Item 8 - Integration Review
North Lanarkshire Council · 16 November 2022
Back to IJB Performance, Finance and Audit Committee — 16 November 2022 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 8 SUBJECT: Conclusion of North Lanarkshire Integration Review TO: Performance, Finance and Audit Sub-Committee Lead Officer for Report: Ross McGuffie, Chief Officer North HSCP Author(s) of Report Ross McGuffie, Chief Officer North HSCP DATE: 16th November 2022 1. PURPOSE OF REPORT This paper is coming to the Sub-Committee: For approval For endorsement To note 2. ROUTE TO THE IJB Sub-Committee This paper has been: Prepared Reviewed Endorsed 2.1 The paper was prepared by the Chief Officer and agreed by members of the Senior Leadership Team. 3. RECOMMENDATIONS 3.1 The Sub-Committee is asked to: Note the completion of all outstanding actions from the Integration Review process 4. VARIATIONS TO DIRECTIONS Yes No N/A
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2 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 The Public Bodies (Joint Working) (Scotland) Act 2014 set out the legislation governing health and social care in Scotland with the intention of improving outcomes for the population. The legislation sets out options for Local Authorities and Health Boards and in North Lanarkshire, as in most of Scotland, the decision to opt for a “body corporate” model was taken. This required the formation of the Integrated Joint Board (IJB) with delegated functions from both the Health Board and Local Authority that were set out in an Integration Scheme, which was formally enacted on 1st April 2016. 5.2 In September 2018 North Lanarkshire Council set out a new vision for the future direction of the council in ‘We Aspire’. The document set out a plan to revise the Integration Scheme and transfer the discretionary delegated functions for children, families and justice social work services to the newly reshaped Education and Families service within the council. 5.3 Section 44 of the Public Bodies (Joint Working) (Scotland) Act 2014, notes that “the local authority and the Health Board must carry out a review of the integration scheme before the expiry of the relevant period for the purpose of identifying whether any changes to the scheme are necessary or desirable”. The legislation clarifies the “relevant period” as “the period of five years beginning with the day on which the scheme was approved”. 5.4 Given the changes proposed in the ‘We Aspire’ report, it was agreed to instigate a review of integration, building on the learning to date and agreeing the best direction of travel moving forwards. 5.5 The review consisted of three main elements: themed workstreams; self-assessment exercise and structural review. 5.6 The review was approved at the IJB on 12th June 2019, with a request to create a full action plan and report this back through the IJB Sub-Committee. 5.7 The audit action plan is attached in Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG Leadership Review the remaining Kings Fund OD programme Programme fully focused on developing the relational aspects of health and social care teams Sharon Simpson Sep 19 Complete. Existing programme halted and new programme developed, which will commence following completion of the
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3 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG Creation of a Joint HR and Workforce Planning Forum Subject matter reference group in place Continued development of joint TU / Staff side group Fiona Whittaker John White Sep 19 Complete. Group now operational. Share the Community Capacity Building and Carer Support model Rebranding and updated communications framework for the programme Morag Dendy Sep 19 Complete. Presented to Senior Leadership Team Operational Structure Roll out of the updated strategic group structures across the partnership, including update terms of reference Agree meeting structures Ross McGuffie Sep 19 Complete. The new management meeting structures for the partnership came into place on 7th June 2021. This includes new Core; Senior Leadership Team; Support, Care and Clinical Governance; and Strategic Commissioning Plan structures (now part of SLT). Update TOR to reflect changed arrangements Ross McGuffie Oct 19 Complete. Through the Programme Board, terms of reference have been updated. A future review of Partnership Boards and Locality Planning Groups will take place once all of the new structures are fully bedded in. Appoint to the posts of Head of Health and Head of Adult Social work Permanent post holders in place Ross McGuffie Dec 19 Complete. Head of Health post recruited. Head of Adult Social Work post has been recruited with a start date of 19th January 2021.
