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

Nic BEECH

Nominated by Health Board (Non-Executive Member)

David W LYNCH

Chief Officer

Dave BERRY

Chief Finance Officer

James COTTON

Registered Medical Practitioner (not providing primary medical services)

Kathryn BRECHIN

Registered Nurse

Diane McCULLOCH

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 Representative

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

Dr David SHAW

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Arlene MITCHELL

Dundee Health and Social Care Partnership

Linda GRAHAM

Dundee Health and Social Care Partnership

Ruth BROWN

Dundee Health and Social Care Partnership

Sheila ALLAN

Dundee Health and Social Care Partnership

David STRANG

The Independent Inquiry into Mental Health Services in Tayside (Independent Chair)

Denise JACKSON

The Independent Inquiry into Mental Health Services in Tayside (Secretary to the Inquiry)

Ann ERIKSEN

NHS Tayside

Trudy McLEAY, Chairperson, in the Chair.

Prior to the commencement of the business, the Chairperson advised of the forthcoming retiral of Christine Lowden and gave thanks to her for the contribution she had made over her period of membership and wished her well in her retiral.  The Chairperson also took the opportunity to welcome Professor Nic Beech and Kathryn Brechin to their first meeting of the Integration Joint Board and also welcomed David Strang, Independent Chair of The Independent Inquiry into Mental Health Services in Tayside and Denise Jackson, Secretary to the Inquiry to the meeting.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

Frank WEBER  

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

Martyn SLOAN

Carer Representative

II                      DECLARATION OF INTEREST

No declarations of interest were made.

III                     MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 25th June, 2019 was submitted and approved.

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

 

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 agreed to appoint Christine Lowden to be a member of the Integration Joint Board in the capacity of Third Sector Representative.

It was reported that Christine Lowden, who was a member of the Integration Joint Board, was to retire from Dundee Voluntary Action on 1st October, 2019.  The Third Sector had advised that Eric Knox had been nominated as her replacement to the position of Third Sector Representative.

The Integration Joint Board agreed to the appointment of Eric Knox to the position of Third Sector Representative on the Integration Joint Board.

V                      MEMBERSHIP OF DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD CHIEF SOCIAL WORK OFFICER

 

It was reported that following the retiral of Jane Martin from the position of Chief Social Work Officer, Diane McCulloch, Head of Health and Community Care would cover all Chief Social Work Officer functions effective from 1st August, 2019,

The Integration Joint Board agreed to note the position.

VI                     DUNDEE MENTAL HEALTH AND WELLBEING STRATEGIC PLAN 2019/2024

 

There was submitted Report No DIJB44-2019 by the Chief Officer providing a briefing on the consultation about the draft Dundee Mental Health and Wellbeing Strategic Plan and seeking approval to publish and implement the final version of the Plan which was attached to the report as an Appendix.

The Integration Joint Board agreed:-

(i)                     to note the outcome of the consultation undertaken about the draft Dundee Mental Health and Wellbeing Strategic Plan (the Strategic Plan) as outlined in Sections 4.2.1‑4.2.6 of the report;

 

(ii)                    to approve the publication of the revised Strategic Plan, which was attached to the report as Appendix 1, by 1st September 2019 on the Dundee Health and Social Care Partnership website;

 

(iii)                    to approve the financial framework embedded within the Strategic Plan as outlined at pages 11 to 13 of the Strategic Plan;

 

(iv)                   to approve the accompanying Dundee Mental Health and Wellbeing Commissioning Framework (2019/2024) which was attached to the report as Appendix 2;

 

(v)                    to instruct the Chief Officer to present a 6 monthly performance report to the Integrated Strategic Planning Group that incorporated all priority areas for improvement, as set by both Dundee Mental Health and Wellbeing Strategic and Commissioning Group and Tayside Mental Health Alliance; and

(vi)                   that having heard Raymond Marshall, to note the content of the Statement from Trade Unions and Professional Organisations within the Area Partnership Forum as follows:-

 

The Area Partnership Forum acknowledges the work so far in identifying the service needs of Dundee regarding Mental Health and Learning Disabilities as delegated under the Integration Scheme and also the engagement with User Groups.

