What matters to YOU?
HSCP Strategic Plan
2024 - 2027
We are hosting Coffee Mornings and Drop-Ins at our Your Voice in 12 Clyde Square Greenock PA15 1NB. Come along and have your say. Inverclyde HSCP and Your Voice want to hear what’s important to you. What do you think should be the priorities for Inverclyde over the next 3 years?
Monday 22nd January, 1pm - 3pm
Monday 29th January, 1pm - 3pm
Monday 5th February, 1pm - 3pm
Monday 12th January, 1pm - 3pm
Come and join us for a discussion around the issues and challenges facing local people and share your ideas on how we can work together to develop solutions and remove barriers.
You can also take part in the online survey, linked here.
All feedback will be reported to Inverclyde HSCP and help shape what HSCP services are prioritised, changed and kept the same. Tell us what you like and what you think could be improved within Inverclyde!
As part of the requirements laid down in the Public Bodies (Joint Working) (Scotland) Act 2014, the Integration Joint Board (IJB) must produce a Strategic Plan that sets out how they will plan and deliver HSCP services for the people of Inverclyde in relation to the Nine National Outcomes. The HSCP also has the responsibility to produce an Equality and Diversity Mainstreaming report (every two years) and develop new Equality Outcomes (every four years).
This Communication, Engagement & Participation Plan is designed to set out how Inverclyde HSCP will communicate, engage, and consult with staff, partners, the third sector, stakeholders and the public on the preparation and content of its new Strategic Plan (2024 onwards) and our Equality and Diversity Mainstream Report and Outcomes (2024-28).
The 6 Big Actions have now run their course and Inverclyde Health Social Care Partnership are looking to the future. The HSCP have outlined 4 NEW PRIORITIES which we are excited to present to you and gather your feedback on.
What do these words mean to you? Do they capture what you think is important? Please take part in the survey and let us know your thoughts!
PROVIDE EARLY HELP AND INTERVENTION
”We will encourage local people and communities to live their healthiest life, providing advice and support to maintain good health and wellbeing throughout their lives.
When a concern arises, be it physical illness, mental health, or another concern that impacts your wellbeing, we will provide support to you as soon as possible to prevent it from growing into a complex issue.”
IMPROVING MENTAL HEALTH AND WELLBEING
”The level of people experiencing poor mental health is growing in Inverclyde and impacts people of all ages. This is true for complex mental health conditions as well as low-level wellbeing concerns.
We will ensure you receive the support you need to improve and maintain positive mental health and wellbeing throughout your life and provide support to you in your recovery journey.”
SUPPORT INCLUSIVE, SAFE AND INDEPENDENT COMMUNITIES
“A large part of our health and wellbeing is impacted by the communities in which we live.
We will help empower local communities to become more vibrant and inclusive places that provide a supportive environment to all who live there. This includes the most vulnerable and often excluded groups in Inverclyde.”
STRENGTHEN SUPPORT TO FAMILIES AND CARERS
”Living in a nurturing and caring household can have a positive impact on an individual’s life chances and health outcomes. We know that many households in Inverclyde face a range of challenges that negatively impact their health, wellbeing and outcomes.
We will strengthen the support we provide to struggling families, carers and households.”
6 Big Actions Progress
The previous Strategic Plan for 2018 - 2023, know as the 6 Big Actions, were carried out during the course of this time period. Progress and updates can be found below.
Despite disruptions such as Covid-19, the 6 Big Actions saw very encouraging progress and helped shape Inverclyde for the better.
Big Action 1 - Reducing Health Inequalities
Choose the Right Service Raised awareness about which local HSCP services were available and helped the people of Inverclyde get the treatment they needed. This helped to reduce the demand on A&E for other patients to use.
Innovative Technology Your Voice provided devices, training and ongoing support to help prevent isolation.
