Director's Report
North Ayrshire Council · 14 December 2023
Back to Integration Joint Board — 14 December 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Integration Joint Board 14th December 2023 Subject : Director’s Report Purpose : This report is for awareness to advise members of North Ayrshire Integration Joint Board (IJB) of developments within North Ayrshire Health and Social Care Partnership (NAHSCP) Recommendation : IJB members are asked to note progress made to date. Direction Required to Council, Health Board or Both Direction to :- 1. No Direction Required X 2. North Ayrshire Council 3. NHS Ayrshire & Arran 4. North Ayrshire Council and NHS Ayrshire & Arran Glossary of Terms NHS AA NHS Ayrshire and Arran IJB Integration Joint Board HSCP Health and Social Care Partnership 1. EXECUTIVE SUMMARY 1.1 This report informs members of the Integration Joint Board (IJB) of the work undertaken within North Ayrshire Health and Social Care Partnership (NAHSCP), nationally, locally and Ayrshire wide. 2. BACKGROUND 2.1 This report provides IJB with up-to-date information on recent activity across the HSCP since the last IJB. The report will also provide COVID related information by exception. 3. CURRENT POSITION National Developments 3.1 Self Harm Strategy and Action Plan 2023-2027 Scotland’s Self Harm Strategy and Action Plan (2023-2027) was published on 28th November 2023. This is Scotland's first dedicated self-harm strategy and action plan aims for anyone affected by self-harm, to receive compassionate support, without fear
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of stigma or discrimination. It is jointly owned by Scottish Government and Convention of Scottish Local Authorities (COSLA) and was published on 28th November 2023. 3.2 National Care Service (Scotland) Bill – Update to Health, Social Care and Sport Committee Maree Todd, MSP Minister for Social Care, Mental Wellbeing and Sport has written to the Health, Social Care and Sport Committee in response to Stage 1 Scrutiny of the Bill. A copy of the letter is available on the Scottish Parliament website : National Care Service (parliament.scot) The letter includes updates in relation to :- • the shared accountability agreement • the National Care Service Board • the National Social Work Agency (NSWA) • children’s services • justice services 3.3 Coming Home Report – Implementation Programme Maree Todd, MSP Minister for Social Care, Mental Wellbeing, and Sport has also written to the Convenor of the Health and Sport committee to provide an update on the recommendations from the Coming Home report which was published in February 2022. One of the report’s key recommendations was in relation to Dynamic Support Registers which were launched in May 2023. These are locally held records to improve case management of people with learning disabilities and complex care needs. A new national reporting system was developed and the first national publication of data from these Dynamic Support Registers was published and is available from Public Health Scotland. The data shows that within the first three months of launching, all local areas are utilising the registers and have recorded 1,243 adults across Scotland. The Minister also highlighted progress on the other recommendations within the report in relation to :- • Practitioner Peer Support Network; • Proposed Learning Disability, Autism and Neurodivergence Bill, which will be launched for public consultation by end of 2023; • Development of a new Complex Support Needs Pathway; • Embed work on the Coming Home report across government; • Embed the work on the NCS for national commission; • Promote Positive Behavioural Support (PBS) framework;
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• Annual checks for people with learning disabilities; • Reform programme to begin process of updating and modernising Scotland’s mental health legislation. • Work closely with stakeholders to consider best use of NHS estate in relation to complex care. Ayrshire Wide Developments 3.4 MAPPA Annual Report The Multi Agency Public Protection Arrangements (MAPPA) are a set of statutory partnership working arrangements introduced in 2007 under Section 10 of the Management of Offenders etc (Scotland) Act 2005. The purpose of MAPPA is public protection and the reduction of serious harm, bringing together the Police, Scottish Prison Service (SPS), health and local authorities to assess and manage the risk posed by certain categories of offender. The MAPPA Annual Report 2022-23 for the South West Scotland area has now been published on the NAHSCP website. North Ayrshire Developments 3.5 Drug and Alcohol Services National Performance Audit Audit Scotland are currently carrying out an audit of drug and alcohol services in Scotland and have published the scope of the audit on the Audit Scotland website. The overall aim of the performance audit is to consider how effective Scotland’s drug and alcohol services are in delivering on the Scottish Government’s strategies. The three main themes of the audit are : 1. How well are current leadership and accountability arrangements supporting the effective delivery of the Scottish Government’s drug and alcohol strategies? 2. How effective are the funding arrangements for drug and alcohol services for achieving objectives in the strategies, and what is the balance of investment across different types of services? 3. How responsive are drug and alcohol services to the needs of service users and is this evidenced in outcomes and performance data? The fieldwork element of the audit will be carried out in four sites and North Ayrshire has been selected as one of the areas. A number of factors were taken into consideration in choosing the areas including a mix of rural and urban areas, geographical spread, rates of drug-related and alcohol related deaths and morbidity, other recent audit work, and potential examples of good practice and local challenges.
