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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 21st April, 2021.

Present:-

Members

Role

 

Ken LYNN (Chairperson)

Nominated by Dundee City Council (Elected Member)

Trudy McLEAY (Vice Chairperson)

Nominated by Health Board (Non-Executive Member)

Lynne SHORT

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Donald McPHERSON

Nominated by Health Board (Non-Executive Member)

Norman PRATT(for Jenny ALEXANDER)

Nominated by Health Board (Non-Executive Member)

Vicky IRONS

Chief Officer

Dave BERRY

Chief Finance Officer

Diane McCULLOCH

Chief Social Work Officer

Wendy REID

Registered Nurse

James COTTON

Registered medical practioner(not providing primary medical services)

Raymond MARSHALL

Staff Partnership Representative

Jim McFARLANE

Trade Union Representative

Linda GRAY

Service User Representative

Martyn SLOAN

Carer Representative

Andrew RADLEY(for Emma FLETCHER)

Dundee Health and Social Care Partnership

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

Christine JONES

Dundee Health and Social Care Partnership

Jenny HILL

Dundee Health and Social Care Partnership

Elaine TORRANCE

Dundee Adult Support and Protection Committee

Andrew BECKETT

Dundee Health and Social Care Partnership

Sophe GWYTHER

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Arlene MITCHELL

Dundee Health and Social Care Partnership

Anne Marie MACHAN

Audit Scotland

Roger MENNIE

Clerk and Standards Officer

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

Jenny ALEXANDER

Nominated by Health Board (Non-Executive Member)

Emma FLETCHER

Director of Public Health

II DECLARATIONS OF INTEREST

Councillor Lynn declared a non-financial interest in Article XV of this minute by virtue of his membership of the Dundee Drugs Commission.

Donald McPherson declared a non-financial interest in Article XVI of this minute by virtue of being the NHS Tayside Whistleblowing Champion.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 26th March, 2021 was submitted and approved.

IV IMPACT OF COVID-19 PANDEMIC ON DELIVERY OF THE STRATEGIC AND COMMISSIONING PLAN

There was submitted Agenda Note DIJB12-2021 reporting that, in December 2020, the Integration Joint Board considered and approved a report detailing the impact to date of the COVID-19 pandemic on the Partnerships ability to deliver the Strategic and Commissioning Plan 2019-2022 and on early planning for revision of the plan (Article VI of the minute of this Integration Joint Board held on 15th December 2020 refers). At that time the Chief Finance Officer was instructed to work with the Strategic Planning Advisory Group to draft a public statement summarising the impact of the pandemic on the delivery of the plan and to undertake further detailed planning for the revision of the current strategic and commissioning plan.

The recommendations approved by the Integration Joint Board in December 2020 were based on the Chief Officers understanding of the impact of the pandemic on the delivery of the strategic plan at the time at which the report was produced, end of October 2020. The second wave of the COVID-19 pandemic and associated escalation of operational responses began in November 2020 necessitating a decisive shift from a focus on recovery to a short-term focus on response. This context had meant that for the last four months capacity to progress the actions detailed within the strategic plan had once again been significantly diminished. In the intervening period the demand that would be placed on Partnership resources to support continued pandemic response (in areas such as care homes and vaccination) alongside recovery during 2021/2022 had also become clearer; with a direct impact on capacity available to deliver actions from the strategic plan and to catch-up on delays reported to the Integration Joint Board in December 2020 by the current end date of the plan (31st March 2022).

It was therefore apparent that the Strategic Planning Advisory Group required time to revise and update their assessment of the impact of the pandemic on the ability to deliver the strategic plan and to update their recommendations to the Integration Joint Board on this matter. The Strategic Planning Advisory Group would convene on 22nd April, 2021 to consider in detail the impact of the pandemic on the delivery of the current plan and arrangements for the statutory review and subsequent revision of the plan. This meeting would also consider the implications of the Independent Review of Adult Social Care in Scotland for the timeline and process of revising the Partnerships strategic and commissioning plan, as well as the approach being taken by the other Partnerships in Tayside. A full report and recommendations would thereafter be submitted to the Integration Joint Board on 23rd June, 2021 for consideration.

The Integration Joint Board noted accordingly.

V DUNDEE CHILD PROTECTION COMMITTEE ANNUAL REPORT 2020

There was submitted DIJB13-2021 by the Chief Officer presenting the Integration Joint Board with the Dundee Child Protection Committees Annual Report 2020.

