Democracy Spraffa

Chief Officer Report

Argyll and Bute Council · 31 May 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 31 May 2023 and its agenda

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Integration Joint Board      Agenda item: 
Date of Meeting:    31 May 2023 
Title of Report:  Chief Officer Report 
Presented by:  Fiona Davies, Chief Officer 
The Integration Joint Board is asked to:
 Note the following report from the Chief Officer 
Introduction 
I would like to welcome you to my Chief Officer Report for May 2023 and I hope you
find it of interest and as usual I would be delighted to receive feedback on the report
and how we can develop it further to ensure that it continues to reflect the work that
is taking place across the organisation. 
I would also like to welcome Cllr Amanda Hampsey to her first meeting as Chair of
the Integration Joint Board, Cllr Hampsey took up her post on 1 April 2023.  My
senior officers and I look forward to working with her over the coming months.  My
thanks goes to our previous Chair, Sarah Compton-Bishop, and my congratulations
to her as well on her recent appointment as Chair of NHS Highland.  This meeting
will also be the last one for Jean Boardman as her tenure comes to an end as one
of the NHS Highland representatives on the IJB.  I would like to thank Jean for her
the knowledge, passion and enthusiasm she brought to IJB meetings and I wish her
well for the future. 
Our esteemed colleague and Head of Planning, Performance and Technology
Stephen Whiston, after 38 years of dedicated public service, 26 of which have been
in Argyll & Bute, will be retiring. We are extremely sad to be losing someone who
has been so steadfast in our team. He has ensured Argyll & Bute stayed at the
forefront of new technology and has such a personal commitment to delivering
services in his community, we wish him all the best in this new phase of his life. 
In my report this month I have highlighted some examples of the good work that is
taking place across the HSCP and which is making a real difference to the lives of
the people of Argyll and Bute.  This includes the official opening of the Cowal Hub
on 28 April, the formal handover of the Kintyre Care Centre which took place on 20
March and the Coll Health and Social Care Needs Assessment Report which was
published in March as well.  More information on all of these is included further

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down in my report and my thanks to everyone who has been involved in these
fantastic projects. 
As well as highlighting all the good news it is also important that I outline some of
the organisational challenges we are facing as an HSCP and what we are doing to
try and tackle them.   
One of our main challenges is with recruitment and retention across many of our
workforce areas.  We are not alone in this as many HSCPs have similar issues but
the remote and rural nature of Argyll and Bute brings with it its own particular
challenges.  We are investing in a recruitment marketing campaign to try and
encourage people to come and work in Argyll and Bute and further information on
some of the proposals that we will implementing are outlined later in my report. 
We are also continuing with regular public engagement activities within our local
communities and colleagues from the Planning Team are currently in the process of
delivering a series of drop in events across the HSCP.  These have been arranged
to provide members of the public with an opportunity to let us know how we have
been doing so far with the implementation of our Joint Strategic Plan for 2022-25,
which was launched last year.  We have a couple more events in June on Islay and
Mull (details below) and I would like to thank everyone who has attended the events
so far or fed their thoughts back via the online survey.   
I also had the pleasure of attending the HSCP’s Excellence Awards in Inveraray on
Friday 12 May.  These awards are a real opportunity to celebrate the hard work and
dedication of HSCP staff and our colleagues in partner agencies.  It was such a
lovely occasion and it was really great to meet so many colleagues in person and
talk to them about the work they are doing within their local communities.  Details of
the winners are included later in my report and my congratulations go to them and
everyone else who received a nomination. 
HSCP Updates 
Coll Health and Social Care Needs Assessment 
The Coll Collaborative Working Group (CCWG) and the HSCP launched the Coll
Health and Social Care Needs Assessment at a community event on Coll on
Thursday 16 March. 
This report has played an important role in contributing to our understanding of the
specific health and social care needs of the people of Coll and has identified areas
where our services are working well and also highlighted other services where more
work needs to be done. 
We would like to thank the CCWG and the people of Coll for their help in bringing
this important piece of work together.  The information contained within the report
will also greatly assist the HSCP in the development and planning of health and
social care services for the people of Coll. 
The CCWG was established in 2022 to work alongside partners and community
representatives from Coll with the aim to assess the level of health and social care
need on Coll and to agree on a redefined model of service delivery to meet the

