Director's Report
North Ayrshire Council · 19 September 2024
Back to Integration Joint Board — 19 September 2024 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 19th September 2024 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 Health, Social Care and Sports Committee – Pre Budget Scrutiny IJBs 2025/26 I attended the Health, Social Care and Sport Committee meeting on Tuesday 3rd September 2024 to give evidence on the Pre Budget Scrutiny process 25/26, which
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the Committee has decided to focus on IJB budgets. I was representing North Ayrshire HSCP and was accompanied by Pat Togher, Chief Officer representing Edinburgh City HSCP along with Sharon Wearing representing IJB CFOs’. The meeting was televised and can be view via the link below. https://www.scottishparliament.tv/meeting/health-social-care-and-sport-committee- september-3-2024 The focus of the Committee was on: • Financial Performance • Financial sustainability • Performance and designing for shifting the balance of care and • outcomes • Governance, leadership and culture • Data for planning and outcomes • Commissioning and procurement • The wider context: increasing demand, unpaid carers, the National • Care Service and workforce The Official Report of the above meeting is also available on the Parliament’s website and can be accessed by following this link: Health, Social Care and Sport Committee Official Report, 3 September 2024 3.2 Health, Social Care and Sport Committee – Post Legislative Scrutiny Report The Health, Social Care and Sport Committee have also published their report on its post-legislative scrutiny of the Social Care (Self-directed Support) (Scotland) Act 2013: Phase 2 which can be accessed here: Post-legislative scrutiny of the Social Care (Self-directed Support) (Scotland) Act 2013: Phase 2 (parliament.scot). The North Ayrshire SDS team will review and compare the findings with our own local actions and SDS review. 3.3 Scottish Child Abuse Inquiry – Phase 10 Investigations The Scottish Child Abuse Inquiry has announced a new case study, which will be referred to as phase 10 and will look at children’s homes run by local authorities, as well as homes run by voluntary providers and used by local authorities to place children. Phase 10 of SCAI’s investigations concerns the provision of residential care for children and young people in establishments run by local authorities. Investigations will also focus on establishments into which local authorities placed children in care.
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It is expected that public hearings will commence in the second half of 2025. This is a category of residential care which SCAI’s wide-ranging Terms of Reference require it to investigate. Investigation of this category has been ongoing throughout the life of the Inquiry, and many relevant statements have already been provided by a range of applicants. As part of the Inquiry’s preparatory work, SCAI regularly reviews the stages that all its investigations have reached and may, if necessary, add to its list of focused investigations. 3.4 Rethink Dementia Campaign The new 'Rethink Dementia' campaign, in partnership with COSLA was launched on 4th September 2024. The campaign encourages people to 'Rethink Dementia' as evidence shows social contact can help alleviate some symptoms commonly associated with dementia and help them stay well for longer. By maintaining contact with friends or loved ones living with a dementia diagnosis and doing the things we’ve always done with them, we can all make a difference. This important campaign was developed in collaboration with a National Lived Experience Panel and in response to insight that shows many people associate dementia primarily with its later stages. Also, there is a lack of understanding that it is a progressive disease and that in the earlier stages particularly, people can live independent, fulfilling lives. Rethink Dementia will run on TV, cinema, outdoor, press, digital and radio for five weeks. The campaign will target 30-60 years olds living in Scotland, however it is relevant to everyone - younger or older. 3.5 Home First – Supporting Patient Recovery at Home The Scottish Government shared the Home First Stakeholder Toolkit which has been developed to support patient discussions when an individual is returning home to recover.
