Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 27th October, 2021.

Present:-

Members	Role
Trudy McLEAY (Vice Chairperson)	Nominated by Health Board (Non-Executive Member)
Lynne SHORT	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)
Bill CAMPBELL	Nominated by Dundee City Council (Elected Member)
Vicky IRONS	Chief Officer
Dave BERRY	Chief Finance Officer
Sarah DICKIE	Registered Nurse
Jim McFARLANE	Trade Union Representative
Linda GRAY	Service User Representative
James COTTON	Registered Medical Practitioner (not providing primary medical services)
Raymond MARSHALL	Staff Partnership Representative
Martyn SLOAN	Person providing unpaid care in the area of the local authority
Emma FLETCHER	Director of Public Health

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

Jenny HILL	Head of Health and Community Care
Kathryn SHARP	Strategy and Performance Service Manager
Arlene MITCHELL	Localities Manager
Chrsitine JONES	Health and Social Care Partnership
Joyce BARCLAY	Health and Social Care Partnership
Jordan GRANT	Health and Social Care Partnership
Lucinda GODFREY	Dundee Carers Centre
Anne Marie MACHAN	Audit Scotland

Trudy MCLEAY, Vice Chairperson, in the Chair.

Prior to commencement of the business the Chief Officer 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:-

Members	Role
Anne BUCHANAN	Nominated by Health Board (Non-Executive Member)
Diane McCULLOCH	Chief Social Work Officer
Ken LYNN (Chairperson)	Nominated by Dundee City Council (Elected Member)

II DECLARATION OF INTEREST

There were no declarations of interest.

III MEMBERSHIP OF DUNDEE CITY INTEGRATION JOINT BOARD REAPPOINTMENTS AND APPOINTMENT

(a) NHS TAYSIDE - REAPPOINTMENTS

The Integration Joint Board agreed to note that at the meeting of NHS Tayside Board held on 26th August, 2021, it was agreed that the undernoted members who were due for reappointment in October, 2021 be given a further period of appointment as members of Dundee Integration Joint Board.

The Integration Joint Board also noted that NHS Tayside Board had appointed Sarah Dickie to the position of Registered Nurse on the Integration Joint Board following the retiral of Wendy Reid.

Role	Member
Nominated by Health Board	Trudy McLeay*
Nominated by Health Board	Donald McPherson*
Nominated by Health Board	Anne Buchanan*
Registered nurse	Sarah Dickie **
Registered medical practitioner not providing primary medical services	James Cotton **

* Denotes Voting Member

** Denotes Non Voting Member

(b) MEMBERSHIP - REAPPOINTMENTS

The Integration Joint Board agreed to a further term of appointment to the Integration Joint Board for the undernoted membership:-

Role	Member
Staff Partnership Representative	Raymond Marshall **
Staff of the constituent authorities engaged in the provision of services provided under integration functions	Jim McFarlane **
Third sector bodies	Eric Knox **
Service users	Linda Gray **
Person providing unpaid care in the area of the local authority	Martyn Sloan **
Director of Public Health	Emma Fletcher **

It was reported that the Chief Officer had proposed that Dr David Shaw, Clinical Director, NHS Tayside be appointed as a Non Voting Member on the Integration Joint Board.

The Integration Joint Board agreed to the appointment of Dr David Shaw as a Non Voting Member on the Integration Joint Board.

IV VICE-CHAIRPERSON APPOINTMENT

The Integration Joint Board agreed to note that following the reappointment of Trudy McLeay as a Voting Member at the meeting of NHS Tayside Board held on 26th August, 2021, the Board had also agreed to her continued appointment as Vice‑Chairperson of Dundee Integration Joint Board.

V PERFORMANCE AND AUDIT COMMITTEE APPOINTMENT OF MEMBERSHIP AND CHAIRPERSON

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 the reappointment of Trudy McLeay, and Donald McPherson as Voting Members on the Performance and Audit Committee and James Cotton, Raymond Marshall and Martyn Sloan as members on the Performance and Audit Committee.

(b) CHAIRPERSON

The Integration Joint Board agreed to the appointment of the Vice Chairperson of the Integration Joint Board, Trudy McLeay to serve as Chairperson of the Performance and Audit Committee.

VI MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of meeting of the Integration Joint Board held on 25th August, 2021 was submitted and approved subject to amendment to reflect that both Martyn Sloan and Emma Fletcher were in attendance.

