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SCH/KM 3 January 2018 ALL MEMBERS OF ANGUS HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD Dear Member ANGUS HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD MEETING You are requested to attend a meeting of the Angus Health and Social Care Integration Joint Board to be held in the Town and County Hall, Forfar on Wednesday 10 January 2018 at 2.00pm. The agenda and papers are enclosed. If you have any queries, please contact Karen Maillie on (01307) 476265 or e-mail [email protected] Yours sincerely SHEONA C HUNTER Head of Legal and Democratic Services DISTRIBUTION: Voting Members of Angus Health and Social Care Integration Joint Board Angus Council NHS Tayside Councillor Julie Bell Hugh Robertson, Non Exec Board Member - Chair Councillor Lois Speed – Vice Chair Judith Golden, Non Executive Board Member Councillor Derek Wann Alison Rogers, Non Executive Board Member Named Proxy Members for Angus Council Named Proxy Members for NHS Tayside (for information) - tbc (for information) - tbc Non Voting Members of Angus Health and Social Care Integration Joint Board Vicky Irons, Chief Officer Alexander Berry, Chief Finance Officer Kathryn Lindsay, Chief Social Work Officer Douglas Lowdon,Consultant Acute & Elderly Medicine Peter Burke, Carers Representative GP Representative - tbc Chris Boyle, Staff Representative Bill Muir, Third Sector Representative Ivan Cornford, Independent Sector Representative Barbara Tucker, Staff Representative David Barrowman, Service User Representative Jim Foulis, Associate Nurse Director Alison Clement, Clinical Director Angus House │ Orchardbank Business Park │ Forfar │ DD8 1AN │ DX530678 Forfar T: (01307) 461460 E: [email protected] │ www.angus.gov.uk 1 Operational Advisers George Bowie, Head of Community Health and David Thompson, Principal Solicitor, Angus Council Care Services – South Gail Smith, Head of Community Health and Care Michelle Watts, Associate Medical Director, Services - North NHS Tayside David Coulson, Associate Director of Pharmacy, Drew Walker, Director of Public Health, NHS Tayside NHS Tayside Bill Troup, Head of Integrated Mental Health Services 2 ANGUS HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD TO BE HELD IN THE TOWN AND COUNTY HALL, FORFAR ON WEDNESDAY 10 JANUARY 2018 AT 2.00PM AGENDA 1. APOLOGIES 2. DECLARATIONS OF INTEREST Members are reminded that, in terms of the Code of Conduct of Members of Devolved Public Bodies, it is their responsibility to make decisions whether to declare an interest in any item on this agenda and whether to take part in consideration of that matter. PAGE NO. 3. MINUTES INCLUDING ACTION LOG (a) Previous Meeting Submit, for approval, as a correct record, the minute of meeting of the Angus Health and Social Care Integration Joint Board of 25 October 2017. (5-10) (b) Action Log Submit Action Log of 25 October 2017. (11-12) 4. IMPROVING SCOTLAND’S HEALTH: A HEALTHIER FUTURE – ACTIONS AND AMBITIONS ON DIET, ACTIVITY AND HEALTHY WEIGHT Members are referred to the email issued on 21 December 2017 in connection with the consultation on Improving Scotland’s Health: A Healthier Future – Actions and Ambitions on Diet, Activity and Healthy Weight. Members are reminded that the consultation period expires on 31 January 2018. 5. PROPOSED APPOINTMENTS TO THE INTEGRATION JOINT BOARD AND AUDIT COMMITTEE Submit Report IJB 5/18 by the Chief Officer. (13-14) 6. FINANCE REPORT Submit Report IJB 6/18 by the Chief Finance Officer. (15-25) 7. SERVICE REDESIGN TRANSFORMATION PROGRAMME (a) ANGUS COMMUNITY MENTAL HEALTH SERVICE Submit Report IJB 7/18 by the Chief Officer. (26-28) 3 (b) MENTAL HEALTH AND LEARNING DISABILITY SERVICE REDESIGN TRANSFORMATION (MHLDSRT) PROGRAMME – CONSULTATION FEEDBACK Submit Report IJB 8/18 by the Chief Officer. (29-192) 8. THE ANGUS CARE MODEL PROGRESS REPORT Presentation to be provided by Alison Clement, Clinical Director, IJB and George Bowie, Head of Community Health and Care Services, North, AHSCP. Submit Report IJB 9/18 by the Chief Officer. (193-214) 9. PRESCRIBING MANAGEMENT UPDATE Submit Report IJB 10/18 by the Chief Officer. (215-232) 10. IMPROVEMENT AND CHANGE PROGRAMME – PROGRESS REPORT Submit Report IJB 11/18 by the Chief Officer. (233-236) 11. THE CARERS (SCOTLAND) ACT 2016 – PREPARATION FOR IMPLEMENTATION Submit Report IJB 12/18 by the Chief Officer. (237-241) 12. DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT 2016/17 – TRANSFORMATIONAL PUBLIC HEALTH Submit Report IJB 13/18 by the Chief Officer. (242-312) 13. PROVISION OF INTERIM RESPITE CARE FOR ADULTS WITH LEARNING DISABILITIES Submit Report IJB 14/18 by the Chief Officer. (313-314) 14. PERFORMANCE REPORT Submit Report IJB 15/18 by the Chief Officer. (315-358) 15. LEARNING DISABILITY IMPROVEMENT PLAN Submit Report IJB 16/18 by the Chief Officer. (359-362) 16. DATE OF NEXT MEETING The next meeting of the Angus Health and Social Care Integration Joint Board will be held on Wednesday 21 February 2018 at 2.00pm in the Town and County Hall, Forfar. 