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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 27th October, 2020.

Present:-

Members

Role

Trudy McLEAY (Chairperson)

Nominated by Health Board (Non-Executive Member)

Ken LYNN (Vice‑Chairperson)

Nominated by Dundee City Council (Elected Member)

Roisin SMITH

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)

Vicky IRONS

Chief Officer

Dave BERRY

Chief Finance Officer

Diane McCULLOCH

Chief Social Work Officer

James COTTON

Registered Medical Practicioner

Jim McFARLANE

Trade Union Representative

Eric KNOX

Third Sector Representative

Martyn SLOAN

Carer Representative

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

David SHAW

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnershi

Christine JONES

Dundee Health and Social Care Partnership

Jenny HILL

Dundee Health and Social Care Partnership

Lucinda GODFREY

Dundee Carers Centre

Shona HYMAN

Dundee Health and Social Care Partnership

Trudy McLEAY, Chairperson, in the Chair.

Prior to commencement of the meeting the Chairperson welcomed Christine Jones to her first meeting of the Integration Joint Board. Ms Jones had recently been appointed to the position of Partnership Finance Manager.

The Chief Officer also took the opportunity to appraise the Integration Joint Board of the current position in relation to the ongoing health emergency and operational management of this which was noted.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Jenny Alexander and Dr James Cotton.

II DECLARATION OF INTEREST

No declarations of interest were made.

 

III CHAIRPERSON AND VICE-CHAIR PERSON

(a) CHAIRPERSON

The Integration Joint Board agreed to note that the term of office of Chairperson held by NHS Tayside had lapsed and that in terms of Standing Orders this would now be required to be filled by a voting member from Dundee City Council.

The Integration Joint Board agreed to note that position and that Dundee City Council had nominated Councillor Ken Lynn as Chairperson.

(b) VICE-CHAIRPERSON

 

The Integration Joint Board agreed to note that term of office of Vice-Chairperson held by Dundee City Council had lapsed and that in terms of Standing Orders this would now be required to be filled by a voting member from NHS Tayside.

 

The Integration Joint Board agreed to note the position and that NHS Tayside had nominated Trudy McLeay as Vice-Chairperson.

IV PERFORMANCE AND AUDIT COMMITTEE APPOINTMENT OF MEMBERSHIP AND CHAIR

Reference was made to Article VIII of the minute of meeting of the Integration Joint Board held on 30th August, 2016 wherein it was agreed to establish a Performance and Audit Committee as a Standing Committee of the Integration Joint Board. The Terms of Reference were also agreed.

(a) MEMBERSHIP

The Terms of Reference indicated that the Integration Joint Board shall appoint the Committee which would consist of not less than six members of the Integration Joint Board. The Committee would include at least four Integration Joint Board voting members (on the basis of two from NHS Tayside and two from Dundee City Council).

The Integration Joint Board agreed to note the position.

(b) CHAIRPERSON

The Committee would be chaired by a person not being the Chairperson of the Integration Joint Board and would be nominated by the Integration Joint Board. The current voting membership on the Committee were Councillor Lynn (Chairperson), Bailie Wright, Jenny Alexander and Donald McPherson,

The Integration Joint Board agreed to appoint Trudy McLeay, Donald McPherson, Bailie Helen Wright and Councillor Roisin Smith as voting members on the Committee and that Trudy McLeay be appointed as Chairperson to serve on the Performance and Audit Committee.

V MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 25th August, 2020 was submitted and approved.

The Integration Joint Board further agreed to note that the Clerk and the Chief Finance Officer would be meeting with the Auditor to discuss the content of the minutes of meetings of the Integration Joint Board and the Performance and Audit Committee following comments and observations made by the Auditor in this regard.

 

VI PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 22ND SEPTEMBER, 2020

The minute of the previous meeting of the Performance and Audit Committee held on 22nd September, 2020 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB44-2020 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.

