Dundee City Health & Social Care Integration Joint Board - 21/02/2024

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 21st February, 2024.

Present:-

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

Beth HAMILTON, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

There were no declarations of interest.

III JOINT INSPECTION OF ADULT SUPPORT AND PROTECTION IN THE DUNDEE PARTNERSHIP FINDINGS AND IMPROVEMENT PLANS

There was submitted Report No DIJB2-2024 by the Independent Convenor, Dundee Adult Support and Protection Committee informing the Integration Joint Board of the findings of the Joint Inspection of Adult Support and Protection in the Dundee Partnership, published by the Care Inspectorate on 19th December, 2023, and outlining improvement plans arising from these findings.

The Integration Joint Board agreed:-

(i) to note the content of the inspection report published by the Care Inspectorate (attached as appendix 1 of the report);

(ii) to note the summary of inspection findings, including areas of strength and areas for improvement (section 4.5);

(iii) to note the multi-agency approach to improvement planning that had been progressed since receipt of inspection findings and the improvement plan approved by the Dundee Chief Officers Group and submitted to the Care Inspectorate on 7th February, 2024 (section 4.6 and appendix 3 of the report); and

(iv) to instruct the Chief Officer to make arrangements for a further update on implementation and impact of improvement plans to be provided to the IJB in line with the schedule of reporting between the Adult Support and Protection Committee and Chief Officers Group (section 4.6.4).

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

(v) to note that the position statement completed prior to the start of the inspection process aligned closely with what the inspectors identified during the inspection;

(vi) to note that work was underway to review how concerns and referrals were received into the service with the intention of implementing a new pathway;

(vii) to note that the Lead Officer post for Adult Support and Protection was due to be permanantly recruited to next month;

(viii) to note that steps had been taken to ensure GP and Primary Care engagement; and

(ix) to note that there was an action in the ASPC Delivery Plan relating to addressing the advocacy issues that had been highlighted.

IV MINUTES OF PREVIOUS MEETINGS

(a) The minutes of meetings of the Integration Joint Board held on 13th December, 2023 and 31st January, 2024 were submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB8-2024 for meetings of the Integration Joint Board was submitted and noted.

V PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 31ST JANUARY, 2024

The minute of the previous meeting of the Performance and Audit Committee held on 31st January, 2024 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB9-2024 by Donald McPherson, Acting 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 MEMBERSHIP OF DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD CHIEF SOCIAL WORK OFFICER

It was reported that as Diane McCulloch would be retiring from the position of Chief Social Work Officer, Glyn Lloyd, Head of Children and Families Social Work and Community Justice would cover all Chief Social Work Officer functions effective from 1st March, 2024 and replace Diane as a member of the Integration Joint Board from that date.

The Integration Joint Board noted the position.

VII FALLS SERVICE

There was submitted Report No DIJB3-2024 by the Chief Finance Officer providing analysis of falls-related hospital admissions and assurance regarding the preventative and proactive work being undertaken.

The Integration Joint Board agreed:-

(i) to note the contents of the report and the analysis of falls-related hospital admissions (section 5.0 of the report);

(ii) to note the current model for prevention and rehabilitation and how this linked with the wider socio-economic situation; and

(iii) to note the development of the Tayside Falls Prevention and Falls Management Framework.

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

(iv) to note that although there may be an issue around the coding element in Tayside compared with Scotland in relation to falls hospital admission data, the data would still be used to track progress; and

(v) that Matthew would take back to the Falls Group for discussion the suggestion to have older people and carer representatives.

VIII DUNDEE IJB 2024/2025 BUDGET DEVELOPMENT UPDATE

There was submitted Report No DIJB7-2024 by the Chief Finance Officer providing the Integration Joint Board (IJB) with an overview of the potential implications of the Scottish Governments Draft Budget 2024/2025 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 2024/2025 for consideration by the IJB at its meeting on 27th March, 2024.

IX FINANCIAL MONITORING POSITION AS AT DECEMBER 2023

There was submitted Report No DIJB5-2024 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected year-end financial position for delegated health and social care services for 2023/2024.

The Integration Joint Board agreed:-

(i) to note the content of the report including the overall projected financial position for delegated services for the 2023/2024 financial year end as at 31st December, 2023 as outlined in Appendices 1, 2, and 3 of the report;

(ii) to note steps continued to be taken by Officers to consider options and opportunities to improve the financial position during the remainder of 2023/2024 as part of the Financial Recovery Plan process, as outlined in section 4.7 of the report; and

(iii) to approve the release of earmarked reserves totalling 1.6m to support the overall financial position for In Patient Mental Health Services in Tayside as outlined in section 4.3.9 of the report.

X MEETINGS OF THE INTEGRATION JOINT BOARD 2023 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB4-2024 for meetings of the Integration Joint Board held to date over 2023.

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

XI 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, 27th March, 2024 at 10.00am.

Beth HAMILTON, Chairperson.