Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 23rd October, 2024.

Present:-

Members	Role
Bob BENSON	Nominated by Health Board (Non-Executive Member)
Ken LYNN	Nominated by Dundee City Council (Elected Member)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Colleen CARLTON	Nominated by Health Board (Non Executive Member)
David CHEAPE	Nominated by Health Board (Non-Executive Member)
Dave BERRY	Acting Chief Officer
Suzie BROWN	Registered Nurse
Christina COOPER	Third Sector Representative
Dr Emma FLETCHER	Director of Public Health
Christine JONES	Acting Chief Finance Officer
Glyn LLOYD	Chief Social Work Officer
Jim McFARLANE	Trade Union Representative
Raymond MARSHALL	Staff Partnership Representative
Dr Sanjay PILLAI	Registered Medical Practitioner (not providing primary medical services)
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:-

Robin FALCONER	Health and Social Care Partnership
Jenny HILL	Health and Social Care Partnership
Clare LEWIS-ROBERTSON	Health and Social Care Partnership
Kathryn SHARP	Heath and Social Care Partnership
Angie SMITH	Health and Social Care Partnership

Bob BENSON, Chairperson, in the Chair (for Articles I to III).

Ken LYNN, Chairperson, in the Chair (for Articles IV to XVII)

The Chair took the opportunity to express, on behalf of the Integration Joint Board, best wishes to Vicky Irons, Chief Officer who had now retired from her post.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member	Role
Siobhan Tolland	Nominated by Dundee City Council (Elected Member)

II DECLARATION OF INTEREST

There were no declarations of interest.

III MEMBERSHIP OF DUNDEE CITY INTEGRATION JOINT BOARD REAPPOINTMENTS ANDAPPOINTMENT

(a) NHS TAYSIDE - REAPPOINTMENTS

The Integration Joint Board agreed to note that at the meeting of NHS Tayside Board held on 29th August, 2024 it was agreed that the undernoted members who were due for reappointment in October 2024 be given a further period of appointment as members of Dundee Integration Joint Board.

Role	Member
Nominated by Health Board	Bob Benson *
Nominated by Health Board	David Cheape *
Registered nurse	Susie Brown**
Registered medical practitioner (whose name is included in the list of primary medical services performers)	Dr David Wilson **
Registered medical practitioner not providing primary medical services	Dr Sanjay Pillai **

* Denotes Voting Member

** Denotes Non Voting Member

(b) NHS TAYSIDE APPOINTMENT

The Integration Joint Board agreed to note that at the meeting of NHS Tayside Board held on 29th August, 2024 it was agreed that Colleen Carlton be appointed as a replacement Voting Member for Beth Hamilton.

The Integration Joint Board agreed to a further term of appointment to the Integration Joint Board for the undernoted membership:-

Role	Member
Staff Partnership Representative	Raymond Marshall **
Staff of the constituent authorities engaged in the provision of services provided under integration functions	Jim McFarlane **
Third sector bodies	Christina Cooper **
Service users	Vacant **
Person providing unpaid care in the area of the local authority	Martyn Sloan **
Director of Public Health	Dr Emma Fletcher **
Clinical Director	Dr David Shaw **

** Denotes Non Voting Member

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

to note that Liz Goss had tended her resignation from the position of Service User rep on the IJB. Thanks were expressed to Liz for her input to the IJB; and

to note that options were being explored into whether a change would be made to the recruitment process for the Service User position.

III CHAIRPERSON AND VICE-CHAIRPERSON

(a) CHAIRPERSON

The Integration Joint Board agreed to note that the term of office of Chairperson held by NHS Tayside had lapsed and that in terms of Standing Orders this would now require to be filled by a Voting Member from Dundee City Council.

The Integration Joint Board agreed to note the position and that Councillor Ken Lynn had been nominated as Chairperson.

(b) VICE-CHAIRPERSON

The Integration Joint Board agreed to note that the term of office of Vice-Chairperson held by Dundee City Council had lapsed and that in terms of Standing Orders this would now require to be filled by a Voting Member from NHS Tayside Board.

The Integration Joint Board agreed to note the position and that Bob Benson had been nominated as Vice-Chairperson.

V PERFORMANCE AND AUDIT COMMITTEE (PAC) APPOINTMENT OF MEMBERSHIP AND CHAIRPERSON

Reference was made to Article VIII of the minute of meeting of the Integration Joint Board held on 30th August, 2016 wherein it was agreed to establish a Performance and Audit Committee as a Standing Committee of the Integration Joint Board.

(a) MEMBERSHIP

The Terms of Reference indicated that the Integration Joint Board should appoint the Committee which would consist of not less than six members of the Integration Joint Board. The Committee would include at least four Integration Joint Board Voting Members (on the basis of two from NHS Tayside and two from Dundee City Council).

