Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 23rd February, 2022.

Present:-

Members	Role
Ken LYNN (Chairperson)	Nominated by Dundee City Council (Elected Member)
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 Anne BUCHANAN	Nominated by Health Board (Non-Executive Member) Nominated by Health Board (Non-Executive Member)
Vicky IRONS	Chief Officer
Dave BERRY	Chief Finance Officer
David WILSON	Registered Medical Practitioner (whose name is included in the list of primary medical services performers)
Sarah DICKIE	Registered Nurse
Diane MCCULLOCH	Chief Social Work Officer
Raymond MARSHALL Jim MCFARLANE	Staff Partnership Representative Trade Union Representative
Eric KNOX	Third Sector Representative
Martyn SLOAN	Person proving unpaid care in the area of the local authority
Emma FLETCHER	Director of Public Health
David SHAW	Clinical Director

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

Christine JONES	Partnership Finance Manager
Jenny HILL	Head of Health and Community Care
Alan SMALL	Independent Chair, MAPPA Strategic Oversight Group
Elaine TORRANCE	Independent Convenor, Dundee Adult Support and Protection Committee and Independent Chair, Dundee Child Protection Committee
Glyn LLOYD	Head of Integrated Childrens Services and Community Justice
Joyce BARCLAY	Senior Officer, Strategy and Performance
Shona HYMAN	Dundee Health and Social Care Partnership
Linda GRAHAM	Interim Director of Psychological Therapies, NHS Tayside
Anne Marie MACHAN	Audit Scotland Representative (Audit Manager)
Kathryn SHARP	Strategy and Performance Service Manager

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES

Apologies for absence were submitted on behalf:-

James COTTON

Registered Medical Practitioner (not providing primary medical services)

II DECLARATION OF INTEREST

There were no declarations of interest.

III MEMBERSHIP

(a) APPOINTMENT VOTING MEMBER

It was reported that Trudy McLeay would be retiring from NHS Tayside Board on 31st March, 2022 and that NHS Tayside Board have nominated Pat Kilpatrick as replacement Voting Member on the Integration Joint Board effective from 1st April, 2022.

The Integration Joint Board agreed to note the position and that her replacement on the Integration Joint Board would be Pat Kilpatrick.

The Chair took the opportunity to pay tribute to Ms McLeay for the personal contribution she had made over her term of membership both in the capacity as Chairperson and Vice Chairperson.

(b) RESIGNATION NON VOTING MEMBER

It was reported that Linda Gray had tendered her resignation as a Non Voting Member on the Integration Joint Board effective from 7th February, 2022. Ms Gray had been appointed to the Integration Joint Board in the capacity of Service User Representative.

The Integration Joint Board agreed to note the position and that notification of her replacement would be reported in due course.

The Chair took the opportunity to pay tribute to Ms Gray for the personal contribution she had made as a member of the Integration Joint Board

It was reported that Eric Knox would be retiring from Dundee Volunteer and Voluntary Action on 31st March, 2022 and that the Integration Joint Board would be advised of proposed replacement Third Sector Representative in the capaicty as Non Voting Member in due course.

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

The Chair took the opportunity to pay tribute to Mr Knox for the the personal contribution he had made over the period of his membership on the Integration Joint Board.

IV MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of meeting of the Integration Joint Board held on 15th December, 2021 was submitted and approved subject to adjustment to reflect that Anne Buchanan was present.

(b) ACTION TRACKER

The Action Tracker DIJB14-2022 for meetings of the Integration Joint Board was submitted and noted.

V PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 2ND FEBRUARY, 2022

The minute of the previous meeting of the Performance and Audit Committee held on 2nd February, 2022 was submitted and noted for information and record purposes.

(b) CHAIRPERSONS ASSURANCE REPORT

There was submitted Report No DIJB15-2022 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.

VI COVID ASSESSMENT CENTRE

There was submitted an Agenda Note DIJB33-2022 reflecting on the establishment and operation of the Covid Assessment Centre at Kings Cross Hospital, Dundee as the service drew to a close.

It was reported that the service was originally established over the first weekend of the emerging pandemic in 2020, and had coordinated community based assessment and care in Partnership with Tayside General Practices throughout the Pandemic.

