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Integration Joint Board Meeting Thursday, 14 February 2019 at 10:00 Council Chambers Ground Floor, Cunninghame House, Irvine, K

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Integration Joint Board Meeting Thursday, 14 February 2019 at 10:00 Council Chambers Ground Floor, Cunninghame House, Irvine, K Integration Joint Board Meeting Thursday, 14 February 2019 at 10:00 Council Chambers Ground Floor, Cunninghame House, Irvine, KA12 8EE 1 Apologies Invite intimation of apologies for absence. 2 Declarations of Interest Members are requested to give notice of any declarations of interest in respect of items of business on the Agenda. 3 Minutes / Action Note The accuracy of the Minutes of the meeting held on 18 December 2018 will be confirmed and the Minutes signed in accordance with Paragraph 7 (1) of Schedule 7 of the Local Government (Scotland) Act 1973 (copy enclosed). 3.1 Matters Arising Consider any matters arising from the minutes of the previous meeting. Quality and Performance 4 Director’s Report Submit report by Stephen Brown, Director (NAHSCP) on developments within the North Ayrshire Health and Social Care Partnership (copy enclosed). Strategy and Policy 5 Budget Monitoring – Period 9 Submit report by Caroline Whyte, Chief Finance and Transformation Officer providing an update on the projected financial outturn for the financial year (copy enclosed). 6 Allied Health Professionals (AHP) Highlight Report 2018 1 Submit report by Alistair Reid, Lead Allied Health Professional providing detail on the activity of AHPs in North Ayrshire Health and Social Care Partnership (HSCP) during 2018 and on collective objectives for the next 12 months (copy enclosed). 7 Veterans First Point (V1P) Service Submit report by Lindsay Kirkwood, Clinical Lead V1P, in consultation with Thelma Bowers, Head of Service (Mental Health), providing information on the Veterans First Point Ayrshire and Arran service (copy enclosed). 8 Joint Locality Planning Partnership – Arran Pilot Submit report by Michelle Sutherland, Strategic Planning Lead on the development and pilot of an integrated HSCP Locality Planning Forum and CPP Locality Partnership arrangement on the Island of Arran (copy enclosed). 9 North Ayrshire Integration Joint Board Records Management Plan Submit report by Julie Davis, Principal Manager Business Administration on the North Ayrshire Integration Joint Board Records Management Plan (copy enclosed). 10 Ministerial Strategic Group for Health and Community Care - Review of progress with integration of Health and Social Care Submit report by Caroline Whyte, Chief Finance and Transformation Officer (copy enclosed). 11 Urgent Items Any other items which the Chair considers to be urgent. 12 Exclusion of the Public Resolve in terms of Section 50(A)4 of the Local Government (Scotland) Act 1973, to exclude from the Meeting the press and the public for the following item of business on the grounds indicated in terms of Paragraphs 1, 3 and 9 of Part 1 of Schedule 7A of the Act. Non Disclosure of Information In terms of Standing Order 19 (Disclosure of Information), the information contained within the following report is confidential information within the meaning of Section 50A of the 1973 Act and shall not be disclosed to any person by any Member or Officer. 13 Seabank Care Home Submitted report by Helen McArthur, Senior Manager, Community Care Services (copy enclosed). 2 Integration Joint Board Sederunt Voting Members Bob Martin (Chair) NHS Ayrshire & Arran Councillor Robert Foster (Vice Chair) North Ayrshire Council Councillor Timothy Billings North Ayrshire Council Alistair McKie NHS Ayrshire and Arran Councillor Christina Larsen North Ayrshire Council John Rainey NHS Ayrshire and Arran Dr. Janet McKay NHS Ayrshire and Arran Councillor John Sweeney North Ayrshire Council Professional Advisors Stephen Brown Director North Ayrshire Health and Social Care Caroline Whyte Chief Finance and Transformation Officer Dr. Paul Kerr Clinical Director David MacRitchie Chief Social Work Officer – North Ayrshire Dr. Calum Morrison Acute Services Representative Alistair Reid Lead Allied Health Professional Adviser David Thomson Associate Nurse Director/IJB Lead Nurse Dr Louise Wilson GP Representative Stakeholder Representatives David Donaghey Staff Representative – NHS Ayrshire and Arran Louise McDaid Staff Representative – North Ayrshire Marie McWaters Carers Representative Graham Searle Carers Representative (Depute for Marie McWaters) Sam Falconer (Chair) IJB Kilwinning Locality Forum Fiona Thomson Service User Representative Clive Shephard Service User Rep (Depute for Fiona Thomson) Nigel Wanless Independent Sector Representative Heather Malloy Independent Sector Rep (Depute for Nigel Wanless) Vicki Yuill Third Sector Representative 3 4 Agenda Item 3 North Ayrshire Health and Social Care Partnership Minute of Integration Joint Board meeting held