At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 31st October, 2017.

Present:-

Members

Role

Ken LYNN (Chairperson)

Nominated by Dundee City Council (Elected Member)

Doug CROSS (Vice-Chairperson)

Nominated by Health Board (Non-Executive Member)

Roisin SMITH

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

Cesar RODRIGUEZ

Registered Medical Practitioner (not providing primary medical services)

Sarah DICKIE

Registered Nurse

Jane MARTIN

Chief Social Work Officer

Drew WALKER

Director of Public Health

Raymond MARSHALL

Staff Partnership Representative

Christone LOWDEN

Third Sector Representative

Andrew JACK

Service User residing in the area of the local authority

Martyn SLOAN

Person providing unpaid care in the area of the local authority

Also in attendance:-

Name

Organisation

Diane McCULLOCH

Dundee Health and Social Care Partnership

Jenny HILL

Dundee Health and Social Care Partnership

Alexis CHAPPELL

Dundee Health and Social Care Partnership

Sheila ALLAN

Dundee Health and Social Care Partnership

David SHAW

Dundee Health and Social Care Partnership

Douglas LOWDON

NHS Tayside

Douglas GENTLEMAN

Honorary Consultant, Neuro Rehabilitation, NHS Tayside

Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of  Judith GOLDEN, Nominated by Health Board (Non-Executive Member);   Munwar HUSSAIN, Nominated by Health Board (Non-Executive Member); Frank WEBER, Registered Medical Practitioner (whose name is included in the list of primary medical performers); Jim MCFARLANE, Trade Union Representative.

II                      DECLARATION OF INTEREST

Christine Lowden declared a non-financial interest in the item of business at Article XVI of this minute by virtue of her employment with Dundee Voluntary Action.

III                     MINUTE OF PREVIOUS MEETING

The minute of previous meeting of the Integration Joint Board held on 29th August, 2017 was submitted and approved.

 

IV                     PERFORMANCE AND AUDIT COMMITTEE

 

(a)                    MINUTE OF MEETING OF 12TH SEPTEMBER, 2017

The minute of meeting of the Performance and Audit Committee held on 12th September, 2017 was submitted and noted for information and record purposes.

(b)                    CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB49-2017 by the Chair of the Performance and Audit Committee outlining:-

-                       Delegated Decisions taken by the Committee

-                       Performance Against Workplan

-                       Any Other Major Issues to highlight to the Integration Joint Board

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

The Integration Joint Board further agreed to note that information on the performance on waiting time targets was submitted to public meetings of NHS Tayside Board and that discussions would take place towards making this information more accessible to the public.

V                      TACKLING HEALTH INEQUALITIES IN DUNDEE:  AN INTEGRATED APPROACH

 

There was submitted Report No DIJB36-2017 by the Chief Officer informing the Integration Joint Board of dedicated work taking place at a community and city-wide level to help tackle health inequalities, and the improved focus and opportunities that were arising from bringing together the different health inequalities strands.

Sheila Allan, Dundee Health and Social Care Partnership gave a presentation in supplement to the report.

The Integration Joint Board agreed:-

(i)                     to note the content of the presentation;

(ii)                    to note the content of the report including the positive health inequalities activity taking place in the city as detailed in paragraph 4.2 of the report;

 

(iii)                    to note the purpose of the decidated service redesign/expansion and the opportunities arising from this as detailed in paragraph 4.3 of the report; and

 

(iii)                    to note the potential impact on service delivery and strategic reporting requirements during the change process as detailed in paragraph 4.4 of the report.

VI                     CITY PLAN FOR DUNDEE 2017/2026

There was submitted by the Chief Officer Report No DIJB35-2017 presenting the City Plan for Dundee 2017-26 as agreed by the Dundee Partnership.

The Integration Joint Board agreed to endorse the City Plan for Dundee 2017-2026  a copy of which was attached to the report as Appendix 1.

VII                    PROPOSED MODEL OF CARE FOR OLDER PEOPLE BUSINESS CASE

Reference was made to Article XIII of the minute of meeting of this Integration Joint Board held on 27th June, 2017 wherein the report on Remodelling of Care for Older People  was agreed.

There was submitted Report No DIJB37-2017 by the Chief Officer providing the business case for the proposed model of care for older people that was outlined in the report on the remodelling of care for older people.

The Integration Joint Board agreed:-

(i)                     to note the content of the report; and

(ii)                    to approve the four phased transformational plan as outlined in paragraph 4.8 of the report and the associated financial framework which was attached to the report as Appendix 1.

 

VIII                   RESHAPING NON-ACUTE CARE IN DUNDEE

There was submitted Report No DIJB38-2017 by the Chief Officer updating the Integration Joint Board in relation to the work of the Reshaping Non-Acute Care Programme in Dundee and to seek approval to proceed to the next phase of the programme. The report described a future outline operational plan for non‑acute care in Dundee, ideally in partnership with other localities. It also outlined the future impact on property in relation to the wider transformation of the property portfolio across Dundee and Tayside.

The outline operational plan described in the report fully supported relevant national and local strategies, specifically Dundee Integration Joint Boards Strategic and Commissioning Plan, the emerging NHS Tayside Transformation Boards Integrated Clinical Strategy and its Property Strategy.

The Integration Joint Board agreed:-

(i)         to approve the proposed future model of non-acute care for Dundee in principle as described in paragraphs 4.2 4.6 of the report;

 

(ii)         to instruct the Chief Officer to prepare a fully costed business case and present this to a future meeting of the Integration Joint Board; and

 

(iii)        to note the level of engagement and consultation undertaken to date as set out in paragraph 4.7 of the report and commit to a continuation of this approach over the next phases of the proposed development.