Having heard the personal reflections of Dr David Shaw and the Chief Officer on the commitment of all staff involved in the operation of the Centre the Integration Joint Board agreed to note the commitment and work undertaken by all involved in the establishment and operation of the Covid Assessment Centre and that their grateful thanks be extended to all of the original team who used their initiative to establish the new centre, to the Health and Social Care Partnership management leads, to the Out of Hours operational and clinical teams, to GP practices, to the nursing teams to the services areas who worked flexibly across the Kings Cross site, to estates, to IT, to facilities and cleaning staff, and to all the colleagues from other services who helped at the peak of the pandemic.

VII RYEHILL MEDICAL CENTRE

Vicky Irons, Shona Hyman and Dr David Shaw gave a verbal update on the recent announcement that that Ryehill Medical Practice in Dundee had given notice to terminate its contract with NHS Tayside with effect from 30th June, 2022.

It was reported that as with many practices across Scotland, Ryehill Medical Practice had been affected by the national shortage of GPs and unfortunately, they had been unable to recruit partners or salaried staff to a point they were unable to provide safe and effective care.

There were currently 5,400 patients registered with the practice. Almost one third were in the 20-30 age group, reflecting the student population locally. However, mapping had demonstrated a spread of patients across Dundee, and peripheral areas.

NHS Tayside Primary Care Services Department had written to patients at the Practice to advise them of this situation and to outline the next steps to ensure they had continued safe and sustainable access to a GP.

When a practice gave notice to stop providing services, the Health Board has a responsibility to ensure that safe primary care services were provided to the local population. NHS Taysides main priority was to ensure that patients who were currently registered at Ryehill Medical Practice had continued access to a GP in their local area.

NHS Tayside and Dundee Health and Social Care Partnership were working together to ensure that patients could access local GP and primary care services from 1st July, 2022.

They were working together to explore and develop options to be able to continue to deliver safe and sustainable primary care services in the local area.

The practice would continue to be fully operational up until 30th June, 2022, with the GPs continuing to practice from Ryehill Medical Practice and there was no need for patients to take any action at this time as everyone would continue to be looked after by the GPs and staff at Ryehill Medical Practice. Any new patients moving to the area would be able to register with a nearby GP practice.

The Integration Joint Board agreed to note that they would be updated throughout the process with details of the arrangements that had been made for ongoing care and treatment.

The Integration Joint Board agreed to note the content of the briefing and that it was intended to submit a paper on recommendations on the way forward to meeting of the Integration Joint Board to be held on 20th April, 2022.

VIII DUNDEE ADULT SUPPORT AND PROTECTION COMMITTEE MID TERM REPORT

There was submitted Report No DIJB2-2022 by the Independent Convenor, Dundee Adult Support and Protection Committee submitting for information the Adult Support and Protection Committee Independent Convenors Mid-Term Report for the period April 2020 to March 2021, which was attached to the report as Appendix 1.

The Integration Joint Board agreed:-

(i) to note the content of the report and of the Independent Convenors Mid-Term Report April 2020 to March 2021, which was attached to the report as Appendix 1;

(ii) to note the progress achieved in response to the recommendations made by the Independent Convenor in the Biennial Report 2018/2020 as outlined in section 4.4 of the report; and

(iii) to note the areas for improvement identified within the annual report which were to be incorporated into the Adult Support and Protection Committees delivery plan as outlined in section 4.5 of the report.

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

(iv) to note following enquiry from Bailie Wright the advice of Elaine Torrance that in relation to Fire Deaths evacuations plans were being established for people being discharged from hospital and that over the period of the Pandemic the Adult Support and Protection Committee had met more frequently and were continually updated in relation to Care Home arrangements in the interests of residents and hidden harm such as scam phonecalls and that a development plan would address all concerns expressed in inspection report;

(v) to note following eqnuiry from Trudy McLeay in relation to new regulations for the Smoke and Fire Alarm installataion in people homes to reduce the possibility of fire deaths and costs in this regard that Diane McCulloch would establish what financial support there was available to people for this and in particular those on low incomes;

