1 230824 - IJB Minute & Action Note
North Ayrshire Council · 12 October 2023
Back to Integration Joint Board — 12 October 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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North Ayrshire Health and Social Care Partnership Minute of Integration Joint Board meeting held on Thursday 24 August 2023 at 10.00 a.m. involving participation by remote electronic means and physical attendance within the Council Chambers, Irvine. Present (Physical Participation) Voting Members Councillor Margaret Johnson, North Ayrshire Council (Chair) Councillor Anthea Dickson, North Ayrshire Council Tom Hopkins, NHS Ayrshire and Arran Professional Advisers Caroline Cameron, Director of Health and Social Care Partnership Paul Doak, Head of Service (HSCP Finance and Transformation)/Section 95 Officer Thelma Bowers, Mental Health Adviser Scott Hunter, Chief Social Work Officer Darren Fullarton, Associate Nurse Director/IJB Lead Nurse Sharon Hackney, Lead Allied Health Professional Leigh Whitnall, Interim Professional Lead: Psychology Stakeholder Representatives Louise McDaid, Staff Representative (North Ayrshire Council)/Chair, North Coast Locality Forum Present (Remote Participation) Voting Members Councillor Timothy Billings, North Ayrshire Council Christie Fisher, NHS Ayrshire and Arran Professional Advisers Iain Jamieson, Clinical Director Stakeholder Representatives Vicki Yuill, Third Sector Representative In Attendance (Physical Participation) Elizabeth Stewart, Interim Head of Service (Children, Families and Criminal Justice) Eleanor Currie, Manager, HSCP Kerry Logan, Head of Service (Health and Community Care) Kimberley Mroz, Manager, HSCP Lorretta Galloway, Service Manager - Unity Fraser Bedwell, Chief Executive - Unity Karen Andrews, Team Manager HSCP Shannon Wilson, Committee Services Officer
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Hayley Clancy, Committee Services Officer In Attendance (Remote Participation) Michelle Sutherland, Partnership Facilitator, HSCP Peter McArthur, Senior Manager (Addictions) Raymond Lynch, Senior Manager Legal Services Claire Straiton, Dental Services Manager Claire McCamon, Senior Manager Primary Care Services Apologies Joyce White, NHS Ayrshire and Arran (Vice-Chair) Pamela Jardine, Carers Representative 1. Apologies for Absence Apologies for absence were noted. 2. Declarations of Interest There were no declarations of interest in terms of Standing Order 7.2 and Section 5.14 of the Code of Conduct for Members of Devolved Public Bodies. 3. Minutes The accuracy of the Minutes of the meeting held on 15 June 2023 were confirmed and the Minutes signed in accordance with Paragraph 7(10 of Schedule 7 of the Local Government (Scotland) Act 1973. 3.1 Matters Arising from the Action Note Updates in terms of the Action Note were detailed as follows: - • 2022-23 – Month 7 Financial Performance –Dental Services report – on the agenda • Implementation of the National CAMHS and Neurodevelopmental Specifications – Briefing note issued and report to be presented to IJB in October 2023. • Director’s Report – Update to a future meeting regarding commissioned services – Scheduled for October 2023. • Suicide Prevention: Strategy, Learning and Development – Summary of training levels and availability to be provided to IJB. Darren Fullarton gave a verbal update on the training levels and availability of training nationally, advising National Education Scotland produced a mental health improvement, self-harm and suicide prevention framework. Training would be delivered locally by the Choice Life Co-ordinator with a calendar of available training available for the rest of the year. Thelma Bowers gave a verbal update on the Suicide Prevention Event on 2 October 2023. The event would be a full system workshop for North Ayrshire in response to the National Strategy and to help develop a North Ayrshire Plan. Noted. 4. New Carer Strategy & Investment in Services for Unpaid Carers in North
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Ayrshire Submitted report by Scott Hunter, Chief Social Work Officer on the Carer Strategy and the developments in relation to increased investment in support for unpaid carers. The Building Caring Communities: Interim Carer Strategy for 2023 – 2025 was detailed at Appendix 1 to the report. Members asked questions and were provided with further information in relation to: - • low percentage uptake from carer support plan; • consistency in referrals from various different sources; and • availability of a summary of the Carers Strategy for publication. A monthly update on the progress to be provided to the Partnership. Noted. 5. Dental Services Update Submitted report by Vicki Campbell, Head of Primary and Urgent Care Services on the current position of access to dental services within the North Ayrshire Health and Social Care Partnership. Members asked questions and were provided with further information in relation to: - • planned advice for school-age children on oral hygiene; • public consultation requirements; • covid restrictions for dental services; • current dental services issues on Arran; • availability of access to dental services in the communities; and • inequalities in the prison dental service. The IJB agreed (a) that a further update to be provided in 6 months; (b) otherwise, to note the update. 6. Alcohol and Drug Performance Management Report The Board received a presentation by Peter McArthur, Senior Manager (Addictions) in respect of the North Ayrshire Health and Social Care Partnership (NAHSCP) Alcohol and Drug Performance Management Report between April 2022 and March 2023. The presentation highlighted waiting times, substance use treatment target, the annual naloxone report, drug related deaths, training calendar, implementation of MAT standards, residential rehabilitation expansion and financial information. Members asked questions and were provided with further information in relation to: - • support available to people with a gambling addiction; • work being done on the performance framework of the Local Outcomes Improvement Plan; • types of drug related deaths; and • support in place for families of drug-related death victims. Noted.
