Dundee City Health & Social Care Integration Joint Board - 18/12/2018

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 18th December, 2018.

Present:-

Non members in attendance at the request of the Chief Officer:-

Diane McCULLOCH, Dundee Health and Social Care Partnership

Dr David SHAW, Dundee Health and Social Care Partnership

Kathryn SHARP, Dundee Health and Social Care Partnership

Alexis CHAPPELL, Dundee Health and Social Care Partnership

Arlene MITCHELL, Dundee Health and Social Care Partnership

Sheila ALLAN, Dundee Health and Social Care Partnership

Ruth BROWN, Dundee Health and Social Care Partnership

Elaine TORRANCE, Dundee Adult Support and Protection Committee (Independent Convenor)

Lucinda GODFREY, Dundee Carers Centre

Trudy McLEAY, Chairperson, in the Chair.

Prior to the commencement of the business the Chairperson, Trudy McLeay, introduced herself and gave information to her background and advised that she welcomed her appointment to the position of Chairperson of Dundee Integration Joint Board and looked forward to working with the Integration Joint Board in progressing the Dundee Health and Social Care Partnership for the benefit of the people of Dundee.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

Christine Lowden declared a non-financial interest in relation to the item of business at Article XIII of this minute by virtue of her work with the Alcohol and Drug Partnership.

III MEMBERSHIP OF DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD SERVICE USER REPRESENTATIVE

Reference was made to Article III(c) of the minute of meeting of this Integration Joint Board held on 30th October, 2018, wherein it was noted that the service user position on the Integration Joint Board was vacant and that a report would be submitted to a future meeting of this Integration Joint Board on proposed appointment to this position.

It was reported that Andrew Jack who had been appointed as a member of Dundee Integration Joint Board in the capacity of service user representative had submitted his resignation from the Integration Joint Board resulting in the vacancy and that a new member in respect of service users residing in the area had been sought from NHS Tayside Public Partners to fill the vacant position of office.

The Integration Joint Board agreed:-

(i) to note that the new service user representative on Dundee City Health and Social Care Integration Joint Board had been identified as Linda Gray; and

(ii) that Linda Gray be appointed as a member of Dundee City Health and Social Care Integration Joint Board in the capacity of Service User Representative.

IV MINUTE OF PREVIOUS MEETING

The minute of previous meeting of the Integration Joint Board held on 30th October, 2018 was submitted and approved.

V PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 27TH NOVEMBER, 2018

The minute of previous meeting of the Performance and Audit Committee held on 27th November, 2018 was submitted and noted for information and record purposes.

(b) CHAIR'S ASSURANCE REPORT

There was submitted Report No DIJB74-2018 by Ken Lynn, Chairperson of the Performance and Audit Committee providing an assurance report to the Integration Joint Board on the work of the Performance and Audit Committee.

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

VI STANDING ORDERS INCLUDING TERMS OF REFERENCE FOR THE PERFORMANCE AND AUDIT COMMITTEE

Reference was made to Article X of the minute of meeting of this Integration Joint Board held on 27th October, 2015, wherein the Integration Joint Board agreed to adopt the Standing Orders of the Integration Joint Board.

Reference was also made to Article IX of the minute of meeting of this Integration Joint Board held on 30th August, 2016, wherein the Integration Joint Board agreed to the establishment of the Performance and Audit Committee as a Standing Committee of the Integration Joint Board and also agreed the Terms of Reference for the Committee.

There was submitted Report No DIJB73-2018 by the Clerk and Standards Officer seeking approval to the proposed amendments to the Integration Joint Boards Standing Orders including the proposed Terms of Reference for the Performance and Audit Committee which were attached to the Standing Orders as detailed in the Appendix to the report.

The Integration Joint Board agreed:-

(i) to approve the proposed amendments to the Standing Orders including the proposed Terms of Reference for the Performance and Audit Committee which were attached to the Standing Orders as detailed in the appendix to the report;

(ii) to remit the Clerk and Standards Officer to the Integration Joint Board to amend the Standing Orders including the proposed Terms of Reference for the Performance and Audit Committee which were attached to the Standing Orders accordingly and that these be distributed to the membership and placed on the website for Dundee Health and Social Care Partnership; and

(iii) that, the amended Standing Orders including the proposed Terms of Reference for the Performance and Audit Committee which were attached to the Standing Orders be effective from the next meeting of the Integration Joint Board which would be held on 26th February, 2019.

VII DUNDEE MENTAL HEALTH AND WELLBEING STRATEGIC PLAN 2019-2024

There was submitted Report No DIJB64-2018 by the Chief Officer providing a briefing on the intended strategic direction for mental health and wellbeing developments in Dundee and seeking authority to progress the finalisation of a Strategic Plan in collaboration with key stakeholders.