VII PROGRESS UPDATE ON REVIEW OF A CARING DUNDEE: A STRATEGIC PLAN FOR SUPPORTINGNG CARERSIN DUNDEE AND SHORT BREAKS STATEMENT

 

There was submitted Report Number DIJB40-2020 by the Chief Officer providing an an update regarding the work of the Carers Partnership and the progress towards the revision of A Caring Dundee: A Strategic Plan for Supporting Carers in Dundee and Short Breaks Services Statement.

The Integration Joint Board agreed:-

(i) to consider and approve the proposed plan to revise A Caring Dundee and the Short Breaks Services Statement as outlined in section 4.1 of the report;

(ii) to consider and approve the development of Dundee Carers Partnership COVID-19 Engagement Plan as outlined in section 4.2 of the report;

(iii) to note the actions taken to further progress Adult Carer Support Plans and Young Carer Statements as outlined in section 4.3 of the report;

(iv) to note the work being undertaken by Dundee Carers Partnership to ensure that we have a fuller understanding of the impact of COVID-19 on carers, young carers and their families; and

 

(v) to instruct the Chief Officer to provide a further report in March 2021 to update on progress from the Carers Partnership.

 

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

(vi)                          to note that as advised by the Chief Finance Officer that the funding allocation from the Scottish Government referred to in the Financial Implications section of the report had not been ringfenced; and

 

(vii)                         that the Chief Officer be instructed to provide an interim update report on the progress from the Carers Partnership at the meeting to be held in December 2020

 

VIII ANNUAL PERFORMANCE REPORT 2019/2020

 

There was submitted Report Number DIJB41-2020 by the Chief Officer submitting the full version of the Health and Social Care Partnership Annual Performance Report 2019/2020 for approval.

The Integration Joint Board agreed:-

(i) to approve the Annual Performance Report 2019/20 as outlined in Appendix 1 of the report;

(ii) to instruct the Chief Officer to update the Annual Performance Report with financial year 2019/20 data for all National Health and Wellbeing indicators as soon as data is made available by Public Health Scotland; and

(iii) to approve the planned approach to formatting, publication and distribution as outlined in section 4.2.4 of the report.

 

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

 

(iv) to note that Diane McCulloch would share a report with the Chair on how statistics were recorded within Tayside in relation to discharges from hospital;

 

(v) to note that the Chief Officer would arrange for further information to be provided to the Integration Joint Board on work being undertaken by the Team led by Arlene Mitchell who were looking at support for people being discharged from hospital from a mental health perspective;

 

(vi)                          to note that it wasnt possible to provide benchmarking information against national health indicators and that Kathryn Sharp would discuss this matter further with Bailie Helen Wright if she wished;

 

(vii)                         to note that in future years this report would include wider use of graphics and pie charts to allow further understanding of the content and that this would also include information from key workers at an operational level within the community and also any areas where experiences had been negative and what had been put in place to improve the position.

 

IX GOVERNANCE ACTION PLAN UPDATE REPORT ESCALATION FROM THE PERFORMANCE & AUDITCOMMITTEE

 

There was submitted Report Number DIJB42-2020 by the Chief Finance Officer providing the Integration Joint Board with an overview of the delays in progressing a range of governance actions as set out in the Governance Action Plan and outlined how these would be addressed.

The Integration Joint Board agreed:

(i) to note the content of the report;

(ii) to note the reasons why actions had not been completed within timescales initially proposed in the Governance Action Plan as outlined in Appendix 1 of the report;

 

(iii) to note the tasks assigned to individuals in the Governance Action Plan and initiatives proposed as outlined in Appendix 2 of the report, in order to move these outstanding actions to a conclusion; and

 

(iv) to instruct the Chief Officer and Chief Finance Officer to ensure these initiatives are implemented in order to strengthen the governance arrangements in place within the Integration Joint Boards governance framework.

 

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

 

(v) to note that it would be helpful for contact person to be identified with responsibility for achieving each of the actions set out in the report and the assurance given by the Chief Officer in this regard to give clarity to the areas of responsibility referred towards adhering to the Audit Plan as set out.

