Publication - Minutes

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

Date of meeting: 6 Nov 2019

Minutes from the group's meeting on 6 November 2019.

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

Attendees and apologies


  • Jeane Freeman, Cabinet Secretary for Health and Sport (Chair)
  • Cllr Alison Evison , COSLA President (Aberdeenshire Council)
  • Cllr Stuart Currie, COSLA Health and Wellbeing Spokesperson
  • Donna Bell, Director of Mental Health, Scottish Government
  • Martin Blunden, Chief Fire Officer, Scottish Fire and Rescue Service
  • Rachel Cackett, Policy Adviser, RCN Scotland
  • Michelle Carruthers, Board Member SCVO (Chief Executive Foodtrain)
  • Dr David Chung, Vice President, RCEM Scotland
  • Kirsty Darwent, Chair, Scottish Fire and Rescue Service
  • Richard Foggo, Director of Population Health, Scottish Government
  • Kim Hartley Kean , Head of RCSLT Scotland Office and member of AHP Federation Scotland
  • Vicky Irons , Chair, Chief Officers Network (Angus IJB)
  • Cllr Rachael King, COSLA Health and Social Care Board (Orkney Islands Council)
  • Ian Kinniburgh, Representing NHS Board Chairs Group (NHS Orkney)
  • Jason Leitch, Clinical Director, Scottish Government
  • Dr Carey Lunan, Chair, RCGP Scotland
  • Julie Lusk , Vice Chair, Social Work Scotland
  • Donald MacAskill, Chief Executive, Scottish Care
  • Jamie MacDougall, Deputy Director for Social Care Support, Scottish Government
  • Peter Macleod, Chief Executive, Care Inspectorate
  • Kelly Martin , Business Manager, Integration Division, Scottish Government (Secretariat)
  • Professor James McGoldrick, Shadow Chair, Public Health Scotland
  • Elinor Mitchell, Director for Community Health and Social Care, Scottish Government
  • Peter Murray, Chair, IJB Chair and Vice Chair Network (East Lothian IJB)
  • Christina Naismith, Head of Integration Implementation, Scottish Government
  • Mary Preston, Chair Executive Committee, Scottish Care
  • David Rowland, Professional Adviser, Integration Division, Scottish Government
  • Alison Taylor, Deputy Director for Health and Social Care Integration, Scottish Government
  • Carole Wilkinson, Chair, Healthcare Improvement Scotland
  • David Williams, Director for Delivery of Health and Social Care Integration, Scottish Government
  • John Wood, COSLA (lead officer for health and social care)

Items and actions

1. Welcome and Introductions

The Cabinet Secretary for Health and Sport opened the meeting, welcomed attendees and asked everyone to introduce themselves.

The Cabinet Secretary noted that this was the last meeting for Ian Kinniburgh, who will be standing down as NHS Orkney chair at the end of November and Michelle Carruthers, whose six year tenure with the SCVO concludes in early December. The Cabinet Secretary thanked both for their contributions to the group during their membership. New members will be nominated to represent the NHS Board Chairs and SCVO.

2. Apologies and minutes of previous meeting on 29 May 2019

Apologies were received from: Clare Haughey, MSP, Minister for Mental Health; Joe FitzPatrick MSP, Minister for Public Health, Sport and Wellbeing, Andrew Kerr, SOLACE (Edinburgh City Council), Cathie Cowan, Representing NHS Chief Executives Group (NHS Forth Valley), Annie Gunner Logan,  Director, Coalition of Care and Support Providers in Scotland (CCPS),Theresa Fyfe, Director, RCN Scotland; Dr John Thomson, Vice Chair, RCEM Scotland, Mike Kirby, Scottish Secretary, Unison, Malcolm Wright, Scottish Government.

Minutes of 29 May 2019

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

3.Integration Review – Progress Update (MSGHCC/120/2019)

Ms Christina Naismith spoke to this paper, focusing on the RAG scoring associated with the 25 proposals and particularly those which were showing as red.

The Cabinet Secretary indicated that it was really helpful to see the RAG ratings for each of the proposals. The Cabinet Secretary also noted that going forward this should be a standing item and a priority focus of the group.

