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Approved by Integrated Joint Board at the meeting held on 2 April 2015
Minutes of East Ayrshire Shadow Integration Board
3pm, Thursday 26 March 2015
Robert Burns Suite, Burns Monument Centre, Kilmarnock
Present:
Mr Ian Welsh, Non-Executive, NHS A&A (Chair)
Councillor Tom Cook, EA Council
Councillor Maureen McKay, EA Council
Mr Alistair McKie, Non-Executive, NHS A&A
Mr Eddie Fraser, Director of Health and Social Care Partnership
Mr Iain Smith, Public Partnership Forum
Mr Gordon McKay, Staffside Representative, NHS A&A
Ms Kathy Morrice, EA Council
In
Attendance:
Ms Margaret Phelps, Corporate Officer, EA HSCP
Dr Erik Sutherland, Senior Manager of Planning and Performance, EA
HSCP
Ms Annemargaret Black, Head of Community Health and Care Services,
EA HSCP
Mr Jim Lyon, Acting Head of Service for Children, Families and Criminal
Justice Services, EA HSCP
Mrs Pamela Milliken, Head of Primary Care and Out of Hours Community
Response Services, EA HSCP
Mr Alex McPhee, Senior Manager of Finance, EA HSCP
Dr Sonya Scott, Consultant in Public Health, NHS A&A
Mr Craig McArthur, Head of Finance, EAC
Ms Amanda McInnes, Senior Business Support Manager, EA HSCP
Miss Rebecca Hannah, Committee Secretary (Minutes)
1. WELCOME AND INTRODUCTIONS
1.1 In Cllr Reid’s absence, Mr Welsh took the position as chair.
Action
1.2 Mr Welsh welcomed everyone to the meeting.
2. APOLOGIES FOR ABSENCE
2.1 Apologies for the meeting were received from Douglas Reid, Iain Linton,
Alison Graham, Eddie Docherty, Fiona Lees, Alex McPhee, Derek
Lindsay, Jennifer Elliot, Catherine Bingham, Susan Taylor, Shiona
Johnston and Eunice Johnstone.
3. MINUTES OF PREVIOUS MEETING HELD ON 24 FEBRUARY 2015
3.1 The Board approved the minutes of the previous meeting held on 24
February 2015. Mr McKie proposed and Cllr Cook seconded the minutes.
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Approved by Integrated Joint Board at the meeting held on 2 April 2015
4. MATTERS ARISING
4.1 Item 7.3, Primary Care Prescribing – Analysis of Current Overspend
– members noted the matters arising paper which was included in the
meeting papers. Mr McPhee provided a response to Cllr McKay’s
request for further information regarding the overspend in the primary
care prescribing budget. Mr Welsh informed members this will return to
the Integrated Joint Board (IJB) at a later date for full discussion.
4.2 Item 10.3, Management Structure – Mr McKay clarified that as noted in
the minutes the NHS A&A Employee Director attended a meeting
between the Head of Service Groups however, there was no
consultation or discussion with Trade Unions regarding changes to
management structure within NHS A&A.
5. STRATEGIC PLAN
5.1 Mr Fraser brought the Strategic Plan and background papers to members
for endorsement to enable the IJB to adopt the Strategic Plan at the
meeting on 2 April 2015.
5.2 Mr Fraser discussed the Strategic Plan document with members noting
minor changes in supporting documents.
5.3 Cllr Cook queried if the Board were being ambitious enough to increase
the percentage of children in primary 1 with no obvious dental decay
experience from 63.9% to 64% by 2018. Ms Milliken was asked to contact
the Dental Management Team and provide an update. Cllr McKay felt it PM
would be beneficial for the Board to have information on the National
targets for information.
5.4 Cllr McKay sought clarity on the impact of changes in targets of Alcohol
and Drugs Prevention to the spending budgets of the IJB. Mr Fraser
advised that budgets have been developed to reflect the expected
outcomes of the prevention work which has been successful in improving
drug and alcohol use in East Ayrshire.
5.5 Mr Fraser clarified that if the IJB adopt the Strategic Plan on 2 April 2015
the Board is required to publish the document. The IJB can be asked to
review the document if both parent bodies together find infringement of
any strategies which may affect the parent body.
5.6 Mr Welsh congratulated and thanked Mr Fraser and the teams who
participated in the development of the Strategic Plan.
5.7 The Board agreed the recommendations to;
(i) Endorse the Strategic Plan and supporting documents attached
at Appendix 1;
(ii) Submit the Strategic Plan to the Integration Joint Board meeting
on 2 April 2015;
(iii) Agree the process for the confirmation of the Strategic Planning
Group membership, and;
(iv) Otherwise note the content of the report.
