At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 19th December, 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)

Judith GOLDEN

Nominated by Health Board (Non-Executive Member)

Munwar HUSSAIN

Nominated by Health Board (Non-Executve Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

Cesar RODRIGUEZ

Registered Medical Practitioner (not providing primary medical services)

Drew WALKER

Director of Public Health

Raymond MARSHALL

Staff Partnership Representative

Christine LOWDEN

Third Sector Representative

Also in attendance at the request of the Chief Officer:-

Name

Organisation

 

Diane McCULLOCH

Dundee Health and Social Care Partnership

Arlene HAY

Dundee Health and Social Care Partnership

Dr David Shaw

Dundee Health and Social Care Partnership

Beth HAMILTON

Dundee Health and Social Care Partnership

Michelle WATTS

NHS Tayside

Lynn HAMILTON

NHS Tayside

Stewart DOIG

NHS Tayside

Keith RUSSELL

NHS Tayside

Bill NICOLL

NHS Tayside

Christina COOPER

Dundee Voluntary Action

Vered HOPKINS

Violence against Women Partnership

Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

 

Apologies for absence were submitted on behalf of Frank WEBER , Registered Medical Practitioner (whose name is included in the list of primary medical performers), Sarah DICKIE, Registered Nurse, Jane MARTIN, Chief Social Work Officer, Jim MCFARLANE, Trade Union Representative, Andrew JACK, Service User residing in the area of the local authority, and Martyn SLOAN, Person providing unpaid care in the area of the local authority.

II                      DECLARATIONS OF INTEREST

 

No declarations of interest were made.

lll                     MINUTE OF PREVIOUS MEETING

The minute of previous meeting of the Integration Joint Board held on 31st October, 2017 was submitted and approved.

 

IV                     PERFORMANCE AND AUDIT COMMITTEE

 

(a)                    MINUTE OF MEETING OF 28TH NOVEMBER, 2017

The minute of meeting of the Performance and Audit Committee held on 28th November, 2017 was submitted and noted for information and record purposes.

(b)                    CHAIR'S ASSURANCE REPORT

There was submitted Report No DIJB60-2017 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.

V                      MENTAL HEALTH AND WELLBEING

In the absence of Arlene Mitchell, Diane McCulloch gave a presentation on Mental Health and Wellbeing.

The presentation outlined the following areas:-

-                       Safety

-                       Sustainability

-                       Clinical Viability

-                       Workforce Availability

-                       Improved Environments

-                       Most Efficient Use of Resources

The Integration Joint Board noted the content of the presentation.

VI                     MENTAL HEALTH & LEARNING DISABILITY SERVICE REDESIGN TRANSFORMATION PROGRAMME CONSULTATION FEEDBACKREPORT

There was submitted a Joint Report No DIJB49-2017 by the Mental Health Programme Director and Finance Manager, NHS Tayside, presenting the findings of the Mental Health and Learning Disability Service Redesign Transformation Programme Consultation and subsequent recommendations to the Dundee City Health and Social Care Integration Joint Board.

It was reported that the report would be presented to NHS Tayside Board and the Angus and Dundee Integration Joint Boards to note and comment before seeking approval from the Perth and Kinross Integration Joint Board on 26th January, 2018.

Lynn Hamilton, Stuart Doig and Keith Russell gave a presentation in supplement to the report. 

The Integration Joint Board commented on the following areas:-

CARSEVIEW CENTRE

There should be an aspiration that the current level of services provided by the Carseview Centre would be enhanced but as a minimum assurance was sought that there would be no diminution of service to the current user group utilising this resource, within Dundee.

TRAVEL

It was critical that transportation issues should be examined and assurances sought in regard to the interests of families and users who may now have to travel from the Strathmartine location to Murray Royal in Perth. Appropriate support was required for user groups with learning and disability conditions and their families to ensure this group was not disadvantaged by the changes. In addition, the impact the changes may have on the workforce who would be required to service these new locations and their contractual arrangements in this regard in terms of risk assessments also needed to be addressed and appropriate consultation should be undertaken, and be continued to be undertaken with staff following any decision on the way forward.

CONSULTANT POSITIONS FILLING OF VACANCIES

That the filling of vacancies for consultant positions be successfully made to facilitate the smooth operation of the model of service delivery.

CONSULTATION PROCESS

That in light of the outcome of the consultation process, there would be a requirement to work with the public to inform them on the rationale of proceeding with any particular option which seemed to be contrary to the views expressed. 

SAFETY AND QUALITY OF CARE

To recognise that the safety of patients and quality of care was paramount in considering any particular option in the provision of safe, clinical and sustainable services.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the Consultation Feedback Report which was attached to the report as Appendix 1;

 

(ii)                    to note the process followed in undertaking the three month formal consultation on the preferred option for future General Adult Psychiatry and Learning Disability services; and

 

(iii)                    to note the content and recommendations of the Consultation Feedback Report; and

 

(iv)                   that having considered the content of the report and having heard the presenters the comments received are as noted above.

VII                    JOINT SENSORY SERVICES STRATEGY & COMMISSIONING PLAN

There was submitted Report No DIJB52-2017 by the Chief Officer seeking approval of the Joint Sensory Services and Commissioning Statement for 2017-2020.

The Integration Joint Board agreed:-

(i)                     to note the contents of the report, particularly in relation to the engagement of the population of Dundee who had specific sensory requirements;

 

(ii)                    to note the role of the different elements of provision and creation of specific social work support within the joint sensory community; and

 

(iii)                    to approve the Joint Sensory Services Strategy and Commissioning Statement which was attached to the report as Appendix 1 as the vehicle for the planning and development of services in the next three years.

