At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 25th April, 2017.

Present:-

Members

Role

Ken LYNN (Chairperson)

Nominated by Dundee City Council (Elected Member)

Stewart HUNTER

Nominated by Dundee City Council (Elected Member)

David BOWES

Nominated by Dundee City Council (Elected Member)

Doug CROSS (Vice Chairperson)

Nominated by Health Board (Non-Executive Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

Jane MARTIN

Chief Social Work Officer

Cesar RODRIGUEZ

Registered Medical Practitioner (not providing primary medical services)

Drew WALKER

Director of Public Health

Christine LOWDEN

Third Sector Representative

Andrew JACK

Service User Representative

Non-members in attendance at request of Chief Officer:-

Diane MCCULLOCH

Head of Community Health and Care Services

Councillor Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Munwar HUSSAIN, Nominated by Health Board (Non-Executive Member), Judith GOLDEN, Nominated by Health Board (Non-Executive Member), Sarah DICKIE, Registered Nurse, Frank WEBER, Registered Medical Practitioner (whose name is included in the list of primary medical performers), Raymond MARSHALL, Staff Partnership Representative and Martyn SLOAN, Carer Representative.

II                      DECLARATION OF INTEREST

No declarations of interest were made.

III                     MINUTE OF PREVIOUS MEETING

The minutes of meetings of the Integration Joint Board held on 28th February, 2017 and 27th March, 2017 were submitted and approved.

IV                     MEDICINE FOR THE ELDERLY SERVICES UPDATE ON ARTICLE VI OF THE MINUTE OF THE MEETING OF THE INTEGRATION JOINT BOARD HELD ON 28TH FEBRUARY, 2017

 

Reference was made to Article VI of the minute of the meeting of the Integration Joint Board held on 28th February, 2017.  It was reported that following the discussion at the Integration Joint Board, held on 28th February, 2017, regarding Medicine for the Elderly services, a range of engagement events and processes had been introduced to strengthen staff and staff side engagement with the proposed changes across Medicine for the Elderly services, and in particular within Royal Victoria Hospital. 

These include:-

 

-                       Roadshows across the Royal Victoria Hospital site to explain the current and future arrangements, the timescales for change and the proposed hospital and community remodelling.  These sessions were well attended and included staff side representation along with managers for the staff groups affected.  Staff had the opportunity to ask questions.

-                       A change management steering group had been set up which included management from the various staff groups and staff side representation.  This group would formulate the plans to support the transition of staff to the new roles.

-                       A new Royal Victoria Hospital Operational Group had been established including staff side representation.

-                       The Public Involvement Manager, NHS Tayside and Clinical Nurse Manager, Medicine for the Elderly, NHS Tayside had reviewed the engagement plan to ensure all internal and external engagement routes were employed.

The Integration Joint Board agreed to note the position.

V                      PERFORMANCE AND AUDIT COMMITTEE

 

(a)                    MINUTE OF MEETING OF 14TH MARCH, 2017

The minute of meeting of the Performance and Audit Committee held on 14th March, 2017 was submitted and noted for information and record purposes, a copy of which is attached to this minute as an appendix.

(b)                    SUMMARY OVERVIEW OF MEETING OF 14TH MARCH, 2017

 

There was submitted Report No DIJB18-2017 by Doug Cross, Chair of the Performance and Audit Committee providing a summary overview of the meeting of the Performance and Audit Committee held on 14th March, 2017 as follows:-

Delegated Decisions taken by the Committee

 

There were no delegated decisions taken by the Committee at its meeting on 14th March 2017.

 

Performance Against Workplan

 

-                       This was the second meeting of the Performance and Audit Committee. The Committee considered the 2016/17 Annual Audit Plan prepared by Audit Scotland, the planned approach to producing the 2016/17 Health and Social Care Partnership Annual Performance Report and an update on progress towards submitting a complete data set to the Scottish Government to inform strategic planning and performance improvement within the health and social care partnerships. In addition, the Committee also noted the outcome of the visit by the Mental Welfare Commission to Kingsway Care Centre.

