ITEM 3 Minute of Meeting of the IJB Held on 22 November 2023
North Lanarkshire Council · 24 January 2024
Back to Health and Social Care Integration Joint Board — 24 January 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 ITEM 3 Integration Joint Board Committee Minutes from a meeting held on Microsoft Teams on Wednesday 22nd November 2023 at 2pm to 4.30pm Present: Voting Members: Councillor Claire Barclay North Lanarkshire Nominated Councillor Ally Boyle NHS Lanarkshire Nominated Non Exec Director Councillor Bob Burgess North Lanarkshire Council Nominated Councillor Phillip Couser NHS Lanarkshire Nominated Non Exec Director Councillor Paul Kelly North Lanarkshire Council Nominated Councillor Brian Moore (Chair) NHS Lanarkshire Nominated Non Exec Director Non-Voting Members: Professional Advisors Amanda Kilburn Chief Finance Officer North HSCP Ross McGuffie Chief Officer, North Lanarkshire HSCP Maddie Halliday Chief Exec, VANL Third Sector Rep Stakeholders Elizabeth Seaton Partnership for Change User Rep Officer in Attendance: Stacey Anderson Support Services Project Manager Mark Dell Communications Manager Trudi Marshall Nurse Director NLHSCP Dr Lucy Munro Medical Director NL Harry Robertson Carer Representative Dr Tyra Smyth General Practitioner (GP) Dr Josephine Pravinkumar Director of Public Health Maggs Thomson Head of Health North HSCP Rose Walker Minute Secretary Observing: Sharon Murray Associate Nurse Director (Adults) Ann McKechin Public Health Scotland APOLOGIES: Paul Carey Audit Scotland Morag Dendy Head of Planning, Performance & Quality Diane Fraser Head of Adult Social Work Services Councillor Martin McCulloch North Lanarkshire Council Nominated Councillor James Muir NHS Lanarkshire Nominated Non Exec Director
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2 Fiona Owens Audit Scotland Des Murray Chief Executive NLC Maria Williamson Interim Head of Planning, Performance & Quality Alison Gordon Head of Children & Families & Justice Services CSWO of NLC Jann Gardner Chief Executive NHS Lanarkshire Cathy McGinty Staff Side Representative NHSL Dr Kenneth Dagg Secondary Care Medical Practitioner John Watson Employee Representative NLC Unison ACTION 1. Welcome and Apologies The chair welcomed everyone to the meeting and introductions were made; apologies were as noted above. 2. Declaration of Interests There was no declaration of interest made. 3. Minutes of IJB (27th September 2023) Maddie Halliday asked that two corrections be made to the previous note of meeting, 1) attendance list; Maddie is listed as an officer; this requires to be amended to list as a non-voting member. 2) the reference where Maddie refers to the community and voluntary sector funding risk; the note documents it being currently high; this should be documented as moving to very high. The remaining minutes were approved as an accurate reflection of the discussion. 4. Minutes of IJB PFA (18th October 2023) The minutes from the IJB PFA subcommittee were noted by the committee. A correction to be made to the attendance to list Maddie Halliday as a non-voting member. 5. Matters Arising/ IJB Action Log There were no significant matters arising. Ross McGuffie provided an update on the IJB action log and noted the following key points: Item 12 Strategic Commissioning Plan - The Community Nursing review will be tabled on February 2024 agenda Items 13 Mental Health Strategy, and item 5 Risk Management Strategy where tabled at the IJB liaison session 8 November 2023, action now closed
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3 Improving Cancer Journey Board - Ross McGuffie informed the initial focus will be on cancer patients. A full update will be provided to the board. Currently have five community connector posts commenced on the 6th of November 2023. The remaining 5 posts will be recruited to in January 2024. The improving cancer journey piece of this was 3.5 full time equivalent, Ross updated through the community connector program, have expanded with a wider remit and has been moving forward with positive feedback. This has been a huge challenge in terms of the service level agreement and the data protection impact assessment work, however this is now nearing completion and will help other similar developments in future. Maddie Halliday advised have found that some of the issues are because the connectors are employed in the community and voluntary sector around data, but the SLAs required are nearing sign off. Brian Moore advised can be brought back for further discussion at a future meeting. 