Dundee City Health & Social Care Integration Joint Board - 28/06/2016

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 28th June, 2016.

Present:-

Also In attendance:-

Doug CROSS, Chairperson, in the Chair.

Prior to the commencement of the business the Chair and the Vice Chair advised of the forthcoming retiral of Laura Bannerman, Dundee City Council. Both the Chair and the Vice Chair paid tribute to the contribution Laura Bannerman had made to the work of Health and Social Care in Dundee over the years in her capacity as a Head of Service with Dundee City Council Social Work Department and her role in furthering this work through the Dundee Health and Social Care Partnership and the establishment of Dundee City Health and Social Care Integration Joint Board in which she had served for a period of time as Joint Interim Chief Officer.

In turn Laura Bannerman thanked the Chair and Vice Chair for their kind tribute and wished the Integration Joint Board well towards achieving its aims and aspirations for Health and Social Care in Dundee.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Martyn Sloan, Eileen McKenna and Barbara Tucker.

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 4th May, 2016 was submitted and approved.

IV PRESENTATIONS

(a) ADVICE SERVICES WITHIN PRIMARY CARE IN DUNDEE - GP SURGERY CO-LOCATION MODEL

Craig Mason gave a presentation on Advice Services within Primary Care in Dundee and the GP Surgery co location model and the ways in which this initiative linked with the work of the Dundee Health and Social Care Partnership and the outcome of the Dundee Fairness Commission towards the aimed reduction of health inequalities in Dundee.

The Integration Joint Board noted the content of the presentation.

(b) A FAIR WAY TO GO - REPORT OF THE DUNDEE FAIRNESS COMMISSION

Councillor Jimmy Black, Chair of the Dundee Fairness Commission gave a verbal presentation on the report of the Dundee Fairness Commission entitled A Fair Way to Go and its connection with the work of the Dundee Health and Social Care Partnership.

The Integration Joint Board agreed to note the presentation and agreed that the Chief Officer be requested to bring forward a report that described how the Integration Joint Board would respond to the recommendations in the report of the Dundee Fairness Commission: A Fair Way To Go.

V HEALTH INEQUALITIES AND EARLY INTERVENTION

There was submitted Report No DIJB26-2016 by the Chief Officer providing a context for bringing forward proposals and propositions for service design or redesign that responded to the significant issues of health inequalities, poverty and deprivation that currently existed in Dundee. The report also acknowledged the importance of designing services that were health inequalities sensitive, demonstrated early intervention and prevention and were targeted and delivered to those who were in most need of support.

The Integration Joint Board agreed:-

(i) to acknowledge the significant inequalities that existed in Dundee and actively request the bringing forward of proposals that sought to mitigate the most negative impacts of these inequalities;

(ii) to support future proposals for scaling up weekly evidenced interventions that reduced health inequalities and tackled poverty;

(iii) to note and support the recommendations from A Fair Way to Go report; and

(iv) to request a report be brought forward that described how the IJB would respond to the recommendations in A Fair Way to Go.

VI DUNDEE INTEGRATION JOINT BOARD ANNUAL INTERNAL AUDIT REPORT 2015/2016

There was submitted Report No DIJB33-2016 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 2015/16.

The Integration Joint Board agreed:-

(i) to note the content and findings of the Annual Internal Audit Report 2015/16 which was attached to the report as an appendix; and

(ii) to instruct the Chief Finance Officer to implement the agreed actions to address areas for improvement.

VII DRAFT ANNUAL ACCOUNTS 2015/16

There was submitted Report No DIJB32-2016 by the Chief Finance Officer presenting the Integration Joint Boards Draft Annual Statement of Accounts 2015/16 for approval to initiate the external audit process and to note and consider the proposed Audit Strategy from the Integration Joint Boards appointed External Auditor.

The Integration Joint Board agreed:-

(i) to note the Integration Joint Boards Draft Annual Statement of Accounts 2015/2016 as outlined in Appendix 1 of the report;

(ii) to instruct the Chief Finance Officer to submit the Accounts to the Integration Joint Boards external auditors (KPMG) to enable the audit process to commence; and

(iii) to note and approve the proposed Audit Strategy for 2015/2016 as provided by the Integrations Joint Boards External Auditor as at Appendix 2 of the report.

VIII INTERNAL AUDIT REPORT ON HEALTH AND SOCIAL CARE INTEGRATION - FINANCIAL ASSURANCE/DUE DILIGENCE

There was submitted Report No DIJB16-2016 by the Chief Finance Officer advising the Integration Joint Board of the outcome of the joint Internal Audit Report on the due diligence process.

The Integration Joint Board agreed:-

(i) to note the content and findings of the Internal Audit Report on Health and Social Care Integration Financial Assurance/Due Diligence which was attached to the report as an appendix; and

(ii) to instruct the Chief Finance Officer to implement the agreed actions to address areas for improvement.

