Dundee City Health & Social Care Integration Joint Board - 30/08/2016

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 30th August, 2016.

Present:-

Members	Role
Doug CROSS (Chairperson)	Nominated by Health Board (Non-Executive Member)
Judith GOLDEN	Nominated by Health Board (Non-Executive Member)
Munwar HUSSAIN	Nominated by Health Board (Non-Executve Member)
Ken LYNN (Vice Chairperson)	Nominated by Dundee City Council (Elected Member)
Stewart HUNTER	Nominated by Dundee City Council (Elected Member)
David BOWES	Nominated by Dundee City Council (Elected Member)
David W LYNCH	Chief Officer
Dave BERRY	Chief Finance Officer
Eileen McKENNA	Registered Nurse
Cesar RODRIGUEZ	Registered Medical Practitioner (not providing primary medical services)
Raymond MARSHALL	Staff Partnership Representative
Jim McFARLANE	Trade Union Representative
Dee McIntosh (substitute for Christine LOWDEN)	Third Sector Representative
Martyn SLOAN	Carer Representative

Also in attendance:-

Diane McCULLOCH	Head of Community Health and Care Services
Lydia BANKS	Dundee Safe Zone Bus Co-ordinator
Carina MITCHELL	Director, Advocating Together (Dundee)
Colin McCASHEY	Convener of the Dundee Adult Support and Protection Committee
Arlene HAY	Dundee Health and Social Care Partnership
Lynsey WEBSTER	Dundee Health and Social Care Partnership
Shona HYMAN	Dundee Health and Social Care Partnership
Lynne HAMILTON	NHS Tayside
Neil PRENTICE	NHS Tayside
David SHAW	Dundee Health and Social Care Partnership

Doug CROSS, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies were intimated on behalf of Andrew Jack and Drew Walker.

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 28th June, 2016 was submitted and approved.

IV RESIGNATION OF BARBARA TUCKER, STAFF PARTNERSHIP REPRESENTATIVE

It was reported that Barbara Tucker had resigned from her membership on the Integration Joint Board as Staff Partnership Representative and that her replacement in this capacity would be Raymond Marshall.

The Integration Joint Board noted the position.

V PRESENTATIONS

(a) SAFE ZONE

Lydia Banks, Dundee Safe Zone Bus Co-ordinator, Tayside Council on Alcohol gave a presentation on the service provided by this project on Friday and Saturday evenings in Central Dundee. The Integration Joint Board noted the content of the presentation.

(b) SAFE PLACES

Carina Mitchell, Director, Advocating Together (Dundee) gave a presentation on the service provided by this project which aimed to help disabled, elderly and vulnerable people feel safe in their community.

The Integrated Joint Board noted the content of the presentation.

It was reported that the Integration Joint Board may resolve under Section 50(A)(4) of the Local Government (Scotland) Act 1973 that the press and public be excluded from the meeting for the undernoted item of business on the grounds that it involved the likely disclosure of exempt information as defined in paragraphs 3, 6 and 9 of Part I of Schedule 7A of the Act. After hearing that the matter had been considered by the NHS Tayside Board, the Integration Joint Board agreed that the item be considered in public.

VI MENTAL HEALTH REDESIGN TRANSFORMATION PROGRAMME

There was submitted Report No DIJB46-2016 by the Chief Officer informing the Integration Joint Board of progress made in relation to the Mental Health Service Redesign Transformation Programme.

The Integration Joint Board:-

(i) noted the progress made to date in relation to the Mental Health Service Redesign Transformation Programme as detailed in the NHS Tayside paper in Appendix 1 of the report; and

(ii) noted that a paper had been presented to the NHS Tayside Board on 25th August, 2016, along with the Option Appraisal in Appendix 2 of the report and Supporting Appendices in Appendix 3 of the report and the recommendations had been approved by the NHS Tayside Board.

VII ADULT SUPPORT AND PROTECTION COMMITTEE - INDEPENDENT CONVENORS BIENNIAL REPORT TO THE SCOTTISH GOVERNMENT

There was submitted Report No DIJB34-2016 by the Chief Officer advising the Integration Joint Board that the Independent Convenor of the Adult Support and Protection Committee had produced his Biennial Report for the Scottish Government for the period April, 2014 - March, 2016.

