Consultation on amendments to the Scheme of Integration for health and social care

A consultation has been launched on revisions to the Scheme of Integration for health and social care, the legal contract between NHS Ayrshire and Arran and South Ayrshire Council underpinning the South Ayrshire Joint Board.

The changes include duties to support carers becoming the responsibility of the Board.

The opportunity has also been taken to update the scheme to reflect arrangements which have been put in place since the document was originally drafted and consulted on five years ago.

The Integration Scheme sets out in detail those functions that the local authority and NHS Board have delegated to the South Ayrshire Integration Joint Board which began operating in April 2015.

The Integration Authority which is funded by South Ayrshire Council and NHS Ayrshire and Arran, has responsibility for the joined up governance, planning and resourcing of social work services, primary care services, community health services and hospital services.

Services are delivered through South Ayrshire Health and Social Care Partnership, a single operational unit working to improve the health and wellbeing outcomes for patients, services users, their families and communities and make efficient and effective use of limited resources.

Review the revised draft Scheme of Integration document (showing tracked changes) for consultation.

The key proposed changes are summarised as follows:

Section 4.2Corporate Support Services: To reflect updated corporate support arrangements.
Section 4.4Performance Targets, Improvement Measures and Reporting Arrangements: To reflect current arrangements as they have developed over the last five years.
Section 7: Workforce Planning: To reflect revised expectations in relation to workforce planning and updated approach to Organisational Development.
Section 9:Participation and Engagement: To reflect that updated approach to Communication and Engagement.
Section 10:Information Sharing and Data Handling: To reflect updated arrangements.
Section 11: Complaints: To reflect changes in complaints handling requirements including the deletion of reference to South Ayrshire Council’s Social Work Review Committee whose work has been taken over by the Scottish Public Services Ombudsman.
Section 12:Information Governance: To reflect the General Data Protection Regulations (GDPR) regulations 2016 and Data Protection Act 2018.
Section 13: Risk Management: To reflect the approach to risk as now agreed.
Annex 2:Functions Delegated by the Local Authority to the Integration Joint Board: To reflect the Carers (Scotland) Act 2016 functions that must be delegated.
Annex 3: Lead Partnership: To revise note of Lead Partnership Services for South Ayrshire to remove Allied Health Professionals (AHPs) and Technology Enabled Care (TEC) but add NHS Community Equipment Store and Family Nurse Partnership.

In addition to the proposed changes in the annotated scheme the parties have identified two further areas where change may be required but for which proposals have not yet been fully developed.

Finance

Key areas for consideration have included:

  • Resources to be made available to the Joint Board
  • In Year Variations
  • Dispute Resolution section of the Integration Scheme.

In considering the issues raised the Parties have noted that guidance relating to the use of Directions is soon to be issued by the Scottish Government. It is anticipated that this guidance will assist in the development of arrangements which have the potential to resolve some of the concerns identified. The parties intend to work closely with the IJB to implement the new guidance and review progress before seeking to revise the Integration Scheme at this stage.

Comments are welcomed in relation to the sections on Finance in the Integration Scheme.

Children's social work services

As part of this review, South Ayrshire Council has indicated that it wishes consideration to be given to whether Social Work Services for Children and Young People and Justice Social Work Services should, in the future, be planned and delivered by it directly and not by means of delegation to the Integration Joint Board.

Areas where there have been some concerns around the current arrangements include:

  • The limited focus on prevention resulting from services prioritising more challenging and urgent support for vulnerable children and families.
  • Lack of visible evidence of joint working across services.
  • Competition for resources across adult and children’s services.
  • Lack of visibility and improvement around integration of health services.

Consultees are invited to contribute their thoughts on the question of delegation of Children’s Social Work services as part of the consultation.

How to respond

Comments can be sent via email to SAHSCP.Consultation@south-ayrshire.gov.uk or by post to Planning and Performance Team, South Ayrshire Health and Social Care Partnership, Elgin House, First Floor, Main Building, Ailsa Hospital, Dalmellington Road, Ayr, KA6 6AB

The deadline for consultation responses is Monday 24th February 2020.

We will also be holding two public consultation events in February. This is an opportunity to ask questions and give your views. If you plan to attend one of these events it would be helpful if you can register by emailing SAHSCP.Consultation@south-ayrshire.gov.uk.

Consultation events

Date: Thursday 13 February 2020
Time: 4.15pm – 5.15pm
Venue: Ayr Town Hall, New Bridge Street, Ayr, KA7 1JX

Date: Wednesday 19 February 2020
Time: 12.30pm – 1.30pm
Venue: County Halls, Wellington Square, Ayr, KA7 1DR

All comments will be considered by South Ayrshire Council and NHS Ayrshire and Arran in March 2020.

As a guide consultees should note that the law places strict limits around the content of Integration Schemes so the scope for changes is restricted. The legislation and guidance can be found on the Scottish Government website.

If you have any questions or would like this information in an alternative format please email SAHSCP.Consultation@south-ayrshire.gov.uk.