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 26 October 2022 and what follows is a summary of the topics that were discussed in open session.
All reports from the meeting can be found at https://www.angus.gov.uk/healthsocialcareintegration/integration_joint_board_agendas_reports_and_minutes
Agenda Item 6 – Appointments (Report IJB 65/22)
The purpose of this report is to note the appointment of Chair and Vice Chair, all in terms of Section 6 the Public Bodies (Joint Working) (Integration Joint Boards) (Scotland) Order 2014; additionally the appointment of a nominated proxy member and Depute Chief Officer.
The IJB noted that in terms of Standing Order 3.2 Section 6(4) the Public Bodies (Joint Working) (Integration Joint Boards) (Scotland) Order 2014, Councillor Julie Bell as Vice Chair, will now take up the role as Chair of the IJB.
The IJB noted that following the retiral of the current IJB Chair, Peter Davidson (NHS Tayside Non Executive) will take up the role as Vice Chair of Angus IJB. They also noted that Councillor Heather Doran is appointed as proxy member on behalf of Councillor Lois Speed, in terms of Section 12 the Public Bodies (Joint Working) (Integration Joint Boards) (Scotland) Order 2014; and requested that the Chief Executives of Angus Council and NHS Tayside designate Jillian Galloway, Depute Chief Officer for a period of six months.
Agenda Item 8 – Finance Report 2022/23 (Report IJB 66/22)
The purpose of this report was to provide Angus IJB with an update on the financial position of Angus IJB including financial projections for 2022/23, the impact of COVID-19 on the IJB financial position, an update on reserves, financial risks and governance.
The IJB accepted the overall projected financial position of Angus IJB for 2022/23 and also noted the revised position regarding COVID-19 reserves and approve the release of the expected balance of COVID-19 reserves to the Scottish Government noting any final balance will be ratified by the Chief Officer.
The IJB supported the creation of a £0.7m local Primary Care Investment Fund and supported the creation of a £1.0m one off fund to augment capital funding held within Angus Council to support Angus HSCP premises (including Care Homes).
In addition, the IJB supported the proposed £0.5m augmentation of funding to the IJB’s Strategic Plan Reserve and also agreed to devolve authority to the Chief Officer and Chief Finance Officer, in conjunction with the IJB’s Chair and Vice Chair to develop proposals to support whole system pressures.
Agenda Item 9 – Supported Accommodation Review Update (Report IJB 67/22)
Following the IJB’s decision on 22 June 2022 to move to a concierge model of delivery for supported accommodation at Provost Johnston Road, Montrose and St Drostan’s Court, Brechin, an engagement plan was developed and implemented. Provost Johnston moved to the concierge service on 1 September 2022 and it is planned that St Drostan’s will change by end of the 2022. This report provides detail on the change process and on any outstanding issues.
The IJB noted the content of this report, which provides an update on progress in implementing the concierge model in two supported housing complexes since June 2022.
Agenda Item 10 – Adult Protection Update – SCR P19 (Report IJB 68/22)
This report presents the progress being made against the Angus Adult Protection Committee (AAPC) Significant Case Review (SCR) P19 Action Plan since the report submitted to IJB on 2 February 2022 (Report No 1/22). It notes the subsequent formation of a Commission, as instructed by the Scottish Government, composed of Healthcare Improvement Scotland and the Care Inspectorate, to provide independent assurance and improvement support, and the work undertaken with the Commission. Adult Protection Committees and Chief Officers have responsibility for commissioning SCRs and ensuring that any improvement actions are delivered. There are 59 recommendations in the SCR report assigned to a range of agencies, including Angus Council and the Angus Health and Social Care Partnership (AHSCP). This report highlights progress against the improvement actions.
The IJB accepted the contents of this report and scrutinised and commented on the AAPC SCR P19 Action Plan and progress being made. The IJB noted that the Commission, comprising Healthcare Improvement Scotland and the Care Inspectorate, has advised that they are satisfied with progress and are confident in the AHSCP’s ability to complete their improvement actions. They also agreed that future progress reports on SCR P19 be included in a periodic report about adult protection matters, and that a separate report on progress with the Inspection will be submitted to the IJB Meeting in February 2023.
Agenda Item 11 – GP Practice Premises Strategy (Report IJB 69/22)
The purpose of this report is to provide members with the emerging strategic direction for GP Practice premises in Angus 2023-2026.
