Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 4th May, 2016.

Present:-

Members	Role
Doug CROSS (Chair)	Nominated by Health Board (Non Executive Member)
Judith GOLDEN	Nominated by Health Board (Non Executive Member)
Munwar HUSSAIN	Nominated by Health Board (Non Executive Member)
Ken LYNN (Vice Chair)	Nominated by Dundee City Council (Elected Member)
Stewart HUNTER	Nominated by Dundee City Council (Elected Member)
David BOWES	Nominated by Dundee City Council (Elected Member)
David W LYNCH	Chief Officer
Dave BERRY	Chief Finance Officer
Eileen MCKENNA	Registered Nurse
Cesar RODRIGUEZ	Registered Medical Practitioner (not providing primary medical services)
Drew WALKER	Director of Public Health
Barbara TUCKER	Staff Partnership Representative
Martyn SLOAN	Carer Representative (persons providing unpaid care in the area of the local authority)
Andrew JACK	Service User Representative (service users residing in the area of the local authority)

Also attending:-

Diane McCULLOCH	Dundee Health and Social Care Partnership
Lucy RENNIE	Dundee Health and Social Care Partnership
Heather GUNN	Dundee Health and Social Care Partnership
Christina COOPER	Dundee Voluntary Action
Merrill SMITH	Dundee City Council, (Corporate Communications)

Doug CROSS, Chairperson, in the Chair.

Prior to the commencement of business the Chair welcomed Martyn Sloan and Andrew Jack to the meeting and advised of their appointment as members of the Integration Joint Board in their capacity as representatives for service users and carers. The Chair also advised the Integration Joint Board of a series of personnel matters within the Dundee Health and Social Care Partnership. The Integration Joint Board noted that Lucy Rennie had been appointed to the position of Head of Strategic Planning, Health Improvement and Commissioning and Dr David Shaw had been appointed to the position of Clinical Director and that appointments to the next tier of officers would now be progressed.

In addition, the Chair advised of the retiral of Dr David Dorward who previously held the position of Clinical Director within NHS Tayside and, paid tribute for the contribution he had made in that role and also during his tenure as a member of the Integration Joint Board.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Jane Martin, Chief Social Work Officer Jim McFarlane, Trade Union Representative and Christine Lowden, Third Sector Representative.

II DECLARATION OF INTEREST

Munwar Hussain declared a non-financial interest in relation to the item of business at Article VIII of this minute by virtue of his appointment as a Board member of Hillcrest Housing Association.

III MINUTES OF PREVIOUS MEETINGS

(a) The minute of the meeting of the Integration Joint Board held on 23rd February, 2016 was submitted and approved.

(b) The minute of the special meeting of the Integration Joint Board held on 15th March, 2016 was submitted and approved.

IV INTEGRATED CARE FUND SHOWCASE HOME FROM HOSPITAL SERVICE (ROYAL VOLUNTARY SERVICE)

Christina Cooper, Project Co-Ordinator, Dundee Voluntary Action gave a presentation on the Home from Hospital Service operated in Dundee which was provided by the Royal Voluntary Service.

HOME FROM HOSPITAL SERVICE - BACKGROUND TO ESTABLISHMENT

It was reported that the Royal Voluntary Service was founded in 1938 by Stella Reading. There were currently 35,000 volunteers in the UK supporting over 100,000 people. The Reshaping care programme aimed to help people keep independent and well so that they could stay in their own home for longer. A key concept of this was the involvement of all stakeholders including health, social care, third sector and representatives from celebrate age network in every level of the designing and delivery of services.

This lead to the establishment of the home from hospital service which was implemented in August 2014. This service was initially funded through capacity building fund. Applications had been made to continue the project with support through the integrated care fund.

HOME FROM HOSPITAL SERVICE - AIMS AND OPERATION

The aims of the service were to provide practical and emotional support to patients on their return from hospital; promote independence and choice; enable individuals to stay in their own home and settle back in to their community; and support the transition from hospital to home at optimum moment when ready for discharge.

Presently the Dundee Service had 37 volunteers who supported 66 individuals which amounted to 1546 volunteer hours. Period of Service was usually over a six week period. Visits were tailored to suit the individual and lasted approximately 1.5 hours. There was an open referral process and individuals may make a self referral or be referred through Ninewells Hospital, the Bluebell Unit or the Royal Victoria Hospital.