(b) ACTION TRACKER

The Action Tracker DIJB68-2021 for meetings of the Integration Joint Board was submitted and noted.

VII PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 29TH SEPTEMBER, 2021

The minute of the previous meeting of the Performance and Audit Committee held on 29th September, 2021 was submitted and noted for information and record purposes.

(b) CHAIRPERSONS ASSURANCE REPORT

There was submitted Report No DIJB56-2021 by Trudy McLeay, 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.

VIII ANNUAL PERFORMANCE REPORT 2020/2021

There was submitted Report No DIJB48-2021 by the Chief Officer submitting the full version of the Health and Social Care Partnership Annual Performance Report 2020/2021 for approval.

The Integration Joint Board agreed:-

(i) to approve the Annual Performance Report 2020/2021 which was attached to the report as Appendix 1;

(ii) to instruct the Chief Officer to update the Annual Performance Report with financial year 2020/2021 data for all National Health and Wellbeing indicators as soon as data was made available by Public Health Scotland as outlined in section 4.2.2 of the report; 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 following enquiry from Donald McPherson that Kathryn Sharp would liaise with Clare Lewis-Robertson on the future accessibility of the report and inclusion of graphics and KPI information and would also seek to include feedback from service users on content for inclusion in the next report and also look to provide opinion from Carers as suggested by Martyn Sloan;

(v) to note following enquiry from Donald McPherson on the differentiation between complaints received between the health side and social care side and observations in relations to complaints on attitude and behaviours the explanation from Jenny Hill that this information was gathered from two different complaint systems and that she would look at this in more detail for next meeting; and

(vi) to note as indicated by Dave Berry that all complaints were regularly reported to and discussed at the Clinical, Care and Professional Governance Group and taken forward for any action within services.

IX MENTAL HEALTH AND WELLBEING PLANNING IN LIGHT OF THE IMPACT OF COVID-19 ON CITIZENS OFDUNDEE

There was submitted Report No DIJB50-2021 by the Chief Officer providing the Integration Joint Board with an overview of current strategic mental health and wellbeing planning as a result of learning gained about the impact of the Covid-19 pandemic on citizens of Dundee.

The Integration Joint Board agreed:-

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

(ii) to remit the Chief Officer to submit further progress reports to future Integration Joint Board meetings.

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

(iii) to note as indicated by Arlene Mitchell that Dundee Voluntary Action were leading on Stakeholder engagement for the Community Wellbeing Centre and she would check if the Fairness Commissioners had received their invitiation to be involved in the Stakeholder Group;

(iv) to note following enquiry from Councillor Short on availability of signposting information that Arlene Mitchell would look to refresh a booklet about what is available in terms of the range of supports both informal and formal for older people in the city and share this widely within the city and also publish on line and examine as suggested by Martyn Sloan that this may be a body of work which could be undertaken between the Universities and the Partnership;

(v) to note following enquiry from Councillor Short in relation to the section 4.5 of the report on protected characteristics that Arlene Mitchell would share information with Councillor Short around the inequalities analysis undertaken with Public Health;

(vi) to note following enquiry from Councillor Short that the Chief Officer would examine the possibility of briefings being held for the membership of the Integration Joint Board on protected characteristics for older people;

(vii) to note the advice of the Chief Officer that the Partnership would continue to engage with partners in the City and Dundee Voluntary Action to encourage participation and feedback from people and communities on services;

(viii) to note that Eric Knox would submit a report to a future meeting of the Integration Joint Board on the Community Health and Wellbeing Fund which was a new funding stream set up to provide support to organisations in the city.

X INDEPENDENT INQUIRY INTO MENTAL HEALTH SERVICES IN TAYSIDE PROGRESS REPORT JULY 2021

There was submitted Report No DIJB55-2021 by the Chief Officer briefing the Integration Joint Board about the Independent Inquiry into Mental Health Services in Tayside, Trust and Respect, Progress Report which was published in July, 2021.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to note the publication of Trust and Respect Progress Report, David Strang CBE, July 2021, as detailed in Appendix 1 of the report;

(iii) to note the contents of the Full Survey Report Experience of NHS Tayside Mental Health Servvices as detailed in Appendix 2 of the report;

(iv) to note the easy read version of the Survey Report as detailed in Appendix 3 of the report; and

(v) to note the action being taken in sections 4.11 to 4.16 of the report to some of the areas noted within the Progress Report.