(vi) to note following enquiry from Ms McLeay that there was sugnificant partnership work undertaken across the range of agencies in Tayside and that individual authorities may work together to progress a particular piece of work;

(vii) to note the assurance given by Sarah Dickie that the Clinical and Professional Oversight Group of NHS Tayside would be made aware of any concerns raised in relation to the care of residents in Care Homes;

(viii) to note following enquiry from Donald McPherson in relation to the time period reflected in the mid term report ending March 2021 that Elaine Torrance would take look at the possibility of reporting being made at an earlier stage and that new guidance on the content of reports was awaited from the Scottish Government;

(ix) to note following enquiry from Donald McPherson in relation to the content of the report in terms of governance and process the possibility of addressing the objectives, work undertaken to reach those objectives and outcomes achieved narrated within the beginning of the report that Elaine Torrance would take note of this for future reports; and

(x) to note following enquiry from Donald McPherson in relation to the majority of referrals being made by Police Scotland and those that didnt meet the three point test and whether or not ths required further examination the explanation from Diane McCulloch as to how referrals were handled by the First Contact Team upon receipt.

IX ARRANGEMENTS FOR MANAGING HIGH RISK OFFENDERS

There was suibmitted Report No DIJB4-2022 by the Independent Chair, Tayside MAPPA Strategic Oversight Group submitting for information the twelfth Annual Report on arrangements for managing high risk offenders across Tayside over the period 1st April, 2020 to 31st March, 2021.

The Integration Joint Board agreed;-

(i) to note the content of the report and the ongoing developments in relation to the risk assessment and risk management of high risk of harm offenders and the content of the Annual Report which was attached to the report as an Appendix.

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

(ii) to note following enquiry from the Chairperson the explanation from Alan Small on access and operation of the Visor system over the period of the Pandemic;

(iii) to note following enquiry from Bailie Wright in relation to progress on Significant Case Reviews, changes to MAPPA guidance and the rate of court convictions over the Pandemic period the advice of Alan Small and Glyn Lloyd that there was currently one review which was outstanding due to awaiting revised MAPPA Guidance and that there would be a period of grace before the new guidance was implemented to allow for local partners tp put in place any procedures required and that the flow of court business would continue to be monitored and that although the pandemic had impacted on court settings police bail conditions still applied as people were managed through the justice system;

(iv) to note following enquiry from Bailie Wright the advice of Alan Small that the evidence relayed to the MAPPA Strategic Oversight Group partners on changes made and how these were implemented helped to give assurance to the Strategic Oversight Group of positive outcomes; and

(v) to note following enquiry from Donald McPherson the advice of Martin Dey that both the approach in Angus Council and Dundee City Council was welfare led in terms of offender management.

X DUNDEE CHILD PROTECTION COMMITTEE ANNUAL REPORT 2021

There was submitted DIJB1-2022 by the Independent Chair, Dundee Child Protection Committee presenting the Integration Joint Board with the Dundee Child Protection Committees Annual Report 2021.

The Integration Joint Board agreed:-

(i) to note the content of the report and the annual report, including key achievements and challenges over the August 2020 to July 2021 period which was outlined in the annual report which was attached to the report as Appendix 1;

(ii) to note the progress that had been made in developing an effective partnership response to Child Protection issues in the city as outlined in section 4.5 of the report; and

(iii) to note the areas for improvement identified within the annual report which would be incorporated into the Child Protection Committees delivery plan as outlined in section 4.6 of the report.

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

(iv) to note following enquiry from Bailie Wright the advice of Elaine Torrance it was anticipated that the delivery plan would be finalised after April 2022 and that a development session would establish priorities for the following year;

(v) to note following enquiry from Bailie Wright the explanation from Glyn Lloyd on the focus of contact with children of concern and their families over the Pandemic and the referral process and the work of the Hidden Harm Group in this regard;

(vi) to note following enquiry from Bailie Wright on the positive outcomes of the inspection and the work undertaken by staff to achieve this that as advised by Glyn Lloyd a number of areas of work developed over the pandemic would be retained;