The Integration Joint Board agreed to note the position and agreed to the appointment of Councillor Tolland, Councillor McHugh, Bob Benson and David Cheape as Voting Members on the Performance and Audit Committee and Sanjay Pillai, Raymond Marshall and Martyn Sloan as Non Voting Members on the Performance and Audit Committee.

(b) CHAIRPERSON

The Committee would be chaired by a person not being the Chairperson of the Integration Joint Board and would be nominated by the Integration Joint Board. The Terms of Reference for the PAC specified that the Chair of the PAC would be the Vice-Chairperson of the Integration Joint Board.

The Integration Joint Board agreed to note that the Vice-Chairperson of the Integration Joint Board, Bob Benson would serve as Chairperson of the Performance and Audit Committee.

VI MINUTE OF PREVIOUS MEETING

(a) The minute of meeting of the Integration Joint Board held on 21st August, 2024 was submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB57-2024 for meetings of the Integration Joint Board was submitted and noted.

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

(i) to note that in relation to action 11 that although a report on dentistry had been requested, it would be contained within the upcoming Development Session on Primary Care as it was felt that more time could be dedicated to the issue. There was potential for a follow up report to be provided if this was necessary;

(ii) to note that in relation to action 13, the Chief Officer had discussed with Roger Mennie and it was recommended that rather than bring the unapproved PAC minute to the IJB, all members of the IJB would receive a copy of the minute once approved by the PAC. In relation to the PAC Chairs Assurance report, it was recommended that this continued to be provided. Both recommendations were agreed.

VII PERFORMANCE AND AUDIT COMMITTEE

(a) DRAFT MINUTE OF PREVIOUS MEETING OF 25TH SEPTEMBER, 2024

The draft minute of the previous meeting of the Performance and Audit Committee held on 25th September, 2024 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB58-2024 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.

VIII DRAFT DUNDEE SUICIDE PREVENTION DELIVERY PLAN 2024-2026

There was submitted Report No DIJB56-2024 by the Chief Officer providing an update on progress made in developing Dundees Suicide Prevention Delivery Plan and seeking endorsement of the draft plan prior to its submission to Dundee Chief Officers Group for approval.

The Integration Joint Board agreed:-

(i) to note recent developments in arrangements for the governance and leadership of suicide prevention activity in Dundee, aligned to Creating Hope Together: Scotlands Suicide Prevention Strategy 2022-2032 (section 4.2.1 of the report);

(ii) to note progress made to develop Dundees Suicide Prevention Delivery Plan, including through stakeholder engagement (sections 4.2.2. to 4.2.4 of the report);

(iii) to note that the draft Suicide Prevention Delivery Plan would be submitted to Dundee Chief Officers Group for approval on 24th October, 2024, after which implementation and monitoring of the plan would be led by Dundees Adults at Risk and Children at Risk Committees (section 4.2.5 of the report); and

(iv) to endorse the draft Suicide Prevention Delivery Plan contained within appendix 1 of the report.

IX FINANCIAL MONITORING POSITION AS AT AUGUST 2024

There was submitted Report No DIJB61-2024 by the Chief Finance Officer providing an update of the projected financial position for delegated health and social care services for 2024/2025.

The Integration Joint Board agreed:-

(i) to note the content of the report including the projected operational financial position for delegated services for the 2024/2025 financial year end as at 31st August, 2024 as outlined in Appendices 1, 2, and 3 of the report;

(ii) to note the ongoing actions being taken by Officers and Senior Management to address the current projected financial overspend position through the development of a Financial Recovery Plan, as detailed in 4.5 of the report; and

(iii) to note the deterioration in Risk profile assessment (as detailed in section 6.0 of the report) due to the worsening financial position.

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

(iv) to note that there were a number of developments underway in relation to the GP Out of Hours Service to help the urgent unscheduled care service work be more efficient; and

(v) to note that in relation to paragraph 4.3.9, it stated that the Council pay award had been agreed via COSLA, however Jim reported that it hadnt yet been agreed and there was industrial action taking place.

X FINANCIAL RECOVERY PLAN 2024/25

There was submitted Report No DIJB54-2024 by the Chief Finance Officer seeking approval to implement a financial recovery plan in order to bring the delegated budget into financial balance by the 2024/2025 year end.

