SUBJECT: Integration of Health & Social Care Update from H&SC North Lanarkshire

Transcription

1 Meeting of Lanarkshire NHS Board: 30 th March 2016 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: SUBJECT: Integration of Health & Social Care Update from H&SC North Lanarkshire 1. PURPOSE This paper is coming to the Board: For approval For endorsement To note This paper has been specifically prepared for the Board. 2. ROUTE TO THE BOARD This paper has been: Prepared Reviewed Endorsed By the following Committee: CMT or Is a standing item From the following Committee: 3. SUMMARY OF KEY ISSUES 3.1 Integration Scheme An Integration Scheme for North Lanarkshire was approved by the Scottish Government in May 2015 however North Lanarkshire Council and NHS Lanarkshire had recently confirmed that they also wished to delegate Children and Families Social Work, Criminal Justice Social Work and forensic mental health services to the Joint Integration Board. This required a revised Integration scheme to be submitted to the Scottish Government for ministerial approval by 16 th March 2016 to allow delegation of these additional functions and resources to occur on 01 April The revised scheme is attached at Appendix 1.

2 3.2 Joint Integration Board The Joint Integration Board met on 8 th March 2016 and in addition to the items noted above, the JIB also considered the following key items of business; Directions from the Integrated Board to the Health Board and Local Authority The joint Integration Board is required to direct NHS Lanarkshire and North Lanarkshire Council to deliver integrated service provision in line with its strategic plan. These directions must be made by 31 st March 2016 otherwise the JIB will be in breach of its legal responsibilities. The Scottish Government circulated draft guidance of how these directions should be made to the Chief Accountable Officers on 22 nd February 2016 with the aim of formalising the guidance shortly. The draft guidance sets out the form and content of directions and the process for issuing and revising directions. The directions will stipulate that services are to be delivered in line with the strategic plan and in line with the budget. The JIB agreed to delegate the authority to approve the directions that the JIB must issue to the Chair, vice Chair and Chief Accountable Office with formal approval at the next JIB meeting in May JIB Membership Following political changes in the Leadership within North Lanarkshire Council the JIB membership has been amended. The 4 new Council Members are Cllr Jim Logue (Lab)(Leader of the Council) Cllr Paul Kelly (Lab) (Deputy Leader of the Council, Cllr Harry McGuigan (Lab) (Chair of JIB) and Cllr Goldie (SNP). Development session are being arranged to discuss the basis of the reform, aspirations, roles and responsibilities and the anticipated outcomes for the legislation Strategic Plan The draft strategic plan has previously been circulated to Board members as part of the consultation and engagement strategy. Comments on the plan were invited until 24 th February 2016 and thereafter the draft plan has been updated to reflect the feedback received over the consultation period (see attached Appendix 2). The updated plan was presented to the JIB on 8 th March 2016 for final approval. The plan will now be published and circulated to all stakeholders. The next stage of development will be to articulate the commissioning intentions of the JIB against the Strategic Needs Assessments that have been carried out across each of the 6 localities in North Lanarkshire. The development of services will be developed around 4 broad themes set out in the strategy People, Localities, Culture and Systems. The alignment of the Strategic Commissioning Plan with the Community Plan for North Lanarkshire, the Healthcare Strategy, and the Councils Corporate Aspire Plan is desirable to improve outcomes in collaboration with relevant stakeholders, partners, communities, carers and service users. 2

3 3.2.4 Clinical Governance The JIB considered a paper outlining the clinical governance principles underpinning a Support, Care and Clinical Governance Framework. The JIB agreed to delegate responsibility to the Chair and Vice Chair to discuss and approve the principles paper due to be discussed at the next leaders meeting on 5 th April Financial Regulations and Delegated Budgets The legislation requires that NHS Lanarkshire and North Lanarkshire Council complete the due diligence process and will shortly agree a set of financial regulations. Finance colleagues within the Health Board and Council have undertaken a significant amount of work to progress the Due Diligence process to approve the allocation of an integrated budget. The Section 95 officer requires to formally approve the Due Diligence Process and therefore agree the sum of budget from NHS Lanarkshire and North Lanarkshire Council. As the Section 95 Office has not been appointed yet, the JIB endorsed the interim designation of the Chief Accountable Officer as the Section 95 Officer until the position is filled substantively Performance and Scrutiny The JIB received an update on the development of the performance management framework and specifically, the targets delegated to the JIB by NHS Lanarkshire and North Lanarkshire Council. The JIB noted the development of an online performance dashboard incorporating the nine national outcomes. 3.3 Staffing Structure - Recruitment to Key Posts Following the retirement of the Health & Social Work manager appointed for Wishaw Locality, the post was advertised and Karen Hunter has been appointed as the successful candidate. Denis McLafferty, former Locality Social Work manager has been appointed as Head of Long terms Conditions and Frailty (Social Work) The interview is due to be held at the end of March 2016 for the Section 95 Officer. 3.4 Integration Road Shows for staff A number of road shows have been arranged in each of the localities leading up to the launch of health and social care in North Lanarkshire. The purpose of these events is to focus on Health & Social Care North Lanarkshire s mission statement, vision and priorities. Chief Accountable Officer, Janice Hewitt will make a presentation at each of the road shows and there will be a short Question and Answer session. A short film on integration will be played and take-home information leaflets will also be made available. 3

4 3.5 Risk The integration team has been working through an agreed risk register that will sit within the governance of the Joint Integration Board. The JIB recently signed off membership of the NHS CNORIS Scheme and the application is currently awaiting formal confirmation of their application. 4. Recommendation The Lanarkshire NHS Board is asked to note the above progress. 4. STRATEGIC CONTEXT This paper links to the following: Corporate objectives LDP Government policy Government directive Statutory requirement AHF/local policy Urgent operational issue Other 5. CONTRIBUTION TO QUALITY This paper aligns to the following elements of safety and quality improvement: Three Quality Ambitions: Safe Effective Person Centred Six Quality Outcomes: Everyone has the best start in life and is able to live longer healthier lives; (Effective) People are able to live well at home or in the community; (Person Centred) Everyone has a positive experience of healthcare; (Person Centred) Staff feel supported and engaged; (Effective) Healthcare is safe for every person, every time; (Safe) Best use is made of available resources. (Effective) 6. MEASURES FOR IMPROVEMENT None associated directly with the report content. 7. FINANCIAL IMPLICATIONS None associated directly with the report content. 4

5 8. RISK ASSESSMENT/MANAGEMENT IMPLICATIONS Health & Social Care Integration features on the Corporate Risk Register 9. FIT WITH BEST VALUE CRITERIA This paper aligns to the following best value criteria: Vision and leadership Effective partnerships Governance and accountability Use of resources Performance Equality management Sustainability 10. EQUALITY AND DIVERSITY IMPACT ASSESSMENT EDIA will be applied as necessary to the elements discussed above. 11. CONSULTATION AND ENGAGEMENT Consultation and engagement with relevant interests will continue to be a key element of the approach to full Integration in April ACTIONS FOR THE BOARD The Board are asked to: Approval Endorsement Identify further actions Note Accept the risk identified Ask for a further report 13. FURTHER INFORMATION Janice Hewitt Chief Accountable Officer North Lanarkshire Health & Social Care Partnership Janice.hewitt@lanarkshire.scot.nhs.uk 5

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