(vii) to note following enquiry from Trudy McLeay in relation to there being 19% of unborn babies in Dundee registered on the child protection register in comparison to the Scottish average being 4% the explanation from Elaine Torrance and Glyn Lloyd that this was due to a number of factors including the unborn baby protocol, earlier intervention in Dundee, demographics and a range of interventions undertaken in Dundee at targeted support an identification of risks;

(viii) to note following enquiry from Bailie Wright on the high level of domestic abuse in Dundee the advice of Elaine Torrance on the range of interventions in place and joint working with Dundee Violence Against Women Partnership and other Multi Agency work being undertaken and that Kathryn Sharp would be happy to provide further information to members on this outwith the meeting; and

(ix) to note the suggestion by Councillor Short in relation to the success of the Food Insecurity Network and other innovations run by the Third Sector that this may allow for awareness raising information on the Violence Against Women Partnership to be circulated to households on help available and as indicated by Eric Knox as a means of using the network more to influence critical services for the vulnerable.

XI JOINT INSPECTION OF SERVICES FOR CHILDREN AT RISK OF HARM IN DUNDEE CITY FINDINGS AND IMPROVEMENT PLANS

There was submitted Report No DIJB3-2022 by the Independent Chair, Dundee Child Protection Committee informing the Integration Joint Board of the findings of the Joint Inspection of Services for Children at Risk of Harm in Dundee City, published by the Care Inspectorate on 11th January, 2022, and outlining improvement plans arising from these findings.

The Integration Joint Board agreed:-

(i) to note the content of the inspection report published by the Care Inspectorate which was attached to the report as Appendix 1;

(ii) to note the summary of inspection findings, including areas of strength and areas for improvement provided as outlined in sections 4.3 and 4.5 of the report; and

(iii) to note the multi-agency approach to improvement planning that had been progressed since notification of inspection findings and the improvement plan approved by the Dundee Chief Officers Group and to be submitted to the Care Inspectorate as outlined in section 4.6 and Appendix 2 of the report.

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

(iv) to note following enquiry from Bailie Wright the advice of Elaine Torrance that video had been prepared for staff briefing them on the positive outcomes from the inspection and congratulating them for their efforts in this regard in which had been the first inspection taken place in Scotland and that a multi agency work place briefing had also been issued to all staff together in parallel to the work being undertaken by a Sub Group which would look at ways to further communicate with staff;

(v) to note following enquiry from Bailie Wright the advice of Elaine Torrance that a development session would be held to look at inspection priorities in terms of the development plan and that if any additional capacity was required this would be raised with the Chief Officers Group;

(vi) to note as indicated by Trudy McLeay the importance of Stakeholder engagement feedback which she considered was a positive way forward and the advice of Elaine Torrance that engagement was being undertaken with youngsters;

(vii) to note the suggestion of Donald McPherson in terms of improvement areas for outcomes to be indicated and how these would be measured;

XII FAIRER WORKING CONDITIONS HOME CARE

There was submitted DIJB5-2022 by the Chief Officer updating the Integration Joint Board regarding ongoing work to consistently implement good practice principles for fairer work with commissioned providers of home care services.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the good practice principles for fairer work that had been identified in section 4.2 of the report; and

(ii) to note the progress that had been achieved to date and approach to working in partnership with commissioned providers to consistently implement these principles across the home care workforce.

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

(iii) to note the disappointment of the Integration Joint Board that one service provider had not responded to the audit undertaken;

(iv) to note that both Jim McFarlane and Raymond Marshall would welcome the opportunity in discussion with Jenny Hill to meet with each of the service providers to promote and make them aware of the benefits of Union involvement within the workplace not only for their staff but for the equal benefit of service users;

(v) to note as indicated by Donald McPherson the need for service providers to be encouraged to maintain these principles of fair working conditions and for these to be audited periodically;

(vi) to note following enquiry from Martyn Sloan that Jenny Hill and Dave Berry would examine how requirements may be provided for and worded in contractual arrangements going forward; and

(vii) to note that Cllr Short was on the Living Wage Steering Group and would meet with Raymond Marshall outwith the meeting to examine further living wage accredidation within NHS Tayside.