The Integration Joint Board agreed:-

(i) to note the significant financial challenges currently faced by Dundee IJB and recognised this was part of a broader national issue around financial sustainability of health and social care, as highlighted in the recent Accounts Commission report on IJB financial performance;

(ii) to note and acknowledge that measures needed to deliver financial recovery and financial sustainability were likely to conflict with the priorities and desired scale and pace of the IJBs Strategic Plan;

(iii) to approve the content of the report detailing progress and implications as a result of actions by Officers and Senior Management to address the projected financial overspend position for 2024/2025;

(iv) to instruct the Chief Officer and Chief Finance Officer to submit the financial recovery plan to the partner bodies for noting as set out in the Integration Scheme; and

(v) to request an update on the financial impact of the recovery plan from the Chief Finance Officer at the December IJB meeting.

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

(i) that the Chief Finance Officer would try to obtain information from NHS Tayside about the translation of absence levels into costs and would share this with members;

(ii) to note that IJB members would continue to be involved throughout the budget setting process and that different options would be laid out; and

(iii) that consideration would be given to providing a report on comparative absence rates at a later date.

XI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP DELIVERY PLAN, OCTOBER 2024 MARCH2026

There was submitted Report No DIJB53-2024 by the Chief Officer seeking endorsement of Dundee Health and Social Care Partnerships Delivery Plan for the period October 2024 to March 2026.

The Integration Joint Board agreed:-

(i) to note the work undertaken to develop the first Dundee Health and Social Care Partnership Delivery Plan, in response to the strategic priorities and shifts commissioned by the IJB via the Plan for Excellence in Health and Social Care in Dundee (section 4.1 and 4.2 of the report); and

(ii) to endorse the Dundee Health and Social Care Partnership Delivery Plan, October 2024 to March 2026 (attached as appendix 1 to the report).

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

(iii) that further consideration would be given to the presentation of the Delivery Plan along with Design Services colleagues and any further feedback was welcomed; and

(iv) that, at the suggestion of the Chief Social Work Officer, consideration would be given to bringing a report on the What Matters To You initiative to a future meeting.

XII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP WORKFORCE PLAN 2022-2025

There was submitted Report No DIJB55-2024 by the Chief Officer informing of further progress achieved in the development and implementation of Dundee Health and Social Care Partnership Workforce Plan 2022-2025.

The Integration Joint Board agreed to note the progress achieved over the last six-month period in relation to implementation of priorities within the Dundee Health and Social Care Partnership Workforce Plan.

XIII A CARING DUNDEE 2 STATUTORY REVIEW

There was submitted Report No DIJB52-2024 by the Chief Officer informing that the Dundee Carers Partnership had commenced work to support the statutory review of a Caring Dundee 2.

The Integration Joint Board agreed:-

(i) to note the requirement, under Section 33 (3) of the Carers (Scotland) Act 2016, to carry out a statutory review of A Caring Dundee 2 by 21st April 2025 (section 4.1 of the report); 

(ii) to note the planned approach and timescale for completion of the statutory review of A Caring Dundee 2, led by Dundee Carers Partnership and supported by the Strategic Planning Advisory Group (section 4.2 and appendix 1 of the report); and 

(iii) to instruct the Chief Officer to bring forward a report setting out the recommendations of the statutory review of A Caring Dundee no later than 21st April, 2025.

XIV AUDIT SCOTLAND REPORT ON INTEGRATION JOINT BOARDS FINANCE AND PERFORMANCE 2024

There was submitted Report No DIJB59-2024 by the Chief Officer advising of Audit Scotlands recent published national report on Integration Joint Boards Finance and Performance 2024.

The Integration Joint Board agreed:-

(i) to note the content, key messages and recommendations contained in the national Audit Scotland report on Integration Joint Boards Finance and Performance 2024 attached as Appendix 1 to this report; and

(ii) to instruct the Chief Officer to ensure the recommendations in the report are adopted on a local basis and provide evidence in the achievement of these through the Annual Governance Statement.

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

(iii) that consideration would given to taking this report to a future PAC meeting.

XV MEETINGS OF THE INTEGRATION JOINT BOARD 2024 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB60-2024 for meetings of the Integration Joint Board held to date over 2024.

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

XVI IJB DEVELOPMENT SESSIONS

The IJB noted that the following Development Sessions had been arranged:

Wednesday, 30th October at 10.00am Understanding Data Meeting Room 1.1, Dundee House

Wednesday, 6th November at 10.00am Risk Meeting Room 1.1, Dundee House

Wednesday, 13th November at 10.00am Primary Care Committee Room 1, 14 City Square

Wednesday, 27th November at 2.00pm Budget - Meeting Room 1.1, Dundee House

Tuesday, 3rd December at 10.00am Social Care Commissioning Conference Room 1, Claverhouse office, Jack Martin Way

Wednesday, 18th December at 10.00am Budget Conference Room 1, Claverhouse Office, Jack Martin Way

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 11th December, 2024 at 10.00am.

Bob BENSON, Chairperson

Ken LYNN, Chairperson