NAC 230621 DirApp IJB Review
North Ayrshire Council · 21 June 2023
Back to North Ayrshire Council — 21 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 COUNCIL 21 June 2023 North Ayrshire Council Title: Review of North Ayrshire IJB Scheme of Integration Purpose: To highlight to Council the requirement to review the Scheme of Integration between North Ayrshire Council and NHS Ayrshire and Arran. Recommendation: It is recommended that Council (a) notes the requirement to review the Scheme of Integration and (b) agrees to receive further updates as the review progresses. 1. Executive Summary 1.1 The Public Bodies (Joint Working) (Scotland) Act 2014 is intended to deliver adult social care and social work services and adult community health services in a joined-up way. 1.2 The Integration Scheme is the legal agreement between North Ayrshire Council and NHS Ayrshire and Arran which sets out the arrangements for integration of health and social care, in North Ayrshire currently this is achieved through an Integration Joint Board (IJB) with services delivered by the Health and Social Care Partnership (HSCP) 1.3 There is a legal duty on the Council and Health Board (not the IJB) to review the Integration Scheme at least every five years to identify whether any changes are necessary or desirable. 2. Background Integration Scheme 2.1 The Public Bodies (Joint Working) (Scotland) Act 2014 is intended to deliver adult social care and social work services and adult community health services in a joined-up way. The vision for the integration of health and social care is to produce better outcomes for people through services that are planned and delivered seamlessly from the perspective of the patient, service user or carer.
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2.2 The Integration Scheme is the legal agreement between North Ayrshire Council and NHS Ayrshire and Arran which sets out the arrangements for integration of health and social care, including the governance and financial arrangements and the functions which are delegated to the IJB. It is intended to achieve the National Health and Wellbeing Outcomes prescribed by Scottish Ministers. 2.3 North Ayrshire Council and NHS Ayrshire and Arran, as the ‘constituent authorities’, may decide to delegate other functions to the Integration Joint Board and, in North Ayrshire, Children and Families health and social work and Criminal Justice social work services are delegated to the IJB in addition to the statutory minimum. 2.4 The Integration Scheme content is legally prescribed and includes for example: • Local governance arrangements for the IJB, including membership. • Local delivery arrangements including Strategic Plan, Support Services, Performance Management Framework. • Clinical and Care Governance arrangements. • Chief Officer role including appointment. • Financial management arrangements, including budget setting and monitoring and risk sharing. • The use of capital assets. • Participation and engagement. • Information sharing and data handling. • Complaints handling. • Risk management • Dispute resolution. Requirement to Review the Scheme 2.5 There is a legal duty on the Council and Health Board (not the IJB) to review the Integration Scheme at least every five years to identify whether any changes are necessary or desirable. The current Integration Scheme was reviewed in 2018 so is required again in 2023, regardless of any future changes to service delivery for example possible changes that may be driven by the introduction of the National Care Service. In reviewing the scheme, the constituent authorities must have regard to the integration planning principles and the national health and wellbeing outcomes. 2.6 In identifying whether any review is necessary, the constituent authorities must jointly consult with a range of interested parties and then, taking account of any views, must decide whether a full review is required. These parties include health and social professionals and service users as well as commercial and non-commercial providers of services. 2.7 Both North Ayrshire Council and NHS Ayrshire and Arran, taking account of the views of the persons consulted, must then decide whether changes to the Scheme are necessary. If so, they must work together to prepare an updated Scheme.
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2.8 Any changes proposed to the Scheme will require to be fully resourced so if, for example, an additional function was to be delegated to the IJB then it is essential that due diligence be carried out on the accompanying resources to ensure that the function could operate as intended without placing an additional burden on the IJB and the partner bodies. 2.9 In any review of the Scheme, it is important that this is carried out in close liaison with East Ayrshire and South Ayrshire to ensure that the 3 documents remain consistent to support the Health Board to work with all the IJBs. It is the intention at this time for East, South and North Ayrshire Integration Schemes to be reviewed concurrently. Consultation and Review 2.10 The initial phase of the consultation is ongoing at present and this focusses on the need to review the Scheme. Consultation has taken place through the Health and Social Care Partnership Senior Management Team, the Strategic Planning Group (SPG) and the Integration Joint Board, as well as with service users and through care provider forums. Next Steps 2.11 An updated Integration Scheme will require to be approved by both North Ayrshire Council and NHS Ayrshire and Arran, as well as endorsed by the IJB, prior to submission to Scottish Ministers. Before submitting the revised Scheme for approval, the constituent authorities must consult again with the interested parties and undertake consultation on any proposed changes. It is anticipated that the review will conclude by December 2023. 2.12 Officers are working closely with colleagues at East and South Ayrshire and NHS Ayrshire and Arran to carry out the Scheme review. 3. Proposals 3.1 It is recommended that Council (a)notes the requirement to review the Scheme of Integration between North Ayrshire Council and NHS Ayrshire and Arran and (b) agrees to receive further updates as the review progresses. 4. Implications/Socio-economic Duty Financial 4.1 The delegation of any additional functions to the IJB must be accompanied by appropriate financial due diligence to ensure they are properly resourced. Appropriate risk sharing arrangements must be put in place. Human Resources 4.2 None.
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Legal 4.3 Reviewing the Integration Scheme is required to ensure ongoing compliance with the Public Bodies (Joint Working) (Scotland) Act 2014. Equality/Socio-economic 4.4 The Scheme of Integration is intended to achieve the National Health and Wellbeing Outcomes prescribed by Scottish Ministers. Climate Change and Carbon 4.5 None. Key Priorities 4.6 The Scheme of Integration supports the delivery of the strategic priorities of the Health and Social Care Partnership. Community Wealth Building 4.7 None. 5. Consultation 5.1 Consultation has taken place through the Health and Social Care Partnership Senior Management Team, the Strategic Planning Group (SPG) and the Integration Joint Board, as well as with service users and through care provider forums. Ongoing engagement is in place with East and South Ayrshire Council’s and NHS Ayrshire and Arran. Craig Hatton Chief Executive For further information please contact Aileen Craig, Head of Democratic Services, on 01294-324125. Background Papers