Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 15th December, 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)
Anne BUCHANAN	Nominated by Health Board (Non-Executive Member)
Vicky IRONS	Chief Officer
Dave BERRY	Chief Finance Officer
David WILSON	Registered Medical Practitioner (whose name is included in the list of primary medical services performers)
Sarah DICKIE	Registered Nurse
James COTTON	Registered Medical Practitioner (not providing primary medical services)
Diane MCCULLOCH	Chief Social Work Officer
Raymond MARSHALL	Staff Partnership Representative
Eric KNOX	Third Sector Representative
Linda GRAY	Service User residing in the area of the local authority
Martyn SLOAN	Person proving unpaid care in the area of the local authority
Emma FLETCHER	Director of Public Health

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

Christine JONES	Partnership Finance Manager
Jenny HILL	Head of Health and Community Care
Arlene MITCHELL	Locality Manager
Lynne MORMAN	Health and Social Care Partnership
Derek AITKEN	Health and Social Care Partnership
Anne Marie MACHAN	Audit Scotland Representative
Kathryn SHARP	Strategy and Performance Service Manager
Lynsey WEBSTER	Strategy and Performance Service Senior Officer
Sheila WEIR	Finance and Support Services Section Leader

Ken LYNN, Chairperson, in the Chair.

Prior to commencement of the business the Chair took the opportunity to welcome Dr David Wilson to his first meeting of the Integration Joint Board.

The Chief Officer and Dr Emma Fletcher also appraised the membership the Integration Joint Board of the current position in relation to the ongoing health emergency and operational management of this which was noted.

I APOLOGIES

Apologies for absence were submitted on behalf of Jim McFarlane, Trade Union Representative.

Il DECLARATION OF INTEREST

There were no declarations of interest.

III MEMBERSHIP APPOINTMENT

It was reported that at the meeting of NHS Tayside Board held on 28th October, 2021, it was agreed that Dr David Wilson be appointed as a non-voting member of the Integration Joint Board in the capacity of Registered Medical Practitioner whose name is included in the list of primary medical performers.

The Integration Joint Board agreed to note the position.

IV MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of meeting of the Integration Joint Board held on 27th October, 2021 was submitted and approved subject to amendment to Article XII of the minute to reflect observations of Dr Emma Fletcher about the high risks identified in the annual report and for updates to be received over the following year in this regard.

(b) ACTION TRACKER

The Action Tracker (DIJB56-2021) for meetings of the Integration Joint Board was submitted and noted.

V PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 24TH NOVEMBER, 2021

The minute of the previous meeting of the Performance and Audit Committee held on 24th November, 2021 was submitted and noted for information and record purposes.

(b) CHAIRPERSONS ASSURANCE REPORT

There was submitted Report No DIJB66-2021 by Trudy McLeay, Chairperson of the Performance and Audit Committee, 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.

VI CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2020/2021

There was submitted Report No DIJB58-2021 by the Chief Social Work Officer bringing forward, for Members information, the Chief Social Work Officers Annual Report for 2020/2021.

The Integration Joint Board agreed:-

(i) to note the content of the report and the Chief Social Work Officers Annual Report for 2020/21 which was attached to the report as an Appendix.

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

(ii) to note that the Chief Social Work Officer would look to provide a briefing on future reports to the membership in advance of submission to the Integration Joint Board to assist their understanding of matter;

(iii) to note following the suggestion by Donald McPherson that future reports of this nature may benefit from utilisation of graphics within content to further explain areas such as Key Performance Indicators that the Chief Social Work Officer would review the presentation of the report for the following year and that this would also include a guide to any acronyms indicated; and

(iv) to note that the Chief Social Work Officer would submit a report to a future meeting on the Community Custody Unit and how this was being supported.

VII MULTI-AGENCY PROTECTING PEOPLE GOVERNANCE ARRANGEMENTS

There was submitted Report No DIJB60-2021 by the Chief Officer providing an overview of multi‑agency governance and strategic arrangements for protecting people activities across the Dundee Partnership, including the contribution of the Health and Social Care Partnership.

The Integration Joint Board agreed:-

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

(ii) to note the arrangements that were in place for the representation of the Health and Social Care Partnership at the Chief Officers Group and Protecting People Committees as outlined in sections 4.2 and 4.4 of the report.