After hearing Colin McCashey, Convener of the Adult Support and Protection Committee, the Integration Joint Board:-

(i) noted the contents of the Independent Convenor's Biennial Report in Appendix 2 of the report;

(ii) noted the progress that had been made in developing an effective partnership response to Adult Support and Protection issues in the city;

(iii) noted the Independent Convenor's recommendations for 2016-2018 outlined in paragraph 4.5 of the report; and

(iv) remitted to the Chief Officer to ensure that recommendations contained within the Biennial Report were taken forward by relevant groupings and individuals within the Health and Social Care Partnership under the advice and guidance of the Adult Support and Protection Committee.

VIII HIGH LEVEL RISK REGISTER

There was submitted Report No DIJB35-2016 by the Chief Finance Officer proposing a high level risk register for the Board.

The Integration Joint Board:-

(i) agreed the proposed high level risk register as noted in Appendix 1 of the report; and

(ii) remitted to the Chief Finance Officer to bring to the Integration Joint Board an integrated operational risk register and business continuity plan for operational Integration Joint Board functions.

IX PERFORMANCE AND AUDIT COMMITTEE

There was submitted Report No DIJB36-2016 by the Chief Finance Officer seeking approval to establish a Performance and Audit Committee.

The Integration Joint Board:-

(i) noted the responsibility of the Integration Joint Board to put in place appropriate and proportionate audit arrangements;

(ii) agreed to establish a Performance and Audit Committee as a Standing Committee of the Integration Joint Board, the first meeting of which would take place at a date following the Integration Joint Board meeting to be held on 25th October, 2016.

(iii) agreed the terms of reference as detailed in the report, a copy of which is attached to this minute as an appendix;

(iv) approved the arrangements for the appointment of the Chair and members to serve on the Performance and Audit Committee; and

(v) remitted to the Clerk to make consequent amendments to Standing Orders.

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT

There was submitted Report No DIJB37-2016 by the Chief Officer updating the Integration Joint Board on progress in implementing the Partnership's performance framework.

The Integration Joint Board:-

(i) noted the progress that had been made in further developing and implementing the performance framework since it was approved by the Integration Joint Board in February, 2016;

(ii) considered the proposed approach in Section 4.2 to reporting against the national health and wellbeing outcomes and indicators within the context of an annual performance report;

(iii) noted that work was currently being undertaken to improve the availability of data at a locality/neighbourhood level from national partners, including the Scottish Government and NHS National Services Scotland, Information Services Division;

(iv) agreed that the Information Team, working with the wider Partnership and under the direction of the proposed Performance and Audit Committee, should continue to develop exemplar formats for other sections of the annual performance report and bring these forward for consideration as they become available;

(v) considered the proposed approach in Section 4.3 to reporting progress against strategic priorities and shifts within the Partnership Strategic and Commissioning Plan;

(vi) agreed that the Information Team, working with the wider Partnership and under the direction of the proposed Performance and Audit Committee should continue to develop the exemplar approach across all strategic priorities and shifts as the basis for future quarterly performance reports; and

(vii) agreed that further discussion and development should take place under the direction of the proposed Performance and Audit Committee to enable the integration of financial performance and information into the quarterly performance report in the medium-term.

XI FINANCIAL MONITORING REPORT - JULY 2016

There was submitted Report No DIJB38-2016 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 2016/2017.

The Integration Joint Board:-

(i) noted the overall projected financial position for delegated services as at 31st July, 2016;

(ii) instructed the Chief Finance Officer to continue to monitor the 2016/2017 projected financial outturn and present this to the Integration Joint Board throughout the remainder of the financial year;

(iii) noted that the format and focus of this financial monitoring would change over time as budgets became more integrated and more closely aligned with the priorities set out within the Strategic and Commissioning Plan.

XII TRANSFORMATION PROGRAMME

There was submitted Report No DIJB39-2016 by the Chief Finance Officer providing the Integration Joint Board with an overview of Dundee Health and Social Care Partnership's Transformation Programme.

The Integration Joint Board:-

(i) noted the detail of Dundee Health and Social Care Partnership's Transformation Programme and how this links directly with the actions reflected in the Strategic and Commissioning Plan; and

(ii) instructed the Chief Finance Officer to report progress in achieving the Transformation Programme through the financial monitoring process.

