Dundee City Health & Social Care Integration Joint Board - 27/06/2018

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 27th June, 2018.

Present:-

Also in attendance at the request of the Chief Officer:-

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Member Role

Munwar HUSSAIN Nominated by Health Board (Non-Executive Member)

Sarah DICKIE Registered Nurse

Jane MARTIN Chief Social Work Officer

Raymond MARSHALL Staff Partnership Representative

II DECLARATIONS OF INTEREST

There were no declarations of interest.

lll MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 24th April, 2018 was submitted and approved.

IV PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF MEETING OF 29TH MAY, 2018

The minute of meeting of the Performance and Audit Committee held on 29th May, 2018 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB45-2018 by Doug Cross, Chair, Performance and Audit Committee providing an assurance report to the Integration Joint Board on the work of the Performance and Audit Committee on instructions issued by the Committee, Performance Against Work Plan and any other major issues to highlight to the Integration Joint Board.

The Integration Joint Board agreed to note the content of the presentation.

V TAYSIDE PRIMARY CARE IMPROVEMENT PLAN

(a) Shona Hyman, Senior Manager, Service Development and Primary Care, Dr David Shaw, Clinical Director and Andrew Thomson, Medical Secretary, Tayside General Practitioners Sub-Committee gave a joint presentation in supplement to the report.

The Integration Joint Board agreed to note the content of the report.

(b) There was submitted Report No DIJB26-2018 by the Chief Officer detailing the development of the Primary Care Improvement Plan and seeking approval of the Plan.

The Integration Joint Board agreed:

(i) to approve the Tayside Primary Care Improvement Plan (the Plan), which outlined the overall direction of travel and set out the first year of delivery, a copy of which was attached to the report as Appendix 1;

(ii) to note the specific actions for Dundee Health and Social Care Partnership, a copy of which was attached to the report as Appendix 2;

(iii) to direct NHS Tayside to implement with immediate effect the specific actions relevant to them a copy of which was attached to the report as Appendices 1 and 2;

(iv) to delegate the monitoring of the Primary Care Improvement Plan Fund (Dundee allocation) as detailed in paragraphs 3 and 4.4.1 of the report;

(v) to instruct the Chief Officer to provide a further report to the Integration Joint Board to be held on 28th August, 2018 which would include a full financial framework for the Direction to NHS Tayside at (iii) above;

(vi) to instruct the Chief Officer to provide a further report on progress made in the first year to a future meeting of the Integration Joint Board; and

(vii) to note that the Tayside Primary Care Improvement Plan would be submitted to the Scottish Government following approval of the Plan by the relevant parties by 1st July 2018.

VI STRATEGIC AND COMMISSIONING STATEMENT FOR PEOPLE WITH PHYSICAL DISABILITY 2018-2021

There was submitted Report No DIJB35-2018 by the Chief Officer seeking approval for the Strategic and Commissioning Statement for People with Physical Disability 2018 2021.

The Integration Joint Board agreed-:

(i) to note the contents of the report;

(ii) to note the breadth of service provision covered within this Statement and the engagement work undertaken over the last two years to ensure that the direction and language of this Statement reflected the needs and wishes of people with physical disability in Dundee; and

(iii) to approve the Strategic and Commissioning Statement for People with Physical Disability, a copy of which was attached to the report as Appendix 1, as the vehicle for the planning and development of services over the next three years.

VII VETERANS FIRST POINT TAYSIDE (V1PT)

There was submitted Report No DIJB32-2018 by the Chief Officer providing information about the hosted Veterans First Point Tayside (V1PT) service, which had been delivering welfare and specialist mental health services to veterans and their family members since 2015.

The Integration Joint Board agreed:-

(i) to acknowledge the very positive work of V1PT in operationalising the Armed Forces Covenant (as referred to in paragraph 4.1.1 of the report) across Dundee, Perth and Angus, ensuring better access to NHS services, including pathways for ensuring priority treatment for those veterans who should receive early treatment for health problems that had resulted from military service;

(ii) to acknowledge the steps that were being taken as outlined in paragraphs 5.4.1 5.4.3 of this report to determine the future model and financial framework for the service;

(iii) to note the content of the Scottish Veterans Commissioners report; Veterans Health & Wellbeing, a copy of which was attached to the report as Appendix 1; and

(iv) to remit to the Chief Officer to bring forward a further report, once future service modelling was complete, by April 2019.

