Paper 25 East Ayrshire Health & Social Care Partnership East Ayrshire Integration Joint Board 15 March 2018 at 2pm The Open Space, Ayrshire College, Hill Street, Kilmarnock Present: In Attendance: Councillor Douglas Reid, East Ayrshire Council (Chair) Mr Eddie Fraser, Director of East Ayrshire Health & Social Care Partnership Mr Alistair McKie, NHS Ayrshire & Arran Non-Executive Director Councillor Clare Maitland, East Ayrshire Council Councillor Tom Cook, East Ayrshire Council Councillor John McGhee, East Ayrshire Council Mr Craig Stewart, Associate Nurse Director Mr Ian Welsh, NHS Ayrshire & Arran Non-Executive Director (Vice Chair) Ms Caroline Scott, CVO Third Sector Lead Ms Shirley Ferguson, Employee Representative Ms Fiona Smith, AHP Senior Manager Mr Jim Baird, Stakeholder Forum Representative Ms Margaret Phelps, Partnership Programme Manager Ms Pamela Milliken, Head of Primary Care & Out of Hours Response Services Ms Annemargaret Black, Head of Community Health & Care Services Ms Marion MacAulay, Senior Manager (for Susan Taylor) Ms Amanda McInnes, Senior Manager Business Support Ms Fiona Hart, Business Support Resource Manager Mr Erik Sutherland, Senior Manager Planning & Performance Aileen Anderson, Committee Secretary (Minute) Agenda Discussion Action 1. Welcome & Apologies Everyone was welcomed to the meeting and apologies were noted from Professor Hazel Borland, Dr Alison Graham, Dr Crawford McGuffie, Gordon McKay, Susan Taylor, Yvonne Templeton, Dr Phil Korsah and Dr Brian O Suilleabhain. 2. Minute of Previous Meeting held on 25 January 2018 The minutes of the previous meeting were agreed as an accurate record of discussions. 3. Matters Arising Medium Term Financial Plan
The Medium Term Financial Plan was presented at the IJB Development Session on 22 February 2018. 4. Strategic Plan Consultation Update Mr Erik Sutherland presented the Strategic Plan Consultation report for note and comment on the engagement process with stakeholders in the development of the Strategic Plan 2018-21 and to present the findings of the engagement process. It was noted that The Public Bodies (Joint Working) (Scotland) Act 2014 details the process for engagement with stakeholders in the development of the Strategic Plan. The Draft Strategic Plan Consultation and Engagement Programme was presented to the Strategic Planning Group in November 2017 and a Short Life Working Group was established under this to take forward the development and engagement programme. The consultative draft was developed between August and November 2017 and the document was launched at the Local Conversation Event in November 2017. An online consultation was launched at the same time and this had been promoted via social media networks. The feedback received in relation to how to better use resources included building on good relationships, recognising existing community arrangements and the role of the third and independent sectors. The final Strategic Plan 2018-21 will be presented to the Integration Joint Board at its meeting on 26 th April 2018. It was noted that the Appendix to the Strategic Plan Consultation Report was available on the Public Website and on the Community Planning Partnership Portal. Mr Eddie Fraser advised that there will be four reports brought to the April meeting; the Strategic Plan; a Financial Plan; a Property Asset Management Strategy and the Workforce Plan. i. Note the next steps set out in relation to the consideration and incorporation of the output from the engagement programme in the final Strategic Plan 2018-21; and ii. Note that the final Strategic Plan 2018-21 will be presented to the IJB and its meeting of 26 April 2018.
