Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 23rd August, 2023.

Present:-

Members	Role
Ken LYNN (Chairperson)	Nominated by Dundee City Council (Elected Member)
Siobhan TOLLAND	Nominated by Dundee City Council (Elected Member)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Donald McPHERSON	Nominated by Health Board (Non-Executive Member)
Sam RIDDELL	Nominated by Health Board (Non-Executive Member)
Dave BERRY	Chief Finance Officer
Christina COOPER	Third Sector Representative
Emma FLETCHER	Director of Public Health
Suzie FLOWER	Registered Nurse
Liz GOSS	Service User residing in the area
Vicky IRONS	Chief Officer
Diane McCULLOCH	Chief Social Work Offier
Jim McFARLANE	Trade Union Representative
Raymond MARSHALL	Staff Partnership Representative
Dr David SHAW	Clinical Director
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
Shona HYMAN	Dundee Health and Social Care Partnership
Christine JONES	Dundee Health and Social Care Partnership
Kathryn SHARP	Dundee Health and Social Care Partnership

Ken LYNN, Vice-Chairperson, in the Chair.

Prior to commencement of the meeting, the Chair took the opportunity to report that the Community Wellbeing Centre was now open 24 hours a day following a soft launch. It was noted that there would be a more formal launch at a later date.

The Chair also reported that the figures for Drug-related Deaths in Scotland in 2022 had been published on 22nd August, 2023 which showed a reduction in deaths in Dundee from 52 in 2021 to 38 in 2022

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Members	Role
Pat KILPATRICK	Nominated by Health Board (Non-Executive Member)
Dr James COTTON	Registered Medical Practitioner (not providing primary medical services)

II DECLARATION OF INTEREST

Donald McPherson declared an interest in Article X by virtue of being Chair of the Tayside Health Fund.

III MEMBERSHIP APPOINTMENT

It was reported that Anne Buchanan had now left NHS Tayside and that at the meeting of Tayside NHS Board held on 29th June, 2023, it was agreed that Donald McPherson be appointed as a replacement Non Executive Member on the Integration Joint Board

The Integration Joint Board noted the position.

The Board agreed that Donald be appointed as a voting member on the Performance and Audit Committee.

IV MINUTE OF PREVIOUS MEETING

(a) The minute of meeting of the Integration Joint Board held on 21st June, 2023 was submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB50-2023 for meetings of the Integration Joint Board was submitted and noted.

V ANNUAL PERFORMANCE REPORT 2022/23

There was submitted Report No DIJB46-2023 by the Chief Officer submitting the five editions of the Dundee Integration Joint Board Annual Performance Report 2022/2023 for noting following their publication on 28th July, 2023.

The Integration Joint Board agreed:-

(I) to note the content of the report and of the five editions of the Annual Performance Report 2022/2023, available via the hyperlinks in section 4.2.2 and with printable version contained within appendices 1 to 5;

(ii) to note that the Annual Performance Report 2022/2023 was published on 28th July, 2023 following approval by the Chair and Vice-Chair of the Integration Joint Board, the Clerk and the Partnerships Senior Management Team (section 4.2.1); and

(iii) to instruct the Chief Officer to update the Annual Performance Report with financial year 2022/2023 data for all National Health and Wellbeing indicators as soon as data was made available by Public Health Scotland (section 4.2.6).

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

(iv) that consideration would be given to arranging a briefing session for IJB members on understanding the data presented; and

(v) that awareness raising of the NHS whisteblowing policy would take place in the Health and Social Care Partnership.

VI PERFORMANCE AND AUDIT COMMITTEE ANNUAL REPORT 2022/23

There was submitted Report No DIJB44-2023 by the Chief Finance Officer providing the Integration Joint Board with an overview of the activities of the Performance and Audit Committee over 2022/2023.

The Integration Joint Board agreed to note the content of the Performance and Audit Committees Annual Report for the year 2022/2023.

VII ALCOHOL AND DRUG PARTNERSHIP ANNUAL REPORT

There was submitted Report No DIJB45-2023 by the Chief Officer reporting that the Scottish Alcohol and Drug Partnerships (ADP) were asked to complete an annual reporting survey to the Scottish Government. The return was to be approved by the local ADP and by the relevant Integration Joint Board. The purpose of the report was to seek agreement for the final submission to the Scottish Government.

The Integration Joint Board agreed:-

(i) to approve the content of the Dundee Alcohol and Drug Partnership Annual Reporting Survey 2022 23 as attached at Appendix 1; and

(ii) to note that the Dundee ADP had already approved the submission and that a draft report was submitted to the Scottish Government on the 26th June, 2023, to meet the Scottish Government submission date guidelines.

