To be approved by Transition Integration Board
Minutes of East Ayrshire Shadow Integration Board
4pm, Tuesday 27 May 2014
Council Chambers, London Road, Kilmarnock
Present:
Councillor Douglas Reid, EA Council, Chair
Mr Eddie Fraser, Director of Health and Social Care
Councillor Tom Cook, EA Council
Councillor Iain Linton, EA Council
Councillor Maureen McKay, EA Council
Mr Alistair McKie, Non-Executive NHS Board Member
Mr Ian Welsh, Non-Executive NHS Board Member, Vice Chair
Ms Fiona Skilling, Council of Voluntary Organisations (CVO)
Mrs Ann Gow, Assistant Director Of Nursing, NHS
Mr Alex McPhee, Executive Director of Finance and Corporate Support, EA
Council
Mr Ian Smith, Public Partnership Forum
Dr Awfa Paulina, EA Locality Group General Practitioner (GP) Lead
Ms Lucie Fontana, UNISON Representative
In
Attendance:
Mrs Shiona Johnston, EA CHP Facilitator
Mr Andrew MacDonald, Planning and Development Manager for Social
Work Services, EA Council
Mrs Margaret Phelps, Corporate Officer, EA Council
Ms Alison Findlay, Senior Manager Community Care, EA Council
Mrs Eunice Johnstone, NHS Planning Manager
Miss Rebecca Hannah, Committee Secretary (Minutes)
1.
WELCOME AND INTRODUCTIONS
Action
1.1 Cllr Reid welcomed everyone to the meeting.
2. APOLOGIES FOR ABSENCE
1.2 Apologies for absence were received from Derek Lindsay, Alison Graham, Lisa
Tennant, Liz Wilson, Susan Taylor, Gordon McKay, Fiona Lees, John Burns
and Catherine Bingham.
3.
MINUTES OF PREVIOUS MEETING HELD ON 22 APRIL 2014
3.1 The Board approved the minutes of the meeting held on 22 April 2014 as an
accurate record.
4.
MATTERS ARISING
4.1 Change Fund 2014/15 Submission
Mrs Johnston gave an update on Change Fund. The following comments were
made:
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To be approved by Transition Integration Board
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4.2
Partnership signatures are required for sign-off. These will be SIB Chair
Cllr Reid, Lead for East Ayrshire Third Sector Interface Ms Fiona Skilling
and Lead for Scottish Care Ms Gloria McLoughlin.
The Board agreed the recommendations to:
(i) support the direction of travel laid out in the template
(ii) agree to Councillor Reid signing off the final template on behalf of the
partnership, along with other partners, for submission on 29 th May
(iii) Otherwise note the contents of this report.
4.3
OD Funding
Mr Fraser issued a summary of the Transition OD Funding Plan to the Board.
Mr Fraser discussed the original bid and informed the Board that the funding
allocated was less than the original bid. Mr Fraser made the following comments:
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That the funding for Clinical Involvement was not reduced. This is a
costed proposal that supports Primary Care Contractors engage with
the integration agenda at a locality and where appropriate Pan Ayrshire
Level. Sum provided £135k.
That the funding for Legal Support is maintained at £48k. this is being
utilised to support a dedicated post that adds capacity to meet the legal
requirements of drafting the Integration Schemes.
That the Programme Management support is reduced from £175k to
£109k and this is split equally between the 4 partners (NHS, EAC, NAC,
SAC) to reflect the programme management arrangements we have in
place.
It is proposed that the remaining 3 elements of the funding bid (OD,
Communications and Locality Officers, Service Review and
Performance Management) are amalgamated and the total sum
allocated reduced from £423k to £268k. This sum will be split equally
between the 3 HSCP (£89k each). It is noted that this funding will be
required to resource a range of activities at a local level such as
engagement of third sector, people who use services, family carers and
employees. It will also require to support pan Ayrshire work such as
resourcing analytical work to evidence review of services and also pan
Ayrshire communication/OD.
1.
4.4 SIB agreed the proposals and requested that a supplementary report be
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prepared to confirm the detail.
5.
INTEGRATION SCHEME PROGRESS
5.1 Ms Phelps discussed the progress on the Integration Scheme and made the
following comments:
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The Public Bodies (Joint Working) (Scotland) Bill became an Act on 1
April 2014.
Planning is being progressed at a Locality and Pan Ayrshire level.
Senior Officers meet weekly with the three Partnerships and NHS
Ayrshire and Arran to coordinate work across the three Local Authorities
(LA) and NHS Ayrshire and Arran.
