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Decision details

Frailty Pathway Redesign – Leadership and Care Inspectorate Registration Arrangements - HSCP.20.052

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: No


The Board had before it a report from the Chief Finance Officer, ACHSCP which proposed changes to service leadership and delivery at Rosewell House which are urgently required to enable delivery of an Operation Home First priority i.e. the Frailty Pathway redesign, in advance of winter 2020.


The Board heard an overview of the rapid requirement for the changes to be progressed which included fuller delivery of integrated service.


Members were reminded of the regular communications they had received on the Frailty Pathway which delivered updates from the information delivered at the previous seminar.


The Board heard of governance control measures being established which ensured the Board remained fully sighted.


Members discussed the proposal and were provided responses to their queries by the Chief Finance Officer.


Members heard that Aberdeen City Council (ACC) and NHS Grampian (NHSG) were both active participants in the arrangements and were supportive of the recommendations.


The Chair commented that this was further activity and bold step on the Boards’ journey to provision of full integration.



The report recommended :-

that the Board –

(a)         approves the proposal to register the new integrated service to be delivered at Rosewell House with the Care Inspectorate with Aberdeen City Council (ACC) as the registered service provider;

(b)         develops a specific Service Level Agreement (SLA) with Bon Accord Care (BAC) to reflect the new arrangements; and to vary both the lease of the building and the current contract with BAC to reflect these changes;

(c)          Make the Direction at Appendix A to Aberdeen City Council;

(d)         Instruct the Chief Officer to issue the Direction at Appendix A;

(e)         Approve that the Clinical and Care Governance Committee (CCGC) will have oversight of the new model of service delivery at Rosewell House;

(f)           Instruct the Chief Officer to report assurance on the new model of service delivery at Rosewell House to the CCGC; and

(g)         Instruct the Chief Officer to consult with BAC to consider how best they can contribute to the assurance process.


The Board resolved :-

(i)           to approve the recommendations; and

(ii)          to instruct the Chief Officer to submit a report detailing the assurance procedures developed between the relevant agencies including governance and arrangements and development of a common reporting template to the CCGC;

Publication date: 05/10/2020

Date of decision: 02/10/2020

Decided at meeting: 02/10/2020 - Integration Joint Board

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