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240509 Minute & Action Note

North Ayrshire Council · 13 June 2024
Back to Integration Joint Board — 13 June 2024 and its agenda

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North Ayrshire Health and Social Care Partnership
Minute of Integration Joint Board meeting held on 
Thursday 9 May 2024 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)
Councillor Anthea Dickson, North Ayrshire Council 
Professional Advisers
Caroline Cameron, Director of Health and Social Care Partnership 
Paul Doak, Head of Service (HSCP Finance and Transformation)/Section 95 Officer
Scott Hunter, Chief Social Work Officer
Thelma Bowers, Mental Health Adviser
Darren Fullarton, Associate Nurse Director/Lead Nurse
Iain Jamieson, Clinical Director
Sharon Hackney, Lead Allied Health Professional 
Stakeholder Representatives
Scott Wally, Staff Representative 
Present (Remote Participation) 
Voting Members
Councillor Timothy Billings, North Ayrshire Council
Jean Ford, NHS Ayrshire and Arran
Tom Hopkins, NHS Ayrshire and Arran 
Professional Advisers
Wendy Van Riet, Director of Psychological Services 
Stakeholders Representative
Vicki Yuill, Third Sector Rep/Chair Arran Locality Forum 
In Attendance (Physical Participation) 
Elizabeth Stewart, Head of Service (Children, Families and Justice)
Kerry Logan, Head of Service (Health and Community Care)
Lee Ballantyne, Senior Manager (Strategic Planning and Transformation)
Eleanor Currie, Principal Manager, (Finance)
Kimberley Mroz, SDS Policy Review Manager
Arthur Coutts, Team Manager (Child, Families & Justice)
Vicki Campbell, Head of Primary and Urgent Care Services
Claire McCamon, Senior Manager Primary Care Services

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Dalene Steel, Associate Nurse Director
Julie Mitchell, Senior Officer (ASP) (Health & Community Care)
Linda Taylor, Team Manager, Litigation (Legal Services)
Fraser Bedwell, Chief Executive - Unity
Karen Andrews, Team Manager (Governance)
Shannon Wilson, Committee Services Officer
Hayley Clancy, Committee Services Officer 
In Attendance (Remote Participation) 
Michelle Sutherland, Partnership Facilitator, HSCP 
Apologies 
Councillor Nairn McDonald
Elaine Young
Marc Mazzucco 
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 14 March 2024 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: 
• Community Mental Health Fund – Scheduled for May 2024.
• Audit Scotland report - Scheduled for later in the year.
• Chief Social Work Officer Annual Report: Justice Services Update –
Scheduled for June 2024. 
4. Community Nursing Transformation Update 
Submitted report and received presentation by Darlene Steel, Associate Nurse
Director (NHS) and Kerry Logan, Head of Service (Health and Community Care
HSCP) on the progress of the outputs from the Community Nursing Review.  The
consultation for the Community Nursing review was set out at Appendix 1 to the report. 
Members asked questions and were provided with further information in relation to: 
• improvement information feeding back and next stage measurements;
• public perception and the measures in place to help inform the public;

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• prioritising risks associated with the way Community Nurses record care; and
• current IT system not being fit for purpose. 
Noted. 
5. Primary Care General Medical Services Update 
Submitted report by Vicki Campbell, Head of Primary and Urgent Care Services on the
provision of General Medical Services (GMS) across Ayrshire and Arran. 
Members asked questions and were provided with further information in relation to: 
• General Medical Services fragility and associated risks escalated to Board and
Director level;
• the successful bid for an additional £3.5m to further implement the contractual
elements of the GMS contract; and
• communication channels used to convey the outcomes of the work. 
Noted. 
6. Primary Urgent Care Update 
Submitted report by Vicki Campbell, Head of Primary and Urgent Care Services on the
provision of primary urgent care services delivered through the Ayrshire Urgent Care
Service. 
Members asked questions and were provided with further information in relation to: 
• financial implications and next steps to further support success; and
• Urgent Care Services workforce 
Noted. 
7. Dental Services Update 
Submitted report by Vicki Campbell, Head of Primary and Urgent Care Services on the
actions and measures that have been taken forward in the last six months to further
sustain service delivery as well as the current status with the ongoing review for the vision
of dentistry across Ayrshire and Arran. 
Members asked questions and were provided with further information in relation to: 
• the oral health support programme for prisoners;
• health needs assessment; and
• sedation service patient increase and plans to address this increase. 
Noted. 
8. Brighter Pathways: Re-Modelling Care Options 
Submitted report by Elizabeth Stewart, Head of Service (Children, Families and
Justice) on the programme of work and current pressures on placement availability
and alternative care for any child and young person in the looked after system.

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Members asked questions and were provided with further information in relation to: 
• Brighter Pathways programme of work providing regular updates to IJB;
• current pressures on placements; and
• housing representative on the programme board. 
Noted. 
9. Director’s Report 
Submitted report by Caroline Cameron, Director (NAHSCP) on the developments
within the North Ayrshire Health and Social Care Partnership. 
Noted. 
10. Communities Mental Health & Wellbeing Fund Update 
Submitted report by Vicki Yuill, Arran Community & Voluntary Service on Communities
Mental Health & Wellbeing Fund year 1 report and interim year 2 data. 
Members asked a question and were provided with further information in relation to
the positive value the work had in terms of the Community Link Workers. 
Noted. 
11. Equality Mainstreaming and Outcomes Report 2022- 2024 
Submitted report by Caroline Cameron, Director (NAHSCP) on the Equality
Mainstreaming and Outcomes Report, set out at Appendix 1 to the report. 
Members asked a question and were provided with further information in relation to
the ambitious goals for equality outcomes. 
The Board agreed to approve the Equality Mainstreaming and Outcomes Report for
publication. 
12. Unpaid Carers Service Developments in North Ayrshire 
Submitted report by Scott Hunter, Chief Social Work Officer (NAHSCP) on the
developments to expand and improve support for unpaid carers in North Ayrshire 
The Board agreed to (a) note the advancement and impact for improved carer
information and support services; and (b) annual progress updates brought to future IJB
meetings. 
13. Strategic Inspection of Adult Support and Protection in North Ayrshire 
Submitted report by Scott Hunter, Chief Social Work Officer (NAHSCP) on the
outcomes of the strategic inspection of adult support and protection completed by the
Care Inspectorate, Health Improvement Scotland and His Majesties Inspectorate of
Constabularies

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Noted. 
14. Community Alarm and Telecare Service transition from Analogue to Digital
Update 
Submitted report by Kerry Logan, Head of Service (Health and Community Care) on
the Community Alarm and Telecare Service transition from Analogue to Digital
Service. 
Members asked questions and were provided with further information in relation to
similar challenges across Scotland. 
Noted. 
15. Whistleblowing Report Quarter 3, October – 31 December 2023 
Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, in relation to
whistleblowing concerns raised in Quarter 3 (October – 31 December 2023). 
Noted. 
The meeting ended at 1:00pm

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North Ayrshire Integration Joint Board – Action Note 
Updated following the meeting on 9 May 2024 
No. Agenda Item Date of
Meeting
Action Status Officer
1. 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
Report will go to a future
meeting 
Caroline
Cameron/
Thelma Bowers
2. Chief Social Work Officer Annual
Report 2022/2023
12/10/23 Justice Services update report to be
brought to a future meeting.
Scheduled for June 24  Elizabeth
Stewart