Not Sure Just Ask Campaign was launched to help patients ask questions about their medication: What is the medicine for? How do I take it and for how long? Are there any side effects? Are there any check-ups required? Can I stop any other medicines?
Social Prescribing We put the new model into place and helped 100s of Inverclyde residents with referrals.
Wellbeing We created a Wellbeing Caller post, to help reduce anxiety and depression.
Connect to Wellbeing Raised awareness about the local HSCP services and how they could help you!
Covid-19 We refreshed our strategies and priorities during the pandemic. We continue to respond to any new guidance or local issues (including care homes) related to the Pandemic.
The RISE project has now worked with a total of 38 men, they have gained employment and / or education / training. financial gains have been realised for the young men equating to £64,000.
Plan in place to deliver Anticipatory Care Planning (ACP) role, which supports people living in care homes and their families. This plan saw limited progress due to ongoing recruitment issues.
Mental Health Inpatient and Community Advanced Clinical Practice roles. Inverclyde has 5 mental health wards, with 90 inpatients beds in total across 3 separate units, all based on the Inverclyde Royal Hospital (IRH) site.
Deliver New Inverclyde Financial Inclusion Partnership Strategy and outcomes. Welfare Rights Officers undertake appeals and maintain the average 70% outcomes in favour of the client. Across the service financial gains were £5,923,828.95 delivered through benefits awarded, debt written off, grants gained etc.
Advice Services have £1.4 million of gains in the first quarter 23/24.
Board wide subgroups being refreshed. Representation from IHSCP on all groups and local implementation plan being developed through Inverclyde mental health strategy.
Continuing work to support access to food and cooking skills for families in Inverclyde. The Thrive Under 5 project, in partnership with the Rainbow Centre is underway
Big Action 2 - Young People
The iPromise Project Has worked tirelessly and continuously to listen to young people, understand their issues and provide help or advice to improve their circumstances. Children and young people have come together to share their experience, create memories, help influence and shape policy at all levels.
Supporting Mental Health - Apps such as Kooth, Daylight, Sleepio, SAM and My Possible Self have been introduced to aid people with a wide range of mental health concerns such as anxiety or sleep issues.
Training Of HSCP and Third Sector staff was conducted to help them recognise and support young people’s mental health and wellbeing.
Establish a Promise Board to audit our commitments to #ThePromise Partnership within Inverclyde. I-Promise Board: the oversight body of I-Promise is co-chaired by two care experienced young people and the Council Chief Executive. The group meets quarterly, and representation includes Council Corporate Directors, HSCP Chief Officer and service managers for health, Community Learning and Development, Scottish Fire and Rescue, Police Scotland, Barnardo’s, Your Voice, CVS, Action for Children, Children 1st, the Scottish Children’s Reporter Administration and Children’s Hearings Scotland.
Review the support to families for young carers and children with Additional Support Needs. We are participating in a national thematic review with the care inspectorate. A self-evaluation tool has been used and this has provided a framework for service review and development.
Continue to support children and young people’s health, mental health, and wellbeing through the delivery of the Children’s Wellbeing Service. In the past 6 months 142 children have accessed school counselling, 135 have accessed support and HSCP services. Kooth, an online counselling service for young people 16 to 26 years has gone line 1st April 2023 Inverclyde.
Big Action 3 - Protecting Our Population
Commissioned an evidenced informed approach to reduce domestic abuse.
Developed and implemented a new model for women involved in offending.
Extend and reduce Neglect and Self-Neglect across the partnership.
Self-evaluation Framework services were implemented throughout 2020
Learning & Development Framework was developed & Implemented throughout 2021.
A National Approach to Learning Together was implemented, to improve quality in Public Protection during 2022.
Implement the learning and recommendations from the 2021 Adult Protection Inspection. Five improvement focus areas were identified; Chronology, Practice Standards and Operating Procedures, Accurate Records, Quality Assurance and Scrutinise Quality. Significant improvement has been made as this was evident in 90% of case files.