Arlene Mitchell, Service Manager, Dundee Health and Social Care Partnership, Ruth Brown and Sheila Allan, gave a joint presentation in supplement to the report.

The Integration Joint Board agreed:-

(i) to note the contents of the presentation and that a copy of the presentation and electronic link to film footage be issued to the Integration Joint Board for their information;

(ii) to endorse the strategic direction outlined within the draft Dundee Mental Health and Wellbeing Strategic Plan 2019-2024 which was attached to the report as Appendix 1;

(iii) to instruct the Mental Health and Wellbeing Strategic and Commissioning Group to engage further with key stakeholders and existing networks in order to finalise the Plan and to note the extensive consultation undertaken to date as outlined in the report;

(iv) to instruct the Chief Officer to present a final Plan to a meeting of the Integration Joint Board early in 2019;

(v) to instruct the Chief Officer to present a Commissioning and Financial Framework with the final Strategic Plan to a meeting of the Integration Joint Board in early 2019;

(vi) to instruct the Mental Health and Wellbeing Strategic and Commissioning Group to continue to develop a reporting framework to ensure that performance in relation to the priorities outlined in the Strategic Plan was managed effectively;

(vii) that this performance measure be indicative of what the Group perceived as being what they wished to achieve so that assurance may be provided to the Integration Joint Board; and

(viii) to remit to the Chief Officer of the Integration Joint Board in consultation with the Mental Health and Wellbeing Strategic and Commissioning Group the authority to make commissioning decisions throughout the life of the Plan, once this was formalised and published.

VIII CHIEF SOCIAL WORK OFFICER GOVERNANCE FRAMEWORK

There was submitted Report No DIJB62-2018 by the Chief Social Work Officer providing information on a new Chief Social Work Officer Governance Framework, which outlined the statutory duties and functions of the Chief Social Work Officer and the arrangements to provide assurances about the quality of Social Work Services. The Framework was approved by the Policy and Resources Committee of Dundee City Council on 24th September, 2018.

The Integration Joint Board agreed:-

(i) to note the statutory duties and functions of the Chief Social Work Officer and requirements to have a Governance Framework to assist them in carrying out their role;

(ii) to note the contents of the Governance Framework which outlined the arrangements in place to provide assurances on each requirement relating to the Chief Social Work Officer role, a copy of which was attached to the report as Appendix 1;

(iii) to note the arrangements described in section 4.8 of the report would meet recommendations of the Audit Scotland Report on Social Work as summarised in Appendix 2 of the report which emphasised the importance of having effective governance arrangements in place;

(iv) to note the commitment from the Chief Social Work Officer to provide advice and leadership to the Integration Joint Board, including thematic reports and briefings as required as indicated in section 4.9 of the report; and

(v) to note the continued requirement for the Chief Social Work Officer to provide Annual reports which were considered by both Dundee City Council and the Integration Joint Board.

IX CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2017/2018

There was submitted Report No DIJB61-2018 by the Chief Social Work Officer providing details of the Chief Social Work Officers Annual Report for 2017/2018, which was attached to the report as Appendix 1. The report was approved by the Policy and Resources Committee of Dundee City Council on 19th November, 2018.

The Integration Joint Board agreed to note the content of the report and the Chief Social Work Officers Annual Report for 2017/2018 which was attached to the report as Appendix 1.

X DUNDEE ADULT SUPPORT AND PROTECTION COMMITTEE, INDEPENDENT CONVENORS BIENNIAL REPORT 2016-2018

There was submitted Report No DIJB63-2018 by the Independent Convenor of the Dundee Adult Support and Protection Committees Biennial Report for the period April 2016 March 2018, which included a summary of the work undertaken and priorities identified for 2018 2020.

Thereafter, having heard the Independent Convenor in supplement to the report the Integration Joint Board agreed:-

(i) to note the content of the Independent Convenors Report which was attached to the report as Appendix 1;

(ii) to note the progress achieved in relation to the previous Independent Convenors recommendations for 2016 2018 as outlined in section 4.5 of the report; and

(iii) to note the priorities identified by the current Independent Convenor for 2018 2020 as outlined in section 4.6 of the report.

XI FINANCIAL MONITORING REPORT AS AT OCTOBER 2018

Reference was made to Article XIII of the minute of meeting of this Integration Joint Board held on 28th August, 2018 wherein the final budget for delegated services was set.

There was submitted Report No DIJB65-2018 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2018/19.