IX                     DUNDEE AND ANGUS COMMUNITY EQUIPMENT LOAN SERVICE

There was submitted Report No DIJB44-2017 by the Chief Officer providing information about the Dundee and Angus Community Equipment Loan Service.

The Integration Joint Board agreed:-

(i)                     to note the content of the report; and

(ii)                    to note the progress in merging the Dundee and Angus Community Equipment Loan Service and in particular the performance and quality indicators detailed in paragraphs 4.2.6 and 4.2.7 of the report which demonstrated an improved service delivery model.

X                      A CARING DUNDEE:  A STRATEGIC PLAN FOR SUPPORTING CARERS IN DUNDEE/VALUING, SUPPORTING AND INVOLVING CARERS:  DUNDEECARERS CHARTER 2017-2020

There was submitted Report No DIJB47-2017 by the Chief Officer seeking approval of a Caring Dundee: A Strategic Plan for Supporting Carers in Dundee (the Strategic Plan) and Valuing, Supporting and Involving Carers: Dundee Carers Charter 2017-2020 (the Charter).

The Integration Joint Board agreed:-

(i)                     to note the content of the report and in particular the involvement of carers in developing the Strategic Plan and the Charter as detailed in paragraph 4.2.1 of the report;

 

(ii)                    to approve the document entitled A Caring Dundee: A Strategic Plan for Supporting Carers in Dundee which was attached to the report as Appendix 1;

 

(iii)                    to approve the document entitled Valuing, Supporting and Involving Carers: Dundee Carers Charter 2017-2020 accompanying the Strategic Plan which was attached to the report as Appendix 2 and to sign up to the pledges detailed in the Charter as outlined in paragraph 4.1.4 of the report; and

 

(iv)                   to request the Chief Finance Officer to bring a further report detailing financial and resource implications of the Carers (Scotland) Act 2016 to a future meeting of the Integration Joint Board once confirmed.

XI                     NOT JUST A ROOF:  HOUSING OPTIONS AND HOMELESSNESS STRATEGIC PLAN 2017-2020

There was submitted Report No DIJB48-2017 by the Chief Officer providing information about Not Just A Roof: Housing Options and Homeless Strategic Plan 2017-2020 (the Plan).

The Integration Joint Board agreed:-

(i)                     to note the content of the report and in particular the collaborative approach to developing this Plan as detailed in paragraph 4.1.1 of the report; and

 

(ii)                    to approve Not Just A Roof: Housing Options and Homelessness Strategic Plan which was attached to the report as Appendix 1.

XII                    DUNDEE SMART HEALTH AND CARE STRATEGY 2017-2020

There was submitted Report No DIJB42-2017 by the Chief Officer seeking approval of the Dundee Smart Health and Care Strategy 2017-2020 which described the strategic approach to developing and embedding the use of healthcare and technology within Dundee to improve outcomes for individuals.  This was the first Smart Health and Care Strategy to be published in Dundee.

 

The Integration Joint Board agreed:-

 

(i)              to note the content of the report and in particular the three strategic outcomes detailed in paragraph 5.1.3 of the report; and

 

(ii)             to approve the Dundee Smart Health and Care Strategy which was attached to the report Appendix 1.

XIII                   FINANCIAL MONITORING POSITION AS AT SEPTEMBER, 2017

 

There was submitted Report No DIJB40-2017 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 2017/18.

The Integration Joint Board agreed to note the overall projected financial position for delegated services to the 2017/18 financial year end as at 30th September, 2017 and associated risk assessment as outlined in the report and set out in the appendices which were attached to the report.

XIV                  CLINICAL, CARE & PROFESSIONAL GOVERNANCE REPORT

There was submitted Report No DIJB41-2017 by the Chief Officer providing clinical, care and professional governance performance information and reporting on the work of the Clinical, Care and Professional Governance Forum (R2 Forum).

The Integration Joint Board agreed:-

(i)                     to note the contents of the report and the performance report which was attached to the report as Appendix 1;

(ii)                    to note the ongoing work to progress to a fully integrated clinical, care and professional governance performance reporting arrangement as described in paragraphs 4.2.2 and 4.2.3 of the report; and

 

(iii)                    to note the recent considerations of the R2 Forum as outlined in paragraph 4.3 of the report.

 

XV                   WOMENS COMMUNITY CUSTODY UNIT

There was submitted Agenda Note DIJB46-2017 reporting that on 14th September, 2017 the Cabinet Secretary for Justice announced that the Scottish Prison Service intended to build one of the first two Community Custody Units for women in Scotland within the city of Dundee, with a specific site yet to be identified.

The Integration Joint Board agreed:-

(i)                     to note the position as outlined in the note;

(ii)                    to note that a full report would be submitted to a meeting of this Integration Joint Board describing planning and consultation arrangements, opportunities and risks when more detailed information was available.

(iii)                    to note that Dr Drew Walker, Director of Public Health would welcome the opportunity for both he and his service to be involved in the planning of this facility.

XVI                  TERM OF OFFICE CHAIRPERSON AND VICE CHAIRPERSON

 

Reference was made to Article XI of the minute of meeting of this Integration Joint Board held on 29th August, 2017 wherein it was agreed that notification be submitted to Dundee City Council and NHS Tayside proposing that the term of office for the Chairperson and Vice-Chairperson respectively be for a period of two years and that this be effective from 25th October, 2016.

It was reported that this matter was considered by the constituent parties of Dundee City Council and NHS Tayside and that they had agreed that the term of office for the Chairperson and Vice- Chairperson respectively be for a period of two years and that this be effective from 25th October 2016.

The Integration Joint Board agree to note the position as outlined in the note.

 

XVII                 DATE OF NEXT MEETING

 

The Integration Joint Board noted that the next meeting of the Integration Joint Board would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 19th December, 2017 at 2.00 pm.

Ken LYNN, Chairperson.