4 AGENDA ITEM NO 3 (a) MINUTE of MEETING of the HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held in the Town and County Hall, Forfar on Wednesday 25 October 2017 at 2.00pm. Present: Voting Members of Integration Joint Board HUGH ROBERTSON, Non-Executive Board Member, NHS Tayside Councillor JULIE BELL, Angus Council Councillor LOIS SPEED, Angus Council ALISON ROGERS, Non-Executive Board Member, NHS Tayside Non Voting Members of Integration Joint Board DAVID BARROWMAN, Service User Representative SANDY BERRY, Chief Finance Officer CHRIS BOYLE, Staff Representative PETER BURKE, Carers Representative ALISON CLEMENT, Clinical Director, Angus IJB VICKY IRONS, Chief Officer KATHRYN LINDSAY, Chief Social Work Officer DOUGLAS LOWDON, Consultant Acute and Elderly Medicine BARBARA TUCKER, Staff Representative Advisory Officers GEORGE BOWIE, Head of Community Health and Care Services - South, AHSCP DAVID COULSON, Associate Director of Pharmacy, NHS Tayside GAIL SMITH, Head of Community Health and Care Services - North, AHSCP WENDY SUTHERLAND, Senior Solicitor – Place Directorate, Angus Council BILL TROUP, Head of Integrated Mental Health Services, AHSCP DREW WALKER, Director of Public Health, NHS Tayside MICHELLE WATTS, Associate Medical Director, NHS Tayside Observer LYNSEY McLEOD, Solicitor – Place Directorate, Angus Council HUGH ROBERTSON, in the Chair. 1. RESIGNATION OF VOTING BOARD MEMBER The Board noted that Councillor David Fairweather had intimated his resignation. The Chair advised that the appointment of a voting board member had been deferred at the Angus Council meeting on 19 October 2017. He further confirmed that the appointment of a voting board member was to be considered at a Special Meeting of Angus Council on 31 October 2017. 2. APOLOGIES Apologies for absence were intimated on behalf of Judith Golden, Non-Executive Board Member, NHS Tayside; Ivan Cornford, Independent Sector Representative; Jim Foulis, Associate Nurse Director, NHS Tayside; and Bill Muir, Third Sector Representative. 3. DECLARATIONS OF INTEREST The Board noted there were no declarations of interest made. 5 4. MINUTES INCLUDING ACTION LOG (a) PREVIOUS MEETING The minute of meeting of the Angus Health and Social Care Integration Joint Board of 30 August 2017 was submitted and approved as a correct record. (b) ACTION LOG The action log of the Health and Social Care Integration Joint Board of 30 August 2017 was submitted. The Chief Officer intimated in relation to the action point in terms of the update on the 2017/18 budget settlement with NHS Tayside, she confirmed that this action had been completed on 30 August 2017. In relation to the action point in terms of the submission of an update report on Review of In-Patient Care in Angus, she advised that a report would be considered at the next available IJB meeting. Thereafter, the Integration Joint Board agreed to note the action log. (c) AUDIT COMMITTEE The minute of meeting of the Audit Committee of 30 August 2017 was submitted and noted. 5. TIMETABLE OF MEETINGS 2018 The timetable of meetings for 2018 was submitted. The Integration Joint Board noted that following the issue of the timetable of meetings for 2018, a meeting in respect of the Integration Joint Board Audit Committee had been confirmed and would take place prior to the Integration Joint Board meeting on Wednesday 10 January 2018 at 12.30pm. The Board agreed that the timetable of meetings be amended accordingly. The Integration Joint Board thereafter noted the timetable of meetings for 2018. 6. FINANCE REPORT With reference to Article 6 of the minute of meeting of this Board of 30 August 2017, there was submitted Report No IJB 56/17 by the Chief Finance Officer providing an update to the Board regarding the financial performance of Angus Integration Joint Board (IJB). The Report indicated that in terms of the Angus Integration Joint Board Integration Scheme set out for 2016/17 and 2017/18, should the IJB ultimately overspend then that overspend would be attributed back to the Partnership organisation in which the overspend had incurred. The implications of the agreement would be considered in 2017/18 in advance of financial year 2018/19. The Integration Joint Board’s detailed forecast financial position for 2017/18 was outlined in Appendix 1 to the Report, which showed that the overall position for Angus Integration Joint Board at August was a forecast year end overspend of c£2.5m. The overspends were largely attributable to Prescribing. Due to the financial projections for Angus IJB (Health), NHS Tayside had, in line with the Integration Scheme formally requested that a recovery plan be submitted to them setting out plans for improving the overall financial position of Angus IJB (Health) in this financial year. This reflected the financial strain within NHS Tayside of which part (c£2.6m) was attributable to services delivered within Angus IJB. The IJB’s financial position would require increasingly difficult decisions to be made in this financial year to generate an improvement in the projected financial position.
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