Documents
Agenda
Public Items
1.
Welcome and Apologies
2.
The Chair welcomed everyone to the first meeting of the Moray Integration Joint Board which was being streamed as a live webcast for members of the public to watch.
The Chair also welcomed Profession Siladitya Bhattacharya to his first meeting of the Board. Professor Bhattacharya and Councillor Divers have recently been appointed as additional members to the Board but until their appointments have been approved by the Scottish Government they will be unable to vote on any items should the need arise.
2.
Declaration of Member's Interests
3.
The Board noted that no declarations of Members' interest were submitted.
4.
The minute of the meeting of 28 January 2021 were submitted and approved.
5.
The Action Log of the meeting dated 28 January 2021 was discussed and updated accordingly.
Report by the Chief Officer
6.
A report by the Chief Officer informed the Board of the activities that support the delivery against the Moray Integration Joint Board's strategic priorities articulated in the Strategic Plan, and the delivery against the 9 Health and Wellbeing Outcomes.
The Board acknowledged that the report reflected the huge challenge all staff have faced over the past year.
Mr Riddell highlighted that he thought the report should reflect the concern from the public about when and whether services will be re-instated and the anxieties around that.
Following further consideration the Board agreed:
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to note the content of the report; and |
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that transforming services to meet the aspirations of the MIJB's Strategic Plan remains a priority, with temporary focus on a narrow set of objectives being necessity in response to the covid pandemic. |
Report by Chief Financial Officer
7.
A report by the Chief Financial Officer updated the Board of the current Revenue Budget reporting position as at 31 December 2020 and provide a provisional forecast position for the year end for the MIJB budget.
Following consideration the Board agreed to:
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note the financial position of the Board as at 31 December 2020 is showing an overspend of £584,491 on core services; |
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note the provisional forecast position for 2020/21 of an underspend of £36,073 on total budget; |
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note the progress against the recovery and transformation plan and the support that has now been confirmed through Scottish Government Covid funding surrounding the underachievement of savings; |
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note the revision to staffing arrangements dealt with under delegated powers and in accordance with financial regulations within Council (MC) and NHS Grampian (NHSG) for the period 1 October to 31 December 2020 as shown in Appendix 3; and |
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approve for issue, the Direction arising from the updated budget position shown in Appendix 4. |
Report by the Acting Lead Pharmacist
8.
A report by the Acting Lead Pharmacist informed the Board of the predicted budget resource requirements for 2021-2022.
The Acting Lead Pharmacist gave a brief overview of the report and also how Covid-19 has affected the service.
The Chair suggested that it would be useful for the Acting Lead Pharmacist to come back to provide an update for the Board. This was agreed.
Following consideration the Board agreed to:
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note the recommendations made in the paper with regard to volume costs, risks and the net predicted need for budget resource of £18.094m as part of the overall health and social care partnership budget setting process for 2021-22; |
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note the estimated budget requirements linkage to the locally enhanced services/Service Level Agreements (SLAs); and |
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ensure that final prescribing budget allocations are notified to the pharmacy teams by support finance staff. |
Jane Ewen, left the meeting during the discussion of this item.
9.
A report by the Chief Financial Officer asked the Board to agree the Moray Integration Joint Board's revenue budget for 2021/22.
Following discussion it was identified that the Audit, Performance and Risk Committee will have a role in providing closer scrutiny of the budget, providing a pathway for sharing information, to bring back to the Board.
Following consideration the Board agreed to:
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note the funding allocations proposed by NHS Grampian and Moray Council, detailed at 4.5; |
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note the underlying underspend forecast for the 2020/21 financial year in 4.6 and the financial risks detailed in 4.19; |
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formally approve the Revenue Budget for 2021/22 as detailed at Appendix 1 following consideration of the risks highlighted in 4.19; and |
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approve Directions for issue as set out at Appendices 2 and 3 respectively to NHS Grampian and Moray Council. |
Councillor Divers and Dr Metcalfe left the meeting during the discussion of this item.
Report by the Head of Service
10.
A report by the Head of Service informed the Board of the outcome of the Discharge to Assess (D2A) pilot project and to request D2A is embedded into the health and social care system in Moray.
Members were supportive of the approach and recognised the potential for transformational shift in care, agreeing with the proposal to build this service into the core budget for 21022, whilst recognising that decisions will need to be made during the year regarding areas of disinvestment.
Following consideration the Board agreed to scale up the D2A team and secure permanent funding in order to continue to support patients, flow and capacity within the health and social care system.
Report by the Chief Social Work Officer
11.
A report by the Chief Social Work Officer informed the Board of the Commissioning plans for outcome-based Care at Home Service.
Councillor Brown wished it be noted that he expressed concern about there only being a single provider, as he believed it was too much of a risk and although he would not vote against the proposals he wished his dissent to be noted. He further added that he would like the Board to receive an update on the project in 6 months.
Following consideration the Board agreed:
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the plan for commissioning an outcome-based care at home service; and |
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to note the indicative timeline for the delivery of an alternative model for commissioning care at home. |
Mr Lindsey left the meeting following the discussion of this item.
12.
A report by the Chief Officer outlined the requirements of the whistleblowing standards and present the proposal for implementation to the Board.
There was discussion regarding the need for some further dialogue with the Council and Third Sector to share the process being adopted, with a view to it being applied across all staff working in Health and Social Care services.
Following consideration the Board agreed:
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the application of the standards across all staff groups, contractors and external providers be undertaken in a phased basis as described at 4.6; |
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to note the phases of implementation; and |
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to approve the proposed implementation plan at Appendix 1. |
Chair of Meeting
1.
The meeting was chaired by Mr Dennis Robertson.
Closure of Meeting
13.
The Chair closed the meeting at 12:13pm.
Attendance
Declarations of Interests
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No declarations of interest have been entered for this meeting.
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Webcast
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