1 - 230615 - Minute and Action Note
North Ayrshire Council · 24 August 2023
Back to Integration Joint Board — 24 August 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 June 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 Robert Foster, North Ayrshire Council Joyce White, NHS Ayrshire and Arran (Vice-Chair) 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 Sharon Hackney, Lead Allied Health Professional Present (Remote Participation) Voting Members Adrian Carragher, NHS Ayrshire and Arran Councillor Anthea Dickson, North Ayrshire Council Christie Fisher, NHS Ayrshire and Arran Marc Mazzucco, NHS Ayrshire and Arran Professional Advisers Elaine Young, Public Health Representative Stakeholder Representatives Vicki Yuill, Third Sector Representative In Attendance (Physical Participation) Billy Brotherston, Independent Chair of ADP Michael McLennan, Interim ADP Lead Officer/Partnership Engagement Officer Elizabeth Stewart, Interim Head of Service (Children, Families and Criminal Justice) Eleanor Currie, Manager, HSCP Natalie Young, Trainee Accountant, HSCP Michelle Sutherland, Partnership Facilitator, HSCP Kerry Logan, Head of Service (Health and Community Care) Scott Bryan, Interim Portfolio Programme Manager Shannon Wilson, Committee Services Officer Diane McCaw, Committee Services Officer
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In Attendance (Remote Participation) Peter McArthur, Senior Manager (Addictions) Eileen Bray, CAMHS Kenneth MacMahon, CAMHS Apologies Councillor Timothy Billings, North Ayrshire Council Aileen Craig, IJB Monitoring Officer Thelma Bowers, Mental Health Adviser 1. Apologies for Absence and Chair’s Remarks Apologies for absence were noted. The Chair welcomed Councillor Robert Foster as a voting Member of the IJB, Kerry Logan as the newly appointed Head of Service (Health and Community Care) and Sharon Hackney as Lead Allied Health Professional, to the IJB. 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 The accuracy of the Minutes of the meeting held on 11 May 2023 were confirmed and the Minutes signed in accordance with Paragraph 7(10 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 – Scheduled for 24 August 2023. • The Promise in North Ayrshire Update on Progress – on Agenda 15 June 2023 - action closed. • Implementation of the National CAMHS and Neurodevelopmental Specifications – Update report to be presented to IJB in August 2023. • Director’s Report – Update to a future meeting regarding commissioned services – Scheduled for September 2023. • Suicide Prevention: Strategy, Learning and Development – Summary of training levels and availability to be provided to IJB – date tbc. Eileen Brae, CAHMS representative, gave a verbal update on the current position regarding implementation of the National CAMHS and Neurodevelopment specifications, including information on Extreme Team meetings on a weekly basis, the establishment of a number of project scopes and communication workstreams. Members asked questions and were provided with further information in relation to:- • an anticipated July 2024 opening for the CAMHS facility at West Road, Irvine;
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• the continued commitment to work towards the 1 August deadline for the provision of alternative referral pathways for young people; and • additional funding provided to the Neurodevelopmental Empowerment & Strategy Team (NEST) for the delivery of non-diagnostic dependent support. Noted. Adrian Carragher joined the meeting at this point. 4. Medication Assisted Treatment (MAT) Standards Update The Board received a presentation by Peter McArthur, Senior Manager (Addictions) in respect of the MAT Standards including information on implementation and evaluation of Standards 1-5, scoping requirements for Standards 6-10, progress and developments during 2022/23, and other developments relative to non-fatal overdose and residential rehabilitation pathways. The Independent Chair of the Alcohol and Drugs Partnership (ADP) advised the Board on the work undertaken by the Senior Manager (Addictions) and the Interim ADP Lead, which had contributed to significant progress with recent workstreams and production of the Annual Performance report to be presented to a future IJB. Kenneth McMahon left the meeting at this point. Members asked questions and were provided with further information in relation to:- • MAT Implementation Support Team (MIST) benchmarking scores related to Standards 6-10 and currently detailed as RAG status amber; and • identification of increased measures to improve the RAG status in connection with Standards 6-10. Noted. 5. North Ayrshire ADP Annual Reporting Survey 2022/23 Submitted report by Michael McLennan, Interim ADP Lead Officer on the proposed North Ayrshire ADP Annual Reporting Survey response for submission to the Scottish Government. The full Survey, with question responses, was detailed at Appendix 1 to the report. Members asked questions and were provided with further information in relation to:- • recruitment of support to further develop the work of the ADP; • the format of questions posed by the Scottish Government; • feedback provided by the Scottish Government following submission of the Survey response; • support pathways regarding community and criminal justice services; • anticipated key learning arising from the reporting information provided to the Scottish Government; and • the impact of the cost-of-living crisis on the number of referrals to support services.