XIII STRATEGIC AND COMMISSIONING PLAN 2019/2022 STATUTORY REVIEW

There was submitted Report No DIJB6-2022 by the Chief Officer informing the Integration Joint Board that the Strategic Planning Advisory Group had completed their work in reviewing the Strategic and Commissioning Plan 2019/2022 and recommending the current plan be extended for a further one year period 2022/2023.

The Integration Joint Board agreed:-

(i) to note the work undertaken by the Strategic Planning Advisory Group to progress the statutory review of the Strategic and Commissioning Plan 2019/2022, including engagement with partners and the public as outlined in sections 4.4 and 4.5 of the report; and

(ii) to approve the Strategic Planning Advisory Groups recommendation to extend the Strategic and Commissioning Plan 2019-2022 for a further one year period, to end on 31st March, 2023, retaining the current vision and strategic priorities but including revised actions as outlined in section 4.5 and appendices 1, 2 and 3 of the report thereby completing the statutory review of the strategic plan required under Section 37 of the Joint Working (Public Bodies) (Scotland) Act 2014.

XIV PREVENTION OF HOMELESSNESS DUTIES A JOINT SCOTTISH GOVERNMENT AND COSLA CONSULTATION

There was submitted Agenda Note DIJB7-2022 referring to September 2017, when the First Minister set out a new commitment to eradicate rough sleeping, transform the use of temporary accommodation in Scotland and end homelessness. Ministers subsequently established the Homelessness and Rough Sleeping Action Group (HARASAG) to make recommendations on how these changes could be achieved. In response to those recommendations, in November 2018, the Scottish Government and COSLA published the Ending Homelessness Together action plan (updated in October 2020), which included a commitment to develop wide-reaching prevention duties. At the request of the Scottish Government, Crisis convened the Prevention Review Group, chaired by Professor Suzanne Fitzpatrick, to develop recommendations for legal duties on Scottish local authorities and wider public bodies to prevent homelessness. The recommendations of the Prevention Review Group were published in February 2021 (https://www.crisis.org.uk/media/244558/preventing-homelessness-in-scotland.pdf) and were now subject of a joint consultation by the Scottish Government and COSLA.

The consultation aimed to support the introduction of legislation as part of the upcoming Housing Bill in year two of the current Parliament, which would lead to system change and person-centred and trauma-informed service responses to meet individual needs to better prevent homelessness. The consultation invited views in two broad areas:

1. Introducing new duties (through a Housing Bill expected in 2023) on a range of public bodies and landlords to prevent homelessness, particularly by asking and acting on a risk of homelessness, as well as responsibilities relating to strategic and joint planning.

2. Changing existing homelessness legislation to ensure homelessness is prevented at an earlier stage, including a proposal to extend the duty to take reasonable steps to prevent homelessness p to six months before, to maximise the housing options available to people and to prescribe what reasonable steps may include.

The consultation period was until 31st March, 2022. The consultation document and supporting information could be accessed at: https://www.gov.scot/publications/prevention-homelessness-duties-joint-scottish-government-cosla-consultation/documents/.

The consultation included proposals that had a direct and indirect impact on Integration Joint Boards. This included proposing new statutory responsibilities specifically for health and social care partnerships/integration authorities, social workers and for GPs, as well as seeking views on how any new responsibilities might be best implemented in practice. Proposals also covered aspects such as case co-ordination and joint planning that impact upon how health and social care services and practitioners work in partnership with other public and third sector partners.

Through discussion with partner organisations it had been agreed that work would take place through the Homelessness Partnership (a strategic planning group of the HSCP) to develop a partnership response to the consultation wherever possible. However, it had also been noted that individual partners, including the Health and Social Care Partnership, may decide to submit separate responses on specific matters directly impacting their functions.

The Integration Joint Board agreed:-

(i) to note the consultation and intended approach to developing a response.

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

(ii) to note observation of Trudy McLeay on impact of homelessness on Mental Health and the possibility of the Listening Service being used as a means of directing people to contact services the advice of Kathryn Sharp that it was recognised that Dundee had progressive developments and innovative work in place in terms of best practice and that this would be reflected in the draft response which would be shared with the membership prior to being submitted.