The IJB approved the strategic direction for GP Practice Premises Strategy Angus and recognised that consultation and engagement regarding the draft strategy is planned for November 2022.
The IJB agreed to delegate authority to Angus HSCP Executive Management Team to approve the Angus GP Practice Premises Strategy subject to consultation and also approved the Direction and instructed the Chief Officer to issue Direction to NHS Tayside.
Agenda Item 12 – Primary Care Improvement Fund (Report IJB 70/22)
The purpose of this report is to provide members with an update on the position in relation to the Primary Care Improvement Fund allocation for 2022-23.
The IJB acknowledged the position in relation to the Primary Care Improvement Fund (PCIF) allocation and approved the in-year plan for PCIF spend.
The IJB supported the position in relation to the development of an “Angus Investment Fund for Primary Care. This would be funded from the in-year 2022/23 financial position, and in the first instance, it is recommended that this is set at £0.7m. This represents about 25% of the funds that have reverted to the Scottish Government but would allow some of the previous intentions to be progressed.
The IJB supported the acceleration of the recruitment of a Project Support Officer (previously approved in report 8/22), a post that is critical to the delivery of the GP Practice Premises Strategy, and also approved the Direction, and instructed the Chief Officer to issue Direction to NHS Tayside.
Agenda Item 13 – Angus & Dundee Stroke Rehabilitation Pathway Review (Report IJB 71/22)
This report provides the IJB with an update of progress made to redesign the Dundee and Angus Stroke Rehabilitation Pathway. The development of the pathway emphasises the support and commitment to delivering effective, high quality, specialist care within the community setting. The pathway links directly to priority areas three and four of the Strategic Plan and to multiple priorities within the National Health and Wellbeing Outcomes.
The IJB approved the redesigned service delivery and financial model of the inpatient Dundee and Angus Stroke Rehabilitation Pathway. The IJB approved the transition of the stroke rehabilitation inpatient beds from Angus to Dundee with establishment of a person centred, stroke specific community rehabilitation pathway which aligns to the national Progressive Stroke Pathway and Tayside patient feedback.
The IJB approved the closure of Ward 7 Stroke Rehabilitation Unit at Stracathro Hospital of 10 beds and requested that the developing plans for the community-based model to be brought to the IJB in February 2023.
Additionally, the IJB approved the Direction, and instructed the Chief Officer to issue the Direction to NHS Tayside.
Agenda Item 14 – Medicine for the Elderly – Inpatient Bed Review (Report IJB 72/22)
This report provides the IJB with an update of progress made to redesign Medicine for the Elderly Inpatient Service across Angus. The development of the pathway emphasises the support and commitment to delivering effective, high quality, specialist care within the community setting. The pathway links directly to priority areas three and four of the Strategic Plan and to multiple priorities within the National Health and Wellbeing Outcomes.
The IJB agreed the closure of Ward 2 Medicine for the Elderly at Stracathro Hospital (14 Beds) and agreed reduction by one bed in Arbroath Infirmary from 22 to 21. They also agreed continued use of an additional of 10 beds within Whitehills Health & Community Care Centre (WHCCC) bringing the total beds within WHCCC to 31 beds.
The IJB approved the Direction, as attached and instructed the Chief Officer to issue the Direction to NHS Tayside.
Agenda Item 15 – Annual Chief Social Work Officer Report for 2021-2022 (Report IJB 73/22)
This report presents the Angus Council Chief Social Work Officer Annual Report for 2021 to 2022. The report and its consideration are a requirement to ensure oversight and accountability within the local authority for all social work and social care services. The report is now submitted to the IJB for information and to contribute to the assurance relating to the provision of statutory social work and social care services delivered by the Health and Social Care Partnership and delegated to the Integration Joint Board. Following approval by Angus Council at their meeting on 3 November 2022, the report will be submitted to the Office of the Chief Social Work Adviser at Scottish Government.
The IJB noted the contents of the Annual Chief Social Work Officer Report for 2021-2022.
Agenda Item 16 – Communication and Engagement Progress Update (Report IJB 74/22)
This report provided an update to the IJB on progress made to advance the communication and engagement activities of the Angus Health and Social Care Partnership (HSCP).
The IJB accepted the actions that have been undertaken and the progress that has been made to advance the communication and engagement activities of Angus HSCP and requested a refreshed Communication and Engagement Plan to be prepared and an update report to be presented to the IJB in October 2023.
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