Chamber and committees

Section 52 of the Public Bodies (Joint Working) (Scotland) Act 2014 provides ministers with powers to direct integration authorities, including integration joint boards, in relation to their carrying out of functions conferred on them by the Act.

The National Clinical Strategy was developed by a small team led by Dr Angus Cameron, on loan from NHS Dumfries and Galloway, and overseen by a group chaired by Professor Jason Leitch, National Clinical Director.

In developing the strategy, there was engagement with a wide variety of staff across Scottish Government and NHS boards, with clinicians and their representatives. The engagement process included meetings with chief executives, finance directors, directors of planning, medical directors, nurse directors, chief pharmacists, area clinical forum leads, directors of public health, chief operating officers, HR directors, the Academy of Medical Royal Colleges, the Scottish Partnership Forum, eHealth advisors, the Royal College of Nursing, the Royal College of General Practitioners, the Royal College of Surgeons and the British Medical Association. In addition there was significant clinical engagement with meetings open to all clinicians held in Edinburgh, Dundee, Aberdeen, Inverness, Fort William, Glasgow and Dumfries.

Membership of the oversight group was as follows:

Dr Catherine Calderwood, Scottish Government, Chief Medical Officer

Fiona McQueen, Scottish Government, Chief Nursing Officer

John Matheson, Scottish Government, Finance Director (until January 2016)

Dr Andrew Longmate, Scottish Government, Senior Medical Officer

Professor Craig White, Scottish Government, Divisional Clinical Lead

Elizabeth Porterfield, Scottish Government, Head Strategic Planning and Clinical Priorities

Karen MacNee, Scottish Government, Senior Policy Analyst

Robert Calderwood, Chief Executive, NHS Greater Glasgow and Clyde

Cathie Cowan, Chief Executive, NHS Orkney

John Turner, Chief Executive, NHS24 (until July 2015)

Jill Young, Chief Executive, Golden Jubilee Foundation

Lindsay Burley, Chair, NHS National Education Scotland

Jeane Freeman, Chair, Golden Jubilee Foundation

The National Scheduled Care Programme known as “Getting Ahead – sustainable whole systems management for elective services” has been discussed in detail with the NHS Scotland Chief Operating Officers Group and other informal discussions with a number of NHS boards as well as the British Medical Association.

The Health Directorate Access Support Team will be meeting with all boards to support them in taking forward this work over the next few months.

The NHS senior leaders forum are the Director General for Health and Social Care and Chief Executive of NHS Scotland, directors of the Scottish Government’s Health and Social Care Directorate, NHS Scotland chairs and chief executives, and the chairs of the NHS Scotland medical directors and nurse directors groups. The forum forms part of regular engagement between Scottish Government and NHS boards.

The number of (a) private and (b) voluntary/ third sector workers in the care sector in each local authority area is available in the Scottish Social Services Council (SSSC) annual workforce survey (table 4). This can be found on the SSSC website (http://data.sssc.uk.com/data-publications).

The investment required to meet the living wage in contracted out adult social care services will vary across authorities in Scotland according to local circumstances, for example, the volume and balance of contracted out care and the progress some councils have already made towards payment of the living wage. We would expect a more finely grained analysis of the situation regarding wages and fair work within contracted out care services to be undertaken at integration authority level.

Details of the National Scheduled Care Programme titled "Getting Ahead – sustainable whole system management for elective services" was issued on 25 January 2016 under a Health Directorate Director letter. This can be accessed at the following link: http://www.sehd.scot.nhs.uk/dl/DL(2016)02.pdf.

The Scottish Government will distribute the £250 million to health boards via their annual allocations, using the same allocation formula as was used for distribution of the Integrated Care Fund. This approach takes account of funding formulae used for the NHS and local government, using a 1:1 ratio of the National Resource Allocation Committee formula for the NHS and grant aided expenditure formula for local government.

The £250 million investment will help to alleviate the issue of a two-tiered workforce. Currently care workers employed by local authorities are already paid the living wage. This additional investment will help enable councils to support the joint aspiration for care workers, including in the independent and third sectors, to be paid £8.25 an hour.

The integration joint board Section 95 officer is responsible for the proper administration of its financial affairs. In terms of the living wage commitment, the Section 95 officer must prepare a budget for approval by the integration joint board that includes an allocation to its local authority partner for social care services that is sufficient to meet the cost of the living wage commitments. More generally, the Section 95 officer must provide assurance to the integration joint board that the commitments in relation to social care spending set out in the letter from the Deputy First Minister and Cabinet Secretary for Finance, Constitution and Economy of 27 January have been met.

The sanctions set out in the letter from the Deputy First Minister and Cabinet Secretary for Finance, Constitution and Economy of 29 January 2016 apply to local authorities.

I refer the member to the answer to question S4W-30141 on 26 February 2016. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.