Agenda and decisions

to note the Chair’s remarks.

Members are requested to intimate any Declarations of Interest or Transparency Statements

(i)            to note that the Vice Chair advised that he had a connection in relation to all items on the agenda by virtue of being a Member of the Diverse Experiences Advisory Panel, a named partner in the Scottish Government’s Mental Health and Wellbeing Strategy Delivery Plan and the Depute Representative of said Group to the Scottish Government Mental Health and Wellbeing Leadership Board, however having applied the objective test, he did not consider that he had an interest and would not be withdrawing from the meeting; and

(ii)          to note that the Vice Chair advised that he had a connection in relation to agenda item 6.1 (Carers Strategy) and item 6.2 (GP Vision update) by virtue of (1) being an unpaid carer and (2) his participation on a project with Dundee University investigating aspects of coding for chronic pain respectively,  however having applied the objective test, he did not consider that he had an interest and would not be withdrawing from the meeting for these items.

Members are requested to determine that any exempt business be considered with the press and public excluded

to consider the exempt appendices during consideration of items 8.1 and 8.2 with the press and public excluded so as to avoid disclosure of exempt information of the class described in paragraphs 6 and 9 of Schedule 7A of the Act (item 8.1) and with regard to Appendix B(a) of the IJB Scheme of Governance regarding Exempt and Confidential Information (item 8.2).

to note the video.

(i)            to note the Attendance Record; and

(ii)          to approve the minute as a correct record.

to note the minute.

to note the minute.

to agree the Planner.

(i)            to agree to add a deep-dive on the subject of AI to the Topic Specific Session planner; and

(ii)          to otherwise note the Planners.

to note the detail contained within the report.

(i)            to note the challenges associated with the provision of abortion care;

(ii)          to note the activity underway to ensure clarity on the service levels that could be provided within the available resource; and

(iii)         to instruct the Strategy and Transformation Lead to report back to the IJB in May 2025 on the proposed actions following the recommendations of the review of hosted services.

to note the progress on the delivery of the Carers Strategy to date.

to note the content of the report as an update on current progress on the GP Vision Programme and instruct the Chief Officer to report back with a further annual update in spring 2026.

(i)            to note the benefits of the continued collaboration between the Marywell Practice and the Integrated Drug Service;

(ii)          to note the Options Appraisal (at Appendix A of the report) and multi-agency and service user consultations (at Appendix E);

(iii)         to agree to implement Option 2, namely for Marywell General Practice to continue to operate as a 2c General Medical Service (Specialist Service); and

(iv)         to agree that the recurring alignment of Alcohol & Drugs Partnership (ADP) funding of £100,000 to Marywell Practice should proceed to implement Option 2 referred to at (iii) above.

(i)            to note the financial position as at 31 December 2024 for the 2024/25 integrated budgets;

(ii)          to note the challenging factors that had caused the Chief Finance Officer to re-evaluate the financial implications for the deliverability of the November 2024 Recovery Plan, that meant a substantial overspend for the year was now forecast;

(iii)         to approve the use of IJB uncommitted reserves, up to the value of £6.119m, utilising all available and uncommitted reserves thus leaving no contingency to manage budget fluctuations in future years;

(iv)         to note the forecast 2024/25 deficit position of £10.454m after the use of £6.119m from reserves;

(v)          to note the Chief Finance Officer has notified the partners that a deficit is now forecast for the year, and understands that the deficit, in accordance with the IJB’s Integration Scheme, will require NHS Grampian to contribute c.£6m and Aberdeen City Council c.£4m;

(vi)         to note the opportunity for a special meeting of the Board prior to the next scheduled meeting of 18 March 2025, should the Chief Officer and Chief Finance Officer deem it necessary;

(vii)        in light of the latest forecast for the current financial year, note that significant work has also been undertaken to refresh the draft forecast budget position for 2025/26, that indicated an emerging gap in funding of circa £21.4m;

(viii)       to note, that at this stage, similar to the November 2024 recovery plan, there were key areas of the budget that would have to be tackled to bring costs in line with total funding.  Indicative areas and changes which could be made, are: 

1)    Changes to eligibility criteria for service users;

2)    Deliver services to meet statutory requirements;

3)    To consider sustainability of additional services currently provided to service users;

(ix)         to work to bring efficiencies to the partnership which would bring financial sustainability in future years;

(x)          to consider and mitigate the risk associated with all budget savings plans changing services levels to meet financial expenditure limits; and

(xi)         to acknowledge a significant effort would be required to deliver in-year savings of over £20m in 2025/26, that these would not be without a wide range of implications and therefore there remained a risk that a deficit in 2025/26 may emerge.

(i)            to note the findings of the Vaccination and Immunisation Annual report 2024; and

(ii)          to instruct the Chief Officer to provide an annual report to the Integration Joint Board with the next report due in 2026.

to note the delivery of the Fast Track Cities initiative in Aberdeen City and endorse the continuation of this work.

Please note that there are exempt appendices contained within the Private Section of this agenda below.

(i)            to approve the direct award of a contract for a Care Home for people with alcohol and drug misuse problems for a period of five years, as detailed in Appendices A and C;

(ii)          to approve the extension for one year, of 23 National Care Home Contracts (NCHC) for residential services for older people, as detailed in Appendices A and D of the report;

(iii)         to approve the direct award of six contracts to Care Homes for adults with learning disabilities for a period of five years, as detailed in Appendices A and E of the report;

(iv)         to note the update to Individual Out of Area Placements at paragraph 4.6 of the report;

(v)          to note that the Directions would be amended to state report number HSCP.25.008 prior to issue; and

(vi)         to make the Directions, as attached at Appendices B1, B2, and B3 and instruct the Chief Officer to issue the Directions to Aberdeen City Council.

to note the information contained within the exempt appendices.

to note the information contained within the exempt appendices.

·         Medium Term Financial Framework

·         Strategic & Delivery Plan

·         Risk Appetite Statement

to note the date of the Topic Specific Seminar.

(i)            to note that an additional Special IJB Meeting would be programmed prior to the next scheduled meeting of 18 March 2025, as agreed at article 7.1; and

(ii)          to otherwise note the date of the next meeting.

to note the date of the IJB Insights Session.