VIII DELIVERY OF PRIMARY CARE IMPROVEMENT PLAN ANNUAL UPDATE

There was submitted Report No DIJB48-2023 by the Chief Officer providing an update on the implementation of the Dundee Primary Care Improvement Plan for 2022/2023 and seeking approval for the continued implementation of the Dundee Primary Care Improvement Plan for 2023/2024.

The Integration Joint Board agreed:-

(i) to note the progress to implement the Dundee Primary Care Improvement Plan 2022/2023 (attached as Appendix 1) and the key achievements as described in Section 4;

(ii) to approve the proposed actions for Dundee Health & Social Care Partnership for 2023/2024 as described in Appendix 1 and note the proposed allocation of funding as detailed in Section 3;

(iii) to note that aspects of the Plan were not fully implemented by March 2023, and that the position for transitionary payments to practices for services they are still delivering was not yet clear; and

(iv) to instruct the Chief Officer to issue directions to NHS Tayside to implement the specific actions relevant to them in Appendix 1.

IX FINANCIAL MONITORING POSITION AS AT JUNE 2023

There was submitted Report No DIJB49-2023 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected year-end financial position for delegated health and social care services for 2023/2024.

The Integration Joint Board agreed to note the content of the report including the overall projected financial position for delegated services for the 2023/2024 financial year end as at 30th June, 2023 as outlined in Appendices 1, 2, and 3 of the report.

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

that the Chief Finance Officer would consider a different format for presenting the support and management costs for the next Financial Monitoring Position report.

X SHAKTI WOMENS AID OUTREACH SERVICE

There was submitted DIJB52-2023 reporting that Shakti Womens Aid was a national organisation specialising in supporting Black and minority ethnic women and children experiencing domestic abuse and honour-based violence. They had provided an outreach service in Dundee for a number of years, supported by two successive allocations from National Lottery funding followed by allocations from Scottish Government and Imkaan (a UK-based organisation dedicated to addressing violence against Black and minoritized women and girls). Funding from these sources came to an end in March 2023; on a short-term basis Shakti were utilising reserves to continue the service in Dundee.

During 2022/2023 Shakti Womens Aid Dundee Outreach Service supported 60 women survivors of gender-based violence; during the year 34 women successfully exited from the service, with 31 women receiving ongoing specialist service support. An evaluation of the service carried out prior to the pandemic found that key benefits of the service included: specialist support to complement work of local service providers and additional expertise regarding immigration rights. Quotes from the evaluation illustrate the impact of the service on women:

Not many agencies understand the cultural issues and the bottlenecks. I was married to my second cousin and there was so much pressure on me. I thought I would lose my child. So, by understanding these sorts of pressures, they were able to help me take it a step at a time.

I had nothing. I had no family here. I had no money. I had no friends because of my husband. My language was not good. I had no nappies for my child. I dont know what I would have done. But I have hope now.

In light of the contribution the project made to the safety and wellbeing of Black and minority ethnic women in Dundee the Chief Officers (Protecting People) Strategic Group were seeking support from public sector bodies to provide funding to Shakti Womens Aid to sustain the Outreach Service for a further 1-year period. This was to allow them to continue to seek alternative funding sources for the project and to plan for a sustainable exit from the service if long-term funding could not be secured. The total annual cost of the project was £45k. Dundee City Council had confirmed a contribution of £15k and NHS Tayside were actively considering the request.

Donald McPherson asked for an assurance that making a charitable donation was within the IJBs authority. Roger Mennie, Clerk and Standards Officer, in his capacity as the Boards Chief Legal Adviser, confirmed that, if agreed to, it would not be in the nature of a charitable donation but in the nature of a contractual relationship with a monitoring process in place to ensure that expected outcomes were delivered in return for the funding. Mr Mennie assured members of the IJB that the proposal was within the IJBs powers to approve and that he had no concerns about the legality of the proposal.

Raymond Marshall highlighted concern that the normal commissioning process wasnt followed in this instance. The Chief Finance Officer advised that the nature of the service was consistent with the IJBs strategic commissioning plan and was supported by strategic planning groups aligned with the delivery of that plan.

Following receipt of these assurances, the IJB approved a non-recurring allocation of £15k from reserves to support the Outreach Service during 2023/2024.

XI MEETING OF THE INTEGRATION JOINT BOARD 2023 ATTENDANCES DIJB51‑2023

There was submitted a copy of the Attendance Return DIJB51-2023 for meetings of the Integration Joint Board held to date over 2023.

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

XII 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, 31st October, 2023 at 10.00am.

Ken LYNN, Vice-Chairperson.