XV REVISION OF DUNDEE HEALTH AND SOCIAL CARE INTEGRATION SCHEME

There was submitted Agenda Note DIJB8-2022, referring to December 2020, when 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). The report provided to the Integration Joint Board at that time set out the intended approach to the preparation of a revised scheme and committed to providing an update on progress no later than 31st March, 2021. A further update was provided to the Integration Joint Board in August 2021 on the progress of work to prepare a revised scheme (Article VI of the minute of the meeting of the Dundee Integration Joint Board held on 25th August, 2021 refers).

The work to progress the production of a revised scheme had continued to progress more slowly than had originally been intended. This had largely been due to the continued pressures on all parties arising from the pandemic, including the most recent surge in infections.

At the current time the following key areas of progress had been achieved:

- All sections of the scheme had now been reviewed and proposed amendments identified. This had been progressed through consultation with relevant stakeholders, from example the Tayside GIRFE Group which led on discussions and the Directors of Finance / Chief Finance Officer Group.

- A draft of the proposed revised integration scheme for each Integration Joint Board had been submitted to the Tayside Chief Executives Group for consideration.

The next step in the process of completing the revision of the scheme was the approval of the draft scheme by NHS Tayside Board and Dundee City Council for public consultation. Sections 46 (4) and 46 (5) of the Public Bodies (Joint Working) (Scotland) Act 2014 required the Health Board and local authority to jointly consult on the draft revised scheme and to take into account views expressed in finalising the scheme prior to it being submitted to Scottish Ministers for approval. The timeline for submission of the draft scheme to NHS Tayside Board and Dundee City Council and subsequent consultation was being considered by the Tayside Chief Executives Group. The revised scheme was required to be submitted to Scottish Ministers for approval no later than June 2022.

The Integration Joint Board agreed to note the updated position.

XVI PSYCHOLOGICAL THERAPY SERVICES STRATEGIC UPDATE

There was submitted Report No DIJB9-2022 by the Chief Officer providing the Integration Joint Board with a strategic update on Psychological Therapy and Psychotherapy Services, delivering care and treatment across Angus, Dundee and Perth. These services were hosted within the Dundee Health and Social Care Partnership.

The Integration Joint Board agreed:-

(i) to note the contents of the report;

(ii) to approve the proposal to develop a Psychological Therapies Strategic and Commissioning Plan as outlined in section 4.10 of the report;

(iii) to note the intention to establish a Tayside Psychological Therapies Strategic Commissioning Group as outlined in section 4.12 of the report; and

(iv) to remit to the Chief Officer to submit a further Psychological Therapy Services strategic update, including a draft Strategic Plan, to a future Integration Joint Board meeting for approval.

XVII SUPPORTING PEOPLE WITH LEARNING DISABILITIES STRATEGIC UPDATE

There was submitted Report No DIJB10-2022 by the Chief Officer briefing the Integration Joint Board about the development of a new Strategic and Commissioning Plan to support people with learning disabilities and their unpaid family carers in Dundee and associated pan Tayside developments.

The Integration Joint Board agreed:-

(i) to note the work that had been undertaken to develop a draft Strategic Plan discussion document as outlined in Appendix 1 of the report;

(ii) to note the Engagement Plan as outlined in Appendix 2 of the report that would support further co-production between March and June 2022;

(iii) to note the pan Tayside work which was underway to improve outcomes for people with learning disabilities and neurodiversity as outlined in sections 4.11 and 4.12 of the report; and

(iv) to remit to the Chief Officer to submit a report to update the Integration Joint Board on the engagement outcomes and to present a final draft Strategic and Commissioning Plan for approval to the meeting of the Integration Joint Board to be held in August 2022.

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

(v) to note following enquiry from Martyn Sloan in relation to working group engagement time line the advice of Joyce Barclay that an on line session had been arranged and that this was primarily aimed at workforce and that Carers would also be welcome to participate.

XVllI COMMUNITY WELLBEING CENTRE DEVELOPMENT

There was submitted Agenda Note DIJB13-2022 referring to a report which was submitted to Dundee Integration Joint Board in April 2021 outlining the plans to develop a Community Wellbeing Centre as part of broader developments in the provision of mental health crisis and urgent care in Tayside. At that time, it was envisaged that it would take up to 12 months for the development to realise, with project completion for the end March 2022.