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Councillor Dickson left the meeting at this point. The IJB agreed to approve the responses contained in the ADP Annual Reporting Survey for submission to the Scottish Government, as detailed in the Appendix to the report. 6. Director’s Report Submitted report by Caroline Cameron, Director (NAHSCP) on developments within the North Ayrshire Health and Social Care Partnership. Peter McArthur left the meeting at this point. The report provided an update on the following areas:- • National Developments that included the launch of Coming Home Dynamic Support Registers aimed at reducing out of area residential placements and inappropriate hospital stays for people with learning disabilities and complex care needs, publication of the national ‘Dementia Strategy for Scotland: Everyone’s Story’ on 31 May 2023, and the National Care Service programme of events for Summer 2023; and • North Ayrshire Developments that included the opening of the new staff accommodation on the Isle of Arran on 22 May 2023, the resignation of Councillor Louise McPhater from the IJB with the subsequent appointment of Councillor Robert Foster to the IJB and IJB Performance and Audit Committee, the development and launch of the refreshed North Ayrshire HSCP website, changes to the delivery of ‘Day Services’ following the remobilisation which began in June 2022, the positive impact of Naloxone distribution to counteract the effects of an opioid overdose, and Scottish Government confirmation that face coverings are no longer required in hospitals, health centres, community sectors, primary care social work and care homes. Noted. 7. Directions and Review of Integration Scheme Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation), on the Directions and Review of the Integration Scheme. Pan-Ayrshire work to progress a number of key aspects of integration had recently been recommenced following a pause due to the Covid-19 pandemic. The work covered the use of Directions, the development of a Joint Strategic Commissioning Plan and large hospital Set Aside budgets, along with the review of the Integration Scheme. The report detailed an update on progress with the workstreams. Members asked a question and were provided with further clarification in relation to the complex budget set aside position. The Board (a) agreed to take forward a review of the Integration Scheme in 2023; and (b) to otherwise note the recommencement of work in relation to the implementation of Directors and associated pan-Ayrshire workstreams.
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8. 2022-23 Year End Performance Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation), providing an overview of the IJB’s financial performance for the year ended 2022-23 and the implications for the IJB’s overall financial position including an update on the financial impact of the Covid-19 response. Appendix A to the report detailed the Objective Summary as at 31 March 2023 with Appendix B providing the reserves position in detail. Appendices C and D provided information on 2022/23 savings and highlighted the movement in the overall budget position respectively. Members asked questions and were provided with further information in relation to:- • the use of reserves to balance the budget and clarification around the element of surplus monies earmarked for specific purposes; • the future focus on building reserve levels; and • how VER scheme funding would be utilised by the Partnership. The Board agreed to (a) note the overall integrated financial performance for the financial year 2022-23 and the overall year-end underspend of £7.938m, adjusted to £3.719m after earmarking of funds which had been received for a specific purpose; (b) note the updated costs of the Covid response and the funding received; (c) note that outwith the IJB overall position, the £2.321m debt repayment had been made to North Ayrshire Council as planned; (d) approve the budget changes outlined at section 2.11 of the report; and (e) approve the proposed earmarking of the in-year surplus as detailed in the report, leaving a balance of £6.448m in free general fund reserves. 9. Community Wealth Building Update Submitted report by Paul Doak, Head of Service (HSCP Finance and Transformation), providing an update on Community Wealth Building and on the recent establishment of a working group to progress this agenda within the Partnership. Appendix 1 to the report detailed the ‘Anchor Charter’ signed by the IJB in October 2021 in conjunction with partner agencies. Members asked questions and were provided with further information in relation to:- • the enthusiastic response from services in terms of the Community Wealth Building employment pillar recruitment process; and • the requirement for each NHS Board to have a Strategy and Action Plan in terms of Community Wealth Building. The Board agreed (a) to receive future updates in connection with the Community Wealth Building agenda; and (b) otherwise to note the work carried out to date.
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10. Corporate Parenting Plan and The Promise Three Years On Submitted report by Elizabeth Stewart, Interim Head of Service (Children, Families and Justice) in relation to ongoing work to develop the Corporate Parenting Plan and to deliver “The Promise” to Children and Young People. The report detailed the progress in North Ayrshire to lay the foundations in Phase 1 of The Promise delivery plan which would enable the ambitious 10-year change plan to 2030 to be carried out and key actions to be progressed. The Promise Summary Report on progress and the Corporate Parenting Plan (2023-2026) were detailed at Appendices 1 and 2 to the report respectively. Noted. Adrian Carragher left the meeting at this point. 11. North Ayrshire Children’s Services Plan 2023-26 Submitted report by Elizabeth Stewart, Interim Head of Service (Children, Families and Justice) presenting the North Ayrshire Children’s Services Plan 2023-26, which was detailed in full at Appendix 1 to the report. Members asked questions and were provided with further information in relation to:- • the impact on services of continuing care, where 16-year-old young people in care ask to remain in placement until the age of 21; and • how the Whole Family Wellbeing Fund will support delivery of holistic whole family support services. The Board agreed to endorse the North Ayrshire Children’s Services Plan 2023-26, as detailed in the Appendix to the report, for submission to the Scottish Government. 12. Whistleblowing Update Submitted report by Karen Callaghan, Corporate Governance Co-ordinator, in relation to whistleblowing concerns raised in Quarter 4 (January - 31 March 2023). Noted. The meeting ended at 12.10 p.m.
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North Ayrshire Integration Joint Board – Action Note Updated following the meeting on 15 June 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. Agenda for August 2023 East HSCP 2. 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. Briefing note has been issued to IJB members on progress, formal progress report to IJB by October 2023. Caroline Cameron / Thelma Bowers 3. 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 4. 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 Verbal update to be provided to IJB on 24th August 2023 Darren Fullerton