Democracy Spraffa

6 - Director's Report 25-8-22 FINAL

North Ayrshire Council · 25 August 2022
Back to Integration Joint Board — 25 August 2022 and its agenda

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Integration Joint Board
25th August 2022
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
WRO Welfare Rights Officer
MARAC Multi Agency Risk Assessment Conference
NCS National Care Service 
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.

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3. CURRENT POSITION 
National Developments 
3.1 National Suicide Statistics Released 
On Tuesday 2 August, the National Suicide Statistics were released for Scotland for
2021.
There were 753 probable suicides registered in Scotland in 2021, which is a
decrease from 805 in 2020, with 27 people having sadly died by taking their own life
in North Ayrshire during that period. 
To read more about the National Suicide Statistics for 2021, visit the Scottish
Public Health Observatory website.     
In the same period the statistics for drug related deaths and alcohol related deaths
have also been released.  A report will be presented to a future IJB to outline the
work underway in North Ayrshire for all three of these areas. 
Consultations/Calls for Views 
3.2 State of Caring 2022 Survey 
Carers UK have launched their State of Caring 2022 survey. Responses from carers
will help the charity to build a picture of what caring is like at the moment, and they
are keen to hear from as many different carers as possible. 
The annual State of Caring survey is the UK’s most comprehensive research into the
lives and experience of carers. Carers UK want to understand carers’ priorities for
the future and determine the support required to help carers recover from the
pandemic. 
The survey, which you can access online here, will close on Friday 9 September
and a research report will be released in November. 
If you have any questions, please get in touch with the Carers UK policy team by
emailing policy@carersuk.org 
3.3 Mental Health and Wellbeing Strategy 
The Scottish Government is currently gathering views on what a new Mental Health
and Well-being Strategy for Scotland should look like. 
You can take part in the consultation online here.

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The strategy will guide the work that the Government and its partners will do to
improve mental health and well-being in Scotland. This will include an overall shared
vision, a set of outcomes, and details on how these will be achieved. 
The consultation period closes on Friday 9 September.  North Ayrshire HSCP are
currently consulting with partner agencies to develop an Ayrshire and Arran Mental
Health Services response to the consultation. 
3.4 National Care Service 
Committees in the Scottish Parliament have launched a Call for Views and a Your
Priorities digital consultation on the National Care Service (Scotland) Bill.
More information about the Bill and links to the Call for Views and the Your Priorities
digital consultation can be found here: https://yourviews.parliament.scot/health/ncs 
There are two options for those wishing to participate in this public consultation:
1. Call for Views
This includes general questions about the Bill, questions about the Financial
Memorandum and the option to provide more detailed comments on individual
sections of the Bill. It is primarily aimed at groups and organisations who are looking
to input their views on the Bill. A direct weblink to the call for views is available here:
https://yourviews.parliament.scot/health/national-care-service-bill 
2. Your Priorities digital consultation
This offers an opportunity to ask questions or to highlight specific hopes or concerns
about the Bill. Respondents can also rate specific provisions in the Bill (agree,
disagree, don’t know) and make brief comments about them. The Your Priorities
digital consultation offers an opportunity for individual members of the public to give
their views about the Bill.
If you represent a membership organisation and would like support using the Your
Priorities digital consultation with your members or would like to receive a
'conversation toolkit' to support a group discussion about the Bill in your community,
please email our Participation and Communities Team at pact@parliament.scot.
Both the Call for Views and the Your Priorities digital consultation will close on
Friday 2 September. 
A report on the HSCP response to the consultation will be presented to the IJB on
22nd September.    IJB members will have the opportunity to contribute to the
discussion on the Bill and NCS developments at the IJB development session
planned for 22nd September 2022.

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Ayrshire Wide Developments 
3.5 Awards – NHS Scotland Event 
The NHS Scotland Event is the leading health event in Scotland, providing an
opportunity for those working in the NHS to come together and share best practice. 
Two of our services within mental health won awards for poster submissions
highlighting their innovative approach to delivering high quality care. 
The Perinatal Mental Health Service, The Maternity and Neonatal Psychology
Interventions (MNPI) Service and the Maternity Liaison Service won the People’s
Choice Award, illustrating the development and integration of these three services to
meet the needs of families in the perinatal period. 
The Children and Adolescent Mental Health Service won the Integrated Award for
their poster highlighting the collaboration with leisure services to enable families to
participate in leisure programmes within their own communities and reduce health
inequalities. 
3.6 Multi Agency Risk Assessment Conference (MARAC) 
The planning and implementation phase for MARAC is nearing completion.  Ayrshire
MARAC Go Live date was 1st August 2022. 
A number of preparatory events have taken place to support staff for go live
including a half day walkthrough event, 3 x mock MARAC meetings, Safe Lives
MARAC trainers training, and 20 x sessions of the use of DASH Ric (screening
tool).  In total approximately 500 staff from across a number of agencies have
received an input in preparation for MARAC go live.    
In addition a number of resources have been developed and are now available for
staff on intranet sites, including Operating Procedures, Practitioner Guidance and an
Information Sharing Agreement. 
The Ayrshire MARAC Implementation Group have been crucial in their oversight role
and are now preparing to stand down.  This group will hand over to a new Ayrshire
MARAC Governance Group. The governance structure for this group is noted below.

