3 - Minute and Action Note
North Ayrshire Council · 15 June 2023
Back to Integration Joint Board — 15 June 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 11 May 2023 at 10.00 a.m. involving participation by remote electronic means and physical attendance within the Council Chambers, Irvine. Present (Physical Participation) Voting Members Councillor Margaret Johnson, North Ayrshire Council (Chair) Councillor Timothy Billings, North Ayrshire Council 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 Darren Fullarton, Associate Nurse Director/IJB Lead Nurse Victor Chong, Medical Representative Stakeholder Representatives Louise McDaid, Staff Representative (North Ayrshire Council)/Chair, North Coast Locality Forum Vicki Yuill, Third Sector Representative Present (Remote Participation) Voting Members Joyce White (Vice-Chair) Adrian Carragher, NHS Ayrshire and Arran Christie Fisher, NHS Ayrshire and Arran In Attendance (Physical Participation) Elaine Young, Head of Health Improvement/Assistant Director of Public Health (NHS) Thelma Bowers, Head of Service (Mental Health), HSCP Elizabeth Stewart, Senior Manager, HSCP Eleanor Currie, Manager, HSCP Kerry Logan, Senior Manager (Health and Community Care) Ruth Wilson, Team Manager (Democratic Services) Karen Andrews, Team Manager Shannon Wilson, Committee Services Officer Diane McCaw, Committee Services Officer Apologies Marc Mazzucco, NHS Ayrshire and Arran
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1. Apologies for Absence 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 16 March 2023 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 Updates in terms of the Action Note were detailed as follows:- • 2022-23 – Month 7 Financial Performance – report on Dental Services – planned for 24 August 2023. • The Promise in North Ayrshire Update on Progress – further progress report and action plan to be remitted to IJB following The Promise Conference in November 2022 – planned for June 2023. • Director’s Report – Suicides, drugs and alcohol related deaths – report to be presented to IJB in May 2023 specifically on suicide prevention strategy. Other elements covered in previous updates to IJB. On Agenda 11 May 2023 - Action closed. • Analogue to Digital – Update on Agenda 11 May 2023 – Action closed. • Implementation of the National CAMHS and Neurodevelopmental Specifications – further update - date tbc. Noted. 4. IJB Membership Update Submitted report by Caroline Cameron, Director (NAHSCP) on the recent appointments and changes to the IJB, IJB Performance and Audit Committee and Strategic Planning Group. The full updated membership list was detailed at Appendix 1 to the report. The report detailed the appointments as follows:- • Councillor Margaret Johnson, as Chair of the IJB, following the rotation of the roles of Chair and Vice-Chair; • Joyce White OBE, as the new non-Executive NHS Ayrshire and Arran member of the IJB who will assume the role of Vice-Chair of the IJB and also Chair of the Strategic Planning Group; • Marc Mazzucco rotating to assume the role of Chair of the IJB Performance and Audit Committee; • Timothy Billings rotating to assume the role of Vice-Chair of the IJB Performance and Audit Committee; and
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• Sharon Hackney as the Lead Allied Health Professional for North Ayrshire commencing from 12 June 2023. The Director further advised that discussions are underway within the Partnership in relation to the current vacancies on the IJB which should be resolved by the end of the summer period, and on the recruitment exercise in relation to a Head of Service (Health & Community Care) and Head of Service (Children, Families and Justice). Expressions of interest were also sought from IJB Members to join the Performance and Audit Committee. Councillor Billings joined the meeting at this point. The Chair welcomed Joyce White as non-Executive NHS Ayrshire and Arran Member to the IJB and confirmed that Elaine Young would be detailed on the membership as a Professional Adviser in terms of Public Health representative. Noted. 5. 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 publication on 6 April 2023 of the Accounts Commission report on IJB workforce pressures and financial challenges, the Care Inspectorate thematic review of the experiences of disabled children and young people, the HMICS thematic review in relation to policing mental health in Scotland, the Scottish Government review of National Outcomes, and the extension to the Scottish Parliament’s consideration of the National Care Service Bill until after summer 2023; • The Ayrshire wide development of the award of the Baby Friendly Initiative (BFI) Gold accreditation; and • North Ayrshire Developments that included the closure of nominations for the North Ayrshire Partnership Awards with winners to be announced on 20 June 2023, the commencement of the transformation from analogue to digital Community Alarm and Telecare equipment, the transfer of all Care at Home delivery to the HSCP in-house Care at Home service, and the alignment of Financial Inclusion Services to meet the needs and increasing demand for support from our citizens. Members asked questions and were provided with further information in relation to:- • The potential for early learning from the Care Inspectorate review to allow proactive assistance to be provided; • North Ayrshire’s commitment to undertaking a degree of self-evaluation work in relation to services for children with disabilities; • Partnership working in terms of mental health and financial services; • Representation from Public Health on the Financial Inclusion Partnership; • An update to a future meeting regarding the in-house Care at Home service following the transfer from an external care provider; and • Covid-19 balances now being fully recovered by the Scottish Government.
