Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 22nd June, 2022.

Present:-

Members	Role
Ken LYNN (Chairperson)	Nominated by Dundee City Council (Elected Member)
Jenny ALEXANDER	Nominated by Health Board (Non-Executive Member)
Siobhan TOLLAND	Nominated by Dundee City Council (Elected Member)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Donald McPHERSON	Nominated by Health Board (Non-Executive Member)
Vicky IRONS	Chief Officer
Dave BERRY	Chief Finance Officer
Diane McCULLOCH	Chief Social Work 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
Dr Emma FLETCHER	Director of Public Health

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

Christine JONES	Finance Manager
Jenny HILL	Head of Health and Community Care
Angella CUNNINGHAM	Tayside Prison Health Care

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members

Role

Pat KILPATRICK

Anne BUCHANAN

Nominated by Health Board (Non Executive Member)

II DECLARATIONS OF INTEREST

There were no declarations of interest.

III MEMBERSHIP AND CHAIRPERSON

It was reported that Dundee City Councilat its meeting on 23rd May, 2022 had nominated the following members to serve as members of the Integration Joint Board:-

Councillor Ken Lynn (Chairperson)

Councillor Siobhan Tolland

Councillor Dorothy McHugh

It was also reported that Dundee City Council had nominated the following members to serve as Proxy Members in the absence of a member from Dundee City Council:-

Councillor Lynne Short

Councillor Roisin Smith

Bailie Helen Wright

The Integration Joint Board noted the position and that their terms of appointment would be until May 2025.

The Integration Joint Board also noted that Councillor Lynn had been appointed as Chairperson.

IV MEMBERSHIP PERFORMANCE AND AUDIT COMMITTEE

It was reported that the membership of the Performance and Audit Committee comprised two voting members from Dundee City Council on the basis that they did not hold the positions of Chairperson or Vice Chairperson of the Integration Joint Board.

The Integration Joint Board noted the position and that the remaining two voting members from Dundee City Council not holding the positions of Chairperson or Vice Chairperson of the Integration Joint Board would become members of the Performance and Audit Committee.

V STANDING ORDERS

The current Standing Orders for the Integration Joint Board were submitted.

The Integration Joint Board agreed to adopt the current Standing Orders for the Integration Joint Board.

VI MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) The minutes of the previous meeting of the Integration Joint Board held on 20th April, 2022 was submitted and approved subject to adjustment to Article V to reflect that Donald MacPherson had indicated for feedback on completion of progress in relation to MAT Standards to be notified to the Integration Joint Board.

(b) The Action Tracker DIJB50-2022 for meetings of the Integration Joint Board was submitted and noted.

VII COMMUNITY CUSTODY UNIT

There was submitted Report No DIJB45-2022 by the Chief Officer providing the Integration Joint Board with an overview of the progress to develop a womens only Scottish Prison Service, Community Custody Unit within Dundee.

The Integration Joint Board agreed to note the contents of the report.

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

(i) to note following enquiry from Donald McPherson about the ethos of the service being that women were close to their families the explanation from Angella Cunningham on the filling of places and that where possible the Unit would be provided to women from Tayside Area and the criteria for filling places;

(ii) to note following enquiry from Donald McPherson on measurement of delivery of service the advice of Diane McCulloch that the Scottish Prison Service would attend a future meeting to further outline the model of delivery; and

(iii) to note following enquiry from Raymond Marshall on the maintaining of staffing levels the advice of Martin Dey that the post of Social Worker at the Unit had been appointed to.

VIII REDUCING HARM ASSOCIATED WITH DRUG USE

There was submitted Report No DIJB41-2022 by the Chief Officer on priority areas for improvement and progress to develop a replacement strategic framework and delivery plan for drug and alcohol recovery following the publication of the update report from the Dundee Drug Commission in March 2022.

The Integration Joint Board agreed:-

(i) to note the key areas of progress achieved over the last two years in reducing harm associated with drug use as outlined in sections 4.1.2 to 4.1.4 of the report;

(ii) to note the findings contained within the Dundee Drug Commission Update report and Statement of Intent from Dundee Partnership leaders as outlined in sections 4.2 of the report and Appendices 1 and 2;

(iii) to note the immediate priority areas for improvement identified by the Alcohol and Drugs Partnership as outlined sections 4.2.4 to 4.2.6 of the report;

(iv) to note that the Dundee Partnership would consider on 22nd June 2022 the proposals for the co-production and publication of a replacement strategic framework and delivery plan for drug and alcohol recovery as outlined in section 4.3 of the report;

(v) to note that the Dundee Partnership would consider on 22nd June 2022 a range of ongoing improvement activity and future commitments that, following further consultation and refinement, would be incorporated into the replacement strategic framework and delivery plan for drug and alcohol recovery as outlined in section 4.3 of the report and Appendix 3 of the report; and

(vi) to instruct the Chief Officer to submit the replacement strategic framework and delivery plan to the Integration Joint Board following approval by the Dundee Partnership.

