Ministerial Strategic Group for Health and Community Care minutes: May 2019

Minutes from the group's meeting on 29 May 2019.

Attendees and apologies

  • Jeane Freeman, Cabinet Secretary for Health and Sport 
  • Joe FitzPatrick MSP, Minister for Public Health, Sport and Wellbeing
  • Cllr Alison Evison, COSLA President (Aberdeenshire Council)
  • Cllr Stuart Currie, Interim COSLA Health and Wellbeing Spokesperson
  • Cllr Rachael King, COSLA Health and Social Care Board (Orkney Islands Council)
  • John Wood, COSLA (lead officer for health and social care)
  • Sally Loudon, COSLA Chief Executive 
  • Andrew Kerr, SOLACE (Edinburgh City Council)
  • Ian Kinniburgh, Representing NHS Board Chairs Group (NHS Orkney)
  • Cathie Cowan, Representing NHS Chief Executives Group (NHS Forth Valley)
  • Peter Murray, Chair, IJB Chair and Vice Chair Network (East Lothian IJB)
  • Vicky Irons, Chair, Chief Officers Network (Moray IJB)
  • Jackie Irvine, President, Social Work Scotland
  • Professor James McGoldrick, Convener, Scottish Social Services Council (SSSC)
  • Carole Wilkinson, Chair, Healthcare Improvement Scotland
  • Peter Macleod, Chief Executive, Care Inspectorate
  • Donald MacAskill, Chief Executive, Scottish Care
  • Iain Buchan, Director, Scottish Care
  • Michelle Carruthers, Board Member SCVO (Chief Executive Foodtrain)
  • Annie Gunner Logan, Director, Coalition of Care and Support Providers in Scotland (CCPS)
  • Dr Carey Lunan, Chair, RCGP Scotland
  • Rachel Cackett, Policy Adviser, RCN Scotland
  • Kim Hartley Kean, Head of RCSLT Scotland Office and member of AHP Federation Scotland

In attendance

  • Malcolm Wright, Scottish Government
  • Jason Leitch, Scottish Government
  • David Williams, Scottish Government 
  • Alison Taylor, Scottish Government
  • Richard Foggo, Scottish Government 
  • Jamie MacDougall, Scottish Government
  • Christina Naismith, Scottish Government
  • Paul Leak, Scottish Government
  • Julie Kidd, Scottish Government
  • Kelly Martin, Scottish Government (Secretariat)

Items and actions

Welcome and introductions

As co-chair of the group, Cllr Stuart Currie opened the meeting, welcomed attendees and asked everyone to introduce themselves.

Apologies and minutes of previous meeting on 23 January 2019

Apologies were received from:  Clare Haughey, MSP, Minister for Mental Health; Theresa Fyfe, Director, RCN Scotland; Dr David Chung, Vice President, RCEM Scotland, Dr John Thomson, Vice Chair, RCEM Scotland.

Minutes of 23 January 2019

Members who attended the previous meeting confirmed that they were content with the minute.

Integration review – progress update (MSGHCC/117/2019)

Ms Christina Naismith spoke to the paper which provided members with a brief update on actions to progress the proposals set out in the Ministerial Strategic Group review of progress with integration. The paper covered a brief overview of the self-evaluation exercise undertaken by Health Boards, Local Authorities and Integration Joint Boards with respect to their local position on each of the review’s proposals. The paper also included a high level delivery plan developed by the Review Leadership Group that is responsible for providing an oversight role to drive and support delivery of the review proposals.

Ms Naismith noted that everyone has done the self-evaluation work. This was done within a tight timescale and she thanked everyone who has been involved as this has been a valuable exercise, especially for local systems.

Cllr Stuart Currie spoke about the range of leadership programmes that are available and the importance of ensuring full and appropriate attendance at these. He also spoke about the need to track progress that is both outcomes-focused and deliverable. The Cabinet Secretary summarised as follows:

  • discussions should be held as soon as possible with Mr Peter Murray, COSLA and the Scottish Government in relation to the support required for IJB Chairs and Vice Chairs
  • quality of leadership is key and further work is needed, especially to support a distributed leadership approach
  • SG officials should ensure communications are co-ordinated to ensure coherence of message across the health and social care system

Action point: Mr Peter Murray, COSLA and the Scottish Government to meet as soon as possible in relation to the support required for IJB Chairs and Vice Chairs.

MSG data review (MSGHCC/118/2019)

Mrs Alison Taylor spoke to this paper which provided members with an overview of the range of existing data available to partnerships to support integration. The paper also identified gaps in available data and work that is in hand to address these. Finally the paper proposed better use of data in the future to support the MSG’s governance role with respect to integration. Members confirmed that they were content with the proposals.

The group agreed that it will be important to ensure that, in the first instance, measures are useful to Integration Authorities as they plan service provision locally. In drawing the discussion to a close Cllr Currie noted the importance of ensuring any data collection is used to improve outcomes, and  confirmed that members were content with the recommendations from the paper.

Action point: It was agreed that further work should be undertaken with local systems’ input to agree how the set of measures can be further developed to reflect people’s experience of care.

Reform of Adult Social Care Support (MSGHCC/119/2019)

Mr Jamie MacDougall spoke to this paper which informed members of research, engagement and planning undertaken by Scottish Government and COSLA to develop a partnership programme of reform of adult social care. Mr MacDougall asked MSG members to endorse proposals for the programme launch and described plans to develop measures that reflect the whole care and support system to report to MSG.

Cllr Currie noted that the timeliness and importance of taking forward this programme of work, and also the opportunity it brings to raise the profile of social work. The Cabinet Secretary noted that the group’s input would contribute helpfully to the next phase of work, which will be central to achieving better integration of health and social care. Cllr Currie confirmed that members were content with the actions set out in the paper.


Action point: The Cabinet Secretary asked for papers on mental health reform and the Framework for Community Health and Social Care to be included on the agenda for the next meeting.

Next meeting

The next meeting of the Ministerial Strategic Group for Health and Community Care will take place on Wednesday 18 September, 10:00am – 12:00pm, Parliament.

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