Dundee City Health & Social Care Integration Joint Board - 22/02/2023

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 22nd February, 2023.

Present:-

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

Pat KILPATRICK, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

There were no apologies for absence.

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 14th December, 2022 was submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB7-2023 for meetings of the Integration Joint Board was submitted and noted.

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

(i)                            that in relation to action number 5, Diane McCulloch would arrange a visit to the Community Custody Unit for interested IJB members.

IV PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 1ST FEBRUARY, 2023

The minute of the previous meeting of the Performance and Audit Committee held on 1st February, 2023 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB8-2023 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.

V UPDATE ON BUSINESS MODEL FOR OLDER PEOPLE WITH MENTAL HEALTH NEEDS

There was submitted Report No DIJB5-2023 by the Chief Officer providing an update to the Business Case for the proposed model of care for older people with mental health needs, including dementia, that was presented to the Integration Joint Board in June 2019.

The Integration Joint Board agreed:-

(i) to note the service provided within Psychology of Old Age (POA) services and the proposed direction of the provision; and

(ii) to remit the Chief Officer to provide an update report at a future meeting of the IJB.

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

(iii) that Allison Lee would provide additional information on the staff numbers within the service; and

(iv) to note that Anne Buchanan had spent time at the Kingsway Care Centre and she had noted the excellent example of inter-disciplinary working.

VI PROTECTING PEOPLE COMMITTEE ANNUAL REPORTS 2021/2022

There was submitted Report No DIJB3-2023 by the Protecting People Committee Independent Chairs presenting the annual reports published by the Protecting People Committees for the period 2021/2022.

The Integration Joint Board agreed:-

(i) to note the content of each of the annual reports which were attached to the report as appendices 14;

(ii) to note the progress made in developing an effective partnership response to the needs of at risk children and adults during 2021/2022 (as noted in section 4.2 of the report);

(iii) to note the challenges and priority areas for action identified across the annual reports for focus during 2022/2023 and beyond (as noted in section 4.3 of the report); and

(iv) to note the intention to produce a single, integrated annual report for all Dundee Protecting People Committees for the reporting year 2022/2023 (as noted in section 4.4 of the report).

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

(v) that thanks should be passed onto the workforce for their innovative, joined up approach under difficult circumstances.

VII IMPLEMENTATION OF THE PUBLIC SECTOR EQUALITY DUTY UPDATE

There was submitted Agenda Note DIJB1-2023 advising that in October 2022, the Integration Joint Board (IJB) received a report summarising the outcome of audit activity undertaken by the Equality and Human Rights Commission with regard to compliance with the Public Sector Equality (PSED) and subsequent planned improvement activity (Article XVI of the minute of the meeting of the Dundee Integration Joint Board held on 27th October, 2022 refers). At that time the Chief Officer was instructed to provide a further update on the progress of improvement actions no later than 28th February, 2023. Subsequent to the report submitted in October the Equality and Human Rights Commission had notified IJB Chief Officers that the deadline for achieving full compliance with PSED requirements had been extended to 31st March, 2023.

Since October officers within the Health and Social Care Partnership had been working closely with Dundee City Council Committee Services and with colleagues within Dundee City Council Corporate Services with a remit for equalities matters. Collaboratively officers had been able to plan and progress the following key areas of improvement:

Further updates to the Partnerships Equality Information pages within the corporate website had been made. This included completed Integrated Impact Assessments now being uploaded to this page following IJB meetings to make them more easily accessible to members of the public. This was in addition to advance publication of IJB agendas which included the report and the Integrated Impact Assessment where this was required.

Changes had been made to the Partnerships internal business process to ensure that the requirement for the completion of an Integrated Impact Assessment (either screening tool or full assessment) to accompany reports to the IJB was flagged to report authors at an early stage and that reports cannot progress where this had not been provided.

The Integrated Impact Assessment tool utilised by the Partnership had been updated to reflect information and guidance provided by the Equality and Human Rights Commission and to support authors to produce a high-quality impact assessment. Advice on this had been provided by Dundee City Council, Legal Services.

A workshop had been arranged for report writers on 23rd February, 2023 to support them to better understand the requirement to complete an Integrated Impact Assessment, the process for doing so and the expected content. This would also include supporting report writers to consider how they best record their consideration of equality matters throughout policy and strategy development processes so that relevant information was available for the completion of impact assessments.