 

Given the complexity and broad range of service delivered across the whole of the population of Tayside we do not feel that there is enough assurance within this report that there is a whole system approach.  This would include all services in Tayside across all other Health and Social Care Partnership and Hosted In-Patient Services.

 

Although the document mentions the Mental Health Alliance, this is in its infancy and has only met a couple of times which again does not give the confidence needed.

 

In regards to the Dundee Mental Health and Wellbeing Strategic and Commissioning Group this does not meet the Staff Governance Standards in relation to inclusion of staff at all levels in decisions which affect them.

 

The Staffside are raising their concerns not only with yourselves but also with the Perth and Kinross Health and Social Care Partnership and also directly with Ms Jeane Freeman MSP, Cabinet Secretary for Health and Sport;

 

(vii)                   that the Chief Officer be remitted to invite the former Commissioners of the Dundee Fairness Commission who presented their recommendations that came out of the research into mental health at the meeting of the Integration Joint Board held on 26th June, 2019 to a meeting of this Integration Joint Board to be held in a year's time to give an update on the position in relation to their findings; and

 

(viii)                  to note that in relation to the content of the report that reference may also be made to the Transforming Psychological Trauma publication and the annual report on the current implementation of Realistic Medicine in Scotland.

 

VII                    FINANCIAL MONITORING POSITION AS AT JUNE 2019

There was submitted Report No DIJB42-2019 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2019/2020.

The Integration Joint Board agreed:-

(i)                     to note the content of the report including the overall projected financial position for delegated services to the 2019/2020 financial year end as at 30th June, 2019 as outlined in Appendices 1, 2 and 3 of the report; and

 

(ii)                    to note that officers within the Health and Social Care Partnership would assess a number of actions required to effect a recovery plan which would be reflected in the August financial monitoring report to be presented at the meeting of this Integration Joint Board to be held on 29th October, 2019 as outlined in section 4.7.1 of the report.

 

VIII                               THE USE OF ELIGIBILITY CRITERIA TO MAXIMISE AVAILABLE RESOURCES

 

There was submitted Report No DIJB45-2019 by the Chief Officer setting out the Dundee Health and Social Care Partnership Eligibility Criteria for Adult Social Care services and the financial guidelines to be used to maximise the use of resources across the partnership.  The report confirmed the rationale for applying national eligibility criteria and provided information on the five categories of need that were used to prioritise the provision of service for individuals following assessment.  The report also described the approach taken to maximise the use of available resources to the Partnership.

 

The Integration Joint Board agreed:-

 

(i)                     to approve the adoption of the Dundee Health and Social Care Partnership eligibility criteria which was attached as Appendix 1 of the report and confirmed application of this across all Dundee Health and Social Care Partnership social care services as detailed in section 4.3 of the report;

 

(ii)                    to note the intention to prioritise Dundee Health and Social Care Partnership resources at those presenting with Critical and Substantial need as detailed in section 4.3.6 of the report;

 

(iii)                    to note the current arrangements for the financial assessment of social care packages and confirmed approval of the upper limit for the funding of social care services for older people living in the community as detailed in sections 4.1.5 and 4.4.1 of the report;

 

(iv)                   to note that due to the varied levels of needs across younger adults with disabilities a review would be undertaken to ensure spend on adults under the age of 65 years reflected the best use of public resources and that there was further clarity around the allocation of funded support as detailed in section 4.4.2 of the report; and

 

(v)                    to note the intention to review the criteria for the delivery of integrated health and social care services alongside service redesign and implementation as detailed in section 4.4.3 of the report.

 

IX                     JOINT INSPECTION (ADULTS): THE EFFECTIVENESS OF STRATEGIC PLANNING IN NORTH AYRSHIRE (MARCH 2019) DUNDEEPOSITION STATEMENT

 

There was submitted Report No DIJB41-2019 by the Chief Officer informing of the published inspection report of strategic planning within North Ayrshire Health and Social Care Partnership.  As part of the partnerships commitment to continuous improvement the report also highlighted areas for learning for the Dundee Health and Social Care Partnership.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the North Ayrshire Inspection report published by the Care Inspectorate and Healthcare Improvement Scotland which was attached to the report as Appendix 1;

(ii)                    to note the Dundee position as assessed against the North Ayrshire report as outlined in section 4.2.1 and Appendix 2 of the report; and

(iii)                    to instruct the Head of Service, Finance and Strategic Planning to develop an action plan to address priority areas for improvement as outlined in section 4.2.2 of the report and that this be submitted to the Performance and Audit Committee for approval no later than 26th November, 2019.

