Agenda item

The Board had before it a report by Sandra Ross, Chief Officer AHSCP which sought endorsement of a structured framework for the monitoring, performance management and strategic planning of those services delegated to Integrated Joint Boards from NHS Grampian for both strategic planning, and for planning and delivery.

Adam Coldwells, Chief Officer of Aberdeenshire Health and Social Care Partnership (AsHSCP) and Pam Gowan, Chief Officer of Moray Health and Social Care Integration (MHSCI) were in attendance for this item.

The report recommended :-

that the Board –

(i)            endorse the approach set out for the monitoring and performance management of delegated services which are hosted by one of the three IJBs on behalf of the other two IJBs;

(ii)          consider and make any further suggestions to the approach for the

Governance arrangements of the Acute Hospital Based Services; and

(iii)         consider and comment on the frequency which the North East Partnership should meet and instruct officers to prepare a draft role and remit for this meeting.

The Board heard that the three Chief Officers from the integration boards operating in partnership with NHS Grampian had been working collaboratively to gain an understanding of how each operate and intended to develop a different relationship to what had previously existed. As each Board had matured within their own settings, given the volume of shared services and common outcomes, it was identified that as all service provision involved some form of delegation, it was quite appropriate to encourage enhanced partner working within the Boards.

The Board heard that there was an understanding of requirements to ensure assurance against a common matrix and adopt a whole system approach which would not only ensure a better understanding of challenges and opportunities but assist identify areas for improvement in a continuing arena of budget savings and efficiency requirements. The existing cultures and practices were all impact factors on greater collaboration but could be overcome with understanding and inclusion of management, staff and trade unions.

The Board were confident that the approach to be adopted would maintain existing assurances, foster better relationships and ultimately improve service delivery.

The Board resolved :-

(i)           to endorse the approach set out for the monitoring and performance management of delegated services which are hosted by one of the three IJBs on behalf of the other two IJBs and request that the Senior Leadership Team consider aligning performance reporting to the 12 Principles for Integration;

(ii)          to endorse the approach for the Governance arrangements of the Acute Hospital Based Services and direct that the Senior Leadership Teams work together to produce recommendations for the three IJBs to consider and requested that future reports on hosted services highlight the service alignment to the national indicators and 12 principles of integration;

(iii)         to agree that the frequency on which the North East Partnership should meet is four times per annum;

(iv)         to propose that membership of the North East Partnership include Chair, Vice Chair and Chairs of IJB key committees; and

(v)          to instruct the Chief Officer (ACHSCP) to prepare a draft role and remit for the North East Partnership meeting in consultation with the Chief Officers for the Aberdeenshire and Moray Health and Social Care Partnerships and this be submitted to a future meeting of the Board.