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Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 11th December, 2024.

Present:-

Members

Role

 

Ken LYNN

Nominated by Dundee City Council (Elected Member)

Dorothy MCHUGH

Nominated by Dundee City Council (Elected Member)

Siobhan TOLLAND

Nominated by Dundee City Council (Elected Member)

Bob BENSON

Nominated by Health Board (Non-Executive 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

Dr Emma FLETCHER

Director of Public Health

Christine JONES

Acting Chief Finance Officer

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:-

Fiona GIBSON

Health and Social Care Partnership

Jenny HILL

Health and Social Care Partnership

Emma LAMONT

NHS Tayside

Clare LEWIS-ROBERTSON

Health and Social Care Partnership

Sandra MACLEOD

NHS Tayside

Sammi PENDRICH

Health and Social Care Partnership

Kathryn SHARP

Heath and Social Care Partnership

Angie SMITH

Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair

 

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member

Role

Christina Cooper

Third Sector Representative

Glyn Lloyd

Chief Social Work Officer

Dr Sanjay Pillai

Registered Medical Practitioner (not providing primary medical services)

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 23rd October, 2024 was submitted and approved.

(b)                    ACTION TRACKER

The Action Tracker DIJB63-2024 for meetings of the Integration Joint Board was submitted and noted.

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

(i)                     that a check would be made on the update on the mapping event in relation to children and young people (action no 4).

IV APPOINTMENT OF CHIEF OFFICER DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATIONJOINT BOARD

There was submitted Agenda Note DIJB72-2024 reporting that following the retiral of the previous postholder, the Integration Joint Board was asked to note that recruitment and selection processes were being undertaken to identify a successor and to agree that the voting members of the Integration Joint Board be authorised to act as an Appointments Committee with powers to shortleet and interview candidates on a date to be confirmed and, if so minded, to make an appointment to the post and that the Chief Executive of NHS Tayside (or their nominee) and the Chief Executive of Dundee City Council (or their nominee) act as Advisers to the Committee.

The Integration Joint Board noted the position.

V PERFORMANCE AND AUDIT COMMITTEE CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB67-2024 by Bob Benson, 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 INPATIENT LEARNING DISABILITY TRANSITION UPDATE

There was submitted Report No DIJB74-2024 by the Chief Officer providing an update on the progress being made with the Inpatient Learning Disabilities Transition Programme.

The Integration Joint Board agreed to note the progress being made with the Inpatient Learning Disability Transition Programme as outlined in the report.

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

(i)                     to note that a firm date would be provided in the next update for the move from Strathmartine;

(ii)                    that consideration would be given to adding a Development Session on Mental Health services in the future; and

(iii)                    that Sandra MacLeod would feedback about involvement of patient/carer involvement in the communication plan.

VII WINTER RESILIENCE PLAN NHS TAYSIDE AND PARTNER ORGANISATIONS 2024/25

There was submitted Report No DIJB62-2024 by the Chief Officer presenting the Winter Planning arrangements for NHS Tayside and Health and Social Care Partnerships for 2024/2205 (attached as Appendix 1 to the report).  A whole system Health and Social Care approach to develop an integrated plan was essential.  The Tayside and Fife Health and Social Care Partnerships, the Scottish Ambulance Service (SAS), 3rd Sector, as well as staff side/partnership representation had been involved in the development of the plan to ensure timely access to the right care, in the right place, first time.  Third sector involvement was through the Health and Social Care Partnerships.

The Integration Joint Board agreed:-

(i)                     to approve and endorse the Winter Resilience Plan (NHS Tayside and Partner Organisations) 2024/2025 for submission to the Scottish Government; and

(ii)                    to note ongoing whole system collaboration in preparation for anticipated winter challenges.

VIII DELIVERY OF THE PRIMARY CARE MENTAL HEALTH AND WELLBEING FRAMEWORK ANNUALUPDATE

There was submitted Report No DIJB73-2024 by the Chief Officer providing an update on the implementation of the Dundee Primary Care Mental Health and Wellbeing Framework and seeking approval for the continued implementation of the Dundee Primary Care Strategic Delivery Plan for Mental Health and Wellbeing, 2024-2027.  The Delivery Plan supported key elements of the Framework and identified important priorities for action. 

The Integration Joint Board agreed:-

(i)                     to note the Dundee Primary Care Strategic Delivery Plan for Mental Health and Wellbeing, 2024-2027 (attached as Appendix 1 to the report);

(ii)                    to note the progress to date in implementing the Dundee Primary Care Strategic Delivery Plan for Mental Health and Wellbeing, 2024-2027 and the key achievements as described in Section 4 of the report; and

(iii)                    to instruct the Chief Officer to provide a further report on progress made against delivering the Dundee Primary Care Strategic Delivery Plan for Mental Health and Wellbeing, 2024-2027 to a future IJB.

