Dundee City Health & Social Care Integration Joint Board - 25/10/2016

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 25th October, 2016.

Present:-

Also in attendance:-

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Judith Golden, Nominated by Health Board (Non Executive Member), Munwar Hussain, Nominated by Health Board (Non Executive Member), Jim McFarlane,Trade Union Representative, Christine Lowden, Third Sector Representative, Martyn Sloan, Carer Representative and Andrew Jack, Service User Representative

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 30th August, 2016 was submitted and approved.

IV DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD CHANGE OF OFFICE BEARERS POSITIONS OF CHAIR AND VICECHAIR

Reference was made to Article V of the minute of meeting of the Integration Joint Board held on 27th October, 2015 wherein the Integration Joint Board agreed to appoint Doug Cross, nominated by NHS Tayside to the position of Chair and Councillor Ken Lynn, nominated by Dundee City Council to the position of Vice Chair until October, 2016.

It was reported that these terms of office had now come to an end and that in terms of paragraph 3.3 of the Dundee Integration Scheme nominations were required from Dundee City Council for the position of Chair and NHS Tayside for the position of Vice Chair.

The Integration Joint Board agreed that Councillor Ken Lynn take up the position of Chair and that Doug Cross take up the position of Vice Chair whereupon the Chair was taken by Councillor Lynn. Councillor Lynn paid tribute to Doug Cross over the period of his Chairmanship.

V MEMBERSHIP POSITION OF REGISTERED MEDICAL PRACTITIONER

Reference was made to the minute of meeting of the Integration Joint Board of 4th May, 2016 wherein the retiral of Dr David Dorward who held the position of Registered Medical Practitioner member on the Integration Joint Board was intimated.

It was reported that NHS Tayside had nominated Dr Frank Weber to the vacant position of Registered Medical Practitioner whose name was included in the list of primary medical services performers prepared by the Health Board following the retiral of Dr David Dorward who previously held this position on the Integration Joint Board.

The Integration Joint Board noted the position.

VI PERFORMANCE AND AUDIT COMMITTEE APPOINTMENT OF MEMBERSHIP AND CHAIR

Reference was made to Article VIII of the minute of meeting of the Integration Joint Board held on 30th August, 2016 wherein it was agreed to establish a Performance and Audit Committee as a Standing Committee of the Integration Joint Board. The Terms of Reference were also agreed.

It was reported that:-

(a) MEMBERSHIP

The Terms of Reference indicated that the Integration Joint Board should appoint the Committee which would consist of not less than six members of the Integration Joint Board. The Committee would include at least four Integration Joint Board voting members (on the basis of two from NHS Tayside and two from Dundee City Council).

(b) CHAIR

The Committee would be chaired by a person not being the Chair of the Integration Joint Board and would be nominated by the Integration Joint Board.

The Integration Joint Boards instructions were requested with regard to the appointment of the members and the Chair to serve on the Performance and Audit Committee,

The Integration Joint Board agreed;

(i) that the membership of the Performance and Audit Committee comprise the minimum of six members of the Integration Joint Board four of whom would be voting members on the basis of: Doug Cross; Judith Golden; Councillor David Bowes and Councillor Stewart Hunter and that the remaining two members be; Jane Martin and Dr Frank Weber or Dr Cesar Rodriguez; and

(ii) that Doug Cross be appointed as Chair of the Performance and Audit Committee.

VII PATHWAY OF CARE FOR ALCOHOL SERVICES

Dr Fiona Cowden, Consultant Psychiatrist, Dundee Substance Misuse Service gave a presentation on the pathway of care for Alcohol Services.

Dr Cowden explained the background to the service against a historical background setting out the themes of alcohol misuse. The ways in which people may refer to the service were outlined. The objectives of the service were explained towards providing services and interactions with people affected by alcohol misuse towards maintaining their abstinence.

In this respect Dr Cowden explained the way in which individual alcohol use was audited by the service and provided a narrative of the progress of an alcohol dependence syndrome in an individual as it may evolve. Intervention methods in use by the service were highlighted including Motivational Enhancement Therapy and the operation of the Community Alcohol Programme.

The Integration Joint Board noted the content of the presentation and the positive outcomes it set to achieve for the lives of individuals affected by the misuse of alcohol and the ways in which these people may interact with the service through referral processes such as medical or criminal justice service pathways and that such a referral may also be a point for consideration by the Police as part of the current arrest referral scheme should an individual find themselves under arrest through the course of alcohol misuse.

VIII DRUG DEATHS IN TAYSIDE 2015 ANNUAL REPORT OF THE DRUG DEATH REVIEW AND WORKING GROUPS

There was submitted Report No DIJB48-2016 by the Chief Officer on the Annual Report of the Tayside Drug Death Review and Working Groups.

Caroline Snowdon, Senior Health Intelligence Analyst and Drew Walker, Director of Public Health, gave a presentation in supplement to the content of the report.

The Integration Joint Board agreed to note the content of the presentation and the findings and recommendations of the Drug Deaths in Tayside 2015 report which was attached to the report as an appendix.

The Integration Joint Board further agreed to note that there were models of service established to tackle drug deaths the merits of which may be established in due course.

IX LIVING WAGE FOR CARE WORKERS IN ADULT SOCIAL CARE

There was submitted Report No DIJB49-2016 by the Chief Finance Officer advising the Integration Joint Board of the local implementation of the Living Wage Commitment made by the Scottish Government as part of the 2016/17 finance settlement.

The Integration Joint Board agreed:-

(i) to note the content and implications of the report; and

(ii) to instruct the Chief Finance Officer to report the final financial implications and any subsequent issues arising following full implementation of the Living Wage Commitment.

X TRANSFORMATION PROGRAMME ADDITIONAL INNOVATION AND DEVELOPMENT FUND INVESTMENT

There was submitted Report No DIJB50-2016 by the Chief Finance Officer advising the Integration Joint Board of new innovation projects approved as part of Dundee Health and Social Care Partnerships Transformation Programme Innovation and Development Fund.

The Integration Joint Board agreed:-

(i) to note the range of new innovation projects approved by the Integrated Care Fund Monitoring Group;

(ii) to note the revised total additional investment set against the priorities outlined in the Strategic and Commissioning Plan; and

(iii) 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 as part of the regular financial monitoring report.

The Integration Joint Board further agreed that future reports contain information on the use of resources against strategic aims to provide a sense of scale.

XI FINANCIAL MONITORING AUGUST 2016

There was submitted Report No DIJB51-2016 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 31 August 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 become more integrated and more closely aligned with the priorities set out within the Strategic and Commissioning Plan.

The Integration Joint Board further agreed to note that more information on the financial position of hosted services would be provided in due course and that Dr David Shaw and the Head of Pharmacy would submit a report on issues in relation to prescribing of medicines to a future meeting.

XII WINTER PLANNING

There was submitted Report No DIJB52-16 by the Chief Officer providing an update to the Integration Joint Board on Winter Planning arrangements.

The Integration Joint Board agreed:-

(i) to approve the Winter Plan which was attached to the report as an appendix; and

(ii) to note that the Winter Plan would also be submitted to the partner Integration Joint Boards and NHS Tayside for approval before being submitted to the Scottish Government at the end of the month.

XIII PROGRAMME OF MEETINGS 2017

It was proposed that the programme of meetings of the Dundee City Health and Social Care Integration Joint Board over 2017 be as follows:-

The Integration Joint Board agreed to the programme of meetings as indicated.

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, 6th December, 2016 at 2.00 pm.

Ken LYNN, Chairperson.