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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 20th April, 2022.

Present:-

Members

Role

 

Ken LYNN (Chairperson)

Nominated by Dundee City Council (Elected Member)

Pat KILPATRICK (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

Sarah DICKIE

Registered Nurse

Jim McFARLANE

Trade Union Representative

Martyn SLOAN

Carer Representative

James COTTON

Registered Medical Practitioner (not providing primary medical services)

Dr David WILSON

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

Dr David SHAW

Clinical Director

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

Christine JONES

Finance Manager

Jenny HILL

Head of Health and Community Care

Anne Marie MACHAN

Audit Scotland (Audit Manager)

Matthew KENDALL

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Shona HYMAN

Dundee Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

Diane McCULLOCH

Chief Social Work Officer

Raymond MARSHALL

Staff Partnership Representative

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTES OF PREVIOUS MEETINGS AND ACTION TRACKER

(a) MINUTE

The minutes of meetings of the Integration Joint Board held on 23rd February, 2022 and 25th March, 2022 were submitted and approved.

(b) ACTION TRACKER

The Action Tracker, DIJB36-2022, for meetings of the Integration Joint Board was submitted and noted.

IV PERFORMANCE AND AUDIT COMMITTEE APPOINTMENT OF CHAIRPERSON

Reference was made to Article III of the minute of meeting of this Integration Joint Board held on 25th March 2022, wherein it was noted that NHS Tayside had appointed Pat Kilpatrick to the position of Vice Chairperson of the Integration Joint Board following the retiral of Trudy McLeay who previously held that position.

It was reported that Trudy McLeay also held the position of Chairperson of the Performance and Audit Committee and the Integration Joint Boards instructions were requested with regard to the appointment of Pat Kilpatrick to position of Chairperson of the Performance and Audit Committee.

The Integration Joint Board agreed that Pat Kilpatrick be appointed as Chairperson of the Performance and Audit Committee.

V CLINICAL CARE AND PROFESSIONAL GOVERNANCE

 

There was submitted Report No DIJB27-2022 by the Chief Officer providing information relating to Clinical, Care and Professional Governance for the periods 1st October 2021 to 30th November 2021 and 1st December 2021 to 31st January 2022. Clinical, care and professional governance matters were reported through the Performance and Audit Committee on a 2-monthly basis, following submission to NHS Taysides Care Governance Committee. As a result of the schedule of meetings for the Performance and Audit Committee, the programme of reports for the period 1st October 2021 to 31st January 2022 were presented as exceptional reports to the Integration Joint Board to ensure there were no unnecessary lags in providing assurance.

 

The Integration Joint Board agreed:-

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

 

(ii) to instruct the Chief Officer to provide an annual Clinical, Care and Professional Governance report for the financial year April 2021 to March 2022 to the June Integration Joint Board meeting; and

 

(iii) to note that the level of assurance provided for this period was Reasonable assurance as defined in section 4.6 of the report.

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

(iv) to note the differentiation between Violence/ Aggression and Clinically Challenging Behaviour as explained by Matthew Kendall; and

(v) to note that Matthew Kendall would include information in relation to Care Homes in future reports and that he would also examine how dated information is provided.

VI REVISION OF DUNDEE INTEGRATION SCHEME

There was submitted Agenda Note No DIJB18-2022 reporting that in December 2020, the Integration Joint Board was informed that NHS Tayside and Dundee City Council had completed the statutory review of the Dundee Health and Social Care Integration Scheme (required by section 44 of the Public Bodies (Joint Working) (Scotland) Act 2014) and had agreed that a revised scheme should be prepared (Article X of the minute of the meeting of the Dundee Integration Joint Board held on 15th December 2020 refers). The report provided to the Integration Joint Board at that time set out the intended approach to the preparation of a revised scheme and committed to providing an update on progress no later than 31st March 2021. Further updates were provided to the Integration Joint Board in August 2021 and February 2022 on the progress of work to prepare a revised scheme (Article VI of the minute of the meeting of the Dundee Integration Joint Board held on 25th August 2021 and Article XV of the minute of the meeting of the Dundee Integration Joint Board held on 23rd February 2022 refer).