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

(iv)                   to note that posters and leaflets were being sent out to community settings;

(v)                    that progress on the action plan would be provided in future reports;

(vi)                   to note that Emma Lamont and Martyn would have a discussion about the involvement of carers.

IX FINANCIAL MONIORING POSITION AS AT OCTOBER 2024

There was submitted Report No DIJB68-2024 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 October, 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 section 4.5 of the report; 

(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 discussions would continue to take place regarding budget considerations with the partner bodies that the Chair and Vice Chair would be involved in.

X FINANCIAL RECOVERY PLAN UPDATE 2024/25

There was submitted Report No DIJB70-2024 by the Chief Finance Officer providing the Integration Joint Board with an update of the financial recovery plan for delegated health and social care services for 2024/2025.

The Integration Joint Board agreed:-

(i)                     to note the ongoing financial challenges currently faced by Dundee IJB;

(ii)                    to note 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;

(iii)                    to request a further update on the financial impact of the recovery plan from the Chief Finance Officer to the IJB in February 2025.

XI DUNDEE INTEGRATION JOINT BOARD 2025/26 BUDGET OUTLOOK

There was submitted Report No DIJB69-2024 by the Chief Finance Officer providing the Integration Joint Board (IJB) with an overview of the IJBs delegated budget 2025/2026.

The Integration Joint Board agreed:-

(i)                     to note the content of the report including the range of estimated cost pressures impacting on the IJBs delegated budget 2025/2026 including anticipated funding levels from the partner bodies and resultant projected budget shortfall; and

(ii)                    to note the budget development process for the agreement of the IJBs 2025/2026 Revenue Budget as outlined in section 4.8 of the report.

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

(iii)                    to note that following the publication of the Scottish Government's Draft Budget , some additional funding for IJB's was announced, the detail of which would be provided at the next Budget Development Session.

XII PERFORMANCE AND AUDIT COMMITTEE ANNUAL REPORT 2023/24

There was submitted Report No DIJB66-2024 by the Chief Finance Officer providing an overview of the activities of the Performance and Audit Committee over 2023/2024.

The Integration Joint Board agreed to note the content of the Performance and Audit Committees Annual Report for the year 2023/2024

XIII REVISED PERFORMANCE AND AUDIT COMMITTEE TERMS OF REFERENCE

There was submitted Report No DIJB64-2024 by the Chief Finance Officer reviewing the Terms of Reference for Dundee Integration Joint Boards Performance and Audit Committee.

The Integration Joint Board agreed to note the reviewed Terms of Reference for the IJBs Performance and Audit Committee as attached as Appendix 1 to the report.

Following questions and answers the Integration Joint Board agreed:-

(i)                     to note that any revision to the Terms of Reference in future would be taken to the Performance and Audit Committee for discussion before being presented to the IJB for approval.

XIV BEST VALUE ARRANGEMENTS AND ASSESSMENT 2024/25

There was submitted Report No DIJB65-2024 by the Chief Finance Officer providing assurance that the Integration Joint Board and partners had arrangements in place to demonstrate that Best Value was being achieved.

The Integration Joint Board agreed:-

(i)                     to note the content of the report and the full Best Value assessment as set out in Appendix 1 to the report; and

(ii)                    to note that the outcome of the assessment provided assurance that Best Value was being achieved through the Integration Joint Boards governance arrangements and activities.

XV MEETINGS OF THE INTEGRATION JOINT BOARD 2024 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB71-2024 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 Session had been arranged:

Wednesday, 18th December at 10.00am Budget Teams.

XVII PROGRAMME OF MEETINGS OF INTEGRATION JOINT BOARD AND PERFORMANCE AND AUDITCOMMITTEE 2025

(a)                    INTEGRATION JOINT BOARD

The Integration Joint Board agreed that the programme of meetings for the Integration Joint Board over 2025 be as follows:-

Wednesday, 19th February - 10.00am

Wednesday, 26th March - 10.00am (Budget Meeting)

Wednesday, 16th April - 10.00am

Wednesday, 18th June -10.00am

Wednesday, 20th August - 10.00am

Wednesday, 22nd October - 10.00am

Wednesday, 10th December - 10.00am

(b)                    PERFORMANCE AND AUDIT COMMITTEE

The Integration Joint Board agreed that the programme of meetings for the Performance and Audit Committee over 2025 be as follows:-

Wednesday, 29th January - 10.00am

Wednesday, 21st May - 10.00am

Wednesday, 24th September - 10.00am

Wednesday, 19th November - 10.00am

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

(i)                     that a discussion on options for a move to hybrid meetings would be arranged between the Chair, Vice Chair, Dave Berry and Roger Mennie and that feedback would be provided.

XVIII 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 February, 2025 at 10.00am.

Ken LYNN, Chairperson.