Dundee City Health & Social Care Integration Joint Board - 24/02/2021

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 24th February, 2021.

Present:-

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

Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATIONS OF INTEREST

There were no declarations of interest.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Integration Joint Board held on 15th December, 2020 was submitted and approved.

The Chairperson agreed that the undernoted items of business at Articles IV and V be considered as a matter of urgency in terms of Standing Order No 5.3 in view of the timescales involved.

IV DUNDEE CITY COUNCIL MEMBERSHIP- VOTING MEMBER AND PROXY MEMBER

Reference was made to Article IVc and IVe of the minute of this Integration Joint Board held on 25th August 2020 wherein Councillor Roisin Smith was appointed as a voting member on the Integration Joint Board and Councillor Lynne Short was appointed as a Proxy Member.

It was reported that following the resignation of Councillor Smith as a member of the Integration Joint Board and the resignation of Councillor Short as a Proxy Member of the Integration Joint Board that at the meeting of Dundee City Council held on 22nd February it was agreed that Councillor Short be nominated to serve on the Integration Joint Board in the capacity as a voting member and Councillor Steven Rome be nominated to serve on the Integration Joint Board in the capacity as a Proxy Member.

The Integration Joint Board agreed to note the position.

V DUNDEE CITY COUNCIL PERFORMANCE AND AUDIT COMMITTEE MEMBERSHIP

Reference was made to Article IV a of the minute of meeting of this Integration Joint Board held on 27th October, 2020 wherein Councillor Roisin Smith was appointed as a member of the Performance and Audit Committee.

It was reported that following the resignation of Councillor Smith as a member of the Integration Joint Board that this position required to be filled.

The Integration Joint Board agreed to appoint Councillor Lynne Short as a member of the Performance and Audit Committee

VI PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 3RD FEBRUARY, 2021

The minute of the previous meeting of the Performance and Audit Committee held on 3rd February 2021 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB8-2021 by Trudy McLeay, 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.

VII ADULT SUPPORT AND PROTECTION COMMITTEE - INDEPENDENT CONVENOR'S BIENNIAL REPORT 2018/2020

There was submitted Report No DIJB1-2021 by the Chief Officer, submitting for information the Adult Support and Protection Committee Independent Convenors Biennial Report for 2018/2020.

The Integration Joint Board agreed:-

(i) to note the content of the report and of the Independent Convenors Biennial Report including key achievements and challenges over the reporting year which was attached to the report as Appendix 1;

(ii) to note the progress achieved in response to the recommendation made by the Independent Convenor in the Biennial Report 2016/2018 and the mid-term report 2019-2020 as outlined in section 4.4 of the report; and

(iii) to note the development of the Adult Support and Protection Committee delivery plan for the current year (2020/2021) as outlined in section 4.7 of the report and Appendix 1 of the report.

Following questions and answers the Integration Joint Board further agreed:-

(iv) to note the work ongoing with e-learning and practitioner forums as explained by Diane McCulloch;

(v) to note that evaluation by users of the service would be included in the next report; and

(vi) to note the basis of the 3 Point Test legislative benchmarking tool as explained by Andrew Beckett

VIII ARRANGEMENTS FOR MANAGING HIGH RISK OFFENDERS

There was suibmitted Report No DIJB2-2021 by the Chief Officer submitting for information the Annual Report of the Tayside Multi Agency Public Protection Arrangements (MAPPA).

The Integration Joint Board agreed:-

(i) to note the content of the report and of the MAPPA Annual Report 2019/2020, including developments in relation to the risk assessment and risk management of high risk of harm offenders as outlined in section 4.2 of the report and Appendix 1 of the report; and

(ii) to note the areas for further improvement during 2019/2020 identified within the Annual report as outlined in section 4.4 of the report and Appendix 1 of the report.

Following questions and answers the Integration Joint Board further agreed:-

(iii) to note as indicated in the report that 99% of MAPPA Offenders did not reoffend;

(iv) to note that Elaine Torrance had now stepped down as Chair and that she had been replaced by Alan Small in that capacity and that he would take forward the recommendations in the report;

(v) to note that the report covered the period up until March 2020 when the current health emergency started and that all MAPPA meetings had been held over this period as advised by Elaine Torrance;

(vi) to note as advised by Martin Dey that the MAPPA Coordinator had completed an audit using VISOR which gave extra reassurance of the management of offenders remotely and face to face over the pandemic; and

(vii) to note as explained by Martin Dey the definition of levels of sex offending and that these corresponded to risk and the involvement of single agency or multi agencies

IX COVID-19 RECOVERY PLAN

There was submitted Agenda Note DIJB3-2021 reporting that In August 2020, the Integration Joint Board considered and approved the Partnerships COVID-19 recovery plan (Article XVI of the minute of the Dundee Integration Joint Board held on 25th August, 2020 refers). At that time the Chief Officer was instructed to submit a revised plan and update on progress with recovery to the Integration Joint Board meeting on 15th December, 2020.

