Webcasting - Moray Council

Meeting Details

Moray Integration Joint Board
29 Aug 2019 - 09:30 to 12:00

Documents

Agenda

Public Items
1 Welcome and Apologies
2 Declaration of Member's Interests
2

There were no declarations of Members' Interests in respect of any item on the agenda.

 

Mr Augustus entered the meeting at this juncture.

 

3

The Minute of the meeting dated 27 June 2019 was submitted for approval.

 

Under reference to paragraph 11 of the Minute Mr Passmore asked that it be noted that the Clinical and Care Governance Committee would look at intended plans for change.

 

Thereafter the Board agreed to approve the Minute as submitted and that paragraph 11 would not require to be changed.

 

4

The Action Log of the meeting dated 27 June 2019 was discussed and it was noted that all actions due had been completed.

 

5

The Minute of the meeting of the Audit, Performance and Risk Committee dated 28 March 2019 was submitted and noted.

 

Report by the Chief Officer

 

6

A report by the Chief Officer (CO) provided the Board with an update on key priorities.

 

Discussion took place around drug related deaths and it was stated that in Moray there had been 5 deaths from road traffic accidents (RTA) and 17 deaths from drugs.  RTA deaths were often described as terrible and shocking however there appeared to be an acceptance of drug related deaths as the same language was not used in referring to them.

 

The Chief Officer undertook to bring a report from the Moray Alcohol and Drugs Partnership regarding the self-assessment of Drug Related Deaths in Moray to a future meeting of the Clinical and Care Governance Committee.

 

Report by the Chief Financial Officer

 

7

A report by the Chief Financial Officer updated the Board on performance of the Moray Integration Joint Board as at Quarter 4 (January - March) 2018/19.

 

The Chair advised the report would normally have been reviewed at the Audit, Performance and Risk Committee however the last meeting had not been quorate and had to be postponed.  She asked that Members ensure they provide apologies in good time and endeavour to have a substitute to attend in their place.

 

Discussion took place on Psychological Therapy Treatment and it was stated there had been an impact on performance due to a long term vacancy.

 

Following further discussion on performance the Board agreed to note:

  1. the performance of local indicators for Quarter 4 (January - March 2019) as presented in the summary report at appendix 1 of the report;

  2. the detailed analysis of the local indicators that have been highlighted as requiring further analysis as contained within appendix 2 of the report; and

  3. that a review of local indicators is underway and a report, with recommendations, will be presented to the next Audit, Performance and Risk Committee.

Report by the Chief Financial Officer

 

8

A report by the Chief Financial Officer updated the Board on the current Revenue Budget reporting position as at 30 June 2019 for the Moray Integration Board budget.

 

Discussion took place on community hospitals and it was stated an options appraisal on the Turner Memorial Hospital in Keith would be undertaken during the next quarter.

 

A query was raised on the possible impact of Brexit in relation to staff from the E.U.  During discussion it was stated that as there are rules about asking certain questions; it was unknown how many E.U. workers are employed or likely to leave following Brexit.  The possibility of holding a development session was discussed and the Chief Officer advised this would require exploration.

 

Thereafter the Board agreed to:

  1. note the financial position of the Board as at 30 June 2019 is showing an overspend of £837,040;

  2. note the progress against the recovery plan;

  3. note the revisions to staffing arrangements dealt with under delegated powers and in accordance with financial regulations with the Council and NHS Grampian for the period 1 April to 30 June 2019 as shown in appendix 3 of the report; and

  4. approve for issue, the directions arising from the updated budget position shown in appendices 4 and 5 of the report.

Report by the Legal Services Manger, Moray Council

 

9

Under reference to paragraph 10 of the draft Minute of the meeting dated 27 June 2019 a report by the Legal Services Manager, Moray Council, informed the Board of changes required to Membership due to the requirement for the Chair and Vice-Chair position to rotate between NHS Grampian and Moray Council.

 

It was stated that as the current Vice-Chair, Mr Jonathan Passmore would assume the role of Chair from 1 October 2019, and Councillor Shona Morrison would take up the post of Vice-Chair from the same date.

