At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 29th March, 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)

Jenny ALEXANDER

Nominated by Health Board (Non-Executive 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

Raymond MARSHALL

Staff Partnership 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

Kathryn SHARP

Dundee Health and Social Care Partnership

Joyce BARCLAY

Dundee Health and Social Care Partnership

Trudy McLEAY, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

 

Drew WALKER

Director of Public Health

Jim McFARLANE

Trade Union Representative

Frank WEBER

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

II                      DECLARATIONS OF INTEREST

Councillor Ken Lynn declared a non-financial interest in relation to the item of business at Article VI of this minute by virtue of being a Director of Dundee Survival Group in a personal capacity.

Christine Lowden declared a non-financial interest in the item of business at Article VI 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 26th February, 2019 was submitted and approved.

IV                     MEMBERSHIP OF DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD

 

(a)                     REGISTERED MEDICAL PRACTITIONER NOT PROVIDING PRIMARY MEDICAL CARE SERVICES

Reference was made to Article III(c) of the minute of meeting of this Integration Joint Board held on 30th October, 2018, wherein it was noted that Dr Cesar Rodriguez had been nominated by NHS Tayside to be a member of the Integration Joint Board in the capacity of  registered medical practitioner not providing primary medical services.

It was reported that Dr Rodriguez, who was a member of the Integration Joint Board, was to retire from NHS Tayside on 31st March, 2020 and that to allow for transitional arrangements in this regard NHS Tayside had advised that Dr James Cotton had been nominated as his replacement to the position of registered medical practitioner not providing primary medical services.

The Integration Joint Board agreed to note the position.

(b)                    NHS TAYSIDE NOMINATION VOTING MEMBER

Reference was made to Article III(a) of the minute of meeting of this Integration Joint Board held on 30th October, 2018 wherein it was noted that Dr Norman Pratt had been nominated by NHS Tayside to be a member of the Integration Joint Board in the capacity of voting member.

It was reported that, at the meeting of NHS Tayside Board held on 28th February, 2019, it had been agreed that Dr Norman Pratt be replaced and that, as such, NHS Tayside had now nominated Professor Nic Beech to be a member of the Integration Joint Board in the capacity of voting member and that this be effective from 1st April, 2019.

The Integration Joint Board agreed to note the position.

V         MEMBERSHIP OF PERFORMANCE AND AUDIT COMMITTEE

 

(a)                     REGISTERED MEDICAL PRACTITIONER NOT PROVIDING PRIMARY MEDICAL CARE SERVICES

Reference was made to Article IV of this minute wherein it was noted that Dr James Cotton had replaced Dr Cesar Rodriguez as a member of the Integration Joint Board.

Reference was also made to Article V(a) of the minute of meeting of the Integration Joint Board held on 30th October, 2018 wherein the membership of the Performance and Audit Committee was agreed. 

 

It was reported that Dr Rodriguez, who was a member of the Performance and Audit Committee, was to retire from NHS Tayside on 31st March, 2020 and that to allow for transitional arrangements Dr James Cotton had replaced Dr Cesar Rodriguez as a member of the Integration Joint Board and that as such Dr Rodriguez would cease to be a member of the Performancer and Audit Committee.

 

The Integration Joint Board agreed that Dr James Cotton be appointed to the vacant position on the Committee as a result of the retiral of Dr Rodriguez.

(b)                    VOTING MEMBER

Reference was made to Article IV(b) of this minute wherein it was noted that Professor Nic Beech had replaced Dr Norman Pratt as a member of the Integration Joint Board.

Reference was also made to Article V(a) of the minute of meeting of the Integration Joint Board held on 30th October, 2018, wherein the membership of the Performance and Audit Committee was agreed.

It was reported that Dr Norman Pratt, who was a member of the Performance and Audit Committee, would cease to be a member of the Integration Joint Board as of 31st March, 2019.

The Integration Joint Board agreed that Professor Nic Beech be appointed to the vacant position on the Committee as a result of Dr Pratt no longer being a member of the Integration Joint Board as of 31st March, 2019.

 

(c)                    REQUEST FOR MEMBERSHIP APPOINTMENT CARERS REPRESENTATIVE

 

It was reported that Martyn Sloan, who was a member of the Integration Joint Board in the capacity of carers representative, had requested that he be appointed to the membership of the Performance and Audit Committee in that capacity also.

 

The Integration Joint Board agreed to appoint Martyn Sloan as a member of the Committee in the capacity of carers representative.

 

VI                     DUNDEE INTEGRATION JOINT BOARD 2019/2020 BUDGET

There was submtited Report No DIJB14-2019 by the Chief Finance Officer advising of the implications of the proposed delegated budget for 2019/20 from Dundee City Council and indicative budget from Tayside NHS Board and to seek approval for the range of savings required to set a balanced budget for Dundee Health and Social Care Partnership for 2019/20.

