At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 28th August, 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)

Munwar HUSSAIN

Nominated by Health Board (Non-Executive Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

Sarah DICKIE

Registered Nurse

Drew WALKER

Director of Public Health

Jim MCFARLANE

Trade Union Representative

Christine LOWDEN

Third Sector Representative

Also in attendance:-

Name

Organisation

Kathryn SHARP

Dundee Health and Social Care Partnership

Diane McCULLOCH

Dundee Health and Social Care Partnership

Elaine TORRANCE

Independent Convener, Dundee Health and Social Care Partnership

Bill NICOLL

NHS Tayside

Shona HYMAN

Dundee Health and Social Care Partnership

David SHAW

Dundee Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member

Role

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)

Jane MARTIN

Chief Social Work Officer

Martyn SLOAN

Person providing unpaid care in the area of the local authority

Raymond MARSHALL

Staff Partnership Representative

II                      DECLARATIONS OF INTEREST

Munwar Hussain declared a non financial interest in the item of business at Article V of this minute by virtue of being a Committee Member of Hillcrest Housing Association.

Munwar Hussain declared a non financial interest in the item of business at Article X of this minute by virtue of being registered as a patient with the Mill GP Practice.

Councillor Ken Lynn declared a non financial interest in the item of business at Article V of this minute by virtue of being a member of Dundee Survivors Group.

lll                     MINUTE OF PREVIOUS MEETING

The minute of meeting of The Integration Joint Board held on 27th June, 2018 was submitted and approved.

IV                     PERFORMANCE AND AUDIT COMMITTEE

 

(a)                    MINUTE OF MEETING OF 31ST JULY, 2018

The minute of meeting of the Performance and Audit Committee held on 31st July, 2018 was submitted and noted for information and record purposes.

(b)                    CHAIR'S ASSURANCE REPORT

There was submitted Report No DIJB42-2018 by Doug Cross, Chair, Performance and Audit Committee, providing an assurance report to the Integration Joint Board on the work of the Performance and Audit Committee on instructions issued by the Committee, Performance Against Work Plan and any other major issues to highlight to the Integration Joint Board.

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

V                      ANNUAL PERFORMANCE REPORT 2017/18

 

There was submitted Report No DIJB44-2018 by the Chief Officer submitting the Health and Social Care Partnership Annual Performance Report 2017/18 for approval.

Diane McCulloch, Head of Community Care, and Dave Berry, Chief Finance Officer, 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 updates provided, including the publication of the summary version of the Annual Performance Report 2017/18 on 31st July, 2018 which was attached to the report as Appendix 1;

(iii)        to approve the Annual Performance Report 2017/18 which was attached to the report as Appendix 2; and

(iv)       to approve the planned approach to publication and distribution as detailed in sections 4.2.3 and 4.3.4 of the report.

 

VI                     JOINT INSPECTION OF ADULT SUPPORT AND PROTECTION

 

There was submitted Report No DIJB29-2018 by the Chief Social Work Officer informing The Integration Joint Board of the outcome of the Joint Inspection of Adult Support and Protection of the Dundee Community Planning Partnership and of the participation of the Health and Social Care Partnership in the Transforming Public protection Programme, including commitment of Integration Joint Board resources.

Kathryn Sharp, Senior Manager, Strategy, Performance and Support Services, and Diane McCulloch, Head of Community Care, gave a joint presentation in supplement to the report.

The Integration Joint Board also heard Elaine Torrance, Independent Convener of Dundee Adult Support and Protection Committee, who had recently been appointed to that role.  Ms Torrance spoke in supplement to the report and provided details of her background leading up to her appointment and the Integration Joint Board took the opportunity to welcome her to the meeting and wish her well in her role as Independent Convener.

The Integration Joint Board agreed:-

 

(i)         to note the content of the presentation;

 

(ii)         to note the outcome of the inspection as detailed in section 4.3 of the report;

 

(iii)        to note the participation of the Health and Social Care Partnership in the Transforming Public Protection Programme as detailed in section 4.4 and Appendix 1 of the report;

 

(iv)        to instruct the Head of Finance and Strategic Planning to submit a report detailing progress in this area to the Performance and Audit Committee no later than 31st December, 2018;

 

(v)        to note that information on the outcomes of other inspections which took place would be issued to the Integration Joint Board membership for their information; and

 

(vi)        to note that information on timescales for redesign of health and social work systems would be issued to Jim McFarlane for his reference.

 

VII                    REVIEW OF STRATEGIC AND COMMISSIONING PLAN

 

There was submitted Report No DIJB40-2018 by the Chief Officer informing of plans to undertake a full review of the Strategic and Commissioning Plan, as required under section 37 of the Public Bodies (Joint Working) (Scotland) Act 2014, prior to 31st March, 2019.