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

(vi) to note that Arlene Mitchell would submit a report providing a strategic update on Learning Disabilities and Autism to the meeting of the Integration Joint Board to be held in February 2022;

(vii) to note following eqnuiry from Bailie Wright in relation to financial implications the advice of Dave Berry that if there were any new service developments financial considerations would be reported for approval;

(viii) to note that Dave Berry was taking the lead on a financial framework for mental health in Tayside and that this would be reported to the Integration Joint Board in due course;

(ix) to note the observation of Donald McPherson of the usefuleness of carrying out Pulse Surveys to gather the views of stakeholders on progress being made in relation to the direction of services;

(x) to note following enquiry from Councillor Short that the Chief Officer would get further information on the creation of the new Independent Group led by Fiona Lees and how this would connect to the existing Tayside Executive Leadership Group and advise the Integration Joint Board accordingly;

(xi) to note the assurance provided bt Arlene Mitchell that families were contacted as part of the LEARS process; and

(xii) to note following enquiry from Raymond Marshall on pace of change and what this meant for staff that Arlene Mitchell would take this forward with him outwith the meeting and look at the possibility of a survey being undertaken in consultation with the Staff Partnership Forum to get feedback from staff;

XI A NATIONAL CARE SERVICE FOR SCOTLAND CONSULTATION

There was submitted Agenda Note DIJB47-2021 referencing that in August 2021 the Integration Joint Board was advised of the Scottish Governments consultation regarding proposals to establish a National Care Service for Scotland (Article XII of the minute of meeting of this Integration Joint Board held on 25th August 2021 refers).

It was reported that the consultation period had now been extended by the Scottish Government and would end on 2nd November 2021 (previously 18th October 2021).

A range of activity had been planned by the Partnership to encourage and support stakeholders to engage with and respond to the consultation, this included:

- A range of approaches focused on raising awareness of the consultation amongst people who used health and social care services and supports, carers and the wider public. Within this the focus was on informing people that the consultation was open, that it proposed significant changes to the way that health and social care services and supports for people of all ages were planned and delivered in the future, and on the mechanisms by which they could make their views on the proposals known. Information had been added to the Partnerships website, the Health Inequalities Service website and was being distributed in collaboration with Dundee City Council Communications Services via social media channels. In addition, materials issued to providers (see below) included information and prompts to encourage them to support individuals and interest groups to participate in the consultation process.

- Information had been issued to local providers of health and social care services and supports, both via the Partnerships existing networks and through DVVA, to encourage and support providers to respond to the consultation. In addition, there would be opportunities to discuss the consultation at provider forums facilitated by the Partnership.

- Each of the Partnerships Strategic Planning Groups had been offered the opportunity to have a facilitated discussion regarding the key proposals within the consultation document and to capture views on the proposals made. Membership of Strategic Planning Groups included internal Partnership staff, external service providers and community / lived experience representatives.

- A briefing session was provided to the IJB and Strategic Planning Advisory Group members on the 28th September 2021, including an opportunity for discussion regarding key aspects of the proposals set out in the consultation document.

- Materials had been developed to support facilitated discussions with the Partnership workforce. These would be distributed to managers to enable them to undertake discussions at service and team level and to gather workforce views on the proposals set out in the consultation document.

In addition to the above, a range of other activity was being taken forward by representative bodies at local, regional and national levels to gather views and make collated responses to the consultation. This included provider representative bodies, workforce representative bodies and bodies representing specific interest groups within the population who utilise health and social care services and supports (including carers). A range of internal officers and external partners were participating in these activities in addition to the activities listed above that were being led by the Partnership.

The Integration Joint Board agreed:-

(i) to note the extension of the consultation period and activity across the Partnership to promote and support engagement in the consultation process.

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

(ii) to note that Dave Berry would issue the proposed draft response from the Partnership to the membership of the Integration Joint Board prior to submission to the Scottish Government; and

(iii) to note as indicated by the Chief Officer that this response comprehensively captured the views expressed at development sessions and stakeholder facilitated sessions.

XII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER ANNUAL REPORT

There was submitted Report No DIJB54-2021 by the Chief Finance Officer providing the Integration Joint Board with an overview of the Annual Strategic Risk Register Report and to give an update of work ongoing to update the Dundee Health and Social Care Partnership Strategic Risk Register, development of a COVID-19 Risk Register, and the Tayside Risk Management meeting.

