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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 19th June, 2024.

Present:-

Members

Role

 

Bob BENSON (Chairperson)

Nominated by Health Board (Non-Executive Member)

Ken LYNN (Vice Chair)

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)

David CHEAPE

Nominated by Health Board (Non-Executive Member)

Beth HAMILTON

Nominated by Health Board (Non-Executive Member)

Dave BERRY

Acting Chief Officer

Christina COOPER

Third Sector Representative

Suzie FLOWER

Registered Nurse

Liz GOSS

Service User residing in the area

Christine JONES

Acting Chief Finance Officer

Glyn LLOYD

Chief Social Work Officer

Dr Sanjay PILLAI

Registered Medical Practitioner (not providing primary medical services)

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:-

Sheila ALLAN

Neighbourhood Services

Jenny HILL

Health and Social Care Partnership

Clare LEWIS-ROBERTSON

Health and Social Care Partnership

Jocelyn LYALL

Internal Audit

Lynne MORMAN

Health and Social Care Partnership

Kathryn SHARP

Health and Social Care Partnership

Angie SMITH

Health and Social Care Partnership

Bob BENSON, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member

Role

Emma Fletcher

Director of Public Health

Vicky Irons

Chief Officer

Jim McFarlane

Trade Union Representative

Raymond Marshall

Staff Partnership Representative

Dr David Shaw

Clinical Director

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTE OF PREVIOUS MEETING

(a)                    The minute of meeting of the Integration Joint Board held on 17th April, 2024 was submitted and approved.

(b)                    ACTION TRACKER

The Action Tracker DIJB33-2024 for meetings of the Integration Joint Board was submitted and noted.

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

(i)                     that Jenny Hill would e-mail Councillor McHugh with an explanation of the different strands of work in relation to Mental Heatlh and Learning Disability;

(ii)                    that the Chair and Vice Chair would consider the action tracker in more detail particularly to identify if the timescales were realistic; and

(iii)                    that Development Session dates would be noted on the IJB agenda as a matter of course.

IV PERFORMANCE AND AUDIT COMMITTEE NHS MEMBERSHIP APPOINTMENT

It was reported that there was a NHS non-voting member vacancy on the Performance and Audit Committee due to James Cottons resignation from the Integration Joint Board.  The Integration Joint Boards instructions were requested with regard to the appointment of Sanjay Pillai to fill the vacancy from 19th June, 2024.

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

V PERFORMANCE AND AUDIT COMMITTEE

(a)                    DRAFT MINUTE OF PREVIOUS MEETING OF 22ND MAY, 2024

The draft minute of the previous meeting of the Performance and Audit Committee held on 22nd May, 2024 was submitted and noted for information and record purposes.

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

(i)                     that the Acting Chief Officer would discuss with Audit colleagues whether the unapproved minute of the Performance and Audit Committee should be submitted to the IJB and come back with a recommendation

(a)                    CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB34-2024 by Ken Lynn, 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 LEARNING DISABILITIES AND AUTISM STRATEGIC PLAN UPDATE

There was submitted Agenda Note DIJB27-2024 providing an update regarding the progress of the Learning Disabilities and Autism Strategic Plan 2022-2027. There was a single page accessible version available and a detailed operational action plan.

The Strategic Planning Group had fully remobilised on a face-to-face basis. Many adults with a learning disability found virtual meetings during the pandemic difficult to engage with; after remobilising with a smaller membership to enable in-person meetings to commence as soon as possible, work was now underway to build up the wider membership again.

Co-production was well established and was a foundation of all planning and improvement work in this area of service. As a result, everything was built on the aspirations of people. This was, however, a resource intensive approach.  There was an ongoing programme of information events, with one event being held every two months across the Local Community Planning Partnership areas. This included links with housing and other wider services.  Work was also ongoing with unpaid carers, with an event having recently taken place for carers of people with a learning disability, supported by the Carers Centre. 

Through the Learning Disability and Autism Strategic Planning Group services were continuing to work towards high-level actions to develop community models, prevent unnecessary admissions to hospital and to move away from institutional models of care and towards more personalised services. Services also aimed to achieve best value from available resources and implementation of the Coming Home report.