 

X FINANCIAL MONITORING POSITION AS AT AUGUST 2020

 

There was submitted Report Number DIJB43-2020 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 2020/2021 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 this report including the overall projected financial position for delegated services to the 2020/2021 financial year end as at 31st August 2020 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.

 

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

 

(iv) to note that in relation to overspend in area of service delivery (Older People Peoples Services ECS) hosted by the Angus Partnership that the Chief Finance Officer would seek assurance from the Angus Partnership in this regard in respect of their Recovery Plan for this and report back to the meeting of the Integration Joint Board to be held in December 2020.

 

XI SEASONAL FLU VACCINATION PROGRAMME 2020-2021

 

There was submitted Report Number DIJB45-2020 by the Chief Officer outlining the plans to deliver the flu vaccination programme for staff who were eligible for immunisation under the nationally agreed flu programme, and children and adults who fell into the agreed criteria for flu vaccination.

The Integration Joint Board agreed:

(i) to note the requirements of the expanded seasonal flu programme as outlined by the Chief Medical Officer and detailed in section 4.1 and 4.2 of the report;

(ii) to note the expected uptake of the vaccine as detailed in section 4.3 of the report;

(iii) to note the actions planned to deliver this commitment within Dundee as detailed in section 4.4, including the development of a centralised team (Dundee Flu Vaccination team) as detailed in section 4.4.2 of the report; and

(iv) to note and accept the risks associated with the programme as outlined in section 6 of the report.

 

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

 

(v) to note that Shona Hyman would check if there was any data on engagement and level of take up by both ethnic and vulnerable communities in relation to the flu vaccination programme and that she would also check whether or not the Vaccine Programme could help with the identification of unpaid carers

 

XII CATEGORY ONE RESPONDERS

 

There was submitted an agenda note reporting that Jeane Freeman MSP, Cabinet Secretary for Health and Sport wrote to Jim Savege, Chair of the Scottish Resilience Partnership on the 24th September to confirm that Integration Joint Boards would be included as Category 1 responders for Scotland. This would require a change to the Civil Contingencies Act 2004. It was intended that the changes to the legislation would be carried out during Spring 2021, at which time partners including Integration Joint Boards would have the opportunity to contribute to any consultations relating to the proposed changes.

In making this change, Integration Joint Boards as Category 1 responders would be subject to the full set of civil protection duties, alongside emergency services, Local Authorities and Health Boards. Integration Joint Boards would be expected to participate in planning work, consider the impact for integrated health and social care services, across the piece and would formalise their role as a core responder to emergencies.

While Integration Joint Boards had no statutory responsibilities currently in their own right, members of staff from the partnership were fully involved in all civil emergency planning at a Tayside level and both the Chief Officer and the Head of Service attended the Tayside Resilience Partnership Meeting in response to Covid-19.

The Integration Joint Board agreed to note the position.

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

(i)                            to note that the Chief Finance Officer was not aware of any significant costs in relation to this proposal and that redeployment of resources to meet with this duty would be built in to emergency planning;

 

(ii)                           to note as advised by the Chief Social Work Officer that the Partnership would undertake a review of operations and its duties when the Act was brought in;

 

(iii)                          to note that the Partnership would highlight during the course of the consultation period the point that this would be an additional level of responsibility for the Partnership

 

XIII MEETINGS OF THE INTEGRATION JOINT BOARD 2020 ATTENDANCES

 

There was submitted a copy of the attendance return for meetings of the Integration Joint Board over 2020, Report No DIJB57-2020.

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

The Integration Joint Board further agreed to note that the Chairperson had contacted NHS Tayside with a view to securing appointment to the vacant position of a Registered General Practitioner providing Primary Medial Care on the Integration Joint Board

XIV DATE OF NEXT MEETING

The Integration Joint Board noted that the date of the next meeting would be advised in due course.

The Integration Joint Board took the opportunity to pay tribute to Trudy McLeay for her Chairmanship over the period of her appointment to this position and wished her well with her next appointment as Chairperson of the Performance and Audit Committee

Trudy McLEAY, Chairperson.