Dundee City Health & Social Care Integration Joint Board - 21/06/2023

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 21st June, 2023.

Present:-

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

Ken LYNN, Chairperson, in the Chair.

Prior to the commencement of the meeting the Chair paid tribute to Anne Buchanan, who would be leaving her Non-Executive role in NHS Tayside, and the contribution she had made to the Integration Joint Board.

The Chair also paid tribute to Tony Gaskin, who was soon to be retiring, and to the contribution he had made.

The Chair also took the opportunity to welcome Suzie Flower, NHS Tayside to her first meeting of the Integration Joint Board.

These sentiments were echoed by other members of the Integration Joint Board.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

There were no declarations of interest.

III MEMBERSHIP APPOINTMENT

It was reported that Sarah Dickie had now retired from NHS Tayside and that at the meeting of Tayside NHS Board held on 27th April, 2023 it was agreed that Suzie Flower be appointed as a replacement non-voting member of the Integration joint Board in the capacity of Registered Nurse employed by the Health Board.

The Integration Joint Board noted the position.

IV MINUTE OF PREVIOUS MEETING

(a) The minute of meeting of the Integration Joint Board held on 19th April, 2023 was submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB29-2023 for meetings of the Integration Joint Board was submitted and noted.

V BELLA UNIT, WOMENS CUSTODY UNIT UPDATE FOLLOWING OPENING

Jacky Ramsay and Neil Wallace from the Children and Families Service attended to give a presentation on the Bella Community Custodial Unit.

The presentation covered the background to the establishment of the Unit, how the Unit operated, staff and services, community links and the assessment process.

The Integration Joint Board agreed to note the presentation.

VI PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 24TH MAY, 2023

The minute of the previous meeting of the Performance and Audit Committee held on 24th May, 2023 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB39-2023 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.

VII ANNUAL COMPLAINTS PERFORMANCE

There was submitted Report No DIJB33-2023 by the Chief Officer providing an analysis of complaints received by the Dundee Health and Social Care Partnership over the past financial year 2022/2023. It included complaints handled using the Dundee Health and Social Care Partnership Social Work Complaint Handling Procedure, the NHS Complaint Procedure and the Dundee City Integration Joint Board Complaint Handling Procedure.

The Integration Joint Board agreed:-

(i) to note the analysis of 2022/2023 DHSCP complaint performance as set out in section 4 of the report; and

(ii) to note that the report was submitted in a different format to previous years to comply with the Scottish Public Service Ombudsman (SPSO) request for specific data within the report.

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

(iii) that, on the suggestion of the Chair, some investigation be made into carrying out benchmarking against other HSCPs and/or family groups.

VIII STRATEGIC COMMISSIONING FRAMEWORK 2023-2033

There was submitted Report No DIJB27-2023 by the Chief Officer seeking approval of the Dundee Integration Joint Board (IJB) Strategic Commissioning Framework 2023-2033. The report also informed the IJB of the response to the final period of public, workforce and stakeholder engagement that had informed the strategic commissioning framework, and to update them on ongoing work to develop a 2023/2024 annual delivery plan.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to note the summary report of public, workforce and stakeholder engagement activity that had directly informed the development of the strategic commissioning framework (as detailed in section 4.2 and Appendix 1 of the report);

(iii) to approve and adopt, with immediate effect, the Dundee Integration Joint Board Strategic Commissioning Framework 2023-2033 (as detailed in section 4.3 and Appendix 2 of the report);

(iv) to instruct the Chief Officer to oversee the final formatting of the plan, including the addition of accessibility features, and subsequent publication and dissemination (as detailed in section 4.3.2 of the report);

(v) to note the revised approach to the development of an annual delivery plan for Dundee Health and Social Care Partnership (DHSCP) and planned work to develop a resources framework and performance framework as companion documents to the strategic commissioning framework (as detailed in section 4.4 of the report); and

(vi) to instruct the Chief Officer to provide a further update to the IJB on the development of the delivery plan and companion documents to the strategic commissioning framework no later than 31st October, 2023.

