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4 - IJB Director's Report 20-10-22

North Ayrshire Council · 20 October 2022
Back to Integration Joint Board — 20 October 2022 and its agenda

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Integration Joint Board
20 October 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
IRISR Independent Review of Inspection, Scrutiny and Regulation 
COSLA Convention of Scottish Local Authorities
NCS National Care Service
CSWO Chief Social Work Officer
PEAR Prevention, Early Intervention and Recovery
CLASP Community Led Action and Support Project 
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 Creating Hope Together : Scotland’s Suicide Prevention Strategy 2022-32 
The Scottish Government launched the Creating Hope Together : Scotland’s new
Suicide Prevention Strategy and Action Plan on 29th September 2022. 
The Strategy sets out an ambitious plan for Scotland to implement the first stage of
the 10 year strategy and includes four long term outcomes.  To achieve the vision
within the strategy these outcomes must be delivered to affect change across society,
services, communities, and individual experiences.   
The action plan identifies which areas will continue to be focussed on and identify new
areas of future work to support delivery of the outcomes.  The actions are built around
6 action areas and a workplan will be developed to detail which level the actions will
be delivered, e.g., national, local, regional (or a combination), lead partners,
resourcing and timescales.   Finalisation and publication of the outcomes framework
will include key indicators to measure progress in delivering the plan.  A copy of the
strategy is available through the attached link 
3.2 Launch – National Conversation for New Dementia Strategy 
The Scottish Government launched their “National Conversation” for the New
Dementia Strategy on 29th September 2022. 
The aim of the ‘National Conversation’, informed by a short discussion paper, is to
meaningfully capture the experiences of people living with or caring for someone with
dementia and to enable them to develop a new Strategy that covers all aspects of life
for someone living with dementia. 
It will run from 29th September until 5th December, and can be responded to via Citizen
Space. 
To enable people to respond how they choose, they will also be open to receiving
video and audio clips and will also hold a series of online conversations on the
Strategy, and will work with partners to facilitate face-to-face discussions in the coming
months. 
For further information, please get in touch at dementiapolicy@gov.scot.

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3.3 National Care Service Forum 
The first National Care Service Forum took place in Perth on Monday 3 October and
was well attended by people online and in person. 
The keynote speaker at the event was Kevin Stewart MSP, Minister for Mental
Wellbeing and Social Care, and with input from Humza Yousaf MSP, Cabinet
Secretary for Health and Social Care, and Angela Constance MSP, Minister for Drugs
Policy. 
The forum provided an opportunity for stakeholders, people who access social care,
the social care workforce, carers and unpaid carers to share their thoughts about the
National Care Service. Group discussion took place around a number of questions
and Scottish Government undertook to ensure that the information gathered at the
event would be used to help inform the co-design of the NCS. 
The forum will become an annual event. 
3.4 Independent Review of Inspection, Scrutiny and Regulation of Social Care in Scotland 
On 21st September 2022, Kevin Stewart, Minister for Mental Wellbeing and Social
Care announced the commission of an Independent Review of Inspection, Scrutiny
and Regulation (IRISR) across social care support services.    Dame Sue Bruce has
been appointed as Chair of the IRISR, supported by Stuart Currie as Vice Chair. 
The IRISR will :- 
(a) explore how regulation and inspection of social care services and partners who
contribute to care and wellbeing can be effectively supported to improve
outcomes and experiences for the people of Scotland; 
(b) ensure regulation, scrutiny and inspection of social care arrangements have a
basis in human rights and; 
(c) ensure appropriate scrutiny of all aspects of the National Care Service (NCS). 
Two advisory panels will be appointed to strengthen and assist the IRISR by
providing specialist advice to the Chair, and to inform any recommendations that
may be made regarding social care regulation, inspection and scrutiny. 
The review will include a call for evidence and include a programme of stakeholder
engagement in the coming months to ensure input from a wide range of voices,
including those seldom heard, to help support the review process. 
Dame Sue Bruce has been asked to report back to Ministers by June 2023.

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3.5 Inquiry : Health Inequalities in Scotland 
The Scottish Parliament’s Health, Social Care and Sport Committee published a report
of the findings of its recent inquiry into health inequalities in Scotland.   The inquiry
explored evidence on the fundamental causes of health inequalities and heard a range
of evidence from policy-makers across a wide spectrum of policy areas.   The report
sets out areas for future action at local authority, Scottish Government and UK
Government levels and highlights areas where further action is required.    A copy of
the report can be accessed through this link. 
3.6 Health and Social Care : Winter Resilience Overview 2022-2023 
On 4th October 2022, the Cabinet Secretary of Health and Social Care published the
annual progress update on the NHS Recovery Plan 2021-2026 which set out a joint
set of 8 priorities, agreed with COSLA designed to prepare for winter.     A copy of the
Winter Resilience Overview document can be found through this link. 
Ayrshire Wide Developments 
3.7 Staff Wellbeing Centre, Ayrshire Central Hospital 
During the covid pandemic, staff wellbeing areas were set up across sites within NHS
Ayrshire & Arran using existing clinical and training areas that had temporarily closed
due to the pandemic.   
These areas became safe havens for staff and served not only as somewhere for staff
to rest and reflect, but also as places to access to a range of well-being services at a
time when stress and anxiety was heightened and emotional, physical and mental
support was vital.   
NHS Ayrshire & Arran wants to ensure staff continue to have these essential spaces
to enhance their emotional, physical and psychological well-being going forward, with
newly refurbished centres currently in development at University Hospitals Ayr and
Crosshouse and Ayrshire Central Hospital, which will give staff improved access to
rest areas separate from the public.   
The Staff Well-being Centres are accessible to all clinical and non-clinical staff from
across our entire health and social care system, with the vision of providing a
sanctuary for them to be able to stop, reflect and reconnect with themselves.  The
centre has rest areas with comfortable seating, along with 2 consulting rooms. Staff
are welcome to take their breaks in the centre as it will be open in line with the dining
room’s operating hours.   
The first of the new Staff Well-being Centres was officially opened at Ayrshire Central
Hospital on 29 September 2022.  The centre makes up part of the existing building for
the Gallery Dining Room and is a place for all health and social care staff to take a
much-needed pause and relax. The official opening was marked with a ribbon cutting