A briefing was being planned for IJB members on 1st March, 2023 that would seek to support enhanced understanding of the Public Sector Equality Duty requirements as they relate to the IJB, provide an overview of the Integrated Impact Assessment process and support members to understand their role in ensuring this was implemented effectively. This would include support to the Chair and Vice-Chair regarding the specific contribution they could make to the impact assessment process at the pre-agenda stage of the business process.

In addition, work was also continuing to draft the IJBs equality mainstreaming update report and replacement equality outcomes, which must be approved and published by the end of April 2023.

It was anticipated that these improvements would ensure full compliance with the PSED by Dundee IJB by the deadline date of 31st March, 2023.

The IJB noted the position.

VIII STRATEGIC COMMISSIONING PLAN UPDATE

There was submitted Agenda Note No DIJB2-2023 advising that in October 2022, the Integration Joint Board (IJB) approved a report setting out the process and timeline for the development of a replacement strategic commissioning plan for April 2023 onwards, including reviewing the IJBs Equality Outcomes (Article XIV of the minute of the meeting of the Dundee Integration Joint Board held on 27th October, 2022 refers). At that time the Chief Officer was instructed to provide further updates on the progress of this work.

Over the last 3 months significant progress had been made in progressing the development of a replacement plan, including:-

Completion of an exercise to review and benchmark against strategic commissioning plans from other areas of Scotland, with areas of strength/best practice identified for incorporation at a local level.

Continued regular liaison meetings with planning colleagues from Perth and Kinross and Angus IJBs and from NHS Tayside to develop the interface between strategic commissioning and associated delivery plans.

Development of a skeleton document and initial drafting of some key sections of content.

Ongoing record keeping required to inform a high-quality integrated impact assessment that would be required to accompany the strategic commissioning plan when it was submitted to the IJB for approval.

A significant focus on stakeholder engagement, with priority given to engagement with people who use health and social care services and supports, unpaid carers and the health and social care workforce. Building on learning from previous engagement work this had taken a flexible and tailored approach with a range of different tools and opportunities being developed. This had facilitated Partnership staff to engage people in places and ways that best suit them as individuals and groups, creating spaces for the Partnership to listen to what was most important to them. Opportunities had also been taken to reflect back to stakeholders contributions made in early engagement activities and to further refine thinking, particularly in relation to the IJBs vision and wording of strategic priorities. Contributions to date had highlighted that alongside refining the wording of the IJBs vision and priorities there was a need to consider a clear statement of the values and principles that underpinned the work of the IJB.

Work to analyse contributions made by stakeholders to other relevant engagement process that had taken place over the last 12 months were currently ongoing. This had included contributions made during the development of the Carers Strategy and the Learning Disability and Autism Strategy, as well as ongoing engagement relating to GP Premises Strategy. This approach had helped to ensure that we made best use of the valuable time and effort people had given in contributing their views, as well as ensuring consistency as we developed the overarching strategic commissioning plan.

Work had also begun with partner agencies to explore how we could work collaboratively with our workforce, partner organisations and members of the public to create images that could be used to illustrate the replacement plan. A creative and collaborative approach to illustrating the new plan was intended to help local people feel more connected to the plan, provide an alternative route for engagement/contribution, and support a plan that was more meaningful and relevant to local people. There had been a very positive initial response from partners and further work would take place throughout February and March in this area.

A briefing session with IJB members was held on 25th January, 2023, focused on refining key content in relation to the IJBs vision, strategic priorities and statement of values. Feedback from IJB members provided during the session was now being incorporated into a draft strategic framework.

As highlighted in the October 2022 report to the IJB, the timescale for delivery of the new strategic commissioning plan and the supporting delivery plan was extremely challenging. Wherever possible approaches were being used that bring together the budget setting and strategic planning activities to reduce any duplication of effort and ensure a consistent approach. However, staff capacity in both planning functions and more widely across operational services who had a critical role in informing the content of the plan remained a key risk. For that reason, the focus would remain on developing the strategic commissioning plan and delivery plan by end of April 2023, with the expectation that the development of other companion documents was likely to continue beyond that date.