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

(vii) to note following enquiry from Councillor Tolland on the relationship between the Council and the Third Sector the explanation from Diane McCulloch in relation to funding and that joint bids for funding had been submitted by the Council and the Third Sector and further discussions and evaluation and possible colocation of services were taking place with services; and

(viii) to note following enquiry from Councillor Tolland in relation to need for review of progress the advice of Diane McCulloch that reports were primarily submitted to the Alcohol and Drug Partnership and that arrangements would be made for regular progress reports to be submitted to the Integration Joint Board.

IX TRAUMA-INFORMED PRACTICE AND LEADERSHIP UPDATE

There was submitted Report No DIJB38-2022 by the Chief Officer updating the Integration Joint Board on continued progress in embedding trauma informed practice and leadership across the Dundee Partnership.

The Integration Joint Board agreed:-

(i) to note the content of the report, including progress to date and planned next steps; and

(ii) to note that a briefing session for Integration Joint Board members and Dundee City Council elected members would be offered by the end of the summer.

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

(iii) to note following enquiry from Cllr Lynn in relation to possibility of training being available to elected members the advice of Kathryn Sharp that primary focus would be on workforce but would make people aware of his request.

X REVISION OF DUNDEE HEALTH AND SOCIAL CARE INTEGRATION SCHEME

There was submitted Agenda Note DIJB39-2022, where reference was made 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).

Report DIJB18-2022 presented to the 20th April, 2022 Integration Joint Board meeting (Article VI of the minute refers) noted the consultation process on the draft scheme was underway and that the Chief Finance Officer had worked with members of the Integration Joint Board to agree and submit a response on their behalf.

Following the consultation process, officers of Dundee City Council and NHS Tayside had considered the responses from the consultation and have now agreed a final version of the Integration Scheme to be presented to their respective governance committees and boards for approval prior to submission to the Scottish Government. The revised scheme would be presented to Dundee City Council on the 27th June and Tayside NHS Board on the 30th June, 2022.

The revised scheme was required to be submitted to Scottish Ministers for approval no later than the end of June 2022. Once approved, the final scheme would be presented to a future meeting of the Integration Joint Board for information.

The Integration Joint Board agreed the terms of the note.

XI DUNDEE INTEGRATION JOINT BOARD ANNUAL INTERNAL AUDIT REPORT 2021/2022

There was submitted Report No DIJB48-2022 by the Chief Finance Officer advising the Integration Joint Board of the outcome of the Chief Internal Auditors Report on the Integration Joint Boards internal control framework for the financial year 2021/2022.

The Integration Joint Board agreed:-

(i) to note the content and findings of the Annual Internal Audit Report 2021/2022 attached as Appendix 1 to the report; and

(ii) to instruct the Chief Finance Officer to incorporate the recommendations of the Annual Internal Audit Report into the Integration Joint Boards Governance Action Plan, presented to and monitored by the Performance and Audit Committee.

XII UNAUDITED ANNUAL ACCOUNTS 2021/2022

There was submitted Report No DIJB46-2022 by the Chief Finance Officer presenting the Integration Joint Boards Unaudited Annual Statement of Accounts 2021/2022.

The Integration Joint Board agreed:-

(i) to consider and agree the content of the Unaudited Final Accounts Funding Variations as outlined in Appendix 1 of the report;

(ii) to approve the Draft Dundee Integration Joint Board Annual Corporate Governance Statement as outlined in Appendix 2 of the report;

(iii) to note the Integration Joint Boards Unaudited Annual Statement of Accounts 2021/2022 as outlined in Appendix 3 of the report; and

(iv) to instruct the Chief Finance Officer to submit the Unaudited Accounts to the Integration Joint Boards external auditors (Audit Scotland) by the 30th June 2022 to enable the audit process to commence.

XIII YEAR-END FINANCIAL MONITORING POSITION AS AT MARCH 2022

There was submitted Report No DIJB44-2022 by the Chief Finance Officer providing the Integration Joint Board with an update of the year-end 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 year-end financial position for delegated services for 2021/2022 as at 31st March, 2022 as outlined in Appendices 1, 2, 3 and 4 of the report; and

(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.

XIV DUNDEE INTEGRATION JOINT BOARD 2022/2023 BUDGET UPDATE

There was submitted Agenda Note DIJB47-2022 referring to Dundee Integration Joint Board approving its 2022/2023 Delegated Budget at its meeting of the 25th March, 2022 (Article IV of the minute refers). At the time the budget was set, NHS Tayside figures were noted as being provisional given the NHS Tayside Financial Plan was not being presented to Tayside NHS Board until the 28th April, 2022. Following the meeting of the Tayside NHS Board, the Chief Finance Officer had received confirmation that the previous indicative baseline and uplift figures to the NHS delegated budget had been approved and were therefore regarded as final figures with the exception of a figure for the Large Hospital Set Aside which was yet to be determined. Therefore no amendment was required to the Integration Joint Boards delegated budget at this stage.