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Noted. 6. Community Alarm/Telecare Service Transition from Analogue to Digital Submitted report by Kerry Logan, Senior Manager, on the North Ayrshire programme of work for Community Alarm and Telecare Service transition from Analogue to Digital Service including information on a procurement exercise in terms of the digital technology required to replace the existing analogue equipment in the homes of service users, interim arrangements to ensure services can continue to be delivered while there is a blend of communication methods, the development of a project plan for the transition, the conducting of a procurement exercise for a Call Monitoring and Alarm Receiving Centre, and the possible introduction of a specific eligibility criteria for the service as a result of potential cost implications linked to the transition. Victor Chong left the meeting at this point. Members asked questions and were provided with further information in relation to:- • Potential risk in terms of possible widening of inequalities within rural locations; • Enhanced community engagement to provide reassurance in terms of the changes; • The need to highlight the requirement for additional funding to deliver services; and • The importance of the level of kit which is purchased. The Board agreed to note the content of the report and implications detailed therein. 7. Suicide Prevention: Strategy, Learning and Development Submitted report by Thelma Bowers, Head of Service providing an oversight on the extensive range of suicide prevention work ongoing across health and social care by suicide prevention groups and HSCP clinical and social care teams to evidence an impact on incidents of suicide in North Ayrshire. The report provided updates in relation to the New National Suicide Prevention Strategy: Creating Hope Together: Scotland’s Suicide Prevention Strategy 2022-2032, the North Ayrshire and wider Ayrshire and Arran Suicide Prevention Strategy and Planning, learning achieved through suspected deaths by suicide and development of training. Action plans to support longer term outcomes were also detailed. Louise McDaid joined the meeting at this point. Members asked questions and were provided with further information in relation to:- • Progressive and detailed actions for consideration in relation to all outcomes; • Alignment with public health priorities and partnership working in this regard; • Guidance for Managers on support for staff; • The impact of gambling addiction on the number of suicides; • The need to review training and education in relation to gambling as a risk factor; • Ensuring our communities have a clear understanding of suicide, risk factors and its prevention; • Links with the private sector and corporate businesses to highlight risks; • The provision of training to those who work within the financial support sectors and the level of need and demand for this specialist training; and • The requirement for a whole system approach involving communities.
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Darren Fullarton advised a summary of training levels and availability could be provided to a future meeting of the IJB. The Board agreed to support the current plans and direction of travel. 8. Equality Mainstreaming and Outcomes Report 2021-22 Submitted report by Scott Bryan, Interim Programme Manager, Strategic Planning detailing progress in terms of Equality Outcomes. The Equality Mainstreaming and Outcomes Report 2021-22 was detailed in full at the Appendix to the report. The Board agreed to (a) approve for publication the Equality Mainstreaming and Outcomes Report 2021-22 as detailed at the Appendix to the report; and (b) otherwise note the terms of the report. 9. Whistleblowing Update Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, in relation to whistleblowing concerns raised in Quarter 3 (October - 31 December 2022). Noted. The meeting ended at 11.40 a.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 11 May 2023 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. Scheduled for August 2023 Michelle Sutherland (via East HSCP) 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. On agenda Alison Sutherland 3. Implementation of the National CAMHS and Neurodevelopmental Specifications 16/3/23 Further update being provided to the IJB, potentially prior to the summer recess period. Thelma Bowers will provide verbal update on progress at June meeting, with report to be presented to IJB in August 2023. Caroline Cameron / Thelma Bowers 4. Director’s Report 11/5/23 An update to a future meeting regarding commissioned services, to provide the IJB with an overview of provider landscape. Planned for September 2023 Paul Doak 5. Suicide Prevention: Strategy, Learning and Development 11/5/23 Darren Fullarton advised a summary of training levels and availability could be provided to members of the IJB tbc Darren Fullerton