03 - 2025-12-10 IJB - IJB Minute 17 September 2025 Draft
North Lanarkshire Council · 10 December 2025
Back to Health and Social Care Integration Joint Board — 10 December 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Page 1 of 6 ITEM: 3 Integration Joint Board Performance Minutes from the meeting held on Wednesday 17th September 2025, 09.30 – 12.00 via MS Teams PRESENT Voting Members: Cllr Claire Barclay NLC Nominated Councillor Cllr Beth Baudo NLC Nominated Councillor Cllr Bob Burgess NLC Nominated Councillor Cllr Anne McCrory NLC Nominated Councillor Brian Moore (Chair) NHS Lanarkshire Nominated Non-Executive Siobhan White NHS Lanarkshire Nominated Non-Executive Others In Attendance: John Boyd Audit Scotland Mark Dell Communications Manager Morag Dendy Head of Planning, Performance & Quality Stephen Forrest Performance Manager Diane Fraser Head of Adult Social Care Joanne Jenkins Nurse Director NL HSCP / Nurse Representative Jocelyn Lyall Chief Internal Auditor Clare Louise McDonald Catherine McGinty Unison / Staff Side Representative (NHSL) Thomas Moan Senior Manager – Community Solutions VANL Ann Muir Chair of North Lanarkshire Disability Forum Lucy Munro Medical Director for Health & Social Care North Lanarkshire Des Murray Chief Executive - North Lanarkshire Council Josephine Pravinkumar Director of Public Health and Health Policy Claire Rae Chief Officer NL HSCP Harry Robertson North Lanarkshire Carers Together / Carer Representative Nicola Scott Chief Finance Officer Francis Scott Chief Officer (Audit and Risk) Tyra Smyth *Left 09.59 GP Sub Secretary Kerry Taylor Business Support Manager Maggs Thomson Head of Health David Wood Chief Executive Officer with VANL Dawn Wright (Minutes) Management Team Secretary Apologies: Nauman Dar NHS Lanarkshire Nominated Non-Executive Phillip Couser NHS Lanarkshire Nominated Non-Executive Louise Long Chief Executive John Watson Employee Representative NLC Peter McCrossan Director for AHPs
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Page 2 of 6 1. Welcome and Apologies The chair welcomed everyone to the meeting and apologies noted as above. Brian Moore 2. Declaration of Interests No declarations of interest were made. All 3. Minutes IJB (16th June 2025) Minutes approved as an accurate record. Brian Moore 4. Minutes IJB PFA (21st May 2025) Minutes noted. August IJB PFA minutes will be presented at the next IJB meeting. Brian Moore 5. Membership & Meeting Changes Two formal membership changes noted; Councillor Beth Baudo replaced Councillor Paul Kelly as NLC Nominated Councillor (July 2025). Dr Martin Downey replaced Dr Kenneth Dagg as NHS Lanarkshire professional advisor (March 2025). Kerry Taylor 6. Matters Arising/ Rolling Action List No issues raised regarding matters arising. Rolling Action 25 Chryston Hub Visit scheduled for 18 September. Wider IJB member invitations to follow. 27 Ongoing, may not need to be noted on the action log. 31 CAMHS Communication Strategy - Mark Dell confirmed the strategy will be circulated to GPs and Health Visitors, followed by wider staff and elected members. A toolkit will be provided to support constituent queries. 32 Pharmacy Savings - Regular updates will be included in the work plan and will come to the IJB PFA meetings. Claire Rae noted the need for due dates and clearer timelines, to pick up with Brian Moore offline. Brian Moore / Claire Rae Standing Items 7. Chief Officer Report Care Reform Act The Scottish Government approved the Care Reform (Scotland) Bill on 10 June 2025 and received Royal Assent on 22 July 2025. Standards Commission for Scotland After consultation, the Commission revised its Advice Note for IJB members, clarifying their responsibilities under ethical standards and aiding in conflict of interest management to ensure strong governance. Delayed Discharges North Lanarkshire HSCP has met the national target and is lower than the Claire Rae
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Page 3 of 6 Scottish average. July/August saw increases due to acute referrals, especially from Monklands. Freedom of Information (FOI) Requests During quarter 1 of 2025/2026, there were 3 information requests received and responded to within statutory deadlines. National Records Scotland Data As the publication dates are scheduled for September of this year, the reports will be submitted to the Integration Joint Board in December 2025. Drug-Related Deaths In 2025, Scotland recorded 1,017 drug misuse deaths—down 155 (13%) from 2023 and the lowest since 2017. Despite this decline, rates remain high compared to 1996. In North Lanarkshire, deaths dropped from 103 in 2024 to 85. Jane Davies Award 2025 Motherwell District Nursing Team were awarded runners up for Person Centred Care. Vaccination Service Review A review of Vaccination Service Delivery within Lanarkshire is underway. Updates will be provided to the Integration Joint Board at future meetings. Recruitment Two NHS Lanarkshire Director positions have recently been advertised for recruitment as two members of staff move to other NHS Boards. Arwell Williams has been appointed as Acute Services Director. An update will be provided once the position of the Executive Director of Finance have been appointed. Meeting, Event and Media Updates The Chief Officer Group met with the Minister for Social Care and Mental Wellbeing on July 25 to discuss the IJBs’ financial challenges and rising demand. NHS Lanarkshire’s Health Improvement Team in Wishaw held a family fun day, ‘Tea in the Garden,’ at University Hospital Wishaw in July 2025 to promote local community services. In August 2025, South and North Lanarkshire HSCPs and NHS Lanarkshire held a Winter Planning Event to review past winter learnings and identify follow-up actions. A joint Community Planning Partnership event on Population Health Framework is scheduled for October 2025, involving NHS Lanarkshire, South Lanarkshire Council, and North Lanarkshire Council. A July 2025 media article focused on Dementia services highlighted NHS Lanarkshire for recent changes in Hospital Based Complex Clinical Care. Frailty Assessment Unit Expansion from 12 to 25 beds approved for December launch.
