Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 19th February, 2025.

Present:-

Members	Role
Ken LYNN (Chair)	Nominated by Dundee City Council (Elected Member)
Bob BENSON (Vice Chair)	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)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Siobhan TOLLAND	Nominated by Dundee City Council (Elected Member)
Dave BERRY	Acting Chief Officer
Suzie BROWN	Registered Nurse
Christina COOPER	Third Sector Representative
Christine JONES	Acting Chief Finance Officer
Glyn LLOYD	Chief Solical 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:-

Fiona GIBSON	Health and Social Care Partnership
Chris HEBENTON	Health and Social Care Partnership
Jenny HILL	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
Dr Emma Fletcher	Director of Public Health

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 11th December, 2024 was submitted and approved.

On a reference to Article IV of the minute of previous meeting, an update was requested in relation to the appointment of Chief Officer. The Integration Joint Board agreed to note that Roger Mennie would arrange for an update to be issued to all members following the meeting. Bob Benson highlighted the strategic risk to the organisation given the number of interim senior managers currently in place.

(b) ACTION TRACKER

The Action Tracker DIJB1-2025 for meetings of the Integration Joint Board was submitted and noted.

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

(i) to contact Kathryn Sharp with ideas for further service visits to be considered for the programme for 2025; and

(ii) to note that provisional updates on the In-Patient Learning Disability Transition Programme would be scheduled for the April and June IJB meetings.

IV PERFORMANCE AND AUDIT COMMITTEE CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB5-2025 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.

V OUR PROMISE 2023-2026 ANNUAL UPDATE

Glyn Lloyd, Chief Social Work Officer gave a presentation on Our Promise 2023-2026 Annual Update. There was also submitted Report No DIJB9-2025 by the Chief Officer providing the first annual update on the implementation of Our Promise to Care Experienced Children, Young People and Care Leavers in 2023-2026. The report outlined key developments over the last 12 months and priorities going forwards, including developments in respect of Scottish Government Whole Family Wellbeing Funding allocated over the same period.

The Integration Joint Board agreed:-

(i) to note continued progress made in the implementation of Our Promise 2023-2026 and improved outcomes for care experienced children, young people and care leavers (section 4 of the report); and

(ii) to remit the Chief Social Work Officer to provide a further update on Our Promise in 12 months, including details of Whole Family Wellbeing Funding (WFWF) activities and outcomes.

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

(iii) that the Chief Social Work Officer would consider developing a version of the Our Promise Annual Update suitable for children and young people for future years;

(iv) to note that all support workers posts across the Children and Families Service were being reviewed in response to changes in Scottish Government funding received; and

(v) that the Chief Social Work Officer would consider addressing in future reports information about young people with disabilities in transition.

VI DUNDEE IJB PROPERTY STRATEGY UPDATE

There was submitted Report No DIJB4-2025 by the Chief Officer providing an annual update on progress made against the Property Strategy, including current and future priority areas of work.

The Integration Joint Board agreed to note the progress made in implementing the Property Strategy.

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

(i) to note that in repsonse to a query from Raymond Marshall in relation to collaboration with Dundee City Council and NHS Tayside reps about use of properties, where partnership services were provided from, discussions would take place with property colleagues and a reponse would be provided to all members following the meeting;

(ii) that the Head of Health and Community Care would consider including information on the implications on staff and service users in future reports; and

(iii) that an update on the digital information that sat under the Property Strategy would be brought to a future IJB meeting.

VII FUTURE PROVISION OF PRACTICAL SUPPORT SERVICES

There was submitted Report No DIJB3-2025 by the Chief Officer seeking approval to end the traditional Practical Support Service in order to permanently release resources to be targeted where need was greatest and help to reduce unmet need across the Partnerships wider social care services.

The Integration Joint Board agreed:-

(i) to note the changing context and demand for the delivery of practical support services, including during and after the COVID-19 pandemic (sections 4.1 and 4.2 of the report);

(ii) to approve the proposal to cease operating the traditional Practical Support Services, in recognition that the key components of the service could be supplied by Dundees community infrastructure, either provided by the third sector or the commercial market which had developed rapidly during the last two years and was more cost effective and flexible than the Partnerships in-house services (section 4.3 of the report);

(iii) to note that the Social Work teams/Social Isolation Worker (Third Sector Partner) would support those who needed a practical support service in the future by signposting to a variety of cost effective service provision (section 4.3 of the report);

(iv) to note that practical support tasks that were incidental to core social work tasks and within housing with care continued to be delivered as an integrated part of those core services (section 4.3.4 of the report); and

(v) to remit the Chief Officer to issue Direction to Dundee City Council to cease providing the Practical Support Service.

VIII REVIEW OF OLDER PEOPLE DAY OPPORTUNITIES

There was submitted Report No DIJB11-2025 by the Chief Officer providing information on the day opportunities review in Dundee and seeking approval of the proposal to cease to commission Alzheimers Scotland Dundee Day services.

The Integration Joint Board agreed:-

(i) to note the updated position in relation to the review of Day Opportunities in Dundee;

(ii) to approve the proposal to cease commissioning day services from Alzheimers Scotland; and

(iii) to remit the Chief Officer to issue Direction to Dundee City Council to cease commissioning of day services from Alzheimers Scotland.

IX FINANCIAL MONITORING POSITION AS AT DECEMBER 2024

There was submitted Report No DIJB7-2025 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 December, 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 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 discussions were ongoing in relation to the cost base for In-Patient Mental Health as part of the over-arching Transformation Programme and the figure would be reflected in the annual accounts; and

(v) to note that modelling was still underway that would help understand the implications of the COVID-19 pandemic on services.

X FINANCIAL RECOVERY PLAN UPDATE 2024/2025

There was submitted Report No DIJB8-2025 by the Chief Finance Officer providing 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 result of actions by Officers and Senior Management to address the projected financial overspend position for 2024/2025; and

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

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

(iv) to note the concerns being expressed by the Third Sector in relation to the third party commissioned services review and the need for organisations to be fully involved.

XI DUNDEE IJB 2025/2026 BUDGET OUTLOOK UPDATE

There was submitted Report No DIJB10-2025 by the Chief Finance Officer providing an updated 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 the Chair of the IJB had written to Neil Gray, Cabinet Secretary for Health and Social Care to convey the severity of the position for Dundee IJB;

(iv) to note that information in relation to the further rise in inflation was still being refined and would be presented to the next Development Session and IJB meeting; and

(v) to note the significant work that had been undertaken and was continuing by the finance team.

XII MEETINGS OF THE INTEGRATION JOINT BOARD 2024 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB13-2025 for meetings of the Integration Joint Board held to date over 2024.

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

XIII IJB DEVELOPMENT SESSIONS

The IJB noted that the following Development Session had been arranged for IJB members:

12th March Budget

23rd April Workforce

14th May Social Care Demand and Response

11th June Assurance and Risk

27th August Mental Health and Adult Support & Protection

17th September Engagement and Co-production

29th October Equalities

26th November topic to be confirmed

17th December Budget.

All sessions would be held in Meeting Room DH1-1, Dundee House between 10am 12 noon. There would be an option to join remotely for those unable to attend in person.

XIV DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Dundee Integration Joint Board would be held on Wednesday 26th March, 2025 at 10.00am. and that the most appropriate arrangements for the format of the meeting were being explored.

Ken LYNN, Chairperson