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The ADP welcome North Ayrshire being selected as one of the four areas for the audit as this is an area of focus and significant priority for us as a whole system. Officers from HSCP and the ADP have already met with Audit Scotland and information and evidence gathering has already commenced. The findings from the audit will be shared with IJB members in due course. 3.6 North Ayrshire Unpaid Work Team Artwork is highly commended by Koestler Awards team A group of six clients of North Ayrshire’s Unpaid Work team have received recognition certificates from the Koestler Awards for their original artworks, with one participant also receiving a Highly Commended certificate for this unique wooden birdhouse. The Koestler Awards for arts in criminal justice started in 1962. Each year, over 3,500 people in custody and in the community share their creative work by taking part. The Koestler Awards provide feedback and encouragement to entrants of all abilities in visual art, design, writing and music. 3.7 New ‘North Ayrshire Protecting People Together’ Facebook page North Ayrshire Adult Protection, Children Protection and Alcohol and Drug Partnership teams have a new joint Facebook page, sharing information on the work being carried out locally to protect people and what to do if someone is at risk from harm. They'll also be sharing lots of useful information from our public protection partners. Please follow their page and help to raise awareness among North Ayrshire residents by sharing their posts on your own social media page where appropriate. 3.8 North Ayrshire Carers Gateway Official Launch On Carers Rights Day, an event was held at West Kilbride Village Hall to launch the expanded North Ayrshire Carers Gateway service. Attended by carers, staff of the Carers Gateway and NAHSCP, representatives from Third Sector organisations, North Ayrshire Provost Anthea Dickson and North Ayrshire Carers Champion Councillor Nairn McDonald, the event offered a chance to network, hear more about the service and find out more about additional sources of support locally.
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More information on NAHSCP’s improved partnership with North Ayrshire Carers Gateway and how the expansion will benefit unpaid carers can be found on the NAHSCP website. 3.9 New Forum for Recovery Development Workers An innovative new group for North Ayrshire’s Recovery Development Workers has been established and met for the first time on 8 November. The North Ayrshire Recovery Development Worker Forum offers an opportunity for lived experience support workers from NAHSCP’s alcohol and drug recovery service (NADARS), Service Access and Justice Services team, as well as their counterparts from Turning Point and Barnardo’s, to come together and share their experiences, learn more about the work of the other services, identify training requirements or shadowing opportunities, and provide support for each other as they move forward in their roles. Staff who attended are all peer support workers with lived experience from a range of backgrounds, including alcohol and/or other drug use, gambling and mental ill health, who have all been on their own individual journeys to recovery and are now using that experience and insight to provide relatable support to others embarking on their own journey. As paid staff members within their individual teams, they work with some of North Ayrshire’s most vulnerable clients, proving to them that recovery is possible and supporting them in a number of ways, both in group and one-to-one sessions. As well as helping clients to attend essential appointments, connecting them with community recovery initiatives such as Café Solace and supporting them to maintain relationships with friends and family members, they can also assist clients around further education or employment opportunities. While each of the services involved will continue to offer support to its own Recovery Development Workers, the forum provides an additional opportunity for these staff members to support each other in a role that is not without its challenges, and could be of particular benefit to staff who have recently taken on a recovery worker role. The forum also offers the opportunity for staff from different organisations who may be working with the same individuals to foster joined up support that will benefit those clients who are involved with more than one service.
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3.10 Inspection of North Ayrshire Irvine, Garnock Valley & Community Alarm Service Following an unannounced inspection between 24 October and 3 November 2023 of the North Ayrshire Irvine, Garnock Valley Care at Home and Community Alarm Service, the service received the following grades :- How well do we support people’s wellbeing? 5 – Very Good How good is our leadership? 5 – Very Good How good is our staff team? 4 – Good How well is our care and support planned? 4 – Good These are excellent grades for a service which has been and continues to be under extreme pressure. Inspectors in particular highlighted the passion and commitment demonstrated by staff to providing the best care possible and highlighted the excellent partnership working across District Nurses, GPs, Hospital and many others to support and meet the needs of service users. 3.11 Inspection of Dementia Support Service The Care Inspectorate also conducted an unannounced inspection of our Dementia Support Service on 22nd November 2023. This was a pilot inspection to test a new way of providing assurance that better performing, lower risk services are continuing to provide good quality care and support. No grades were awarded following this inspection however, inspectors concluded that the previous evaluation of good for the service was maintained. The inspectors highlighted a common theme through the inspection of staff working in partnership with the people they supported, by keeping people and families fully involved. Care plans were person-centred and reflected people’s rights, choices and wishes. They noted that staff were passionate about their role and it was clear that the service had a positive impact on the families they support. COVID Update No update. 4. IMPLICATIONS 4.1 Financial None 4.2 Human Resources None 4.3 Legal None 4.4 Equality/Socio-Economic None 4.5 Risk None 4.6 Community Wealth Building
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None 4.7 Key Priorities None 5. CONSULTATION No specific consultation was required for this report. User and public involvement is key for the partnership and all significant proposals will be subject to an appropriate level of Consultation. Caroline Cameron, Director [Carolinecameron@north-ayrshire.gov.uk/01294 317723] Appendices Nil