IX CARERS INVESTMENT PLAN UPDATE

There was submitted Report No DIJB35-2023 by the Chief Finance Officer seeking approval of the updated Carers (Scotland) Act Investment Plan 2023-2024.

The Integration Joint Board agreed:-

(i) to approve the revised Carers (Scotland) 2016 Act Investment Plan 2023-2024 set out in Appendix 1 to the report; and

(ii) to remit the Chief Officer to issue the directions set out in section 8 of the report.

X MANAGEMENT OF DELAYED DISCHARGES

There was submitted Report No DIJB31-2023 by the Chief Officer providing an update on the actions taken to continue to reduce delayed discharges, and to outline the progress made against the local targets as detailed in IJB Report DIJB75-2022 (Article VIII of the minute of meeting of 26th October, 2022 refers).

The Integration Joint Board agreed:-

(i) to note the ongoing work to reduce delayed discharges particularly in relation to the local and national Discharge Without Delay and Care Closer to Home workstreams, as well as developments which have improved access to social care; and

(ii) to note performance against the Discharge Without Delay national indicators which were now consistently above the target of 98% since March 2023, with previous performance being consistently above 97% (as detailed in Appendix 1 of the report).

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

(iii) to note the national attention that had been received and to record thanks to Lynne Morman and her team.

XI ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE &PROFESSIONAL GOVERNANCE GROUP 2022-2023

There was submitted Report No DIJB32-2023 by the Clinical Director providing assurance to the Dundee IJB regarding matters of Clinical, Care and Professional Governance. In addition, the report provided information on the business of the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group (the Group, DHSCP CCPG Group), and outlined the ongoing planned developments to enhance the effectiveness of the group.

The Integration Joint Board agreed:-

(i) to note the content of the report; and

(ii) to note the work undertaken by the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group from April 2022March 2023 to seek assurance regarding matters of Clinical, Care and Professional Governance.

XII CATEGORY 1 RESPONDER ANNUAL REPORT 2022/2023

There was submitted Report No DIJB37-2023 by the Chief Officer presenting an annual report of activity related to its status as a Category One Responder under the Civil Contingencies Act 2004.

The Integration Joint Board agreed:-

(i) to note the content of the report; and

(ii) to instruct the Chief Officer to bring forward a further annual report, for the period 2023/2024, in twelve months in addition to any relevant reporting on Category 1 Responder activity made during the year.

XIII FAIRER WORKING CONDITIONS HOME CARE (UPDATE)

There was submitted Report No DIJB30-2023 by the Chief Officer updating the Integration Joint Board regarding ongoing work to consistently implement good practice principles for fairer work with commissioned providers of care at home services.

The Integration Joint Board agreed:-

(i) to note the content of the report, including the good practice principles for fairer work that had been identified (as detailed in section 4.3 of the report);

(ii) to note the progress that had been achieved to date and the approach to working in partnership with commissioned providers to consistently implement these principles across the care at home workforce;

(iii) to note the significant benefits evidenced as resulting from this work (as detailed in sections 4.4-4.7 of the report); and

(iv) to approve the proposal to extend the good practice principles for fairer work into the 2023/2024 commissioning contracts.

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

(v) to note the Trade Unions commitment to working together with management.

XIV ANNUAL INTERNAL AUDIT REPORT

There was submitted Report No DIJB40-2023 by the Chief Finance Officer advising the Integration Joint Board of the outcome of the Chief Internal Auditors Report on the Integration Joint Boards internal control framework for the financial year 2022/2023.

The Integration Joint Board agreed:-

(i) to note the content and findings of the attached Annual Internal Audit Report 2022/2023 as outline in Appendix 1 of the report; and

(ii) to instruct the Chief Finance Officer to report progress towards meeting the recommendations of the Annual Internal Audit Report to the Performance and Audit Committee.

XV UNAUDITED ANNUAL ACCOUNTS 2022/2023

There was submitted Report No DIJB41-2023 by the Chief Finance Officer presenting the Integration Joint Boards Unaudited Annual Statement of Accounts 2022/2023.