 

VIII                   SUBSTANCE MISUSE STRATEGIC & COMMISSIONING PLAN UPDATE

There was submitted Report No DIJB55-2017 by the Chief Officer informing of the progress made with the development of the Strategic and Commissioning Plan for Substance Misuse and the development of governance arrangements for substance misuse.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and, in particular, the progress that was being made with the development of a Strategic and Commissioning Plan for substance misuse;

 

(ii)                    to approve the plans to launch the Strategic and Commissioning Plan in March 2018;

 

(iii)                    to note and approve the progress made with restructuring the governance arrangements for substance misuse in Dundee; and

 

(iv)                   to support the proposal for the development of a Commission on drug misuse.

IX                     GENERAL PRACTICE AND PRIMARY CARE

There was submitted Report No DIJB51-2017 by the Chief Officer outlining the current position for general practice in Dundee, outlining the progress made with the implementation of the primary care strategy, and highlighting some of the opportunities and challenges that the new GP contract offer would bring.

The Integration Joint Board agreed:-

(i)                     to note the positive progress towards delivering solutions to a range of the challenges faced by primary care outlined in the report and Appendix 1 of the report;

 

(ii)                    to note the outline of the proposals and the implications of the proposed General Medical Services contract for the Health and Social Care Partnership  which was attached to the report as Appendix 2; and

 

(iii)                    to note the requirement for the Health and Social Care Partnership to produce a primary care improvement plan by 1st July, 2018.

X                      CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2016/17

 

There was submitted Report No DIJB53-2017 by the Chief Social Work Officer bringing forward for information the Chief Social Work Officer's Annual Report for 2016/17.

The Integration Joint Board agreed to note the content of the report and the Chief Social Work Officer's Annual Report for 2016/17 which was attached to the report as Appendix 1.

XI                     DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT 2016/17 TRANSFORMATIONAL PUBLIC HEALTH

There was submitted Report No DIJB54-2017 by the Director of Public Health bringing forward for information the Director of Public Health's Annual Report 2016/17.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the Director of Public Health's Annual Report which was attached to the report as Appendix 1 of the report;

(ii)                    to note the progress made against 2015/16's recommendations which were outlined in pages 4-7 of Appendix 1 of the report; and

 

(iii)                    to support the recommendations for 2017/18 as outlined in page 8 of Appendix 1 of the report.

XII                    IMPROVING SCOTLANDS HEALTH:  A HEALTHIER FUTURE ACTIONS AND AMBITIONS ON DIET, ACTIVITY AND HEALTHY WEIGHT

There was submitted Report No DIJB59-2017 by the Chief Officer informing of the Scottish Government's consultation on 'Improving Scotland's Health : A Healthier Future Actions and ambitions on Diet, activity and Healthy Weight' and the proposed plan for responding to the consultation.

The Integration Joint Board agreed:-

(i)                     to recognise that the Scottish Government had firmly identified obesity as a priority for action;

 

(ii)                    to acknowledge that the Dundee Healthy Weight Partnership was co-ordinating a response to the consultation document on behalf of Dundee Health and Social Care Partnership;

 

(iii)                    to indicate support for the Dundee Healthy Weight Partnership response to inform the co-creation of a joint response from Tayside; and

 

(iv)                   to note that the Director of Public Health would advise the Integration Joint Board of events they may be able to participate in and would liaise with the Chief Officer towards providing a development session for the Integration Joint Board.

 

XIII                   WINTER PLANNING ARRANGEMENTS

 

There was submitted Report No DIJB58-2017 by the Chief Officer informing of the Winter Planning arrangements and Unscheduled Care Improvement Plan.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the NHS Tayside Winter Plan 2017/18 which was attached to the report as appendices 1 and 2 which were presented to the NHS Tayside Board Meeting held on 26th October, 2017;

 

(ii)                    to approve and endorse Dundee Health and Social Care Partnership's contribution to the Winter Plan;

 

(iii)                    to note the Improvement Plans that underpinned the Winter Plan; and

 

(iv)                   to note the Resilience Plans for winter preparedness.

 

XIV                  FINANCIAL MONITORING AS AT OCTOBER 2017

There was submitted Report No DIJB50-2017 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2017/18.

The Integration Joint Board agreed:-

(i)                     to note the content of the report including the overall projected financial position for delegated services to the 2017/18 financial year as at 31st October, 2017; and

 

(ii)                    to note the position with regards to the Large Hospital Set Aside as stated at 4.3.11 of the report and approve the proposal to not effect the planned saving in lieu of a recovery action plan.

 

XV                   TRANSFORMATION PROGRAMME - UPDATE

There was submitted Report No DIJB56-2017 by the Chief Officer providing an update of Dundee Health and Social Care Partnership's Transformation Programme.

The Integration Joint Board agreed to note the content of the report, the progress to date of the Transformation Programme and the planned next phases of development as outlined in the report.

 

XVI                  PROGRAMME OF MEETINGS 2018

The Integration Joint Board agreed that the programme of meetings for the Integration Joint Board over 2018 be as follows:-

DATE

TIME

VENUE

Tuesday, 27th February, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

Tuesday, 24th April, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

Tuesday, 26th June, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

Tuesday, 28th August, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

Tuesday, 30th October, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

Tuesday, 18th December, 2018

2.00 pm

Committee Room 1, 14 City Square, Dundee

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, 27th February, 2018 at 2.00 pm.

Ken LYNN, Chairperson.