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Full text of "Integration Joint Board - 24/09/2020"

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Health and Social Care 

North Ayrshire Health and Social Care Partnership 
Minute of Integration Joint Board Virtual meeting held on 
Thursday 27 August 2020 at 10.00 a.m. 


Councillor Robert Foster, North Ayrshire Council (Chair) 

Bob Martin, NHS Ayrshire and Arran (Vice-Chair) 

Councillor Timothy Billings, North Ayrshire Council 
Adrian Carragher, NHS Ayrshire and Arran 
Councillor Anthea Dickson, North Ayrshire Council 
Councillor John Sweeney, North Ayrshire Council 

Stephen Brown, Director of Health and Social Care Partnership 

Caroline Cameron, Chief Finance and Transformation Officer 

Dr Paul Kerr, Clinical Director 

Alistair Reid, Lead Allied Health Professional Adviser 

Dr Calum Morrison, Acute Services Representative 

David Thomson, Associate Nurse Director/IJB Lead Nurse 

David Donaghey, Staff Representative (NHS Ayrshire and Arran) 

Louise McDaid, Staff Representative (North Ayrshire Council) 

Graham Searle, Carers Representative (Depute for Marie McWaters) 

Clive Shepherd, Service User Representative 
Vicki Yuill, Third Sector Representative 
Jackie Weston, Independent Sector Representative 
Janet McKay, Chair (Garnock Valley Locality Forum) 

In Attendance 

Thelma Bowers, Head of Service (Mental Health) 

Alison Sutherland, Head of Service (Children, Families and Criminal Justice) 
Michelle Sutherland, Partnership Facilitator 
Ruth Betley, Senior Manager (Arran Services) 

Karen Andrews, Team Manager Governance 
Angela Little, Committee Services Officer 
Diane McCaw, Committee Services Officer 
Mhari Lindsay, Senior Customer Officer (ICT) 

Also in Attendance 

Karlyn Watt, Deloitte 

Apologies for Absence 

John Rainey, NHS Ayrshire and Arran 
David MacRitchie, Chief Social Work Officer 
Jean Ford, NHS Ayrshire and Arran 

Dr. Louise Wilson, GP Representative 
Marie McWaters, Carers Representative 

Helen McArthur, Principal Manager (Health and Community Care Services) 

1. Apologies 
Apologies were noted. 

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/Action Note 

The accuracy of the Minutes of the meeting held on 13 February and 16 July 2020 
were confirmed and the Minutes signed in accordance with Paragraph 7 (1) of 
Schedule 7 of the Local Government (Scotland) Act 1973. 

The Board discussed the Community Alarm/Telecare and UK Care Home Industry 
actions and the impact of the pandemic on the timescales for reporting. Whilst work 
will continue in these area, full reports would not be available until 2021. 

The Board agreed (a) when appropriate, the Director’s report provide updates on 
progress on Community Alarm/Telecare and UK Care Home Industry; and (b) that full 
reports on these areas would be provided to the IJB in 2021. 

4. North Ayrshire Alcohol and Drug Partnership Update 

Submitted report by Peter McArthur providing an overview of the activities and actions 
of the ADP since the Drug Death Summit. Appendix 1 to the report provided details 
of the £83,726 funding from the Drug Death Task Force (DDTF). The DDTF working 
Action Plan was outlined at Appendix 2. 

Members asked questions and were provided with further information in relation to:- 

• Work by North Ayrshire on a potential pan Ayrshire bid for Test of Change for 
Multiple Complex Needs, but that a local bid would be submitted if a pan 
Ayrshire bid was not feasible; 

• Further work that is being done on information sharing agreements and a 
meeting that will take place in August between Public Health Scotland and 
Police Scotland to look at this area; 

• Work of the Homelessness Taskforce that will include examining difficulties that 
can be experienced registering with a GP and securing a same day 
appointment and information on this that will be provided directly to Councillor 

• An application to the Home Office for a pilot on the use of Budival to offer a 
wider range of medication-assisted treatment to individuals and a report from 
the Specialist Pharmacist that will be provided to Members; and 

• That the Chair, in consultation with officers, consider writing to the Scottish 
Government to encourage inclusion of the interface between services for those 
leaving prison in their protocol. 


