Dundee City Health & Social Care Integration Joint Board - 06/12/2016

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 6th December, 2016.

Present:-

Also in attendance:-

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

There are no apologies for absence.

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 25th October, 2016 was submitted and approved.

IV MEMBERSHIP INTEGRATION JOINT BOARD POSITION OF ASSOCIATE NURSE DIRECTOR

It was reported that following a staffing change Sarah Dickie had been appointed to the position of Associate Nurse Director and as such would replace Eileen McKenna as a member of the Integration Joint Board.

The Integration Joint Board noted the position and welcomed Sarah Dickie to her first meeting and thanked Eileen McKenna for her contribution over the period of her membership.

V PERFORMANCE AND AUDIT COMMITTEE ADDITIONAL MEMBERSHIP

Reference was made to Article VI of the minute of meeting of the Integration Joint Board held on 25th October, 2016 wherein the membership of the Performance and Audit Committee was agreed.

It was reported that a request had been made to include a staff side/trade union representative as a member of the Performance and Audit Committee and it was recommended that approval be given for one member to attend.

Thereafter, having noted that staff side/trade union representatives on the Integration Joint Board had agreed that Raymond Marshall be put forward for membership of the Performance and Audit Committee in this capacity the Integration Joint Board agreed to him being inducted as a member of the Committee.

VI SOCIAL PRESCRIBING IN DUNDEE

Sheila Allan, Community Health Inequalities Manager gave a presentation on social prescribing in Dundee. It was reported that social prescribing was one means of supporting self-management. It was an approach (or range of approaches) for connecting people with non-medical sources of support or resources within the community which were likely to help with the health problems they were experiencing.

Sheila explained the strategic context to social prescribing and explained the sources of support and the number of referrals received over 2016 and the main goal themes being addressed. Outcomes of referral to external services were outlined. A case study was provided to outline the way in which someone may present themselves to the service and the way their position may be progressed and supported towards assisting a positive outcome for their recovery and continued well-being.

The Integration Joint Board noted the content of the presentation.

VII DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT 2015/16

There was submitted Report No DIJB47-2016 by the Director of Public Health reporting that the work of the Directorate of Public Health contributed directly to improved healthy life expectancy by supporting people to look after themselves, by contributing to closing the health inequalities gap within a generation, by ensuring that services met minimum quality standards, especially patient experience, and by being cost-effective in all decisions, actions and services. The Director of Public Health also gave a presentation in supplement to their report.

It was reported that the Director of Public Health in each territorial Health Board was required to publish annually an independent report on public health. This report was required to be brought to Tayside NHS Board and made public for use by local stakeholders, including individuals, committees, the third sector, local authorities and NHS partners.

In Tayside the focus had mainly been on the work of the Directorate of Public Health in conjunction with its partner organisations and local communities.

In 2014 a number of people asked for a shorter, more focused and better illustrated report covering fewer topics, so for three years that was what the Directorate of Public Health had provided. Feedback on the reports had been extremely positive. Commissioning, co-ordinating, copy editing and proofreading of this report and the two previous reports were delegated to Mrs Lesley Marley, Public Health Directorate Manager. The responsible officer was Dr Drew Walker, Director of Public Health.

The Report was accepted by Tayside NHS Board in August 2016. The report was brought to Dundee Health and Social Care Joint Integration Board for information.

The Integration Joint Board agreed to note the presentation, the content of the report and to support the recommendations outlined in the report which was attached as an appendix.

VIII FINANCIAL MONITORING POSITION AS AT OCTOBER, 2016

There was submitted Report No DIJB55-2016 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 2016/17.

The Integration Joint Board agreed:-

(i) to note the overall projected financial position for delegated services as at 31st October, 2016;

(ii) to instruct the Chief Finance Officer to continue to monitor the 2016/17 projected financial outturn and present this to the Integration Joint Board throughout the remainder of the financial year; and

(iii) to note 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.

The Integration Joint Board further agreed that the Chief Finance Officer be instructed to include information on the breakdown of hosted services in future financial reports.