The Integration Joint Board agreed:-

(i) to note the content of the report and the achievements and challenges over the April 2019 to July 2020 period which as outlined in the annual report which was attached to the report as Appendix 1;

 

(ii) to note the progress that had been made in developing an effective partnership response to Child Protection issues in the city as outlined in section 4.5 of the report and the priority areas for future improvement as outlined in section 4.6 of the report; and

 

(iii) to note the development of the Child Protection Delivery Plan for the current year (2020/2021) which was contained within Appendix 1 of the report.

VI CIVIL CONTINGENCIES ACT 2004 - INTEGRATION JOINT BOARD STATUS AS CATEGORY ONE RESPONDERS

 

There was submitted Report No DIJB14-2021 by the Chief Officer providing assurance to the Integration Joint Board regarding the arrangements in place to fulfil duties as Category 1 Responders under the Civil Contingencies Act 2004.

The Integration Joint Board agreed:-

(i) to note the content of the report;

 

(ii) to note the amendment of the Civil Contingencies Act 2004 to include Integration Joint Boards as Category 1 responders as outlined in section 4.1 of the report and the statutory duties of Category 1 responders as outlined in section 4.2 of the report;

 

(iii) to note the arrangements that were currently in place across the Dundee Health and Social Care Partnership to fulfil the duties of Category 1 responders as outlined in section 4.3 of the report and identified areas for further development as outlined in section 4.4 of the report; and

 

(iv) to instruct the Chief Officer to provide a further report on local arrangements for the effective implementation of duties by the Integration Joint Board following the completion of forthcoming national workshops and publication of national guidance for Integration Joint Boards as outlined in section 4.2.3 of the report.

 

Following questions and answers the Integration Joint Board further agreed:-

 

(v) to note that the Integration Joint Board did not have dedicated resilience officers but that Diane McCulloch attended meetings of the on the Resilience Group of NHS Tayside.

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP EQUALITY MAINSTREAMING PROGRESS REPORT 2019/2021

 

There was submitted Report No DIJB15-2021 by the Chief Officer seeking approval of the Dundee Health and Social Care Partnership Equality Mainstreaming Progress Report 2019/2021 and informing the Integration Joint Board of planned work in relation to equalities mainstreaming and outcomes during 2021/2022.

The Integration Joint Board agreed:-

(i) to note the content of the report;

 

(ii) to approve the Dundee Health and Social Care Partnership Equality Mainstreaming Progress Report 2019/2021 as outlined in section 4.2 of the report and Appendix 1 of the report;

 

(iii) to approve the intended approach to publication and dissemination as outlined in section 4.2.3 of the report; and

 

(iv) to note the planned programme of work for 2021/2022 in relation to equalities mainstreaming and outcomes as outlined in section 4.3 of the report.

 

Following questions and answers the Integration Joint Board further agreed :

 

(v) to remit to the Chief Finance Officer to review the contents of Integrated Impact Assessments;

 

(vi) to the publication of Integrated Impact Assessments on the Partnership website (to be available through links to the reports in the published minutes); and

 

(vii) to invite the Trade Unions to work with the Social Care Contracts Team to promote fair work practices.

VIII PROGRESS UPDATE ON REVIEW OF 'A CARING DUNDEE: A STRATEGIC PLAN FOR SUPPORTING CARERS IN DUNDEE' AND SHORT BREAKSSERVICES STATEMENT

 

There was submitted Report No DIJB16-2021 by the Chief Officer providing an update on the findings of engagement work carried out by the Partnership in relation to the impact of COVID-19 on unpaid carers in the City and seeking approval for identified funding allocations to be mainstreamed from 2021/2022.

The Integration Joint Board agreed:-

 

(i) to note the content of the report and Appendix 1 of the report;

 

(ii) to note the work undertaken by partners as detailed in section 4.1 of the report to engage with unpaid carers in Dundee and in the appended report which gave insight into the impact of COVID-19 on them;

 

(iii) to note the establishment of 7 short life workstreams, based on priorities identified by the Carers Partnership and the engagement work which would help to develop future commissioning intentions;

 

(iv) to approve the mainstreaming funding of services to support carers as set out in section 4.3.1 of the report; and

 

(v) to instruct the Chief Officer to provide a further report to present the draft reviewed Carers Strategic Plan for approval along with the Carers Investment Plan 2021/2023 to the meeting of 25th August 2021.