 

Nominations were sought for a Chair of the Audit, Performance and Risk Committee from the Council members and Councillor Louise Laing offered to take on the role.  As no one was otherwise minded the Board agreed Councillor Laing would be appointed as Chair of the Audit, Performance and Risk Committee from 1 October.

 

The Chief Officer advised there was a recommendation to invite Mr Roddy Burns, Chief Executive of Moray Council and Professor Amanda Croft, Chief Executive of NHS Grampian to attend future meetings of the Board in an Ex-Officio capacity.  The Board agreed to invitations being issued to improve collaborative working.

 

Thereafter the Board agreed to note:

  1. Mr Jonathan Passmore would take up the post of Chair and Councillor Shona Morrison would take up the post of Vice-Chair of the Board from 1 October 2019;

  2. Councillor Louise Laing would take up the post of Chair of the Audit, Performance and Risk Committee from 1 October 2019; and

  3. invitations would be issued to Mr Roddy Burns and Professor Amanda Croft to attend future meetings of the Board in an Ex-Officio capacity.

Report by the Chief Officer

 

12

A report by the Chief Officer requested that the Board note the approach taken in the development of the Strategic Plan for 2019 to 2029.

 

Discussion took place on the content of the Plan, attached as appendix 1 of the report. The Plan has been created through a collaborative process with Partners and as such Mr Passmore was of the opinion the content was ready for public consultation however thought there was a need to be more specific and explicit about intentions as the Plan acts, is effect, as a formal agreement with Partners.

 

Thereafter the Board agreed to:

  1. note the approach described in revising the Strategic Plan;

  2. approve the content of the Draft Strategic Plan attached at appendix 1 of the report for public consultation; and

  3. note the final Strategic Plan will be presented in October for approval.

Report by Charles McKerron, Interim Integrated Services Manager

 

11

A report by Charles McKerron, Interim Integrated Services Manager, informed the Board of concerns raised by family members about risks associated with the pilot for an alternative approach to the provision of overnight care and support for people with a learning disability in Moray and how these risks will be addressed by the pilot project.

 

Lengthy discussion took place on how the pilot would work and what this would mean for service users.  It was stated there would be no intrusion of privacy but that passive monitoring would be put in place e.g. pressure mats and door sensors to alert the overnight services that someone was out of bed.

 

The Interim Integrated Services Manager advised that two families were opposed to the pilot however it was felt there are always insecurities when trying to change and this was about doing what was right for the majority of people. 

 

Thereafter the Board agreed to:

  1. approve the 12 week pilot for an overnight responder service;

  2. note the potential long term benefits; and

  3. note the evaluation of the pilot will be presented to the Board in January 2020.
12 Items for the Attention of the Public
13

Under reference to paragraph 10 of the minute of the meeting of the Moray Integration Joint Board dated 26 October 2017 the Board agreed that the following items be brought to the attention of the public:

  1. Strategic Plan;

  2. Drug related deaths; and

  3. Overnight Responder Service Pilot
Chair of Meeting
1

The meeting was Chaired by Councillor Shona Morrison.

 

Order of Business
10

In terms of Standing Order 2.2 the Board agreed to vary the order of business as set down on the Agenda and take Item 11 'Overnight Responder Service Pilot' immediately before Item 10 'Draft Strategic Plan' in order to allow the officer presenting the report to leave the meeting at the earliest opportunity.

 

Private Items

Meeting Documents

There are no separate meeting documents but there may be meeting documents assigned to the Agenda.

Declarations of Interests

Visitors

Ms Jeanette Netherwood, Corporate Manager; Ms Heidi Tweedie, Moray Wellbeing Hub CIC; Ms Eilidh MacKechnie, Corporate Communications Officer; Mr Charles McKerron, Interim Integrated Services Manager; and Mrs Caroline Howie, Moray Council as clerk to the Board.

 

ALSO PRESENT

 

Councillor Graham Leadbitter

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