Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 29th March, 2023.

Present:-

Members	Role
Pat KILPATRICK (Chairperson)	Nominated by Health Board (Non Executive Member)
Ken LYNN (Vice Chairperson)	Nominated by Dundee City Council (Elected Member)
Lynne SHORT	Nominated by Dundee City Council (Elected Member)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Anne BUCHANAN	Nominated by Health Board (Non Executive Member)
Sam RIDDELL	Nominated by Health Board (Non-Executive Member)
Dave BERRY	Chief Finance Officer
Sarah DICKIE	Registered Nurse
Vicky IRONS	Chief Officer
Alice KIRKWOOD	Third Sector Representative
Diane McCULLOCH	Chief Social Work Officer
Jim McFARLANE	Trade Union Representative
Martyn SLOAN	Person providing unpaid care in the area of the local authority
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:-

Jenny HILL	Dundee Health and Social Care Partnership
Christine JONES	Dundee Health and Social Care Partnership
Mary OCONNOR	Audit Scotland
Jacquie PEPPER	Perth & Kinross Health and Social Care Partnership
Kathryn SHARP	Dundee Health and Social Care Partnership

Pat KILPATRICK, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members	Role
Christina COOPER	Third Sector Representative
Dr James COTTON	Registered Medical Practitioner (not providing primary medical services)
Emma FLETCHER	Director of Public Health
Raymond MARSHALL	Staff Partnership Representative
Dr David SHAW	Clinical Director
Siobhan TOLLAND	Nominated by Dundee City Council (Elected Member)

II DECLARATION OF INTEREST

There were no declarations of interest.

III APPOINTMENT OF NON-VOTING MEMBER

It was reported that there was currently a vacancy on Dundee Integration Joint Board for a Non-Voting Member in the capacity as Service User residing in the area and that NHS Tayside Public Partners had nominated Liz Goss to fill the vacant position.

The Integration Joint Board agreed to the appointment of Liz Goss as a Non-Voting Member on Dundee Integration Joint Board in the capacity as Service User residing in the area.

IV DUNDEE INTEGRATION JOINT BOARD PROPOSED BUDGET 2023/2024

There was submitted Report No DIJB13-2023 by the Chief Finance Officer advising Dundee Integration Joint Board of the implications of the proposed delegated budget for 2023/2024 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 2023/2024.

Thereafter, Pat Kilpatrick, seconded by Councillor Lynn, moved that the Integration Joint Board:-

(i) notes 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 2023/2024 as set out in sections 4.2 and 4.4 of the report;

(ii) accepts the delegated budget proposed by Dundee City Council as set out in section 4.4 and Table 3 within the report;

(iii) instructs the Chief Finance Officer to report back to the IJB following receipt of formal notification from Tayside NHS Board of the budget offer with associated recommendations including any implications of the finalisation of lead partner services budgets and the Large Hospital Set Aside on the IJBs net budget position;

(iv) notes the range of estimated cost pressures and funding uplifts anticipated to impact on the IJBs 2023/2024 delegated budget as detailed in Appendix 1 of the report;

(v) approves 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 April 2023, as detailed in 4.7.4 of the report, and approved an inflationary uplift of 3% on these Providers non-pay element plus 3% uplift on Contract Values for other Adult Social Providers with effect from April 2023, as detailed in 4.6.5 of the report;

(vi) approves the budget savings and financial support from reserves as outlined in Appendix 2 to the report; and

(vii) remits to the Chief Officer to issue directions as set out in Section 8 of the report.

As an amendment, Councillor McHugh, seconded by Jim McFarlane, moved that in relation to Appendix 2 of the report that point 6 be amended to read Proposed Further Utilisation of Reserves 1200 and point 7 deleted.

On a division there voted for the motion - Pat Kilpatrick, Councillor Lynn, Councillor Short, Anne Buchanan and Sam Riddell (5); and for the amendment Councillor McHugh (1) whereupon the motion was declared carried.

V MENTAL HEALTH AND LEARNING DISABILITY IMPROVEMENT PLAN

There was submitted Report No DIJB15-2023 by the Chief Officer bringing forward a detailed Mental Health and Learning Disability Services Improvement plan for approval. The plan was prepared in response to six recommendations set out in the final report of the Independent Oversight and Assurance Group into Tayside Mental Health Services published in January 2023. It was set in the context of a revised governance structure and work to refine the priorities which had been identified in the Living Life Well Strategy. In line with section 6.6 of the Integration Schemes for Angus, Dundee and Perth and Kinross Integration Joint Boards, the report was submitted by the Lead Partner Chief Officer to each Integration Joint Board for approval, and, subsequently to NHS Tayside Board, before submitting the plan to Scottish Government by end of March 2023.

The Integration Joint Board agreed:-

(i) to approve the Mental Health and Learning Disability Services Improvement Plan which was attached as Appendix 1 to the report;

(ii) to authorise the Chief Officer for Perth and Kinross IJB as Lead Partner to submit the Mental Health and Learning Disability Services Improvement Plan to Scottish Government by 31st March, 2023 following approval by the three Tayside Integration Joint Boards and consideration by NHS Tayside Board;

(iii) to request that the Chief Officer brings forward a further iteration of the Mental Health and Learning Disability Services Improvement Plan for approval by end of June 2023 which includes detailed plans for implementation in relation to the additional four priorities; and

(iv) to note the revised governance arrangements for the Tayside Mental and Learning Disability Whole System Change Programme which was attached as Appendix 2 to the report.

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

(v) to note that the Scottish Government was content with the timelines contained within the Improvement Plan;

(vi) that a progress report in relation to Priority 2 would be submitted to the IJB later in the year;

(vii) that the Chief Officer would co-ordinate a range of options for IJB members to visit mental health services; and

(viii) that the Chief Officer would discuss with Emma Fletcher the possibility of arranging a specific development session for IJB members.

VI MEETINGS OF THE INTEGRATION JOINT BOARD 2023 - ATTENDANCES

There was submitted a copy of the Attendance Return DIJB14-2023 for meetings of the Integration Joint Board held to date over 2023.

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

VII DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Dundee Integration Joint Board would be held remotely on Wednesday 19th April, 2023 at 10.00am.

Pat KILPATRICK, Chairperson.