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Approved by Integrated Joint Board at the meeting held on 2 April 2015
6. FINANCE
6.1 Due Diligence – Mr McPhee discussed the details of the due diligence
processes that have been applied to the creation of the consolidated
East Ayrshire Health and Social Care Partnership budget for the
2015/16 financial year.
Mr McKay sought clarity regarding responsibility for overspends. At the
EA SIB Development Day members were advised that each individual
partner would be responsible for overspends, Mr McKay questioned if
this indicated that one parent body could radically change a service
without the agreement of the IJB. Mr Fraser confirmed that the IJB will
be responsible for the management of services in the partnership. Mr
Fraser also noted that the Scottish Government (SG) have been explicit
when previously allocating funding to parent bodies that is to be used
for the integration of Health and Social Care and expects this to
continue. Cllr McKay continued this query seeking clarity that any
allocation from the SG would be ringfenced for the HSCP. Mr Fraser
advised that any funding will be allocated through the statutory partners;
usually this would be processed using a Chief executives letter. There
has been a Director’s letter which should enable funding allocations to
be made through parent bodies to the partnership in future.
The Board agreed the recommendations to;
i) Note the due diligence processes that have been applied to the
creation of the consolidated East Ayrshire Health and Social Care
Partnership budget for the 2015/16 financial year.
ii) Note that this report will be tabled at the first meeting of the
Integration Joint Board on 2 April 2015 for endorsement and
iii) Otherwise note the content of the report.
6.2 Financial Regulations – Mr McPhee advised members of Financial
Regulations that have been prepared for the East Ayrshire Health and
Social Care Partnership.
Mr Fraser noted the importance of the Financial Regulations and the
responsibility of managing the IJB budget. It is noted within the
document there is scope to transfer money between services, this has
been carried out in the past for example when working on complex care
home packages and to support hospital discharge. Mr Fraser advised
that the limit of these transactions will be up to £100,000, if the amount
exceeds £100,000 it would be brought before Board members for
endorsement and would include Directors of Finance from both parent
bodies. A form of revised wording for paragraph 31 of the Financial
Regulations was circulated and agreed.
Members agreed the recommendations to;
i) Approve the Financial Regulations as detailed in Appendix 1 and
note that this report will be tabled at the first meeting of the
Integration Joint Board on 2 April 2015 for endorsement and
ii) Otherwise note the content of the report.
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Approved by Integrated Joint Board at the meeting held on 2 April 2015
7. INTEGRATED CARE FUND
7.1 Dr Sutherland sought approval from members for the continuation of
certain Reshaping Care for Older People (RCOP) initiatives under the
Integrated Care Fund (ICF) in 2016/16 and to seek approval for
proposed investment of the ICF in a number of new areas in 2015/16.
7.2 Dr Sutherland advised members that a Ministerial announcement
confirmed the ICF will be available for a further two years. Members
welcomed the funding however, felt that if this had been known sooner
organisations bidding for funding could have created projects which
could have been more sustainable.
7.3 Mr Welsh thanked Dr Sutherland, Ms Phelps and Mrs Johnston and their
teams for their work.
7.4 The Board agreed the recommendations to;
i) Agree the continued investment in successful Reshaping Care for
Older People Change Fund initiatives under the Integrated Care
Fund;
ii) Agree the investment of the Integrated Care Fund detailed in the
report;
iii) Receive six-monthly progress reports on the Integrated Care Fund,
and;
iv) Otherwise note and comment on the report.
8.
DRAFT AGENDA INTEGRATION JOINT BOARD MEETING 2 APRIL
2015 – Members noted the agenda for the first formal meeting of the IJB
on 2 April 2015.
8.1 APPOINT CHAIR AND VICE CHAIR OF IJB – Members noted the
report. Mr Welsh will be chair and a nominee from East Ayrshire
Council will be vice chair of the IJB until the local government elections
in 2017.
8.2 The Board agreed the recommendations to;
(i)
(ii)
Note the arrangements for appointing the chair and vice chair of
the Integration Joint Board - note Ian Welsh as the first Chair of the
Integration Joint Board and note Councillor Douglas Reid will be
nominated by the Council as the first Vice Chair of the Integration
Joint Board ; and
Otherwise note the content of the report.
9. ANY OTHER BUSINESS
9.1 There was no other business.
10. DATE OF NEXT MEETING – 3PM, THURSDAY 2 APRIL 2015, CVO,
BELFORD MILL, 16 BREWERY ROAD, KILMARNOCK KA1 3HZ
Chair ……………………………………………….
Date ………………………………………
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