Prior to the commencement of the meeting the Chair intimated that this meeting of the IJB would be recorded and that the recording would be available to watch on both the Council and HSCP websites.

 

Karen Turner (Greater Glasgow & Clyde Health Board), Mark Halliwell (unpaid carer residing in Renfrewshire), John Boylan (Trade Union Representative for Council) and John Trainer, Chief Social Work Officer (Renfrewshire Council).

 

Under reference to item 2 of the Minute of the meeting of the IJB held on 28 June 2024, the Clerk advised that the NHS Board had intimated that Margaret Kerr had been reappointed as a voting member on the IJB and that Cath Cooney, Karen Turner and Colin Neil had been appointed as voting members on the IJB, all with effect from 1 July 2024 for a period of three years.

The Clerk further advised that confirmation had been received that John Boylan (Trade Union Representative for Council) had been reappointed to the IJB as a non-voting member with effect from 22 November 2024 for a period of three years.

Following discussion on related membership matters it was noted that a report in relation to the appointment of the IJB Vice Chair, the appointment of Health Board voting members to the IJB Audit, Risk & Scrutiny Committee and the appointment or reappointment of various category two and three members to the IJB, would be submitted to the next meeting of the IJB for consideration.

 

DECIDED:

(a) That the appointment of the Health Board voting members to the IJB be noted;

(b) That the appointment of John Boylan (Trade Union Representative for Council) as a non-voting member to the IJB be noted; and

(c) That a report in relation to the appointment of the IJB Vice Chair, the appointment of Health Board voting members to the IJB Audit, Risk & Scrutiny Committee and the appointment or reappointment of various category two and three members to the IJB, would be submitted to the next meeting of the IJB for consideration.

 

The Minute of the meeting of the Integration Joint Board (IJB) held on 28 June 2024 was submitted.

DECIDED: That the Minute be approved.

 

The rolling action log for the IJB was submitted.

DECIDED: That the updates to the rolling action log be noted.

 

The Chief Officer submitted a report providing an update on recent key developments and operational activity since the last meeting of the IJB on 28 June 2024 and additional policy developments which would be built into future workplans, strategies and action plans.

The report intimated that the contents reflected an ongoing period of change and challenge, particularly within the financial circumstances faced by the IJB.

DECIDED: 

(a) That the range of key HSCP updates, as detailed in sections 4 to 13 of the report, be noted; and

(b) That the national policy updates, as detailed in sections 14 to 18 of the report, be noted.

The Chief Finance Officer submitted a report relative to the revenue budget position at 31 August 2024 and the projected year end position for the year ending 31 March 2025. The report also sought approval for the transfer of funds to reserves. 

The report advised that, given the current discussions on pay negotiations for local government and health, it was not yet clear what the final impact would be on the overall budget position for 2024/25 or what funding would be passed through to the IJB to meet these increased costs.

The report sought approval for the movement of the non-recurring superannuation reduction of £3,611k to the ear marked reserve ‘funding to deliver a balanced budget’ from which the IJB would draw down at the end of this financial year in order to deliver a breakeven position.

DECIDED:

(a) That the in-year position at 31 August 2024 be noted;

(b) That the projected year-end position for 2024/25 be noted; and

(c) That the proposed transfer to earmarked reserves, as detailed in section 8.6.1 of the report, be approved.

Under reference to item 6 of the Minute of the meeting of the IJB held on 28 June 2024, the Chief Finance Officer submitted a report relative to the Audited Annual Accounts for the IJB for 2023/24, a copy of which was appended to the report.

The report intimated that Ernst & Young (EY) had provided an audit opinion which was free from qualification and advised that EY had submitted a report to the IJB Audit, Risk and Scrutiny Committee held on 13 September 2024 which detailed matters arising over the course of the audit. 

The report advised that under the Local Authority Accounts (Scotland) Regulations 2014, the IJB must meet to consider the annual accounts and approve those accounts for signature no later than 30 September.

The Chair of the IJB Audit, Risk & Scrutiny Committee provided the background to the governance process of the accounts through the IJB Audit, Risk & Scrutiny Committee; advised that the Committee had given consideration to both the report from the external auditor and the draft accounts; referred to the discussions with the external auditor at meetings of the Committee and the private meeting between members of the Committee and the external auditor held prior to the meeting of the Committee held on 13 September 2024; advised that the Committee had recorded its thanks to both the HSCP finance team and the external auditor for the work undertaken; advised of the discussions with the external auditor in relation to the going concern of IJB to distinguish between the going concern of the body versus financial sustainability and the urgent need raised by the external auditor for financial sustainability; and advised that the Committee recommended that the Annual Audited Accounts 2023/34 be approved to the IJB for signature.

DECIDED: That the Annual Accounts for 2023/24 be approved for signature in accordance with the Local Authority Accounts (Scotland) Regulations 2014.

Under reference to item 7 of the Minute of the meeting of the IJB held on 28 June 2024, the Head of Strategic Planning & Health Improvement submitted a report relative to the Sustainable Futures programme.

The report provided detail in relation to the current position of the programme; the proposed approach to delivering savings equitably, including the 10% saving target; and the proposed approach to engagement to support identification of further savings.

DECIDED:

(a) That the current context and programme position, as detailed in sections 3 and 4 of the report, be noted; 

(b) That the proposed approach to delivering savings equitably, including the 10% saving target, as detailed in section 6 of the report, be approved; and

(c) That the proposed approach to engagement to support identification of further savings, as detailed in section 7 of the report, be approved.

