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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 24th August, 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)

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)

Anne BUCHANAN

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

Dr 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)

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

Michelle RAMAGE

Dundee Health and Social Care Partnership

Arlene MITCHELL

Dundee Health and Social Care Partnership

Joyce BARCLAY

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

Martyn SLOAN

Carer Representative

Raymond MARSHALL

Staff Partnership Representative

Christina COOPER

Third Sector Representative

Dr David SHAW

Clinical Director

Dr Emma FLETCHER

Director of Public Health

II DECLARATION OF INTEREST

There were no declarations of interest.

 

III MEMBERSHIP

(a) APPOINTMENT PROXY MEMBER

It was reported that at the meeting of NHS Tayside Board held on 30th June, 2022, it was agreed that Professor Graeme Martin be appointed to the position of Proxy Member on Dundee Integration Joint Board as replacement for Dr Norman Pratt who had resigned.

The Integration Joint Board noted the position.

IV MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of the previous meeting of the Integration Joint Board held on 22nd June, 2022 was submitted and approved .

 

(b) ACTION TRACKER

The Action Tracker DIJB63-2022 for meetings of the Integration Joint Board was submitted and noted.

V PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 20TH JULY, 2022

The minute of the previous meeting of the Performance and Audit Committee held on 20th July, 2022 was submitted and noted for information and record purposes.

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

(b) CHAIRPERSONS ASSURANCE REPORT

There was submitted Report No DIJB65-2022 by the 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 ANNUAL PERFORMANCE REPORT 2021/2022

There was submitted Report No DIJB54-2022 by the Chief Officer submitting the Dundee Health and Social Care Partnership Annual Performance Report 2021/2022 for noting following its publication on 29th July, 2022.

The Integration Joint Board agreed:-

(i) to note the content of the report and of the Annual Performance Report 2021/2022, available at https://sway.office.com/wj8ufacnvn9J4Hcu?ref=Link and with a printable version contained within Appendix 1 of the report;

(ii) to note that the Annual Performance Report 2021/2022 was published on 29th July, 2022 following approval by the Chair and Vice-Chair of the Integration Joint Board, the Clerk and the Partnerships Senior Management Team as detailed in section 4.2.1 of the report;

(iii) to instruct the Chief Officer to update the Annual Performance Report with financial year 2021/2022 data for all National Health and Wellbeing indicators as soon as data was made available by Public Health Scotland as detailed in section 4.2.5 of the report; and

(iv) to note that work would now commence to produce the first quarterly editions of the Annual Performance Report 2022/2023 as detailed in section 4.3 of the report.

 

VII QUARTERLY COMPLAINTS PERFORMANCE 1ST QUARTER 2022/2023

 

There was submitted Report No DIJB57-2022 by the Chief Officer summarising the complaints performance for the Health and Social Care Partnership (HSCP) in the first quarter of 2022/2023. The complaints 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 complaints handling performance for health and social work complaints set out within the report; and

(ii) to note the work which had been undertaken to address outstanding complaints within the HSCP and to improve complaints handling, monitoring and report.

Following questions and answers the Integration Joint Board further agreed to note following enquiry from Donald McPherson that at next reporting period further examination would be given to clarification of information provided in relation to complaints received and breakdown of these over the quarters indicated.

 

VIII FINANCIAL MONITORING POSITION AS AT JUNE 2022

 

There was submitted Report No DIJB60-2022 by the Chief Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2022/2023 including an overview of the costs and financial risks associated with Dundee Health and Social Care Partnerships continued response to the Covid-19 pandemic.

 

The Integration Joint Board agreed:

(i) to note the content of the report including the overall projected financial position for delegated services to the 2022/2023 financial year end as at 30th June, 2022 as outlined in Appendices 1, 2, and 3 of the report;

(ii) to note the costs and financial risks associated with Dundee Health and Social Care Partnerships continued response to the Covid-19 pandemic 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 throughout the remainder of the financial year.

 

IX MINISTERIAL STRATEGIC GROUP SELF ASSESSMENT FINDINGS IMPLEMENTATION UPDATE

 

There was submitted Report No DIJB51-2022 by the Chief Officer providing an update on progress made to address the areas of improvement identified through the Ministerial Strategic Group (MSG) for Health and Community Care self-assessment conducted in 2019/2020.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the detailed update on improvement actions arising from the 2019/2020 self-assessment activity contained within Appendix 1 of the report; and

(ii) to approve the proposal that the Integration Joint Board ceases to receive any separate reports on the progress of the original MSG improvement plan, with reporting on individual areas continuing via the Governance Action Plan and individual workstream reports as detailed in section 4.2.7 of the report.

X COMMUNITY WELLBEING CENTRE UPDATE

There was submitted Report No DIJB61-2022 by the Chief Officer about the progress being made to introduce a Community Wellbeing Centre as a core element of immediate support in the city for people experiencing distress.

The Integration Joint Board agreed:-

(i) to note the progress that had been made as outlined within section 4 of the report; and

(ii) to note the revised timescale for implementation as outlined within section 4.9 of the report.

Following questions and answers the Integration Joint Board further agreed to note that further information would be given in future reports to show care pathways and assurance in terms of governance of the matter. The need for availability of staffing and quality of staff to provide service was also highlighted as a consideration in the tendering process.

XI VETERANS FIRST POINT TAYSIDE

 

There was submitted Report No DIJB56-2022 by the Chief Officer, providing information about the Veterans First Point Tayside (V1PT) service, which had been delivering welfare and specialist mental health services to veterans and their family members since 2015.