5. Director’s Report 

Submitted report by Stephen Brown, Director (NAHSCP) on developments within the 

North Ayrshire Health and Social Care Partnership. 

The report provided an update on the following areas:- 

• Ayrshire and Arran Staff and Wellbeing Listening Service; 

• Integrated Mental Health Service; 

• IJB Self-Assessment Questionnaire; 

• Foundation Apprenticeship success; 

• Care Home Clinical and Professional Care Home Oversight Group; 

Members asked questions and were provided with further information in relation to:- 

• The continuation of the financial support to care homes through the Scottish 
Government’s sustainability payments and the examination of claims to ensure 
staff are receiving full pay; 

• Details of the Ayrshire and Arran Staff and Wellbeing Listening Service that will 
be recirculated to the Third Sector; and 

• Low rates of Covid-19 infection in Ayrshire and Arran and that future Director 
reports that will include a brief update on Covid-19 related issues. 


6. 2019/20 Audited Annual Accounts 

Submitted report by Caroline Whyte, Chief Finance and Transformation Officer on the 
Audited Annual Accounts for 2019/20, attached at Appendix 1. Appendix 2 included 
the ISA260 letter from Deloitte LLP and the letter of representation to be signed by the 
Chief Finance Officer (NAHSCP ). 

The IJB’s accounts for the year to 31 March 2020 were submitted to Deloitte LPP in 
accordance with the agreed timetable. Deloitte have given an unqualified opinion that 
the 2019/20 financial statements give a true and fair view of the financial position and 
expenditure and income of the IJB for the year, concluding that the accounts have 
been properly prepared in accordance with relevant legislation, applicable accounting 
standards and other reporting requirements. No monetary adjustments have been 
identified and the IJB’s position remains as reported to the IJB Performance and Audit 
Committee on 25 June 2020. 

The Board agreed to (a) note (i) that Deloitte LLP have completed their audit of the 
annual accounts for 2019-20 and have issued an unqualified independent report 
auditor’s report; and (ii) the recommendations within the Deloitte LLP report; and (b) 
approve the Audited Annual Accounts to be signed for issue. 

7. External Audit Report 

Submit report by Deloitte on the External Audit Report 2019/20 for North Ayrshire 
Integration Joint Board. An Action Plan was appended to the report and detailed 
recommendations for improvement and follow-up information from the previous year’s 
action plan. 

The key messages of the report were:- 

• it was expected that an unmodified audit opinion would be issued; 

• effective financial planning and management arrangements were in place with 
a strong and consistent finance team; 

• whilst a short-term financial balance had been achieved, the IJB had been 
unable to repay any of the debt due to North Ayrshire Council; 

• the Medium Term Financial Plan had not yet been updated and the IJB was 
unable to evidence it is financially sustainable in the medium to longer term; 

• the IJB had strong leadership and appropriate governance arrangements had 
been put in place in response to the Covid-19 pandemic; and 

• It continues to have an embedded performance management culture. 


8. Quarter 1 Finance Update 

Submit report by Caroline Cameron, Chief Finance & Transformation Officer on the 
financial position of the North Ayrshire Health and Social Care Partnership. 

Appendix A to the report provided the financial overview of the partnership position, 
with detailed analysis provided in Appendix B. Details of the savings plan were 
provided at Appendix C. Appendix D outlined the movement in the overall budget 
position for the partnership following the initial approved budget and the mobilisation 
plan submission was provided at Appendix E to the report. 

Members asked questions and were provided with further information in relation to 
social care costs, including some growth, that have been projected to March 2021. 

The Board agreed to (a) note (i) the overall integrated financial performance report for 
the financial year 2020-21 and the overall projected year-end overspend of £0.027m 
at period 3; (ii) the estimated costs of the Covid mobilisation plan of £7.2m, including 
savings delays, and the associated funding received to date; (iii) the financial risks for 
2020-21, including the impact of Covid 19, and that there is no recommendation at this 
time to implement a formal Financial Recovery Plan for the IJB; and (b) approve the 
budget changes outlined at section 2.8. 

