3 - Minute and Action Note
North Ayrshire Council · 20 October 2022
Back to Integration Joint Board — 20 October 2022 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 22 September 2022 at 10.00 a.m. involving participation by remote electronic means and physical attendance within the Council Chambers, Irvine. Present (Physical Participation) Voting Members Bob Martin, NHS Ayrshire and Arran (Chair) Councillor Margaret Johnson, North Ayrshire Council (Vice Chair) Councillor Timothy Billings 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 – North Ayrshire Stakeholder Representatives Louise McDaid, Staff Representative (North Ayrshire Council)/Chair, North Coast Locality Forum Pamela Jardine, Carers Representative Present (Remote Participation) Voting Members Adrian Carragher, NHS Ayrshire and Arran Christie Fisher, NHS Ayrshire and Arran Marc Mazzucco, NHS Ayrshire and Arran Professional Advisers Darren Fullarton, Associate Nurse Director/IJB Lead Nurse Stakeholder Representatives Louise Gibson, IJB Irvine Locality Forum (Chair) Vicki Yuill, Third Sector Representative In Attendance (Physical Participation) Alison Sutherland, Head of Service (Children, Families and Criminal Justice) Thelma Bowers, Head of Service (Mental Health) David Thomson, Head of Service (Health and Community Care) Peter McArthur, Senior Manager (Addictions) Raymond Lynch, Senior Manager (Legal Services) Craig Stewart, Committee Services Officer Angela Little, Committee Services Officer
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In Attendance (Remote Participation) Michelle Sutherland, Partnership Facilitator, HSCP Eleanor Currie, Principal Manager – Finance Apologies Councillor Louise McPhater, North Ayrshire Council Alistair Reid, Lead Allied Health Professional Adviser Aileen Craig, IJB Monitoring Officer 1. Apologies and Chair’s Remarks 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/Action Note The accuracy of the Minutes of the meeting held on 25 August 2022 were confirmed and the Minutes signed in accordance with Paragraph 7 (1) of Schedule 7 of the Local Government (Scotland) Act 1973. 3.1 Matters Arising from the Action Note It was noted that matters arising from the action note were on track. Noted. 4. Chief Social Work Officer Annual Report 2021/22 Submitted report by the 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:- • Recruitment of social workers, particularly given the current challenging financial landscape; • Mental health matters; and • Child protection arrangements. 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. 5. Director’s Report Submitted report by Caroline Cameron, Director (NAHSCP) on developments within the North Ayrshire Health and Social Care Partnership.
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The report provided an update on the following areas:- • National developments that included the New mental health and well-being platform for employers, outlined in more detail in the reports; • Ayrshire wide developments that included Discharge Without Delay – 7 Minute Briefing and Child Health Report 2022; • North Ayrshire Developments that included ‘Near Me’ (a video calling service used by many health and public services) based at Kilwinning Library, Respite fund applications open for unpaid carers, Impact Arts opportunities for young people and a recent team-building day involving North Ayrshire Drug & Alcohol Recovery Service (NADARS) through a successful application to the Staff Well-being fund; and • An update on the Covid vaccination programme including a pause to the remaining asymptomatic testing in place for health and social care staff and in high risk settings and updated guidance in relation to the use of face masks in social care alongside the seasonal flu vaccination programme. Members asked questions and were provided with further information in relation to:- • The ‘Near Me’ service and whether it would be rolled out to other public libraries in North Ayrshire, following evaluation; and • The current testing arrangements for health and social care staff and whether the test kits were still suitable for any future strains of the Covid-19 virus that might emerge. Noted. 6. Annual Performance Report 2021-22 Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation) on the key achievements during 2021-22 and the publication of the Annual Performance Report. The Annual Performance Report was set out at Appendix 1 to the report. Noted. 7. 2022-23 – Month 4 Financial Performance Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation) on the IJB’s financial performance. Appendix A to the report provided the financial overview of the partnership position, with the full Transformation Plan for 2022/23 provided in Appendix B. Appendix C provided an overview of those service changes with financial Savings attached to them and the current BRAG status around the deliverability of each saving. Appendix D outlined the movement in the overall budget position for the Partnership following the initial approved budget. The local finance mobilisation plan submission was provided at Appendix E to the report with Appendix F showing the IJB reserves position in detail. The Board agreed to (a) note (i) the overall integrated financial performance report for the financial year 2022-23 and the current overall projected year-end underspend of £0.389m, (ii) the progress with delivery of agreed savings, (iii) the remaining financial risks for 2022-23, including the impact of remaining Covid-19 estimates and costs; and (b) approve the budget reductions which were detailed at paragraph 2.11 of the report. 8. Reserves Policy