Work was ongoing on a Tayside wide basis, led by Perth Health and Social Care Partnership to support the development of models of care that would support this, and Dundee recently participated in a 3-day workshop at the V & A to this end.  This Tayside Wide work would lead to a revised financial plan and would support the implementation of the high level objectives that were outlined above. It was proposed that this work be presented at a future IJB.

The IJB noted the position.

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

(i)                     that Jenny Hill would provide an update to the Vice Chair on the current position with face to face meetings.

VII DUNDEE INTEGRATION JOINT BOARD ANNUAL INTERNAL AUDIT REPORT 2023/2024

There was submitted Report No DIJB36-2024 by the Chief Finance Officer advising the Integration Joint Board of the outcome of the Chief Internal Auditors Report on the Integration Joint Boards internal control framework for the financial year 2023/2024.

The Integration Joint Board agreed:-

(i)                     to note the content and findings of the Annual Internal Audit Report 2023/2024 (incorporating Report D05/24 Internal Control Evaluation 2023/24) attached as Appendix 1 to the report; and

(ii)                    to instruct the Chief Finance Officer to report progress towards meeting the recommendations of the Annual Internal Audit Report to the Performance and Audit Committee.

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

(i)                     to note thanks on behalf of the IJB to Jocelyn Lyall and her team.

VIII UNAUDITED ANNUAL ACCOUNTS 2023/2024

There was submitted Report No DIJB35-2024 by the Chief Finance Officer presenting the Integration Joint Boards Unaudited Annual Statement of Accounts 2023/2024.

The Integration Joint Board agreed:-

(i)                     to consider and agree the content of the Unaudited Final Accounts Funding Variations as outlined in Appendix 1 of the report;

(ii)                    to approve the Draft Dundee Integration Joint Board Annual Corporate Governance Statement as detailed within the Unaudited Annual Accounts document (page 28-35 of the report) and to note that Appendix 2 of the report should be amended accordingly;

(iii)                    to note the Integration Joint Boards Unaudited Annual Statement of Accounts 2023/2024 as outlined in Appendix 3 of the report; and

(iv)                   to instruct the Chief Finance Officer to submit the Unaudited Accounts to the IJBs external auditors (Audit Scotland) by 30th June, 2024 to enable the audit process to commence.

IX YEAR END FINANCIAL MONITORING POSITION AS AT MARCH 2024

There was submitted Report No DIJB22-2024 by the Chief Finance Officer providing an update on the 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 operational financial position for delegated services for the 2023/2024 financial year end as at 31st March, 2024 as outlined in Appendices 1, 2, and 3 of the report.

X ENGAGE DUNDEE COST OF LIVING CRISIS SURVEY RESULTS

There was submitted Report No DIJB21-2024 by the Chief Officer providing information on the results of the Engage Dundee survey exploring citizens experiences of the cost of living crisis.

The Integration Joint Board agreed:-

(i)                     to note the findings of the Engage Dundee survey; and

(ii)                    to remit the Strategic Planning Advisory Group and operational managers across the Dundee Health and Social Care Partnership to consider actions to mitigate the effects of the cost of living crisis on health and wellbeing and to reflect these in the IJBs Annual Delivery Plan where appropriate.

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

(iii)                    to note that extensive promotion of the survey had taken place with support workers assisting with completion of surveys, attendance at focus groups etc;

(iv)                   that the survey had only been one method of engaging with communities and that a large and continuous amount of engagement was continuing through the local infrastructure; and

(v)                    that at the request of the Chair, consideration would be given to making this the focus of a future development session.

XI STRATEGIC SHIFT TO ADVANCED NURSE PRACTITIONER LED FRAILTY PATHWAY

There was submitted Report No DIJB23-2024 by the Chief Officer seeking approval to progress the development of the leadership model required to support the ongoing development of a clinically robust Advanced Nurse Practitioner workforce.

