Apologies were noted.

In terms of Standing Order 7.2 and Section 5.14 of the Code of Conduct for Members of Devolved Public Bodies there were no declarations of interest.

Councillor Robert Foster, North Ayrshire Council (Vice Chair)
Councillor Timothy Billings, North Ayrshire Council
Councillor Christina Larsen, North Ayrshire Council
Dr Janet McKay, NHS Ayrshire & Arran
Alistair McKie, NHS Ayrshire and Arran
Bob Martin, NHS Ayrshire and Arran
Stephen Brown, Interim Director of Health and Social Care Partnership
Shahid Hanif, Interim Head of Finance
David MacRitchie, Chief Social Work Officer – North Ayrshire
Alistair Reid, Lead Allied Health Professional Adviser
David Thomson, Lead Nurse/Mental Health Adviser
David Donaghey, Staff Representative – NHS Ayrshire and Arran
Louise McDaid, Staff Representative – North Ayrshire Council
Fiona Thomson, Service User Representative
Nigel Wanless, Independent Sector Representative
Heather Malloy, Independent Sector Representative
Robert Steel, Chair Kilwinning Locality Forum
Vicki Yuill, Third Sector Representatives

David Rowland, Head of Service (Health and Community Care)
Thelma Bowers, Head of Service (Mental Health)
Eleanor Currie, Principal Manager (Finance)
Jo Gibson, Principal Manager (Planning and Performance)
Angela Morrell, Community Empowerment Manager
Maureen Baird, Project Officer (Developing the Young Workforce/Children’s Services Programme Planning)
John Godwin, Service Development Officer
Karen Andrews, Team Manager (Governance)
Amber Beveridge, Communications Support Officer
David Mackay, Modern Apprentice
Dionne Griffiths, Modern Apprentice
David Macknight, Modern Apprentice
Diane McCaw, Committee Services Officer
Euan Gray, Committee Services Support Officer

Stephen McKenzie, NHS Ayrshire & Arran (Chair)
Dr Paul Kerr, Clinical Director
Councillor John Sweeney, North Ayrshire Council
Dr Crawford McGuffie, Acute Services Representative
Marie McWaters, Carers Representative

The Chair advised Members that Jo Gibson, Principal Manager (Planning and Performance) would be leaving to take up a new post as Head of Service at West Dunbartonshire Council.

The Chair thanked Jo for her contribution to the work of the Partnership and wished her the very best in her new role. 

Members of the Board joined the Chair in thanking Jo.

Meeting ended 11.20am.

The accuracy of the Minutes of the meeting held on 14 December 2017 were confirmed and the Minutes signed in accordance with Paragraph 7 (1) of Schedule 7 of the Local Government (Scotland) Act 1973, subject to the following amendment:-

Page 6 – Item 3.1 – Volunteering Strategy - the North Ayrshire draft will be discussed with East and West South at a meeting in January.

Veterans First Point Service – a meeting has taken place with East and South regarding funding Veterans Frist Point. The IJB had decided to fund moving forward and with agreement now reached, figures are being worked on with East and South regarding proportion of contribution.
Action – T. Bowers

NACAS - The Head of Service (Health and Community Care) advised that a meeting had been held with NACAS and that options going forward were being explored with regard to the withdrawal of their outreach services.
Action – D. Rowland

Technology Enabled Care (TEC) and Innovation – The Head of Service (Health and Community Care) will provide an update to a future meeting once clarification is provided on whether TEC will revert to NHS in its own right.
Action – D. Rowland

This item was deferred and Isabel Marr, Senior Manager (Long Term Conditions) will provide a presentation to the next meeting of the IJB on 15 February 2018.
Action – I. Marr

Stephen Brown and Angela Morrell provided a presentation on the Annual Review of Children’s Services and the North Ayrshire Year of Young People 2018.

