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5 - IJB Director's Report - 24-8-23

North Ayrshire Council · 24 August 2023
Back to Integration Joint Board — 24 August 2023 and its agenda

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Integration Joint Board
24th August 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
BSL British Sign Language
NCS National Care Service
ACF Area Clinical Forum
RSPB Royal Society for Protection of Birds
RMP Records Management Plan
PUR Progress Update Review 
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 
Consultations 
3.1 Health and Care Safe Staffing 
The Health and Care (Staffing) (Scotland) Act 2019 draft statutory guidance:
consultation is currently open and can be accessed here: form
https://www.gov.scot/publications/health-care-staffing-scotl...  The consultation will
close on 19th September 2023.  
The Scottish Government would like as many stakeholders as possible from Social
Care to take part in the consultation.   
A future briefing on the safe staffing legislation will be provided for IJB members. 
3.2 British Sign Language National Plan 2023 – 2029 
The BSL National Plan 2023-2029 consultation is now open and will run until Sunday
3 September, with the BSL National Plan 2023-2029 expected to be published by
Tuesday 31 October. 
Individuals and organisations can respond to the consultation in a number of ways
and can be accessed by the following the links below: 
• Consultation document (English Version) – The draft BSL National Plan
2023-2029 (English Version) can be found in Annex C. 
• Consultation document (BSL Version)
• Draft BSL National Plan 2023-2029 (BSL Version) 
3.3 Health and Social Care Integration Authority Planning and Performance Reporting
Statutory Guidance: Consultation 
The Scottish Government established a working group, including partners from across
health and social care, to refresh the statutory guidance on strategic plans and annual
performance reports. The working group included organisations that represent
supported people, carer organisations, provider organisations, those who plan and
oversee the delivery of services, and many more organisations. 
Re-drafts of the guidance have been produced through engagement with the working
group and is currently out for consultation.   Once feedback and views on these revised
guidance documents has been received, this will be issued to integrated authorities to
make it easier for them to plan services.

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The consultation is open for everyone to respond by 23 October 2023, and can be
accessed  here. 
3.4 National Care Service (Scotland) Bill 
The Scottish Government has reached an initial agreement with local authorities and
the NHS about the accountability arrangements for the National Care Service (NCS).  
The agreement establishes who will be responsible for people’s care once the NCS is
established, and confirmed that :- 
• Councils will continue to hold staff, assets, and the delivery of social care
services;
• Discussions will take place over the coming months to develop an
accountability framework for local and national elements, and
• New governance arrangements will be introduced to ensure consistently high
levels of service across the country. 
The partnership agreement follows the Verity House agreement on closer cooperation
between Scottish Government and local government. 
Discussions have also started with trade unions and the Scottish Government has
organised a suite of regional co-design events throughout the summer.  A survey has
been launched to understand how people’s experience of accessing social care
support and community health services is shaped by the local area they live in and
the results will be used to design how local services will be delivered and managed
within the National Care Service. 
Stage 1 of the Bill was due to be completed by end of March 2023, but subsequently
extended to end of June 2023.   A first Parliamentary vote on the Bill is now not
expected until January 2024 to :- 
• Ensure all required information is available to make the Bill as robust as
possible;
• Support improvements to the social care system ahead of establishment of the
NCS. 
No further clarity has been received on the inclusion or exclusion of children and
justice services within the Bill, however a final report from Children’s Services Reform
is expected to be published towards the end of October 2023.     
In relation to Criminal Justice services, a programme work and engagement in
underway and a final report is due late September 2023.