 

IX OVERVIEW OF DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP RESPONSE TO COVID-19 PANDEMIC WAVE 2

 

There was submitted Report No DIJB17-2021 by the Chief Officer providing an overview of Dundee Health and Social Care Partnerships strategic and operational response to the second wave of the COVID-19 pandemic.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the steps taken by Dundee Health and Social Care Partnership to respond to the challenges at each stage of the second wave of the COVID-19 pandemic as outlined in sections 4.5 to 4.8 of the report and Appendices 1 and 2 of the report.

 

X REVISED COVID-19 RECOVERY PLAN

 

There was submitted Report No DIJB18-2021 by the Chief Officer presenting the Partnerships revised COVID-19 recovery plan to the Integration Joint Board for approval.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to approve the revised recovery plan as outlined in Appendix 1 of the report, noting that it would remain a working document and would continue to evolve and develop over time as outlined in sections 4.3 and 4.4 of the report;

 

(iii) to note the submission of the revised recovery plan in draft to the Scottish Government, as part of the overall NHS Tayside remobilisation plan on 26th February 2021, alongside accompanying financial returns summarising anticipated COVID-19 recovery funding requirements for 2021/2022 as outlined in section 4.4.3 of the report; and

 

(iv) to remit to the Chief Officer to issue directions as set out in section 8 of the report.

 

XI INDEPENDENT REVIEW OF ADULT SOCIAL CARE IN SCOTLAND

 

There was submitted Report No DIJB19-2021 by the Chief Officer providing a summary of the content and key recommendations of the Independent Review of Adult Social Care in Scotland, initial responses to the recommendations from key stakeholders and their potential future implications for the Dundee Integration Joint Board.

The Integration Joint Board agreed:-

(i) to note the summary of the content and recommendations of the Independent Review of Adult Social Care in Scotland as outlined in section 4.2 and Appendices 1 and 2 of the report and initial responses to the report from key stakeholders as outlined in section 4.3 of the report;

 

(ii) to note the initial assessment of potential implications of the recommendations made within independent review for the Dundee Integration Joint Board as outlined in section 4.4 of the report and Appendix 3 of the report; and

 

(iii) to instruct the Chief Officer to bring forward a report outlining Scottish Government plans to progress implementation of the recommendations of the independent review at an appropriate point following the Scottish Parliamentary Elections in May 2021.

 

XII TAYSIDE INTEGRATION JOINT BOARD RISK MANAGEMENT FRAMEWORK

 

There was submitted Report No DIJB20-2021 by the Chief Finance Officer recommending for approval a revised Tayside Integration Joint Boards Risk Management Strategy.

 

The Integration Joint Board agreed:-

(i) to note the content of the report and approve the revised Tayside Integration Joint Boards Risk Management Strategy as outlined in Appendix 1 of the report;

 

(ii) to instruct the Chief Finance Officer to review the Integration Joint Boards Risk Management Policy and report back to the Integration Joint Board should this require to be amended following adoption of the revised Risk Management Strategy; and

 

(iii) to instruct the Chief Finance Officer to arrange a development session on risk management for Integration Joint Board members by the end of June 2021.

 

XIII FINANCIAL MONITORING POSITION AS AT 28TH FEBRUARY, 2021

 

There was submitted Report No DIJB21-2021 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected financial monitoring position for delegated Health and Social Care Services for 2020/2021, including an overview of the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the overall projected financial position for delegated services to the 2020/2021 financial year end as at 28th February 2021, as outlined in Appendices 1, 2, 3 and 4 of the report;

 

(ii) to note the costs associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis as outlined in section 4.5 of the report; and

 

(iii) to note the year end reserves position as outlined in section 4.6 of the report.

 

XIV MENTAL HEALTH CRISIS SUPPORT IN DUNDEE

 

There was submitted Report No DIJB22-2021 by the Chief Officer briefing members on plans to improve support for people experiencing distress in Dundee and, following the outcome of the Tayside wide review of Crisis and Urgent Care, on plans to improve support for people experiencing acute mental health crisis.

 

The Integration Joint Board agreed:-

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

(ii) to remit to the Chief Officer to present a progress report to the Integration Joint Board in October 2021.

 

Following questions and answers the Integration Joint Board further agreed :

 

(iii) to note the imminent launch of a dedicated mental health support ambulance to be manned by paramedics and trained mental health nurses.