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The research shared by the Scottish Government supports the best place for patients to recover is at home and this approach is designed to enable this while helping maintain a person’s independence. This 'Home First' approach is part of the overarching Right Care Right Place messaging which helps the public access the right care in the right place to ease the pressure on health services and improve patient outcomes. Our Communication Lead, Nicki Teager will push out the messages for this approach across the partnership and social media channels, as will our operational teams working within the hospitals and in the community. North Ayrshire Developments 3.6 Performance and Audit Committee Following the resignation of Councillor Timothy Billings as Vice Chair of the Performance and Audit Committee, Councillor Nairn McDonald has volunteered to undertake the role of Vice Chair. One vacancy remains on PAC and expressions of interest from IJB members to join the Committee are welcomed. 3.7 Unpaid Carers Roadshows North Ayrshire Carers Gateway and the NAHSCP Carers Team are holding a series of roadshows in the coming months, where they’ll be joined by service providers and professionals who will share information on benefits, fuel poverty, cost of living, training and education, health and wellbeing, community organisations and support groups. These can be booked online now for the following dates, or just drop in on the day: Tuesday September 17: Brodick Hall, Arran, 2pm to 6pm Wednesday 23 October: Kilwinning Community Sports Club, 2pm to 6pm Thursday 21 November: George Steven Centre, Kilbirnie, 1pm to 5pm
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3.8 Trindlemoss team to present at accessible story festival Staff and customers from Trindlemoss Day Opportunities attended a workshop at the Accessible Book & Story Festival, which took place on September 13 and 14 at the Scottish Storytelling Centre in Edinburgh. They attended the event to share their experiences of working with ShowWorks Theatre to produce a performance piece around the theme of ‘being and becoming’. The project was funded through Creative Scotland’s Participatory Arts and Mental Health Fund and The Baring Foundation, in partnership with the Mental Health Foundation. As part of this, they presented a short film about the work and leading a conversation about the partnerships that made it possible. A private local screening of the film was held on 10th September 2024 in the Harbour Arts Centre, Irvine. 3.9 Positive feedback for Ward 7A in report A recently published Mental Welfare Commission report on the Assessment and Treatment (A&T) Unit at Ward 7A, Woodland View Hospital, has provided very good feedback around leadership, therapeutic and caring relationships, and detailed person-centred care records at the facility. The unit provides access to specialist intensive multi-disciplinary A&T services for adults living in Ayrshire who have a learning disability and associated complex support/health needs. You can access the full report on the Mental Welfare Commission website. 3.10 Mental Health Unscheduled Care Assessment Hub – Official Opening The Mental Health Unscheduled Care Assessment Hub was officially launched on Friday 13th September 2024 with full operational opening from 5pm that day. The Mental Health Unscheduled Care Assessment Hub, based at Woodland View in Irvine, provides a patient-focused, therapeutic space to support the delivery of compassionate care to those individuals with acute mental illness who would be eligible to access an adult acute mental health bed for ongoing intensive assessment. Managed and coordinated by the Mental Health Unscheduled Care Service, the hub provides 24-hour access to mental health assessment and interventions. The service is delivered by experienced Mental Health Nurses within a therapeutic environment for a period of up to 72 hours, and will be able to accommodate up to five patients.
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The hub aims to: • Improve the patient journey through the Mental Health Unscheduled Care Service • Facilitate closer working and a smoother patient journey between community and inpatient services • Reduce the number of unscheduled admissions to acute inpatient mental health beds • Reduce the waiting time for planned acute admission • Reduce the number of initial assessments carried out on acute wards; releasing time for treatment • Provide training opportunities in assessment of mental illness for medics, nursing and other disciplines. The service underwent 3 'testing' phases (with a reduced bed base (2-3 beds) whilst awaiting necessary estate works. During these 'soft launch tests' the hub demonstrated its benefit with 75 individuals passing through the hub during that time. Of those 75 individuals :- • 21 required admission to hospital, meaning that less than 28% of patients admitted to the hub, went onto need an acute adult mental health bed. • The majority were discharged, and all within the maximum 72hr expectation. • 44% continued to be supported by the unscheduled care mental health teams following discharge. Providing the benefit of improvement and sustained patient journey • 16% were discharged back to existing care supports. • 12% were discharged without follow up. 3.11 Money Matters - Welfare rights advice in schools is expanding Money Matters has had a dedicated Welfare Rights Officer providing advice in North Ayrshire secondary schools since 2021. The service has been a huge success and has put more than £1m into the bank accounts of families during this time. The project is now expanding, with an additional two Welfare Rights Officers joining the team. This will enable the team to offer advice to all parents / carers with children in any education establishment, including early years, primary and secondary. The three Welfare Rights Officers will be split across the localities and referrals can be made direct to the officer by phone, email or the online ‘contact us’ form.