The second wave of the COVID-19 pandemic and associated escalation of operational responses began in November 2020 guided by the plans that had been established and approved through the recovery plan document. At this time there was a decisive shift from a focus on recovery to a short-term focus on response. This context meant that it was not appropriate, given the escalating pandemic situation, or possible, due to the need to prioritise all available resources to the escalating operational response to undertake a comprehensive review of the recovery plan for submission to the Integration Joint Board in December 2020.

All NHS Boards, Local Authorities and Integration Joint Boards had recently received a request from the Scottish Government to revise their remobilisation plans (also known as recovery plans) for the period until March 2022 and to submit these in early February 2021. A review of the Dundee recovery plan is being progressed in response to this request and will be submitted in line with this timescale with the caveat it is subject to formal approval by the Integration Joint Board .

A report detailing the Partnerships response to the second wave of the pandemic and providing an update on progress with recovery, including presenting the revised recovery plan for approval would now be submitted to the Integration Joint Board on the 21st April, 2021.

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

Following questions and answers the Integration Joint Board further agreed:-

(i)                            to note the need to support staff and care home staff who helped with the partnership response to the pandemic as part of the recovery plan.

X CARERS ACT FUNDING 2020/2021

There was submitted Report No DIJB4-2021 by the Chief Finance Officer seeking approval to release resources from additional Carers Act funding 2020/2021 within the Integration Joint Boards delegated budget to projects and services following recommendations from the Dundee Carers Partnership.

The Integration Joint Board agreed:-

(i) to approve the recommendations from the Dundee Carers Partnership to fund projects and services in relation to additional Carers Act funding 2020/2021 contained within the Integration Joint Boards delegated budget as set out in section 4.3 of the report; and

(ii) to remit the Chief Officer to issue direction to Dundee City Council as indicated in section 8 of the report.

Following questions and answers the Integration Joint Board further agreed:-

(iii) to note as indicated by Dave Berry that the funding for Carers was contained within the delegated funding for the Integration Joint Board;

(iv) to note as indicated by Jenny Hill that the partnership was currently undertaking commissioning work on the impact on carers and that this would influence the following years report;

(v) to note as indicated by Dave Berry that the underspend referred to in the report would continue on in to the following year in addition to that years allocation;

(vi) to note as indicated by Jenny Hill that the Carers Partnership contained a wide range of organisations with support available to help the Partnership engage and work with organisations to shape applications and bids for funding; and

(vii) to note that the Chief Finance Officer would look to provide more breakdown information in reports in relation to the Older Peoples Service in the longer term.

XI FINANCIAL MONITORING POSITION AS AT DECEMBER 2020

There was submitted Report No DIJB5-2021 by the Chief Finance Officer providing an update of the projected financial monitoring position for delegated health and social care services for 2020/2021 including an overview of the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis.

The Integration Joint Board agreed:-

(i) to note the content of the report including the overall projected financial position for delegated services to the 2020/2021 financial year end as at 31st December, 2020 as outlined in Appendices 1, 2, 3 and 4 of the report;

(ii) to note the costs and financial risks associated with Dundee Health and Social Care Partnerships response to the COVID-19 crisis as set out in section 4.5 of the report; and

(iii) to note that officers within the Health and Social Care Partnership would continue to carefully monitor expenditure and develop a range of actions to mitigate any overspend.

Following questions and answers the Integration Joint Board further agreed:-

(iv) to note as explained by Dave Berry that with a fully integrated finance team now established within the partnership that this would help with finance reporting in the future to assist understanding and monitoring;

XII DUNDEE INTEGRATION JOINT BOARD 2021/2022 BUDGET DEVELOPMENT UPDATE

There was submitted Report No DIJB6-2021 by the Chief Finance Officer providing an overview of the potential implications of the Scottish Governments Draft Budget 2021/2022 and updated anticipated cost pressures on the Integration Joint Boards Delegated Budget 2021/2022.

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 Draft 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 in relation to funding settlements to Dundee Integration Joint Boards delegated budget against the range of increased costs and cost pressures anticipated in 2021/2022 as set out in section 4.3 of the report and Appendix 1 to the report; and

(iii) to remit to the Chief Finance Officer to present a proposed budget for 2021/2022 for consideration by the Integration Joint Board at its meeting on 26th March, 2021.

Following questions and answers the Integration Joint Board further agreed:-

(iv) to note as indicated by Kathryn Sharp that the Partnership was the lead applicant for Corra Funding following question from Councillor Short;

(v) to note as explained by Dave Berry the reason for the Risk level indicated in the report and that this was relevant to the overall public sector funding position;

(vi)                          to note as explained by Dave Berry the calculation for staff pay increases; and

(vii)                         to note that information on roles and responsibilities of members of the Integration Joint Board in relation to the budget setting process would be provided.

XIII MEETINGS OF THE INTEGRATION JOINT BOARD 2020 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB7-2021 for meetings of the Integration Joint Board held over 2020.

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

Following questions and answers the Integration Joint Board agreed to note that someone had been identified for appointment to the vacant General Practicioner position on the Integration Joint Board.

XIV DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Integration Joint Board would be the Budget Meeting to be held remotely on Friday 26th March, 2021 at 10.00 am.

Ken LYNN, Chairperson.