06 - IJB Director's Report
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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Integration Joint Board 15th June 2023 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 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 information on recent activity across the HSCP since the last IJB. 3. CURRENT POSITION National Developments 3.1 Launch of Coming Home Dynamic Support Registers On 25th May 2023, the Scottish Government published the Memorandum of Understanding (MoU) jointly agreed by the Minister for Social Care, Mental Wellbeing
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and Sport and COSLA Leaders on the use of Dynamic Support Registers, as proposed within the Coming Home Implementation Report. The Scottish Government and COSLA jointly set out ambitions to greatly reduce out of area residential placements and inappropriate hospital stays for people with learning disabilities and complex care needs with the publication of the Coming Home Implementation Report in February 2022. One of the key recommendations in the Report was to raise visibility, through improved monitoring and planning for and with people with learning disabilities and complex care needs through the development and implementation of Dynamic Support Registers. Strong local and national partnerships are a key theme of the Coming Home Implementation Report which highlighted that collaborative working will be essential to deliver on the Coming Home Implementation Report recommendations. The MoU sets out the key expectations upon Scottish Government, COSLA and Integration Authorities to continue working in partnership on this high priority agenda. Key actions include the importance of embedding Dynamic Support Registers in all Integration Authorities by July 2023 and reporting data through a new national reporting mechanism delivered in partnership with Public Health Scotland (PHS). North Ayrshire HSCP have supported development of the work nationally and are taking forward plans locally in relation to our own Dynamic Risk Register and the Complex Care agenda. A future update will be brought to the IJB. National Dementia Strategy 3.2 The new national Dementia Strategy for Scotland: Everyone’s Story was published on 31 May - Ministerial Foreword - New dementia strategy for Scotland: Everyone's Story - gov.scot (www.gov.scot). The Strategy follows a period of engagement with stakeholders across Scotland and describes a joint commitment by national and local government to a positive, shared vision for dementia in Scotland over the next 10 years. The Strategy commits to producing rolling 2 year delivery plans which will be developed with national and local oversight, with the first plan developed and agreed later this year with implementation from 2024-25. The Strategy describes the importance of: • Ensuring people have pre and post diagnosis support. • Taking steps to allow more people to live well in their communities. • Leveraging the experience and expertise of those affected by the disease to design and deliver their own support. • Enabling access to skilled and trauma-informed professionals, when necessary.
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North Ayrshire HSCP will engage with national and local colleagues with a local report and action plan brought to the IJB following the publication of the first national delivery plan. National Care Service 3.3 The NCS Communications and Engagement Team have shared plans for National Care Service co-design events in Summer 2023. The programme will be centred around ‘regional forums’, to provide the opportunity to engage with a wide range of people and stakeholders across the country. Regional forum locations: There are nine planned in-person forums across Scotland and five online forums. The in-person forums will take place as follows: • Forth Valley - Tuesday 20 June - Albert Halls, Stirling • Glasgow - Wednesday 28 June - William Quarriers Conference Centre, Govan • Tayside – Friday 14 July - Hilltown Community Centre, Dundee • Dumfries and Galloway - Tuesday 18 July - Millennium Centre, Stranraer • Argyll and Bute – Wednesday 26th July – The Corran Hall, Oban • Skye - Tuesday, 1 August - The Hub - An Crùbh Community Centre • Highlands - Tuesday, 8 August – Strathpeffer Community Centre • Shetland - Thursday 17 August - Islesburgh Community Centre, Lerwick • Moray - Tuesday 22 August - The Inkwell Centre, Elgin To supplement activity at these locations, the team are working with stakeholders to identify opportunities for additional engagement. This will specifically focus on reaching a diverse range of participants. In addition, online events, to support the broadest attendance and accessibility, will take place on 24 and 29 August. To find out more information about the events or sign up, full details can be found at gov.scot/ncs. North Ayrshire Developments