6. Chief Officer Update Ross McGuffie provided the committee with a general update on the following: Operation Flow - currently undertaking another round of Fire Break. The focus has been on reviewing every inpatient with 14 days plus length of stay. Review work has been undertaken across all acute sites, Hairmyres, Monklands and Wishaw. The aim of visits is to have a look at criteria to reside, to have a look at what the challenges are in terms of supporting patients back home. Have done some targeted work around care home delays and been supported by a care home liaison service. Supportive work is ongoing which has seen 70 referrals between Monday and Tuesday this week, and a further 22 planned referrals. Have reduced care home delays from 28 to 14 and are currently in the 60s in terms of delays. A self-assessment tool - has been developed and rolled out across Scotland to get a real understanding of all the sort of complexities that each system is working the way through and what progress has been made from that. Priorities identified around early supported discharge models with having a process in place across each referral practices to ensure that we are working concurrently in using planned dates of discharge. Consideration has been given to annual leave planning and making sure that we get the right staff cohort Safe Steeple exercise – This was a large resilience session held in Ravenscraig and led by the Police, looking particularly at lessons learned and from events in Manchester. Now starting to look at own operational plans Update given on recently opened new Chryston Primary school and new Health Centre; feedback has been incredibly positive on the facilities. By the month end, will be starting to move all the services that are currently in Health Clinic across into the new Health Centre and from April 2024 will start to see the Addiction, Community Mental Health teams, Physiotherapy and Sexual
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4 Health services that are currently being delivered in Glasgow moved across into the Northern corridor. Walk rounds – A programme of work is being undertaken across the Partnership with the Senior team doing two visits each month on site, ensuring we are covering all service areas over the course of the year. Ross McGuffie gave feedback on a positive walk round taken place in Motherwell; talking through some of the work around infant nutrition and our breastfeeding rates, these are still continuing to rise above the Scottish rate, acknowledged this has been great and all the work around the breastfeeding strategies between the NHS board, and the two councils is really starting to come through. Another visit to Coatbridge Health Centre provided some great examples of really integrated working with District Nursing teams, integrated Rehab teams sitting next to each other and the work that being able to do and share. Cllr Kelly acknowledged the many positives of all the progress that has been made to date, and asked in terms of Fire Break; is that something that's been put in place just to get ahead of what's expected anticipated or is reaction to the demands and the system locally? Also added in terms of supporting people back in the community, asked for an update on the vaccination program in terms of uptake amongst staff? And where we are in terms of where we think we are with COVID? Ross McGuffie responded since the October week there has been a significant period of pressure not just locally in Lanarkshire but across all of Scotland. There has been a real upturn in demand across the acute sites. Capacity is quite high at the moment; Fire break is really being pulled together for a bit of both. Through the operational flow work, there are a range of posts coming in over the coming weeks and are trying best to create as much space as possible to give the new post and new ways of working the best possible chance of success. Information on vaccination uptake will be circulated. Ross McGuffie advised in terms of COVID the levels remain quite low and asked for Josephine to provide an update on. Josephine Pravinkumar pointed out Covid and flu at base line activity as confirmed by wastewater levels. Josephine agreed to share vaccination uptake levels with the group. Cllr Burgess asked if walk rounds are there by invitation. Ross McGuffie informed the walk rounds are carried out by the senior team of North HSCP to be visible on the ground listening to staff. This is a really important piece of work in terms of having that engagement and also providing a bit of permission in terms of allowing staff to pick up their own ideas and run with them and report back. Cllr Barclay asked re the status of getting people out of hospital; how is that affecting Home Care? and at the other end is Home Care and Social Work able to keep up with the number of people who are being discharged from hospital? Is it primarily people who are not going to need any further care? Ross McGuffie advised this is one of the areas that is really quite challenging at times. Have been doing a bit of work around, the home support redesign team