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by the Chief Executive, Claire Burden, and Chair of Ayrshire and Arran NHS Board,
Lesley Bowie.   
3.8 Caring for Ayrshire Events 
The Caring for Ayrshire Informing and Engagement Programme will recommence
during November 2022 starting with three formal launch events in the following
areas;  
• East Ayrshire – 15 November 2022, Take a Bow, Kilmarnock KA3 7PH 10-
12noon
• North Ayrshire – 21 November 2022, Fullarton ConneXions, Irvine KA12 8PE
10-12noon
• South Ayrshire – 24 November 2022, Ayr Town Hall, Ayr KA7 1JX 1430-1630  
These events provide an opportunity to restart the Caring for Ayrshire conversation
and provide an update on progress and next steps. 
North Ayrshire Developments 
3.9 Social Work Leadership Event 
The partnership hosted it’s first Social Work Leadership Event on Friday 30th
September 2022 attended by over 60 participants.  The event was hosted by Scott
Hunter, CSWO and included presentations from Dr Martin Kettle from Glasgow
Caledonian University on Professional Identity which looked at how to strengthen the
professional identity of Social Works unique contribution in the context of integrated
working.  A presentation from Colin Turbett from Common Weal on Community Social
Work and the opportunities this presents for North Ayrshire and a presentation from
Stuart Muirhead from IRISS on the factors required for effective innovation in Social
Work Services.  Participants also heard from 2 local managers on examples of
successful service development within family support and mental health services. 
3.10 Our Community Space Sessions 
A new community project launched in the Garnock Valley earlier this summer is
proving to be a huge success. 
‘Our Community Space’ sessions run monthly in three Garnock Valley Towns, offering
residents a chance to enjoy a chat and meet new people, explore ways to improve
their mental and physical well-being and find out what’s going on in their communities. 
The main aim of the drop-in sessions is to reduce social isolation and loneliness,
providing a welcoming and informal atmosphere where people can come together to
enjoy the company.

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Local organisations and services have also been attending to share valuable
information and advice, with representatives from NAC’s Housing service, NAHSCP’s
Money Matters team, the Lennox Partnership, the Scottish Fire Service’s Home Safety
team, CLASP (Community Led Action & Support Project) and NHS Ayrshire & Arran’s
Musculoskeletal Pain team having been among the guests to attend so far. 
Staff from Turning Point Scotland’s Prevention, Early Intervention and Recovery
(PEAR) Service have also been delivering Naloxone training as part of the project.
Naloxone is a life-saving medication that can rapidly reverse an opioid overdose. 
3.11 Foxgrove Art and Therapeutic Design Newsletter 
Foxgrove will provide the first medium secure adolescent inpatient service for young
people in Scotland and is a key strand of the Scottish Government’s Mental Health
Strategy 2017-2027. 
The purpose-built facility, which is currently under construction within the grounds of
Ayrshire Central Hospital in Irvine, will ensure that children can be cared for closer to
home and will receive appropriate care, treatment, therapies, security and on-going
education. 
The latest Foxgrove Art and Therapeutic Design Newsletter has now been published,
containing information on the inspiration behind the feature wall design at the heart of
the building. 
3.12 Unpaid Carers Update 
Two new staff been appointed to the Carers Team to commence work to examine
service approaches to identifying and supporting all carers.  These appointments also
allow the softer front door approach to begin with carers completing a self-referral,
proportionate assessment and low-level resource release.  The communications and
guidance for this are being developed with plans to commence in November. 
A Prior Interest Notice (PIN) for retender of the Carer information and Support service
has been issued to engage a strategic partner to support the design and delivery of
our carer services.   
Pan Ayrshire plans to meet duties under Section 28 Carer Involvement in Hospital
Discharge are underway with support from Health Improvement Scotland.  This
involves two new staff, a referral process and signposting function agreed thus far. 
Improvement work with NAC Education to increase the identification of young carers
and offer of Young Carer Statements is underway with YC Co-ordinators assigned
across schools, awareness sessions beginning 11th October and a review of guidance
and resources to support YC’s and staff.

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3.13 SDS Learning Review 
The SDS Learning Review Board is well established with the fourth meeting scheduled
at the end of October.  This is chaired by Scott Hunter, Chief Social Work Officer, and
the membership is representative of local and national partners.  The overarching aim
of the review is to bring forward a range of recommendations and best practice to
strengthen our mainstream model of service delivery across all services in Children &
Families and Health & Community Care. 
Early agreements have been reached to consider best practice community social work
approaches and delivery.  The branching projects have been agreed and are being
populated and will commence November 22 – April 23.  The scope of these is: 
A) Policy & Procedure
B) Social Work Practice & Systems
C) Intake & Review Systems 
COVID Update 
3.14 Social Care Staff Support Fund 
The Social Care Staff Support Fund was due to end on 30th September 2022.   The
Scottish Government and COSLA have agreed to extend the fund to 31 March 2023. 
This fund is available for social care staff who are absent from work due to having
COVID19, or self isolating in line with public health guidance, and will remain in place
to support and encourage infection prevention and control in social care settings.   
Further guidance and eligibility criteria on the funding can be found here. 
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

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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