LOCALITY PLANNING: FINAL PROPOSALS - South Ayrshire

1 1 AGENDA ITEM NO. 7 South Ayrshire Health & Social Care Partnership Report to South Ayrshire Shadow Integration Board Meeting of 30th October, 2014 LOCALITY planning : FINAL PROPOSALS 1. Purpose The purpose of this report is to provide updated PROPOSALS for consideration by the Shadow Integration Board (SIB), following a significant engagement exercise, on the proposed geographical boundaries of localities and neighbourhoods and on the roles proposed for each in the Strategic planning (Commissioning) process. 2. Recommendation It is recommended that the SIB (1) approves the LOCALITY and neighbourhood boundaries as proposed in Appendix 5; (2) approves the roles proposed for the LOCALITY and Neighbourhood levels in the Strategic planning Process as detailed in Sections 6 and 7 of this report; (3) supports the recruitment and employment of three temporary officers to build capacity within communities in South Ayrshire in pursuit of the Integration Principles contained in the Public Bodies (Joint Working) (Scotland) Act, 2014 and in delivery of national and local outcomes for health and wellbeing for adults and for children.

2 And (4) considers the funding required to support community capacity building (as proposed in Recommendation 3) when considering PROPOSALS on the utilisation of Transitional Funding in 2014-15 and, similarly, in respect of PROPOSALS to be brought forward for use of the new Integrated Care Fund in 2015-16. 3. Background Information The Shadow Integration Board (SIB) at its meeting on 24th April, 2014 considered a report on LOCALITY planning and agreed to approve the approach to this detailed therein and further, that Officers proceed with a planned engagement exercise for Stakeholders on the draft PROPOSALS . This earlier report explained in terms of the Health and Social Care Partnership that: LOCALITY planning is a key element of Health & Social Care Integration and with the enactment of the Public Bodies (Joint Working) (Scotland) Act, 2014 has become a legal requirement in relation to the planning and delivery of health and social care services.

3 Partnership Strategic Plans will require to provide details of the way in which statutory partners plan to commission services in identified localities. The legislation requires that the Strategic Plan to be adopted by the Partnership Integration Joint Board after 1st April, 2015, should achieve the following:- strategic plans will divide each local authority area into at least 2 localities; 2 strategic plans will set out separately the arrangements for carrying out integration in each LOCALITY ; services set out in the Strategic Plan should reflect local needs and resources; the Strategic Plan should take account of the different needs of different people in each area; localities must be able to influence the content of Strategic Plans; and local needs must be fed into the strategic commissioning process.

4 In working towards the delivery of the new National Outcomes for Health & Social Care, the Act states that services and support should be planned and provided in a way that is consistent with the Integration Principles which are set out within it and specifically in this context:- (a) that the main purpose of services which must or may be provided in pursuance of the integration functions for the council area is to improve the wellbeing of recipients; and (b) that those services should be provided in a way which:- takes account of the particular needs of different recipients; takes account of the particular needs of recipients in different parts of the area in which the service is being provided; and is planned and led locally in a way which is engaged with the community and local professionals; For Strategic Plans to take account of local needs and resources and the different needs of different people in each area, there will require to be effective engagement with all key stakeholders at a range of different levels, each with its own unique purpose within the strategic planning process.

5 Specifically in terms of a LOCALITY based approach to planning , a two-tier approach was proposed to the SIB based on Localities and Neighbourhoods. A diagram illustrating different levels and functions in the Strategic/ LOCALITY planning process is detailed below in Figure 1: 3 At its meeting on 24th April, 2014, the SIB agreed that LOCALITY planning in the South Ayrshire Partnership would have two main purposes: One will be to jointly assess need, prioritise and plan how all resources, irrespective of their origin, can best be deployed in pursuit of the delivery of the National Outcomes for Health & Social Care. The second purpose ascribed to LOCALITY planning in South Ayrshire will be the local delivery of services and support to the population or communities within the area concerned.

6 These services and support may be provided through the statutory, independent, or voluntary sectors, or from within or between local communities. 4. Engagement Exercise In respect of the PROPOSALS contained in the earlier report, the Shadow Integration Board approved the approach proposed and to follow this with an extensive stakeholder engagement exercise over the spring and summer months. It was further agreed that the results of this exercise would be written up and presented to the Board at a subsequent meeting with a view to the agreed approach to LOCALITY planning becoming a part of local approach to Health & Social Care Integration. The following timeline was approved:- At the SIB meeting on 26th August, 2014 it was agreed to extend the period of the engagement exercise and to consider a follow-up report at its meeting on 30th October rather than in August as had been originally intended.

7 1. Sign-off of Project Brief 31st January, 2014. 2. Project launch by 15th February, 2014. 3. Individual agency positions established and existing information on need within community areas provided by 14th March, 2014. 4. Creation of Joint Inter-Agency Working Group and scoping out of outline PROPOSALS for consultation and engagement by 11th April, 2014. 5. Seek approval from Shadow Integration Board (SIB) to proposed LOCALITY planning Framework and to scope and purpose of Stakeholder Engagement Exercise by 30th April, 2014. 6. Engagement with stakeholder groups 1st May to 18th July, 2014. 7. Refinement of draft PROPOSALS 21st July to 1st August, 2014. 8. Preparation of FINAL report for Shadow Integration Board approval on framework, scope and terms of reference for localities: 4th 29th August, 2014.

8 4 During the summer months extensive engagement has taken place with a range of individuals and groups representing local communities, professionals, staff, independent contractors, the Voluntary Sector and the Independent Sector. A list of those engaged is provided in Appendix 1. Engagement with some groups such as GP s and individual Community planning Partners is on-going. Those Community planning Partners engaged to date have generally been supportive of the PROPOSALS contained in this report (see Appendix 1 for organisation details.) Actual participation around the LOCALITY planning table is more likely by those Partner Organisations based locally or who have local service delivery points.

9 Other nationally based Partners while supportive of the objectives being pursued are more likely to support the process through the provision of information to assist with planning or participation in specific PROPOSALS . Strathclyde Passenger Transport (SPT) have indicated that transport within the proposed localities should not be an issue as they are all served either through commercial transport provision or where coverage is not as comprehensive, by SPT supported services. The engagement exercise has been centred around a presentation on the Council s Community Engagement Strategy and the Partnership s LOCALITY planning PROPOSALS and how community engagement could be effectively undertaken within the context of a LOCALITY based approach.

10 The engagement exercise has been led by Officers from the Council and the NHS who comprise the Joint Officers Group on LOCALITY planning . The Group has developed the proposed approach. Care has been taken by the Group to ensure that the PROPOSALS approved by the Council on its approach to Community Engagement and these community planning PROPOSALS are complimentary to each other and senior Council Community Engagement and Community planning staff have been part of the Joint Officers Group on LOCALITY planning . Generally speaking, the response to the principles being proposed as articulated in the joint presentation have been well received and supported albeit with a healthy degree of scepticism particularly on the part of some community groups regarding the likelihood of public bodies following through on the PROPOSALS being made.