Minutes of East Ayrshire Transition Integration Board 3pm, Wednesday 26 March 2014 Council Chambers, Council HQ, London Road, Kilmarnock

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1 Minutes of East Ayrshire Transition Integration Board 3pm, Wednesday 26 March 2014 Council Chambers, Council HQ, London Road, Kilmarnock Present: In Attendance: Councillor Douglas Reid, EA Council, Chair Councillor Tom Cook, EA Council Dr Allan Gunning, NHS Director Strategic Planning, Policy and Performance Councillor Iain Linton, EA Council Mr Eddie Fraser, Director of Health and Social Care for East Ayrshire Ms Fiona Lees, Chief Executive, EA Council Mrs Kay Gilmour, Head of Service, Community Support, EA Council Mrs Shiona Johnston, CHP Facilitator Mrs Eunice Johnstone, NHS Planning Manager Ms Margaret Phelps, Corporate Officer, EA Council Mr Alex McPhee, Executive Director of Finance and Corporate Support, EA Council Ms Lynn Buchanan, Communications Officer, EA Council Ms May Smith, Head Of Communications, NHS A&A Miss Rebecca Hannah (Minutes) 1. WELCOME AND INTRODUCTIONS Action Councillor Reid welcomed everyone to the meeting. 2. APOLOGIES FOR ABSENCE Apologies for absence were received from Alison Graham, Maureen McKay Alistair McKie, Ian Welsh, John Burns, Martin Rose and Joanne Sharp. 3. MINUTES OF PREVIOUS MEETING HELD ON 24 FEBRUARY 2014 The Board approved the minutes of the meeting held on 24 February 2014 as an accurate record. 4. MATTERS ARIS ING All matters arising were included on the agenda. 5. STRATEGIC PLANNING Mr Fraser presented an overview of the report which provided a framework for delivery arrangements of the East Ayrshire Health and Social care Partnership Strategic Plan. An update was given on the latest national guidance. This guidance outlines the requirements by the Board to develop a Strategic Planning group. This group will sit alongside the East Ayrshire Shadow Integration Board (EA 1

2 SIB). Membership was discussed by the Board, the following are expected to be members of the Group: People who use services and unpaid carers Third and independent sector providers and representative organisations Local Authorities and Health Board nominees Social work and social care professionals GPs, clinicians, nurses, AHPs and other professional groups Housing representatives A representative from each Locality Planning Group Staff side and/or trade union representatives Mr Fraser suggested that the new Strategic Planning Group could be established through a review of the current membership of the East Ayrshire Community Health Partnership Forum. Appendix 1 of the report was been developed from guidance given from the Scottish Government (SG) and gives an outline of the proposed plan. It is expected an initial draft plan should be available for the Board by August Appendix 2 provides a position statement of where the partnership is at in relation to strategic planning development. It is required for full Integration that the final plan is agreed for April (i) note the current guidance in relation to strategic planning; (ii) note the current progress in relation to the development of the framework; (iii) agree the development of the Forum to support strategic planning; and (iv) agree to receive a draft of the Strategic Plan in Autumn The board further agreed that this paper should be tabled at the April CHP Forum meeting. 6. TRANSITIONAL FUNDING PROPOSAL Mr Fraser informed the Board that Partnerships have been requested to submit bids to Scottish Government in respect of resource requirements for transitional organisational development. Proposals have been developed by the pan Ayrshire Organisational Development group. At the TIB Development session on 18 March 2014 a discussion took place in relation to what Board members would like to be included in East Ayrshire s proposal. There were clear indications of service users being the main focus. Changes were made to the draft proposal to include these views. The report provided details of the proposed resources to support the development of health and social care partnerships in Ayrshire. Mr Fraser explained the ways funding would be used if the proposal was accepted and the ways the key areas for development would be improved. Councillor Cook asked if there was an expected date for confirmation of the proposal from the Scottish Government. It was confirmed there has been no response as yet. 2

3 Mr Gunning replied that Scottish Government had indicated that a decision should be made by April The Board agreed with the recommendations to: (i) Endorse the resource bid; and (ii) Note that when then outcome of the bid is received a more detailed plan for resource utilisation will be developed. 7. COMMUNICATIONS PLAN Ms Buchanan explained that the purpose of the Communications Plan is to support the development of the integration framework, providing communication with staff and service users and the wider community in relation health and social care partnerships. It is proposed that deliverance of the plan will be phased into four parts. Phase 1, January March 2014, Transition Integration Board (TIB) phase which will be primarily staff information and reassurance. Phase 2, April December 2014, Shadow Integration Board (SIB) phase will continue with staff communications and slowly begin to give information to the public. Phase 3, January March 2015, preparation for the Integration Joint Board (IJB) phase will give further reassurance and information to staff and the public with more emphasis on the launch date. Phase 4, April 2015, Post Implementation phase will give staff and the public further information, engagement and will promote the new Partnerships. The Board discussed the issues around ensuring the HSCP communication plan was aligned with other key messages. Ms Lees explained that going forward it is important to build upon the conversations already underway; this is not a change but, a development. Ms Lees emphasised that it is important to ensure links with the Community Plan review which is ongoing and which will conclude in April An important link is with the development of community led action plans. The Board recognised there will be a number of pan Ayrshire key messages however, each Partnership will differ and this should be reflected in those key messages. The next step is more detailed work on Phase 2 of the plan. Dr Gunning advised the Board that an officer has been appointed at Scottish Government with responsibility for Communications. It was felt it would be advantageous if Governance and Scrutiny Committee could be added to the Decision Making Groups listing (page 48). (i) note the progress of the Communication Workstream and to support the on-going development; and (ii) Implementation of a more detailed Delivery Plan. LB 8. UPDATE ON DEVELOPMENT EVENT ON 18 MARCH