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

(iii) to note the observation of Donald McPherson that the Scottish Ambulance Service, who were often a first point of contact in relation to public protection were not a member of the Chief Officers Group and the advice of Kathryn Sharp that although they were not part of the group they had been involved in adult protection and that the membership of the Dundee Adult Support and Protection Committee was currently under review as advised by Diane McCulloch; and

(iv) to note that Kathryn Sharp would look at use of colour definition within future reports for ease of reference.

VIII LEADERSHIP OF PUBLIC PROTECTION ARRANGEMENTS

There was submitted Report No DIJB59-2021 by the Chief Officer updating the Integration Joint Board regarding arrangements for leadership of the strategic Public Protection Agenda by the Chief Officers (Public Protection) Strategic Group, including key developments over the last nine months and future strategic ambitions.

The Integration Joint Board agreed:-

(i) to note the role of the Chief Officers (Public Protection) Strategic Group in providing leadership for the protection of children and adults at risk as outlined in section 4.2 of the report;

(ii) to note the work undertaken by the Chief Officers (Public Protection) Strategic Group over the last nine months to enhance arrangements for public protection, including supporting the joint inspection of services for children at risk of harm and the ongoing pandemic response as outlined in sections 4.3, 4.4 and Appendices 1 and 2 of the report;

(iii) to note the priorities for the Chief Officers (Public Protection) Strategic Group for the next six months as outlined in section 4.6 of the report; and

(iv) to direct the Chief Officer to provide further updates regarding the work of the Chief Officers (Public Protection) Strategic Group and key developments in public protection to the Integration Joint Board on a six-monthly basis.

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

(v) to note the concern expressed by Eric Knox about long-term longevity for the Third Sector to provide critical services for the community when Covid funding ceased.

IX DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC NEEDS ASSESSMENT

There was submitted Report No DIJB61-2021 by the Chief Officer together with the revised Dundee Health and Social Care Partnership Strategic Needs Assessment, a companion document to the Strategic and Commissioning Plan, and the Carers Needs Assessment, required under section 31 (2) of the Carers (Scotland) Act 2016.

The Integration Joint Board agreed:-

(i) to note the need to have in place a strategic needs assessment and carers needs assessment to support strategic planning and commissioning for health and social care services as outlined in sections 4.1 and 4.7 of the report;

(ii) to approve the revised Dundee Health and Social Care Partnership Strategic Needs Assessment, full and summary versions, which were attached to the report as Appendices 1 and 3; and

(iii) to approve the Carers Needs Assessment, full and summary versions which were attached to the report as Appendices 2 and 4.

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

(iv) to note that Kathryn Sharp would look to provide a briefing session for members in advance of the submission of future reports of this nature to assist their understanding of commissioning aspects of the report; and

(v) to note following enquiry from Councillor Lynn in relation to the number of people in Dundee with Hepatitis C indicated in the report that the Chief Social Work Officer would clarify this with Public Health and advise the membership accordingly.

X TRAUMA-INFORMED PRACTICE AND LEADERSHIP

There was submitted Report No DIJB62-2021 by the Chief Officer providing an overview of trauma-informed practice and leadership, including national strategy, local arrangements for implementation and future plans.

The Integration Joint Board agreed:-

(i) to note the content of the report, including local approaches to trauma-informed practice and leadership, progress to date and planned next steps; and

(ii) to instruct the Chief Officer to provide an update report no later than April 2022, including the finalised trauma-informed practice and leadership implementation plan.

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

(iii) to note the intention of Kathryn Sharp to provide a briefing to the membership on this area of work in the new year following further work with the Improvement Service.

XI FINANCIAL MONITORING POSITION AS AT OCTOBER 2021

There was submitted Report No DIJB63-2021 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 2021/2022 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 2021/2022 financial year end as at 31st October, 2021 as outlined in Appendices 1, 2, 3 and 4 of the report;

(ii) to note the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the Covid-19 crisis as set out in section 4.5 of the report; and

(iii) to note that officers within the Health and Social Care Partnership would continue to carefully monitor expenditure and develop a range of actions to mitigate any overspend.

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

(iv) to note the explanation of the Chief Finance Officer in relation to concerns expressed by Bailie Wright on the content of the Risk Assessment section of the report and that the Chief Finance Officer would look at the way this was described in future reports.