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North Ayrshire Developments 
3.5 Appointments - IJB 
Dr Tom Hopkins, has been appointed as the new Chair of the Area Clinical Forum by
members of the ACF.  Tom's Ministerial Appointment has been confirmed and he will
take up his Non-Executive role on the NHS Board from 18 August for four years.  Tom
replaces Adrian Carragher, Area Clinical Forum (ACF) Chair who will step down as
ACF Chair and as a Non-Exec of the NHS Board from 17 August after his agreed four
year term.   Tom Hopkins will therefore replace Adrian as Non Executive Director on
the North Ayrshire IJB, from that date.  I would like to thank Adrian for his support for
the North Ayrshire IJB over the last four years.     
3.6 Appointment – PAC 
Following a request for expressions of interest, Vicki Yuill has agreed to join the IJB
Performance and Audit Committee, all vacancies on PAC have now been filled.   
3.7 Celebration of Care Event 
The winners of the 2023 Partnership Awards were announced at our ‘Celebration of
Care’ event on Tuesday 20th June 2023 at the Volunteer Rooms in Irvine. 
The event was a fantastic celebration of
the staff, teams and individuals who
support or deliver health and social care in
North Ayrshire - and importantly, the
crucial work of people in our communities
who support others to improve their health
or well-being. 
Huge congratulations to all of this year’s
winners, finalists and nominees.  The
event was so successful, planning is
already underway for next year’s event. 
3.8 iMatter 
All HSCP staff, NHS and NAC employed, were asked to complete the annual iMatter
survey.    The reports are now available for those teams who reached their response
threshold and this year, we had our second highest response rate at 65%, and
positively the Partnership aggregate level of employee engagement was 81 – the
highest it has ever been.  Whilst the overall figure doesn’t show these teams sitting
above or below that level, it is a good general indicator of how team members
experience working in North Ayrshire HSCP and how engaged they are with their job,
their team and the HSCP.

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Individual teams are asked to complete their action plan by agreeing one thing the
team does well and identifying one action (or up to three actions) to improve the team
member experience at work. 
iMatter is a key tool for the HSCP to understand and gather feedback from the
integrated workforce and teams. 
3.9 What Matters to You? 
The NAHSCP Engagement Team is preparing to deliver the ‘What Matters to You?’
conversation for 2023 during the week beginning Monday 21 August. 
The focus of engagement this year will be on staff members, with employees being
asked ‘what matters to them’ about working in the Partnership. In addition, staff will
also be asked ‘what one thing could they change’ to make their day-to-day roles better. 
The focus on staff this year (rather than the wider public) is to provide an insight into
the mindset of staff as they have returned to more normalised working following the
pandemic. Many staff have been following the new agile working approach for some
time and we would be keen to learn the impact of this. 
Feedback from the engagement will be fed back to IJB members in due course. 
3.10 Congratulations - Trindlemoss Team Achieves Gold 
A group from Trindlemoss Day Opportunities in Irvine has achieved a Gold Award as
part of the RSPB’s Wild Challenge Awards programme. Stewart Baird, Mark
Stevenson, Darren Cousar and Elaine Rae have been busy taking part in the scheme,
which has seen them discovering, learning about, and helping wildlife in its natural
habitat. 
Having already completed the Bronze and Silver levels, the team has worked
extremely hard over the past 18 weeks to achieve the highest accolade in the Gold
award, with each level of the programme requiring the completion of a total of six
activities. 
Each award level is split into two categories, a ‘Help Nature’ section that involves
making our outdoor spaces wildlife friendly, and an ‘Experience Nature’ section, where
participants get up close and personal with wildlife and explore the amazing world of
nature on our doorsteps.

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The group has taken part in a host of activities throughout the challenge, including
building bat boxes, bird boxes and bee houses, local plant and mini-beast safaris, and
creating a fantastic mini-pond within the garden area at Trindlemoss. They’ve also
enjoyed a visit to Eglinton Park, where they tried pond dipping and discovered some
newts, as well as RSPB Lochwinnoch to explore the various wildlife.   
3.11 Launch of new community grief hub at Trindlemoss 
A new community grief hub has launched at Trindlemoss this month. 
Cruse Bereavement Support is working in partnership with the Co-op to bring grief
resources, drop-in support sessions and compassionate community workshops to the
hub, offering free support to those who are grieving and new skills to those who want
to understand how to better support someone following a bereavement. 
A weekly drop-in session will be held at Trindlemoss on Thursdays from 4pm to 6pm,
where Melanie from Cruse will be on hand to chat and signpost to support in the
community. For more information, visit the Co-op website. 
3.12 New Debt Advice Service for North Ayrshire residents 
North Ayrshire Health and Social Care Partnership is launching a new debt advice
service, which will be delivered by CHAP for the next two years through their base at
The Michael Lynch Centre for Enterprise in Ardrossan.