IX MEDICINES MANAGEMENT

There was submitted Report No DIJB56-2016 by the Chief Officer informing the Dundee Integration Joint Board on medicines management activities currently being delivered within Dundee; the plan over the remaining period of financial year 2016/17 and the evolving plans for 2017/18. The report would consider outliers, unexplained prescribing variation, current activities and areas of good performance.

The Integration Joint Board agreed:-

(i) to approve the development of the Tayside Prescribing Management Group as a strategic means to support clinically led quality oriented cost effective prescribing change; and

(ii) to approve the four key priorities of:

- Quality practice visits

- Specific drug projects

- Review of the Tayside formulary

- Prescribing improvement work with individual GP practices and clusters

X INTERNAL AUDIT PLAN 2016/17

There was submitted Report No DIJB60-2016 by the Chief Finance Officer seeking approval of the Annual Audit Plan for Dundee Integration Joint Board for 2016/17.

The Integration Joint Board agreed:-

(i) to approve the proposed Annual Internal Audit Plan for 2016/17;

(ii) to remit to the Performance and Audit Committee to monitor performance against this plan and to consider recommendations arising from the specific reviews within the plan.

XI DISCHARGE MANAGEMENT PERFORMANCE QUARTERLY UPDATE (DECEMBER, 2016)

Reference was made to Articles XIV and XV of the minute of meeting of this Integration Joint Board held on 30 August 2016 wherein the reports on Discharge Management Improvement Plan and Discharge Management Performance were approved.

Reference was also made to Article XII of the minute of meeting of this Integration Joint Board held on 25 October 2016 wherein the report on the Tayside Winter Plan was approved.

There was submitted Report No DIJB57-2016 by the Chief Officer providing an update to the Integration Joint Board on Discharge Management performance in Dundee.

The Integration Joint Board agreed:-

(i) to note the current position in relation to discharge management performance; and

(ii) to note the improvement actions planned to respond to areas of pressure identified.

XII ACCOMMODATION PLANNING FOR ADULTS

There was submitted Report No DIJB58-2016 by the Chief Officer briefing the Integration Joint Board on the progress being made in partnership with colleagues within Neighbourhood Services of Dundee City Council and service providers to drive the development of adapted or supported housing for adults who had particular support needs. The scope of the report covered planning for people with a learning disability and/or autism, adults with a physical disability and adults who had mental health difficulties.

The Integration Joint Board agreed:-

(i) to note the progress being made to improve accommodation options for people who required additional support in Dundee;

(ii) to advise the Chief Officer as to the frequency members would like to receive progress reports about accommodation planning in Dundee; and

(iii) to recommend to Dundee City Council that sufficient provision should be made within future years' Capital Plans to support the investment in accommodation with support for adults.

The Integration Joint Board further agreed that consideration be given to the possibility of inviting representation from Neighbourhood Services of Dundee City Council to future meetings of the Integration Joint Board.

XIII IMPLEMENTATION OF THE STRATEGIC AND COMMISSIONING PLAN

There was submitted Report No DIJB54-2016 by the Chief Officer informing members on progress on the implementation of the Dundee Health and Social Care Strategic and Commissioning Plan with a specific focus on demonstrating progress towards making the strategic shifts that were required to deliver on the eight strategic priorities within the plan.

The Integration Joint Board agreed:-

(i) to note the content of the report and the progress made as described in Appendix 1 of the report; and

(ii) to note the positive investment in services to facilitate the strategic shifts as detailed in paragraph 3.1 of the report.

XIV THE CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2015/16

There was submitted Report No DIJB53-2016 by the Chief Social Work Officer bringing forward for information the Chief Social Work Officer's Annual Report for 2015/16.

The Integration Joint Board agreed to note the content of the Chief Social Work Officer's Annual Report for 2015/16 which was attached to the report as Appendix 1.

The Integration Joint Board further agreed to record their appreciation for the contribution and diligence of social work staff towards making a positive difference to the lives of service users within the auspices of the Dundee Health and Social Care Partnership.

XV DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Integration Joint Board would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 28th February, 2017 at 2.00 pm.

Ken LYNN, Chairperson.