The Integration Joint Board agreed:-

 

(i)         to note the content of the report and the requirement to review the Strategic and Commissioning Plan at least every three years as detailed in section 4.1 of the report;

 

(ii)         to note the planned approach to undertaking the review under the leadership of the Integrated Strategic Planning Group as detailed in section 4.2 of the report; and

 

(iii)        to instruct the Chief Officer, following appropriate engagement and collaboration with stakeholders, to submit the revised Strategic and Commissioning Plan for approval no later than 31st March, 2019.

 

VIII                   SUBSTANCE MISUSE STRATEGIC AND COMMISSIONING PLAN FOR DUNDEE 2018‑2021

 

There was submitted Report No DIJB34-2018 by the Chief Officer seeking agreement to publish the Substance Misuse Strategic Commissioning Plan for Dundee in partnership with the Dundee Alcohol and Drug Partnership.

 

The Integration Joint Board agreed:-

 

(i)         to note the content of the Substance Misuse Strategic and Commissioning Plan for Dundee as which was attached to the report as Appendix 1 and the engagement and collaboration approaches used to produce this as detailed in sections 4.1.3 and 4.1.4 of the report;

 

(ii)         to note the good practice within current service areas as detailed in the report;

 

(iii)        to approve the publication of the Substance Misuse Strategic and Commissioning Plan for Dundee and note that the Dundee Alcohol and Drug Partnership had approved the Substance Misuse Strategic Commissioning Plan for Dundee, and

 

(iv)        to instruct the Chief Officer to provide a mid-term report to on the implementation of the plan.

 

IX                     DUNDEE PRIMARY CARE IMPROVEMENT PLAN UPDATE

 

Reference was made to Article V of the minute of meeting of this Integration Joint Board held on 27th June, 2018 wherein the Tayside Primary Care Improvement Plan was approved.

 

There was submitted Report No DIJB45-2018 by the Chief Officer providing additional information on the Dundee aspects of the Primary Care Improvement Plan from that provided in the Tayside Primary Care Improvement Plan report and seeking approval for these, including the financial framework for the Direction to NHS Tayside.

 

The Integration Joint Board agreed:-

 

(i)         to note that the Tayside Primary Care Improvement Plan (the Plan) had been approved by the Local Medical Committee and endorsed by NHS Tayside Board and had been submitted to the Scottish Government after approval by Dundee Integration Joint Board;

(ii)        to note the updated action plan, and associated financial implications, for Dundee Health and Social Care Partnership as described in Appendix 1 of the report;

(iii)        to note the requirement to submit further information to the Scottish Government in September, 2018;

(iv)       to agree to direct NHS Tayside to implement with immediate effect the specific actions relevant to them in the Tayside Primary Care Improvement Plan as outlined in the Dundee Action Plan which was attached to the report as Appendix 1 and as described in section 8 of the report; and

(v)        to instruct the Chief Officer to provide a further report on progress made in the first year to a future meeting of the Integration Joint Board.

X                      GENERAL PRACTICE PROVISION IN DUNDEE

 

There was submitted Report No DIJB46-2018 by the Chief Officer outlining the current issues with general practice provision in relation to the Mill Practice and to note the practices request to close the Fintry Mill branch surgery.

The Integration Joint Board agreed:-

 

(i)                     to note the content of the report including the current issues with safely staffing two general practice sites for Mill Practice;

 

(ii)                    to support the aim of Mill Practice, that all current Patients would have the opportunity to remain registered with Mill Practice and continue to see their current GP team;

(iii)                    to note the preferred option was for Mill Practice to consolidate its services on one site with a view to achieving the stated aim in decision (ii) above and in addition offer a number of additional services which were available at Arthurstone Terrace as noted in paragraph 4.2.3 of the report; and

 

(iv)                   that encouragement be given to the practice to ensure that adequate support was given throughout the transition process.

 

XI                     UPDATE ON DELAYED DISCHARGE AND UNSCHEDULED CARE IMPROVEMENT PROGRAMMES

 

There was submitted Report No DIJB36-2018 by the Chief Officer setting out the improvement actions across the Dundee Health and Social Care Partnership to tackle delayed discharge and unscheduled care. The report detailed the Home and Hospital Transition Improvement Plan and provided an update on the work of the Unscheduled Care Board.

The Integration Joint Board agreed:-

 

(i)                     to note the progress made against the 2017/18 Home and Hospital Transition Improvement Plan as reported in section 4.2.3 of the report and agreed the proposed improvement plan for 2018/19 as detailed in Appendix 1 of the report;

 

(ii)                    to the continued funding allocated to the delayed discharge projects as detailed in Appendix 2 of the report and instruct the Chief Officer to include recommendations for this funding in the 2019/20 budget statement;

 

(iii)                    to note the work of the Unscheduled Care Board and the change projects associated with this work-stream as detailed in section 4.3 of the report; and

 

(iv)                   to note the requirement to produce a Winter Pressures plan and request that this be submitted for consideration of the Integration Joint Board prior to submission to the Scottish Government and to note the winter pressures outcome report for 2018/18 which was attached to the report as Appendix 3.