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3.12 NAHSCP Locality Planning process update The first cycle of the HSCP locality planning process has now been completed, after an initial period of engagement with the public in April 2024. The Locality Conversation events enabled us to hear from our communities on three key areas of health and social care: • Places and Spaces • Healthy Living • Services People were asked whether there were geographical aspects of their locality that impacted on their access to services, as well as whether they felt there were any services missing from their local area. We also asked what initiatives they thought brought the most benefit to positive community wellbeing, and whether they felt that any health and social care services needed improved or expanded. The themes that came out of these sessions will be used to identify issues within our localities and feed into other planning processes, such as our next Strategic Plan. To ensure that everyone living in North Ayrshire is able to have their say on health and social care services in their locality throughout the year a survey has been developed that will run until August 2025 that anyone is able to fill in. The survey will take around 5 to 10 minutes to complete and can be accessed online. The Strategic Planning and Equalities Team is also looking to do some targeted engagement with groups with shared characteristics (for example, LGBTQ+, disability, carer, gender, age, religion, ethnic minority) for both a revised Equalities Outcomes Plan and the NAHSCP locality planning process. The team is collating information on different existing groups across all North Ayrshire localities that they could potentially engage with this September. If you know of a group who may be interested in sharing their views on health and social care services, please contact hscp-engagementteam@north-ayrshire.gov.uk with the following details: • Name of group • Locality of group • Meeting time and place of group • Lead contact of group
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3.13 ‘Peace of Mind’ for North Ayrshire residents North Ayrshire residents will soon be able to access ‘Peace of Mind’, an innovative programme aimed at reducing social exclusion and isolation. Run by social enterprise Peace of Mind Services, the programme has been operating in Fife for the past 3 years and will now be coming to North Ayrshire through funding from the National Lottery. Since starting in Fife, there have been seven groups established across the region, supporting 50 individuals who were previously attending local day care centres. Those participating in the groups have taken part in a range of social activities including lawn bowling, arts and crafts, and visiting a range of Scottish cities and museums. A number of attendees have also gone on to find volunteering opportunities or even moved into paid employment. The team is already accepting referrals to the programme, which will formally launch in North Ayrshire on Tuesday 8 October at the TACT 25th anniversary celebrations at their offices in Saltcoats. Visit the Peace of Mind website to find out more about the programme or to refer. 3.14 Save the date: North Ayrshire Mental Health Arts Festival launch event The Scottish Mental Health Arts Festival will take place from Thursday 10 October to Sunday 27 October, with a theme this year of ‘In/Visible’. As part of the celebrations, there will be a wide range of fantastic events taking place in North Ayrshire throughout the whole of October that anyone can take part in, including a fantastic launch event at the Harbour Arts Centre in Irvine from 6pm to 8pm on Wednesday 9 October. Participants will have the opportunity to take part in some taster sessions and enjoy some live performers, guest speakers, art demonstrations and refreshments. Information on how to book tickets for this free event will be available in the new few weeks, as well as information on where to find details on the rest of this year’s events.
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3.15 NAHSCP Partnership Awards – Promoting Wellbeing Together Nominations for the NAHSCP Partnership Awards closed on 30th August 2024. At the closing date over 200 nominations had been received which is the highest number of applications received since the inception of the awards. Arrangements are now well underway for the Award Ceremony on 25th October 2024 at Redburn Community Centre, Irvine. 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 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