At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 24th January, 2018.

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

Sarah DICKIE

Registered Nurse

Jane MARTIN

Chief Social Work Officer

Drew WALKER

Director of Public Health

Raymond MARSHALL

Staff Partnership Representative

Jim MCFARLANE

Trade Union Representative

Christine LOWDEN

Third Sector Representative

Martyn SLOAN

Person providing unpaid care in the area of the local authority

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

Diane McCULLOCH

Dundee Health and Social Care Partnership

Arlene HAY

Dundee Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Cesar RODRIGUEZ

Registered Medical Practitioner (not providing primary medical services)

Frank WEBER

Registered Medical Practitioner (whose name is included in the list of primary medical performers)

Andrew JACK

Service User residing in the area of the local authority

II                      DECLARATIONS OF INTEREST

No declarations of interest were made.

III                     SCOTTISH GOVERNMENT DRAFT BUDGET 2018/19 IMPLICATIONS FOR DUNDEE INTEGRATION JOINT BOARD

There was submitted Report No DIJB1-2018 by the Chief Finance Officer providing an overview of the implications of the Scottish Governments Draft Budget 2018/19 for Dundee Integration Joint Board.

Thereafter, following discussion, Bailie Helen Wright moved That the Board agrees that the Scottish Governments Draft Budget as it relates to NHS Tayside and Dundee City Council laid out in the Report does not represent a fair deal for the people of Dundee or for Health and Social Care in Scotland as a whole, notes that there is no current majority in the Scottish Parliament for the budget, resolves to stand by the cross party stance set out by COSLA and in doing so make joint representation from all members of the Board to the Finance Secretary and the leaders of all parties in the Scottish Parliament ahead of the next budget vote calling for a fair deal for Health and Social Care funding in order to avoid damaging cuts in local services.

There being no seconder, the Amendment proposed by Bailie Wright fell and was not voted upon.

The Integration Joint Board then agreed:-

(i)         to note the content of the Scottish Governments Draft Budget as it related to NHS Tayside and Dundee City Council;

 

(ii)         to note the additional funding of £66m included nationally in the local government settlement to support investment in social care in recognition of a range of pressures including the implementation of the Carers (Scotland) Act 2016, payment of the living wage (including extension to sleepover payments) and increase in Free Personal and Nursing Care payments;

 

(iii)        to note the potential implications of these and the range of increased costs and cost pressures to Dundee Integration Joint Boards delegated budget and subsequent indicative level of budget requisition to Dundee City Council and NHS Tayside to enable the Integration Joint Board to deliver the priorities as set out within its Strategic and Commissioning Plan;

 

(iv)        to remit to the Chief Finance Officer to lay the developing Transformation Efficiencies Programme before the Integration Joint Board in February 2018 to inform the budget setting process; and

 

(v)        to remit to the Chief Finance Officer to bring forward a proposed budget for 2018/19 in relation to delegated services for consideration by the Integration Joint Board at a special meeting of the Integration Joint Board prior to the end of March 2018.

IV                     REVIEW OF HOME CARE SERVICES

There was submitted Report No DIJB2-2018 by the Chief Officer advising of the review of social care services within the Dundee Health and Social Care Partnership Home Care Service and to seek approval to request that Dundee City Council commission the current in-house social care service in line with the recommended option. The proposed changes would provide additional social care support and maximise the use of the resources within the service.

Thereafter, following discussion, Councillor Ken Lynn, seconded by Doug Cross, moved that the report be agreed as submitted.  

As an amendment, Bailie Helen Wright, seconded by Judith Golden, moved "that this Integration Joint Board only note the content of this report and take no further action until Dundee City Councils Administration lay out their proposals to address the £15.7 million gap to achieve a balanced budget".  

On a division, there voted for the motion - Councillor Ken Lynn, Doug Cross, Munwar Hussain and Councillor Roisin Smith (4); and for the amendment Judith Golden and Bailie Helen Wright (2) whereupon the motion was declared carried and the Integration Joint Board agreed:-

(i)         to note the previous, ongoing and planned engagement with the workforce and their trade union representatives as detailed in Appendix 1 of the report;

(ii)         to note the Option Appraisal carried out to determine the future changes as appended at Appendix 1 of the report;

 

(iii)        to implement Option 4 as the recommended option which provided additional hours, targeted resources, minimised disruption for service users and provided the best option for the current workforce as described in Section 4.3.4 of the report;

(iv)       to seek agreement from Dundee City Council to progress to implement the proposed option as described in Section 4.3.4 of the report;

(v)        to instruct the Chief Officer, Dundee Health and Social Care Partnership, and request the Head of Human Resources and Business Support, Dundee City Council, to continue formal consultation with the affected workforce and their trade union representatives with a view to agreeing to implement the proposal  as detailed in Section 4.3.5 of the report; and

 

(vi)       to delegate authority to the Chief Officer, Dundee Health and Social Care Partnership to implement the changes.

V                      INTEGRATED CARE FUND RECOMMENDATIONS

 

There was submitted Report No DIJB4-2018 by the Chief Finance Officer outlining the recommendations of the Integrated Care Fund Monitoring Group in relation to the extension and mainstreaming of a range of tests of change in the way community supports and health and social care services were provided and to seek approval to extend funding for these services, as outlined in Appendix 1, in the short term pending the conclusion of the Integration Joint Boards budget setting process 2018/19.

The Integration Joint Board agreed:-

(i)         to note the recommendations of the Integrated Care Fund Monitoring Group in relation to the extension and mainstreaming of the range of tests of change as outlined in Appendix 1 of the report;

 

(ii)         to extend the funding of these services, as outlined in Appendix 1 of the report, in the short term from 31st March, 2018 until 30th June, 2018 pending the outcome of the Integration Joint Boards budget considerations; and

 

(iii)        to remit to the Chief Finance Officer to present these recommendations to a special Integration Joint Board Budget meeting in March 2018 as part of the wider prioritisation of resources under the budget setting process.

IV                     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.