Issue - meetings

(i)          to note the updated elements of the Medium-Term Financial Strategy; and

(ii)        to note that a further report on theMedium-Term Financial Strategy would be brought back to the IJB in February 2019.

The Board had before it a report by Alex Stephen (Chief Finance Officer, ACHSCP) which updated the narrative and figures contained in the Medium-Term Financial Strategy (MTFS) approved by the Board on 27 March 2018.

The report recommended:-

That the Board -

(a)           Note the updated elements of the Medium-Term Financial Strategy; and

(b)           Note that a further report on theMedium-Term Financial Strategy would be brought back to the IJB in February 2019.

Alex Stephen advised that a high level review of the MTFS had been conducted which found that current assumptions remained in line with projections reported to the Board on 27 March 2018, with the exception of pay award assumptions. He added that a report on charging for the use of health and social care services and equipment would be presented to the Board’s next meeting on 11 December 2018.

Thereafter there were questions and comments on (1) how the MTFS linked in with the risk appetite statement; (2) the process in place for reporting outcomes of service reviews to the Board and its committees; (3) the financial and governance challenges of managing hosted services, with particular discussion on the role and output of the North East Partnership; and (4) the Chief Finance Officer confirmed that NHS Grampian used the mid-point of salary grades as the basis for its assumptions on the financial impact of staff pay awards.

The Board resolved:-

To approve the recommendations.

(i)         to note the report in relation to the IJB budget and the information on areas of risk and management action that were contained therein; and

(ii)        to approve the budget virements indicated in Appendix E.

The Board had before it a report by Gillian Parkin (Finance, NHSG) and Jimmie Dickie (Finance, ACC) which (1) summarised the current year revenue budget performance for the services within the remit of the IJB as at period 3 (end of June 2018); (2) advised on any areas of risk and management action relating to the revenue budget performance of IJB services; and (3) requested approval of budget virements so that budgets were more closely aligned to anticipated income and expenditure.

The report recommended:-

That the Board –

(a)          Note the report in relation to the IJB budget and the information on areas of risk and management action that are contained herein; and

(b)          Approve the budget virements indicated in Appendix E.

Alex Stephen advised that an adverse position of £323,000 had been reported as at the end of June 2018 which was in line with forecasts set out in the Medium-Term Financial Strategy. He also highlighted the steps the Partnership had been taking to manage budget pressure including a review of base budgets against last year’s outturn position and an audit of Care First to determine the accuracy of information on residential clients.

Thereafter there was a discussion on the Partnership’s engagement with other Grampian Health and Social Care Partnerships and Chief Executives of NHS Grampian and regional councils on controlling the costs of hosted services.

The Board resolved:-

(i)         to note the report in relation to the IJB budget and the information on areas of risk and management action that were contained therein; and

(ii)        to approve the budget virements indicated in Appendix E.