To be approved by Shadow Integration Board
Minutes of East Ayrshire Shadow Integration Board
3pm, Tuesday 24 June 2014
The Robert Burns Room, Council Headquarters, London Road,
Kilmarnock, KA3 7BU
Present:
Councillor Douglas Reid, EA Council, Chair
Councillor Tom Cook, EA Council
Councillor Iain Linton, EA Council
Councillor Maureen McKay, EA Council
Mr Alistair McKie, Non Executive, NHS Board Member
Dr Alison Graham, Medical Director, NHS
Mr Eddie Fraser, Director of Health and Social Care
Mrs Ann Gow, Assistant Director of Nursing, NHS
Mr Alex McPhee, Executive Director of Finance and Corporate Support, EA
Council
Ms Liz Wilson, Trade Union Representative
Mr Ian Smith, Public Partnership Forum
Mr Gordon McKay, Staffside Representative, NHS
In Attendance:
Mrs Shiona Johnston, EA CHP Facilitator
Mrs Margaret Phelps, Corporate Officer, EA Council
Ms Caroline Scott, Council of Voluntary Organisations (CVO)
Ms Alison Findlay, Senior Manager for Community Care, EA Council
Ms Lee McLaughlin, Team Manager for Self Directed Support, EAHSC
Mr Eugene Fitzpatrick, Senior Manager (GIRFEC), EA Council
Mr Andy McDonald, Planning and Development Manager for Social Work
Services, EA Council
Miss Vicky Campbell, Self Directed Support User
Mrs Eunice Johnstone, Planning Manager, NHS
Miss Rebecca Hannah, Committee Secretary (Minutes)
1.
WELCOME
Action
Cllr Reid welcomed everyone to the meeting, in particular Ms Lee
McLaughlin, Team Manager for Self Directed Support and Miss Vicky
Campbell a user of Self Directed Support.
2.
APOLOGIES FOR ABSENCE
Apologies were received from Derek Lindsay, Catherine Bingham, Ian Welsh, Fiona
Skilling, Lisa Tennant, Fiona Lees and John Burns, Susan Taylor.
3.
VICKY’S STORY
3.1
Ms McLaughlin gave a brief outline of the Self Directed Support (SDS)
services offered to users within East Ayrshire. Ms McLaughlin introduced
Ms Campbell, a people of SDS. Ms Campbell told the Board of her
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experience using SDS and how this has had a positive change in her life
and others around her.
3.2
Cllr Reid asked Ms Campbell if there was a pivotal moment in her journey
which encouraged her to seek support. Ms Campbell noted the trust from
social services to use SDS in her own way gave her a feeling of
empowerment that rippled throughout other members of her family.
3.3
The Board noted that not all cases will be as successful however, it is
important to note that the benefits service users gain is immeasurable.
3.4
Cllr McKay queried a recent Audit Scotland Report on SDS and, if the
Board are following the five recommendations set out by the report. Mr
Fraser informed the Board that Ms McLaughlin is currently drafting a report
to discuss these recommendations which, will be tabled at a future meeting.
It was noted that Mr MacDonald had provided a comprehensive portfolio to RH
Audit Scotland on East Ayrshire activity to inform the SDS report, a
summary of this will be available as background papers.
4.
MINUTES OF PREVIOUS MEETING HELD ON 27 MAY 2014
4.1
The Board approved the minutes of the meeting held on 27 May 2014 as an
accurate record.
5.
MATTERS ARISING
5.1
Matters arising had been completed before the meeting; any others were
included on the meeting agenda.
6.
6.1
CONSULTATION ON DRAFT REGULATIONS FOR PUBLIC BODIES
(JOINT WORKING) ACT
Mrs Phelps discussed the follow up paper on the Consultation on Draft
Regulations for Public Bodies (Joint Working) Act. Mrs Phelps noted the
following:


6.2
A Survey Monkey was distributed to Stakeholders to allow initial
responses to be collated on the consultation documents.
Responses were collected under different themes, Mrs Phelps noted
three themes in particular;
o Consultation Theme 2 - Paragraph 22 details the services
which have been delegated to the Partnership. It also
highlights some areas which will be reviewed pending clarity
from the Scottish Government (SG).
o Consultation Theme 4 – Paragraph 29 details National Health
and wellbeing outcomes. Previously there were seven
outcomes; this has now been extended to nine. It was noted
that the additional outcomes sit well within the Partnerships
own priorities.
o Consultation Theme 8 – Paragraph 50 details the work being
carried out within East Ayrshire (EA) localities.
Cllr McKay raised, for clarification, the term “People who use health and
social care services are safe from harm.” Used in Appendix 2, Outcome 7.
In particular not to infer that health and social care services could keep
people safe from harm 24 hours per day, 7 days per week.
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6.3
It was agreed that it is important that users are given support to empower
themselves and keep themselves safe from harm. It is also important to
continue working with people who use services and wider vulnerable
groups in keeping them safe; this includes methods to give users the
capacity to make themselves safe within the community.
It was agreed to amend the response to reflect the discussion.
6.4
The Board agreed to:
(i)
Note information on Scottish Government consultation process on
the Draft Regulations Relating to Public Bodies (Joint Working)
(Scotland) Act 2014 published by the in May 2014and
(ii) To agree arrangements to submit a response.
7.
7.1
STRATEGIC PLANNING UPDATE
Mrs Johnston gave an update on the Strategic Planning Event which was
held on 15 May 2014.
The Board were informed of the discussions held during the event. The
event was compiled of members from the EA Community Health
Partnership Forum (EA CHP Forum) and the Adult and Children’s Officer
Locality Groups (OLG). In total, 44 members attended from a wide breadth
of representatives. It was noted that the timeframes for the development of
the plan have been altered following guidance from SG. Mr Fraser
attended the event and gave a background and context of expected
outcomes from the Strategic Plan.
7.2
Mrs Johnston noted the key themes which were identified at the event.
These were:








Feeling of connectedness
Financial inclusion
Single point of contact
Integrated IT systems
Personalisation
Competent work force in a range of different activities
Smart support
Using technology in delivering care
7.3
Mrs Johnston noted that going forward wider stakeholders will be involved
with details being developed through the OLG and subgroup meetings. A
Writing Group will be established to formally draft the Strategic Plan which,
will be reviewed by the SPG. It was agreed this work would take place
during summer; the first draft will be discussed at the SPG meeting which
will be held on 3 September 2014. Following this timeline, from October to
December 2014 the group will consult with localities, staff and stakeholders
with preparations ready for sign off by the Integrated Joint Board (IJB) in
April 2015.
8.
THE FUTURE MODEL OF COMMUNITY JUSTICE IN SCOTLAND:
DRAFT RESPONSE TO CONSULTATION
8.1
Mr Fitzpatrick began by giving a background on Community Justice within
Scotland. Mr Fitzpatrick continued discussions by giving an overview of the
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draft response to consultation, the following comments were noted;


Scottish Government first had consultation on the Future Model for
Community Justice in Scotland in December 2012; from this three
options were created but none had universal support. Following this
the SG has noted responses and has requested further consultation;
submission for this consultation is due by 2 July.
The consultation sets out the proposed model for community justice
in Scotland. The main features of the new model are:
o Local strategic planning and delivery of Community Justice
services through Community Planning Partnerships (CPPs);
o The creation of a national body to provide assurance and
recommendations to Scottish Ministers and Local
Government elected members as well as professional
strategic leadership for the sector;
o A focus on collaboration, including the opportunity to
commission, manage or deliver services nationally where
appropriate;
o A mechanism, reflecting the national and local democratic
responsibilities, to afford discussion and agreements as
necessary, on aspects of mutual concern.