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needs of the community.  Further information, including a copy of the Needs
Assessment Report, is available here. 
Joint Strategic Plan 2022-2025 
The HSCP launched its Joint Strategic Plan for 2022-2025 last year.  You can view
a copy here.  The plan is aspirational and ambitious and has the following four key
tenets which will inform everything that we do: 
 Prevention, Early Intervention and Enablement
 Choice and Control and Innovation
 Living Well and Active Citizenship
 Community Co-production (working with communities to produce local
community services) 
A series of Community Drop in Events were arranged to provide members of the
public with an opportunity to feedback their views on how we are doing so far with
the Plan.  The events commenced on 17 April and HSCP representatives have
already met with the public in Oban, Campbeltown, Lochgilphead, Inveraray,
Helensburgh, Dunoon and Bute.  There are two more events still to take place and
details of these are outlined below.   
 Isle of Mull Craignure An Roth Centre, Tuesday 6th June, 11.15am -
12.45pm
 Isle of Islay Bowmore Gaelic Centre, Tuesday 13 June, 5.30pm - 7.30pm 
If members of the public were unable to attend a drop in event then we also have an
anonymous online survey (available here) which everyone within Argyll and Bute is
welcome to complete.  The Chief Officer has also produced a vlog which you can
view here. 
Chief Officer Opens Quality Improvement Event 
The Chief Officer opened a Quality Improvement Excellence Event which was
recently held in Kilmory in Lochgilphead on 24 March.  The event celebrated the
excellent work that is ongoing across Argyll and Bute focusing on improving quality
in different areas across the HSCP. 
Those attending the event on the day heard a number of examples of ways to use
data and consider different ways of working to ensure that we continue to deliver
high standards for the people using our services. 
These examples included tissue viability partnership working with the podiatry team,
the work that is taking place to integrate delirium screening in Campbeltown, the

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development of new nursing documentation in Islay, supporting pathways between
physio colleagues in Oban and their third sector supporting services. 
Staff Awards 
The HSCP’s Excellence Awards took place this year in Inveraray on Friday 12 May. 
The awards are a real opportunity to celebrate the hard work and dedication of
HSCP staff and colleagues in partner agencies.  We would like to congratulate
everyone who was nominated for an award and the winners of each of the
categories are detailed below. 
Nurse/Midwife of the Year 
Karen Nonhebel (Isle of Mull) 
Social Worker of the Year
Nadia Johnson (Helensburgh) 
Admin/Secretarial Worker of the Year
Emma Mason (Kintyre) 
Outstanding Individual
Karen Nonhebel (Isle of Mull) 
Outstanding Team
Argyll and Bute Maternity Team 
Support Worker of the Year
Ciaran Norris (Kintyre) 
Therapist of the Year
Mark Nichols (Oban) 
Patient/Service User Choice Award
Blue Triangle Housing Association 
Mentor of the Year
Andrew Meechan (Mid Argyll) 
Partner Award 
Katrina Sayer (Jean’s Bothy, Helensburgh) 
Chief Officer Outstanding Contribution to Health & Social Care
George Morrison (George, who has now retired, was Deputy Chief Officer) 
Service Updates 
Vaccination Programmes 
The Autumn/Winter vaccination programme finished at the end of March and Argyll
and Bute achieved a completion figure above the national average. 
The Spring/Summer 2023 COVID -19 vaccination service started on 27 March and
will be delivered in full by HSCP teams, with the exception of six island areas.  The