The Tayside Chief Executives Group had now reached agreement on a draft integration scheme for each local authority area that was suitable for public consultation. Dundee City Council and NHS Tayside had approved the draft Dundee Health and Social Care Integration Scheme for consultation.

Sections 46 (4) and 46 (5) of the Public Bodies (Joint Working) (Scotland) Act 2014 required the Health Board and local authority to jointly consult on the draft revised scheme and to take into account views expressed in finalising the scheme prior to it being submitted to Scottish Ministers for approval. Plans and materials had been developed to support the consultation exercise, which began on 25th March 2022 and ended 17th April 2022 (see https://www.dundeecity.gov.uk/consultations-and-surveys/consultation-health-and-social-care-integration-scheme-in-dundee for consultation information). The consultation had been promoted by both NHS Tayside and Dundee City Council on their websites and social media platforms. The Dundee Health and Social Care Partnership had also uploaded the consultation information to its website.

The Chief Finance Officer had worked with members of the Integration Joint Board to agree and submit a response on their behalf.

Subsequent to the consultation, required amendments would be proposed to the Tayside Chief Executives before final drafts were submitted to Dundee City Council and NHS Tayside for approval for submission to the Scottish Government. It was expected that final approvals would be sought following the forthcoming local government elections.

The Project Lead who had supported the revision of the schemes, in collaboration with the Integration Scheme Project Board, was retiring in mid-May 2022. The corporate bodies were working to identify resources to complete the work on the revision of the integration scheme on their behalf.

The revised scheme had to be submitted to Scottish Ministers for approval no later than June 2022.

The Integration Joint Board agreed to note the updated position.

VII LOCAL GOVERNMENT BENCHMARKING FRAMEWORK 2020/2021 PERFORMANCE

 

There was submitted Report No DIJB68-2022 by the Chief Officer informing the Integration Joint Board of the performance of Dundee Health and Social Care Partnership against the health and social care indicators in the Local Government Benchmarking Framework (LGBF), for the financial year 2020/2021.

 

The Integration Joint Board agreed:-

 

(i) to note the performance against the health and social care indicators in the Local Government Benchmarking Framework (LGBF) for the financial year 2020/2021 as detailed in the report and in Appendix 1 of the report;

 

(ii) to note that LGBF performance information would be published on the Dundee City Council website and reported to the Policy and Resources Committee against benchmarks applied by Dundee City Council across all LGBF indicators as detailed in section 4.9 of the report; and

 

(iii) to confirm their preferred approach to reporting of LGBF adult social care data in the future from the options set out in section 4.10 of the report.

 

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

 

(iv) to note that In-Patient Mental Health Services would be added to the list of delegated Services.

 

VIII STRATEGIC AND COMMISSIONING PLAN 2022/2023 EXTENSION

There was submitted Report No DIJB20-2022 by the Chief Officer requesting the Integration Joint Boards approval for an addendum to the Strategic and Commissioning Plan 2019/2022 extending the plan to 31st March 2023.

The Integration Joint Board agreed:-

 

(i) to note the work undertaken by the Strategic Planning Advisory Group in developing the addendum to the Strategic and Commissioning Plan 2019/2022 as outlined in section 4.2 of the report;

 

(ii) to approve the addendum to the plan with the effect of extending the plan to 31st March 2023 as outlined in section 4.3 and appendix 1 of the report;

 

(iii) to note that the Strategic Planning Advisory Group would continue to oversee the implementation of the strategic and commissioning plan throughout 2022/2023, reflecting progress in quarterly and annual performance reports submitted to the Performance and Audit Committee and Integration Joint Board as outlined in section 4.3 of the report;

 

(iv) to instruct the Chief Officer to submit an update regarding plans for the development of a full replacement strategic and commissioning plan for 2022/2023 onwards to the Integration Joint Board no later than 30th August 2022 as outlined in section 4.4 of the report; and

 

(v) to instruct the Chief Officer to issue directions to NHS Tayside and Dundee City Council as set out in section 8 of the report.

