3 - Minute and Action Note
North Ayrshire Council · 16 March 2023
Back to Integration Joint Board — 16 March 2023 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 15 December 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 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 Present (Remote Participation) Voting Members Councillor Timothy Billings Christie Fisher, NHS Ayrshire and Arran Marc Mazzucco, NHS Ayrshire and Arran Professional Advisors Iain Jamieson, Clinical Director Stakeholder Representatives Louise McDaid, Staff Representative (North Ayrshire Council)/Chair, North Coast Locality Forum Pamela Jardine, Carers Representative 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) Craig Stewart, Committee Services Officer Karen Andrews, Team Manager, Governance Karen Campbell, Administrative Assistant to CSWO In Attendance (Remote Participation)
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Billy Brotherston, Independent Chair of ADP Peter McArthur, Senior Manager (Addictions) Michelle Sutherland, Partnership Facilitator, HSCP Eleanor Currie, Principal Manager – Finance Ruth Wilson, Team Manager (Democratic Services) Apologies Thelma Bowers, Head of Service (Mental Health), HSCP 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 17 November 2022 were confirmed and the Minutes signed in accordance with Paragraph 7 (1) of Schedule 7 of the Local Government (Scotland) Act 1973. It was noted that all matters arising from the action note were on track. 4. Director’s Report Submitted report by Caroline Cameron, Director (NAHSCP) on developments within the North Ayrshire Health and Social Care Partnership. The report provided an update on the following areas:- • National developments that included the NHS 24 Strategy Development Survey, Trauma is Everybody’s Business (Online event scheduled for 17 January 2023) and National Winter Response Structure, outlined in more detail in the report; • Ayrshire wide developments that included Caring for Ayrshire Launch planned for 16 January 2023 and Learning Disability Nursing Celebration Event; and • North Ayrshire Developments that included Mental Health and Wellbeing Support Survey, Suicide Prevention, SAMH Suicide Prevention Campaign, Official Opening of Harper House (a new family rehabilitation service, accepting referrals from across Scotland, based in Saltcoats, Care at Home Recruitment, Breastfeeding Rates across North Ayrshire and link to the latest Foxgrove Newsletter (the new national adolescent secure unit), set out in more detail in the report. Noted. 5. 2022-23 – Month 7 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
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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. Members asked questions and were provided with further information in relation to:- • the projected overspend on employee costs relating to covering vacancies and sickness of the Anam Cara dementia respite service in Kilbirnie; and • the underspends in relation to fostering placements, staffing vacancies, Care homes and dental services. 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 £0.077m, (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 reduction which was detailed at paragraph 2.11 of the report. It was also noted that a report on dental services would come to a future meeting of the Board for Members’ consideration. 6. HSCP Locality Engagement Approach Submitted report by Michael McLennan, Partnership Engagement Officer on the planned approach to improving locality engagement through redevelopment of the Locality Planning Forum structure. Members asked questions and were provided with further information in relation to widening out locality engagement to ensure that engagement was as positive and meaningful as possible. The Board agreed to endorse the proposed approach for implementation across all mainland North Ayrshire localities. 7. North Ayrshire Health Children’s Services Plan 2020-2023: Progress Report 2021-22 Submitted report by Caroline Cameron, Director HSCP presenting the draft North Ayrshire Children’s Services Plan 2020-23: Progress Report covering 2021-22. on the annual progress report in terms of the Children Services Plans. The North Ayrshire Children’s Services Plan 2020-23: Progress Report 2021-22 was attached at Appendix 1 to the report. Members asked questions and were provided with further information in relation to progress in achieving objectives and outcomes and how these were demonstrated in terms of qualitative and quantitative evidence. The Board agreed (a) to approve the draft North Ayrshire Children’s Services Plan 2020-23: Progress Report 2021-22 set out at Appendix 1 to the report; and (b) that the Progress Report be submitted to the Scottish Government and published on the North Ayrshire HSCP website, subject to sign-off by relevant governance groups. 8. Update Report on Prevention Actions for Drug and Alcohol Related Deaths
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Submitted report by Thelma Bowers, Head of Mental Health, providing an update on prevention actions for drug and alcohol related deaths. Members asked questions and were provided with further information in relation to how quickly improvements, showing a decrease in terms of drug and alcohol related deaths, would come through in terms of evidence and demonstrable outcomes. The Board agreed to note the content and assertive improvement actions contained within the report. 9. Support for Unpaid Carers in North Ayrshire Submitted report by Kimberley Mroz, Manager, Professional Standards (SDS/Carers) providing an update on developments to improve support for unpaid carers in North Ayrshire. Members asked questions and were provided with further information in relation to the messaging contained within the report, which showed the considerable work and effort that had been put in in terms of implementation and also showed the breadth and range of support arrangements in place for unpaid carers in North Ayrshire. The Board agreed to (a) note and support the work ongoing for unpaid carers and (b) endorse the routes for resource release. 10. Improving the Cancer Journey Submitted report by Clair McCamon, Senior Manager, Primary Care on proposals for partnership working to meet the needs of people affected by cancer across Ayrshire and Arran. The Macmillian Improving Cancer Journey (ICJ) Ayrshire & Arran (AA) Programme Board Terms of Reference was set out at Appendix 1 to the report. The Board agreed to (a) note the vision and aim for the Macmillan ICJ within North Ayrshire; (b) support the development and delivery model proposed; (c) approve the proposed governance and oversight arrangements; and (d) issue a Direction to NHS Ayrshire & Arran to recruit staff for Programme delivery. 11. Chair’s Closing Remarks Bob Martin, Chair, took the opportunity to thank everyone involved for their valued help and support during the year and wished all a Merry Christmas and Happy New Year. The meeting ended at 11.30 a.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 15 December 2022 No. Agenda Item Date of Meeting Action Status Officer 1. 2022-23 – Month 7 Financial Performance 15/12/22 Noted that a report on dental services would come to a future meeting of the Board for Members’ consideration. Date tbc David Thomson 2. 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. Planned for May 2023 Alison Sutherland 3. Director’s Report 25/8/22 A future report to be provided to the IJB on suicides, drug and alcohol related deaths. Report to be presented to the IJB in May 2023 specifically on suicide prevention strategy. Other elements covered in previous updates to IJB. Thelma Bowers 4. Analogue to Digital 16/6/22 Further update on progress to be brought back to IJB. Scheduled for IJB meeting on 11 May Kerry Logan