Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 25th March, 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	Nominated by Health Board (Non-Executive Member)
Anne BUCHANAN	Nominated by Health Board (Non-Executive Member)
Vicky IRONS	Chief Officer
Dave BERRY	Chief Finance Officer
Diane McCULLOCH	Chief Social Work Officer
Sarah DICKIE	Registered Nurse
Jim McFARLANE	Trade Union Representative
Martyn SLOAN	Carer Representative
James COTTON	Registered Medical Practitioner (not providing primary medical services)
Michelle MURPHY (for Eric KNOX)	Third Sector Representative
Dr David WILSON	NHS Tayside (Registered Medical Practitioner (whose name is included in the list of primary medical performers)

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

Christine JONES	Finance Manager
Jenny HILL	Head of Health and Community Care
Anne Marie MACHAN	Audit Scotland (Audit Manager)

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members	Role
Dr Emma FLETCHER	NHS Tayside (Director of Public Health)
Dr David SHAW	Clinical Director
Raymond MARSHALL	Staff Partnership Representative
Eric KNOX	Third Sector Representative

II DECLARATION OF INTEREST

There were no declarations of interest.

III POSITION OF VICE CHAIRPERSON - APPOINTMENT

It was reported that at the meeting of NHS Tayside Board held on 24th February, 2022, it was agreed that Pat Kilpatrick be appointed as Vice Chairperson of Dundee Integration Joint Board effective from 1st April, 2022.

The Integration Joint Board agreed to note the position.

IV DUNDEE INTEGRATION JOINT BOARD PROPOSED BUDGET

There was submitted Report No DIJB16-2022 by the Chief Finance Officer advising of the implications of the proposed delegated budget for 2022/2023 from Dundee City Council and indicative budget from Tayside NHS Board and seeking approval for the range of investments and expenditure proposed to set a balanced budget for Dundee Health and Social Care Partnership for 2022/2023.

The Integration Joint Board agreed:-

(i) to note the implications of the proposed delegated budget to Dundee Integration Joint Board from Dundee City Council and indicative delegated budget from Tayside NHS Board for 2022/2023 as detailed in sections 4.2 and 4.5 of the report;

(ii) to accept the delegated budget proposed by Dundee City Council as detailed in section 4.5 and Table 2 of the report;

(iii) to instruct the Chief Finance Officer to report back to the Integration Joint Board following receipt of formal notification from Tayside NHS Board of the budget offered with associated recommendations including any implications of the finalisation of hosted services budgets and the Large Hospital Set Aside on the Integration Joint Boards net budget position;

(iv) to note the range of estimated cost pressures and funding uplifts anticipated to impact on the Integration Joint Boards 2022/2023 delegated budget as detailed in Appendix 1 of the report;

(v) to approve an uplift to staff pay element of Adult Social Care Providers Contract Value to enable the increased hourly wage payment to staff providing direct care with effect from 1st April 2022, as detailed in section 4.7.4 of the report, and approve an inflationary uplift of 2% on these Providers non-pay element plus 2% uplift on Contract Values for other Adult Social Providers with effect from 1st April 2022, as detailed in section 4.7.5 of the report;

(vi) to approve the range of investments set out in the Summary Investments Report as detailed in Appendix 2 of the report;

(vii) to approve the establishment of an earmarked reserve to support the costs associated with the switchover from analogue to digital telecare over 2022/2023 and 2023/2024 through a transfer from general reserve balances as detailed in section 4.10.4 of the report; and

(viii) to remit the Chief Officer to issue directions as detailed in Section 8 of the report.

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

(ix) to note following enquiry from Bailie Wright the assurance given by the Chief Finance Officer that ring fenced monies for Improvement Services would be used as indicated in the report;

(x) to note following enquiry from Donald McPherson in relation to level funding from Scottish Government for switch over from Analogue to Digital the advice of the Chief Finance Officer that all Partnerships were in a similar position and different funding streams were being examined in relation to shortfall required for this in comparison to total cost and the benefits of the continued expansion of Community Alarm service were highlighted;

(xi) to note following enquiry from Donald McPherson in relation to the In-Patient Mental Health Service the advice of the Chief Finance Officer that discussions were ongoing with other partnerships about possible funding routes and that proposals would be submitted to a future meeting of the Integration Joint Board when they were finalised;

 

(xii) to note following enquiry from Sarah Dickie in relation to the position of Refugees from Ukraine the advice of Diane McCulloch that further details on the Family Scheme were awaited and funding and the possible impact on services such as mental health in light of trauma experience was also highlighted, the Chief Finance Officer also explained that contingencies had been built in to the budget for this as may be required given previous experiences of providing for Refugees;

 

(xiii) to note as advised by Trudy McLeay that NHS Tayside had an Equalities and Diversity Person in place within the NHS Translation Service to provide for both Ukrainian and Russian speakers;

 

(xiv) to note as advised by the Chief Finance Officer that the Direction would be reviewed in June 2022 when the final element of the budget from NHS Tayside was in place;

 

(xv) to note the observation from Councillor Short to keep to the budget indicated with a view to not incurring any underspends;

 

(xvi) to note following enquiry from Councillor Short in relation to the positioning of the Custody Unit in Dundee and costs in this respect the advice of Diane McCulloch that a report on this matter would be submitted to meeting of the Integration Joint Board on 29th April 2022 and that a representative of the Scottish Prison Service may be present to answer any questions;

 

(xvii) to note following enquiry from Councillor Short that Diane McCulloch would provide clarification to her outwith the meeting in relation to the financing of Social Worker position advertised for Custody Unit; and

 

(xviii) to note the observation of Trudy McLeay in relation to progressing of Digital Strategies such as Team Medicine the opportunity for Dundee to lead on this and make approach to the Scottish Government in this regard and that Martyn Sloan would welcome and update at a future meeting of the Integration Joint Board on Technology Enabled Care.

 

V MEETINGS OF THE INTEGRATION JOINT BOARD 2022 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB19-2022 for meetings of the Integration Joint Board held to date over 2022.

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

VI 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, 20th April, 2022 at 10.00 am.

 

 

 

 

KEN LYNN, Chairperson.