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5 have been involved in carrying out a number of visits across Scotland to have a look at other models and how things are done elsewhere. Further work is coming back through IJB and the Social Work Committee in terms of developing the new model of home support. Ultimately we’re aiming to make the service as efficient as possible, ensuring we don’t over-provide or under-provide for all of our service users. Brian Moore noted acknowledgment of the intense activity in relation to managing a flow and discharges, Ross and his senior team, but also the frontline staff who are incredibly active in terms of trying to improve and continuously improve our performance and make a difference for individuals and secondly also to acknowledge appropriately the contribution Ross is making at a National level, not only in terms of feeding back from Lanarkshire, but also contributing to the national debate and solutions in terms of how we bring about more effective whole system working. 7. Frailty Strategy NHS Lanarkshire is developing a new Healthcare Strategy “Our Health Together”. As part of this development a working group was established to consider the inclusion of frailty in the strategy. The main aim for the strategy is: “Every older person in Lanarkshire with, or at risk of, frailty is supported to be healthier, to remain independent for longer and to live their best lives. All partners work together, and with older people, unpaid carers, families and communities, to prevent, detect and delay escalation of frailty through proactive, personalised, coordinated support at home, or closer to home, and age attuned integrated acute and community services.” Maddie Halliday made a couple of observations to; It would be really good with colleagues in the Community and Voluntary sector, sitting behind that strategy, maybe to document and clarify our contribution a bit more fully. Also asked a question on resources; because some of the work that you're planning is in train and committed, but whether there's challenges around on the necessary resources to achieve it? I can see that if the strategy successfully implemented, I'm sure it will be very cost effective; wondered whether was issues there. Trudi Marshall advised will link with Maddie to see how we could strengthen the reflections of the contributions to that. Josephine Pravinkumar asked around the potential of maximising the preventative elements within the strategy. Trudi Marshall advised we did look to see how we could redesign even our urgent care pathways, but there was going to be significant recurrent resource required and was not available at the time. The NHS board gave recurring funding to allow the development of a resource for a frailty TM/MH
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6 network and that frailty network which will be the building block as to how we take forward and deliver that strategy. Now in post is an Associate Medical Director and NMHAP Nurse consultant for Frailty; who will not only be looking at acute care pathways, but looking at it across the whole system wide. The group will be looking at how it implements the strategy and part of that will be looking at resource and how we really do that preventative work. Brian Moore raised question to Ross McGuffie; you previously made reference to the Tayside feedback and one of the issues was that there might be a frailty pathway that would bypass A&E and I wonder, is that a long term ambition here? whether there's an opportunity, to reframe it in terms of a whole system approach. Brian added comment in relation to the number of 450 hospital beds; in two years, three years, five years’ time, we would want to see that bed number reduced quite significantly. Ross McGuffie responded that the Tayside feedback was that frailty was one of the biggest areas of impact we could act on. Will focus as much investment as can within the Frailty agenda. Trudi Marshall added further comment to updating that Monklands has an established pathway and a Frailty unit that has been producing some good outcomes. This has never been fully funded, as in it requires a different staffing level to a normal ward; the idea is that you're wanting to have lengthy stay down at 72 days, so that high turnover, higher HP input. There needs to be work done there to make sure that we maximize in the outcomes of that unit. The IJB committee endorse Lanarkshire Draft Frailty Strategy. # 8. Getting It Right For Everyone (GIRFE) The Plan for North Lanarkshire sets out a vision for town and community hubs whereby citizens have easier and earlier access to support and services in their local neighbourhood or town. It takes a place based, whole systems approach that mobilises all assets within a community, promoting equity and increasing people’s control over their health and lives. Getting it Right for Everybody (GIRFE) provides a framework and a set of principles for person centred and community centred ways of working as outlined below: • GIRFE is a proposed multi-agency approach of support and services from young adulthood to end of life care. • GIRFE will help define the adult’s journey through individualised support and services and will respect the role that everyone involved has in contributing to collaborative care and support planning, review and personalised interventions. • Too often, adults and their families are excluded from assessment and support processes by complex bureaucracy. GIRFE is about providing a more personalised way to access help and support when it is needed – placing the person at the centre of all decision-making that affects them to achieve the best outcomes, with a joined-up, coherent and consistent multi-agency approach regardless of the support needed at any stage of life.