IX COVID-19 REMOBILISATION IMPLEMENTATION PLAN UPDATE

 

There was submitted Report No DIJB21-2022 by the Chief Officer providing an update on progress achieved during 2021/2022 in implementing priority actions identified with the Dundee Health and Social Care Partnership COVID-19 Remobilisation Implementation Plan.

The Integration Joint Board agreed:-

(i) to note the progress made in implementing identifed remobilisation actions during 2021/2022 as outlined in sections 4.2 and 4.3 and Appendix 1 of the report;

 

(ii) to note the current national context in relation to remobilisation planning as outlined in section 4.4 of the report; and

 

(iii) to approve the recommendation that the Partnership no longer maintain a separate COVID-19 remobilisation plan, but that remaining remobilisation priorities were reflected in the Partnerships strategic and commissioning plans (overarching and care group specific) and individual service plans as outlined in section 4.4 of the report.

 

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP ANNUAL PERFORMANCE REPORT

There was submitted Report No DIJB34-2022 by the Chief Officer recommending a revised method of delivering annual performance reporting requirements from 2021/2022 onwards.

The Integration Joint Board agreed:-

(i) to note the historic approach to delivering the Integration Joint Boards Annual Performance Report and feedback received from stakeholders, including members of the public as outlined in section 5 of the report;

 

(ii) to approve the proposal that for the 2021/2022 reporting year the Integration Joint Board published a summary version of the annual performance report only as outlined in section 6.1 of the report;

 

(iii) to approve the proposed approach to delivering the annual performance report in 2022/2023, testing a modern approach to delivering performance information to the public in a more accessible format whilst still meeting statutory requirements as outlined in sections 6.2 and 6.3 of the report; and

 

(iv) to note that the approach to delivering the annual performance report would continue to evolve and develop over the coming years as new approaches were tested, the Strategic and Commissioning Plan was reviewed and implementation of the National Care Service was progressed.

 

XI MENTAL HEALTH AND WELLBEING STRATEGIC UPDATE

 

There was submitting Report No DIJB28-2022 by the Chief Officer providing a briefing about the local and Tayside Mental Health and Wellbeing developments.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to remit to the Chief Officer to submit a report about future plans for Veterans First Point Tayside to a future meeting of the Integration Joint Board; and

(iii) to remit to the Chief Officer to submit a report outlining progress in relation to the recommendations arising from Trust and Respect, the Independent Inquiry into Mental Health Services in Tayside to a future meeting of the Integration Joint Board.

XII CARERS INVESTMENT PLAN UPDATE

 

There was submitted Report No DIJB22-2022 by the Chief Finance Officer providing an update in relation to work undertaken by the Carers Partnership following report DIJB382021 presented to the Integration Joint Board meeting of the 25th August, 2021 (Article V of the minute refers), and to seek approval of the updated Carers (Scotland) Act Investment Plan 2022/2023.

The Integration Joint Board agreed:-

(i) to note the revised spend for 2021/2022 set out in Appendix 1 to the report;

(ii) to approve the Carers (Scotland) 2016 Act Investment Plan 2022/2023 set out in Appendix 2 to the report;

 

(iii) to remit the Chief Finance Officer to bring back a report to the Integration Joint Board setting out the Carers Partnerships further investment proposals for 2022/2023 as noted in section 4.4 of the report;

 

(iv) to request that the Carers Partnership reviewed allocation of recurring funding (including new monies from Scottish Government) in order to ensure that it assisted the Health Social Care Partnership to meet its Statutory Duties under the Carers (Scotland) Act 2016; and

 

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

 

XIII DUNDEE CITY INTEGRATION JOINT BOARD STRATEGIC RISK REGISTER ANNUAL REPORT

 

There was submitted Report No DIJB23-2022 by the Chief Finance Officer providing the annual report on developments and progress made in the Dundee Health and Social Care Partnerships Strategic Risk management over the past year and to provide the Integration Joint Board with further information about significant changes in specific risks over the past year.