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4 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG Appoint to the post of Head of Planning, Performance and Quality Assurance Permanent post holder in place Ross McGuffie Dec 19 Complete. Disaggregation of Social Work Services Professional identity of SW retained Linkages between services clear Alison Gordon Margaret French Oct 19 Complete. Disaggregation agreed, including synergy in operational structures and some retained joint functions (e.g. Quality Assurance, Performance etc). Internal Audit review of the process noted appropriate due diligence of the financial arrangements had been satisfactorily undertaken. Agree the Locality and Area Wide operational structures Key responsibilities and linkages agreed Ross McGuffie Maggs Thomson Margaret French Sep 19 Complete. Operational structures agreed for both Adult Health and Social Care and Education and Families, ensuring strong synergies remain. Implement locality and area wide structures Maggs Thomson Morag Dendy Nov 19 Complete. New structure commenced on 4th January 2021. Review Tier 3 Manager posts in line with the new locality and area wide structures Operational responsibilities of the two teams of three localities and 4 area wide service groupings in place Ross McGuffie Margaret French Maggs Thomson Sep 19 Complete. Operational structures agreed for both Adult Health and Social Care and Education and Families, ensuring strong synergies remain. HR agreement to revised roles and responsibilities Fiona Whittaker John White Nov 19 Complete. Job descriptions and job roles updated in conjunction with both
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5 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG HR teams and new posts out to advert. Tier 3 post holders in place Morag Dendy Maggs Thomson Jan 20 Complete. As noted above, target date had been moved to Mar 20, but Covid caused further delay. Tier 3 interviews completed in September 20 with all posts now with permanent postholders. Finance Continue to develop the financial monitoring of the IJB to support the implementation of the SCP and directions Review of support arrangements for the H&SC partnership Ross McGuffie Marie Moy Nov 19 Complete. Following whole system options appraisal exercise, new structure agreed and NL CFO in post from 22nd Aug 2022. Develop the use of directions through the SCP for 2020-23 Morag Dendy Mar 20 Complete. New Scottish Government guidance on Directions received and report with recommendations going to IJB in September 2020 Develop further integrated financial planning Learning from other partnership areas will be taken into account Marie Moy Ross McGuffie Jan 20 Complete. Discussed through Chief Officer and Chief Finance Officer groups. Aware of range of solutions in place across Scotland. Increase awareness of all IJB members, elected members, senior officers of overall finance issues pertinent to H&SC OD programme to support awareness Marie Moy Ross McGuffie Dec 19 Complete. Session held with Committee conveners to highlight financial challenges across both health and social care. Further IJB Liaison session scheduled for March 20 once budgets are confirmed. Set medium term financial plans Medium term financial plan is developed and Marie Moy Nov 19 Complete. Medium term financial plan
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6 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG agreed to inform direction presented to IJB liaison in March 2020. However, impact of Covid means that this will require to be updated to set out the new financial reality. Progress work on set aside budgets Financial challenges managed as a whole system approach Marie Moy Ross McGuffie Dec 19 Complete. While this is an ongoing development across a range of workstreams, agreement across local partners on the key areas of urgent care, Planned Date of Discharge, bed modelling and inequalities. Realistic targets to be identified in conjunction with the budget setting process Revise target setting in line with national guidance, SCP 20-23, and organisational governance requirements Marie Moy Ross McGuffie Jan 20 Complete. Targets for the 20/21 financial year set in conjunction with both Chief Executives and agreed process in place for annual review of targets. Consider options to improve the interface between strategic and operational finance functions Roles and responsibilities are clear within the revised H&SC structures Marie Moy Ross McGuffie Dec 19 Complete. Following whole system options appraisal exercise, new structure agreed and NL CFO in post from 22nd Aug 2022. SCP process will more clearly link financial impact and involve IJB members SCP20-23 engagement Marie Moy Morag Dendy Dec 19 Complete. Locality engagement sessions throughout Sep and Nov 2019. Additional sessions with elected members, IJB members and other key groups and committees between Sep and Dec 2019. SCP 2020-23
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7 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG approved by IJB in March 20. SCP 20-23 finalised and published Ross McGuffie Mar 20 Complete. IJB approved SCP 2020-23 in March 20. Strategic Planning Review of the key roles and responsibilities to ensure clarity of all stakeholders in planning, objective setting, commissioning and service delivery All partnership strategic groups are reviewed Clarity and consistency in decision making is achieved Engagement of staff, service users, carers and communities is as joined up as possible to ensure local empowerment Morag Dendy Oct 19 Complete. Partnership strategic groups reviewed and corporate objectives also reviewed, updated and allocated to groups. As outlined above in review of meeting and planning structures, final review of operational structures to be finalised once new post holders in place. Extend the collaborative planning approach to cover wider delegated hospital services Participation and Engagement working across delegated hospital services Morag Dendy Mar 20 Complete. Participation and Engagement Steering Group re-formed and strategy updated. Update paper scheduled for IJB in December 2020. Review and maximise the use of data to drive improvement Ensure that data is available to all revised operational and professional governance structures. Updated Locality profiles to be created. Morag Dendy Graeme Cowan Mar 20 Complete. Locality profiles updated ahead of Sept 2019 SCP engagement sessions. Programme of development of new service dashboards for Home Support, Care Homes, SDS and Delayed Discharge. Governance Update the TOR for the Support Care and Clinical Governance Group and linked committees Review takes account of the new national guidance to be shared in September 2019 Anne Armstrong Oct 19 Complete. S,C,CG ToR updated, however, new national guidance still awaited, following national consultation events in Jan 20.
