231012 - IJB Minute & Action Note
North Ayrshire Council · 16 November 2023
Back to Integration Joint Board — 16 November 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 12 October 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) Joyce White, NHS Ayrshire and Arran (Vice-Chair) 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 Elaine Young, Public Health Representative Leigh Whitnall, Head of Psychological Specialties Stakeholder Representatives Louise McDaid, Staff Representative (North Ayrshire Council)/Chair, North Coast Locality Forum Present (Remote Participation) Voting Members Councillor Anthea Dickson, North Ayrshire Council Christie Fisher, NHS Ayrshire and Arran Marc Mazzucco, NHS Ayrshire and Arran Professional Advisers Victor Chong, Acute Services Representative Stakeholder Representatives Pamela Jardine, Carers Representative 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) 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 Raymond Lynch, Senior Manager Legal Services Apologies Councillor Timothy Billings, North Ayrshire Council Councillor Robert Foster, North Ayrshire Council 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 24 August 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: - • Implementation of the National CAMHS and Neurodevelopmental Specifications – Verbal update by Thelma Bowers on the agenda for the meeting and formal report to be presented to IJB in November 2023. • Director’s Report – Update to a future meeting regarding commissioned services – Scheduled for November 2023. • New Carer Strategy & Investment in Services for Unpaid Carers in North Ayrshire - Regular updates will be provided at key points with a formal 6 monthly formal report scheduled into IJB planner. • Dental Services - Update scheduled for Spring 2024. 4. 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 first annual progress report in relation to My Health, My Care, My Home, the healthcare framework for adults living in care homes. The report highlighted a number of examples of how the vision and recommendations were being implemented by Health Boards, HSCP and the wider sector to improve outcomes for people living in care homes; • the recent Audit Scotland report for the Auditor General of Scotland and the Accounts Commission on Access to Mental Health Services highlighting that
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accessing mental health services in Scotland remain slow and complicated for many people; • the final report for the independent review of Inspection, Scrutiny and Regulation of Social Care in Scotland has been published and contains 38 recommendations; • the Scottish Government provided a further update on discussions taking place in relation to the National Care Service Bill. This includes the published reports from the summer regional co-design events, discussions held with local government, NHS and Trade Unions and the Rights to breaks for carers; • Staff from across North Ayrshire HSCP were joined by colleagues from NHS A&A, East and South HSCPs, Third Sector and wider stakeholder partners for a suicide prevention event at Saltcoats Town Hall; • in 2018 North Ayrshire was one of 6 participating areas for the new Joint Thematic Inspection of ASP. The main objective for the joint inspection was to find out what adult protection partnerships were doing to make adults at risk of harm safe, supported, and protected and to ascertain the effectiveness of this activity. The inspection outcome in 2018 was very positive and provided a degree of assurance over arrangements in North Ayrshire and following the new approach being tested in a small number of areas there is now a rolling programme of inspection across Scotland; • the new Carers Strategy “Building Caring Communities 2023/25” was formally launched at Ardeer Community Centre, Stevenston; • the Scottish Mental Health Arts Festival will run this year from Wednesday 4 October to Sunday 22 October; • Trindlemoss Day Opportunities in Irvine held its first ever festival event ‘TM Fest’; • MCR Pathways mentoring programme are looking for Mentors in Ardrossan Academy, Auchenharvie Academy, Garnock Community Campus, Greenwood Academy, Irvine Royal Academy and St Matthew's Academy; • a group of five unpaid carers enjoyed a trip to the Concert for Caring event at the Royal Concert Hall in Glasgow recently; • Year 3 of the Communities Mental Health and Wellbeing Fund opened for applications on Thursday 28 September until Friday 10 November; and • based on national recommendations, the staff winter vaccination programme is open to offer flu and COVID-19 vaccines immediately. Vicki Yuill gave a verbal update on the Communities Mental Health and Wellbeing Fund Event, which was also the launch of the Third Sector Suicide Prevention Toolkit. The Board noted the Impact Report for Year 1 and Interim Report for Year 2 to a future meeting. The Board also noted a report would be brought to a future meeting to consider the recommendations in the Audit Scotland report. Noted. 5. Chief Social Work Officer Annual Report 2022/2023