9. ASN Naming of Unit 

Submit report by Alison Sutherland, Head of Service (Children, Families and Justice 
Services) on the outcome of the consultation process undertaken with the community 
and relevant parties to name the residential and respite houses under construction in 
Stevenston and scheduled to open in summer 2021. 

The Board agreed to name the residential facility, Red Rose House and the respite 
house, Roslin House. 

10. Strategic Plan 

Submit report by Michell Sutherland, Partnership Facilitator on the development of a 
one year ‘bridging plan’ to be published by March 2021. Details were provided of the 
challenges identified as a result of the pandemic and discussions with the Scottish 
Government and other HSCPs that resulted in the ‘bridging plan’ approach, with the 
development of a longer-term Strategic Commissioning plan to be published by March 
2022 . 

The Board agreed to (a) the production of a one-year bridging strategic plan covering 
the period April 2021 to March 2022, to reflect on the current plan, outline the recovery 
and the 2030 vision; and (b) develop a longer-term detailed strategic commissioning 
plan, setting out the IJBs direction to 2030,to be published by March 2022. 

11. Arran Integrated Island Services - Changes to the Initial Agreement 

Submit report by Ruth Betley, Senior Manager (Health and Community Care) on 
changes to Arran Integrated Island Services Initial Agreement to align to the standard 
guidance within the Scottish Capital Investment Manual (SCIM). 

The changes related to reformatting the order of the document to align specifically to 
the SCIM guidance, some small changes to link sections appropriately and an addition 
to address the possible disposal in the future of any existing buildings. An opening 
section was also added reflecting the changes/accelerated service change and 
models of delivery and accelerated facility closures that have taken place since the 
original Initial Agreement was submitted. 

Members asked questions and were provided with further information in relation to an 
engagement exercise that had previously taken place and further engagement that 
would be arranged and include the community pharmacy and local community. 

The Board agreed to (a) note the changes to the Arran Integrated Island Services 
Initial Agreement; and (b) the re-submission of the Initial Agreement to the Scottish 

12. Minutes of Meetings for Discussion 
12.1 IJB PAC 

Submit the Minutes of the meetings of the IJB PAC held on 6 March and 25 June 2020. 

The IJB PAC Vice Chair advised that whilst the minutes related to the previous 
financial year, some significant areas to highlight included:- 

• The Care Home Commissioning Strategy that will continue to be a major area; 

• Whilst most performance targets are being met, a review/refresh of targets has 
been agreed to ensure they are still meaningful and appropriate; 

• Disparity between North and the other Ayrshire IJB’s in discharging from 

• Recommendations from the Auditor’s report around the availability of PAC 
agendas and minutes; and 

• The future 6-monthly provision of an Alcohol and Drugs report to the PAC. 


12.2 Strategic Planning Group 

Submitted the Minutes of the meeting of the Strategic Planning Group held on 28 
January 2020. 


The meeting ended at 11.50 a.m. 


Health and Social Care 

North Ayrshire Integration Joint Board - Action Note 

Updated following the meeting on 27 August 2020 


Agenda Item 

Date of 




1 . 

Community Alarm/Telecare 
Services Transition from 

Analogue to Digital 


That an update report on progress be 
submitted to a future meeting. 

Submit to meeting in 





UK Care Home Industry 


Receive a further report examining the 
issues raised in the Plugging the Leaks in 
the UK Care Home Industry report from a 
North Ayrshire context, including the 
lessons learned from care home closures 
and in consultation with both staff, 
independent and third sectors. 

Submit to meeting in 
April/May 2020 




Agreed that the Care Home Providers be 
consulted at an early stage in the work to 
examine the issues raised in the Plugging 
the Leaks in the UK Care Home Industry 
report from a North Ayrshire context. 

Thursday, 10 September 2020