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8 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG Develop OD programme to support revised TOR Anne Armstrong Sharon Simpson Dec 19 Complete. OD programme will commence once national guidance launched. Work with the Participation and Engagement Steering Group to strengthen voice of people with lived experiences and carers Voice of people is strengthened through the Support, Care and Clinical Governance arrangements Sharon Simpson Anne Armstrong Dec 19 Complete. Participation and Engagement Steering Group re-formed and strategy updated. Work ongoing to update expenses policy. Update papers scheduled to Dec 2020 IJB. Update the Integration Scheme Revised Scheme reflects the new arrangements Christine Jack Mar 20 Complete. The Integration Scheme has been out to public consultation and has now been submitted to the Cabinet Secretary for final approval. Develop OD programme to clearly define roles and responsibilities of the operational committees and the IJB Sub committee Members of the groups and wider staff understand the role and function of the groups Sharon Simpson Dec19 Complete. Forms part of the new OD plan, which will launch on completion of the new operational structures. King’s Fund sessions in place for all of the new operational units, commencing at the start of November 2020. Letters of direction will be issued after each IJB with associated finance clearly identified The direction process will be developed and will take account of revised national guidance Ross McGuffie Morag Dendy Mar 20 Complete. New Scottish Government guidance received on directions. IJB approved new approach in September 2020, with the report template now updated to identify directions from each report,
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9 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG which will be sent as soon as possible following the end of each meeting by the Chief Officer and Chair. Information sharing Continue the development of the IJB’s Annual Report Best practice and shared learning achieved Graeme Cowan Mar 20 Complete. Process in place to allow the H&SCP to continue to attend national sessions to support the development and participated in the national best practice sharing exercise undertaken by Scottish Government. Annual Report was published in July 19 in line with guidance. Continued development of the eCare system Consistent use across health and social care teams Ross McGuffie Mar 20 Complete. eCare development programme approved by the Data Sharing Partnership Board. Develop systems to support integrated managers to access management systems within both organisations Ensure that data is available to all revised operational and professional governance structures to drive improvement Ross McGuffie Dec 19 Complete. LDSP Board Terms of Reference have been updated to include information sharing requirements for integrated teams. Microsoft Office 365 is now being actively rolled out across both organisations, with the HSCP core management team now transferred over. Continued development around digitisation within both organisations Participation in DigitalNL and eHealth strategy groups Ross McGuffie Morag Dendy Maggs Thomson March 20 Complete. Representation at all digital workstreams in both orgs reviewed to ensure H&SCP well represented. Progress
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10 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG accelerated due to the pandemic response. Engagement Deliver the Participation and Engagement Steering Group Actions Full roll out of the identified actions from the Coalition of Carers Report “Equal, Expert and Valued” Sharon Simpson March 20 Complete. Participation and Engagement strategy and action plan refreshed, including expenses policy. Papers scheduled to Dec 2020 IJB. Membership of the Strategic Planning Group is reviewed to ensure the voices of children and young people are reflected Revised strategic structures fully engage with all stakeholder groups, particularly those most disadvantaged in the process Sharon Simpson Alison Gordon Dec 19 Complete. SPG membership updated for the December meeting. 5.8 A range of significant actions have been undertaken as part of the review, including: 5.9 Since the last report, the new meeting structures for the partnership have been rolled out from 7th June 2021, with terms of reference created for each. This has included: Implementation of new operational structures across the HSCP New management team meeting structures, including fortnightly Core Management Team and Senior Leadership Team meetings in place Strategic Commissioning Plan Board in place to provide oversight around all key strategic deliverables set out within the IJB’s Strategic Commissioning Plan Updated Support, Care and Clinical Governance arrangements to match the new operational structure, with subgroups in each sector and unit across the partnership and reporting to the partnership’s SCCG Committee. Onward reporting to the NHS Board’s HQAIC Committee and NLC’s Adult Social Work, Care and Wellbeing Committee are still in place The Lanarkshire Data Sharing Partnership Board has been reviewed with new terms of reference and the previous thematic subgroups replaced by an Officer’s Group and Task and Finish Groups as required The Joint HR Group has been reviewed and is now operational again North Lanarkshire Council and NHS Lanarkshire have signed up as early adopters around Microsoft 365 federation as part of a national approach between COSLA and NHS Scotland