A potentially suitable building to host the Centre was identified in April/ May 2021, and a specification submitted to Hillcrest in June 2021. In August 2021, Hillcrest provided initial plans which were revisited as the space on offer was potentially tight in relation to the specification. Hillcrest undertook further work on plans and submitted revised proposals to the Dundee Health and Social Care Partnership in October 2021. These plans were agreed and discussions moved to agree the capital costs that would be incurred in order to progress plans.

Following discussions in Autumn, anticipated capital costs increased from the initial assumption and work had been ongoing to identify ongoing rent costs and revenue requirements around staffing.

Hillcrest had now secured agreement from their Board to proceed with the capital works, on the basis of costs being met by both Hillcrest and the Dundee Health and Social Care Partnership. Work was also underway to determine the value of the contract for a voluntary sector provider to run the Centre. Financial planning for the Centre would consider projected revenue costs and potential available funding which was likely to come from new Scottish Government funding for Mental Health and/or social care.

Hillcrest would progress the work on the building, including the detailed design and tender stage prior to construction. Given the current building delays, related to the provision of building materials and manpower at this time, Hillcrest had advised that the work would not be completed within the original deadline of March 2022. They had provided assured that once budget approvals were in place, this would be progressed as quickly as possible and they would advise of anticipated timescales for completion once this is clearer.

A stakeholder group had been in operation since November 2021 and would be fully involved in co-producing the service specification for the Centre. Dundee Volunteer and Voluntary Action would lead on the stakeholder group processes, and would engage with community groups and Health and Wellbeing networks through a conversation cafe model from the end January to early February. A series of questions about how the Centre should look; feel and what should happen there had been developed by Dundee Volunteer and Voluntary Action and would be used to gather as many views as possible. The Stakeholder Group would review all contributions and it was anticipated that the invitation for organisations to tender wouldl be distributed in early March. A Prior Information Notice was due to be sent out imminently to potential organisations who would be interested. The delay in invitation to tender, would mean that an organisation would not be awarded the contract before May/June, however, the benefits of a fully engaged stakeholder group driving the development of the Centre were significant.

Progress continued to be made with the additional support that was linked to the Centre development. The Ambulance vehicle was fully operational, and Penumbra had appointed a manager for the DBI Service and had a detailed implementation plan with associated timeline.

In summary, progress continued to be made, however, the anticipated timescale for the Centre to be operational had now been revised to August 2022.

The Integration Joint Board agreed to note the position.

Following question and answers the Integration Joint Board further agreed to note the observation of Trudy McLeay for continued stakeholder engagement at the centre and the advice of Dave Berry that this was undertaken at a strategic planning level.

XIX FINANCIAL MONITORING POSITION AS AT DECEMBER, 2021

There was submitted Report No DIJB11-2022 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 December, 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 outlined 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 following enquiry from Trudy McLeay that Dave Berry was looking at inpatient mental health services as indicated in the report and how this risk element would be managed across the Tayside Partnerships.

XX DUNDEE INTEGRATION JOINT BOARD 2022/2023 BUDGET DEVELOPMENT UPDATE

There was submitted Report No DIJB12-2022 by the Chief Finance Officer providing an overview of the potential implications of the Scottish Governments Budget 2022/2023 on the Integration Joint Boards Delegated Budget.

The Integration Joint Board agreed:-

(i) to note the content of the report including the potential implications to the delegated budget of the impact of the Scottish Governments Budget on Dundee City Council and NHS Taysides financial settlements as outlined in sections 4.2 and 4.3 of the report;

(ii) to note the provision of additional specific funding from the Scottish Government to support Health and Social Care Integration as outlined in sections 4.2.6 to 4.2.8 of the report; and

(iii) to remit to the Chief Finance Officer to present a proposed budget for 2022/23 for consideration by the Integration Joint Board at its meeting on 25th March, 2022.

XXI MEETINGS OF THE INTEGRATION JOINT BOARD 2021 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB29-2022 for meetings of the Integration Joint Board held over 2021.

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

XXlI 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 Friday, 25th March, 2022 at 10.00 am.

Ken LYNN, Chairperson.