At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 27th February, 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)

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 medial services)

Frank WEBER

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

Sarah DICKIE

Registered Nurse

Ann ERIKSEN

(for Drew Walker) (Director of Public Health)

Jane MARTIN

Chief Social Work Officer

Jim MCFARLANE

Trade Union 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

Ken LYNN, Chairperson, in the Chair.

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

Diane McCulloch

Kathryn Sharp

Lynsey Webster

Jackie Stewart

Avril Smith-Hope

Doctor David Shaw,

Doctor James Cotton

Sue Muir

Shona Hyman.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Roisin SMITH

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Drew WALKER

Director of Public Health

Raymond MARSHALL

Staff Partnership Representative

Christine LOWDEN

Third Sector Representative

II                      DECLARATIONS OF INTEREST

No declarations of interest were made.

 

III                     MINUTE OF PREVIOUS MEETING

(a)                    The minute of meeting of the Integration Joint Board held on 19th December, 2017 was submitted and approved.

 

(b)                    The minute of meeting of the Integration Joint Board held on 24th January, 2018 was submitted and approved.

IV                     ISSUING OF DIRECTIONS

There was submitted Agenda Note DIJB14-2018 reporting that The Public Bodies (Joint Working) (Scotland) Act 2014 placed a duty on the Integration Joint Board to develop a strategic plan for integrated functions and budgets under its control.  To action this plan the Integration Joint Board was required to issue binding Directions to one or both of Dundee City Council and NHS Tayside.  A Direction had to be given in respect of every function that had been delegated to the Integration Joint Board.  The Direction had to be in writing and had to set out how each integrated health and social care function was to be exercised and the budget associated with that.

As the strategic plan developed and in order to ensure proper governance it was proposed that a 'Directions' section be included in Integration Joint Board Reports.  The section would identify whether a Direction from the Integration Joint Board was necessary and if so to whom was it to be issued.  If a Direction was to be issued, the formal written Direction would be contained within the body of the Report.  This would keep all members of the Integration Joint Board fully informed of the terms of any Direction prior to its being issued.  It would also enhance transparent governance by the Integration Joint Board in the issuing of Directions.

The Integration Joint Board agreed to implement the proposal as outlined.

 

V                      TAYSIDE INTEGRATED CLINICAL STRATEGY

There was submitted Report No DIJB5-2018 by the Chief Officer providing an update on progress towards the development of an Integrated Clinical Strategy for Tayside.

Sue Muir, Programme Lead Integrated Clinical Strategy and Dr James Cotton, Consultant, NHS Tayside gave a joint presentation in supplement to the report.

The Integration Joint Board agreed:-

(i)                     to note the content of the presentation;

(ii)                    to note the progress made to date on the development of an Integrated Clinical Strategy and the Staging Report that was approved by NHS Tayside Board in December 2017 a copy of which was attached to the report as Appendix 1;

 

(iii)                    to endorse the ongoing development of the Integrated Clinical Strategy in collaboration with Tayside Health and Social Care Partnerships as outlined in the report; and

 

(iv)                   to note the intended public informing and awareness raising whilst a plan for long term, ongoing engagement with the stakeholders of the Partnerships was developed as outlined in the report.

 

VI                     FINANCIAL MONITORING REPORT AS AT DECEMBER 2017

 

There was submitted Report No DIJB12-2018 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 to note the content of the report including the overall projected financial position for delegated services to the 2017/18 financial year end as at 31st December, 2017.

VII                    DUNDEE INTEGRATION JOINT BOARD 2018/2019 BUDGET PROGRESS REPORT

 

There was submitted Report No DIJB13-2018 by the Chief Finance Officer providing an update with regards to the development of the delegated budget 2018/19 and associated developing Transformation Programme required to deliver a balanced budget.

 

The Integration Joint Board agreed:-

 

(i)                     to note the anticipated level of increased costs associated with the delegated budget and indicative funding levels from Dundee City Council and NHS Tayside and associated funding gap; and

 

(ii)                    to remit the Chief Finance Officer to bring forward a full range of deliverable Transformation Programme efficiencies for consideration of the Integration Joint Board at the special meeting arranged for 30th March, 2018.

VIII                   PERSONALISATION PROGRAMME (SELF-DIRECTED SUPPORT)

 

There was submitted Report No DIJB3-2018 by the Chief Finance Officer providing an overview of the Partnership's progress and challenges in realising the aspirations and vision of delivering Person Centred Care, under Self-directed Support legislation, through the personalisation and transformation programmes.

The Integration Joint Board agreed:-

(i)                     to note the detail of Dundee Health and Social Care Partnership's Personalisation self evaluation report as summarised in Appendix 1 of the report, as a response to the direction and recommendations reflected in Dundee Health and Social Care Partnership's Strategic and Commissioning Plan 2016‑2021, Scottish Government's National Self-directed Support Strategy and Audit Scotland August 2017 Progress Report: Self-directed Support; and

 

(ii)                    to instruct the Chief Finance Officer to report back to the Integration Joint Board on the progress being made in achieving the actions set out in the self evaluation report to meet the recommendations detailed in Dundee Health and Social Care Partnership's Strategic and Commissioning Plan 2016‑2021, Scottish Government's National Self-directed Support Strategy and Audit Scotland August 2017 Progress Report: Self-directed Support, on behalf of the Personalisation Programme Board.