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campaign started with the delivery to all care home residents and housebound
patients over the age of 75 or with a weakened immune system. 
The public clinics commenced on 11 April 2023 and all eligible patients will be sent
a letter either appointing them or prompting them to book an appointment via the
national portal.  The groups to be covered in the campaign are: 
 Over 75s
 Care home Residents
 Those aged 5–74 who fall into the ‘Weakened Immune System’ category
 From 1 May children aged 6m-4 years in a clinical risk group were also
eligible. 
Further information is available on the NHS Inform website here or by calling the
NHS Highland Service Delivery Centre Helpline on 0800 032 0339 (open Mon-Fri
9.30am to 5pm) or the National Call Centre Helpline on 0800 030 8013 (open Mon-
Fri 9am-6pm, Sat 9am-1pm, closed Sun) 
Organisational Challenges 
Recruitment 
Like other HSCPs across Scotland Argyll and Bute is continuing to face significant
recruitment and retention challenges in workforce areas such as nursing, social
work and social care.  There are a number of reasons for these challenges including
competition from other HSCPs and public sector organisations.  There is also
competition from employers in other sectors within Argyll and Bute, such as retail
and hospitality; this is particularly the case for the pool of workers who may in the
past have been attracted to work in the social care sector. 
A proposal was taken to the Senior Leadership Team meeting on 19 April 2023
detailing a number of proposals for a recruitment marketing campaign to assist with
HSCP recruitment across both the health and social care sector.  These proposals
would assist in the delivery of a co-ordinated, targeted and structured campaign that
would use a range of channels and methods over an extended period of time.  SLT
agreed for the following to be taken forward. 
 Work with Argyll and Bute Council communications team to further develop
and promote the abplace2b.scot website (view here).  This site was
developed to showcase Argyll and Bute and market the area as an attractive
location to live and work.
 Increase the investment in the filming of both staff and locations across Argyll
and Bute, including islands.
 Invest in advertising on CalMac ferries in particular targeting the key ferry
routes in Argyll and Bute that have high passenger numbers
 Visual marketing through a network of TV screens which are located in shops
and holiday parks across the Kintyre peninsula

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National Updates 
Protecting Care Home Residents’ Rights 
The Health and Social Care Standards which came into force last April gave people
living in care homes rights to see loved ones and name relatives or friends they
wish to be involved in their care plans. 
The standards have helped deliver the aims of Anne’s Law, ensuring people who
live in adult care homes have rights to see and get support from those who are
important to them, ahead of the Scottish Parliament considering entering it into
legislation as part of the National Care Service (Scotland) Bill.  Further information
is available here. 
Tech Partnership Boosts health Innovation 
Innovative companies will be able to trial new health products in clinical settings
across the country following a link-up between the Scottish Government’s £42
million Techscaler programme and the NHS. 
Participants in the programme, which provides world class expertise and support to
young businesses with high growth potential, are being offered access to NHS
Regional Test Beds. These enable entrepreneurs to work alongside clinicians and
have access to patients and anonymised data to test ideas, products and services. 
Further information is available here. 
COVID-19 Spring Booster Programme Underway 
Residents in care homes for older adults started to receive their spring COVID-19
booster from Monday 27 March as the latest stage of the national vaccination
programme gets underway. 
Following recent advice from the Joint Committee on Vaccination and Immunisation
(JCVI), a spring booster dose will also be offered to those aged 75 and over from 11
April and individuals aged five and over with a weakened immune system from 24
April. These groups will either receive appointment details through their preferred
means of contact or will be sent details of how to book.  Further information is
available here. 
Health Inequalities Statistics Released 
Scotland’s Chief Statistician announced the publication of the latest Long-term
Monitoring of Health Inequalities report.  The report includes a range of indicators
selected in order to monitor health inequalities over time. These indicators include:
healthy life expectancy, premature mortality, all-cause mortality, baby birthweight
and a range of morbidity and mortality indicators relating to alcohol, cancer,
coronary heart disease and drug use.  Further information is available here.