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Submitted report by Scott Hunter, Chief Social Work Officer on the Annual Report required by the Scottish Government. The report set out at Appendix 1, highlights the range of Social Work activity throughout the year and places that in the context of the socioeconomic challenges faced locally. Members asked questions and were provided with further information in relation to: - • correlation between reports, sentencing and outcomes; and • areas the Care Inspectorate did not assess. The Board noted a report on Justice Services would be brought to a future meeting. The Board agreed to note (a) the contents of the report and, in particular, the successes and challenges detailed therein; and (b) the skilled and compassionate interventions of our practitioners and managers. 6. 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: - • the costs and pressures associated with young people in residential care that have requested Continuing Care; and • savings for staffing levels at Anam Cara. 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 £3.859m, (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. 7. CAMHS and Neurodevelopmental Update 56:31 The Board received a verbal update by Thelma Bowers, Head of Service (Mental Health). The verbal update included information in relation to: - • CAMHS specification fully implemented on 1 August and CAMHS achieving an 11 week wait time by January 2024; • the extreme team for the neurodevelopment specification meeting weekly since May to address the concerns and challenges around neurodevelopment needs for children and young people; • good response to the consultation survey for both children and adults; • workshops held to develop the proposals for next steps; • multi-agency panel pilot in North Ayrshire to consider referrals; and • the 9 workstreams as part of the extreme team. Members asked a question and were provided with further information in relation to communications and Locality level workshops and consultations. The Communications Subgroup are currently looking at next steps.
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The Board noted a report would be brought to a future meeting. Noted. 8. HSCP Learning and Development Strategy Submitted report by Scott Hunter, Chief Social Work Officer on the HSCP Learning & Development Strategy set out at Appendix 1 to the report. Members asked questions and were provided with further information in relation to: - • developing the Strategy for all roles and looking the workforce as a whole; • the Communications plan for the Strategy into schools and colleges; and • successful case study stories to show people how they can progress. Noted. 9. Meeting Dates 2024 Submitted report by Caroline Cameron, Director (NAHSCP) on the proposed timetable for meetings of the Integration Joint Board, Performance and Audit Committee and Strategic Planning Group for 2024, set out at Appendix 1 to the report. The Board agreed to approve the timetable for the meeting for the Integration Joint Board, Performance and Audit Committee and Strategic Planning Group for 2024, set out at Appendix 1 to the report. 10. Urgent and Unscheduled Care Update & North Ayrshire Improvement Plans Submitted report by Kerry Logan, Head of Service (Health and Community Care) on Urgent and Unscheduled Care, within the North Ayrshire Health and Social Care Partnership’s Community Care Services. Members asked questions and were provided with further information in relation to: - • pre-noon discharges and the pressure to meet the timescales; • delayed transfers of care and factors impacting the levels of delayed discharges; • on the day recruitment events where people can apply and be interviewed on the same day; and • progress around recharging for delayed discharges. Noted. 11. Annual Delivery Plan 2022 - 2026 Report for information in relation to the IJB Annual Delivery Plan 2023 – 2026. Noted.
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12. Minutes of North Ayrshire Strategic Planning Group Meeting Minutes for information in relation to the North Ayrshire Strategic Planning Group Meeting on Tuesday 8 August 2023. Noted. The meeting ended at 12.00 p.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 12 October 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. Formal progress report to IJB in December 2023. 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. On agenda November 2023 Paul Doak 3. Director’s Report – Community Mental Health Fund 12/10/23 The Impact Report for Year 1 and Interim Report for Year 2 to a future meeting. tbc Vicky Yuill 4. Director’s Report 12/10/23 Audit Scotland report for the Auditor General of Scotland and the Accounts Commission on Access to Mental Health Services - a report would be brought to a future meeting to consider the recommendations Schedule for February 2024 Caroline Cameron/ Thelma Bowers 5. Chief Social Work Officer Annual Report 2022/2023 12/10/23 Justice Services update report to be brought to a future meeting. tbc