At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 26th February, 2019.

Present:-

Members

Role

Trudy McLEAY (Chairperson)

Nominated by Health Board (Non-Executive Member)

Ken LYNN (Vice Chairperson)

Nominated by Dundee City Council (Elected Member)

Roisin SMITH

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Norman PRATT

Nominated by Health Board (Non-Executive Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

Sarah DICKIE

Registered Nurse

Cesar RODRIGUEZ

Registered medical practitioner (not providing primary medical services)

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

Linda GRAY

Service User residing in the area of the local authority

Martyn SLOAN

Person providing unpaid care in the area of the local authority

Non members in attendance at the request of the Chief Officer:-

Diane McCULLOCH

Dundee Health and Social Care Partnership

Dr David SHAW

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Alexis CHAPPELL

Dundee Health and Social Care Partnership

Trudy McLEAY, Chairperson, in the Chair.

Prior to commencement of the meeting, the Chairperson welcomed Linda Gray to her first meeting of the Integration Joint Board and introductions were made.  Linda gave a brief background to herself and that she looked forward to working with the Integration Joint Board.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

 

Jenny ALEXANDER

Nominated by Health Board (Non-Executive Member)

Frank WEBER

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

II                      DECLARATION OF INTEREST

Christine Lowden declared a non-financial interest in relation to the item of business at Article XI of this minute by virtue of Dundee Voluntary Action receiving funding through the Integrated Care Fund.

III                     MINUTE OF PREVIOUS MEETING

The minute of previous meeting of the Integration Joint Board held on 18th December, 2018 was submitted and approved.

IV                     PERFORMANCE AND AUDIT COMMITTEE

(a)                    MINUTE OF PREVIOUS MEETING OF 12TH FEBRUARY, 2019

The minute of the previous meeting of the Performance and Audit Committee held on 12th February, 2019 was submitted and noted for information and record purposes.

(b)                    CHAIR'S ASSURANCE REPORT

There was submitted Report No DIJB11-2019 by Helen Wright, Chairperson of the Performance and Audit Committee held on 12th February, 2019, providing an Assurance Report to the Integration Joint Board on the work of the Performance and Audit Committee.

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

Ken Lynn, Vice-Chairperson of the Integration Joint Board expressed his thanks to Helen Wright for Chairing this meeting of the Performance and Audit Committee in his absence. 

V                      DUNDEE CHILD PROTECTION COMMITTEE ANNUAL REPORT 2017/2018

There was submitted Report No DIJB3-2019 by the Chief Social Work Officer, presenting the Integration Joint Board with the Independent Chair of the Child Protection Committee's annual report for the period April, 2017 to March, 2018. The report included a summary of the work undertaken and identified future priorities.

The Integration Joint Board agreed:-

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

(ii)                    to note the key achievements as detailed in section 4.4 of the report and the recommendations and future plans identified for 2018/2019 as summarised in section 4.5 of the report.

 

VI                     AUDIT SCOTLAND REPORT HEALTH AND SOCIAL CARE INTEGRATION - UPDATE ON PROGRESS

There was submitted Report No DIJB9-2019 by the Chief Finance Officer, providing an overview of Audit Scotland's most recent national report on the progress of Health and Social Care Integration.

The Integration Joint Board agreed:-

(i)                     to note the content of the Audit Scotland Health and Social Care Integration Update progress report which was attached to the report as Appendix 1, including the key messages and recommendations contained within the report and which were highlighted in sections 4.3 and 4.4 of the report; and

 

(ii)                    to instruct the Chief Officer to work with partner agencies to consider the report recommendations and ensure arrangements were in place to respond to these through appropriate Integration Joint Board governance processes as set out in section 4.5 of the report.

 

VII                    STRATEGIC COMMISSIONING PLAN 2019/2022 PROGRESS UPDATE

 

There was submitted Report No DIJB5-2019 by the Chief Officer, informing of progress made in revising the Partnership's Strategic Commissioning Plan and providing an opportunity for the Integration Joint Board to comment on the draft Strategic Commissioning Plan 2019/2022.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the progress made in reviewing the Partnership's Strategic Commissioning Plan as indicated in sections 4.2 to 4.6 of the report, including the significant contributions made by a range of stakeholders to the preparation of the draft Strategic Commissioning Plan 2019/2022 and further planned consultation activity as indicated in section 4.7 of the report;

 

(ii)                    to note that the current Strategic Commissioning Plan 2016/2021 would remain in place until the replacement plan was approved by the Integration Joint Board; and

 

(iii)                    to provide comments to the Chief Officer direct regarding the draft Strategic Commissioning Plan 2019/2022 which was attached to the report as Appendix 1.

 

VIII                   MEASURING PERFORMANCE UNDER INTEGRATION 2019/2020 SUBMISSION

 

Reference was made to Article V of the minute of meeting of the Performance and Audit Committee held on 12th February, 2019, wherein the Performance Report was submitted and agreed.

