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.

The Clerk submitted a report providing an update on the membership of the IJB. The report intimated that the NHS Board had advised that Jamie Kinlochan had replaced Karen Turner as a voting member on the IJB for a period of three years with effect from 21 August 2025. The report noted that Karen Turner was one of the Health Board voting members on the IJB Audit, Risk & Scrutiny Committee and in line with the proposed approach to the appointment of members to this Committee, the four Health Board voting members were invited to nominate one of their number to sit on the Committee replacing Karen Turner.

Cath Cooney, seconded by Paul Ryan moved that Jamie Kinlochan replace Karen Turner on the IJB Audit, Risk & Scrutiny Committee. There were no other nominations.

DECIDED:

(a) That it be noted that Jamie Kinlochan replaced Karen Turner as a voting member on the IJB as of 21 August 2025; and

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

The Minute of the meeting of the Integration Joint Board (IJB) held on 27 June 2025 was submitted.

DECIDED: That the Minute be approved.

The Chief Officer submitted a report providing an update on key developments and operational activity since the last meeting of the IJB on 27 June 2025 together with additional policy developments which would be built into future workplans, strategies and action plans and key national policy updates. 

DECIDED: 

(a) That the range of key HSCP updates, as detailed in sections 4 to 8 of the report, be noted; and

(b) That the national policy updates, as detailed in sections 9 to 12 of the report, be noted.

The Chief Finance Officer submitted a report relative to the revenue budget position at 31 July 2025 and the projected year-end position for the year ending 31 March 2026 and seeking approval for the transfer of funds to reserves. The report intimated that the current projected IJB final outturn for 2025/26 was an overspend of £6,183k prior to any drawdown from reserves. This included a transfer of any in-year underspend at 31 March 2026 to earmarked reserves in line with Scottish Government funding arrangements in relation to Mental Health Recovery Renewal funding; the Primary Care Improvement Programme (PCIP) and the Alcohol & Drug Partnership. The report sought approval of the transfer of monies to earmarked reserves, as detailed in section 7.6.1 of the report.

DECIDED:

(a) That the year-end financial position at 31 July 2025 be noted;

(b) That the projected year-end position for 2025/26 be noted; and

(c) That the proposed transfers to earmarked reserves, as detailed in section 7.6.1 of the report, be approved.

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 12 September 2025. 

DECIDED: That the verbal update be noted.

 

 

 

 

Under reference to item 6 of the Minute of the meeting of the IJB held on 27 June 2025, the Chief Finance Officer submitted a report relative to the Audited Annual Accounts for the IJB for 2024/25, 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 & Scrutiny Committee held on 12 September 2025 which detailed matters arising over the course of the audit.

The Chair intimated that the recommendation from the IJB Audit, Risk & Scrutiny Committee was that the IJB adopt and approve the accounts. 

DECIDED: That the Annual Accounts for 2024/25 be approved for signature in accordance with the Local Authority Accounts (Scotland) Regulations 2014.

2025, the Head of Strategic Planning & Health Improvement submitted a report seeking approval from the IJB on whether to approve the proposals set out in section 5 of the report and assessed in detail in the Integrated Impact Assessments appended to the report. The report provided updates on additional Sustainable Futures programme activity which had progressed concurrently alongside development of the Integrated Impact Assessments.

In relation to recommendation 2.2 of the report, Paul Ryan, seconded by Cath Cooney, moved 

“That the IJB be asked to review the proposals with an aim to redesign the Childsmile Community and Practice programme, in light of  the concerns raised by National Childsmile Executive team, the Oral Health Directorate and the British Dental Association; the high level of risk identified with only limited mitigation; the disproportionate impact on those children and families in lower socioeconomic groups; and the potential increase in the number of children requiring teeth removed under anaesthesia and bring back a paper to a future meeting of the IJB.” 

In relation to recommendations 2.1 to 2.8 of the report, Councillor Cameron, seconded by Councillor Hughes, moved as an amendment “That while the IJB supports the strategic direction of travel of Sustainable Futures and the need for a transformational approach to deliver change, the IJB rejects the current tranche of proposals with the exception of proposal 9 (Section 5.5 – proposals 1-8). We are concerned that the impact of these proposals will result in greater costs for the IJB and are misaligned with the prevention and early intervention agenda. Given that the UK budget has been delayed which will impact on the timing of the Scottish Government budget, it remains to be clarified if IJB’s will receive further funding in the future.” 

The Clerk requested that voting members confirm that there was unanimity in relation to all other recommendations detailed in the report. Voting members confirmed this was the case.

In terms of Standing Order 9.3, the Chair intimated that the vote would be taken by calling the roll.

On the roll being called, the following members voted for the amendment: Councillor J Cameron, Councillor Hughes, Councillor M MacLaren and Councillor McMillan. 

The following members voted for the motion: Cath Cooney, Margaret Kerr, Jamie Kinlochan and Paul Ryan.

4 members voted for the motion and 4 members voted for the amendment. There being an equality of votes and there being no casting vote available to the Chair both the motion and amendment were not approved. 