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7 Health & Social Care North Lanarkshire is participating the national Getting It Right for Everyone (GIRFE) pathfinder programme. The initial focus for GIRFE in North Lanarkshire is on older people and adults living with frailty, working with the Locality Planning Group to develop the approach in the Wishaw Locality. The learning from this work will inform further work across the other 5 localities Cllr Barclay added comment this is a wonderful approach and that holistic approach of getting it to the individual. Brian Moore asked; in terms of the staff engagement in the work, and the engagement plan that's in place, that it will be representative of all staff across the HSCP. Trudi Marshall advised yes; and the way that we are taking the work forward will be through the locality planning groups and the wider community networks. Brian Moore referred to other pathfinder programs looking at Frailty also, for shared learning. Trudi advised the plan is that Scottish Government is going to pull it all together and all the learning from all the pathfinders and in May 2024, a National approach based on the learning from all the pathfinders will be developed. Ally Boyle commented it brings a lot together; Impressed by the focus and, meaningful engagement, meaningful involvement in co design. Trudi Marshall advised co design work has been taking place via the community hubs and very much aligns to that wider community work and the wider community hubs where we've been getting, have started the process for Frailty through the work of community hubs. The committee agreed the following recommendations: (1) Note the participation of Health & Social Care North Lanarkshire in the national Getting It Right for Everyone (GIRFE) pathfinder programme, focussing on older people and adults living with frailty. (2) Endorse and the approach and planned work to develop GIRFE across North Lanarkshire. (3) Agree a further update on the progress of the GIRFE work to be brought back to a future meeting of the Board. 9. JRF Poverty in Scotland (2023) Report Every year at the start of Challenge Poverty Week in October, the Joseph Rowntree Foundation (JRF) publish their ‘Poverty in Scotland’ report. This year’s report considers whether ‘work is working’ for the people of Scotland. The main findings are:
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8 Over one million people still live in poverty in Scotland, with nearly half of those (490,000) living in very deep poverty. The statutory child poverty reduction targets are unlikely to be met without significant additional Scottish Government action. While the Scottish Child Payment is likely to reduce child poverty, the growth of in-work poverty is holding back further progress. Just over 10% of workers in Scotland are locked in persistent low-pay, i.e. they are paid below the real Living Wage. Of this cohort, 72% are women. Five high-priority industries play a key role in maintaining in-work poverty: retail, hospitality, manufacturing, health and social work, and the administration and support services. The report details several recommendations for the Scottish and UK Governments and provides specific findings and recommendations for the high-priority industries to work with and support their employees to make ends meet. Brian Moore advised this report is more of a national perspective on some of the key challenges and issues in relation to poverty. Maddie Halliday pointed out this is also an issue locally and advised in North Lanarkshire and across all of Scotland of 32 third sector interfaces; are launching a Fair Funding Charter, which is addressing this point around Fair Work and fair funding. Maddie highlighted in addition to the Scottish Government Fair Work Framework there is of course, the North Lanarkshire Council Employment Charter, which is also locally promoting Fair Work, which includes living wage and living hours and certainly the Council's enterprise team are actively promoting that into the business community as in commercial sector. The IJB: (1) Reviewed the main points of the JRF Poverty in Scotland (2023) report (2) Note the strategies and plans already in place across North Lanarkshire to tackle poverty (3) Discussed and consider any wider implications or areas for improvement 10. Public Sector Equality Duty The Public Sector Equality Duty came into force in April 2011 (s.149 of the Equality Act 2010). The act set out the requirement of public authorities to ensure that they meet the objectives set out under s149 of Equality Act 2010 including: Eliminate discrimination, harassment, victimisation and any other conduct that is prohibited by or under the Equality Act 2010 Advance equality of opportunity between persons who share a relevant protected characteristics and persons who do not share it Foster good relations between persons who share a relevant protected characteristics and persons who do not share it
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9 As part of the Equality Act 2010 (Specific Duties) Regulations 2011, public authorities are required to publish: Equality objectives at least every four years Information to demonstrate their compliance with the public sector duty These initial changes will include the delivery on two key prioritised regulatory changes around the revising of the current pay gap reporting duty and the introduction of a new duty on listed public bodies in relation to their use of inclusive communication. A decision has also been taken to repeat the current regulation 6A of the Scottish Specific Duties which relate to the collection of data on listed authorities’ members ‘characteristics’ and a consultation on the development of the Mainstreaming Strategy will also take place by the end of 2023. Maddie Halliday raised question on with the increasing use as well of the human rights and our commitment to human rights; is wondering how those two articulate with each other whether they do or not, they obviously overlap and about training around equality, human rights and of staff. Ross McGuffie responded; we are pulling this together as an integrated approach as possible, and we'll try to do that across all the partner bodies at the same time. We are take learning from between Council and NHS and IGBT together so that we come up with one overarching response in terms of training. We have got Manager training programs in place across both NHS Lanarkshire and North Lanarkshire Council for staff and around equality and diversity, so we we've got that built into the training requirements across all staff groups. The IJB noted the contents of the report which includes details of changes being made to the Public Sector Equality Duty. 11. Assistive Technology This report provides an update on the new assistive technology team within North Lanarkshire Health and Social Care Partnership and its impact since inception and aims going forward. Cllr Kelly asked in relation to referrals regarding families or individuals who are looking to get more digital help and digital assistive support; how would they be referred? Raymond Taylor advised referrals come in from individual teams within the Council and also self-referrals. The IJB committee approved the following recommendations: a) Note the progress of the new assistive technology team to date. b) Note the progress on promotion of digital services by the team. c) Note the uptake in technology and increase in engagement. 12. Risk Management Report The purpose of this report is to provide a summary to the IJB on risk management activity, noting any amendments or additions to the current risk register.