The Integration Joint Board agreed:-

(i) to note the work undertaken throughout the year in relation to Strategic Risk Management as set out in section 4.0 of the report;

(ii) to note the description of the most recent highest risks identified and reflected in the updated Strategic Risk Register as being Staff Resource and Dundee Drug and Alcohol Service as set out in sections 5.1 to 5.3 of the report; and

(iii) to note the emergent risk for Mental Health services as outline in section 5.5 of the report; and

(iv) to note the most up to date extract from the Strategic Risk Register as set out in Appendix 1 to the report.

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

(v) to note following enquiry from Bailie Wright the explanation from Dave Berry in relation to the content of the Financial Implications Section of the report in light of the Risks indicated in the Appendix to the report and that the Pentana reporting system was used for reporting risks and that he would look to insert information on reporting period in future reports for clarity;

(vi) to note following enquiry from Dr Fletcher in relation to the high risks identified in the report and that given this was an annual report what opportunities there would be for the Integration Joint Board in terms of Governance to receive updates to allow for further scrutiny over the year the reply from Dave Berry that the Integration Joint Board would receive further updates and that the Performance and Audit Committee also received and scrutinised reports on Risk Management and Risk Strategy in this regard and that as requested by Trudy McLeay that information on high risks considered by the Committee be included in the Chairs Assurance Report to the Integration Joint Board from now on so as to keep the membership of the Integration Joint Board appraised of these matters;

(vii) to note that in relation to information in relation to the significant risk indicated for the redesign of Dundee Drug Alcohol Recovery Service that Dave Berry would look at this with Diane McCulloch and Raymond Marshall outwith the meeting; and

(viii) to note following question from Martyn Sloan on access to the Risk Register by the Membership of the Integration Joint Board the advice of Dave Berry that Clare Lewis-Robertson was working with Pentana on this to allow external members access.

XIII CARERS STRATEGY A CARING DUNDEE 2 2021/2024

There was submitted Report No DIJB49-2021 by the Chief Officer submitting the revised carers strategy A Caring Dundee 2 2021/2024, for approval.

The Integration Joint Board agreed:-

(i) to note the content of this report, including the summary of the engagement activity that had supported the co-creation of A Caring Dundee 2 with carers as detailed in section 4.2 of the report;

(ii) to approve the revised carers strategy, A Caring Dundee 2 as detailed in Appendix 1 of the report;

(iii) to approve the summary document, A Caring Dundee 2 as detailed in Appendix 2 of the report;

(iv) to instruct the Chief Officer, working in collaboration with the Carers Partnership, to develop a delivery plan and performance framework to support the implementation of A Caring Dundee 2 and submit this to the IJB for approval not later than 31st March, 2022;

(v) to approve the planned approach to formatting, publication and distribution as detailed in section 4.4.1 of the report;

(vi) to note the snapshot of the Strategic Needs Assessment as outlined in Appendix 3 of the report; and

(vii) to instruct the Chief Officer to issue directions to NHS Tayside and Dundee City Council as set out in section 8 of the report.

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

(viii) to note the observation of Donald McPherson on the importance of including measures of success within the Strategy with these aligned to the outcomes;

XIV STRATEGIC AND COMMISSIONING PLAN STATUTORY REVIEW TIMETABLE

There was submitted Agenda Note DIJB51-2021 referencing that in June 2021, the IJB considered a paper relating to the impact of the pandemic on the implementation of the Partnerships Strategic and Commissioning Plan and plans for progressing the statutory review of the plan by 31st March 2022 (Article VIII of the minute of the meeting of this Integration Joint Board held on 23rd June 2021 refers). At that time the Chief Officer was instructed to provide further detail to the Integration Joint Board regarding the confirmed approach and timeline for the statutory review having taken advice from the Strategic Planning Advisory Group.

It was reported that the Strategic Planning Advisory Group convened in early August 2021 to agree a realistic approach to completing the statutory review considering the ongoing pressures associated with pandemic response and recovery, timescales for a range of key local and national policy and planning developments (including the consultation regarding the National Care Service) and resources available within the Strategy and Performance Service to support the statutory review. The Group also considered content within the Integration Joint Boards Annual Internal Audit Report 2021/2022 that focussed on the strategic and commissioning plan. The timescale and approach agreed by the group is set out below:

August 2021

Completion of draft of revised strategic needs assessment, consideration of draft and headline findings by Strategic Planning Advisory Group and collation of feedback on draft throughout August and early September.

Finalise re-assessment of the impact of COVID-19 on the delivery of the current strategic and delivery plan and consider headline themes / issues from this exercise. This had been completed.