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Good News 
Kintyre Care Centre 
The formal handover of the running of Kintyre Care Centre (KCC) in Campbeltown
from HC-One to the HSCP was concluded on 20 March 2023.  Representatives
from the HSCP and KCC held a small tea in the facility on the same day to mark
this new phase in the life of the home. 
We would like to thank everyone involved in the work around making this a reality, it
has been a great example of partnership working between Argyll and Bute Council,
the HSCP and also HC-One.  This work has ensured that we will continue to have
residential and nursing care beds in the Kintyre area. 
Kintyre Care Centre (KCC) is a 40-room residential and nursing care home,
providing the only nursing care provision in Campbeltown or indeed in the west of
Argyll and Bute. The HSCP provided the funding for the purchase of KCC however
as the HSCP is a partnership (between Argyll and Bute Council and NHS Highland)
it cannot legally own the centre in its own right therefore Argyll and Bute Council
agreed to take legal responsibility for the building.  You can view the full press
release here. 
Cowal Hub Officially Opened 
The Cowal Community Hub was officially opened on Friday 28 April 2023 and the
opening was attended by Elena Whitham, Scottish Government Minister for Drugs
and Alcohol Policy. 
The facility, which is run by Argyll and Bute Rape Crisis and supported by a number
of partners including the HSCP, provides a warm and safe space for the local
community.  It also strives to provide support for local services including addiction,
mental health, advocacy, housing, financial support, smoking cessation and
Citizen’s Advice.   
The HSCP and Argyll and Bute Alcohol and Drug Partnership were delighted to
provide initial funding and support for the development of the project and thanks go
to Rape Crisis and all other partners who worked so hard to make this facility a
reality for the local community. 
Staffing Updates 
Unit Manager Gortanvogie Care Home 
We are delighted to announce that, following competitive interview, Kathleen
Anderson has been appointed as the Unit Manager for Gortanvogie Care Home on
Islay. 
Kathleen, who is from Islay, is a registered general nurse and comes to the post
with a wide variety of experience and skills and an enthusiasm to provide quality
services to the local people on Islay.  She commenced in her role on 3 April.

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Senior Service Manager Strategic Estates Development & Sustainability 
We would like to welcome Keiran Ferguson who joined the HSCP as Senior Service
Manager Strategic Estates Development & Sustainability at the beginning of April. 
This is a new role for the organisation and will help develop an integrated and
strategic approach to the management and improvement of the property portfolio
utilised by the HSCP. 
Keiran is a Chartered Engineer and is an experienced Corporate Real Estate and
Facilities Operations Professional who has worked in a number of senior roles
within the private sector. 
Unscheduled Care Programme Lead 
We are also really pleased to highlight that Karl McLeish commenced in post in April
as Programme Manager for Unscheduled Care.  This role involves co-ordinating a
wide range of programmes under the ethos of the Right Care, Right Time, Right
Place agenda. 
Karl’s has worked across a number of NHS Trusts in the North East of England and
his background is in NHS Strategic Commissioning, Service and Operational
Management. 
Head of Strategic Planning, Performance and Technology 
We are delighted to confirm that, following competitive interview, Kristin Gillies has
been appointed as Head of Strategic Planning, Performance and Technology for the
HSCP.  Kristin will take up post on 29 May. 
Many of you will already know Kristin as she has worked in Argyll and Bute since
2009, most recently as a Senior Service Planning Manager for the HSCP where
over the years she has been the lead on waiting times, our Service Level
Agreement and patient pathways with NHS Greater Glasgow & Clyde. 
The Head of Strategic Planning, Performance and Technology is a key senior role
within the organisation which is heavily involved in a number of important national
and local developments, including TEC (Technology Enabled Care) deployment,
Integrated Performance systems, commissioning and strategic planning and fleet
management modernisation.