The Scottish Government proposes to establish a new national,
statutory body. It will support a Board for Community Justice
consisting of individuals with relevant professional experience
reflecting the Community Justice landscape in Scotland. This will
include people with experience in non-justice areas such as health
(and housing), as well as those with academic and Third Sector
experience.
8.2
The Board noted concerns with a National Group guiding the Strategy,
noting it would have differing interests from a local strategic plan /
approach. Mr Fitzpatrick noted the importance of a transformational
change of cultures and systems for this model. It was felt a bigger focus is
needed on outcomes and successful achievements.
8.3
The Board noted the concerns for the resource capacity both in terms of
skills and finance in developing this model. Clarity is needed for the future
funding and development of the model. In particular a shift from CJA’s to
Community Planning responsibility.
8.4
Cllr McKay queried if there had been any indication of a response being
provided through the CPP, Mr Fitzpatrick was not aware of this.
8.5
Mr Smith questioned if the National Group will be an invitation or
appointment to be part of the Board, Mr Fitzpatrick confirmed that the
representation will be obtained by appointment. Members will be a mixture
of private and public sector.
8.6
The Board agreed the recommendations to:
(i)
(iii)
approves the draft response to the
redesigning the community justice system;
notes the contents of this report.
consultation
on
The Board agreed to carry forward recommendation number two:
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(i)
notes that a separate response will be submitted by the East
Ayrshire Community Planning Partnership.
Mr Fraser will provide clarity at the next meeting on 19 August 2014.
EF
9.
SENSORY LOCALITY PLAN
9.1
Mr Fraser informed the Board that the Sensory Locality Plan has been
worked on for two years, involving many areas across geographies of
Ayrshire and Arran, health conditions, age groups and service sectors.
9.2
Mr Fraser gave a brief overview of the plan noting that the support
pathways within the plan are of the utmost importance, to give better
access to services.
9.3
The new sensory impairment strategy “See Hear” was launched on 24 April
2014 national which involved many levels in terms of locality working.
9.4
Mr Smith queried if all aspects of hearing loss had been included in the
plan. Mr Fraser confirmed that the plan is completely inclusive; clinicians
have involved all areas and have worked together with other professionals
to bring all expertise together for sensory impairment.
9.5
The Board recognised the importance of support systems including
emotional and financial for those with sensory impairment. The Board
commended the Sensory Locality Plan noting it is an excellent example of
the good working ethos among partnerships within Ayrshire.
9.6
Mr Fraser noted a DVD which will be launched on Tuesday 8 July 2014 on
a Pan Ayrshire basis. This DVD will be available in other formats for users
with sensory impairment.
9.7
The Board agreed the recommendations to:
(i)
Note the progress to date in developing services for people with a
sensory loss;
Agree the content of the Ayrshire and Arran Sensory Locality
Plan; and
Agree to the Development of an initial action plan 2014/18 to
implement the recommendations.
(ii)
(iii)
10.
10.1
AYRSHIRE OUT OF HOURS SOCIAL WORK RESPONSE SERVICE
Ms Findlay gave an update to members on the Ayrshire Out of Hours Social
Work Response Service. The following comments were noted:



10.2
It was felt the Out of Hours (OOH) Service fits well within the EA
Partnership, working alongside Ayrshire Doctors On Call and
OOH Nursing Services.
The Service currently utilises secondment staff which is
becoming increasingly difficult to manage.
It is proposed the service moves from an onsite service at 5am
each morning with a call handling facility replacing this service
with access to on call staff. This facility has been provided to
date by the ADOC telephony service at points where staff are out
of the office. There have been no recorded missed calls during
two years of operation.
Mr Fraser noted the Spend to Save impact on this service. Although saving
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may not be seen immediately, the service provided long term to users is an
excellent benefit which cannot be overlooked.
10.3
The Board queried the number of calls received as being very high during
working hours (9-5). Ms Findlay explained that many administrative
support managers liaise with the service to seek clarification on cases,
particularly child protection register.
10.4
The Board noted the improved service for protecting children, and the
positive outcome of creating permanent work posts.
10.5
The Board agreed the recommendations to:
(i)
(ii)
(iii)
(iv)
(v)
11.
11.1
Note the ongoing use of the service
Agree to altering the posts from secondment to permanent posts
Agree to establishment of an additional post
Note the potential for more integrated out of hours services for
Ayrshire.
Otherwise note the content of the report.
GAELIC PLAN UPDATE
Mr Fraser gave a brief background to the Gaelic Plan and informed the
Board of the Partnerships responsibility of delivering services within
Ayrshire.
The Board noted the issues around language; it was felt that this issue
would be well supported by educational colleagues.
11.2
The Board agreed to the recommendations:
(i)
(ii)
(iii)
(iv)
(v)
(vi)
12.
12.1
agree the implementation of the East Ayrshire Gaelic
Language Plan in the aspects which relate to the East
Ayrshire Health and Social Care Partnership
note that this report will be considered by the Leisure Trust;
note that this report will be considered by the Community
Planning Partnership Board;
note that this report will be considered by the Ayrshire Roads
Alliance;
note that this report has been agreed by the Cabinet of East
Ayrshire Council; and
otherwise note the contents of this report
SCCBN RESHAPING CARE PROJECT
Mr Macdonald gave some background to the Scottish Community Care
Benchmarking Network (SCCBN) Reshaping Care Project. The following
comments were noted:

In August 2013 SCCBN members identified emergency hospital
admissions and hospital discharge as elements of its Reshaping
Care for Older People Project.

The scope of the project in relation to hospital admissions was:
o To undertake a structured analysis of national data which
relates to the rate of multiple emergency admissions for
the over 65 age group across Scotland; and
o Analyse relevant national data for multiple hospital
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admissions (2 or more in 12 month period) between
2003/04 and 2012/13 and 2010/11 and 2012/13 (the three
year period covering the lifespan of Change Fund).

A four phased approach is being used for the project;
o Phase 1 – analysis of relevant national data to
demonstrate variations and trends in the rate of multiple
emergency admissions across Scotland to be completed
by June 2014;
o Phase 2 – explore the factors which contribute to those
partnerships who appear to be performing well to be
completed by Sept 2014;
o Phase 3 – explore whether there is any correlation
between the rate of multiple emergency admission and
delayed discharges to be completed by Sept 2014;
o Phase 4 – disseminate findings to SCCBN members,
partner organisations and national agencies to be
completed by November 2014.




Phase one has been completed.
In Scotland, rates of multiple emergency admissions for the over
65 age group have increased steadily over the past 10 years,
with no significantly marked peaks or troughs during that period.
East Ayrshire shows a sharp increase in rates of multiple
emergency admissions over both the last 10 years and the last 3
years.
The findings at this stage offer no insight into the factors
influencing the data. Phases 2 and 3 will be undertaken with a
view to learning more about what makes a difference.
12.2
Mr Fraser noted the importance of the report, which gives members a chance
to reflect on the work in delayed discharge. It was important to note that
succeeding in supporting older people at home longer is positive but only if it
give a good quality of life.
12.3
The Board noted this area of work will be involved with the Partnership.
12.4
Members queried if the definitions of “multiple admissions” were consistent.
Dr Graham confirmed that the definitions being used are the same – under five
admissions.
12.5
The Board agreed the recommendations to:
(i)
(ii)
13.
Notes the contents of this report: and
Agrees to receive a further report when all phases of
the project have been completed.
ANY OTHER BUSINESS
No other business was discussed.
14.
DATE OF NEXT MEETING
3PM, TUESDAY 19 AUGUST 2014, AUCHINLECK COMMUNITY
CENTRE, 28 WELL ROAD, AUCHINLECK, KA18 2LA
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Chair ……………………………………………….
Date ………………………………………
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