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) and John Trainer, Chief Social Work Officer (Renfrewshire Council). 

There were no declarations of interest or transparency statements intimated prior to the commencement of the meeting.

The Minute of the meeting of the Integration Joint Board (IJB) held on 13 December 2024 was submitted.

DECIDED: That the Minute be approved.

The Clerk submitted a report relative to membership of the IJB Audit, Risk & Scrutiny Committee.

The report intimated that Renfrewshire Council, at a meeting held on 12 December 2024, decided that Councillor Jacqueline Cameron replace Councillor Fiona Airlie-Nicolson as a voting member on the IJB as of 1 January 2025. 

The report advised that Councillor Fiona Airlie-Nicolson was one of the Council voting members on the IJB Audit, Risk & Scrutiny Committee. In line with the proposed approach to the appointment of members to this Committee, the four Council voting members were invited to nominate one of their number to sit on the Committee replacing Councillor Fiona Airlie-Nicolson.

Councillor Lisa-Marie Hughes, seconded by Councillor Jennifer Adam moved that Councillor Jacqueline Cameron replace Councillor Fiona Airlie-Nicolson on the IJB Audit, Risk & Scrutiny Committee. There were no other nominations.

DECIDED:

(a) That it be noted that Councillor Jacqueline Cameron replaced Councillor Fiona Airlie-Nicolson as a voting member on the IJB as of 1 January 2025; and

(b) That it be noted that in line with the proposed approach to the appointment of members of the Audit, Risk & Scrutiny Committee, Councillor Jacqueline Cameron had been nominated by the voting members to sit on the Committee.

The Chief Officer submitted a report providing an update on key developments and operational activity since the last meeting of the IJB on 13 December 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. 

The Chief Officer advised that the recruitment process for her replacement was currently underway; that the first patient had been discharged under the Hospital at Home model; and that Fraser McJannett had been recently appointed as the Director of Primary Care for NHSGGC.

DECIDED: 

(a) That the range of key HSCP updates, as detailed in sections 4 to 9 of the report, be noted; 

(b) That the national policy updates, as detailed in sections 10 to 13 of the report, be noted; and

(c) That the verbal updates provided by the Chief Officer be noted.

The Chief Finance Officer submitted a report relative to the revenue budget position at 30 November 2024 and the projected year end position for the year ending 31 March 2025. 

The Chief Finance Officer advised that recommendation 2 bullet point four should read ‘Approve the drawdown of general reserves, highlighted in section 9.2 to fund the backdating of the increase to Care at Home staff grades to 1 April 2020 paid to date of £1.989 million.’

DECIDED:

(a) That the in-year position at 30 November 2024 be noted;

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

(c) That the in-year management action in place to reduce 2024/25 projected spend be noted;

(d) That the drawdown of general reserves, highlighted in section 9.2 of the report, to fund the backdating of the increase to Care at Home staff grades to 1 April 2020 paid to date of £1.989 million be approved; and

(e) That the use of general reserves to fund the remaining costs associated with the backdating of the increase to Care at Home staff grades; for staff that were not currently in post who may yet submit a claim; and costs associated with the senior post regrade be approved.

Under reference to items 12 and 13 of the Minute of the meeting of the IJB held on 13 December 2024, the Head of Strategic Planning & Health Improvement submitted a report relative to phasing of upcoming programme activity.

The report intimated that following the December IJB meeting, the HSCP’s Senior Management Team met to consider next steps and determined that, reflective of the degree of work required and available capacity within the HSCP, it would be necessary and prudent to phase forthcoming programme activity. This would be aligned with the financial planning assumptions underpinning the savings agreed and would help ensure that savings and associated changes were implemented effectively.

DECIDED: 

(a) That the phased approach to delivering the savings agreed by the IJB in December 2024, and further development and engagement upon savings proposals in line with the IJB’s decision making, as detailed in sections 4 to 6 of the report, be noted; and

(b) That the next steps identified for the programme, as detailed in section 7 of the report, be noted.

Under reference to item 9 of the Minute of the meeting of the IJB held on 28 June 2024, the Head of Strategic Planning & Health Improvement submitted a report providing an update on work to be undertaken to review and develop the IJB’s existing Strategic Plan and seeking agreement to move to a formal consultation period, prior to bringing a final version of the Plan to the IJB in June 2025. 

The report intimated that in June 2024, the IJB agreed that rather than developing a new Plan. its current Strategic Plan 2022/25 be refreshed and extended to March 2027. The current themes and objectives of the Plan would be refined and updated, as set out in the report. The draft updated Plan formed Appendix 1 to the report and the consultation plan formed Appendix 2 to the report.

DECIDED:

(a) That the process followed to refresh the IJB’s Strategic Plan, as detailed in section 4 of the report, be noted;

(b) That the key changes outlined and contained within the draft Plan provided, as detailed in section 5 and Appendix 1 of the report, be noted;

(c) That the consultation draft of the Strategic Plan, which formed Appendix 1 to the report, be approved; and 

(d) That the consultation plan to be taken forward, as detailed in section 6 and Appendix 2 to the report, be approved.

The Head of Strategic Planning & Health Improvement submitted a report providing an update on the mid-year performance for April to September 2024. The full scorecard updating all performance measures was appended to the report. 

The report intimated that overall, the scorecard indicated an improvement from the 2023/24 year-end position with a 12% reduction in red status indicators and an increase of 9% in green status indicators.

The Head of Strategic Planning & Health Improvement advised that in relation to indicator 4, number of new adult carers supported by Renfrewshire Carers Centre, the report reflected the red status and figure of 288 for quarter 1 and that this should reflect the status at the mid-year point which was now green with the total number being 495 carers supported. Further, that in relation to paragraph 8.1 of the report, it be noted that the Unscheduled Care Home First Design & Delivery Plan 2024/27 report would be submitted to a future meeting of the IJB.

DECIDED:

(a) That the Performance Management Mid-year Report 2024/25 for Renfrewshire HSCP be approved; 

(b) That it be noted that the end-of-year scorecard would be presented as part of the Annual Performance Report at June’s IJB meeting; and

(c) That the updates provided by the Head of Strategic Planning & Health Improvement be noted.

Valedictory

On behalf of the IJB, the Chair advised that this was the last meeting of the IJB which Christine would attend before she departed the HSCP to take up her new post of Chief Officer of Edinburgh HSCP. The Chair took the opportunity to thank Christine for her professionalism, support and advice she had provided during her time with Renfrewshire HSCP. Other members echoed the sentiments expressed by the Chair.