on Thursday 13 December 2018 at 10.00 a.m., Council Chambers, Cunninghame House, Irvine Present Bob Martin, NHS Ayrshire and Arran (Chair) Councillor Robert Foster, North Ayrshire Council (Vice Chair) Councillor Timothy Billings, North Ayrshire Council John Rainey, NHS Ayrshire and Arran Councillor Christina Larsen, North Ayrshire Council Councillor John Sweeney, North Ayrshire Council Dr Janet McKay, NHS Ayrshire and Arran Caroline Whyte, Chief Finance and Transformation Officer David MacRitchie, Chief Social Work Officer Dr. Calum Morrison, Acute Services Representative Alistair Reid, Lead Allied Health Professional Adviser Dr. Louise Wilson, GP Representative David Donaghey, Staff Representative (NHS Ayrshire and Arran) Louise McDaid, Staff Representative (North Ayrshire Council) Graham Searle, Carers Representative (Depute for Marie McWaters) Nigel Wanless, Independent Sector Representative In Attendance Thelma Bowers, Head of Service, Mental Health Michelle Sutherland, Strategic Planning Lead Pam Milliken (East Ayrshire Council) Peter Omer (East Ayrshire Council) Karen Andrews, Team Manager (Governance) Hayley Clancy, Committee Services Officer Apologies for Absence Stephen Brown, Director of Health and Social Care Partners Alistair McKie, NHS Ayrshire and Arran Dr Paul Kerr, Clinical Director Vicki Yuill, Third Sector Representative Fiona Thomson, Service User Representative Sam Falconer, (Chair) IJB Kilwinning Locality Forum 5 1. Apologies Apologies were noted. 2. 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 there were no declarations of interest. 3. Minutes/Action Note The accuracy of the Minute of the meeting held on 15 November 2018 was confirmed and the Minute signed in accordance with Paragraph 7 (1) of Schedule 7 of the Local Government (Scotland) Act 1973. 4. Director’s Report Submitted report by Stephen Brown, Director (NAHSCP) on developments within the North Ayrshire Health and Social Care Partnership. The report, presented by Caroline Whyte, highlighted the “Charter for Change” sessions that communicate a consistent message to managers about what is planned and to get their valuable input into how to maximize the benefits of staff sessions. The Board noted the ongoing developments within the North Ayrshire Health and Social Care Partnership. 5. Audit Scotland Report: Health and Social Care Integration: Update on Progress Submitted report by Caroline Whyte, Chief Finance and Transformation Officer, on the Audit Scotland report on Health and Social Care Integration in Scotland with the report on progress with integration provided at Appendix 1 to the report. Members asked a question and were provided with clarification on North Ayrshire Council’s position in the financial performance 2017/2018 table at Appendix 4. The Board agreed to note (i) the Audit Scotland report and the findings therein and (ii) an action plan outlining the actions for the North Ayrshire IJB would be presented at a future meeting. 6. Budget Monitoring – Month 7 (October 2018) Submitted report by Caroline Whyte, Chief Finance and Transformation Officer on the projected financial outturn for the financial year. Appendix A provided a detailed financial overview of the Partnership budgetary position while Appendix B gave a detailed variance analysis. Appendix C presented full detail on savings, with Appendix D detailing progress against the approved recovery plan and Appendix E highlighting the movement in the overall budget position. Members asked questions and were provided with information on the following:- 6 • primary care prescribing and general medical services projected to be underspent due to the reduction in drug costs; and • the projected underspend due to part year vacancies. The Board agreed to (a) note the projected year-end overspend of £0.481m; (b) approve the changes in funding as detailed in section 2.12 and Appendix E to the report; and (c) note the impact of the financial recovery plan and the progress being made in delivering financial balance. 7. Implementation on the Charter for Involvement Submitted report by Thelma Bowers, Head of Service (Mental Health) on actions to take forward the 12 statements within the Charter. Members asked a question and were provided with clarification that review work to be undertaken in the Garnock Valley would be reported back to the IJB. The Board agreed to support the existing actions outlined and undertake to promote the relevance of the Charter across all aspects of the North Ayrshire Health and Social Care Partnership. 8. Primary Care Services Update Submitted report by East Ayrshire providing a Primary Care Services update with an appendix for each workstream provided. The report highlighted the following:- • the Primary Care and Out of Hours Services strategic direction and implementation of the Ambitious for Ayrshire Programme from 2016-2018; • the Primary Care Improvement
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