Officers monitor workstreams on behalf of the Shadow Integration Board
(SIB).
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To be approved by Transition Integration Board
5.2 It was noted that “flash reports” are submitted by workstreams and used to
inform workstream updates tabled at SIB meetings to note progress on MP
workstreams. This will be available at the next SIB Meeting on 24 June 2014.
5.4 The Board agreed to:
(i)
(ii)
(iii)
(IV)
6.
Note the progress being made in relation to the Integration Scheme;
Note the work from the workstreams at appendix 1;
Agree to receive a future report in relation to the Draft Integration
Scheme; and
Otherwise note the contents of this report.
PUBLIC BODIES (JOINT WORKING) ACT – UPDATE IN RELATION TO
REGULATIONS
6.1 Ms Phelps updated the Board on the Public Bodies (Joint Working) Act
Regulations. The following comments were made:
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Both sets of regulations have been received by the Board;
Content of the regulations give more details of the Integrated Joint Board
(IJB);
Details include:
o Who should be included in consultations
o Workings with localities
o Performance reporting
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Consultation of the first set of regulations will run for 12 weeks from
Monday 12 May – Friday 1 August 2014; and
Consultation on the second set of regulations will run for twelve weeks
from Tuesday 27 May – Monday 18 August 2014.
6.2 The Board noted the importance of consulting locally also consulting as wide
as possible within the partnership to ensure different issues are being picked
up.
6.3 Mr Fraser recognised the importance of working together with groups from the
early stages of development. Future reports on the consultation to the Board
will seek to be comprehensive across all stakeholders in the partnership.
6.4 Cllr McKay raised concerns in relation to the timescales to allow for full
engagement and consultation with partners.
6.5 Mr Fraser will bring consultation comments to the next SIB meeting on 24 June. EF
6.6 The Board requested a timeline should be developed which will outline key
processes in relation to consultation and engagement.
6.7 It was noted by members the importance of providing a route into this
consultation for all groups which feed into the SIB.
6.8 The Board agreed the recommendations to:
(i) Note the Scottish Government Draft Regulations Relation to Public
Bodies (Joint Working) (Scotland) Act 2014;
(ii) Agree to receive a future report outlining the issues for East Ayrshire in
the consultation;
(iii) Request a supplementary report on timeline for the consultation; and
(iv) Otherwise, not the contents of this report.
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7.
STRATEGIC PLANNING
7.1 Mrs Johnston gave an update on Strategic Planning. Mrs Johnston discussed
the following:
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Around 50 members from the East Ayrshire Community Health
Partnership Forum (EA CHP Forum), Adult and Children’s Officer
Locality Groups (OLG) attended a Strategic Planning Seminar held on
15 May.
Main focuses of the seminar were:
o Contribution from attendees to the Integration Scheme and
Strategic Plan
o Understanding the processes in relation to strategic planning
o Key priorities for particular care groups
o Current and additional work required
o Agreed next steps
7.2 Mrs Johnston will circulate the report from the seminar which will give further SJ/
detail of the seminar discussions.
RH
7.3 Mrs Johnston informed the Board that further arrangements will be made
following the next meeting of the EA CHP Forum on 11 June 2014.
7.4 Membership will be reviewed to ensure there is comprehensive representation,
on the Strategic Planning Group in line with regulations.
7.5 Cllr McKay was seeking assurance that the Strategic Plan is flexible enough to
accommodate any changes made by the regulations.
7.6 Mr Fraser noted that formal sign-off of the draft Strategic Plan process can only
be completed by the Integration Joint Board (IJB), which will be in place on 1
April 2015.
7.7 The Board agreed the recommendations to:
(i) note the further progress in relation to the development of the strategic
planning group;
(ii) note progress in relation to the development of the Strategic Plan; and
(iii) note the agreed next steps
8.
FINANCIAL INCLUSION STRATEGY – ANNUAL REVIEW
8.1 Mr Macdonald gave a brief background on the Financial Inclusion Strategy,
advised on progress with the 2013/14 Action Plan, and informed the Board of
the proposed Action Plan 2014/15:
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East Ayrshire’s Financial Inclusion Strategy 2013-17 was approved by
the Council’s Cabinet on 27 March 2013. Action Plans would be
developed on an annual basis.
The 2013/17 timeframe coincides with the implementation period for
welfare reform.
The Strategy was developed by the Financial Inclusion Group which is
a multi agency partnership sitting within Community Planning and
Community Health Partnership structures.