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Peter McArthur left the meeting at this point. 7. Director’s Report Submitted report by Caroline Cameron, Director (NAHSCP) on the developments within the North Ayrshire Health and Social Care Partnership. The report provided an update on the following areas: - • the Scottish Government agreement with local authorities and the NHS about the accountability arrangements for the National Care Service (NCS). The agreement established who would be responsible for people’s care once the NCS was established, and confirmed that Councils would continue to hold staff, assets, and the delivery of social care services; discussions to take place over the coming months to develop an accountability framework for local and national elements, and new governance arrangements to be introduced to ensure consistently high levels of service across the country; • Dr Tom Hopkins had replaced Adrian Carragher as Non-Executive Director on the North Ayrshire IJB following his appointment as the new Chair of the Area Clinical Forum • following a request for expressions of interest, Vicki Yuill had agreed to join the IJB Performance and Audit Committee and all vacancies on IJB PAC had now been filled; • the annual iMatter survey had the second highest response rate at 65%, and positively the Partnership aggregate level of employee engagement was 81 – the highest it had ever been; • a group from Trindlemoss Day Opportunities in Irvine achieved a Gold Award as part of the RSPB’s Wild Challenge Awards programme; • the launch of a new debt advice service being delivered by CHAP for the next two years; and • Scottish Government had paused all routine COVID-19 testing guidance across health, social care and prison settings. The exception to the pause was for individuals in hospital, prior to being discharged to a care home or hospice; routine testing would remain. The Partnership thanked Carragher for his support and contribution to the North Ayrshire IJB over the last four years. Noted. 8. 2023 – 2024 Month 3 Financial Performance Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation), on the IJB’s financial performance as at month 3 (June). Appendix A to the report detailed the Objective Summary as at 30 June 2023, Appendix B provided the financial savings tracker and the budget position was set out at Appendix C. Members asked questions and were provided with further information in relation to: - • development of a financial recovery plan; • challenges around children’s residential placement and the plans in place; and • vacancies within Children and Families.
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The Board agreed to (a) note (i) the overall integrated financial performance report for the financial year 2023-24 and the current overall projected yearend overspend of £4.576m, (ii) the progress with delivery of agreed savings and (iii) the remaining financial risks for 2023-24; and (b) approve the budget reductions set out at section 2.10 of the report. Louise McDaid left the meeting at this point. 9. Annual Performance Report 2022-23 Year End Performance Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation), on the key achievements during 2022 – 2023 and the publication of the Annual Performance Report. The Annual Performance Report was set out at Appendix 1 to the report. Noted. 10. Clinical Care and Governance Group Update Submitted report by Darren Fullarton, Lead Nurse/Associate Nurse Director on the Clinical Care and Governance Group, with the terms of reference for the group set out at Appendix 1 to the report. Noted. 11. Whistleblowing Report Quarter 1 April – 30 June 2023 Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, in relation to whistleblowing concerns raised in Quarter 1 (April – 30 June 2023). Noted. 12. Whistleblowing Annual Report 2022 - 2023 Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, on the organisational activity in relation to whistleblowing for 2022-2023. Noted. The meeting ended at 12.10 p.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 24 August 2023 No. Agenda Item Date of Meeting Action Status Officer 1. Implementation of the National CAMHS and Neurodevelopmental Specifications 16/3/23 Further update being provided to the IJB, potentially prior to the summer recess period. Briefing note has been issued to IJB members on progress, formal progress report to IJB by November 2023. Head of Service will provide a verbal update at October meeting. Caroline Cameron / Thelma Bowers 2. Director’s Report 11/5/23 An update to a future meeting regarding commissioned services, to provide the IJB with an overview of provider landscape. Planned for November 2023 Paul Doak 3. New Carer Strategy & Investment in Services for Unpaid Carers in North Ayrshire 24/08/23 A monthly update on the progress to be provided to the Partnership Close action - Regular updates will be provided at key points to the IJB with a formal 6 monthly formal report scheduled into IJB planner. Scott Hunter 4. Dental Services Update 24/08/23 A further update to be provided in 6 months Will schedule in IJB planner for spring 2024. Caroline Cameron (via EAHSCP)