The Integration Joint Board agreed:-

(i) to note the content of the report including the overall projected financial position for delegated services to the 2018/19 financial year end as at 31st October, 2018 as set out in the appendices which were attached to the report; and

(ii) to instruct the Chief Finance Officer to report back to the next meeting of the Integration Joint Board with the outcome of the responses from Chief Finance Officer of Perth and Kinross Integration Joint Board and the Chief Finance Officer of Angus Integration Joint Board in relation to recovery plans for hosted services as noted in section 4.3.7 of the report.

The Integration Joint Board further agreed:-

(iii) to note that the reference to Nursing Services in section 4.3.3 of the report was in relation to Community Nursing Services; and

(iv) to note that the reference to additional staffing pressures within the services referred to in section 4.3.3 of the report was through ensuring safe staffing levels in accordance with the National Nursing & Midwifery workload tools requirements.

XII DELEGATED BUDGET 2019/20 INITIAL OUTLOOK

There was submitted Report No DIJB72-2018 by the Chief Finance Officer providing an initial overview of the delegated budget 2019/20 following publication of Dundee City Councils Financial Outlook 2019/2022 and the Scottish Governments Medium Term Health and Social Care Financial Framework. The report formed phase one of a set of three budget development reports to be presented to each Integration Joint Board meeting leading up to the meeting of the 29th March, 2019 when the delegated budget would be laid before the Integration Joint Board for approval.

The Integration Joint Board agreed:-

(i) to note the content of the report including the potential implications to the delegated budget of the impact of the Scottish Governments Budget on Dundee City Council and NHS Taysides financial settlements as set out in sections 4.2 and 4.3 of the report;

(ii) to note the potential implications of these and the range of increased costs and cost pressures to Dundee Integration Joint Boards delegated budget and subsequent indicative level of budget requisition to Dundee City Council and NHS Tayside as set out in section 4.4 and Appendix 1 of the report to enable the Integration Joint Board to deliver the priorities as set out within its Strategic and Commissioning Plan;

(iii) to remit to the Chief Finance Officer to bring an updated report as phase two of the development of the budget to the Integration Joint Board meeting to be held on 26th February 2019 to further inform the budget setting process; and

(iv) to remit to the Chief Finance Officer to bring forward a proposed budget for 2019/20 in relation to delegated services as phase three of the development of the budget for consideration by the Integration Joint Board at its meeting on the 29th March, 2019.

XIII SUBSTANCE MISUSE REDESIGN UPDATE

Reference was made to Article XI of the minute of meeting of this Integration Joint Board held on 30th October, 2018, wherein a Local Investment Plan for use of Scottish Government funding in relation to the redesign of substance misuse services was approved.

There was submitted Report No DIJB66-2018 by the Chief Officer providing information about the redesign of substance misuse services and seeking approval to release Dundee Alcohol and Drug Partnership resources carried forward from previous financial years held by Dundee Integration Joint Board to progress the proposed Dundee Alcohol and Drug Partnership Investment Plan.

The Integration Joint Board agreed:-

(i) to note the content of the report and approve the Substance Misuse Redesign Programme Implementation Plan which was attached to the report as Appendix 1;

(ii) to note that the intentions within the Substance Misuse Redesign Programme and the proposed Alcohol and Drug Partnership Investment Plan supported the delivery of the Dundee Health and Social Care Strategic and Commissioning Plan 2016 2021 as described in section 4.1.6 of the report and the Substance Misuse Strategic Commissioning Plan 2018 2021;

(iii) to approve the release of Alcohol and Drug Partnership resources carried forward from previous years and held by the Integration Joint Board in order to implement the proposed Alcohol and Drug Partnership Investment Plan agreed by the Dundee Alcohol and Drug Partnership on 22nd November, 2018 which was attached to the report as Appendix 2;

(iv) to request a report on progress with the Redesign Programme to be submitted to a meeting of the Integration Joint Board in six months; and

(v) that the Chief Officer be remitted to issue directions to Dundee City Council and NHS Tayside as outlined in the report.

XIV CARERS (SCOTLAND) ACT 2016 IMPLEMENTATION UPDATE

There was submitted Report No DIJB67-2018 by the Chief Officer providing information about progress with implementation of the Carers (Scotland) Act 2016 and seeking approval for the Carers (Scotland) Act Investment Plan.

The Integration Joint Board agreed:-

(i) to note the progress made in implementing the Carers (Scotland) Act 2016 as outlined at section 5 of the report;

(ii) to remit the Chief Officer to issue the directions set out in section 9.0 of the report;

(iii) to approve the Carers (Scotland) Act funding investment plan which was attached to the report as Appendix 1; and

(iv) to note that a Dundee Carers Partnership Bi Annual Report would be published by May 2019 and would include self-evaluation against first full year of Carers (Scotland) Act 2016 implementation.