There is a focus on giving the following support to EA citizens;
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Income maximisation
Welfare benefits advice
Welfare benefits representation
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Money advice
Debt counselling
Budgeting advice
Financial education
Advice about affordable and accessible financial products and
services
Good progress has been made with the implementation of the Strategy
via the 2013/14 Action Plan.
The 2014/15 Action Plan includes several new actions including
partnership work with Ayrshire College to support students.
8.2 Cllr Reid noted the work undertaken by the Council’s Financial Inclusion Team
in its first year of operation in generating financial gains for vulnerable service
users of £2.5m.
8.3 Cllr McKay queried the opportunities for the local credit unions to unite. Mr
Macdonald explained that this had been considered previously by the credit
unions. There would be a requirement for the memberships of both
organisations to agree to a merger. Some issues were identified which
suggested that the gains that might accrue from a merger were not necessarily
that great as there would also be costs e.g. both used different electronic
systems. However both credit unions are committed to working closer together.
8.4 Cllr Cook raised concerns about “pay day loan” companies being readily
available to vulnerable people. Cllr Cook felt that the current cap on the rate of
interest credit unions are allowed to charge meant that short term loans could
be uneconomic to offer. If the cap were to be reviewed this could encourage
credit unions to increase the availability of short term loans which could in turn
be beneficial to credit unions and their customers. It was agreed that this would
be communicated to local elected representatives (UK and Scottish
Parliaments).
8.5 The Board agreed to:
(i) Notes progress made with the Financial Inclusion Strategy Action Plan
2013/14;
(ii) Approves the 2014/15 Action Plan;
(iii) Support the chair write to local elected representative in the UK and
Scottish Parliament in relation to restrictions on Credit Unions; and
(iv) otherwise note the content of this report.
9.
REFOCUSING ADULT SERVICES
9.1 Ms Findlay gave the Board an update on Refocusing Adult Services. The following
was discussed:
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Improvements in facilities for people with learning difficulties, mental
illnesses and autistic spectrum disorder (ASD).
Restructure of resources to compliment the Transformation Strategy and
Self Directed Services
Promotion of independent living
There are twelve Supported Accommodation Model sites across East
Ayrshire.
Work is continuing to establish an additional six supported accommodation
sites.
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Development of Ross Court and Berryknowe.
9.2 The Board welcomed developments which will enable users to be supported to
live independently with access to support. In addition, the establishment of the
Moving On service can aid in people living in supported accommodation which will
facilitate their transition into independent living with self directed care.
9.3 Ms Fontana noted that the Ethical Care charter would prove useful in this
development for care staff. The Board recognise that well trained staff benefits
service users.
9.4 The Board felt it would be helpful if a service user could provide a picture of what
a service day is like and to give feedback on community supports.
9.5 Cllr McKay requested that tabled information be re-issued to members for clarity.
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9.6 The Board agreed to:
(i) approve the developments in the day opportunities and supported
accommodation provision for adults with additional support needs;
(ii) Approve the revised staffing model and implementation in consultation
with trade unions;
(iii) Approve further consultation of the option appraisal for future care
provided within Berryknowe;
(iv) Request a clarified table of human resource implications be provided;
and
(v) Otherwise note the content of this report.
10. INTEGRATED HEALTH AND SOCIAL CARE IN SCOTLAND: POTENTIAL
IMPACT ON CHILDREN’S SERVICES
10.1 Mr Fraser held a short discussion on the Integrated health and Social Care in
Scotland: Potential Impact on Children’s Services. The following comments were
made:
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Research will be carried out to identify potential impacts on children’s
services
The research will be conducted in East Ayrshire and Inverclyde
Currently there are no implications for the Health and Social Care
Partnership
East Ayrshire Health and Social Care Partnership will be a Case study,
which will provide valuable learning to aid in the structure across all health
and social care.
10.2 Mrs Gow felt it would be beneficial if this research will involve interviews with NHS
employees then it be reviewed with NHS Ayrshire and Arran Ethics Committee.
10.3 The Board agreed the recommendations to:
(i)
(ii)
(iii)
notes the research taking place;
requests that the findings and learning points identified are
presented to a future SIB for consideration; and otherwise;
note the contents of this report.
11. DATE OF NEXT MEETING
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To be approved by Transition Integration Board
11.1 The next meeting of the Shadow Integration Board will be held on 24 June 2014
at 3.00 pm in The Council Chambers, Council Headquarters, London Road,
Kilmarnock, KA3 7BU.
Chair ……………………………………………….
Date ………………………………………
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