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The MARAC Governance group will meet every 2 months from October 2022 (the last
Implementation group is August 2022).  The MARAC Coordination will collate
performance data and report this bi-monthly. 
North Ayrshire Developments 
3.7 Welfare Rights Officers in Schools 
Building on the successful approach of the HSCP Money Matters team being
embedded alongside front-line services, a partnership agreement between NAC
Education, HCSP Children & Families and HSCP Money Matters Team resulted in the
delivery of welfare rights services for 2 years in 7 of North Ayrshire Council’s
Secondary Schools (Arran High, Garnock Campus, Greenwood Academy, Irvine
Royal Academy, Kilwinning Academy, Largs Academy). 
The Welfare Rights Officer, was appointed in August 2021 and was involved in
discussions with head teachers a range of activities to raise awareness and promote
the service.   These included :- 
• Meetings with all school guidance staff, family learning teams, school social
workers and school nurses, 
• Attendance at Parent Council Meetings. 
• Information session with parents 
• Promotion of service via social media inc. animations / graphics and local
newspapers;
• Sharing of good news stories / outcomes for families who have used service. 
• Review meetings with schools to provide service review and updates on
referrals etc.
• Training and briefings for school staff on relevant topics.

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To date over £38k  has been secured for parents / carers which has been generated
from 17 benefit claim outcomes including claims & supersessions to Council Tax
Reductions, EMA, School Meals, PIP, Scottish Welfare Fund, Carers Allowance, DHP,
Income Support and Universal Credit. 
The WRO also assisted with disabled children access disability benefits by
challenging a negative Child Disability Living Allowance decision at the mandatory
revision stage and a redetermination of the SSSA Child Disability Payment. 
3.8 New Wellbeing Instagram Account 
In June, the HSCP launched a new Instagram page, aimed at promoting positive
mental well-being for North Ayrshire residents. 
The Daily Positive North Ayrshire page will feature a mix of well-being tips and
advice, as well as information/signposting about our services and those of local groups
and charities, with plans for takeover days and much more. 
The page can be found by searching for @daily_positivena on Instagram. 
If you have anything you’d like featured on the page, contact nicolateager@north-
ayrshire.gov.uk or michaelmclennan@north-ayrshire.gov.uk 
3.9 National Portrait Gallery 
North Ayrshire has continued to develop its Partnership with the National Portrait
Gallery through the “Life Hacks” Project. The premise of the Life Hacks project was
making  life affirming artwork with young people in North Ayrshire. The artwork will
be made for public spaces and involve young people from youth groups and with
links to Health and Social care services. The projects have been fun; produced by
young people working with professional artists and the artwork exhibited.

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The final artworks produced on the project evolved from discussions with artist Iman
Tajik relating to a performance video work of Tajik’s, A to B, that illustrates the
frustrating effects of borders and barriers created by people, between people.   
For the North Ayrshire versions
young people were invited to use
colourful biodegradable ribbons
and tapes, to create huge
temporary installations, very
quickly. They transformed places,
objects, and people with bright
lines, fixing people to structures
and making three dimensional
scribbles on the landscape. 
The project, Life hacks, funded by Youth Link's Youth work recovery fund, worked with
around 450 young people, including Rosemount project at Meadowcroft, Syrian
resettlement programme, Irvine Royal Academy, several youth forums and young
people and their families from Children's First. 
The young people’s work with the Life Hacks
Project is currently on display in the National
Portrait Gallery as part of the You are Here
2022 exhibition, which will run until the 8th
January 2023.  This display celebrates and
shares recent and ongoing collaborative
projects between the National Galleries of
Scotland and partner organisations across the
country. They include place-based initiatives
with groups of young people in former mining
towns, and life-affirming public art schemes in
North Ayrshire.  
3.10 New Support resource for Staff Affected by the Death of a Young Person by Suicide 
Each death by suicide is a tragic and traumatic event for those around the person
and beyond. The impact spreads far and wide and can continue for a long time. 
The North Ayrshire Young People’s Suicide Taskforce has been working with staff
from across many services who have been impacted by the death of a young
person, as well as with Child Bereavement UK, to produce a support resource for
any worker who finds themselves affected or impacted by a suicide of a young
person.

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The resource is available to download through the link below. The document will
also be available on Connects soon, along with an accessible version. 
Death of a young person by suicide – a support guide for professionals 
COVID Update 
3.11 Vaccination and Immunisation Update 
Joint Committee on Vaccination and Immunisation (JCVI) have issued an update on
the Covid-19 vaccination programme for Autumn 2022.  The statement which was
released on Friday 15th July confirms the following eligible cohorts:- 
• Residents in a care home for older adults and staff working in care homes for
older adults
• Frontline health and social care workers
• All adults aged 50 years and over (previously 65)
• Persons aged 5 to 49 years in a clinical risk group, as set out in the Green Book
(previously 16)
• Persons aged 5 to 49 years who are household contacts of people with
immunosuppression (previously 16)
• Persons aged 16 to 49 years who are carers, as set out in the Green Book
• “In order to optimise protection over the winter months, the autumn programme
should aim to complete vaccinations by the start of December 2022.
Operational flexibility will apply in relation to vaccine supply, promotion of
vaccine uptake and prioritisation for vaccination according to underlying risk of
severe COVID-19.” 
NHS Ayrshire & Arran will process the Covid Vaccination Programme alongside the
Flu Vaccination Programme. 
Flu and Covid vaccinations for health and social care staff (HSCP) working in the
community will this year be delivered by the mass vaccination service (MVS) whilst
Occupational Health concentrates on delivery across acute sites ie Crosshouse
Hospital, Ayr Hospital and Ayrshire Central Hospital. 
The programme is to commence during week beg. 5th September, with staff being
asked to book an appointment for a local clinic through the national booking portal
(with improvements made to the portal following feedback from last year’s
programme).  The national communications programme will commence from 22nd
August, inviting eligible staff to make an appointment.  Further information to follow.

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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]