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3.4 Glenartney Staff Accommodation, Arran Glenartney House, the new staff accommodation in Brodick, Isle of Arran opened and welcomed the first guests on 22nd May 2023. As previously reported to the IJB, the house will be used for short-term staff accommodation on the island for care workers within Montrose House; Care at Home staff; Medical, Nursing and Clinical staff at Arran War Memorial. Two housekeepers are now in post and will ensure the upkeep and maintenance of the building and gardens on a daily basis as well as co-ordinating bookings and changeovers of staff. Appointments 3.5 IJB members are asked to note the resignation of Councillor Louise McPhater from the North Ayrshire IJB with effect from 5th May 2023. On 17th May 2023, North Ayrshire
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Council agreed the appointment of Councillor Robert Foster to the position. Cllr Foster has also agreed to join the IJB’s Performance and Audit Committee. HSCP Website 3.6 A North Ayrshire HSCP website is currently in development. The site is live now and most of the content has been transferred across from the old site, but some areas are still under construction. We are still in the process of making all of the documents on the site accessible and these will be uploaded once completed. The new site will be fully accessible and easier to maintain and update. The new look site can be found at nahscp.org where feedback on the refreshed site is welcomed. Day Services 3.7 North Ayrshire Health and Social Care Partnership temporarily closed its Older Peoples Day Services early in 2020 due to the COVID-19 Pandemic. Day Services staff were redeployed to critical frontline services including Care at Home and PPE distribution, with alternative Day Servies supports delivers during the period of closure such as outreach and befriending services. The remobilisation of Day Services began on a phased basis in June 2022 and all four in-house mainland day centres re-opened by the end of August 2022. As part of that remobilisation process it was necessary to make changes to how we deliver the services going forward to include reflecting on how we have supported people over the period of closure with virtual support and outreach visits. All day services have been increasing their capacity each week and as of 31 May 2023 all are open to provide building based support 5 days per week (Mon-Fri). The waiting list for each service is reviewed weekly and a robust action plan is in place to fully reopen at maximum capacity to ensure the demand for day opportunities can be met. Day Service Outreach remains in place for some of the day services and a team of Day Service outreach workers will be recruited by the end of 2023 which will enable the Partnership to deliver outreach and Day Servixe support over 7 days including early evenings and weekends. This will also include a befriending model and enable the most vulnerable service users throughout North Ayrshire to benefit from Day Services in their own home and also have a weekly virtual supports to reduce loneliness and social isolation. A community-based pilot approach to the restart of Day Services on Arran has commenced and will be evaluated over the coming months to inform the future provision on the Island. Report highlights lives saved by Naloxone
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3.8 A new report produced by NHS Ayrshire & Arran’s Prevention and Service Support Team has highlighted the positive impact of Naloxone distribution and use in North Ayrshire. This safe and easy-to-administer medication temporarily counteracts the effects of opioids, such as heroin, methadone, codeine, morphine and buprenorphine, and can save lives by reversing an overdose for 20 to 40 minutes until emergency help arrives. 1,710 Naloxone kits were distributed in Ayrshire between April 2022 and March 2023 (846 of which were in North Ayrshire), with 51 lives reported to have been saved in that time (31 in North Ayrshire). However, the true number of lives saved is thought to be higher, with many instances of Naloxone use going unreported. In addition, a total of 1,311 people received overdose awareness training across Ayrshire in the same time period, with a further 378 people attending a virtual or face to face Naloxone awareness course. If you’d like to see a further breakdown of figures, demographics and more information on who supplied the kits, you can request a copy of the full report by emailing irt.info@aapct.scot.nhs.uk If you’re concerned about your own or someone else’s alcohol and/or other drug use, you can find out more about the support available on the NAHSCP website. COVID Update 3.9 Following a review of the Covid-19 pandemic guidance that was introduced to protect staff, patients and visitors, the Scottish Government has confirmed that face coverings are no longer required in hospitals, health centres, community sectors, primary care, social work and care homes. Staff will continue to advise on the use of face coverings where is it considered best practice for infection prevention and control reasons. You can read more on the NHS A&A website. 4. IMPLICATIONS 4.1 Financial None 4.2 Human Resources None 4.3 Legal None 4.4 Equality/Socio-Economic None 4.5 Risk
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None 4.6 Community Wealth Building None 4.7 Key Priorities None 5. CONSULTATION 5.1 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