IX                     DELIVERING THE NEW 2018 GENERAL MEDICAL SERVICES CONTRACT IN SCOTLAND

 

There was submitted Report No DIJB9-2018 by the Chief Officer outlining the content of the new 2018 General Medical Services Contract in Scotland, the Memorandum of Understanding between the Scottish Government, British Medical Association, Integration Authorities and NHS Boards, the requirement for Primary Care Improvement Plans to be developed by 1st July, 2018 and outlining how the Primary Care Improvement Plan would be developed and the timescales for this.

The Integration Joint Board agreed:-

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

(ii)                    to instruct the Chief Officer to progress the necessary actions within Dundee and jointly with the other Tayside Health and Social Care Partnerships to develop the Primary Care Improvement Plan as set out in paragraph 4.12.1 of the report, and present this to the Integration Joint Board for approval at its meeting on 26th June, 2018.

X                      EQUAL, EXPERT AND VALUED INVOLVEMENT OF CARERS IN THE WORK OF DUNDEE INTEGRATION JOINT BOARD

 

There was submitted Report No DIJB10-2018 by the Chief Officer advising of the outcome of assessment against "Equal and Expert" Best Practice Standards for Carers Engagement.

The Integration Joint Board agreed:-

(i)                     to note the assessment undertaken;

(ii)                    to instruct the Carers Strategic Planning Partnership (supported by the Communication and Engagement Sub-Group of the Integrated Strategic Planning Group) to address the identified gaps in relation to carer engagement; and

 

(iii)                    to instruct the Communication and Engagement Sub-Group to take the Best practice Standards for Carers Engagement into account in the ongoing development of engagement and participation mechanisms.

 

XI                     CLIMATE CHANGE REPORTING

 

There was submitted Report No DIJB8-2018 by the Chief Finance Officer informing the Integration Joint Board of its duties in relation to Climate Change reporting under the Climate Change (Scotland) Act 2009, to present the latest submitted Climate Change report and the subsequent high level analysis report from Sustainable Scotland Network published on 31st January, 2018.

The Integration Joint Board agreed:-

(i)                     to note the duties of the Integration Joint Board in relation to Climate Change Reporting;

(ii)                    to note the Climate Change Report submitted by the Chief Finance Officer on behalf of the Integration Joint Board which was attached to the report as Appendix 1;

 

(iii)                    to note the high level analysis report published by Sustainable Scotland Network on 31st January, 2018  which was attached to the report as Appendix 2; and

 

(iv)                   to instruct the Chief Finance Officer to continue to work with NHS Tayside, Dundee City Council and the Sustainable Scotland Network to ensure that its Climate Change duties continued to be met, including reviewing the high level analysis report and identifying any impact on the Integration Joint Board.

 

XII                    MEASURING PERFORMANCE UNDER INTEGRATION 2018/19 SUBMISSION

 

There was submitted Report No DIJB11-2018 by the Chief Officer seeking approval of the 2018/19 submission made by the Partnership to the Ministerial Strategic Group for Health and Community Care as part of the Measuring Performance under Integration work stream.

 

The Integration Joint Board agreed:-

 

(i)                     to note the summary table of targets under each service delivery area as outlined in Appendix 1 of the report;

 

(ii)                    to approve the 2018/19 submission to the Ministerial Strategic Group for Health and Community Care which was attached to the report as Appendix 2;

 

(iii)                    to note the methodology used to develop proposed targets for submission to the Ministerial Strategic Group as outlined in sections 4.2.3 and 4.2.4 of the report and Appendix 3 of the report; and

 

(iv)                   to note that 2018/19 targets would remain in draft until such times as the Integration Joint Board budget for 2018/19 had been confirmed as outlined in section 4.2.5 of the report.

 

XIII                   TARGETS AND INDICATORS IN HEALTH AND SOCIAL CARE: A REVIEW

 

There was submitted Report No DIJB7-2018 by the Chief Officer informing of the key points and recommendations from 'Targets and Indicators in Health and Social Care: A Review' (Professor Sir Harry Burns, November 2017) and informing of the potential implications for the Dundee Health and Social Care Partnership should the Scottish Government decide to implement the recommendations within the review.

The Integration Joint Board agreed:-

(i)                     to note the key points and recommendations from 'Targets and Indicators in Health and Social Care: A Review' as summarised within the report;

 

(ii)                    to note the potential implications for the Dundee Health and Social Care Partnership of any future implementation of the recommendations made within the review by the Scottish Government as outlined in section 4.6 of the report; and

 

(iii)                    to instruct the Chief Finance Officer to bring forward a full report on local implications if, following consideration of the review, the Scottish Government proceeded to implement any of the recommendations made by Professor Sir Harry Burns.

XIV                  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, 24th March, 2018 at 2.00 pm.

Ken LYNN, Convener.