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10 Following discussions at the IJB Liaison Session, the last meeting of PFA on 18th October 2023 and the meeting of the IJB on 27th September 2023, the risk register has been updated and additional controls/actions added to: IJB 01/21 – Financial Challenges IJB 04/21 – Set Aside IJB 06/21 – Prescribing IJB 11/21 – Performance IJB 13/21 – Care Homes IJB 14/22 – CAMHS IJB 17/22 – Unscheduled Care IJB 02/22- Prevention, detection of fraud, bribery and or corruption There are currently two risks rated as Very High on the IJB risk register IJB 06/21 – Prescribing Activity and Costs IJB 17/22 – Unscheduled Care There are eight high rated risks on the IJB risk register. IJB 01/21 - Financial Challenges IJB 04/21 - Notional Set Aside Budget IJB 12/21 - Staff Health & wellbeing IJB 14/22 – CAMHS IJB 15/22 – Cost of Living IJB 16/22 – National Care Service IJB 19/23 – Service sustainability IJB 20/23 – Workforce sustainability The IJB currently has 17 risks identified on its IJB risk register with 10 risks rated as high or very high. Stacey Anderson informed North HSCP have discussed the risk process moving forward as an IJB and it has been decided that IJB will received the normal risk paper with the risk in focus element of it being displayed in presentation format. Updated that the risk around the ineffective Governance arrangements; the title has now been changed to prevention, detection of fraud, bribery and or corruption. The IJB and PFA and this aligns with how the risks sits on NHS Lanarkshire board as well and the home risk has also been updated to divide to reflect the overall care home position instead of a COVID position. It is based on some feedback that we had received from IJB members and the strategic and performance unscheduled care risk, and was updated to deflate the work of operation flow and the tasking finish groups. Maddie Halliday looked for clarity around the shift from governance risk to fraud and bribery and pointed out that they overlap but is not the same thing; there is still an issue around good governance which is much wider than fraud. Added does not know whether that is a high risk or even a medium risk. Maddie also looked for clarity around the funding situation for the community and voluntary
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11 sector and as often is referred to as the third sector and mentioned, it is probably moving into the very high risk. Phillip Couser made reference to looking at a number of the risks, “strike me these are issues rather than risk so prescribing for example, the issues with prescribing are here now, we are already having the issues here particularly on the cost and you pick up later on unscheduled care. Should we have an issues register and actually take those things and have an issues register rather than just a risk register?”. It was agreed this required further corporate discussions. Stacey Anderson advised this is still a governance issue, but then effective governance arrangement, the issue was with the title within the risk register because the commentary then within the discord just it was more around prevention and detection of fraud labelling corruption. And to pick up on Maddie’s other point about Increased risk level around just the voluntary sector, that's maybe something that we do at the PFA with a risk in focus so that we have that deeper discussion element. Agreed Stacey Anderson will link with Maddie Halliday to help build on that risk and focus. There was some discussion around risks not always matching between the partner bodies and the IJB. One example was Primary Care Out of Hours, where the IJB risk register still contained concerns around the loss of a North base as it was felt to be a particular risk for the NL population. The IJB note the contents of the report which includes the latest version of the IJB risk register and a note of those operational risks highlighted by the Heath & Social Care North Lanarkshire partnership that impact upon delivery of IJB business. SA/MH 13. Financial Monitoring This report provides a summary of the financial position of the North Lanarkshire Health and Social Care Partnership (HSCP) for the period 1 April 2023 to 30 September 2023. The report is based on the financial monitoring reports received from NHS Lanarkshire Director of Finance and North Lanarkshire Council Head of Financial Solutions. The position detailed in these reports is therefore based on the information contained in each partner’s respective financial systems and includes accruals and adjustments in-line with their financial policies. As detailed in the report, the IJB year to date position, prior to removal of ring- fenced funding, is an underspend of £2.323m and the projected outturn for 2023/24 is an underspend of £4.313m, assuming the current trajectory of spend continues throughout the financial year. Phillip Couser noted the workforce issues around social care, if you look at that list of whether the vacancies set, you know the social services piece is by far the
