications of ongoing investment in the context of the entire resource delegated to the IJB and specifically in relation to the contribution to community nursing and community health and care capacity; and iv. Receive a subsequent report detailing conclusions on the baselining of the former ICF. Erik Sutherland

4 7. Regional Delivery Plan Mr presented a letter from Mr John Burns, NHS Ayrshire & Arran Chief Executive, detailing the West of Scotland Regional Delivery Workshop which took place on 20 September It was highlighted that agreement had been made at a previous IJB for Mr to attend, engage and feedback to the Board. It has been agreed that there are benefits in having a tiered approach to service delivery at individual locality, IJB, NHS Board and regional. In some instances it will be safer and more effective for regional contracts for services rather than for individual Boards however this will not prevent services from being locality focused. 8 Integration Authorities Engagement with Stakeholders Mr presented the Integrated Authorities Engagement with Stakeholders Report to provide information in relation to the recent developments with stakeholder engagement with East Ayrshire IJB and provide and update on the recent Health and Sport Committee report. The Partnership Programme Manager has been undertaking work within the locality to support arrangements for meaningful engagement. It was noted that the report detailed how people aleady felt significantly engaged within East Ayrshire. As a result of the report future IJB reports should have section detailing implications for people/ carers who use services. The Board noted the report and agreed the following recommendations: i. To endorse the approach to establish a Stakeholder Forum; and ii. To note the findings from the Health and Sport Committee report. 9. Governance Report Ms Amanda McInnes presented the Governance Report for consideration by the IJB an update on Partnership Governance through: i. Risk Management Committee; ii. Resilience; iii. Partnership Forum; iv. Health, Safety & Wellbeing Sub Group;

5 v. And also provide an update in relation to the new IJB Complaints Handling Procedure. It was noted that the minutes from the associated Governance committees were provided to the group for information. The Board noted the report and agreed the following recommendations: i. Note progress in relation to Partnership s Groups on Resilience, Civil Contingencies and Business Continuity; Risk Management; Partnership Forum; and Health, Safety and Wellbeing; ii. Note the minutes of the Risk Management Group Meetings held on 16 February 2017 and 01 June 2017; iii. Note and provide comment on the NHS Risk Assurance Report; iv. Note and provide comment on the Partnership s Risk Register; v. Note the minutes of the Resilience Group Meetings held on 08 December 2016; 10 March 2017; and 27 June 2017; vi. Note the minutes of the Partnership Forum Meetings held on 02 February 2017 and 04 May 2017; vii. Note the minutes of the Partnership s Health, Safety & Wellbeing Sub Group Meetings held on 02 February 2017 and 04 May 2017; and viii. Note the new IJB Complaints Handling Procedure. ECXLUSION OF PRESS AND PUBLIC 10. Social Care Pilot Contracts for Wet Floor Shower Adaptations Report to East Ayrshire Council 04 October AOCB Mr presented the report advising that a pilot utilising a Self-Directed Support Model is being established to introduce a grant process for the adaptation of wet floor shower rooms; this is mainly for owner occupiers. It is anticipated that this will reduce waiting times and make the service more streamlined. It was agreed that this will be a one year pilot with an evaluation on completion. Nothing to discuss. 12. Date and Time of Next Meeting

6 Thursday 30 November 2017 at 2pm within Council Chambers, Council HQ, London Road, Kilmarnock