Delivering the Clinical and Care Governance Plans. Action plan requires review particularly around Quality Improvement. No resources have been available to support this work and the plan requires to be revisited.
Implementation of the national Child Protection Guidance with a strengthened focus on children’s rights. Draft procedures have been created in partnership with other HSCPs reflecting the new National Guidance. Work will be planned throughout August and September to ensure full implementation by the end of September 2023.
Continue to support the national Child Abuse Enquiry and implement learning and recommendations. Response to the Scottish Child Abuse Inquiry (SCAI) was provided on use of restraint. Council has been granted Leave to Appear for phase 8 of the Inquiry Hearing, likely to be early 2024.
Rolling out trauma informed approaches across HSCP staff and commissioned services to ensure delivery of trauma informed services. Progress continues to be made with the roll out of trauma informed practice training across the HSCP and our third sector partners through the test of change of the Women’s Project. To date a total of 42 leaders and senior managers have completed the Scottish Trauma Informed Leadership Training (STILT).
Continue to progress the Woman in Criminal Justice System Project. Women in Justice Support Group meet on a weekly basis every Tuesday afternoon at Unit 6 in Port Glasgow. Working with the women to make small changes to the Justice System, which will lead to wider systemic and cultural change.
Big Action 4 - Sustainable Housing
Review of internal and external Care at Home Services. The Care at Home review is near completion, with some of the recommendations already approved by CMT and IJB for implementation on 1st August 2023.
Delivering the range of work related to Unscheduled Care with a focus on prevention of admission and improving discharges. Our Work on Frailty, Falls and Maximising Independence has been reported to the UC strategic group along with data on prevention of admission. We are prioritising the main work stream with an initial focus on Palliative care pathways, ACP’s, ED and fast track discharges, 7-day AHP and equipment provision.
Continuing to support the development of the Care Home Collaborative Team for NHSGGC through the hosting agreements for Hub 5. A schedule of training is now available to care homes in addition to numerous new resources from the CHC, these are all available on the CHC (Care Home Collaborative) website and are advertised on the regular newsletter, all of which is shared locally with all our care homes.
Delivering the new Community Learning Disability model. The Hub Programme Board continues to meet regularly to progress our £9.5 million new build project and some key stages have been met in recent months. The integrated Learning Disability service has continued to develop and used the Community Living Change Fund to appoint new staff at the start of this financial year, a Health Care Support Worker and a Transitions Coordinator.
Ensuring appropriate Out of Hours services are available. Out of Hours (OOH) provision delivered via a number of routes. GP Out of Hours (GPOOH) service in NHS Greater Glasgow and Clyde (NHSGGC) provides medical assistance to patients out with normal GP surgery hours.
The Primary Care Improvement Plan has evolved into a wider Primary Care Transformation agenda which draws on our partners and the wider primary care network through our Governance Structure namely Primary Care Transformation Group, Memorandum of Understanding (MOU) Development Group, our Population Engagement Group and both workforce and patient information sessions.
Support and ensure carer engagement. Three carer engagement sessions undertaken in 2022/ 2023 as part of the work to update the Carers Strategy for Inverclyde. A carers survey questionnaire was undertaken with more than 240 responses.
End of life care in Inverclyde. A Strategic group for Inverclyde has now been commenced and work is underway to identify key areas for strategy development. We have successfully managed to get a GP and Acute rep on the group. New national strategy was expected this year – this is not now likely to happen, but a GGC wide group has commenced, and LM is on this group to lead on the way forward for GGC which ensures Inverclyde HSCP is well linked in.
Implement a new model for homeless services. Change programme underway. Overseen by Programme Board. Change Lead, Wellbeing Co-ordinators, and Rapid Rehousing Support Officers recruited and in post. Workplans developed via six subgroups to undertake options appraisal work on new service/staffing model, supported by RRTP implementation.
