Dundee City Health & Social Care Integration Joint Board - 15/12/2020

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 15th December, 2020.

Present:-

Non-members in attendance at request of Chief Officer:-

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATIONS OF INTEREST

Donald McPherson declared a non-financial interest in relation to the item of business at Article IX of this minute by virtue of holding the position of Chair of the Circle Scotland CIC.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 27th October, 2020 was submitted and approved.

IV PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 24TH NOVEMBER, 2020

The minute of the previous meeting of the Performance and Audit Committee held on 22nd September, 2020 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB56-2020 by Trudy McLeay, 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 MEMBERSHIP - DIRECTOR OF PUBLIC HEALTH

It was reported that, following the retirement of Dr Drew Walker on 18th October, 2020 from his position as Director of Public Health, that NHS Tayside had appointed Dr Emma Fletcher to that position. Dr Walker had previously been appointed by the Integration Joint Board to serve as a non-voting member in his capacity as Director of Public Health. The Integration Joint Board agreed to note the position and that his replacement on the Integration Joint Board was Dr Emma Fletcher.

VI IMPACT OF COVID-19 PANDEMIC ON DELIVERY OF THE STRATEGIC AND COMMISSIONING PLAN

Prior to consideration of this item of business Vicky Irons took the opportunity to appraise the Integration Joint Board of the current position in relation to the ongoing health emergency and operational management of this including commencement of the vaccination programme in Care Homes and the considerable efforts made by staff and partner organisations over the period. There had been significant changes to the level of restrictions over the period and services were continually being adapted to meet and respond to these. The pandemic was impacting on the wellbeing of individuals with an increase in people suffering from anxiety and the rise in referrals to mental health services. Efforts were continuing to support people in their own homes.

Reference was made to Article VII of the minute of meeting of this Integration Joint Board of 29th March, 2019 wherein the Strategic and Commissioning Plan 2019/2022 was approved.

Reference was also made to Article VI of the minute of meeting of this Integration Joint Board held on 25th August, 2020 wherein a report outlining the anticipated impact of the COVID-19 pandemic on strategic planning arrangements including response and recovery planning, and their impact on delivery of the Partnerships Strategic and Commissioning Plan 2019/2022 was approved.

There was submitted Report No DIJB50-2020 by the Chief Officer outlining the anticipated high-level impact of the COVID-19 pandemic on the Partnerships ability to deliver the Strategic and Commissioning Plan 2019/2022; providing an update regarding discussion at the Strategic Planning Advisory Group regarding the full assessment of this impact and communication with stakeholders regarding that impact; and, informing of early planning for the revision of the current Strategic and Commissioning Plan.

Sheila Allan gave a presentation in supplement to the report

The Integration Joint Board agreed:-

(i) to note the content of the presentation and the verbal briefing provided by Vicky Irons;

(ii) to note the content of the report and Appendix 1 of the report;

(iii) to instruct the Chief Finance Officer, working in collaboration with the Strategic Planning Advisory Group, to draft a statement summarising the impact of the pandemic on their ability to deliver the strategic plan to the scale originally envisaged (as described in section 4.8 of the report) and submit this to a meeting of the Integration Joint Board for approval;

(iv) to instruct the Chief Finance Officer, working in collaboration with the Strategic Planning Advisory Group, to produce a detailed workplan to support the revision of the Strategic and Commissioning Plan 2019/2022 (as described at section 4.12 of the report), to implement this workplan and to provide a further update to the Integration Joint Board no later than 30thApril, 2021; and

(v) to note the priority that had been given to work to revise the Strategic Needs Assessment and the planned approach and timescale for completion of this work (as described in sections 4.13 to 4.17 of the report).

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

(vi) to note as suggested by Trudy McLeay that there may be benefit of working with Universities to establish if a city wide approach to Social Prescribing could be a dissertation project for Social Work Students; and

(vii) to note as indicated by Kathryn Sharp that reference to limited progress on work to align the Partnerships services with the Children and Families Service to similar service delivery areas not being due to the impact of the pandemic was due to alignment of schools and integration within the partnership areas and alignment of localities.

VII

 

There was submitted Report No DIJB51-2020 by the Chief Officer informing of findings from a range of surveys undertaken in recent months to assess citizens experience of using services and the impact of the Covid-19 pandemic/ lockdown more broadly, and to explore implications for Dundee Health and Social Care Partnership.