The Integration Joint Board agreed:-

(i)                     to note the transformational nature of the proposal and its contribution to the strategic aims of continuous improvement of unscheduled pathways and process as outlined in the report;

(ii)                    to approve the release of funding from ring fenced IJB Transformation Reserves to the value of £92k to support the proposal as detailed in section 3.1 of the report; and

(iii)                    to instruct the Chief Officer to issue the direction as attached at Section 8 of the report to NHS Tayside.

XII ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE& PROFESSIONAL GOVERNANCE GROUP 2023-2024

There was submitted Report No DIJB25-2024 by the Clinical Director providing assurance to the Dundee IJB regarding matters of Clinical, Care and Professional Governance. In addition, the report provided information on the business of the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group (the Group, DHSCP CCPG Group), and outlined the ongoing planned developments to enhance the effectiveness of the group.

The Integration Joint Board agreed:-

(i)                     to note the content of the report;

(ii)                    to note the work undertaken by the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group from April 2023March 2024 to seek assurance regarding matters of Clinical, Care and Professional Governance; and

(iii)                    to instruct the Chief Officer to share the report with the IJBs partner bodies to provide assurances with regards to Clinical Care and Professional Governance.

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

(iv)                   to note that service modelling work in relation to Dundee Drug and Alcohol Recovery Service (DDARS) was continuing and a premises update would be brought to a future IJB meeting.

XIII ANNUAL COMPLAINTS AND FEEDBACK REPORT

There was submitted Report No DIJB31-2024 by the Chief Officer providing an analysis of complaints and feedback received by the Dundee Health and Social Care Partnership over the past financial year 2023/2024. 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 to note the analysis of Dundee Health and Social Care Partnerships complaints performance 2023/2024, improvement actions and service compliments as outlined in the report.

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

(i)                     that the Customer Care and Governance Officer would be asked to consider providing more trend over time information in relation to complaints which would be included in the regular report to the Performance and Audit Committee and the annual report to the IJB; and

(ii)                    that consideration be given to arranging a presentation from Care Opinion on how they operate.

 

XIV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP DELIVERY PLAN UPDATE

There was submitted Report No DIJB26-2024 by the Chief Officer providing an update on progress made towards development of a Delivery Plan for Dundee Health and Social Care Partnership for 2024/2025, and ongoing work to develop other companion documents to the Plan for Excellence in Health and Social Care in Dundee.

The Integration Joint Board agreed:-

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

(ii)                    to instruct the Chief Officer to bring forward a final delivery plan, for the period 2024/2025, no later than 31st October, 2024.

XV CATEGORY 1 RESPONDER ANNUAL REPORT 2023/2024

There was submitted Report No DIJB20-2024 by the Chief Officer presenting an annual report of activity related to its status as a Category One Responder under the Civil Contingencies Act 2004.

The Integration Joint Board agreed:-

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

(ii)                    to instruct the Chief Officer to being forward  further annual report, for the period 2024/2025, in twelve months in addition to any relevant reporting on Category 1 Responder activity made during the year.

XVI FINANCIAL REGULATIONS 2024/2025

There was submitted Report No DIJB28-2024 by the Chief Finance Officer presenting the updated Financial Regulations for consideration with a request that these be adopted as a key element of the Integration Joint Boards governance arrangements.

The Integration Joint Board agreed to note and adopt the updated Financial Regulations for officers which was detailed in Appendix 1 of the report.

XVII SCHEME OF DELEGATION 2024/2025

There was submitted Report No DIJB29-2024 by the Chief Finance Officer presenting the revised Scheme of Delegation for officers for consideration and with a request that these be adopted as a key element of the Integration Joint Boards governance arrangements.

The Integration Joint Board agreed to note and adopt the updated Scheme of Delegation for officers which was detailed in Appendix 1 of the report.

XVIII MEETINGS OF THE INTEGRATION JOINT BOARD 2024 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB30-2024 for meetings of the Integration Joint Board held to date over 2024. 

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

XIX 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, 21st August, 2024 at 10.00am.

Bob BENSON, Chairperson.