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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 14th December, 2022.

 

Present:-

 

Members

Role

 

Pat KILPATRICK (Chairperson)

Nominated by Health Board (Non Executive Member)

Ken LYNN (Vice Chairperson)

Nominated by Dundee City Council (Elected Member)

Siobhan TOLLAND

Nominated by Dundee City Council (Elected Member)

Dorothy McHUGH

Nominated by Dundee City Council (Elected Member)

Anne BUCHANAN

Nominated by Health Board (Non Executive Member)

Sam RIDDELL

Nominated by Health Board (Non-Executive Member)

Dave BERRY

Chief Finance Officer

Dr James COTTON

Registered Medical Practitioner (not providing primary medical services)

Sarah DICKIE

Registered Nurse

Vicky IRONS

Chief Officer

Ailsa McALLISTER

Third Sector Representative

Diane McCULLOCH

Chief Social Work Officer

Jim McFARLANE

Trade Union Representative

Raymond MARSHALL

Staff Partnership Representative

Dr David SHAW

Clinical Director

 

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

Shona HYMAN

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Angie SMITH

Dundee Health and Social Care Partnership

 

Pat KILPATRICK, Chairperson, in the Chair.

 

Prior to the commencement of the meeting the Chief Officer took the opportunity to appraise the Integration Joint Board on the current position in relation to pressures on services including an increase in demand for acute care and care at home services which was noted. The Chair recorded thanks to staff, on behalf of the Integration Joint Board, for their extraordinary efforts over the year.

The Chief Social Work Officer took the opportunity to provide an update on the works on the Community Wellbeing Centre development which was noted.

 

I APOLOGIES FOR ABSENCE

 

Apologies for absence were submitted on behalf of:-

 

Members

Role

Christina COOPER

Third Sector Representative

Emma FLETCHER

Director of Public Health

Martyn SLOAN

Person providing unpaid care in the area of the local authority

Dr David WILSON

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

II DECLARATION OF INTEREST

 

There were no declarations of interest.

 

III NHS TAYSIDE VOTING MEMBER AND PROXY MEMBER

The Integration Joint Board noted that at the meeting of NHS Tayside Board held on 27th October, 2022, it was agreed that Sam Riddell be nominated as a Voting Member on the Integration Joint Board and that Donald McPherson, who previously held that position, be appointed as a Proxy Member of the Integration Joint Board as a replacement for Professor Graeme Martin.

 

IV MINUTE OF PREVIOUS MEETING

 

(a) The minute of meeting of the Integration Joint Board held on 26th October, 2022 was submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB91-2022 for meetings of the Integration Joint Board was submitted and noted.

 

V PERFORMANCE AND AUDIT COMMITTEE

 

(a) MINUTE OF PREVIOUS MEETING OF 23RD NOVEMBER, 2022

 

The minute of the previous meeting of the Performance and Audit Committee held on 23rd November, 2022 was submitted and noted for information and record purposes.

 

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB93-2022 by Ken Lynn, 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 APPROVAL OF DUNDEE HEALTH AND SOCIAL CARE INTEGRATION SCHEME

 

There was submitted Agenda Note DIJB88-2022 advising 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). Further updates were provided to the Integration Joint Board in August 2021, February 2022 and June 2022 on the progress of work to prepare a revised scheme, consult on the revised draft and submit this to Scottish Ministers for approval (Article VI of the minute of the meeting of the Dundee Integration Joint Board held on 25th August, 2021, Article XV of the minute of the meeting of the Dundee Integration Joint Board held on 23rd February, 2022, Article X of the minute of the meeting of the Dundee Integration Joint Board held on 22nd June, 2022 refers).

 

Dundee City Council and NHS Tayside submitted the revised scheme to Scottish Ministers for approval prior to the end of June 2022. On 21st November, 2022, the corporate bodies received notification from the Scottish Government that the Dundee Health and Social Care Integration Scheme had received Ministerial approval.