 

XII                    ACTION 15 OF THE MENTAL HEALTH STRATEGY PLANNING AND FUNDING FROM 2018/19

There was submitted Report No DIJB49-2018 by the Chief Officer briefing on the plans being developed for the use of new monies allocated by the Scottish Government as part of the national Mental Health Strategy.

The Integration Joint Board agreed:-

 

(i)                     to note the correspondence sent to Chief Officers confirming the allocation of Action 15 monies across Scotland as indicated in Appendix 1 of the report;

 

(ii)                    to note the response to the Scottish Government which outlined plans for the use of Action 15 monies in Dundee as indicated in Appendix 2 of the report;

 

(iii)                    to note that further discussions would continue regarding Tayside wide developments, and that the outcome of these discussions may slightly alter the balance of financial commitment to each development;

 

(iv)                   to note that the plans for use of the Action 15 monies were set within a broader context in terms of Mental Health and Wellbeing developments in the city, and

 

(v)                    to remit to the Chief Officer to bring forward a report setting out the draft Mental Health and Wellbeing strategic priorities and proposed initial actions for Dundee to the meeting of the Integration Joint Board to be held on 30th October, 2018.

 

XIII                   DUNDEE INTEGRATION JOINT BOARD 2018/19 BUDGET

 

There was submitted Report No DIJB30-2018 by the Chief Finance Officer presenting NHS Taysides formal budget offer to Dundee Integration Joint Board in relation to the delegated budget 2018/19.

The Integration Joint Board agreed:-

(i)                     to note and adopt the formal delegated budget offer to Dundee Health and Social Care Partnership from NHS Tayside subject to the caveats noted in sections 4.3.1 to 4.3.4 of the report;

 

(ii)                    to note the Dundee share of additional Scottish Government funding for Mental Health and Primary Care Transformation Funding as set out in section 4.6 of the report; and

 

(iii)                    to note the total value of Dundee Integration Joint Boards delegated budget for 2018/19 as set out in Table 3 of the report.

XIV                  FINANCIAL MONITORING POSITION AS AT JUNE 2018

 

There was submitted Report No DIJB47-2018 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2018/19.

The Integration Joint Board agreed to note the content of the report including the overall projected financial position for delegated services to the 2018/19 financial year end as at 30th June, 2018.

 

XV                   DUNDEE INTEGRATION JOINT BOARD DRAFT ANNUAL ACCOUNTS 2017/2018 AND REVISED FUNDINGVARIATIONS SUMMARY APPENDIX

 

Reference was made to Article XI of the minute of meeting of this Integration Joint Board held on 27th June, 2018 wherein the Draft Annual Accounts 2017/2018 and Annual Governance Statement were approved.

There was submitted Agenda Note DIJB51-2018 reporting that since the Integration Joint Board's Draft Annual Accounts 2017/18 and Annual Governance Statement were presented and agreed it had been identified that an incorrect appendix was included with the report.  It was reported that the 2016/17 Funding Variations Summary shown as Appendix 1 of the report was shown instead of the 2017/18 version.

This was brought to the attention of the Chair and Vice Chair and under The Integration Joint Board's Scheme of Delegation and the Chief Officer had taken the measure of correcting the error and had arranged for the correct appendix to be included in the draft annual accounts.

The Integration Joint Board agreed to note this amendment and the revised Appendix which was attached as DIJB52-2018 .

XVI                  CARSEVIEW REPORT

 

There was submitted Report No DIJB50-2018 by the Director of Strategic Change, NHS Tayside providing an update on the actions taken by NHS Tayside and Perth and Kinross Health and Social Care Partnership, following a BBC Investigates documentary on Carseview Hospital which was aired on BBC Scotland on 9th July, 2018.  The report also provided information as to the progress made to implement the investigation into Carseview Hospital.

The Integration Joint Board agreed to note the content of the report and remit the Chief Officer to provide a further update on the progress of the Carseview Investigation to a future meeting of the Integration Joint Board.

XVII                 MEETINGS OF THE INTEGRATION JOINT BOARD 2018 - ATTENDANCES

 

There was submitted Agenda Note DIJB48-2018 providing a copy of the attendance return for meetings of the Integration Joint Board held to date over 2018.

The Integration Joint Board agreed to note the position as outlined.

XVIII                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, 30th October, 2018 at 2.00 pm.

Ken LYNN, Chairperson.