Health &Social Care Integration Programme
STATUS REPORT
To:
Executive Group
Julie White, Integration Chief Officer
From:
Catherine Withington, Integration Programme Manager
Subject:
Health & Social Care Integration Programme
Period Covered:
November 2014 – January 2015
Self Assessment:
STATUS SUMMARY
INFORMATION & ICT
An Information and ICT work stream has been established to support the Adult Health and Social Care
Integration Programme. Work has already commenced in a number of areas ahead of a formal work stream
being established covering matters of Governance, Infrastructure, Communications and Information sharing.
The model scheme for the formation of the Joint Board is now being compiled and the Information and ICT
workstream has contributed to this especially around the development of an evolved ISP. It remains however
that there is no programme agreed yet for an active body of work but this is expected that this will emerge from
the Board Development gathers pace.
RESOURCES (Finance)
The Resources work stream is currently on track, with regular contact and meeting with Council colleagues. A
draft finance action plan has been completed which is now being reviewed and updated through the Joint
Finance Group. The current work streams have now complete the draft section 8 of the Integration Scheme for
submission to the Scottish Government for comment and consultation with partners.
Both finance teams, within the Council and the Health Board, continue to work closely together in taking forward
the work streams programme for resources.
Information has also been shared across both organisations relating to functions that are deemed to be
included within the scheme of delegation, with further work streams required to confirm which services will be
delegated and set aside as per the context of the integration scheme.
Templates have been agreed for compiling 2013/14 and 2014/15 budget baselines with activity plans.
process has now been agreed around the confirmation of 2015-16 baseline activity and budget plans.
A
STRATEGIC PLAN
The timeline has been agreed identifying key milestones. There have been discussions on identifying
capacity requirements. The role and remit of the Strategic Planning Group was agreed and they are
having their first meeting on 3rd February 2015. Public Health have agreed priorities and commenced
work on the Joint Strategic Needs Assessment. A lead for the Market Facilitation Plan has now been
identified. The Strategic Planning element of the Integrated Care fund submission was completed and
submitted to Chief Officer and Scottish Government for approval.
Prepared by Catherine Withington
3rd December 2014
ORGANISATIONAL DEVELOPMENT
Programme of work for OD work stream underway. Staff resource constraints still limiting progress at both
locality level and within HR/OD integration team resources. Funds secure for carry over into 2015 –
significantly under spent to date due to resource constraints.
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Work stream reviewed and agreed options to progress culture work across integrated workforce. Julie
White endorsed the decision of the work stream to progress with a full external cultural diagnostic
review, incorporating third and independent sectors along with NHS and Council.
Successful recruitment of HR Business Partner.
The OD budget was confirmed and expenditure to 09.01.2015. This information also confirmed that
the PYF under spend had been transferred into the budget, concluding that the available budget for
2015/16 stands at £138,225 (including £20k initial sub-budget for the Culture Development Training
Project.
The proposed staff briefing was initially delayed; however this was issued as of 20.01.2015.
GOVERNANCE AND DELEGATIONS
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Continued analysis of ongoing legislative developments and requirements.
Expert Lead and Supporting Officers in the Council and NHS jointly informed and populated the draft
Scheme in line with the national model Scheme and legislative requirements.
DGC Supporting Officer to Governance and Delegations Workstream participated in teleconference
with Scottish Government to confirm progress, national requirements and next steps.
Draft Scheme informally submitted to Scottish Government on 30 January 2015 for feedback prior to
local public consultation.
Timeline establish for formal consideration and submission of Scheme
Public consultation arrangements agreed, including consultees and methods
Arrangements identified for Impact Assessment of Scheme
HSCI article prepared for inclusion in Community Planning e-newsletter
SERVICES OUTWITH SCOPE OF LEGISLATION
Small workstream group established with regard to those services that this will impact upon.
