22 June 2022

Welcome to the briefing from the Angus Integration Joint Board (IJB).  It is hoped this short summary will help to provide some details about the work taking place in Angus to support health and social integration.  We are always interested in any feedback and if you want to leave comments, details of how these can be provided are given overleaf.

The latest IJB meeting took place on 22 June 2022 and what follows is a summary of the topics that were discussed in open session.  If you would like to see the full reports these are published online at:  https://www.angus.gov.uk/healthsocialcareintegration/integration_joint_board_agendas_reports_and_minutes

Agenda Item 3 – Appointments (Report IJB 31/22)

The purpose of this report is to note the voting members nominated by Angus Council to the Integration Joint Board, as well as the nominated Proxy Members for both Angus Council and NHS Tayside, to appoint a member of the Board to the IJB Audit Committee, all in terms of the Public Bodies (Joint Working) (Integration Joint Boards) (Scotland) Order 2014.

The IJB noted the appointment by Angus Council of the following members:

Members                                              Proxy Members

Julie Bell (Vice Chair)                          Chris Beattie

George Meechan                               Kenny Braes

Lois Speed

The IJB noted the appointment by NHS Tayside of Professor Graeme Martin and Donald McPherson as proxy members and also noted the appointment of Julie Bell as Vice Chairperson to the IJB.

The IJB will appoint one voting Angus Council IJB member to its Audit Committee, but noting the exclusion of the Chair and Vice Chair of the IJB who cannot be members of the Audit Committee.

Agenda Item 6 – Supported Accommodation Review (Report IJB 32/22)

In 2019, the Angus Health and Social Care Partnership planned to move to a model of providing full personal care and support in the supported housing complexes at St Drostan’s Court, Brechin, and Provost Johnston Road, Montrose, as an inhouse, on-site provider. This approach was based on predicting a continued high number of older people in these two complexes. In the last eighteen months, however, the balance of provision in the supported housing complexes has changed with more tenants having learning or physical disabilities and fewer older people. People with learning or physical disabilities usually have well established care packages provided by external providers and do not wish to change their provider when they enter their tenancies. This has meant that our inhouse, on-site model is no longer viable as the housing complexes do not have enough older people to make the model work, both financially and in terms of ensuring that staff are effectively utilised.

The IJB noted the contents of this report and gave regard to the options appraisal and consultation responses. 

The IJB agreed to progress with Option 3, to revert to a concierge only service at St Drostan’s Court and Provost Johnston Road and also noted the start date will depend on an alternative arrangement being in place for medication administration.

The IJB delegated the decision to proceed following the aforementioned arrangement being in place to the Chief Officer and made the Direction, and instructed the Chief Officer to issue the Direction to Angus Council.

Agenda Item 7 – Review of Standing Orders 2022 (Report IJB 33/22)

This report set out the proposed updates to the IJB’s Standing Orders. The purpose of this report is to consider the outcome of a review of the Board’s Standing Orders and to recommend the adoption of amended Standing Orders.

The IJB adopted the revised Standing Orders.

Agenda Item 8 – Strategic Planning Update (Report IJB 34/22)

This strategic planning update report provides information about progress in a range of change programmes as part of the Angus Care Model.

The IJB noted the content of this report and noted the progress made in delivering on the Strategic Priorities through the Angus Care Model.

Agenda Item 9 – Finance Report (Report IJB 35/22)

The purpose of this report was to provide Angus Integration Joint Board (IJB) with an update on the financial position of Angus IJB at the end of the financial year 2021/22. It also provided an update on the impact of COVID-19 on the IJB’s financial position, an update on reserves, financial risks and financial governance.

The IJB noted the overall financial position of Angus IJB for 2021/22 and also noted the update on Reserves.  The IJB noted the issues documented regarding Financial Governance.

Agenda Item 10 – Workforce Plan 2022-2025 (Report IJB 36/22)

The Scottish Government requires Health and Social Care Partnerships to have a three year Workforce Plan commencing in 2022. The Workforce Plans require to be submitted to Scottish Government by 31 July 2022. An analysis and feedback process will then be undertaken, following which Partnership’s should have their plans published on their websites by 31 October 2022.