The IJB noted the position.

IX DUNDEE ALCOHOL AND DRUGS PARTNERSHIP STRATEGIC FRAMEWORK AND DELIVERY PLAN

There was submitted Report No DIJB4-2023 by the Chief Officer submitting to the Integration Joint Board for noting the Dundee Alcohol and Drug Partnership Strategic Framework 2023-2028 and supporting delivery plan, providing an overview of recent developments in the provision of drug and alcohol services and supports.

The Integration Joint Board agreed:-

(i) to note the content of the report and the Dundee Alcohol and Drug Partnerships Strategic Framework 2023-2028, Working Together to Prevent Harm and Support Recovery, and supporting delivery plan (as noted in section 4.1 and appendices 1 and 2 of the report);

(ii) to note the intention for the Alcohol and Drug Partnership to develop a performance management framework, investment plan and strategic risk register to support the implementation of the strategic framework and delivery plan (as noted in section 4.2.6);

(iii) to note the key areas of progress achieved over the last six months in reducing harm associated with drug and alcohol use ( as noted in section 4.3); and

(iv) to instruct the Chief Officer to bring forward further updates regarding progress in implementing the strategic framework and delivery plan in-line with the Alcohol and Drug Partnerships future public reporting schedules.

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

(v) that Kathryn Sharp would recirculate the confidential briefing that had been circulated to IJB members last month;

(vi) that Diane McCulloch would provide additional information to members on the residential rehab pathway;

(vii) to recognise the significant contribution that John Wylie had made to the Strategic Framework and Delivery Plan;

(viii) that formal thanks should be expressed to the workforce on behalf of the IJB; and

(ix) that the Chair, Vice Chair and relevant officers would have an off-table discussion in relation to required capital investment.

X MENTAL HEALTH AND WELLBEING STRATEGIC UPDATE

There was submitted Report No DIJB6-2023 by the Chief Officer briefing the Integration Joint Board about local and Tayside strategic mental health and wellbeing developments.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to note that a further briefing session would be convened in March once the draft improvement plan referred to in section 4.1.7 of the report was completed; and

(iii) to delegate authority to the Chief Officer to sign off the final action plan.

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

(iv) that the manager of the Community Wellbeing Centre would be invited to the IJB at a relevant time; and

(v) to note the good outcomes recorded in relation to the Mental Health Response Vehicle and that Dundee specific data had been requested.

XI DUNDEE IJB 2023/24 BUDGET DEVELOPMENT UPDATE

On a reference to Article XIII of the minute of meeting of the IJB held on 14th December, 2022, there was submitted Report No DIJB11-2023 by the Chief Finance Officer providing an overview of the potential implications of the Scottish Governments Draft Budget 2023/2024 on the IJBs Delegated Budget.

The Integration Joint Board agreed:-

(i) to note the content of the report including the potential implications to the delegated budget of the impact of the Scottish Governments Draft Budget on Dundee City Council and NHS Taysides financial settlements as set out in section 4.2 of the report;

(ii) to note the provision of additional specific funding from the Scottish Government to support Health and Social Care Integration as set out in sections 4.2.4 to 4.2.6 of the report; and

(iii) to remit to the Chief Finance Officer to present a proposed budget for 2023/2024 for consideration by the IJB at its meeting on 29th March 2023.

XII FINANCIAL MONITORING POSITION AS AT DECEMBER 2022

There was submitted Report No DIJB12-2023 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected financial monitoring position for delegated health and social care services for 2022/2023 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 2022/2023 financial year end as at 31st October 2022 as outlined in Appendices 1, 2, and 3 of the report;

(ii) to note the costs and financial risks associated with Dundee Health and Social Care Partnerships continued 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 throughout the remainder of the financial year.

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

(iv) that Christine Jones would provide additional information to IJB members on lead partner projected financial variances.

XIII MEETINGS OF THE INTEGRATION JOINT BOARD 2022 - ATTENDANCES

There was submitted a copy of the Attendance Return DIJB9-2023 for meetings of the Integration Joint Board held to date over 2022.

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

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 remotely on Wednesday 29th March, 2023 at 10.00am.

Pat KILPATRICK, Chairperson.