Delivering Inverclyde’s Rapid Rehousing Transition Plan. Two graduate interns have undertaken the annual review process of our Rapid Rehousing Transition Plan for 2022/23. 200 approaches to the service since 1 April 2023, 36 active prevention cases, a current homelessness caseload of 129 and a prevention caseload of 187, void turnaround times are down and our current and former tenant arrears have reduced, we currently have 54 households being supported through our Housing First approach 29 of who are sustaining a Scottish secure tenancy, we continue to decommission the Inverclyde Centre with only 17 rooms currently occupied and case duration is down from 25.4 weeks to 10.2 weeks at the end of July.
56% reduction in the number of prevention advice cases transitioning to a full homelessness assessment meaning crisis is being avoided by early intervention.
10% decrease in the number of homeless applications.
30% reduction in people presenting as homeless on leaving an institution i.e., prison, hospital etc.
27% reduction in repeat homelessness cases.
21 temporary furnished flats flipped to provide permanent accommodation to those who have settled.
36% reduction in the use of Unsuitable Accommodation with zero instances of using hotels and B&B facilities.
Big Action 5 - Alcohol, Tobacco and Drugs
Recovery Cafés Your Voice have opened 3 Recovery Cafés in Inverclyde; one at Bank Street, one in Port Glasgow and one at Branchton Community Centre.
Planned events including Recovery Walk Scotland and Tea in the Park in Inverclyde to help create a dialogue about addiction and reduce stigma around recovery. Spread awareness about what support is in place for those in recovery.
Continue to commission and expand recovery and support communities for those affected by drugs and alcohol. ADP funding committed to recovery communities. Roll out of community recovery activity through third sector partners. ADRS and all partners adopted Trauma Informed approach to support.
Deliver on the Medication Assisted Treatment (MAT) standards across all HSCP services within the Alcohol and Drug Partnership. Workplan in place to ensure full implementation of MAT 6-10 by April 2024 is achieved.
Develop a residential rehabilitation pathway for people affected by drugs and alcohol. Residential Rehab pathway developed. RR Nurse in post to support transition into RR (Residential Rehabilitation).
Deliver smoking prevention within Inverclyde. GGC deliver this at Board level across all Partnerships. The Quit your Way programme continues.
Big Action 6 - Strengths of Community
Implement Care Opinion to ensure a consistent means of evidencing that feedback is being requested. There has been a 147% increase in stories from all residents of Inverclyde between 2021 / 2022 to 2022/2023 and this is a good indicator of the impact of local promotion.
Use our complaints process to ensure continuous learning and development of quality services. Work underway for training sessions to develop our head of service / managers on the HSCP complaints process. Training will commence in November 2023.
Continue to deliver on the Market Facilitation and Commissioning Plan and support providers. Work underway with day care contract, homecare contract and carers centre. CVS currently working with providers to support tender process.
Inverclyde Cares developing the four key focus areas of addressing stigma; supporting bereavement and loss; implementing the Kindness Award. Compassionate Inverclyde operational by early 2024. Covid-19 Memorial activity, Remembering Together, is being taken forward in Phase 2 by Rig Arts. The drug and alcohol stigma training module content are being developed in collaboration with people with lived experience.
Locality planning Successful locality planning group information sessions have been delivered and attended by a variety of our stakeholders; several parties have shown interest in joining our Locality groups. Joint work is ongoing with our community councils with a view to having the first of our locality planning group meetings in September.
Develop our HSCP workforce plan with a key focus on supporting the health and wellbeing of our staff and our commissioned partners’ staff. A three-year Workforce Plan 2022 - 2025 was presented and approved at the Integration Joint Board in November 2022. An updated Workforce Plan action plan was approved at the June 2023 IJB meeting.
Initiatives and campaigns to support our communities through COVID-19 recovery. Inverclyde HSCP, Your Voice and CVS are delivering a Wellbeing Campaign which will run from September 2023 – March 2024 and will mirror previous activity, highlighting support which is available within the community.