 

There was submitted Report No DIJB6-2019 by the Chief Officer seeking approval of the 2019/2020 submission to be made by the Integration Joint Board 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 note the methodology used to develop proposed targets for submission to the Ministerial Strategic Group for Health and Community Care as outlined in section 4.2.1 and Appendix 2 of the report;

 

(iii)                    to approve the 2019/2020 submission to the Ministerial Strategic Group for Health and Community Care by 28th February, 2019 which was attached to the report as Appendix 3; and

 

(iv)                   to note that 2019/2020 targets would remain in draft until such time as the Integration Joint Board budget for 2019/2020 had been confirmed as outlined in section 4.2.2 of the report.

IX                     NATIONAL SUICIDE PREVENTION ACTION PLAN - EVERY LIFE MATTERS

 

There was submitted Report No DIJB2-2019 by the Chief Officer providing information about the National Suicide Prevention Action Plan: Every Life Matters and arrangements in place to enable its implementation across Dundee.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the National Suicide Prevention Action Plan: Every Life Matters and National Suicide Prevention Leadership Group Delivery Plan, which was attached to the report as Appendix 1 and progress in preparing for its commencement as described in section 4.2.5 of the report;

 

(ii)                    to note the Tayside Multiagency Suicide Review Group Annual Report 2017 which was attached to the report as Appendix 2; and

 

(iii)                    to note the intention that a Dundee Suicide Prevention Strategic Plan would be submitted to a meeting of the Dundee City Health and Social Care Integration Joint Board for endorsement by June 2019.

X                      FINANCIAL MONITORING POSITION AS AT DECEMBER 2018

There was submitted Report No DIJB7-2019 by the Chief Finance Officer, providing an update of the projected financial monitoring position for delegated Health and Social Care Services for 2018/2019.

The Integration Joint Board agreed:-

(i)                     to note the content of the report including the overall projected financial position for delegated services to the 2018/2019 financial year end as at 31st December, 2018 as outlined in Appendices 1 and 2 of the report; and

 

(ii)                    to approve the use of historical legacy funding as a key element of the Integration Joint Boards financial recovery plan as set out in section 4.1.5 of the report in order to deliver the net projected financial position reflected in the report.

 

XI                     DELEGATED BUDGET 2019/2020 DEVELOPMENT PROGRESS REPORT

There was submitted Report No DIJB8-2019 by the Chief Finance Officer, providing an updated overview of the delegated budget 2019/2020. The report formed phase two of a set of three budget development reports to be presented to each Integration Joint Board meeting leading up to the meeting of 29th March, 2019, when the delegated budget would be laid before the Integration Joint Board for approval.

The Integration Joint Board agreed:-

(i)                     to note the content of the report including the potential implications to the delegated budget of the impact of the Scottish Governments Budget on Dundee City Council and NHS Taysides financial settlements as set out in sections 4.3, 4.4, 4.5 and Appendix 1 of the report; and

 

(ii)                    to remit the Chief Finance Officer to bring forward a proposed budget for 2019/2020 in relation to delegated services as the final phase of the development of the budget for consideration by the Integration Joint Board at its meeting on 29th March, 2019.

XII                    PROPOSED NEW PAUSE SERVICE FOR DUNDEE

 

There was submitted Report No DIJB1-2019 by the Chief Social Work Officer, providing information on proposals to introduce a new service, Pause, for women who had had multiple children removed from their care to Dundee.  It was reported that the proposals were approved at the meeting of the Children and Families Services Committee of Dundee City Council held on 28th January, 2019.

 

The Integration Joint Board agreed:-

 

(i)                     to note the content of the report;

 

(ii)                    to note that, subject to available funding, a pilot Pause Practice would be established in Dundee.  This would be informed by a steering group involving relevant partner agencies including staff from the Dundee Health and Social Partnership;

 

(iii)                    to remit the Chief Officer to identify appropriate representation on the proposed steering group from the Dundee Health and Social Care Partnership; and

 

(iv)                   to instruct the Chief Social Work Officer to report back to the Integration Joint Board at the end of 2021 regarding the evaluation and longer term sustainability of a Pause Service for Dundee.

 

XIII                   ARRANGEMENTS FOR MANAGING HIGH RISK OFFENDERS

There was submitted Report No DIJB4-2019 by the Chief Social Work Officer, presenting the eleventh annual report on arrangements for managing high risk offenders across Tayside, covering the period 1st April, 2017 to 31st March, 2018.  A copy of the report was attached to the report as an appendix.

The Integration Joint Board agreed:-

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

(ii)                    to note the ongoing developments in relation to the risk assessment and risk management of high risk offenders as outlined in sections 4.4 to 6.0 and Appendix 1 of the report.

 

XIV                  MEETINGS OF THE INTEGRATION JOINT BOARD 2018 ATTENDANCES

 

There was submitted 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.

XV                   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 Friday, 29th March, 2019 at 2.00 pm.

Trudy McLEAY, Chairperson.