XII SCOTTISH GOVERNMENT ADDITIONAL INVESTMENT: WINTER PLANNING FOR HEALTH AND SOCIAL CARE

There was submitted Report No DIJB64-2021 by the Chief Finance Officer providing the Integration Joint Board with information on a range of measures and new investment being put in place nationally by the Scottish Government to help protect health and social care services over the winter period and to provide longer term improvement in service capacity, and how this would impact and be managed through Dundee Health and Social Care Partnership.

The Integration Joint Board agreed:-

(i) to note the content of the report and the anticipated service capacity enhancements that were being developed by officers in the Health and Social Care Partnership;

(ii) to note the additional funding streams that would be received by the Integration Joint Board and instruct the Chief Finance Officer to report on any significant variations to the next Integration Joint Board meeting in February 2022;

(iii) to approve the increased contract payments to Commissioned Service Providers to enable the increased hourly wage payment to staff providing direct care with effect from 1st December, 2021, as detailed in section 4.7.5 of the report;

(iv) to instruct the Chief Finance Officer to report on progress to the April 2022 Integration Joint Board meeting; and

(v) to remit the Chief Officer to issue direction to Dundee City Council as indicated in section 8.0 of the report.

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

(vi) to note following enquiry from Donald McPherson that Jenny Hill would submit a report to the February meeting of the Integration Joint Board on staffing matters for independent care providers in relation to payment arrangements between visits to clients.

XIII WINTER PLAN - NHS TAYSIDE AND PARTNER ORGANISATIONS

There was submitted Report No DIJB67-2021 by the Chief Officer presenting to the Integration Joint Board the Winter Planning arrangements for NHS Tayside and the Tayside Health and Social Care Partnerships for 2021/2022. This was an integrated plan that provided cohesive plans for winter across the Health and Social Care Partnerships and Acute Services, supported by the remobilisation plans and influenza (flu) planning.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the overview of whole system working in preparation for anticipated winter challenges as outlined in sections 4.1 to 4.3 of the report; and.

(ii) to endorse and approve the Winter Plan (NHS Tayside and Partner Organisations 2021/2022), which was attached to the report as Appendix 1, for submission to the Scottish Government.

XIV DUNDEE INTEGRATION JOINT BOARD BUDGET DEVELOPMENT 2022/2023

There was submitted Agenda Note DIJB65-2021 reporting that annual work had commenced in relation to the development of the Integration Joint Boards delegated budget for 2022/2023. A more detailed update would be provided in February 2022, with the Chief Finance Officer presenting a proposed budget for consideration at a special meeting in March 2022.

As in previous years, 3 development sessions were also planned with Integration Joint Board Members between January 2022 and March 2022 to discuss in detail the implications of the Scottish Governments budget on the Integration Joint Boards, the impact of budget pressures, budget development progress as well as opportunities and priorities under consideration during the budget setting process.

The UK Government Autumn Budget and Spending Review 2021 was presented on 27th October, 2021. The Scottish Government published its spending plans for 2022/2023 on 9th December, 2021 with the detail behind that thereafter being communicated to local authorities, Health Boards and Integration Authorities.

Discussions were underway between officers of the Health and Social Care Partnership and both Dundee City Council and NHS Tayside colleagues to understand the likely implications and underlying cost assumptions for the delegated budgets, and the range of potential cost pressures that the Integration Joint Board was likely to face in 2022/2023 and beyond being developed.

The ongoing impact of the Covid-19 pandemic and associated Recovery and Remobilisation priorities and expenditure continue to be reviewed. During 2020/2021 and 2021/2022, additional funding had been provided from Scottish Government to meet this additional expenditure, however current indications were that this funding source was only available until 31st March, 2022. The potential implications of this would be outlined as part of the Integration Joint Boards budget process.

Alternative sources of funding, many of which were described as recurring, had been identified within Scottish Governments Winter Planning Funding programme further details of which were contained in report considered at Article XIII of this minute.

The impact of additional Covid-19 funding ceasing and additional Winter Planning funding being available would need to be incorporated into the Budget Planning process for 2022/2023.

The Integration Joint Board agreed to note the ongoing work to date and that a more detailed report would be presented to the February 2022 meeting.

XV MEETINGS OF THE INTEGRATION JOINT BOARD 2021 ATTENDANCES

There was submitted a copy of the attendance return Report No DIJB57-2021 for meetings of the Integration Joint Board held to date over 2021.

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

XVI 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 February, 2022 at 10.00 am.

Ken LYNN, Chairperson.