XIII ANNUAL ACCOUNTS 2015/2016

There was submitted Report No DIJB43-2016 by the Chief Finance Officer presenting the Integration Joint Board's Draft Audit Annual Statement of Accounts for the year to 31st March, 2016, together with the draft External Auditor's report in relation to these accounts.

The Integration Joint Board:-

(i) noted the contents of the draft External Auditor's report at Appendix 1 to the report including the completed action plan at page 15 of the report and, in particular, that KPMG had indicated they would issue an unqualified audit opinion on the Integration Joint Board's 2015/2016 accounts;

(ii) endorsed this report as the Integration Joint Board's formal response to the External Auditor's report;

(iii) approved the Audited Annual Accounts at Appendix 2 to the report for signature and instructed the Chief Finance Officer to return these to the External Auditor; and

(iv) instructed the Chief Finance Officer to arrange for the above Annual Accounts to be published on the Dundee Health & Social Care Partnership website by no later than 31st October, 2016.

XIV DISCHARGE MANAGEMENT PERFORMANCE UPDATE

There was submitted Report No DIJB44-2016 by the Chief Officer providing an update to the Health and Social Care Integration Joint Board on Discharge Management Performance in Dundee.

The Integration Joint Board noted the current position in relation to discharge from hospital.

XV DUNDEE DISCHARGE MANAGEMENT IMPROVEMENT PLAN AND USE OF FUNDING

There was submitted Report No DIJB40-2016 by the Chief Officer providing an update to the Health and Social Care Integration Joint Board of the outcome and progress of actions and arrangements put in place across the Partnership to respond to discharge management.

The Integration Joint Board:-

(i) approved the Dundee Discharge Management Improvement Plan in Appendix 1 of the report;

(ii) noted progress in relation to spend against Discharge Monies; and

(iii) agreed that a further update be submitted to the Joint Board in three months' time.

XVI DUNDEE FAIRNESS COMMISSION REPORT: A FAIR WAY TO GO

On a reference to Article IV(b) of the minute of meeting of the Integration Joint Board of 28th June, 2016, there was submitted Report No DIJB41-2016 by the Chief Officer relative to the above.

The Integration Joint Board:-

(i) remitted to the Chief Officer to ensure that the relevant recommendations of the Fairness Commission were taken forward as part of the Health Inequalities Commissioning Statement from Dundee Health and Social Care Partnership's Strategic and Commissioning Plan. These recommendations would be further developed and monitored through the refreshed Health and Care Theme of Community Planning; and

(ii) noted the initial actions and priorities identified in Sections 4.2-4.7 of the report.

XVII WEAVERS BURN CARE INSPECTORATE REPORT

There was submitted Report No DIJB45-2016 by the Chief Officer briefing the Integration Joint Board on the outcome of a recent inspection of Weavers Burn, Care at Home/Housing Support Service undertaken by the Care Inspectorate in May, 2016.

The Integration Joint Board:-

(i) noted the content of the Care Inspectorate report and accompanying action plan in Appendix 1 and Appendix 2 of the report;

(ii) noted that the service had also developed a more detailed operational improvement plan for use in addition to the Care Inspectorate Action Plan; and

(iii) remitted to the Chief Officer to report improvements to the Integration Joint Board after the Care Inspectorate's follow-up visit.

XVIII DATE OF NEXT MEETING

The Integration Joint Board noted that the next meeting of the Integration Joint Board would be held in Committee Room 1, 14 City Square, Dundee on 25th October, 2016 at 4.00 pm.

The Integration Joint Board resolved under Section 50(a)(4) of the Local Government (Scotland) Act 1973 that the press and public be excluded from the meeting for the undernoted item of business on the grounds that it involved the likely disclosure of exempt information as defined in paragraphs 3, 6 and 9 of Part I of Schedule 7A of the Act.

XIX FUTURE OF RESIDENTIAL CARE FOR OLDER PEOPLE

There was submitted Report No DIJB42-2016 by the Chief Officer outlining proposals for the provision of local authority operated residential care to meet the future needs of older people.

The Integration Joint Board approved the recommendations detailed in the report.

In addition, the Integration Joint Board agreed to engage with Dundee City Council regarding the required care home provision within Dundee City.

Doug CROSS, Chairperson.