XV CARERS (SCOTLAND) ACT 2016 SHORT BREAKS STATEMENT

There was submitted Report No DIJB69-2018 by the Chief Officer seeking approval of the Dundee Short Breaks Statement.

The Integration Joint Board agreed:-

(i) to note the duties and powers placed on Local Authorities through the Carers (Scotland) Act 2016 regarding the duty to prepare a Short Break Statement as outlined in the report;

(ii) to approve the Dundee Short Break Service Statement which was attached to the report as Appendix 1; and

(iii) to instruct the Chief Officer to publish the Short Break Statement on Dundee Health and Social Care Partnership, Carers of Dundee and the Dundee Mylife Webpages.

XVI AWARD OF CONTRACT FOR THE SUPPLY OF COMMUNITY EQUIPMENT FOR THE DUNDEE AND ANGUS EQUIPMENT LOAN SERVICE

There was submitted Report No DIJB68-2018 by the Chief Officer providing information regarding a Framework Agreement for the supply of equipment to the Dundee and Angus Equipment Loan Service. The Service was hosted by the Dundee Health and Social Care Partnership and was required to tender for the provision of equipment to ensure best value for money.

The Integration Joint Board agreed:-

(i) to approve the tendering of equipment by the Dundee and Angus Equipment Loan Service; and

(ii) to note that approval would be sought from Dundee City Council Policy and Resources Committee on 7th January, 2019 regarding the Equipment Framework Agreement.

XVII COMMUNITY CUSTODY UNIT IN DUNDEE

There was submitted Report No DIJB70-2018 reporting that on 22nd October, 2018 the Planning Committee of Dundee City Council approved the application by the Scottish Prison Service (SPS) to build a Community Custody Unit for 16 females in Dundee, on the site of the former Our Ladys Primary School in Coldside. The intention was that the facility would open in 2020 and would build on the well-established approach to women delivered through the Justice centre based at Friarfield.

The rationale behind a small local Community Custody Unit embedded within a community, as opposed to a large institutional conventional prison, flowed from the 2011 Commission on Women Offenders (Angiolini Report) which emphasised that women in prison often had clusters of support and vulnerability issues, such as being victims of domestic abuse, childhood sexual abuse, mental health and substance misuse issues. Women in prison were assessed as being lower risk to others than males. Women in prison could also lose contact with their own children and their family networks when separated by geographical distance. The Community Custody Unit would prioritise admission to women from the Tayside and North Fife area, as well as prioritising admission to women who were assessed to be heading toward a transition phase, most commonly toward the end of a sentence. Women in the Community Custody Unit should be able to maintain stronger links to family supports and stronger links to community support, including increasing contact with community services, as and when they met the criteria for community access.

Initial discussion had begun about how the health and social care services should be delivered to support the women in the Community Custody Unit. There would require to be some in-unit provision, as not all women would qualify for community access, yet alongside this the ethos of the Community Custody Unit would be to encourage links to local services, as women prepared to re-enter the community. The negotiations around support provision also needed to factor-in that not all the women would be normally resident in Dundee and also look at social work provision.

The Integration Joint Board agreed to note the contents of the document and that a further report to Integration Joint Board would be submitted when these discussions, involving Prison Healthcare (hosted by NHS Perth) and Dundee Health and Social Care partnership, were further advanced.

XVIII DEVELOPMENT OF TAYSIDE PUBLIC HEALTH STRATEGY

There was submitted Report No DIJB71-2018 by the Chief Officer reporting that the NHS Tayside Directorate of Public Health was in the process of developing a Tayside Public Health Strategy. The strategy would set out the vision and key priority areas for action to protect and improve health across Tayside and would be centred on values of equity, empowerment and inclusivity and based on the principle of partnership and co-production.

The Integration Joint Board agreed:-

(i) to note the content of the report and welcomed the contribution of partner organisations and associated networks in the development of the Tayside Public Health Strategy; and

(ii) to note the invitation to the ongoing involvement of partner organisations with the strategy, including commenting on the final draft, participation in development and implementation of an action plan and assistance in evaluation of impact of the strategy.

XIX MEETINGS OF THE INTEGRATION JOINT BOARD 2018 ATTENDANCES

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

The Integration Joint Board agreed to note the position as outlined.

XX 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, 26th February, 2019 at 2.00 pm.

Trudy McLEAY, Chairperson.