The presentations provided information on:-

• the launch of the Year of Young People (YoYP) 2018 Plan including a year-long programme of events and activities which will evidence the legacy of young people in North Ayrshire;
• the creation of ‘Unfearties’ to mark the 21^st birthday of the Children’s Parliament;
• the background to the Plan ‘Getting it Right for You’ which was published one year in advance of the statutory date and broken into three life stage sections – Early Years (0 – 5), Primary Years (5 – 12) and Secondary Years (13 – 18);
• the number of key achievements of the Plan which included development of a Named Person Service, the launch of Stop to Listen in the Three Towns locality, the recruitment of 17 additional Health Visitors, a rise in the breastfeeding rate and a fall in childhood obesity rates;
• the key next steps including the recruitment of a further six school counsellors and the establishment of a Data and Performance Sub Group to further develop the performance framework

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

• the links to the H&SC Partnership’s strategic plan in connection with poverty issues through representation by young people on the Locality Partnerships and involvement in the Participatory Budget process;
• concern around transition periods in children’s lives eg when they start secondary education or work;
• the high demand for SNAP and the need to have enough of a particular cohort of young people in a particular area to run a group;
• the benefits of the mental health first aiders; and
• tackling the social stigma associated with breast feeding.

The IJB agreed to support the contents of the Children’s Services Plan ‘Getting it Right for You’ Annual Report 2016-17.

Submit report by Eleanor Currie, Principal Manager (Finance) on the projected financial outturn for the financial year 2017/18 as at 30 November 2017.

The detailed position against the full year budget of £225.153m was set out at Appendix A to the report.  Appendix B detailed some savings at risk from delivery and included £1.165m of NHS savings shortfall still to be agreed.  The forecasted net position, including the projected underspend of £0.158m was outlined in Appendix C.  The previously approved mitigation plan was attached at Appendix D, which if delivered will reduce the deficit to £4.490m.  Appendix E provided details of the budget reconciliation.

Overspends and underspends were highlighted and Section 3.10 of the report provided an update detailing mitigating actions.

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

• Waiting lists numbers in connection with care home placements and care at home services;
• The challenge in terms of next year’s budget and ensuring 2017/18 savings are at a point where the funding gap is not carried over into 2018/19; and
• Options around budgets and savings will centre on a specific session with IJB mid-February to look at funding from the Health Board and the Council and what the potential funding gap will be for the IJB.

The Board agreed to note (a) the projected financial outturn for the year; and (b) that focus for the partnership over the next three months will be to maximise the savings achievable from the Challenge Fund and refresh the medium term financial strategy.

Submitted report by John Godwin, Service Development Officer on the achievements of the Transforming Care After Treatment (TCAT) – Ayrshire Employability Project, which is a national partnership between the Scottish Government, Macmillan Cancer Support, NHS Scotland, the Regional Cancer Networks, Social Work Scotland, COSLA, Local Authorities and the Third Sector to support a redesign of care following active treatment of cancer.

The TCAT project has provided positive assistance to support people affected by cancer to return to work.  Phase 1 of the project established an approach to holistic care across pathways and care sectors.  Phase 2 has focused on three areas of business awareness, returning to work and securing work.  Phase 3 will focus on embedding health and wellbeing approaches in the community.  A hyperlink within the report provided access to the full evaluation report on the West of Scotland Cancer Network website http://www.woscan.scot.nhs.uk/wp-content/uploads/North-Ayrshire-Phase-2.pdf

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

• The Council’s policy on maximising attendance and how to tie in with the project.

Noted.

Submitted report by John Godwin, Service Development Officer on the achievements of the Transforming Care After Treatment (TCAT) – Ayrshire Employability Project, which is a national partnership between the Scottish Government, Macmillan Cancer Support, NHS Scotland, the Regional Cancer Networks, Social Work Scotland, COSLA, Local Authorities and the Third Sector to support a redesign of care following active treatment of cancer.

The TCAT project has provided positive assistance to support people affected by cancer to return to work.  Phase 1 of the project established an approach to holistic care across pathways and care sectors.  Phase 2 has focused on three areas of business awareness, returning to work and securing work.  Phase 3 will focus on embedding health and wellbeing approaches in the community.  A hyperlink within the report provided access to the full evaluation report on the West of Scotland Cancer Network website http://www.woscan.scot.nhs.uk/wp-content/uploads/North-Ayrshire-Phase-2.pdf

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

• The Council’s policy on maximising attendance and how to tie in with the project.

Noted.