 

Any Other Major Issues to highlight to the Integration Joint Board

 

-                       The assigned external auditor for 2016/17 was Audit Scotland. Public audit contributed to conclusions on appropriateness, effectiveness and impact of corporate governance, performance management arrangements and financial sustainability.  The annual audit fee set for Dundee Integration Joint Board in 2016/17 was £17,400.  A number of main risks had been identified in relation to the Integration Joint Board. These included wider dimension risks associated with:

 

-                       Financial sustainability

-                       Governance and assurance arrangements

-                       Corporate support

-                       Transparency

 

-                       Integration Authorities must prepare an annual performance report for each reporting year. This should be published within four months of the end of the financial year (by 31st July, 2017). Advice was being sought from the Scottish Government to establish whether an advanced draft could be submitted for 31st July with the final report submitted after approval at the IJBs meeting on 29th August, 2017. Such an arrangement was not uncommon to fit in with Board/Council meeting timetables over summer. In future years, there would be a requirement to provide a comparison between the reporting year and the preceding five reporting years. The production of the annual performance report would be led by the Performance and Audit Co‑ordinating Group.  The Committee were assured that satisfactory progress had been made with developing the planning arrangements to preparing the report.

 

-                       National Services for Scotland, Information Services Division (NSS ISD) had been commissioned by the Scottish Government to work in partnership with NHS Boards, Local Authorities and Integration Joint Boards to develop core data to inform strategic planning and performance improvement across the health and social care spectrum. This was referred to as the SOURCE project. The social care dataset was split into 10 sections with an optional 11th section on homelessness. Dundee Integration Joint Board (along with three other Partnerships) had submitted data for nine sections and were working to overcome the complexities around definition and limited data on the remaining section which covered Respite. Only one Partnership had submitted data for all 10 sections. The Committee were pleased to note the commitment of the team in participating fully in the SOURCE project.

 

-                       The Committee were pleased to note the outcome from the Mental Welfare Commissions recent visit to Kingsway Care Centre.  This was a follow up visit from a previous one in 2014 where a number of recommendations were made. The report was a positive one with only two recommendations made this time. The first related to displaying information about the locked door policy was quickly addressed while the second relates to carrying out an environment assessment and carrying out any necessary refurbishment work as soon as practical. It was noted Kingsway Care Centre was not purpose built for its current use and was not owned by NHS Tayside. Consultation with partners would therefore be required to determine how best to address this recommendation. The Committee recorded their appreciation for the contribution and diligence of staff in achieving the best outcomes for the patients of Kingsway Care Centre and their relatives.

 

VI                     ALCOHOL AND DRUGS PARTNERSHIP- PRESENTATION AND REPORT

 

(a)                    PRESENTATION

Vered Hopkins, Lead Officer, Protecting People gave a presentation on Developing the Strategic and Commissioning Plan for Alcohol and Drug Services (2017-2020).  The presentation provided information about the prevalence, impact and harm from misuse.  Current challenges for services were outlined and national and local developments were set out.  Key themes and priorities for the local Strategic and Commissioning Plan (2017-2020) were outlined.  The future service model - improving the Recovery Orientated system of Care was explained.

The Integration Joint Board agreed to note the content of the presentation.

(b)                    REPORT

There was submitted Report No DIJB14-2017 by the Chief Officer informing the Integration Joint Board about proposals to progress with fostering connections, including in relation to the future governance of funding arrangements, between the Alcohol and Drugs Partnership and the Integration Joint Board.  It also proposed changes to the current governance arrangements to the planning and commissioning of drug and alcohol responses in Dundee to support the emerging relationship between the Alcohol and Drugs Partnership and the Integration Joint Board.

The Integration Joint Board agreed:-

(i)                     to note the emerging relationship between the Alcohol and Drugs Partnership and the Integration Joint Board;

(ii)                    to the proposed governance arrangements as set out in Section 4.5.2 of the report;

(iii)                    to note the overall 2017/18 Tayside financial resources to be delegated to the three Tayside Integration Joint Boards;

(iv)                   to the proposal of an aligned Integration Joint Board/Alcohol and Drugs Partnership budget which facilitated the review of current financial arrangements across all services;

(v)                    to note the proposed development of a Dundee Drug and Alcohol Strategic Commissioning Plan;  and

(vi)                   to instruct the Chief Officer, in partnership with the Chair of the Alcohol and Drugs Partnership, to present the Strategic Commissioning Plan for sign off at both the Alcohol and Drugs Partnership and the Integration Joint Board.