 

The approved scheme had been published on the Dundee Health and Social Care Partnership website at: dundee health and social care integration scheme 2022 (dundeehscp.com).

The Integration Joint Board agreed to note the updated position.

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

 

(i) to note that a refresher development session for IJB members would arranged to take place early in the new year.

VII CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2021/2022

 

There was submitted Report No DIJB83-2022 by the Chief Social Work Officer, bringing forward for information the Chief Social Work Officers Annual Report for 2021/2022, which was attached as Appendix 1 to the report.

The Integration Joint Board noted the content of the report and the Chief Social Work Officers Annual Report for 2021/2022, which was attached as Appendix 1 of the report.

VIII DUNDEE INTEGRATION JOINT BOARD PROPERTY STRATEGY

 

There was submitted Report No DIJB84-2022 by the Chief Finance Officer, setting out the ambitions for Dundee health and social care provision to develop premises that enable and support health and social care services where citizens are able to access the services they need within their own community. Equitable access to healthcare, social care and social work services was a vital part of tackling inequalities in need and outcomes associated with poverty, poor social circumstances and protected characteristics and was a requirement of public bodies under the Equality Act (2010) and Fairer Scotland Duty (2018).

 

The Integration Joint Board agreed:-

 

(i) to approve the IJB Property Strategy as outlined in the report and attached as Appendix 1 to the report; and

 

(ii) instructed the Chief Officer to bring back progress reports to the IJB on an annual basis.

 

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

 

(iii) that a fuller report would be submitted to the next IJB meeting on the replacement for Constitution House and services provided.

 

IX WINTER PLAN NHS TAYSIDE AND PARTNER ORGANISATIONS

 

There was submitted Report No DIJB86-2022 by the Chief Finance Officer presenting to Dundee Integration Joint Board the Winter Planning arrangements for NHS Tayside and the local Health & Social Care Partnerships for 2022/2023. This was an integrated plan which outlined the work ongoing in each of the Tayside Health & Social Care Partnerships and in Acute Services to address the organisational challenges likely to be presented over the winter period.

The Integration Joint Board agreed:-

 

(i) to approve and endorse the Winter Plan NHS Tayside and Partner Organisations 2022/2023 for submission to the Scottish Government;

 

(ii) to note ongoing whole system collaboration in preparation for anticipated winter challenges; and

 

(iii) to approve the ring fencing of £1m of currently non-earmarked reserves to utilise if required to meet additional costs of winter pressures should these not be contained within the IJBs overall delegated budget.

 

X MANAGEMENT OF SOCIAL CARE CAPACITY AND FLOW

 

There was submitted Report No DIJB94-2022 by the Chief Officer setting out the actions being undertaken to manage and reduce the unmet need for social care in Dundee Health and Social Care Partnership.

The Integration Joint Board agreed to note the work being undertaken to address the challenges of managing social care capacity and flow and the associated action plan in place to meet those challenges.

XI GENERAL PRACTICE PROVISION IN DUNDEE PROPOSAL TO CONSOLIDATE TO ONE SITE BY FAMILYMEDICAL GROUP PRACTICE

There was submitted Report No DIJB87-2022 by the Chief Officer outlining the current issues with general practice provision in relation to Family Medical Group and note the practices request to close the main surgery at Wallacetown Health Centre and consolidate their team in the branch surgery located in Douglas.

 

The Integration Joint Board agreed:-

(i) to note the content of the report including the current issues with safely staffing two general practice sites for Family Medical Group;

 

(ii) to support the aim of Family Medical Group, that all current patients will have the opportunity to remain registered with Family Medical Group and continue to see their current GP team; and

 

(iii) to support the proposal by Family Medical Group to consolidate its services on one site with a view to achieving the stated aim in recommendation 2.2 and in addition offer a number of additional services which were available at Douglas as noted in paragraph 4.2.3 of the report.