Under reference to item 8 of the Minute of the meeting of the IJB held on 28 June 2024, the Head of Strategic Planning & Health Improvement submitted a report setting out the HSCP’s proposed Performance Scorecard for 2024/25.

The report intimated that the Performance Scorecard for 2024/25 had been reviewed and the report provided detail on the amendments to indicators; amendments to targets for 2024/25; and indicators with no targets. Appendix 1 to the report detailed the proposed changes. 

The report advised that the full Scorecard updating all performance measures would be presented to the IJB twice yearly, at mid-year in January 2025 and end-of-year in June 2025. 

The report indicated that the HSCP had been subject to a Performance Audit between August 2023 and January 2024 which had identified that satisfactory arrangements were in place for performance management within the HSCP and that systems in place for monitoring and reviewing key performance indicators were well controlled. As a result, no audit findings were identified during the review and the Auditor made a provision of Substantial Assurance for the areas tested.

DECIDED: 

(a) That the HSCP’s draft Performance Scorecard for 2024/25 be approved; and

(b) That it be noted that the full Scorecard updating all performance measures would be presented twice yearly, mid-year in January 2025 and end-of-year in June 2025, as part of the Annual Performance Report.

The Interim Head of Health & Social Care submitted a report relative to the HSCP’s Quality, Care and Professional Governance Annual Report for the period April 2023 to March 2024, which provided a variety of evidence to demonstrate the continued delivery of the governance core components within Renfrewshire HSCP and the clinical and care governance principles specified by the Scottish Government, a copy of which was appended to the report. 

The report advised that the governance care components within Renfrewshire HSCP were based on service delivery, care and interventions that were person-centred, timely, outcome focused, equitable, safe, efficient and effective. 

The report demonstrated the HSCP’s commitment to the Quality agenda and provided assurance that the HSCP were meeting their obligations in this area and would focus on learning, improving and highlighting areas of good practice.

DECIDED: 

(a) That the content of the report, as appended, provided on HSCP governance to provide the necessary assurance to the IJB that services continued to operate safely and effectively, be noted; and 

(b) That the number of examples included within the report be noted.

Under reference to item 8 of the Minute of the meeting of the IJB held on 23 November 2023, the Head of Mental Health, Learning Disability & Alcohol & Drugs Recovery Services submitted a report providing further detail on the next stage of the implementation of the NHSGGC Mental Health Strategy and information relating to the aligned public consultation.

DECIDED: That the progress of the implementation of the NHSGGC Mental Health Strategy 2023/28 and aligned consultation process be noted.

The Independent Chair of the Renfrewshire Alcohol & Drug Partnership (ADP) submitted a report relative to the Renfrewshire ADP Annual Reporting Survey 2023/24, a copy of which was appended to the report. 

The report intimated that Renfrewshire ADP had key responsibility for implementing the National Policy Frameworks and driving forward local action to reduce the impact of alcohol and drugs. The Survey demonstrated some of the work undertaken by Renfrewshire ADP focused on a range of key priorities which related to the delivery of the National Mission Action Plan during 2023/24. 

The report advised that the Survey comprised of single option and multiple-choice questions designed by the Scottish Government to allow consistent recording and analysis by all ADPs nationally. 

The Independent Chair, Alcohol & Drug Partnership highlighted areas of activity being undertaken in Renfrewshire; requested that consideration be given as to how the ADP linked in with the IJB and whether the IJB wished to be part of the ADP structure; and advised that the Renfrewshire ADP had its own Performance Framework which would be made available to IJB members. 

The Chair proposed that the Performance Framework be added to the agenda for a future IJB development session and that the ADP provide regular updates to members at future IJB development sessions; and that she, as Chair of the IJB, would be part of the ADP structure. 

DECIDED: 

(a) That the contents of the Survey, appended to the report, be noted; 

(b) That the ADP Annual Reporting Survey 2023/24 be approved; 

(c) That the Performance Framework be added to the agenda for a future IJB development session and that the ADP provide regular updates to members at future IJB development sessions; and 

(d) That the Chair of the IJB be part of the ADP structure.

 

The Chief Finance Officer submitted a report providing an update on the steps taken to embed the Renfrewshire IJB Market Facilitation Plan 2023/25 within the HSCP’s Strategic Commissioning practices.

The report also provided an update on planned procurement activity for 2024/25 and detail on upcoming contract end dates.

It was noted that the Flexible Framework for the Provision of Supported Living and Community Based Support Services for Adults with Social Care Needs had been approved by Renfrewshire Council at the meeting of the Finance, Resources & Customer Services Policy Board held on 12 September 2024.

DECIDED: 

(a) That the contents of the report be noted; and

(b) That the update provided in relation to the Flexible Framework for the Provision of Supported Living and Community Based Support Services for Adults with Social Care Needs be noted.

The Chair of the IJB Audit, Risk & Scrutiny Committee provided a verbal update on the business conducted at the meeting of the Committee held on 13 September 2024.

DECIDED: That the verbal update be noted.

DECIDED: That it be agreed that the next meeting of the IJB scheduled to be held at 10.00 am on 22 November 2024 be rescheduled to 10.00 am on 13 December 2024 to allow an extra period of time for initial engagement on the Sustainable Futures programme.