The Integration Joint Board agreed:-

(i) to acknowledge the work of V1PT in operationalising the Armed Forces Covenant across Dundee, Perth & Kinross and Angus, ensuring better access to NHS services, including pathways for ensuring no disadvantage for those veterans who should receive early treatment for health problems that had resulted from military service; and

(ii) to endorse plans to ensure future sustainability of the V1PT as outlined in sections 3.0 and 4.5.7 of the report.

Following questions and answers the Integration Joint Board further agreed to note that consideration would be given to arranging a development session on what was provided as wider support for veterans.

 

XII LEARNING DISABILITY STRATEGIC PLAN

 

There was submitted Report No DIJB58-2022 by the Chief Officer about the progress that had been made to co-produce a draft strategic plan for adults with a learning disability and adults with a learning disability and autism in Dundee Living Well and Living Life Your Way in Dundee (the Strategic Plan).

The Integration Joint Board agreed:-

(i) to note the work that had been undertaken to produce the Engagement Findings Report 2022 and its content as detailed in Appendix 1 of the report;

(ii) to approve the direction of travel outlined within the Strategic Plan as detailed in Appendix 2 of the report;

(iii) to acknowledge that the pace of engagement and planning had been slower than initially anticipated as outlined in sections 4.7 and 4.8 of the report; and

(iv) to remit the Chief Officer to submit a further report to the Integration Joint Board in December 2022 outlining a Commissioning Plan which would accompany the Strategic Plan.

Following questions and answers the Integration Joint Board further agreed to note the observation of Donald McPherson that it would be useful in future reports to demonstrate outcomes and these would be achieved and their impact.

XIII REQUEST TO UTILISE DUNDEE INTEGRATION JOINT BOARD RESERVES ADDITIONAL GP CAPACITY LOCHEE

There was submitted Agenda Note DIJB62-2022, advising that as part of the response to the Dundee Drugs Commission report, a need had been identified to enhance General Practitioner support to those with drug use problems within the city. It was proposed that an additional GP post was established at the Lochee practice as part of the directly managed GP services arrangement (2c practice). This role would provide much needed capacity within the Dundee Drug Service and would play a key role in working to reduce addiction and drug related deaths in Dundee. The Lochee practice alone had over 100 people who had a drug use problem therefore developing services to support their recovery journey was essential. The post would also provide further GP capacity for General Medical Services in the Lochee practice.

The postholder would:-

- Be responsible for a cohort of stable patients, undertaking the patients assessment, prescribing, harm reduction and stabilisation.

- Support holistic medicine, encouraging those with drug use to have physical health checks and tests.

- Liaise with the Dundee Drug and Alcohol Service.

- Be part of a dedicated team providing care to those with drug use problems.

- Oversee a small team, including Third Sector colleagues, who will offer psychosocial interventions.

- Work to develop a local GP network, sharing best practice with colleagues.

Funding for half of the post would be supported by funding provided by the Primary Care Drug Services Redesign Group for 2 years. It was proposed that the other 50% of the funding was provided by the Integration Joint Board through utilising its reserves. The total annual cost of the post was £132k therefore the Integration Joint Board was asked to authorise the release of this funding over a two-year period from its non-earmarked reserves to transfer to an earmarked reserve for this purpose.

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

Following questions and answers the Integration Joint Board further agreed to note the explanation of the Chief Finance Officer in relation to use of funding from Reserves and possible future use of Reserves.

XIV STRATEGIC COMMISSIONING PLAN

There was submitted Report No DIJB55-2022 by the Chief Officer providing an update on the proposed process and timescale for development of a replacement strategic commissioning plan for April 2023 onward, including review of the Integration Joint Boards Equality Outcomes.

The Integration Joint Board agreed that consideration of the matter be deferred to next meeting of the Integration Joint Board to allow for previous Strategic Needs Assessment information to be circulated to the Joint Board.

The Integration Joint Board further agreed to note following enquiry from Pat Kilpatrick that work was underway in developing a Property Strategy for the Partnership.

XV NATIONAL CARE SERVICE (SCOTLAND) BILL

There was submitted Report No DIJB52-2022 by the Chief Officer providing an update on the introduction of the National Care Service (Scotland) Bill to the Scottish Parliament and on related developments to co-design the proposed National Care Service.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the summary of the National Care Service (Scotland) Bill and arrangements for co-design of the National Care Service as detailed in section 4.2 and 4.3 of the report;

(ii) to note that arrangements were being progressed to develop a response to the Scottish Parliament Call for Views on the National Care Service (Scotland) Bill on behalf of Dundee Health and Social Care Partnership by the deadline of 2nd September, 2022 as detailed in sections 4.2.4 and 4.2.5 of the report; and

(iii) to instruct the Chief Officer to review and update the strategic risk register to reflect the risks identified within section 6 of the report.

Following questions and answers the Integration Joint Board further agreed to note that there would be opportunity for further discussion on this topic at briefing session which was arranged to be held for the membership.

XVI MEETINGS OF THE INTEGRATION JOINT BOARD 2022 ATTENDANCES

 

There was submitted a copy of the Attendance Return, DIJB66-2022, for meetings of the Integration Joint Board held over 2022.

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

XVII DATE OF NEXT MEETING

The Integration Joint Board agreed to note that next meeting of the Integration Joint Board would be held remotely on Wednesday 26th October, 2022 at 10.00 am.

 

 

 

 

Ken LYNN, Chairperson.