Adjournment

The meeting adjourned at 12.05 pm and reconvened at 12.15 pm.

In terms of Standing Order 9.4, the Chair advised that there was no consensus on this matter, that consideration of the matter would not be continued to a further meeting or a special meeting of the IJB and would not be referred to dispute resolution. The proposals in relation to recommendations 2.1 to 2.8 of the report fell.

The Chair then confirmed that in relation to this item of business, the decision of the IJB was:

“That the engagement process undertaken and how this had been reflected within the updated Integrated Impact Assessments for each proposal, as detailed in section 4 of the report, be noted; 

That there being an equality of votes and there being no casting vote available to the Chair, it be noted that the proposals detailed at recommendations 2.1 to 2.8 in the report fell;

That the redesign of the District Nursing and Care at Home overnight service, as detailed in section 5 and Appendix 10 of the report be approved; 

That the Cumulative Impact Assessment, as detailed in section 5 of the report and which formed Appendix 11 to the report, be noted; 

That it be noted that an updated proposal for the locality home-based respite, as detailed in section 6 of the report, would be brought at a later date for approval; 

That the additional programme updates provided in relation to the VR/VER process commencement and the review of Soft Facilities Management, as detailed in section 7 of the report, be noted; 

That it be agreed that the Chief Officer and the Chair of the IJB refresh the current Sustainable Futures Programme Board to also act as a budget working group and which would lead on the process to develop high-level draft savings proposals for financial year 2026/27, which would be brought for discussion at an IJB development session in early December with the final proposals presented at a subsequent IJB meeting. The scale of savings required would reflect financial projections at that time, as detailed in section 8 of the report; and

That it be noted that, as included in the Sustainable Futures update to the IJB in June, HSCP officers would adopt a more transformational approach to financial planning in the medium to longer term and that further updates would be brought to future IJB meetings, as detailed in section 8 of the report.”

DECIDED: 

(a) That the engagement process undertaken and how this had been reflected within the updated Integrated Impact Assessments for each proposal, as detailed in section 4 of the report, be noted;

(b) That there being an equality of votes and there being no casting vote available to the Chair, it be noted that the proposals detailed at recommendations 2.1 to 2.8 in the report fell;

(c) That the redesign of the District Nursing and Care at Home overnight service, as detailed in section 5 and Appendix 10 of the report be approved; 

(d) That the Cumulative Impact Assessment, as detailed in section 5 of the report and which formed Appendix 11 to the report, be noted;

(e) That it be noted that an updated proposal for the locality home-based respite, as detailed in section 6 of the report, would be brought at a later date for approval; 

(f) That the additional programme updates provided in relation to the VR/VER process commencement and the review of Soft facilities Management, as detailed in section 7 of the report, be noted;

(g) That it be agreed that the Chief Officer and the Chair of the IJB refresh the current Sustainable Futures Programme Board to also act as a budget working group and which would lead on the process to develop high-level draft savings proposals for financial year 2026/27, which would be brought for discussion at an IJB development session in early December with the final proposals presented at a subsequent IJB meeting. The scale of savings required would reflect financial projections at that time, as detailed in section 8 of the report; and

(h) That it be noted that, as included in the Sustainable Futures update to the IJB in June, HSCP officers would adopt a more transformational approach to financial planning in the medium to longer term and that further updates would be brought to future IJB meetings, as detailed in section 8 of the report.

The Head of Strategic Planning & Health Improvement submitted a report relative to the proposed 2025/26 IJB Performance Scorecard and the Strategic Delivery Plan 2025/27, copies of which were appended to the report.

DECIDED: 

(a) That the IJB’s draft 2025/26 Performance Scorecard, which formed Appendix 1 to the report, be approved;

(b) That the 2025/27 Strategic Delivery Plan, which formed Appendix 2 to the report, be approved; and

(c) That it be noted that performance updates would be presented twice-yearly for the Performance Scorecard, mid-year in January 2026 and as part of the Annual Performance Report alongside an update on the Strategic Delivery Plan.

The Head of Health & Social Care submitted a report relative to the HSCP’s Quality, Care and Professional Governance Annual Report for 2024/25 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.

DECIDED:

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

(b) That the examples which were included with the report to help demonstrate impact on service users be noted.

The Independent Chair of the Renfrewshire Alcohol & Drug Partnership (ADP) submitted a report relative to the Renfrewshire ADP Annual Reporting Survey 2024/25, a copy of which was appended to the report. The report advised 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 which related to the delivery of the National Mission Action Plan during 2024/25.  

DECIDED:

(a) That the content of the report be noted and that the IJB ratify Renfrewshire’s survey response for submission to the Scottish Government; and

(b) That the Independent Chair present regular updates on the work of the ADP to future IJB development sessions.

DECIDED: That it be noted that the next meeting of the IJB would be held at 10.00 am on 28 November 2025 and that this be a hybrid meeting in the Council Chamber, Renfrewshire Council, Renfrewshire House, Paisley.