Issue - meetings

The Committee resolved:-

to note the recommendations made by Audit Scotland in the “Scotland’s Response to Covid-19” report.

The Committee had before it the Accounts Commission report on Scotland’s financial response to Covid?19 and covering report from Paul Mitchell - Chief Finance Officer.

The Chief Finance Officer spoke to the report and responded to questions from members.  Members noted that the report contained three recommendations for the Scottish Government and three recommendations for The Scottish Government, councils, NHS boards and integration authorities.

The report recommended:-

that the Committee note the recommendations made by Audit Scotland in the “Scotland’s Response to Covid-19” report.

The Committee resolved:-

to approve the recommendation.

(i)             to note the recommendations made by the Mental Welfare Commission in the Young People’s Monitoring Report 2020-21 (Appendix A) and provide an update on the IJB’s progress in relation to these and any previous recommendations;

(ii)            to instruct the Chief Officer to provide a further update to the Risk, Audit and Performance Committee following the publication of the 2021-22 Mental Welfare Commission in the Young People’s Monitoring Report;

(iii)          to agree that the Service Manager, Child & Adolescent Mental Health Services report back to Committee on 1 November 2022 following the publication of the 2021-22 Mental Welfare Commission in the Young People’s Monitoring Report, due in October 2022; and

(iv)          to agree that the Service Manager, Child & Adolescent Mental Health Services would update Committee further on 1 November 2022 with specifics regarding gaps in services, actions and target timescales.

The Committee had before it a report providing an update on the Young People’s Monitoring Report 2020-21 and giving assurance regarding progress in relation to the recommendations made by the Mental Welfare Commission.

Amanda Farquharson – Service Manager, Child & Adolescent Mental Health Services (CAMHS) highlighted the three recommendations made by the Mental Welfare Commission:

(1)    That work to explore the accessibility and provision of intensive psychiatric care facilities (IPCU) for the under 18s in Scotland was sufficiently prioritised, resourced and supported by Scottish Government;

(2)    Health board managers with a duty to fund and provide advocacy services for individuals with mental health difficulties in their area should ensure the availability of dedicated advocacy support for children and young people with mental health difficulties locally and ensure the resourcing and provision of any dedicated specialist advocacy service was sufficient to be able to meet the needs of young people with mental health problems and to support and protect their rights; and

(3)    Hospital managers should ensure that whenever a child or young person was admitted to a non-specialist ward that consideration and exploration of their educational needs and their right to education should be a standard part of care planning for the young person during their hospital admission.

The Service Manager (CAMHS) then responded to questions from members.  Members noted concern regarding lack of specific actions and timelines.

The report recommended:-

that the Committee:-

(a)           note the recommendations made by the Mental Welfare Commission in the Young People’s Monitoring Report 2020-21 (Appendix A) and provide an update on the IJB’s progress in relation to these and any previous recommendations; and

(b)           instruct the Chief Officer to provide a further update to the Risk, Audit and Performance Committee following the publication of the 2021-22 Mental Welfare Commission Young People’s Monitoring Report.

The Committee resolved:-

(i)             to instruct the Service Manager, Child & Adolescent Mental Health Services to update Committee further on 1 November 2022 with specifics regarding gaps in services, actions and target timescales; and

(ii)            to otherwise approve the recommendations.

Appendix A – page 97

Appendix B – page 99

(i)             to note that the Performance Framework would be circulated to members;

(ii)            to agree that the Health Care Intelligence Dashboard and covering report would be added to the Planner as an action for the August 2022 meeting and thereafter on a quarterly basis;

(iii)          to agree that a seminar topic of Strategic Intent be added to the Planner; and

(iv)          to note the Leadership Team Objectives Reporting Framework as appended to the report, noting in particular the reporting timetable.

The Committee had before it a report relating to the Leadership Team Objectives - Reporting Framework.

Alison MacLeod - Strategy and Transformation Lead,  explained that, following the approval of the Leadership Team Objectives for 2022/23 at the Integrated Joint Board on 10 March 2022, the report was seeking to inform the Risk, Audit and Performance Committee of the reporting framework surrounding this.  Ms MacLeod introduced colleagues Michelle Grant and Alex Bertram who presented the Health Care Intelligence Dashboard and responded to questions from members.

The report recommended:-

that the Committee note the Leadership Team Objectives Reporting Framework as appended to the report, noting in particular the reporting timetable.

The Committee resolved:-

(i)             to note that the Performance Framework would be circulated to members;

(ii)            to agree that the Health Care Intelligence Dashboard and covering report would be added to the Planner as an action for the August 2022 meeting and thereafter on a quarterly basis;

(iii)          to agree that a seminar topic of Strategic Intent be added to the Planner; and

(iv)          to otherwise agree the recommendations.