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12 largest, both the number and as a percentage, about 25% of the total. That is a huge gap? it prompts the question of what impact is that having fuel and other areas? Ross McGuffie advised this has been picked up through the Council risk process. There is significant work ongoing around recruitment with some areas of real gian, but it is taking multiple rounds of recruitment to fill posts. Brian Moore asked in reference to the risk register; there has been a lot of media focus on care home, viability over the past few days. is there any update in terms of the what the position is expected, regard to future fees, has next year's fees been negotiated yet? And secondly, the issue about a £12 an hour rate, which would be introduced in April 2024, could you advise as our letters as to what the process will be for ensuring that gets out to all providers of services and how complicated is that for yourselves? Ross McGuffie advised the negotiations for next year’s National Care Home Contract are now underway, but expected to be another challenging negotiation. The risk on the register had been reduced when the new contract was agreed, but quite likely to rise again if quick agreement can’t be reached. Amanda Kilburn added there will be a reserve strategy done again and will provide update to position in March 2024. Ross McGuffie advised that we have got a budget group formed to look at the recurring savings that were required to make. The focus is on trying to do this in line with the commissioning plan and try to do in line with the role like human learning systems. The IJB: (1) Acknowledge the contents of the report; and (2) Acknowledge the revised projected outturn for 2023/24 is an underspend of £3.640m. 14. IJB Terms of Reference Review & Future Dates The Terms of Reference for both committees were formally approved at the IJB meeting on 23rd November 2017 and membership of both committees was formally reviewed in March 2018, June 2019 and November 2020.The Terms of Reference for the IJB PFA was amended and formally approved in March 2023. Stacey Anderson noted we recommend within the ToR that the membership of the IJB is reviewed every three years. Minor amendments to the original Terms of Reference for the IJB are proposed to reflect the primary functions of the IJB and the addition of the new North Lanarkshire Health and Social Care Website. Maddie Halliday sought clarification to whether she should be listed as a non- voting member, as listed as a stakeholder member. In reference to partnerships for change, understanding is that organisation doesn't exist as such anymore and
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13 also key responsibilities which are listed under Section 4; about approving the strategic plan and approving directions. Stacey Anderson noted in terms of the membership the Act prescribes a range of different groups including voting members, not voting members and a number of stakeholder groups. Brian Moore asked for firther discussion around stakeholder membership and it was agreed this would be arranged for a Liaison session in 2024. The IJB approved: The revised Terms of Reference for the IJB. Note the schedule of dates proposed for the IJB and P, F&A meetings for future meetings Approved that stakeholder membership of the IJB committee is reviewed in line with the IJB membership guidance that all IJB members (apart from Chief Accountable Officer, Financial Officer and Chief Social Work Officer) are appointed for three years unless their membership is terminated earlier. Membership can be renewed for further periods of three years at a time or a new member appointed 15. Committee Draft Work Plan The draft work plan with the committee to provide an oversight of reports planned to come to 2024 scheduled dates. The work plan is derived from the responsibilities and information requirements set out in the IJB Committee Terms of Reference. Should these change as a result of a further review of committee roles, the work plan will be revisited. The committee noted the plan. 16. Updated Integration Scheme The Public Bodies (Joint Working) (Scotland) Act 2014 (thereafter known as the “Act”) requires Health Boards and Local Authorities to integrate planning for, and delivery of certain adult health and social care services. The Integration Scheme sets out the agreement through which NHS Lanarkshire Health Board and North Lanarkshire Council do this. The updated Integration Scheme and associated paper was presented to the IJB PFA in Oct 2023, the IJB PFA requested terms referencing to the IJB PFA be standardised, terms should reflect current voting members and also to ensure language is reflective of current position. Therefore, the Integration Scheme has been updated in line with this feedback. It will now be approved by NLC and NHSL before going out for public consultation.