Discussion then focused on the following areas:

  • Clinical Care Governance - acknowledgement made that the third and independent sector are now involved in this work. It was noted that in some partnership areas clinical care governance is working well. 
  • Chief Officers recognise the robust work on the Framework for Community Health and Social Care Integrated Services that David Rowland has led. 
  • Inspection and Improvement – HIS / Care Inspectorate and partners are in the process of modelling a new inspection methodology.
  • RAG ratings show that delivery is critical in the year ahead, noting that the red ratings are associated with challenging priorities associated with budgets.
  • Recognise that that a lot of work has taken place.

The Cabinet Secretary indicated that self-evaluation is useful as an approach to making sure partnerships know where they are and understand their direction of travel. It needs to be connected with associated data and inspection and improvement and should be used to plan improvements.

Action: The Cabinet Secretary asked that, for the next meeting, members should focus on their contributions to moving the amber RAG ratings to green and the red ratings to amber. It was agreed that members’ contributions to the work would form a focus of discussion in future at the group.

4.Framework for Community Health and Social Care Integrated Services (MSGHCC/121/2019)

Mr David Rowland spoke to this paper. Members were asked to review the progress made to date, consider the feedback received through the engagement programme and whether the resulting framework meets the original expectations of the group, and finally consider approving the framework. Discussion covered the following areas:

  • The Cabinet Secretary noted the substantive work undertaken by David Rowland, John Wood and Chief Officers and commended the framework for its clarity. Specifically, the inclusive nature of the work David had led to engage with a broad range of partners and stakeholders was noted.
  • A number of edits were requested: paragraph 18 should include a reference to The Health and Care (Staffing) (Scotland) Act 2019; a reference to public health priorities should be incorporated; and some further work was needed to sharpen references to national support for delivery.
  • In response to a specific query David confirmed that discussion with partnerships included representatives of AHPs.

Actions: Scottish Government Integration Division to complete the framework as per the edits requested by the group.

5. Implementing the Mental Health Strategy and Beyond (MSGHCC/122/2019)

Donna Bell spoke to this paper. Members were asked to note the programme of work, the governance structures in place to oversee it, and the commitment to working with Chief Officers to ensure that Integration Authorities are fully engaged in the development and implementation of key actions, as well as Local Authorities, Health Boards, the Third sector and other key partners. Discussion covered the following points:

  • More work is needed in relation to older people’s mental health including with respect to adult protection
  • Mental health nurses should be included within the scope of primary care services in relation to core CAMHS services
  • It is of key importance that the 800 additional mental health workers are sited to best effect across health and social care
  • More generally, it will be important to retain a clear focus on prevention and support for leadership and volunteering.

Ms Bell thanked the group for their input. 

6. The Care Inspectorate Corporate Plan 2019 – 2022 (MSGHCC/123/2019)

Mr Peter Macleod spoke to this paper, which set out the ambitions and key changes planned as a consequence of the Care Inspectorate’s corporate plan for 2019-2022. Members noted the plan and thanked Mr MacLeod for the paper.

7. Fair Work in Social Care Implementation Group update (MSGHCC/124/2019)

Mr Jamie MacDougall spoke to this paper, which provided an update on this area of policy and specifically the establishment of the Fair Work in Social Care Implementation Group. Members were asked to agree that the Fair Work Implementation Group should be set up and to note the draft terms of reference for the group. Cllr Alison Evison noted that the group’s establishment would also be considered by the COSLA Health and Social Care Board. Members agreed to the group being set up and noted the terms of reference for the group.

8. Scottish Fire and Rescue Service – working across the public sector 

Mr Martin Bluden and Ms Kirsty Darwent were asked by the Cabinet Secretary to provide members with an overview of work by the Scottish Fire and Rescue Service (SFRS) to support public wellbeing. A short overview was considered by the group; given limitations of time at this meeting the Cabinet Secretary asked SFRS colleagues to provide a longer presentation at the next meeting.

Actions: Colleagues from the SFRS to meet with Christina Naismith and John Wood prior to the next MSG meeting and SFRS colleagues to prepare for providing more substantive discussion at the next meeting of the group.

9. AOB

No other business was discussed.

10. Health and Social Care Scotland – Statement of Intent (MSGHCC/125/2019)

Members had been asked to note this paper and to share it more widely with their colleagues and stakeholders.

11. Next meeting

The Cabinet Secretary and Cllr Currie agreed that they would both attend the next meeting of the Integration Leadership Group in January.

The next meeting of the Ministerial Strategic Group for Health and Community Care will take place on Wednesday 22 January 2020, 10:30am – 12:30pm, COSLA.