HOME FROM HOSPITAL SERVICE - BENEFITS

The home from hospital service had a positive impact on society and supported the following:-

- Reduce the need for hospital readmission and other forms of care

- Rebuild confidence and independence

- Reduce social isolation and loneliness

- Improve quality of life

There were also benefits to the volunteer:-

- Sense of purpose

- Active role in society

- Remain fit and active

- Asset based from needy to recovery

- Increased confidence

- Reduce social isolation and loneliness

The Integration Joint Board agreed to note the content of the presentation and the positive impact this method of service delivery had within the communities of Dundee and the individuals who used the service.

V PLANNING FOR ADDITIONAL RESOURCES

There was submitted Report No DIJB15-2016 by the Chief Officer advising the Integration Joint Board of the available additional resources and how these would be allocated to take forward the key priorities.

The Integration Joint Board agreed:-

(i) to note the confirmed Dundee partnership fund allocation of the Integrated Care Fund, the Delayed Discharge Fund and the Integration Fund;

(ii) to approve the proposed approach to the allocation of the resources against four work areas as indicated in Appendix 1 of the report;

(iii) to approve the proposed governance arrangements for the management of the resources as indicated at paragraph 4.4.2 of the report;

(iv) to approve the proposed funding recommendations for years two and three of the Integrated Care Fund as indicated in Appendix 3 of the report;

(v) to instruct the Chief Officer to issue directions to Dundee City Council and NHS Tayside in respect of these matters; and

(vi) to instruct the Chief Officer to seek new proposals for the balance of the Integrated Care Fund to meet the priorities of the Dundee Strategic and Commissioning Plan.

The Integration Joint Board further agreed that update reports on the Delayed Discharge Improvement Plan be submitted to the Integration Joint Board on a biannual basis.

VI INTEGRATION JOINT BOARD FINANCIAL REGULATIONS

There was submitted Report No DIJB3-2016 by the Chief Finance Officer presenting the Integrated Joint Board with a set of Financial Regulations for consideration and requesting that these were adopted as a key element of the Integration Joint Board's governance arrangements.

The Integration Joint Board agreed to note and adopt the Financial Regulations which were attached to the report as Appendix 1 subject to amendment to Section 6.8 entitled Virement (In Year) Integration Budget reducing delegation to the Chief Officer in relation to budget virement from £1,000,000 to £500,000 and that any further requirement for virement up to £1,000,000 be subject to consultation with the Chair and Vice Chair and that as such paragraph 6.8 would now read as follows:

"The IJBCO, in consultation with the IJBCFO, can undertake budget virement of up to and including £500,000 under delegated authority with the requirement to further virement up to £1,000,000 in consultation with the Chair and Vice Chair subject to this virement not impacting upon current IJB, Council or NHS policies and must be consistent with the aims of the Strategic Plan. Individual virements in excess of £100,000 must subsequently be reported to the IJB for noting through the budget monitoring reports. Budget virement in excess of this sum requires approval of the IJB."

VII INTERNAL AUDIT ARRANGEMENTS 2016/17

There was submitted Report No DIJB9-2016 setting out proposed arrangements for the provision of Internal Audit services to the Integration Joint Board for 2016/17 and to request that the Integration Joint Board considered the creation of a Performance and Audit Committee.

The Integration Joint Board agreed:-

(i) to note the requirement to ensure that adequate and proportionate internal audit arrangements were in place for the Integration Joint Board;

(ii) to provide delegated authority to the Chief Officer and Chief Finance Officer to conclude discussions with Fife, Tayside and Forth Valley Management Services (FTF) and Dundee City Council for the provision of internal audit and services for 2016/17; and

(iii) to establish a Performance and Audit Committee to enable appropriate scrutiny of performance and audit issues and instruct the Chief Officer to bring back a report to a future meeting of the Integration Joint Board outlining the proposed membership of the Committee and proposed governance arrangements.

VIII DUNDEE REGISTERED SERVICES FOR ADULTS (EXCLUDING CARE HOMES)

There was submitted Report No DIJB17-2016 by the Chief Officer summarising for the Integration Joint Board the gradings awarded by the Care Inspectorate to Dundee registered care services for adults (excluding care homes). It was reported that in order to provide a comparison, the information was based on the last two inspections for each service.