 

(i)                     to note the implications of the proposed delegated budget to Dundee Health and Social Care Partnership from Dundee City Council and indicative delegated budget from Tayside NHS Board for 2019/20;

 

(ii)                    to approve the delegated budget proposed by Dundee City Council as set out in section 4.7 and Table 4 within the report;

 

(iii)                    to instruct the Chief Finance Officer to report back to the Integration Joint Board following receipt of formal notification from Tayside NHS Board of the budget offer with associated recommendations including any implications of the finalisation of hosted services budgets, additional prescribing allocations and the Large Hospital Set Aside on the Integration Joint Boards net budget position and associated savings;

 

(iv)                   to approve an uplift of 1.85% for 2019/20 to rolling contractual arrangements with the third sector for the provision of health and social care services as outlined in paragraph 4.8.2 of the report inclusive of uplifts to implement the Scottish Living Wage and Sleepover payments at the Scottish Living Wage;

 

(v)                    to approve the mainstreaming of services funded by the Integrated Care Fund and Delayed Discharge Funding as set out in the Consolidation of Change Projects report (SBAR6) as set out within the Savings Proposals Report attached as Appendix 2 to the report;

 

(vi)                   to approve the range of savings set out in the Savings Proposals Report which was attached to the report as Appendix 2 in order to bring the projected budget position closer to balance;

 

(vii)                   to instruct the Chief Finance Officer to progress the Transformation Programmes as outlined in the Savings Proposals report to the next stage in partnership with relevant stakeholders including Trade Union and Staff Side representatives; and

 

(viii)                  to instruct the Chief Officer to issue directions to NHS Tayside and Dundee City Council as outlined in the report.

 

The Integration Joint Board further agreed to note that as advised by the Chief Finance Officer the Scottish Government had confirmed that the allocation of funding for free personal care for under 65 year olds would be £834,000.

VII                    STRATEGIC AND COMMISSIONING PLAN 2019/2022

The Chairperson agreed that the undernoted item of business be considered as a matter of urgency in terms of Standing Order No 5.3 in view of the timescales involved.

(a)                    NHS TAYSIDE REVIEW OF DUNDEE INTEGRATION JOINT BOARD STRATEGIC PLAN

There was submitted a copy of a minute of a meeting of NHS Tayside Board members held on 28th March, 2019.

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

(b)                    STRATEGIC AND COMMISSIONING PLAN 2019/2022

There was submitted Report No DIJB12-2019 by the Chief Officer seeking approval of the Partnerships Strategic and Commissioning Plan 2019-2022 which was attached to the report as Appendix 1.

The Integration Joint Board agreed:-

(i)                     to note the work undertaken to revise the Strategic and Commissioning Plan, including the contributions made by a range of stakeholders as outlined in Sections 4.2 and 4.3 of the report;

(ii)                    to note the key themes from the public consultation exercise and steps taken to incorporate these into the final version of the strategic and Commissioning Plan as outlined in Sections 4.4 and 4.5 of the report;

 

(iii)                    to note the progress made in revising the suite of companion documents to the Strategic and Commissioning Plan as outlined in Section 4.6 of the report and instruct the Chief Officer to submit the Workforce and Organisational Development Strategy to the Integration Joint Board for approval on 25th June, 2019 and the housing Contribution Statement for approval at the earliest available date as outlined in Section 4.6 of the report;

(iv)                   to note the Integrated Strategic Planning Group would oversee the implementation of the Strategic and Commissioning Plan, reporting progress to the Performance and Audit Committee through mid-year and annual performance reports as outlined in Section 4.7 of the report;

 

(v)                    to approve the Strategic and Commissioning Plan 2019-2022;

 

(vi)                   to instruct the Chief Officer to submit the approved Strategic and Commissioning Plan 2019-2022 to NHS Tayside Board; and

 

(vii)                   to instruct the Chief Officer to issue directions to NHS Tayside and Dundee City Council as outlined in the report.

VIII                   EQUALITY OUTCOMES AND MAINSTREAMING FRAMEWORK 2019/2021

There was submitted Report No DIJB13-2019 by the Chief Officer seeking approval of the Partnerships Equality Outcomes and Mainstreaming Framework 2019-2022.

The Integration Joint Board agreed:-

(i)                     tong Framework which was attached to the report as Appendix 1, including adopting the Equality Outcomes contained within this;

(iii)                    to approve the intended approach to publication and dissemination as outlined in Section 4.4 of the report; and

(iv)                   to instruct the Chief Officer to issue directions to NHS Tayside and Dundee City Council as outlined in the report.

IX                     MEETINGS OF THE INTEGRATION JOINT BOARD 2019 - ATTENDANCE

There was submitted a copy of the attendance return for meetings of the Integration Joint Board held to date over 2019.

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

X                      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 Room1, 14 City Square, Dundee on Tuesday, 23rd April, 2019 at 2.00 pm.

Trudy McLEAY, Chairperson.