5. Scottish Fire and Rescue Service Partnership Working Ms Amanda McInnes presented the Scottish Fire and Rescue Partnership Working report to request the approval of the IJB to work in partnership with the Scottish Fire and Rescue Service on the proposal for a data linkage and analysis project. It was noted that the project aimed to bring together data from all service delivery partner bodies and examine the shared patterns of demand facing the partner services and the nature of vulnerabilities which generate the demand patterns from individuals and households. In carrying out the work the project would enable the partners to understand what outcome and efficiency benefits a more integrated approach to prevention interventions focused on the most vulnerable in society beings to the individual services. The proposed project would make a strong contribution to building intelligence capacity within the Scottish Fire and Rescue Service, Police Scotland and the Scottish Ambulance Service and would inform the development of better partnership working around emergency response. Councillor Cook welcomed the work as a way forward recognising that some of this already takes place locally at times of crisis. Discussion took place regarding data protection and the issues relating to this however Mr Alistair McKie highlighted that data sharing within a proper governance supports services to provide better outcomes for individuals and communities. i. Note the proposal by Scottish Fire and Rescue to develop a shared vulnerability index and data analysis process with wider partners including Health and Social Care Partnerships; and ii. Give approval for the participation of East Ayrshire Health and Social Care Partnership in this project with representation on the Project Group and Information Governance Sub Group from the Senior Manager Business Support. 6. Social Care Contribution and Charging Framework and Approved Rates, Contributions and Charges 2018/19 Ms Fiona Hart presented the report on Social Care Contribution and Charging Framework and Approved Rates for the IJB to note
the annual alterations to approve charges and contributions for Social Care Services in 2018/19, note the updated Services Contributions and Charging Framework and approve the proposed rates paid for Social Care Services. It was noted that the charging and contributing for Services in East Ayrshire is based on the annual update of COSLA National Strategy and Guidance for Charging Applying to Non Residential Care Services; within the national guidance there is scope for local interpretation. The charges for all services were highlighted. i. Note the updated East Ayrshire Social Care Service Contribution and Charging Framework; ii. Note the updated Charges and thresholds detailed in the report; iii. Note that in relation to care home charges as COSLA, Scottish Government and Scottish Care have not yet finalised the rate at this time; the Director will report to IJB of the final rates, iv. Note that in relation to the Carers Act 2018, COSLA and Scottish Government has still to finalise the Guidance at this time; the Director will report to IJB once the final details are available; v. Agree the proposed provider rates in relation to care at home and sleepovers in the report; vi. Agree the proposed foster care payments in the report; vii. Note maintenance of fee s in respect of the national foster and continuing care framework contract in the report; viii. Note fee negotiations are progressing in respect of secure accommodation in the report; ix. Note fee negotiations are progressing in respect of children s residential; x. Agree the proposed rates paid to Kinship Carer and Adoption Allowances; and xi. Approve the payments made to Children and Young People as detailed in the report. 7. Extension of Third Sector Contracts: Children & Young People s Services Ms Marion MacAulay presented the Extension of Third Sector Contracts report to seek IJB approval to proceed with negotiated contracts for five East Ayrshire Council/ East Ayrshire Health and Social Care Partnership, Children s Health, Care and Justice Contracts, in accordance with the Council s Standing Orders
Relating to Contracts. It was noted that the Integrated Joint Board approved a report negotiating the extensions to contracts in March 2017 and this was approved by Council s Cabinet. The contracts have since been reviewed and approval was sought to enter into a 2 year + 1 year +1 year negotiated contract for services. i. Approve the negotiated arrangements for the contracts as set out in the report; ii. Note the successful progress in developing a collaborative approach with North Ayrshire Council in respect of the service specification and joint re-tendering of the Break the Silence contract; iii. Approve the Break the Silence Contract as set out in the report and at Appendix 2; and iv. Remit to Cabinet for approval as detailed in the report. 