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11 5.10 There were two outstanding areas from the Integration Review awaiting completion, namely the review of participation and engagement structures and the review of operational and strategic finance. 5.11 The review of participation and engagement structures was independently led and reported to the IJB in September 2022. 5.12 Following a joint review of operational and strategic finance structures with colleagues in South Lanarkshire IJB, North Lanarkshire Council, South Lanarkshire Council and NHS Lanarkshire, an options appraisal approach was taken which identified the preferred option of each partnership having their own Chief Finance Officer. 5.13 The new North Lanarkshire Chief Finance Officer commenced on 22nd August 2022, concluding the final outstanding action of the original review. 6. CONCLUSIONS 6.1 Following the conclusion of the two remaining actions, the Integration Review can now be concluded. Despite some delays due to the Covid pandemic, the review has supported some significant change programmes over the last three years. 7. IMPLICATIONS 7.1 NATIONAL OUTCOMES 7.1.1 The review impacts on all nine national health and wellbeing outcomes. 7.2 ASSOCIATED MEASURE(S) No further measures. 7.3 FINANCIAL 7.3.1 There are no direct financial implications outlined in the review, though the future model of financial management within the partnership is subject to further review. 7.4 RISK ASSESSMENT/RISK MANAGEMENT 7.4 There are no remaining risks associated with the review on the risk register. 7.5 PEOPLE 7.5.1 The structural review will include changes to some senior roles, with the respective employee relations departments and Trade Unions/staff side fully engaged in the process.
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12 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed: Yes No N/A 7.7 CARBON MANAGEMENT IMPLICATIONS Yes No N/A 8. BACKGROUND PAPERS 9. APPENDICES Appendix 1: Integration Review Action Plan ............................................................................. CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact Ross McGuffie on telephone number 01698 858 119.
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13 Appendix 1 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG Leadership Review the remaining Kings Fund OD programme Programme fully focused on developing the relational aspects of health and social care teams Sharon Simpson Sep 19 Complete. Existing programme halted and new programme developed, which will commence following completion of the G Creation of a Joint HR and Workforce Planning Forum Subject matter reference group in place Continued development of joint TU / Staff side group Fiona Whittaker John White Sep 19 Complete. Group now operational. G Share the Community Capacity Building and Carer Support model Rebranding and updated communications framework for the programme Morag Dendy Sep 19 Complete. Presented to Senior Leadership Team G Operational Structure Roll out of the updated strategic group structures across the partnership, including update terms of reference Agree meeting structures Ross McGuffie Sep 19 Complete. The new management meeting structures for the partnership came into place on 7th June 2021. This includes new Core; Senior Leadership Team; Support, Care and Clinical Governance; and Strategic G
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14 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG Commissioning Plan structures (now part of SLT). Update TOR to reflect changed arrangements Ross McGuffie Oct 19 Complete. Through the Programme Board, terms of reference have been updated. A future review of Partnership Boards and Locality Planning Groups will take place once all of the new structures are fully bedded in. G Appoint to the posts of Head of Health and Head of Adult Social work Permanent post holders in place Ross McGuffie Dec 19 Complete. Head of Health post recruited. Head of Adult Social Work post has been recruited with a start date of 19th January 2021. G Appoint to the post of Head of Planning, Performance and Quality Assurance Permanent post holder in place Ross McGuffie Dec 19 Complete. G Disaggregation of Social Work Services Professional identity of SW retained Linkages between services clear Alison Gordon Margaret French Oct 19 Complete. Disaggregation agreed, including synergy in operational structures and some retained G