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

XV FIVE YEAR FINANCIAL FRAMEWORK

There was submitted Report No DIJB17-2022 by the Chief Finance Officer providing the Integration Joint Board with a forecast of the medium to longer term financial challenges which were likely to impact on the Integration Joint Boards future delegated budget and setting out the framework within which these challenges would be mitigated to enable the Integration Joint Boards strategic priorities to be delivered within a balanced budget.

The Integration Joint Board agreed:-

(i) to note the potential financial challenges which may impact on the Integration Joint Boards delegated budget over the medium to longer term as outlined in sections 4.1.1 to 4.1.8 and Appendix 1 of the report; and

(ii) to approve the framework and range of principles under which the Integration Joint Board would approach these challenges to ensure the Integration Joint Board was able to deliver its strategic and commissioning priorities while delivering a balanced budget as outlined in sections 4.1.9 and 4.1.10 of the report.

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

(iii) to note the observation of Donald McPherson that the Integration Joint Board or Performance and Audit Committee needed to have clear oversight of the status of each of the projects listed in the Transformation Programme and the advice of Dave Berry that the Chief Officer would report back on progress of Transformation projects; and

(iv) to note the observation of Councillor McHugh in relation to the high level of Risk indicated in the Risk Assessment of the report and the advice of Dave Berry in this regard on how to interpret that.

XVI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP WORKFORCE PLAN 2022/2025

There was submitted Report No DIJB42-2022 by the Chief Officer seeking approval of the Dundee Health and Social Care Partnership Workforce Plan 2022/2025 prior to submission to the Scottish Government.

The Integration Joint Board agreed:-

(i) to note and approve the Workforce Plan which was attached to the report as Appendix 1; and

(ii) to approve the actions detailed as outlined in section 6.3 of the report and note that these would continue to be refined and developed on an ongoing basis.

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

(iii) to note following observations of Donald McPherson in relation to retention of staff the advice of the Chief Officer that exit interviews were undertaken to allow an understanding of the dynamics for staff leaving the Partnership.

XVII CARERS INVESTMENT PLAN UPDATE

There was submitted Report No DIJB43-2022 by the Chief Finance Officer updating the Integration Joint Board in relation to work undertaken by the Carers Partnership following report DIJB222022 presented to the Integration Joint Board meeting of the 20th April, 2022 (Article XII of the minute of refers), and seeking approval of the updated Carers (Scotland) Act Investment Plan 2022/2023.

The Integration Joint Board agreed:-

(i) to approve the revised Carers (Scotland) 2016 Act Investment Plan 2022/2023 which was attached to the report as Appendix 1; and

(ii) to remit the Chief Officer to issue the directions as outlined in section 8 of the report.

XVIII ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCEGROUP 2021/2022

There was submitted Report No DIJB37-2022 by the Clinical Director, providing assurance to the Dundee Integration Joint Board regarding matters of Clinical, Care and Professional Governance. In addition, the report provided information on the business of the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group (the Group, DHSCP CCPG Group), and outlined the ongoing planned developments to enhance the effectiveness of the group.

The Integration Joint Board agreed:-

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

(ii) to note the work undertaken by the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group from April 2021 to March 2022 to seek assurance regarding matters of Clinical, Care and Professional Governance.

XIX ANNUAL COMPLAINTS PERFORMANCE

There was submitted Report No DIJB40-2022 by the Chief Finance Officer providing an analysis of complaints received by the Dundee Health and Social Care Partnership (DHSCP) over the past financial year 2021/2022. This included complaints handled using the Dundee Health and Social Care Partnership Social Work Complaint Handling Procedure, the NHS Complaint Procedure and the Dundee City Integration Joint Board Complaint Handling Procedure.

The Integration Joint Board agreed:-

(i) to note the analysis of 2021/2022 DHSCP complaint performance as outlined in section 4 of the report; and

(ii) to note the report was submitted in a different format to previous years to comply with the Scottish Public Services Ombudsmans new standards for complaints reporting.

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

(iii) to note following observations of Councillor McHugh in relation to figures listed that Dave Berry would revise content for future reports and include actual numbers to allow for further understanding of percentage figures and revise other areas of report as necessary; and

(iv) to note following enquiry from Sarah Dickie in relation to early intervention of complaints and compliments to services the explanation from Dave Berry as to steps taken in early intervention process and that he would take forward possible inclusion of information received complimenting Teams on service provided and the inclusion of more information on complaints resolved.

XX MEETINGS OF THE INTEGRATION JOINT BOARD 2022 ATTENDANCES

There was submitted a copy of the Attendance Return, DIJB63-2022, for meetings of the Integration Joint Board held over 2022.

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

XXI PROGRAMME OF MEETINGS

The Integration Joint Board agreed to note that the programme of meetings of the Integration Joint Board for the remainder of 2022 was as follows:-

Date	Time
Wednesday, 24th August, 2022	10.00 am
Wednesday, 26th October, 2022	10.00 am
Wednesday, 14th December, 2022	10.00 am

XXII 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, 24th August, 2022 at 10.00 am.

Ken LYNN, Chairperson.