 

X                      MEMORANDUM OF UNDERSTANDING BETWEEN INTEGRATION JOINT BOARDS AND INDEPENDENT SCOTTISH HOSPICES

 

There was submitted Report No DIJB40-2019 by the Chief Officer on the Memorandum of Understanding between Integration Joint Boards and Independent Scottish Hospices and to confirm that as the host provider of specialist palliative care, the provision of hospice services were provided within the statutory framework.

 

The Integration Joint Board agreed:-

 

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

(ii)                    to note the content of the Memorandum of Understanding between Integration Joint Boards and Independent Scottish Hospices.

 

XI                     TAYSIDE SEXUAL HEALTH AND REPRODUCTIVE SERVICES UPDATE

 

Thee was submitted Report No DIJB46-2019 by the Chief Officer providing an update about the progress with the redesign of Tayside Sexual and Reproductive Health Services.

The Integration Joint Board agreed:-

(i)                     to note the Tayside Sexual and Reproductive Health Services Redesign progress described at section 4 of the report; and

 

(ii)                    to approve the proposed partnership arrangement between NHS Tayside Elective Medicine and Dundee Integration Joint Board Tayside Sexual and Reproductive Health Services regarding the delivery of services for people living with HIV as reflected in Section 4.5 of the report.

 

XII                    PUBLICATION OF ANNUAL PERFORMANCE INFORMATION ANNUAL PERFORMANCE REPORT AND DRAFT ANNUAL ACCOUNTS

Reference was made to Articles VIII and XI of the minute of meeting of this Integration Joint Board of 25th June, 2019 wherein the Partnerships Annual Performance Report and Draft Annual Accounts 2018/19 were approved for publication. 

There was submitted Agenda Note DIJB43-2019 reporting that, following publication, statistical advice was issued by National Services Scotland, Information Services Division (NSS, ISD) to all Integration Joint Boards in respect of the quality of data submissions from NHS Boards for the period January to March 2019 in terms of data completeness. NSS, ISD advised Integration Joint Boards that in relation to inclusion of Scotland level figures and benchmarking information for National Health and Wellbeing Indicators 12 (emergency admissions), 13 (emergency bed days), 14 (readmissions), 16 (falls) and 20 (% of resources spent on hospital stays resulting from emergency admissions) in Annual Performance Reports figures should be presented up to 31st December, 2018 (end of Quarter 3). Furthermore NSS, ISD advised that benchmarking figures for these indicators as at 31st March, 2019 (end of Quarter 4) would give an impression of benchmarked performance that was not reliable and that headline Scotland level figures should not be published if NSS, ISD has not already published equivalent national statistics (in compliance with the UK Code of Practice for Statistics). Consequently the Partnerships annual performance report was amended prior to publication in relation to indicators 12, 13, 14, 16 and 20 to include:-

-                       Dundee level data to 31st March, 2019 (end of Quarter 4); and

-                       Benchmarking data that provided a comparison with performance at Scotland level and other Partnerships as at 31st December, 2018 (end of Quarter 3) (with the exception of indicator 20 where benchmarking data was not available and therefore had not been included).

The Integration Joint Board agreed:-

(i)                     to note that the change in information published did not materially impact on the performance review of the Integration Joint Board and that the revised version could be accessed through the partnership website;

(ii)                    to note that at the point at which NSS, ISD published end of year data for these indicators the Annual Performance Report would be amended and a replacement version uploaded to the Partnership website; and

(iii)                    to note that In addition, the Draft Annual Accounts included an extract of performance information as set out in the Annual Performance Report and that this document had also now been updated accordingly and could be accessed through the partnership website.

XIII                   MEETINGS OF THE INTEGRATION JOINT BOARD 2019 ATTENDANCES

There was submitted Agenda Note DIJB21-2019 providing 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 content.

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 29th October, 2019 at 2.00 pm.

Trudy McLEAY, Chairperson.