8. Continuation of Contractual Arrangements Community Health and Care Services Ms Annemargaret Black presented the report to seek approval to continue a contractual agreement for four East Ayrshire Health and Social Care Partnership Community Care Contracts on 31 March 2018. In terms of the Council Standing Orders Relating to Contracts, the approval of Cabinet was required in respect of any proposed negotiations with a sole provider; the detailed contracts have no extension options in the current provision and formal approval is required to continue each one. Discussion took place regarding the management capacity to review the contracts; which was the original reason for i. Approve funding to continue contractual arrangements with social care providers to 31 March 2019 and 31 March 2020 as detailed in the report; and ii. Remit to Cabinet for approval as detailed in Appendix 1. 9. Mental Health Officer: Capacity, Challenges, Opportunities and Achievements Ms Marion MacAulay presented the Mental Health Officer report to advise the IJB on The Mental Health Officer; capacity, challenges,
opportunities and achievements and to set out the position of East Ayrshire in response to the recommendations made. It was noted that The Mental Health Officer (MHO) is a specially trained social worker who has the training, education, experience and skills to work with people with mental disorder as appointed under the Mental Health (Care and Treatment) (Scotland) Act 2003. Under section 32 of the Act each Local Authority must appoint a sufficient number of Mental Health Officers. It was recognised that there are currently 23 WTE social workers with the MHO qualification of a total 26 qualified MHOs. There are currently three social workers undertaking the Post Graduate Certificate Mental Health Social Work Award. It was noted that there is a risk to East Ayrshire Council being unable to meet the obligations as prescribed by the legislation if there were an insufficient number of MHOs recruited and appointed. Following questioning from Councillor Reid it was highlighted that East Ayrshire Council were benchmarking well against other Local Authority areas in terms of the numbers of MHP/ capita. i. Note the recommendation included in the Social Work Scotland commissioned report The Mental Health Officer: Capacity, Challenges, Opportunities and Achievements: Sharing Knowledge from Practice 2017; and ii. Note East Ayrshire s current position and actions in relation to the recommendations. 10. Delivering the New 2018 General Medical Services Contract in Scotland in the Context of Primary Care Development Ms Pamela Milliken presented the New 2018 General Medical Services Contract report to outline the proposed arrangements for delivering a three year pan Ayrshire Primary Care Improvement Plan to implement the new GMS Contract; outline the proposed governance arrangements to ensure the appropriate oversight and accountability for development and delivery of the plan; note the expected financial allocation to support the delivery of the plan and to seek approval from members to progress with the proposed arrangements to implement the requirements set out in the Memorandum of Understanding (MoU) for delivering the new GMS Contract. It was recognised that within the MoU that Health and Social Care
11. AOCB Partnerships are responsible for the planning and commissioning of Primary Care Services and responsive to the local need, as well as continuing to work closely with GP Clusters. Responsibility for the GMS contracts, as well as the introduction of Pharmacotherapy Services and Vaccination Services will sit with the NHS Board. It was noted that Scottish Government had committed an additional investment of 250million in direct support of General Practice by 2021/22. For the financial year 2018/19 it had been confirmed that Ayrshire and Arran will receive a share of 110 million to support developments in Primary Care. Agreement had been reached that there will be one coordinated Primary Care Improvement Plan produced for Ayrshire and Arran with a focus on local priorities and delivery where services are commissioned within the Health and Social Care Partnerships based on population need. Delivery of the Primary Care Improvement Plan would be led and managed by a dedicated Programme Manager. Mr Eddie Fraser advised that the report has already been agreed by North Ayrshire and South Ayrshire Integration Joint Boards respectively. It was noted that a positive aspect is the level of involvement from the GP Sub Committee and Local Medical Committee. We will require to manage expectations as the financial improvement profile will be over a four year period. A further update will be provided at the June IJB. i. Agree the proposed arrangements for developing a three year pan Ayrshire Primary Care Improvement Plan implement the new General Medical Services Contract; and ii. Approve the governance arrangements to ensure the appropriate oversight and accountability for development and delivery plan. Wellbeing & Delivery Plan Mr Erik Sutherland advised that the previous Wellbeing Plan covered the period 2015-2018. The updated Draft Wellbeing Plan was shared with the Board and it was noted that this is more focused on key areas than the previous version. The final version of the Plan will be presented the IJB Meeting in April.
12. Date of Next Meeting 26 April 2018 at 2pm within the Council Chambers, London Road, Kilmarnock.