 

The Integration Joint Board agreed:- 

 

(i) to note the progress made in Dundee Health and Social Care Strategic Risk Management including agreement of the Tayside Integration Joint Board's Risk Management Framework, and the holding of two Integration Joint Boards Development Sessions on Risk Management and Risk Appetite;

 

(ii) to note the changes in the specific risks in the Strategic Risk Register including changes in scoring of existing risks, recording of new risks, and archived risks; and

 

(iii) to note the future work planned to further embed Strategic Risk Management in the Integration Joint Board.

 

XIV RESHAPING NON-ACUTE CARE PROGRAMME IN DUNDEE

 

There was submitted Report No DIJB24-2022 by the Chief Officer providing an update in relation to the work of the Reshaping Non-Acute Care Programme in Dundee.

The Integration Joint Board agreed:-

(i) to note the content of the report for information only; and

(ii) to continue to support the development of the Initial Agreement for the Reshaping Non-Acute Care project.

XV AUDIT SCOTLAND ANNUAL AUDIT PLAN 2021/2022

There was submitted Report No DIJB25-2022 by the Chief Finance Officer on the proposed Dundee Integration Joint Board Annual Audit Plan 2021/2022 as submitted by the Integration Joint Boards appointed External Auditor (Audit Scotland).

The Integration Joint Board agreed:-

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

(ii) to approve the proposed Audit Plan for 2021/2022 as submitted by Audit Scotland which was attached as Appendix 1 of the report

XVI FINANCIAL MONITORING POSITION AS AT FEBRUARY, 2022

 

There was submitted Report No DIJB26-2022 by the Chief Finance Officer providing 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 28th February, 2022 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.

 

XVII CODE OF CONDUCT FOR MEMBERS OF DEVOLVED PUBLIC BODIES

 

There was submitted Report No DIJB35-2022 by the Clerk providing an update regarding The Ethical Standards in Public Life etc. (Scotland) Act 2000 which provided for Codes of Conduct for local authority Councillors and members of relevant public bodies. The Act required the Scottish Ministers to lay before the Scottish Parliament a Model Code for Members of Devolved Public Bodies, including Integration Joint Boards, which bodies were then required to produce a Code of Conduct in line with the Model Code.

The Integration Joint Board agreed:-

(i) to note in relation to paragraph 3.11 of the revised Model Code a copy of which was attached to the report as an appendix, this section was not relevant to how Integration Joint Boards operated and that to remedy this the Scottish Government proposed that the best way to resolve this point was by allowing an Integration Joint Board disapplication/opt out of this paragraph when adopting their version of the Code;

 

(ii) to approve and adopt the revised model Code of Conduct which was attached to the report as Appendix 1 with the exception of paragraph 3.11; and

 

(iii) to note that the Integration Joint Boards Code of Conduct currently in place would continue to apply to the conduct of members until such time as the revisions had been approved and that the Integration Joint Board would be advised of progress in this regard.

 

XVlll DELIVERY OF GENERAL MEDICAL SERVICES RYEHILL MEDICAL PRACTICE

 

There was submitted Report No DIJB69-2022 by the Chief Officer outlining the current position with Ryehill Medical Practice and the options for ensuring continuity of care for those patients registered with the practice.

 

The Integration Joint Board agreed:-

 

(i) to note the current position with Ryehill Medical Practice and the termination date of their General Medical Services contract on the 30th June 2022; and

(ii) to support the option to disperse patients across other practices as outlined at paragraph 4.5.4 of the report and instruct the Chief Officer to make a recommendation to NHS Tayside to approve this option.

 

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

(iii) to note that contingency plans were in place;

(iv) to note concerns for patients over this period of change;

 

(v) to note the skilled workforce in place at the centre and how they may be relocated to other practices or services with NHS Tayside;

 

(vi) to note discussions would be taking place in relation to the possible future use of the facility; and

 

(vii) to note that patients and local members would be appraised of progress.

XlX MEETINGS OF THE INTEGRATION JOINT BOARD 2022 ATTENDANCES

 

There was submitted a copy of the Attendance Return, DIJB67-2022, for meetings of the Integration Joint Board held over 2022.

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

 

XX 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, 22nd June, 2022 at 10.00 am.

 

KEN LYNN, Chairperson.