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Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation) on the updated Partnership reserves policy. The updated policy was set out at Appendix A to the report. The Board agreed to approve the updated reserves policy. 9. North Ayrshire Health and Social Care Partnership and Alcohol and Drug Partnership Implementing Medication Assisted Treatment – update report and Improvement Plan Submitted report by Peter McArthur, Senior Manager (Addictions), on the implementation of new Medication Assisted Treatment (MAT) Standards and requesting endorsement of the North Ayrshire MAT Improvement Plan. The MAT annual summary report 2021 to 2022; RAG Status - for MAT standards 1 to 5 - July 2022; North Ayrshire MAT Implementation Plan finalised draft - for endorsement & approval 080922; and Correspondence from Minister for Drugs Policy - MAT requirements and accountability 2022 was set out at Appendices 1 – 4 to the report, respectively. The Board agreed to (a) endorse the MAT Improvement Plan and (b) note the obligations placed on Chief Officers and Chief Executives in relation to governance and accountability. 10. Recovery & Renewal for Mental Health Submitted report by Thelma Bowers, Head of Mental Health, on the Scottish Government Programme of work for Mental Health Recovery & Renewal investment and service development in alignment with Scottish Government strategic priorities. Members asked questions and were provided with further information in relation to:- • Funding arrangements particularly involving the Third Sector. The Board agreed to (a) note the update on the programme of work for Mental Health Recovery and Renewal; (b) endorse and support the programme as set out in the report; and (c) that a seminar be arranged to give more information to Members in this area. 11. Whistleblowing Report – Quarter 1, April to 30 June 2022 Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, in relation to whistleblowing concerns raised in Quarter 1 (April-30 June 2022). Noted. The meeting ended at 11.40 p.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 22 September 2022 No. Agenda Item Date of Meeting Action Status Officer 1. Mental Welfare Commission Report: Authority to Discharge 21/10/21 The Board agreed to (a) note the terms of the report; (b) approve the North Ayrshire Health and Social Care Partnership response to the recommendations; and (c) receive an update report to the IJB in 12 months in terms of progress with the recommendations of the Mental Welfare Commission report. Update by October 2022 David Thomson 2. Communities Mental Health & Wellbeing Fund 17/3/22 The Board agreed to (a) note the terms of the report; and (b) note that a report would be brought to a future meeting of the Board, for consideration, which would provide learning and an evaluation of what worked, and what did not, in respect of the Fund distribution process, etc. Update to a future Board (date: tbc) Vicki Yuill 3. Medium-Term Financial Outlook 17/3/22 The Board agreed to (a) note the Medium- Term Financial Outlook and the potential financial position in years 2 and 3; and (b) approve the setting up of a Workshop, at the appropriate time, in order to help and facilitate consideration of matters going forward once the funding position, by the Scottish Government, had become clearer. Agreed to Set up a Workshop, at the appropriate time, once funding position, by the SG, had become clearer. Update – IJB Development Workshop taking place on 22 September 2022. Paul Doak
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4. Unscheduled Care Performance 16/6/22 The Board agreed to (a) (b) receive a performance update at the next meeting in August and thereafter consider any further interventions required; and (c) Verbal update provided 25 August 2022 Caroline Cameron 5. Director’s Report 25/8/22 A future report to be provided to the IJB on suicides, drug and alcohol related deaths. Date tbc Caroline Cameron 6. The Promise in North Ayrshire: Update on Progress 25/8/22 The Board agreed to note (b) that a further progress report and action plan will be remitted to IJB following The Promise Conference to be held in November 2022. Date tbc Alison Sutherland 7. North Ayrshire HSCP and ADP Annual Performance Management Report – Alcohol and Drugs 25/8/22 A future report to IJB from the ADP giving a clearer understanding in terms of drug types which have contributed to drug death statistics. Date tbc Caroline Cameron/ Peter McArthur 8. Recovery & Renewal for Mental Health 22/9/22 The Board agreed that a seminar be arranged to give more information to Members in this area. Date tbc Caroline Cameron/ Thelma Bowers