VIII RESHAPING NON-ACUTE CARE IN DUNDEE UPDATE

Reference was made to Article VIII of the minute of meeting of this Integration Joint Board held on 31st October, 2017 wherein the proposals in relation to the Reshaping of Non-Acute Care in Dundee were agreed.

There was submitted Report No DIJB31-2018 by the Chief Officer updating the Integration Joint Board to the work of the Reshaping Non-Acute Care Programme in Dundee and outlining progress towards the plans for non-acute care and residential care in Dundee.

The Integration Joint Board agreed:-

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

(ii) to instruct the Chief Officer to bring back to the Integration Joint Board the initial business case at its meeting on 28th August, 2018.

IX ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP AND CLINICAL, CARE AND PROFESSIONAL GOVERNANCE GROUP

There was submitted Report No DIJB38-2018 by the Chief Officer providing assurance to the Integration Joint Board 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), 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;

(ii) to note the work undertaken by the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group (R2) from April 2017 March 2018 to seek assurance regarding matters of Clinical, Care and Professional Governance as outlined in Sections 4.3 4.5 of the report); and

(iii) to note the update in response to the Audit of Clinical, Care and Professional Governance systems as detailed in section 4.6 of the report.

X DUNDEE PRESCRIBING MANAGEMENT POSITION

There was submitted Report No DIJB41-2018 by the Chief Officer providing an overview to the Integration Joint Board of the prescribing position within Dundee and setting out the plans to meet the challenges associated with prescribing resources.

The Integration Joint Board agreed:-

(i) to note the content of the updated position in relation to prescribing activity in Dundee as set out in the report;

(ii) to note the proposed response to the challenging prescribing position as developed through the Tayside wide Prescribing Management Group in addition to the range of local interventions as set out in the report and associated appendices;

(iii) to instruct the Chief Finance Officer to reflect the prescribing financial position for consideration by Integration Joint Board as part of the final confirmation of the delegated budget to be presented to the meeting of the Integration Joint Board to be held on 27th August, 2018 and

(iv) to instruct the Chief Finance Officer to provide regular updates to the Integration Joint Board on the prescribing position throughout 2018/19.

XI DRAFT ANNUAL ACCOUNTS 2017/18 AND ANNUAL GOVERNANCE STATEMENT

There was submitted Report No DIJB28-2018 by the Chief Finance Officer presenting the Integration Joint Boards Draft Annual Statement of Accounts 2017/18 for approval to initiate the external audit process.

The Integration Joint Board agreed:-

(i) to the content of the Draft 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 Draft Annual Statement of Accounts 2017/18 as outlined in Appendix 3 of the report;

(iv) to note the application of reserves during 2017/18 to meet the Integration Joint Boards liabilities and support its activities during the financial year as outlined in section 4.1.3 of the report; and.

(v) to instruct the Chief Finance Officer to submit the Accounts to the Integration Joint Boards External Auditors (Audit Scotland) to enable the audit process to commence.

XII CONFIRMATION OF DUNDEE INTEGRATION JOINT BOARD BUDGET 2018

Reference was made to Article V of the minute of meeting of this Integration Joint Board held on 30th March, 2018 wherein the Integration Joint Board noted the indicative delegated budget from Tayside NHS Board for 2018/19 and instructed the Chief Finance Officer to report back to the Integration Joint Board following receipt of formal notification from Tayside NHS Board of the budget offer with associated recommendations including any implications of the finalisation of hosted services budgets and the Large Hospital Set Aside.

There was submitted Agenda Note DIJB37-2018 reporting that Tayside NHS Board was due to formally consider its budget at its meeting to be held on 28th June, 2018 therefore the implications of this would be presented to the next Integration Joint Board meeting to be held on 28th August, 2018.

The Integration Joint Board noted the content of the note.

XIII MEETINGS OF THE INTEGRATION JOINT BOARD 2018 - ATTENDANCES

There was submitted Agenda Note DIJB43-2018 providing a copy of the attendance return for meetings of the Integration Joint Board held to date over 2018.

The Integration Joint Board noted the position as outlined.

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, 28th August, 2018 at 2.00 pm.

Ken LYNN, Chairperson.