The Integration Joint Board agreed to note the gradings awarded as detailed in the Performance Report which was attached to the report as Appendix 1 and highlighted in paragraph 4.3 of the report.

IX OUTCOME OF CARE INSPECTORATE INSPECTION HOME CARE EAST SERVICE

There was submitted Report No DIJB18-2016 by the Chief Officer advising the Integration Joint Board of the outcome of the Care Inspectorate inspection of the Home Care East Service, which was undertaken from 5th January, 2016. The report outlined the findings of the Care Inspectorate and gave a summary of the grades achieved.

The Integration Joint Board agreed:-

(i) to note the contents of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note the recommendations as outlined in paragraph 4.2.1 of the report; and

(iii) to note the grades awarded to the service, the strengths of the service, and the very positive comments made by service users and carers as outlined in the report.

The Integration Joint Board further agreed to record their appreciation and thanks to the service staff for the contribution they had made towards achieving the positive outcomes as indicated in the report.

X OUTCOME OF CARE INSPECTORATE INSPECTION HOME CARE WEST SERVICE

There was submitted Report No DIJB19-2016 by the Chief Officer advising the Integration Joint Board of the outcome of the Care Inspectorate inspection of the Home Care West Service. The report outlined the findings of the Care Inspectorate and gave a summary of the grades achieved.

The Integration Joint Board agreed:-

(i) to note the contents of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note the recommendation as outlined in paragraph 4.2.1 of the report; and

(iii) to note the grades awarded to the service, the strengths of the service, and the very positive comments made by service users and carers as outlined in the report.

XI NATIONAL CARE HOME CONTRACT FEE SETTLEMENT 2016/17

There was submitted Report No DIJB20-2016 by the Chief Finance Officer informing the Integration Joint Board of the outcome of negotiations between COSLA and care home providers in respect of the 2016/17 National Care Home Contract fee levels and terms of agreement.

The Integration Joint Board agreed:-

(i) to note that the 2016/17 fee negotiations reflected the commitment made by the Scottish Government to ensure all social care workers within the sector were paid the living wage of £8.25 with effect from 1st October, 2016 as part of the additional £250m national investment in social care announced in the finance settlement;

(ii) to note that the agreement reached reflected the cost of implementing the living wage and other financial pressures faced by care home providers would result in an increase in the care home fee headline rate of 2.5% from April 2016 with a further 4% increase from 1st October, 2016 leading to an overall increase in the headline rate of 6.5% from October 2016; and

(iii) to adopt the rates of payment for independent sector care home providers for 2016/17 as outlined in Appendix 1 of the report and direct Dundee City Council to adopt the terms of the National Care Home Contract accordingly.

XII HEALTH AND SOCIAL CARE GOVERNANCE

There was submitted Report No DIJB21-2016 by the Chief Officer advising members of the proposed governance arrangements with Dundee City Council and NHS Tayside.

The Integration Joint Board agreed to note the proposed governance arrangements between the Integration Joint Board and Dundee City Council and NHS Tayside as set out in section 5 of the report.

XIII RISK MANAGEMENT POLICY AND STRATEGY

There was submitted Report No DIJB22-2016 by the Chief Finance Officer recommending an overarching shared Risk Management Policy and Strategy for adoption by the Integration Joint Board and to ask the Integration Joint Board to note the work that was continuing to prepare a register of risks with accompanying reporting arrangements.

The Integration Joint Board agreed:-

(i) to adopt the Risk Management Policy and Strategy included as Appendix 1 of the report subject to the approval of the proposed amendments as outlined in paragraph 4.5 of the report; and

(ii) to remit to the Chief Finance Officer responsibility for bringing forward for approval:-

(a) the risk register for the Integration Joint Board;

(b) the proposed frequency and format for reporting arrangements; and

The Integration Joint Board further agreed to note that the Chief Finance Officer would be working towards submitting the Risk Register to the meeting of the Integration Joint Board to be held on 30th August, 2016.