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CHAP provides free, independent debt advice and practical solutions for all - no matter
how big or small your debt problem. With a team of specialist staff, one of CHAP’s
expert debt advisers can talk you through your options and help you decide the best
way forward for you, before setting up your chosen debt solution and allowing you to
take back control of your life. 
To get in touch, call 030 0002 0002, email enquiries@chap.org.uk or use the online
contact form. 
In addition to the new debt advice service, a Financial Inclusion Partnership for North
Ayrshire has recently been established by NAHSCP. You can read more about both
of these on the North Ayrshire Council news website. 
3.13 IJB Records Management Plan – Progress Update Review (PUR) 
The North Ayrshire IJB Records Management Plan (RMP) was agreed by the Keeper
of  Records office in April 2021.   Each year the IJB is invited to submit a Progress
Update Review (PUR) to help authorities to demonstrate their continuing compliance
in keeping the RMP under review.     This is a voluntary mechanism and there is no
legal requirement or expectation to do this.   North Ayrshire IJB made no changes
during 2022 to the RMP but have submitted a PUR this year with some very minor
updates to the Record Management Plan including a change of name at No 2 and
update at No 7.   This was submitted on behalf of NAIJB on 31st July 2023. 
COVID Update 
3.14 Scottish Government COVID 19 : Pause in COVID 19 Testing Guidance 
The Cabinet Secretary for NHS Recovery, Health and Social Care, the Cabinet
Secretary for Justice and Home Affairs, and the Minister for Social Care, Mental
Wellbeing and Sport have agreed to pause all Scottish Government routine COVID-
19 testing guidance across health, social care and prison settings.   The exception to
the pause is for individuals in hospital, prior to being discharged to a care home or
hospice; this routine testing will remain. 
This decision has come about following advice from Antimicrobial Resistance and
Healthcare Associated Infection (ARHAI) Scotland, Scottish Government Professional
Clinical Advisors in Infection, Prevention and Control (IPC) and Public Health Scotland
(PHS) who have reviewed the current state of the COVID-19 pandemic and the
efficacy of current testing protocols. 
This includes pausing the testing of symptomatic health and social care staff. Staff
should adhere to the NHS Inform Advice on managing symptoms of a respiratory
infection.

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Testing for COVID-19 will remain to support clinical diagnosis and remain for
outbreaks as per the National Infection Prevention and Control Manual.  These
changes should take effect no later than 30 August 2023. Local implementation is
being considered by the NHS Ayrshire and Arran Public Health led Testing
Programme Board. 
3.15 COVID Inquiry 
There are currently two active public inquiries running simultaneously relating to the
COVID 19 pandemic.  Both the Scottish Inquiry and the UK Inquiry are actively
seeking and receiving information and documentation from both health bodies and
local authorities in Scotland across a number of themes.    Hearings in relation to both
inquiries are scheduled to proceed across a range of modules.   Further information
on the Inquiries and themes can be found on their website here. 
The partnership has already received and responded to requests for information for
various aspects of the inquiry, including investigations into deaths within Care Homes.  
Oversight and co-ordination arrangements have been established within the Local
Authority, NHS Ayrshire and Arran and the HSCP to oversee this activity and Julie
Davis, Principal Manager Business Administration has been appointed as the North
Ayrshire HSCP Single Point of Contact for the inquiries.   
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