 

XII FINANCIAL MONITORING POSITION AS AT AUGUST 2022

 

There was submitted Report No DIJB85-2022 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 2022/2023 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 2022/2023 financial year end as at 31st October, 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 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 throughout the remainder of the financial year.

XIII DUNDEE INTEGRATION JOINT BOARD BUDGET DEVELOPMENT 2023/2024

There was submitted Agenda Note DIJB89-2022 reporting that annual work had commenced in relation to the development of the Integration Joint Boards delegated budget for 2023/2024. A more detailed update would be provided in February 2023, with the Chief Finance Officer presenting a proposed budget for consideration at a special meeting in March 2023.

As in previous years, three development sessions were also planned with IJB members between January and March 2023 to discuss in detail the implications of the Scottish Governments budget on- the IJBs resources, 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 Statement 2022 was presented on 17th November, 2022. It was anticipated the Scottish Government would publish its spending plans for 2023/2024 on 15th December, 2022 with the detail behind that communicated to local authorities, Health Boards and Integration Authorities over the following week.

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 IJB was likely to face in 2023/2024 and beyond was being developed.

The IJB was presented with the 5 Year Financial Framework at its meeting of 22nd June, 2022 (Article XV of the minute refers). This noted that based on a range of assumptions around cost pressures such as pay awards, living wage increases, inflation, demographic growth and likely funding from NHS Tayside, Dundee City Council and the Scottish Government, the IJBs delegated budget could have a financial gap of around £8.642m in 2023/2024. Given these estimates were made prior to higher levels of inflation and subsequent pay awards, it was expected that this financial gap would be higher than initially estimated. The Integration Joint Board agreed to note the ongoing work to date and that a more detailed report would be presented in the February 2023 meeting.

 

XIV DUNDEE INTEGRATION JOINT BOARD RESERVES STRATEGY

 

There was submitted Report No DIJB90-2022 by the Chief Finance Officer proposing a Reserves Investment Strategy for Dundee Integration Joint Board to adopt to ensure the IJB is in a position to utilise all available resources it has to maximum effect to support the delivery of the strategic priorities set out within the Strategic and Commissioning Plan.

The Integration Joint Board agreed:-

(i) to note and approve the proposed IJB Reserves Investment Strategy as set out in section 4.1.8 of the report; and

(ii) to instruct the Chief Finance Officer to report the impact of the utilisation of the IJBs reserves as part of the regular financial monitoring reporting and annual budget setting process.

 

XV MEETINGS OF THE INTEGRATION JOINT BOARD 2022 - ATTENDANCES

There was submitted a copy of the Attendance Return DIJB92-2022 for meetings of the Integration Joint Board held to date over 2022.

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

XVI PROGRAMME OF MEETINGS OF INTEGRATION JOINT BOARD AND PERFORMANCE AND AUDIT COMMITTEE -2023

(a) INTEGRATION JOINT BOARD

 

The Integration Joint Board agreed that the programme of meetings for the Integration Joint Board over 2023 be as follows:-

Wednesday, 22nd February, 2023 10.00am

Wednesday, 29th March, 2023 10.00am (Budget Meeting)

Wednesday, 19th April, 2023 10.00am

Wednesday, 21st June, 2023 10.00am

Wednesday, 23rd August, 2023 10.00am

Wednesday, 25th October, 2023 10.00am

Wednesday, 13th December, 2023 10.00am

(b) PERFORMANCE AND AUDIT COMMITTEE

The Integration Joint Board agreed that the programme of meetings for the Performance and Audit Committee over 2023 be as follows:-

Wednesday, 1st February, 2023 - 10.00am

Wednesday, 24th May, 2023 - 10.00am

Wednesday, 27th September, 2023 - 10.00am

Wednesday, 22nd November, 2023 - 10.00am

 

XVII DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Dundee Integration Joint Board would be held remotely on Wednesday, 22nd February, 2023 at 10.00am.

 

 

 

 

Pat KILPATRICK, Chairperson.