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15 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG joint functions (e.g. Quality Assurance, Performance etc). Internal Audit review of the process noted appropriate due diligence of the financial arrangements had been satisfactorily undertaken. Agree the Locality and Area Wide operational structures Key responsibilities and linkages agreed Ross McGuffie Maggs Thomson Margaret French Sep 19 Complete. Operational structures agreed for both Adult Health and Social Care and Education and Families, ensuring strong synergies remain. G Implement locality and area wide structures Maggs Thomson Morag Dendy Nov 19 Complete. New structure commenced on 4th January 2021. G Review Tier 3 Manager posts in line with the new locality and area wide structures Operational responsibilities of the two teams of three localities and 4 area wide service groupings in place Ross McGuffie Margaret French Maggs Thomson Sep 19 Complete. Operational structures agreed for both Adult Health and Social Care and Education and Families, ensuring strong synergies remain. G
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16 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG HR agreement to revised roles and responsibilities Fiona Whittaker John White Nov 19 Complete. Job descriptions and job roles updated in conjunction with both HR teams and new posts out to advert. G Tier 3 post holders in place Morag Dendy Maggs Thomson Jan 20 Complete. As noted above, target date had been moved to Mar 20, but Covid caused further delay. Tier 3 interviews completed in September 20 with all posts now with permanent postholders. G Finance Continue to develop the financial monitoring of the IJB to support the implementation of the SCP and directions Review of support arrangements for the H&SC partnership Ross McGuffie Marie Moy Nov 19 Complete. Following whole system options appraisal exercise, new structure agreed and NL CFO in post from 22nd Aug 2022. G Develop the use of directions through the SCP for 2020-23 Morag Dendy Mar 20 Complete. New Scottish Government guidance on Directions received and report with recommendations going to IJB in September 2020 G
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17 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG Develop further integrated financial planning Learning from other partnership areas will be taken into account Marie Moy Ross McGuffie Jan 20 Complete. Discussed through Chief Officer and Chief Finance Officer groups. Aware of range of solutions in place across Scotland. G Increase awareness of all IJB members, elected members, senior officers of overall finance issues pertinent to H&SC OD programme to support awareness Marie Moy Ross McGuffie Dec 19 Complete. Session held with Committee conveners to highlight financial challenges across both health and social care. Further IJB Liaison session scheduled for March 20 once budgets are confirmed. G Set medium term financial plans Medium term financial plan is developed and agreed to inform direction Marie Moy Nov 19 Complete. Medium term financial plan presented to IJB liaison in March 2020. However, impact of Covid means that this will require to be updated to set out the new financial reality. G Progress work on set aside budgets Financial challenges managed as a whole system approach Marie Moy Ross McGuffie Dec 19 Complete. While this is an ongoing development across a range of workstreams, agreement across local G
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18 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG partners on the key areas of urgent care, Planned Date of Discharge, bed modelling and inequalities. Realistic targets to be identified in conjunction with the budget setting process Revise target setting in line with national guidance, SCP 20-23, and organisational governance requirements Marie Moy Ross McGuffie Jan 20 Complete. Targets for the 20/21 financial year set in conjunction with both Chief Executives and agreed process in place for annual review of targets. G Consider options to improve the interface between strategic and operational finance functions Roles and responsibilities are clear within the revised H&SC structures Marie Moy Ross McGuffie Dec 19 Complete. Following whole system options appraisal exercise, new structure agreed and NL CFO in post from 22nd Aug 2022. G SCP process will more clearly link financial impact and involve IJB members SCP20-23 engagement Marie Moy Morag Dendy Dec 19 Complete. Locality engagement sessions throughout Sep and Nov 2019. Additional sessions with elected members, IJB members and other key groups and committees between Sep and Dec 2019. SCP 2020-23 G
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19 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG approved by IJB in March 20. SCP 20-23 finalised and published Ross McGuffie Mar 20 Complete. IJB approved SCP 2020-23 in March 20. G Strategic Planning Review of the key roles and responsibilities to ensure clarity of all stakeholders in planning, objective setting, commissioning and service delivery All partnership strategic groups are reviewed Clarity and consistency in decision making is achieved Engagement of staff, service users, carers and communities is as joined up as possible to ensure local empowerment Morag Dendy Oct 19 Complete. Partnership strategic groups reviewed and corporate objectives also reviewed, updated and allocated to groups. As outlined above in review of meeting and planning structures, final review of operational structures to be finalised once new post holders in place. G Extend the collaborative planning approach to cover wider delegated hospital services Participation and Engagement working across delegated hospital services Morag Dendy Mar 20 Complete. Participation and Engagement Steering Group re-formed and strategy updated. Update paper scheduled for IJB in December 2020. G