 

The Integration Joint Board agreed:-

 

(i) to note the findings from the research undertaken across Dundee into the impact of Covid-19 as set out in the report;

 

(ii) to remit to the Integrated Strategic Planning Group to explore the implications of these findings for Dundee Health and Social Care Partnership; and

 

(iii) to instruct the Chief Officer to use the findings where appropriate in the further development and implementation of Dundee Health and Social Care Partnerships remobilisation plan;

 

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

 

(iv) to note that there was an online service directory to sign post people to the variety of supports available; and

 

(v) to note as indicated by Vicky Irons that the survey would be repeated to establish progress against the changes put in place in the report.

 

VIII WINTER PLAN 2020/2021 NHS TAYSIDE AND PARTNER ORGANISATIONS

 

There was submitted Report No DIJB46-2020 by the Chief Officer informing of the Winter Plan (2020/2021) NHS Tayside and Partner Organisations (the Winter Plan) to be submitted on behalf of NHS Tayside and its partner organisations to the Scottish Government. It was reported that the Winter Plan set out the arrangements across Tayside to support seasonal variations across health and social care services and described the level of preparedness.

 

The Integration Joint Board agreed:-

 

(i) to approve the Winter Plan as presented at Appendix 1 of the report and the submission of the Winter Plan to Scottish Government; and

 

(ii) to note the detailed actions for the Dundee Health and Social Care Partnership as detailed in Section 4.6 of the report and Section 6.2 of the Winter Plan.

 

Following questions and answers the Integration Joint Board further agreed to note as indicated by Diane McCulloch that communication of the plan to staff within the partnership would be made using established practices.

 

IX CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2019/2020

 

There was submitted Report No DIJB47-2020 by the Chief Social Work Officer bringing forward for information the Chief Social Work Officers Annual Report for 2019/2020.

 

The Integration Joint Board agreed:-

 

(i) to note the content of the Chief Social Work Officers Annual Report for 2019/2020, which was attached to the report as Appendix 1; and

 

(ii) to note the key developments and achievements across social Work functions achieved during 2019/2020 as outlined in section 4.3 of the report and priorities for future development during 2020/2021 as outlined in section 4.5 of the report.

 

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

 

(iii) to note that Diane McCulloch would provide Trudy McLeay with information in relation to the indicator for service provided for respite care at Gillburn Road outwith the meeting; and

 

(iv) to note the explanation from Diane McCulloch in relation to Dundee showing a the higher readmission rate to hospital across Scotland and that this was due to the way this was recorded in Tayside over 28 day periods and with Ninewells Hospital being central to the Dundee area and that reports had been submitted to the Performance and Audit Committee on this issue previously and these would be made available to Trudy McLeay.

 

X DUNDEE HEALTH AND SOCIAL CARE INTEGRATION SCHEME STATUTORY REVIEW

 

There was submitted Report No DIJB48-2020 by the Chief Officer informing that NHS Tayside and Dundee City Council had completed the statutory review of the Dundee Health and Social Care Integration Scheme and had agreed that a revised scheme be prepared.

 

The Integration Joint Board agreed:-

 

(i) to note the contents of the report, including that Dundee City Council and NHS Tayside had completed the statutory review of the Dundee Health and Social Care Integration Scheme and agreed that a revised scheme would now be prepared; and

 

(ii) to instruct the Chief Officer to make arrangements for the full participation of the Dundee Health and Social Care Partnership in the preparation of a revised scheme and to report progress to the Integration Joint Board no later than 31st March, 2021.

 

XI DELEGATED BUDGET DEVELOPMENT 2021/2022

 

There was submitted Report No DIJB52-2020 by the Chief Finance Officer providing an update in relation the development of the IJBs delegated budget 2021/2022. This paper formed phase one of a series of budget development reports to be presented to each meeting of the Integration Joint Board leading up to the meeting of the Integration Joint Board in March, 2021 when the delegated budget would be laid before the Integration Joint Board for approval.

 

The Integration Joint Board agreed:-

 

(i) to note the content of the report including the range of potential budget pressures which would need to be addressed through the budget development process; and

 

(ii) to remit to the Chief Finance Officer to bring updated reports to each of the remaining meetings of the Integration Joint Board to the end of this financial year culminating in the presentation of a proposed budget for 2021/2022 for consideration by the Integration Joint Board at its special budget meeting in March, 2021.

 

XII FINANCIAL MONITORING POSITION AS AT OCTOBER 2020

 

There was submitted Report No DIJB53-2020 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2020/2021 including an overview of the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis.

 

The Integration Joint Board agreed:-

 

(i) to note the content of the report including the overall projected financial position for delegated services to the 2020/2021 financial year end as at 31st October, 2020 as outlined in Appendices 1, 2, 3 and 4 of the report;

 

(ii) to note the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis as set out in section 4.5 of the report; and

 

(iii) to note that officers within the Health and Social Care Partnership would continue to carefully monitor expenditure and develop a range of actions to mitigate any overspend.