MANAGEMENT AND OPERATIONAL REVIEW
Draft Version 3 of the Dumfries and Galloway Professional Assurance Framework: Health, and Social Work
Professionals January 2015 has been produced along with a Clinical and Care Governance Committee
Structure (integrated services).
Paper for discussion at 13th February 2015 HSCI Executive Group Meeting.
KEY DELIVERABLES DURING NEXT PERIOD
INFORMATION & ICT
Meeting with all subgroups and work streams to understand the ambition of the ICT integration going forward.
The three significant change programmes have agreed to collaborate on a website to further engage
stakeholders and the general public with these programmes. The website will be externally hosted to ensure
access and maintenance is readily available for both the Health Board and the Council. The theme of the
Prepared by Catherine Withington
2nd February 2015
website will be “Engaging for your future – Inform, engage and Learn”. The overriding commission for the
designer is one of simplicity and clarity – unlike a more traditional corporate approach. This work will
commence next period.
RESOURCES (Finance)
Building upon the work completed so far, the Joint Finance Group continues to meet regularly and progress the
work streams identified within the HSCI Resources and Work streams Programme
The 4 broad themes (Organisation, Policy and Plans, People and Relationships, Resources and Assets) within
the work streams programme agreed at the last Executive meeting have formed the basis of the development
of the finance action plan.
Whilst there are now 7 recognised work streams within the HSCI Programme, finance cuts across most of
them in some way and this has been factored in when devising the action plan, so the necessary input can be
provided to each supporting officer as required.
The Following work streams, which form the basis of the finance action plan are the key areas where the
workshop will focus resources to achieve outcomes within the agreed timescales:
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Identification of Council and NHS budgets supporting the SOA is ongoing as is work on the Integrated
Resource Framework.
Understanding the impact of integration on outcomes and costs and ensure that systems are in place
to measure and evaluate both over time.
Modeling current activity and pathways to understand how all resources are currently used in Adult
health and social care to be able to assess and evidence the impact of changes that integration will
bring.
Financial Framework for Integration established and linked into INTEGRATION SCHEME.
Support and overhead allocations and related resource allocations agreed.
Current service modeling and activity set out.
Future activity modeling developed and linked to STRATEGIC PLANS.
A meeting has been arranged with the Director of Finance (NHS) and Chief Officer to discuss treatment of the
large hospital services within the Integrated Plan.
STRATEGIC PLANS
Develop Strategy Communication and Engagement Plan.
ORGANISATIONAL DEVELOPMENT
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Tender process to be established to progress culture work across integrated workforce.
Work stream review of OD plan to agree priorities and next steps.
Pro forma to be agreed for Locality bids to access OD funds for local interventions.
A Q&A document is to be developed with input from all Integration Partners.
Recruitment of Communications graduate
Commencement of recruitment process for General Manager and 4 x Locality Manager positions
GOVERNANCE & DELEGATION
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Public consultation launched.
Consultation Feedback reflected, where appropriate, in draft Scheme. Requests from consultees for
further information/face to face meetings auctioned.
SERVICES OUTWITH SCOPE OF LEGISLATION
Meeting arranged with CSWO, Nurse Director, GM for Women, Child Health & Sexual Health, Child & Family
Head of Service, Head of Criminal Justice Social Work, Head of Adult Social Work Services at the beginning of
March to generate shared understanding and scope out the services to which this will be relevant.
Prepared by Catherine Withington
2nd February 2015
MANAGEMENT AND OPERATIONAL REVIEW
Update/amend Professional Assurance Framework as directed by Executive Group/Programme Board.
ISSUES/RISKS
See attached Risk Log for complete record
RECOMMENDATIONS/DECISIONS
1. HSCI Executive group and Programme Board to discuss draft Scheme at their meetings on 13 and 19
February 2015 respectively.
2. Confirmation/approval of funding or resource to address the capacity issue to undertake the
implementation of the SP work plan (risk SP05)
Prepared by Catherine Withington
2nd February 2015