XIV EQUALITY OUTCOMES AND MAINSTREAMING EQUALITIES REPORT

There was submitted Report No DIJB23-2016 by the Chief Officer bringing forward for approval by the Integration Joint Board the Equality Outcomes that had been developed for the Dundee Health and Social Care Partnership for 2016‑2017 and a proposed framework and reporting cycle for the review of the Partnership's progress in mainstreaming equalities. Approval was also sought from the Integration Joint Board for proposals to be brought forward regarding the development of performance measures, as well as equalities mainstreaming and monitoring arrangements, for the Partnership.

The Integration Joint Board agreed:-

(i) to adopt the Equality Outcomes laid out in Appendix 1 of the report;

(ii) to approve the Mainstreaming Equalities Framework and reporting cycle laid out in Appendix 1 of the report;

(iii) to approve the use of the Dundee City Council Integrated Assessment Tool and guidance for equality impact assessment of new or revised policies and practices;

(iv) to remit to the Chief Officer the responsibility for bringing forward for approval:-

(a) the equalities performance indicators to be adopted by the Partnership for 2016-17;

(b) appropriate arrangements with Dundee City Council and NHS Tayside for the collation and reporting of employee equalities information and the provisions of relevant employee equalities information for use by the Partnership;

(c) equalities mainstreaming and monitoring arrangements for the Partnership, which aligned with Dundee City Council and NHS Tayside's corporate equalities mainstreaming structures and processes.

XV STANDING ORDERS, CODE OF CONDUCT AND APPOINTMENT OF A STANDARDS OFFICER

There was submitted Agenda Note ANDIJB1-2016 reporting as follows:-

(a) STANDING ORDERS

Reference was made to Article X of the minute of meeting of this Integration Joint Board held on 27th October, 2015 wherein the Integration Joint Board agreed to adopt the Standing Orders of the Integration Joint Board.

It was reported that by virtue of The Public Bodies (Joint Working) (Integration Joint Boards and Integration Joint Monitoring Committees) (Scotland) Amendment (No 2) Order 2015 (Scottish Statutory Instrument 432/2015) Integration Joint Boards were required to update their Standing Orders to take account of changes to the procedure to be used where a Board member had a conflict of interest in relation to an item of business.

The Integration Joint Board agreed to note that the Clerk had revised paragraphs 7.3 and 7.4 of the Integration Joint Boards Standing Orders accordingly and that a copy had been issued to all members of the Integration Joint Board separately for information.

(b) CODE OF CONDUCT

It was reported that the Scottish Government had now produced a Template Code of Conduct for adoption by all Integration Joint Boards. The Integration Joint Board agreed:-

(i) to note that the Clerk had prepared a draft Code of Conduct based on the Template;

(ii) to note that a copy of the draft had been issued to all members of the Integration Joint Board separately for information;

(iii) that the draft Code of Conduct be submitted to the Scottish Government for approval; and

(iv) to note that in the event that the Scottish Government approved the draft Code of Conduct, the Integration Joint Board would be required to publish the Code as well as a Register of Members Interests and the Clerk would report further in due course.

It was reported that the Integration Joint Board had been asked by the Standards Commission for Scotland to nominate a Standards Officer.

The Integration Joint Board agreed to note that the Chief Officer had written to the Commission to nominate the Clerk to carry out this role and that approval of this nomination had been received.

XVI DATE OF NEXT MEETING

The Integration Joint Board noted that the next meeting of the Integration Joint Board would be held in Committee Room 1, 14 City Square, Dundee on 28th June, 2016 at 4.00 pm.

The Integration Joint Board resolved under Section 50(A)(4) of the Local Government (Scotland) Act 1973 that the press and public be excluded from the meeting for the undernoted item of business on the grounds that it involved the likely disclosure of exempt information as defined in paragraphs 3, 6 and 9 of Part I of Schedule 7A of the Act.

XVII INTERMEDIATE CARE UNIT - EXTENSION OF CONTRACT

There was submitted Report No DIJB24-2016 by the Chief Finance Officer advising the Integration Joint Board of the proposals to extend the current contract with the company referred to in the report to provide intermediate care for people being discharged from hospital.

The Integration Joint Board agreed to instruct the Chief Officer to issue appropriate directions to NHS Tayside and Dundee City Council to make arrangements to contract with the company referred to in the report for a further period of one year until 31st May, 2017.

Doug CROSS, Chairperson.