4 Mr Fraser gave a brief outline of the outcome of the TIB Development Event held on 18 March The following was discussed: Additional stakeholder arrangements Strategic Planning arrangements. Organisational development requirements of the Board The Draft OD plan Work is being undertaken to achieve the successful transition from TIB to SIB in the upcoming month and the preparations required by the Board. Board members agreed that this had been a very worthwhile session and would find further supports through the OD plan useful. 9. PROGRESS REGARDING STAKEHOLDER ARRANGEMENTS FOR SHADOW INTEGRATION BOARD Mr Fraser informed the Board that good progress has been made in recruiting representative members of the SIB. Existing employee representative arrangements within the NHS and council have been utilised to request the 2 employee representatives and this should be in place by the first SIB. Mrs Johnston has met with a number of people including Carers representative, and third sector and arrangements are in place for nominations in these areas. It was agreed that it would be beneficial to include an additional advisory representative from Nursing and also arrangements for Primary Care representation. The Executive Nurse director and Executive Medical Director of NHS Ayrshire & Arran will be contacted in this respect. 10. ANNUAL REVIEW OF CHILDREN AND YOUNG PEOPLES SERVICES PLAN Mrs Gilmour presented the Annual Review for 2012/13. There has been good progress in the overall targets and aspirations. Mrs Gilmour highlighted the key messages: Early Years Collaborative is now beginning to see impacts taking place on the lives of children. There is a partnership perspective of understanding the Improvement model and cultural change on learning. The Family Nurse Partnership Meeting was held and was successful. Alcohol and drugs Assessment work has now been made Ayrshire wide. Ayrshare has won a technical ward. It was noted this is a tool to progress in practice and leads the way to better integrate practices and resources. The Board discussed the recommendations of the review. New legislation states the Local Authorities and the Health Board are required to publish a Children and Young Peoples Services Plan. 2014/15 will be the final review and preparations will begin for the next three year plan which the SIB will contribute to and approve. 4

5 Mr Fraser noted that the Children and Young Peoples Services Plan will need to be reflected in the HSCP Strategic Plan. It was agreed that the SIB will wish to see congruence in the outcomes being identified across the plans. It is noted that with the extent of delegated functions from the parent bodies the SIB will have a substantial responsibility for both health and social care needs of children. (i) note the good progress in respect of the annual review of the Children and Young People s Service Plan. It was also agreed that the additional recommendation should be added that: (i) the Children and Young Peoples Services Plan will need to be reflected in the HSCP Strategic Plan. 11. AYRS HIRE AND ARRAN SENS ORY LOCALITY P LAN DRAFT PLAN AND CONSULTATION DOCUMENT Mr Fraser informed the Board that a plan is currently being drafted for Ayrshire and Arran. It is an inclusive plan across conditions, age groups, geographies and service sectors. Mr Fraser expressed some feelings from stakeholders during the planning that sensory impairment has felt marginalised and the opportunity to come together has been welcomed. The draft plan is now out for consultation and in a number of formats for accessibility. The making of a DVD is underway which features children with sensory impairment, through transition, adulthood and older people. This has been seen as leading work nationally and is supported by sensory impairment groups. There has been interest from other partnerships in the approach taken in Ayrshire. Mr Fraser discussed the positive partnership working with and between third sector organisations such as the Royal National Institute of Blind People (RNIB) and Action for Hearing Loss. Mr Fraser noted the plan is open to changes and any comments will be taken into consideration. The Board agreed this is a positive piece of work and is welcomed by the members. Mr Fraser confirmed that the finalised plan will be available after consultation in the autumn (i) Note the progress to date in developing services for people with a sensory loss; (ii) Note and make comment on the draft plan; and (iii) Agree to receive a finalised plan following consultation 12. ANY OTHER COMPETENT BUSINESS The Board discussed the options of holding future meeting in the early 5

6 evenings. Board members will be consulted. 13. DATE OF FIRST SHADOW INTEGRATION BOARD MEETING 3pm Thursday 24 April 2014, The Community Room, The Sir Alexander Fleming Centre, Woodstock Street, Kilmarnock Chair. Date 6

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