Councillor Jacqueline Cameron, Councillor Michelle Campbell (substitute for Councillor Jennifer Adam-McGregor), Councillor Lisa-Marie Hughes and Councillor Scott Kerr (all Renfrewshire Council); Dr Donny Lyons, Morag Brown and Dorothy McErlean (all Greater Glasgow & Clyde Health Board); Karen Jarvis (Registered Nurse); Alex Thom (Registered Medical Practitioner (non-GP)); Liz Snodgrass (Council staff member involved in service provision);  David Wylie (Health Board staff member involved in service provision); Helen McAleer (unpaid carer residing in Renfrewshire); Stephen Cruickshank (service user residing in Renfrewshire); John Boylan (Trade Union representative for Council); Graham Capstick (Trade Union representative for Health Board); and David Leese, Chief Officer and Sarah Lavers, Chief Finance Officer (both Renfrewshire Health and Social Care Partnership).

Dr Donny Lyons, Chair, presided.

Ken Graham, Head of Corporate Governance (Clerk) and Elaine Currie, Senior Committee Services Officer (both Renfrewshire Council); and Iain Beattie, Head of Health and Social Care (Paisley), Christine Laverty, Head of Mental Health, Addictions and Learning Disability Services and Jean Still, Head of Administration (all Renfrewshire Health and Social Care Partnership).

Councillor Campbell declared an interest as she was a member of staff for NHS Greater Glasgow and Clyde.  However, as she considered the interest to be insignificant in terms of the Code of Conduct and that she was not conflicted by any items on the agenda, she did not consider it necessary to leave the meeting.

The Chair intimated that once the items on the agenda had been considered he wished to provide an update on his activities as Chair since the last meeting of the Integration Joint Board. This was agreed.

Following consideration of item 2 and the reference in that item to the funding of Speech and Language Therapy Services by Renfrewshire Council, it was proposed that a seminar be held to consider how the current arrangement in the Renfrewshire IJB area whereby Children’s Social Care Services have not been delegated by the Council to the IJB operate and how that arrangement works alongside the services for children delegated by the Health Board to the IJB. It was highlighted that this was different from the arrangements with the other five IJBs in the greater Glasgow and Clyde Health Board area where Children’s Social Care Services had been delegated to the IJBs.  This was agreed.

DECIDED: That a seminar be held to enable members to consider how the current arrangement for Renfrewshire Council Children’s Services works alongside the services for children delegated by the Health Board to the IJB taking into account the decision on funding of Speech and Language Therapy Services.

The Chair advised that he had visited the REST team, the MHO service, the premises at West Lane and Whitehaugh, adult and older people acute wards, the health improvement team, the addictions service, Renfrew Health Centre and the Carers Centre.

DECIDED: That the matter be noted.

Councillor Jennifer Adam-McGregor (Renfrewshire Council); Dr Linda de Caestecker (Greater Glasgow and Clyde Health Board); Dr Stuart Sutton (Registered Medical Practitioner (GP)); and Peter Macleod, Chief Social Work Officer (Renfrewshire Council).

The Minute of the meeting of the Integration Joint Board (IJB) held on 23 March 2018 was submitted.  

In relation to item 2 – Update on Capability Scotland – it was agreed that the following wording be added after paragraph seven of that item ‘Significant discussion took place at the meeting regarding these proposals and some members expressed concerns’. 

In relation to item 4 – Change and Improvement Programme Update – it was agreed (i) that the following wording be added after paragraph three of that item ‘Significant discussion took place at the meeting regarding these proposals and some members expressed concerns’ and (ii) that proposal (iv) and decision (e) be amended to read ‘That the HSCP look at how they engage and involve staff and Trade Unions prior to submitting reports of this nature to the IJB in future’.

DECIDED: That the Minute, as amended, be approved.

Under reference to item 6 of the Minute of the meeting of the IJB held on 23 March 2018 the Chief Finance Officer submitted a report seeking approval for the budget reinvestment proposals identified to deliver a balanced budget in line with the IJB’s financial and strategic plans in respect of the health board contribution to the IJB for 2018/19.

The report intimated that following the IJB’s decision to continue consideration of the indicative delegated health budget for 2018/19 to this special meeting of the IJB, the spending on delegated health services had continued in line with the existing Direction issued by the Chief Officer in terms of Sections 26-28 of the Public Bodies (Joint Working) (Scotland) Act 2014 and the financial recovery plan as detailed in section 4 of the report.  It was noted that this arrangement was only sustainable as a short-term measure and it was essential that the IJB agreed a delegated health budget for 2018/19, even as an interim arrangement.

If the budget proposals set out in section 8 of the report were not approved, the Chief Officer, working with the senior management team would be required to implement a financial recovery plan throughout 2018/19 which might have a direct impact on front line service delivery.

The budget proposals presented in the report had been subject to an established financial planning process which ensured each proposal was impact assessed to consider their alignment to HSCP strategic and financial plans; any professional risk and potential mitigation; and stakeholder and equality implications. 

There were lengthy and detailed discussions around the budget reinvestment proposals in the report and some concerns were expressed about the level of engagement and involvement with staff and clients of the services affected. There was also discussion regarding the funding of the RAMH service after the current financial year and there was anxiety about accessing mainstream services and the need to make those services more inclusive.

It was proposed (i) that the revised budget proposals set out in section 8 of the report to support the financial plan approved by the IJB at its meeting held on 15 September 2017 be approved; (ii) that the Chief Officer submit a report relative to the progress made in relation to the transition of the mental health network employability service to a community service to the meeting of the IJB scheduled to be held on 14 September 2018; (iii) that the actions of the Chief Officer and the Chief Finance Officer taken as an interim measure in maintaining the funding of delegated health functions in line with the existing statutory Direction be approved; (iv) that it be noted that the delays in implementation of the required savings to deliver a balanced budget required the Chief Officer to implement a financial recovery plan from 1 April 2018 to manage the budget as detailed in section 4 of the report; (v) that the proposed financial planning programme for 2019/20, as detailed in Appendix 1 to the report, be agreed and that the early involvement of staff, carers and service users be weaved into the financial planning process; and (vi) that a seminar be arranged for members of the IJB and staff representatives to consider what is meant by ‘engagement of staff’ and ‘involvement of staff’ in terms of Moving Forward Together.   This was agreed.

DECIDED: 

(a) That the revised budget proposals set out in section 8 of the report to support the financial plan approved by the IJB at its meeting held on 15 September 2017 be approved;

(b) That the Chief Officer submit a report relative to the progress made in relation to the transition of the mental health network employability service to a community service to the meeting of the IJB scheduled to be held on 14 September 2018;

(c) That the actions of the Chief Officer and the Chief Finance Officer taken as an interim measure in maintaining the funding of delegated health functions in line with the existing statutory Direction be approved; 

(d) That it be noted that the delays in implementation of the required savings to deliver a balanced budget required the Chief Officer to implement a financial recovery plan from 1 April 2018 to manage the budget as detailed in section 4 of the report; 

(e) That the proposed financial planning programme for 2019/20, as detailed in Appendix 1 to the report, be agreed and that the early involvement of staff, carers and service users be weaved into the financial planning process; and 

 

 

 

(f) That a seminar be arranged for members of the IJB and staff representatives to consider what is meant by ‘engagement of staff’ and ‘involvement of staff’ in terms of Moving Forward Together.