The Integration Joint Board agreed:-

(i) to consider and agree the content of the Unaudited Final Accounts Funding Variations as outlined in Appendix 1 of the report;

(ii) to approve the Draft Dundee Integration Joint Board Annual Corporate Governance Statement as outlined in Appendix 2 of the report;

(iii) to note the Integration Joint Boards Unaudited Annual Statement of Accounts 2022/2023 as outlined in Appendix 3 of the report; and

(iv) to instruct the Chief Finance Officer to submit the Unaudited Accounts to the IJBs external auditors (Audit Scotland) by 30th June 2023 to enable the audit process to commence.

XVI FINANCIAL MONITORING POSITION AS AT MARCH 2023

There was submitted Report No DIJB28-2023 by the Chief Finance Officer providing the Integration Joint Board with an update of the year-end financial 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 to note the content of the report including the overall financial position for delegated services to the 2022/2023 financial year end as at 31st March 2023 as outlined in Appendices 1, 2, and 3 of the report.

XVII 5 YEAR FINANCIAL OUTLOOK 2023/2024-2027/2028

There was submitted Report No DIJB36-2023 by the Chief Finance Officer providing the Integration Joint Board (IJB) with a forecast of the medium to longer term financial challenges which were likely to impact on the IJBs future delegated budget and set out the framework within which these challenges would be mitigated to enable the IJBs strategic priorities to be delivered within a balanced budget.

The Integration Joint Board agreed:-

(i) to note the potential financial challenges which may impact on the IJBs delegated budget over the medium to longer term as set out in sections 4.1.1 to 4.1.8 and Appendix 1 to the report; and

(ii) to approve the framework and range of principles under which the IJB would approach these challenges to ensure the IJB was able to deliver its strategic and commissioning priorities while delivering a balanced budget as set out in sections 4.1.9 and 4.1.10 of the report.

XVIII DELIVERY OF GENERAL MEDICAL SERVICES FOR PATIENTS REGISTERED WITH INVERGOWRIE PRACTICE

There was submitted Report No DIJB42-2023 by the Chief Officer outlining the current position with Invergowrie Medical Practice and the options for ensuring continuity of care for those patients registered with the practice. The Perth and Kinross Integration Joint Board would also be asked to comment on the issues contained within the report prior to submitting to NHS Tayside for decisioning making.

The Integration Joint Board noted that, in view of the timescales involved, the Chief Officer, in consultation with the Chairperson, Vice Chairperson, Chief Finance Officer and the Clerk had approved the report.

XIX SPECIALIST PALLIATIVE CARE SERVICES REMODELLING

There was submitted Report No DIJB34-2023 by the Chief Officer informing the IJB of the remodelling work being undertaken within Specialist Palliative Care Services.

Dr Elinor Brabin and Dr Claire Douglas, NHS Tayside gave a presentation in supplement to the report.

The Integration Joint Board agreed:-

(i) to note the content of the presentation; and

(ii) to note the work being undertaken to remodel Specialist Palliative Care Services as outlined in the report.

XX TAYSIDE MENTAL HEALTH SERVICES: MENTAL HEALTH AND LEARNING DISABILITIES SERVICES WHOLESYSTEM CHANGE PROGRAMME

There was submitted Report No DIJB43-2023 by the Chief Officer bringing forward the completed Whole System Mental Health and Learning Disabilities Change Programme for approval.

The Integration Joint Board agreed:-

(i) to approve the Mental Health and Learning Disability Whole System Change Programme as attached at Appendix 1 of the report;

(ii) to note the emerging partnership with the V&A in Dundee as detailed in section 4.1.6 of the report; and

(iii) to note the additional investment required to deliver the programme as detailed in section 4.1.5 of the report.

XXI MEETINGS OF THE INTEGRATION JOINT BOARD 2023 - ATTENDANCES

There was submitted a copy of the Attendance Return DIJB38-2023 for meetings of the Integration Joint Board held to date over 2023.

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

XXII 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 23rd August, 2023 at 10.00am.

Ken LYNN, Chairperson.