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14 Maddie Halliday asked around going out for consultation; what is the time frame? Ross McGuffie advised 4 weeks. It will be put on the website and do something on social media to ask for comments. Brian Moore advised that the updated final version will be brought back to a future meeting for final agreement, though approval sits with the two partners bodies. Recommendations agreed by the committee: The IJB acknowledge the refresh of the IJB Integration Scheme Will provide any further comments and feedback regarding the Integration Scheme. 17. SCCG HQAIC Report The arrangements for Support, Care and Clinical Governance within Health and Social Care North Lanarkshire (HSCNL) build on well-established prior arrangements within NHS and NLC but bring processes together to receive assurance from both Health and Social work clinical services. The group meets bi monthly and works to a work plan to allow service areas to report in routinely and to offer assurance. Part of the governance framework for the group it to provide a 6 monthly and yearly report to the HQAIC. Brian Moore referred to the report, if there were to be a significant event and that adverse event in social care, in the Home Care service, how would we know about it? Dr Lucy Munro responded there is a number of reporting and committees on the social work side and it is difficult to write one report that will serve all of the purposes and I think that there may be a place for potentially having some clarity of what the work plan is in terms of when the reports come in rather than you simply receiving the biannual report to see that work plan what's going where and when. Also I think it's probably utilising the tracker as being helpful. This can give assurance that all of these things are being looked at and going to the right places, but the starting point is to get the biannual report. Brian Moore added the IJB doesn’t necessarily need all the detail, but we need to know that the processes are in place and reporting is taking place. The committee noted the update from the Support Care and clinical governance committee. 18. Climate Change Report – Stacey Mandatory reporting legislation in relation to Climate Change came into force in 2015 with the IJB, as a public body, required to report annually on compliance with climate change duties. The relevant legislation is the Climate Change (Duties of Public Bodies; Reporting Requirements) (Scotland) 2015 and the associated amendment order of 2020.
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15 North Lanarkshire IJB has complied in full with reporting requirements since the enactment of the legislation. Further guidance specific to IJBs was issued by the Scottish Government for the 2022-2023 reporting period. This guidance relates to areas that NL IJB report on, including the structure of the IJB and its links to the bodies it is in partnership with. There is also a requirement to report on net zero targets and climate resilience and therefore links to the reports submitted by North Lanarkshire Council and NHS Lanarkshire, the bodies with responsibilities in these areas have been made within the NL IJB Climate Change Duties Compliance report. Maddie Halliday asked does it not mean that effectively we are double reporting for the council and NHS? Secondly is that we have, under the North Lanarkshire Community Planning Partnership, the action on climate together North Lanarkshire, which includes the statutory partners and also the community and voluntary sector, and we have agreed through that to do a public facing summary report of progress that the public sector and making around net zero. Also I think to have more of a conversation around how health and social care contributes to and certainly in the Community and voluntary side of health and social care, we're doing quite a lot to engage the public and the Community and voluntary sector. I think it would be helpful to have maybe a discussion on that maybe at the liaison meeting that's sort of join up the dots a bit beyond the formal reporting. Stacey Anderson responded having looked back at the historical notes that has been fed back to Scottish Government, it has almost tripled reporting. It is inevitable that IJB reporting will bring with it a level of duplication from the partner body reports, but it’s a legal requirement for us to do so. Tyra Smith asked Is there an easy way for people to escalate their concerns or their issues; do we have an easy route for people to be able to report things that they are perhaps aware of might be a risk or struggling to? Stacey Anderson advised that North Lanarkshire Council report on their website, Stacey to share the detail of the key email addresses for raising ideas concerns around climate change within Health and Social Care Partnership. Recommendation agreed that the IJB review and agree the content of the Climate Change Duties Compliance Reporting template for 2022-2023 prior to its submission SA 19. Risk There were no new risks identified by the committee. Brian Moore pointed out that Phillip had mentioned the social care workforce issue. This may be something we will revisit in terms of our risk register. Stacey Anderson took action to do risk and focus session. SA 20. Date of Next Meeting
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16 24th January 2024, 9.30am-11.30am