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20 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG Review and maximise the use of data to drive improvement Ensure that data is available to all revised operational and professional governance structures. Updated Locality profiles to be created. Morag Dendy Graeme Cowan Mar 20 Complete. Locality profiles updated ahead of Sept 2019 SCP engagement sessions. Programme of development of new service dashboards for Home Support, Care Homes, SDS and Delayed Discharge. G Governance Update the TOR for the Support Care and Clinical Governance Group and linked committees Review takes account of the new national guidance to be shared in September 2019 Anne Armstrong Oct 19 Complete. S,C,CG ToR updated, however, new national guidance still awaited, following national consultation events in Jan 20. G Develop OD programme to support revised TOR Anne Armstrong Sharon Simpson Dec 19 Complete. OD programme will commence once national guidance launched. G Work with the Participation and Engagement Steering Group to strengthen voice of people with lived experiences and carers Voice of people is strengthened through the Support, Care and Clinical Governance arrangements Sharon Simpson Anne Armstrong Dec 19 Complete. Participation and Engagement Steering Group re-formed and strategy updated. Work ongoing to update expenses policy. Update papers G
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21 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG scheduled to Dec 2020 IJB. Update the Integration Scheme Revised Scheme reflects the new arrangements Christine Jack Mar 20 Complete. The Integration Scheme has been out to public consultation and has now been submitted to the Cabinet Secretary for final approval. G Develop OD programme to clearly define roles and responsibilities of the operational committees and the IJB Sub committee Members of the groups and wider staff understand the role and function of the groups Sharon Simpson Dec19 Complete. Forms part of the new OD plan, which will launch on completion of the new operational structures. King’s Fund sessions in place for all of the new operational units, commencing at the start of November 2020. G Letters of direction will be issued after each IJB with associated finance clearly identified The direction process will be developed and will take account of revised national guidance Ross McGuffie Morag Dendy Mar 20 Complete. New Scottish Government guidance received on directions. IJB approved new approach in September 2020, with the report template now updated to identify directions from each report, G
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22 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG which will be sent as soon as possible following the end of each meeting by the Chief Officer and Chair. Information sharing Continue the development of the IJB’s Annual Report Best practice and shared learning achieved Graeme Cowan Mar 20 Complete. Process in place to allow the H&SCP to continue to attend national sessions to support the development and participated in the national best practice sharing exercise undertaken by Scottish Government. Annual Report was published in July 19 in line with guidance. G Continued development of the eCare system Consistent use across health and social care teams Ross McGuffie Mar 20 Complete. eCare development programme approved by the Data Sharing Partnership Board. G Develop systems to support integrated managers to access management systems within both organisations Ensure that data is available to all revised operational and professional governance structures to drive improvement Ross McGuffie Dec 19 Complete. LDSP Board Terms of Reference have been updated to include information sharing requirements for integrated teams. G
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23 Report Recommendation Improvement Action Milestone detail Lead Timeline Comment/RAG RAG Microsoft Office 365 is now being actively rolled out across both organisations, with the HSCP core management team now transferred over. Continued development around digitisation within both organisations Participation in DigitalNL and eHealth strategy groups Ross McGuffie Morag Dendy Maggs Thomson March 20 Complete. Representation at all digital workstreams in both orgs reviewed to ensure H&SCP well represented. Progress accelerated due to the pandemic response. G Engagement Deliver the Participation and Engagement Steering Group Actions Full roll out of the identified actions from the Coalition of Carers Report “Equal, Expert and Valued” Sharon Simpson March 20 Complete. Participation and Engagement strategy and action plan refreshed, including expenses policy. Papers scheduled to Dec 2020 IJB. G Membership of the Strategic Planning Group is reviewed to ensure the voices of children and young people are reflected Revised strategic structures fully engage with all stakeholder groups, particularly those most disadvantaged in the process Sharon Simpson Alison Gordon Dec 19 Complete. SPG membership updated for the December meeting. G
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