IX COMMUNITY REHABILITATION AND ENABLEMENT PROJECT

There was submitted Report No DIJB28-2016 by the Chief Officer on achievements and progress to date in the Community Rehabilitation and Enablement project a shared NHS Tayside and Dundee City Council initiative.

The Integration Joint Board agreed:-

(i) to note the progress in developing an integrated model for Community Rehabilitation and Enablement Services as outlined in the report; and

(ii) to note the next steps in relation to the project outlined at paragraph 4.5 of the report.

X JOINT DUNDEE AND ANGUS EQUIPMENT LOAN SERVICE PROPOSAL

There was submitted Report No DIJB29-2016 by the Chief Officer providing information about a proposal by Angus Council to Dundee Health and Social Care Partnership to develop a Joint Dundee and Angus Equipment Loan Service.

The Integration Joint Board agreed to approve, in principle, the proposal to proceed with development of a Joint Dundee and Angus Equipment Loan Service and instructs the Chief Officer to explore with Angus Health and Social Care Partnership, the development of a joint Dundee and Angus Equipment Loan Service and report back to the Integration Joint Board on the outcome of discussions.

XI CARERS (SCOTLAND) ACT 2016

There was submitted Report No DIJB30-2016 by the Chief Officer providing information about the Carers (Scotland) Act 2016 and arrangements in place to prepare for its likely commencement in April, 2017.

The Integration Joint Board agreed:-

(i) to note the Royal Assent of the Carers (Scotland) Act 2016 on 9th March, 2016 and the duties and powers placed on Local Authorities and Health Boards through this Act;

(ii) to request a further report detailing financial and resource implications of the Act once known; and

(iii) to instruct the Chief Officer to provide information to the Integration Joint Board on any changes in policy required as a consequence of the Act.

XII COMPLAINTS PROCEDURES AND SYSTEMS

There was submitted Report No DIJB31-2016 by the Chief Finance Officer providing the Integration Joint Board with an update of the development of complaints procedures and system to be applied by the Dundee Health and Social Care Partnership.

The Integration Joint Board agreed:-

(i) to adopt the proposed approach towards the development and implementation of existing and new complaint processes for the Dundee Health and Social Care Partnership;

(ii) to instruct the Chief Finance Officer to ensure that updated and any new complaint processed was submitted to the Integration Joint Board for approval once they had been completed taking into account the forthcoming guidance from the Scottish Government and the Scottish Public Services Ombudsman; and

(iii) to instruct the Chief Finance Officer to ensure that regular Complaint Performance Reports were submitted to the Integrated Joint Board.

XIII CODE OF CONDUCT

Reference was made to Article XV(b) of the minute of meeting of this Integration Joint Board held on 4th May, 2016 wherein progress in relation to the Code of Conduct was noted.

It was reported that the Scottish Government had now approved the draft Code of Conduct and the Clerk would make arrangements to issue a copy to all Members and to place the Code on the Board's webpage.

The Clerk would also arrange for Members to complete their Register of Interests and place these on the Integration Joint Board's webpage, again for public reference.

The Integration Joint Board noted the above information.

XIV 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 Tuesday, 30th August, 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.

XV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP - SERVICE REDESIGN PROPOSALS

There was submitted Report No DIJB27-2016 by the Chief Finance Officer providing an update to the Integration Joint Board of the continuing development of the delegated resources to Dundee Health and Social Care Partnership (DHSCP) from NHS Tayside and associated cost reduction and efficiency savings plan. The report also advised the Integrated Joint Board of the outcome of outstanding areas from the due diligence process and confirmed the overall delegated budgeted resources from NHS Tayside and Dundee City Council.

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to note and approve the cost reduction and efficiency savings plan noted in section 4.3. of the report resultant shortfall in savings and impact on delegated resources to the Integrated Joint Board from NHS Tayside;

(iii) to instruct the Chief Officer to invoke the risk sharing agreement for year 1 of the Integrated Joint Board becoming fully operational contained within the Integration Scheme whereby any overspends remained the responsibility of the body with operational responsibility for service delivery and advise NHS Tayside accordingly;

(iv) that subject to agreement at (ii) and (iii) above, accepted the level of budgeted resources calculated by NHS Tayside as relating to delegated services for 2016/17;

(v) to note the totality of the Dundee Integrated Joint Board Transformation Programmes as a result of the combined cost reduction initiatives impacting on delegated resources from Dundee City Council and NHS Tayside and resultant Integrated Joint Board Budget as noted in section 4.3 and Appendix 1 of the report; and

(vi) to note the opinion of the Chief Finance Officer as to the transparency, proportionality and adequacy of the financial resources associated with the transfer of the Medicine for the Elderly service and subsequent risks identified following the completion of the outstanding Due Diligence process for the service as indicated in Appendix 2 of the report.

Doug CROSS, Chairperson.