VII                    FINANCIAL MONITORING POSITION AS AT FEBRUARY 2017

 

There was submitted Report No DIJB15-2017 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected financial monitoring position for delegated health and social care services for the 2016/17 financial year. 

The Integration Joint Board agreed:-

(i)                     to note the overall projected financial position for delegated services to the 2016/17 financial year end as at 28th February, 2017; and

(ii)                    to note the final financial position for 2016/17 would be presented to the Integration Joint Board as part of the Annual Statement of Accounts.

VIII                   DUNDEE INTEGRATION JOINT BOARD RESERVES POLICY

 

There was submitted Report No DIJB16-2017 by the Chief Finance Officer setting out the proposed Reserves Policy for Dundee Integration Joint Board for consideration and approval and described the purposes for which reserves may be held.

The Integration Joint Board agreed to note and approve the proposed Reserves Policy for Dundee Integration Joint Board as outlined in the report.

IX                     SHAPING THE ADULT HEALTH AND SOCIAL CARE MARKET IN DUNDEE 2017‑2021

 

There was submitted Report No DIJB12-2017 by the Chief Finance Officer to notify members of the agreement of Dundee Health and Social Care Partnerships market facilitation strategy by the Integrated Strategic Planning Group, and of plans for distribution of the document to key stakeholders.

The Integration Joint Board agreed:-

(i)                     to note the content of Shaping the Adult Health and Social Care Market in Dundee 2017/21, which was attached to the report as Appendix 1 as agreed by the Integrated Strategic Planning Group;  and

(ii)                    to note the plans for publication and distribution of the document to key stakeholders as outlined in Section 4.4 of the report.

X                      SCHEME OF DELEGATION

 

There was submitted Report No DIJB17-2017 on the Scheme of Delegation.

The Integration Joint Board agreed to adopt the Scheme of Delegation as the Scheme of Delegation of Dundee City Health and Social Care Integration Joint Board.

The Integration Joint Board further agreed to note that Dundee City Council were currently reviewing their Scheme of Delegation and that any wording required in relation to the position of the Chief Social Work Officer would be reported to a meeting of the Integration Joint Board.

XI                     SOCIAL WORK MODEL COMPLAINTS HANDLING PROCEDURE AND INTEGRATION JOINT BOARD COMPLAINTS HANDLING PROCEDURE

There was submitted Report No DIJB13-2017 by the Chief Finance Officer providing the Integration Joint Board with an update on the implementation of the Social Work Model Complaints Handling Procedure and Integration Joint Board Complaints Handling Procedure by Dundee Health and Social Care Partnership.

The Integration Joint Board agreed:-

(i)                     to approve the proposed approach towards the implementation of new complaint procedures for Dundee Health and Social Care Partnership Social Work Complaints and Integration Joint Board Complaints;

(ii)                    to instruct the Chief Finance Officer to ensure that regular three monthly complaint Performance Reports were submitted to the Performance and Audit Committee;

(iii)                    to note the work being undertaken to ensure all necessary actions had been taken to implement the Dundee Health and Social Care Partnership (DHSCP) Social Work Complaint Handling Procedure and Integration Joint Board Complaints Handling Procedure;

(iv)                   to note that when all of the necessary actions had been undertaken, the compliance statement and self-assessment forms would be signed and returned to the Scottish Public Services;  and

 

(v)                    that, the Customer Care Governance Officer for the Dundee Health and Social Care Partnership be remitted to do training with staff in the Partnership and that the possibility of the Scottish Public Services Ombudsman carrying out staff awareness workshops be investigated as these had been met with positive feedback in the NHS.

 

XII                    MODEL PUBLICATION SCHEME

 

There was submitted Report No DIJB11-2017 by the Chief Finance Officer providing Dundee Integration Joint Board with an overview of its responsibilities in relation to the Scottish Information Commissioners statutory publication scheme and to seek arrangement to adopt the scheme.

The Integration Joint Board agreed:-

(i)                     to adopt the Scottish Information Commissioners Model Publication Scheme, which was attached to the report as Appendix 1 and to instruct the Chief Finance Officer to submit the approved scheme by 28th April, 2017; and

(ii)                    to note the Guide to Information, which was attached to the report as Appendix 2, which would be published on the Health and Social Care Partnership website.

IV                     DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Integration Joint Board would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 27th June, 2017 at 2.00 pm.

Ken LYNN, Chairperson.