 

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

 

(iv) to note as indicated by Dave Berry that should any significant issues arise that these would be raised at the Performance and Audit Committee.

 

XIII RESHAPING NON-ACUTE CARE IN DUNDEE - UPDATE

 

There was submitted Report No DIJB54-2020 by the Chief Officer providing an update in relation to the work of the Reshaping Non-Acute Care Programme in Dundee, including progress in implementing plans for non-acute care and residential care in Dundee previously approved by the Integration Joint Board as outlined in the report.

 

The Integration Joint Board agreed:-

 

(i) to note the progress towards developing models of care as described in sections 4.1.3 to 4.1.7 of the report;

 

(ii) to note the delay in the development of the proposed replacement premises and the associated initial agreement, outline business case and full business case to be submitted to the Scottish Government as outlined in section 4.2 of the report;

 

(iii) to instruct the Chief Finance Officer to submit a reinvestment plan for the development of the Home First model as outlined in section 4.1.8 of the report to the Integration Joint Board no later than 31st March,  2021; and

 

(iv) to instruct the Chair of the Reshaping Non-Acute Care Board to commission project support to enable the project to progress further.

 

XIV TAYSIDE DRAFT MENTAL HEALTH AND WELLBEING STRATEGY

 

There was submitted Report No DIJB55-2020 by the Chief Officer providing a briefing about the progress that had been made to co-create, co-design and co-produce a draft Tayside Mental Health and Wellbeing Strategy (the Strategy).

 

Kate Bell, Interim Director of Mental Health, NHS Tayside gave a presentation in supplement to the report.

 

The Integration Joint Board agreed:-

 

(i) to note the content of the presentation;

 

(ii) to acknowledge the considerable work that had been undertaken since March, 2020 to co‑produce the final Strategy which was attached to the report as Appendix 1;

 

(iii) to approve the direction of travel outlined within the final Strategy;

 

(iv) to acknowledge that the production of a Tayside Mental Health and Wellbeing Strategy would meet one of the main recommendations arising from the Independent Inquiry into Mental Health Services in Tayside Trust and Respect; and

 

(v) to instruct the Chief Officer to submit to a future meeting of the Integration Joint Board for consideration and approval a detailed implementation/delivery plan with accompanying sustainable financial framework.

 

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

 

(vi) to note as advised by Kate Bell that each of the other Integration Joint Boards in Tayside had agreed to the report;

 

(vii) to note as indicated by Martyn Sloan that the Carers Group would be happy to provide representation on any of the Groups to take forward this matter should they be needed; and

 

(viii) to note as indicated by Dave Berry that there was ongoing work with NHS Tayside and each of the Chief Finance Officers in Tayside on the financial framework to accompany the delivery plan and that this would be reported to a future meeting of the Integration Joint Board.

 

XV MEETINGS OF THE INTEGRATION JOINT BOARD 2020 - ATTENDANCES

 

There was submitted a copy of the Attendance Return for meetings of the Integration Joint Board held over 2020.

 

The Integration Joint Board agreed to note the content of the document.

 

XVI PROGRAMME OF MEETINGS INTEGRATION JOINT BOARD AND PERFORMANCE AND AUDIT COMMITTEE 2021

 

It was proposed that the programme of meetings for the Integration Joint Board and the Performance and Audit Committee over 2021 be as follows:-

 

(a) INTEGRATION JOINT BOARD

 

Wednesday 24th February, 2021 - 10.00am

Friday 26th March, 2021 10.00am (Budget Meeting)

Wednesday 21st April, 2021 10.00am

Wednesday 23rd June, 2021 10.00am

Wednesday 25th August, 2021 10.00am

Wednesday 27th October, 2021 - 10.00am

Wednesday 15th December, 2021 10.00am

 

(b) PERFORMANCE AND AUDIT COMMITTEE

 

Wednesday 3rd February, 2021 10.00am

Wednesday 24th March, 2021 10.00am

Wednesday 26th May, 2021 10.00am

Wednesday 15th September, 2021 10.00am

Wednesday 24th November, 2021 10.00am

 

The Integration Joint Board agreed:-

 

(i) to the programme of meetings for both the Integration Joint Board and the Performance and Audit Committee over 2021 subject to the meeting of the Performance and Audit Committee to be held in September being moved from the 15th September to the 29th September; and

 

(ii) to note that all meetings would be held remotely unless otherwise advised by the Clerk.

 

XVII DATE OF NEXT MEETING

 

The Integration Joint Board noted that the next meeting of the Integration Joint Board would remotely on Wednesday 24th February, 2021 at 10.00am.

 

 

 

 

Ken LYNN, Chairperson.