September 2021

Briefing session for the Strategic Planning Advisory Group and Integration Joint Board members regarding proposals set out in the National Care Service Consultation, including opportunities to identify short, medium and long-term potential impacts that impact on the content of the strategic and commissioning plan. This was planned for 28th September 2021.

Revision and resubmission of the Partnerships COVID remobilisation plan as an accompanying document to NHS Taysides remobilisation plan submission to the Scottish Government. This was completed on 24th September 2021.

Desktop review of recently agreed plans for Dundee Strategic Planning Groups and significant transformation and change programmes (for example, the Primary Care Improvement Plan), and of strategic and commissioning plans recently published by other Partnerships across Scotland.

October / November 2021

Strategic Planning Advisory Group to meet to consider key themes and issues from activity undertaken to date and on the purpose of the strategic and commissioning plan with a view to making an initial recommendation about the need to replace or revise the current plan or that it is fit for purpose and requires no further work.

Consultation sessions with Strategic Planning Groups on the initial recommendation from the Strategic Planning Advisory Group and also on the future of the strategic planning group structure required to deliver the plan.

Consultation with LCPPs and other relevant local community planning networks / fora on the initial proposal from the Strategic Planning Advisory Group.

December 2021

Collation, consolidation and report writing. Including consultation on draft report to Integration Joint Board making final recommendation on the outcome of the statutory review.

February 2022

Report to Integration Joint Board with firm recommendation on outcome of the statutory review.

February 2022

Strategic Planning Advisory Group reconvenes to consider Integration Joint Board decision and to make any plans required at that stage to complete work to revise or replace the existing plan.

If a recommendation was made and agreed by the Integration Joint Board to revise or replace the current plan there was no timescale set-out in the legislation for the completion of this work. Were this to be required the Strategic Planning Advisory Group would make further detailed proposals to the Integration Joint Board regarding the timescale and approach in early 2022.

The Integration Joint Board agreed to note the timeline and planned approach for completion of the statutory review.

XV FINANCIAL MONITORING POSITION AS AT AUGUST 2021

There was submitted Report No DIJB52-2021 by the Chief Finance Officer providing an update of the projected 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 projected financial position for delegated services to the 2021/2022 financial year end as at 31st August 2021 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.

XVI ANNUAL COMPLAINTS PERFORMANCE

There was submitted Report No DIJB53-2021 by the Chief Finance Officer providing an analysis of complaints received by the Dundee Health and Social Care Partnership over the past financial year 2020/2021. 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 2020/2021 Dundee Health and Social Care Partnership complaint performance as detailed in section 5 onwards of the report;

(ii) to note that the report was submitted in a different format to previous years to comply with the SPSO request for specific data within the report; and

(iii) to note the associated risk assessment as detailed in section 6.

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

(iv) to note following enquiry from Donald McPherson in relation to section 13.1 of the report that Dave Berry would arrange for a breakdown on figures on the number of complaints not upheld and partially upheld to be provided to the membership.

XVII MEETINGS OF THE INTEGRATION JOINT BOARD 2021 - ATTENDANCES

There was submitted a copy of the Attendance Return for meetings of the Integration Joint Board Report No DIJB57-2021 held to date over 2021.

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

XVIII PROGRAMME OF MEETINGS INTEGRATION JOINT BOARD AND PERFORMANCE AND AUDIT COMMITTEE -2022

(a) INTEGRATION JOINT BOARD

The Integration Joint Board agreed that the programme of meetings for the Integration Joint Board over 2022 be as follows:-

Wednesday 23rd February, 2022 - 10.00am

Wednesday 25th March, 2022 -10.00am (Budget Meeting)

Wednesday 20th April, 2022 - 10.00am

Wednesday 22nd June, 2022 - 10.00am

Wednesday 24th August, 2022 - 10.00am

Wednesday 26th October, 2022 - 10.00am

Wednesday 14th December, 2022 - 10.00am

(b) PERFORMANCE AND AUDIT COMMITTEE

The Integration Joint Board agreed that the programme of meetings for the Performance and Audit Committee over 2022 be as follows:-

Wednesday 2nd February, 2022 - 10.00am

Wednesday 23rd March, 2022 10.00am

Wednesday 20th July, 2022 10.00am

Wednesday 28th September, 2022 10.00am

Wednesday 23rd November, 2022 10.00am

XIX 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 15th December, 2021 at 10.00 am.

Trudy MCLEAY, Vice Chairperson.