This report provided the Integration Joint Board with an overview of our approach to Workforce Planning in line with the new Scottish Government guidance and highlights the main workforce issues and seeks approval of the draft plan.

The IJB noted the content of this report and approved the Workforce Plan 2022 – 2025.

Agenda Item 11 – Angus Mental Health and Wellbeing, Living Life Well Improvement Plan (Report IJB 37/22)

The purpose of this report was to update the Integration Joint Board on progress made to develop an implementation plan in response to the Mental Health Living Life Well Strategy.

The IJB noted the current priorities and actions within the Angus Living Life Well Improvement (LLW) Plan and the outcome of the public consultation. 

The IJB supported and approved the Angus HSCP LLW Implementation Plan and noted progress will be monitored through the Mental Health Strategic Oversight Group.  The IJB also noted the service is currently developing an outcome measurement plan and requested a progress report in December 2022.

Agenda Item 12 – Clinical Care and Professional Governance Annual Assurance Report (Report IJB 38/22)

The purpose of this report was to provide an assurance to the Angus IJB on the work undertaken by the Angus Clinical Care and Professional Governance Group during 1 April 2021 to 31 March 2022.

The IJB noted the level of assurance provided by NHS Tayside Care Governance Committee in relation to Clinical, Care and Professional Governance in Angus HSCP. 

The IJB noted the level of assurance provided by NHS Tayside Care Governance Committee in relation to Clinical, Care and Professional Governance in the Acute Division of NHS Tayside which includes delegated, locally managed NHS and Angus Council functions; and also supported the continuation of an integrated approach, the frequency of meetings, and the breadth of the business undertaken at meetings of the Angus Clinical, Care & Professional Governance Group.

Agenda Item 13 – Annual Performance Report (Report IJB 39/22)

The purpose of this report was to update the Integration Joint Board (IJB) on the effect of our activity on performance during 2021/22. This report builds on previous performance reports presented to the IJB. The report demonstrates the impact of some of the improvements being made across the partnership and how progress is being made towards delivering the vision, strategic shifts and planned improved outcomes for the people of Angus.

The IJB noted the current performance within Angus HSCP for 2021/2022.

The IJB requested that the Chief Officer provide a performance dashboard to the IJB biannually and also noted work to progress further improvement where the targets have not been achieved continue to be captured within existing improvement/action plan.

Agenda Item 14 – Prescribing Management Update (Report IJB 40/22)

This report provided an update to the Integration Joint Board (IJB) on prescribing management in Angus.

The IJB noted the content of the paper and the ongoing measures being taken to ensure efficient and effective prescribing within Angus. 

The IJB noted the development of the strategic and operational meetings planned for 2022/23 and proposed through 2023/24 and also requested a further update to be provided to the Integration Joint Board in December 2022.

Agenda Item 15 – NHS Tayside Health and Social Care Digital Strategy (Report IJB 41/22)

This report presented NHS Tayside’s Health and Social Care Digital Strategy (2022 – 2027). Following wide consultation and engagement across the organisation the digital strategy will finally be publicly launched by NHS Tayside Chief Executive.

In NHS Tayside, digital technology has the opportunity to transform every aspect of care. But it is their duty to ensure digital technology works for everyone regardless of their background.

This strategy lays out NHS Tayside’s ambition over the next five years to develop digitally-powered services that will help the people of NHS Tayside live longer, healthier and happier lives. In this strategy we identify the areas where digital can have the biggest impact on our services, reducing pressure on resources and improving outcomes for patients. In each of these areas we have created a roadmap for developing the technology needed to make this impact.

The IJB acknowledged the publication of the strategy and considered the key themes and most impactful areas of digital in the strategy and how organisations can connect to transform care together.

The IJB noted the Angus Digital Transformation Group will provide an update about digital developments to the IJB in December 2022.

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