Appendix 1

DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD

PERFORMANCE AND AUDIT COMMITTEE

TERMS OF REFERENCE

1	Introduction
1.1	The Performance and Audit Committee is identified as a Committee of the Integration Joint Board (IJB).
1.2	The Committee will be known as the Performance and Audit Committee of the IJB and will be a Standing Committee of the IJB.
2	Constitution
2.1	The IJB shall appoint the Committee. The Committee will consist of not less than six members of the IJB, excluding Professional Advisors. The Committee will include at least four IJB voting members, two from NHS Tayside and two from Dundee City Council. Only voting members of the IJB will be able to vote on the Committee.
2.2	The Committee may at its discretion set up short term working groups for review work. Membership of the working group will be open to anyone whom the Committee considers will assist in the task assigned. The working groups will not be decision making bodies or formal committees but will make recommendations to the Performance and Audit Committee.
3	Chair
3.1	The Committee will be chaired by a person not being the Chair of the IJB, will be nominated by the IJB and will rotate between a voting member from NHS Tayside and a voting member from Dundee City Council. In the absence of the Chair, the members present at the meeting will appoint a member to Chair the meeting. The Chair will rotate on the same frequency as the Chair of the IJB.
4	Quorum
4.1	Two voting members of the Committee will constitute a quorum.
5	Attendance at meetings
5.1	The Chief Officer, Chief Finance Officer, Chief Internal Auditor and other Professional Advisors or their nominated representatives may attend meetings. Other persons shall attend meetings at the invitation of the Committee.
5.2	The external auditor will be invited to attend at least one meeting per annum.
5.3	The Committee may invite additional advisors as appropriate.

6	Meeting Frequency
6.1	The Committee will meet at least three times each financial year with further meetings, including development events arranged if necessary.
7	Authority
7.1	The Committee is authorised to instruct further investigation on any matters which fall within Paragraph 8.
8	Duties
8.1	The Committee will review the overall Internal Control arrangements of the IJB and make recommendations to the IJB regarding signing of the Governance Statement.
	Specifically it will be responsible for the following duties:
	The preparation and implementation of the strategy for Performance Review and monitoring the performance of the Partnership towards achieving its policy objectives and priorities in relation to all functions of the IJB.
	2. Ensuring that the Chief Officer establishes and implements satisfactory arrangements for reviewing and appraising service performance against set objectives, levels and standards of service and to receive regular reports on these and to review progress against the outcomes in the Strategic and Commissioning Plan.
	Acting as a focus for Best Value and performance initiatives.
	To review and approve the annual Internal Audit plan on behalf of the IJB.
	To receive reports, monitor the implementation of agreed actions on audit recommendations and reporting to the IJB as appropriate.
	To receive monitoring reports on the activity of Internal Audit and an annual Internal Audit Report.
	To consider External Audit Plans and reports (including the annual accounts and audit certificate), matters arising from these and management actions identified in response.
	To support the IJB in ensuring that the strategic integrated assurance and performance framework is working effectively, and that escalation of notice and action is consistent with the risk tolerance set by the IJB.
	To support the IJB in delivering and expecting co-operation in seeking assurance that hosted services run by partners are working effectively in order to allow Dundee IJB to sign off on its accountabilities for its resident population.
	Review risk management arrangements, receive regular reports on risk management and an annual Risk Management report.
	Ensure existence of and compliance with an appropriate Risk Management Strategy.
	To consider annual financial accounts and related matters before submission to and approval by the IJB.
	Ensuring that the Senior Management Team of Dundee Health and Social Care Partnership, including Heads of Service, Professional Leads and Principal Managers maintain effective controls within their services which comply with financial procedures and regulations.
	To be responsible for setting its own work programme in order to meet its specific duties including any matters which the Chief Officer believes would benefit from investigation.
	Promoting the highest standards of conduct by IJB Members; and monitoring and keeping under review the Code of Conduct maintained by the IJB.
	Will have oversight of Information Governance arrangements as part of the Performance and Audit process.
	To be aware of, and act on, Audit Scotland, national and UK audit findings and inspections/regulatory advice, and to confirm that the IJB has brought itself into compliance timeously.
9	Review
9.1	The Terms of Reference will be reviewed when the Chair passes to ensure their ongoing appropriateness in dealing with the business of the IJB.
9.2	As a matter of good practice, the Committee should allow for periodic review utilising best practice guidelines and external facilitation as required.

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