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Page 4 of 6 8. Chief Finance Officer Report - Medium Term Financial Outlook 2026-2029 Projected budget gap: £63 million over three years. In-year gap for 2026–27, £24.8 million. Development sessions planned for October, November, and January. Pay award assumptions discussed, no immediate cash flow impact. Savings proposals to be developed and discussed at upcoming sessions. Updated financial outlook to be presented at the IJB in December. Recommendations i) IJB acknowledged Medium Term Financial Outlook (MTFO) position for 2026/27 to 2027/29. ii) IJB acknowledged the forecast funding gap over the 3-year cycle. iii) IJB recognise this outlook will be subject to ongoing review with an update reported in December before the Medium Term Financial Plan (MTFP) is presented to the Board for approval in March. iv) IJB acknowledge the forecast reserves position. Nicola Scott Strategic Planning & Development 9. IJB Annual Performance Report Reflects positive outcomes and alignment with IJB priorities. Published in draught form on 31 July, now approved for final publication. Suggestions made to create a condensed version for public engagement. Recommendations i) IJB reviewed the content of the draft Annual Performance Report 2024/25 – University Health & Social Care North Lanarkshire. ii) IJB approved for publication the content of the draft Annual Performance Report 2024/25 – University Health & Social Care North Lanarkshire. Morag Dendy 10. Strategic Commissioning Overview Plan Update Work underway for next plan (post-March 2026). Alignment with Local Outcome Improvement Plans (2027) and Health & Care Renewal Framework. Emphasis on joined-up public engagement and strategic needs assessment. Recommendations i) IJB approved the arrangements set out in the report for the development of a new Strategic Commissioning Plan. Morag Dendy 11. Supporting Resilience Focus on community resilience, unpaid carers, and early intervention. Community wealth building and digital inclusion highlighted. Discussion on aligning with population health framework and tackling inequalities. Recommendations i) IJB endorsed the ongoing work to support resilient communities. Morag Dendy
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Page 5 of 6 12. Quality Assurance Annual Report Comprehensive report covering complaints, care opinion, and inspection activity. Increase in complaints noted, variation by locality. Care Opinion underused in social care, promotion encouraged. Suggestion to improve joint reporting with NHS complaints. Recommendations i) IJB noted and endorse the contents of the report. Morag Dendy 13. Hospital @ Home Expansion to Clydesdale and CamGlen underway. Funding remains non-recurring and conditional on bed base targets. Paediatric model development funded and progressing. Risks include workforce recruitment and unpaid carer support. Members praised the service and noted national recognition. Recommendations i) IJB noted that in line with the Board’s Unscheduled Care strategy, that work is underway within the H@H service with the aim to expand the virtual bed capacity and equity of services with the roll out of provision to Cambuslang/Rutherglen locality. Maggs Thomson 14. Home Support Functional management split introduced to improve service delivery. Dynamic scheduling tool implemented, portal allows families to view schedules. Recruitment and retention challenges addressed via Care Academy and sessional roles. Absence management linked to ageing workforce and capability terminations. Recommendations i) IJB acknowledged the developments within Home Support Service and the progress being made to implement the approved operating model. Diane Fraser 15. Learning Disabilities Unit Nursing Workforce Recruitment of nurses and healthcare support workers underway. Earn-as-you-learn initiative launched. LD Health Checks programme initiated, population identification ongoing. Risk of non-compliance with national policy reduced due to permanent staffing. Further report on “Coming Home” to follow. Recommendations i) The IJB noted the contents of this report. Joanne Jenkins Performance & Finance 16. Internal Audit Annual Report 2025/25 Reasonable assurance provided on governance, risk management, and internal control. Strategic Commissioning Plan audit nearing completion. Jocelyn Lyall
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Page 6 of 6 Recommendations i) IJB endorse the opinion of the Chief Internal Auditors that Reasonable Assurance can be placed upon the adequacy and effectiveness of the IJB’s framework of governance, risk management and internal control for the year ended 31 March 2025. 17. Audit Scotland – Final Audit Report 2024/25 • Unmodified opinion issued. • Financial sustainability highlighted as key risk. Recommendations i) IJB acknowledged Audit Scotland AAR in advance of the approval of the IJB Annual Accounts 2024/25. ii) IJB approve the management response to the action points which is highlighted at pages 19 to 21 of the annual audit report, attached at appendix 2. John Boyd 18. Audited Annual Accounts & Financial Statement 2024/2025 • Approved with no material changes. • Healthy reserve position noted. Recommendations i) IJB acknowledge the External Auditor’s opinion. ii) IJB approve the North Lanarkshire IJB Annual Accounts 2024/25 for signature. iii) IJB acknowledge that the signed audited IJB Accounts will be available to view electronically on the HSCP website. Nicola Scott Governance & Policy 19. Self-Assessment Questionnaire Results 8 responses received, out of 19. Key themes noted were training, induction, work plan consistency and public engagement. Future development session suggested. Recommendations i) IJB noted the results of the self-assessment survey; and ii) IJB to discuss if any actions should arise from the results Kerry Taylor 20. IJB Work Plan A live work plan document has been introduced for both IJB and IJB PFA meetings. This will be updated regularly and used for forward planning. Kerry Taylor For Noting 21. Risk LD Health Checks and Hospital @ Home funding identified as key risks. Revised risk register to be presented at next PF&A. Date of next IJB meeting: 10th December 2025, 9.30am –12pm, Via MS Teams