 

XV DRUG AND ALCOHOL PARTNERSHIP: ACTION PLAN FOR CHANGE - PROGRESS REPORT

 

There was submitted Report No DIJB24-2021 by the Chief Officer informing the Integration Joint Board of the progress made in the implementation of the Dundee Alcohol and Drug Action Plan for Change.

The Integration Joint Board agreed:-

(i) to note the contents of the report, including progress made to date with the implementation of the Action Plan for Change as contained in section 4.2 and Appendix 1 of the report;

 

(ii) to note the amended timescales for the Dundee Alcohol and Drug Action Plan for Change implementation as set out in section 4.3 of the report and Appendix 1 of the report;

 

(iii) to note the successful bid for Corra Foundation funding to implement a test of change to progress integrated approaches for people who experienced both Mental Health difficulties and who used substances; as contained in section 4.4 of the report; and

 

(iv) to note the proposal to reconvene the Dundee Drugs Commission to review progress made against the recommendations detailed in their report Responding to Drug Use with Kindness, Compassion and Hope (2019) as detailed in section 4.5 of the report.

 

XVI IMPLEMENTATION OF NATIONAL WHISTLEBLOWING STANDARDS

There was submitted Report No DIJB23-2021 by the Chief Finance Officer updating the Integration Joint Board on work being undertaken to prepare for the implementation of the National Whistleblowing Standards.

 

The Integration Joint Board agreed:-

(i) to note the information around the implementation of the National Whistleblowing Standards, as outlined in Appendices 1 and 2 of the report;

 

(ii) to note the content of the report and the expectation that Integration Joint Boards must ensure that all Health and Social Care Partnership staff, across both the local authority and the NHS, as well as any students, trainees, agency staff or volunteers, must be able to raise a concern through this procedure;

 

(iii) to note each Integration Joint Board must develop an agreement which set out how staff employed by both the NHS Board and the local authority could raise concerns about services that were the responsibility of either the NHS Board or the local authority. This agreement must ensure that concerns about NHS services could be considered through the Standards;

 

(iv) to note the preparatory work undertaken with NHS Tayside and Tayside Health and Social Care Partnerships as outlined in section 5 of the report and Appendix 3 of the report;

 

(v) to note that Dundee City Council had an existing Whistleblowing Procedure as outlined in section 6 and Appendix 4 of the report;

 

(vi) to note that reporting of Whistleblowing incidents within the Dundee Health and Social Care Partnership must be undertaken by Dundee Health and Social Care Partnership and by NHS Tayside as outlined in section 7 of the report; and

 

(vii) to note the planned training and communication for the workforce around the Whistleblowing Standards as outlined in section 8 of the report.

 

XVII RECORDING OF MEETINGS

 

Reference was made to Article VII of the minute of meeting of this Integration Joint Board of 26th March, 2021 wherein the Clerk was remitted to explore the recording of meetings of the Integration Joint Board in consultation with the Chair and Vice Chair and submit a note on any proposals to this meeting of the Integration Joint Board.

 

There was submitted Agenda Note DIJB26-2021 that reported that, in light of the current pandemic, meetings of the Integration Joint Board and the Performance and Audit Committee, like other public bodies, were not being held face to face and had been held remotely using a technological package for holding meetings remotely. This package included an application to allow for the recording of meetings and the recording of meetings using this package had been utilised by other public bodies whilst meetings were being held remotely. These recordings were then published on their respective websites for public viewing. Agendas and Minutes of meetings of the Integration Joint Board and the Performance and Audit Committee were published on the website of Dundee City Council who acted as Clerk, with dual publication on the Partnership website.

 

The Integration Joint Board also noted that there was not currently a facility for recording meetings face to face and that recording of meetings was a facility which was available through the remote meetings package. Standing Order 10 stipulated that that "No sound, film, video tape, digital or photographic recording of the proceedings of any Meeting shall be made without the prior approval of the Integration Joint Board".

 

The Integration Joint Board noted the above and agreed to the recording of meetings, whilst they were being held remotely, and further agreed that the recordings be placed on the websites of Dundee City Council and the Partership, for public viewing, commencing from the meeting of the Performance and Audit Committee to be held on 26th May 2021.

 

XVlll MEETINGS OF THE INTEGRATION JOINT BOARD 2021 ATTENDANCES

 

There was submitted a copy of the attendance return DIJB25-2021 for meetings of the Integration Joint Board held to date over 2021.

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

XIX DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Integration Joint Board would be held remotely on Wednesday 23rd June 2021 at 10.00am.

 

 

 

 

Ken LYNN, Chairperson.