Dundee City Health & Social Care Integration Joint Board - 25/10/2023

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 25th October, 2023.

Present:-

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

Ken LYNN, Vice-Chairperson, in the Chair (from Article I to VI).

Pat KILPATRICK, Chairperson, in the Chair (from Article VII onwards).

Prior to commencement of business, the Chief Officer took the opportunity to pay tribute to staff for the recent significant response to Storm Babet.

The Chair paid tribute to local mental health campaigner, Phil Welsh, who sadly passed away recently.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTE OF PREVIOUS MEETING

(a) The minute of meeting of the Integration Joint Board held on 23rd August, 2023 was submitted. A discussion took place about the recording of Article X and how some members felt it didnt capture the full discussion that took place at the meeting. It was agreed that this Article should be rewritten and the full minute resubmitted to the next meeting for approval. It was suggested that consideration be given to arranging a discussion in relation to governance issues.

(b) ACTION TRACKER

The Action Tracker DIJB57-2023 for meetings of the Integration Joint Board was submitted and noted.

IV TAYSIDE PRIMARY CARE STRATEGY 2024 2029

There was submitted Report No DIJB58-2023 by the Chief Officer providing an update on the progress made to develop the Tayside Primary Care Strategy.

The Integration Joint Board agreed:-

(i) to note the progress made to date to prepare the Tayside Primary Care Strategy (TPCS) as outlined in the report; and

(ii) that a final version of the TPCS would be brought to the IJB for approval in February 2024.

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

(iii) that Councillor McHugh would have a discussion with Jillian Galloway about the EQIA; and

(iv) that Councillor McHugh, Councillor Lynn and Pat Kilpatrick would have a general discussion about Integrated Impact Assessments.

V PARK AVENUE MEDICAL CENTRE

There was submitted DIJB62-2023 reporting that Park Avenue Medical Centre had given notice to terminate its contract with NHS Tayside Health Board and would close from Sunday, 31st March, 2024. The practice would remain fully operational up until Friday, 29th March, 2024 with the GPs continuing to practice from Park Avenue Medical Centre. NHS Tayside Primary Care Services Department had written to patients at the practice to advise them of this situation and to outline the next steps to ensure they had continued safe and sustainable access to a GP.

When a practice gives notice to stop providing services, NHS Tayside Health Board and the relevant Health and Social Care Partnership (HSCP), (in this case Dundee HSCP), have a responsibility to ensure that safe primary care services are provided to the local population and that access to a GP is available from when the contract will be terminated. A working group had been established to include representatives from NHS Tayside Health Board and Dundee HSCP to work together to explore and develop options.

A tender process took place which closed on 16th October, 2023. Other options for providing ongoing care potentially included possible merger with another practice, NHS Tayside running the practice as a managed (2c) practice, or patients being dispersed across other practices.

Further communication with patients and other interested parties was being planned.

An update would be provided to the IJB when further information was available.

The IJB noted the position.

VI DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT 2023

There was submitted Report No DIJB59-2023 by the Chief Officer presenting the Director of Public Health (DPH) Annual Report 2023 to the Integration Joint Board.

Emma Fletcher gave a presentation on the report covering:

- life expectancy

- premature mortality

- impact of socioeconomic deprivation

- ageing population

- successes and challenges.

The Integration Joint Board agreed to note the content of the report, the Annual Report (attached as Appendix 1 to the report) and to consider its contents to inform future strategic planning and work.

Following questions and answers the Integration Joint Board further agreed to note that the report reflected efforts in improving population health linked to the City Plan and Strategic Commissioning Plan.

VII PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 27TH SEPTEMBER, 2023

The minute of the previous meeting of the Performance and Audit Committee held on 27th September, 2023 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB61-2023 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.

VIII CHANGES TO DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP ADAPTATIONS POLICY

There was submitted Report No DIJB54-2023 by the Chief Officer setting out proposals to update the adaptations policy to reflect Scottish Government guidance, greater personalisation and best use of resources.

The Integration Joint Board agreed:-

(i) the proposed amendments contained in the report;

(ii) to approve the 'Joint Policy for the Provision of Adaptations in the Homes of People with Disabilities who live in Dundee' which formed Appendix 1 to the report;

(iii) to note that relying on scarce social care as an alternative to adaptations whilst waiting for rehousing, generally costs more than the adaptation and social care can take up to 6 months to secure;

(iv) to note that given the pressures on available housing stock and the increasingly complex needs we are now managing in community settings, we have recognised the need to manage all of our available resources as efficiently as possible and as part of this we now need to consider the balance between adaptation and rehousing;

(v) to note that as a result of recommendations 2.3 and 2.4, a further review of the adaptations policy will be required during the 2024/2025 financial year to explore and recommend cost effective alternatives; and

(vi) to refer the Joint Policy for the Provision of Adaptations in the Homes of People with Disabilities who live in Dundee to Dundee City Council and NHS Tayside to approve, for their interest.

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

(vii) that Angie Smith would check with DCC Housing to find out if the Dundee Federation of Tenants Association was aware of the consultation that took place.

IX FINANCIAL MONITORING POSITION AS AT AUGUST 2023

There was submitted Report No DIJB55-2023 by the Chief Finance Officer providing the Integration Joint Board with an update of the projected year-end financial position for delegated health and social care services for 2023/2024.

The Integration Joint Board agreed to note the content of the report including the overall projected financial position for delegated services for the 2023/2024 financial year end as at 31st August, 2023 as outlined in Appendices 1, 2, and 3 of the report.

X STRATEGIC COMMISSIONING FRAMEWORK 2023-2033 DEVELOPMENT OF COMPANION DOCUMENTS AND ANNUAL DELIVERY PLAN

There was submitted DIJB60-2023 reporting that Dundee Integration Joint Board approved its Strategic Commissioning Framework 2023-2033 at its meeting of 21st June, 2023 (Item VIII of the minute refers). Within the report, members were advised that work would subsequently commence on the development of a resource and performance framework and an annual delivery plan for 2023/2024 with an update provided to the IJB in October 2023.

Work on these companion documents had indeed commenced however this had been paused as all available resources had been diverted to prepare for and support the Dundee Adult Support and Protection Inspection which was currently underway. This inspection was a recent announcement therefore it was not anticipated in Dundee Health and Social Care Partnerships resource planning for the period.

A further update on progress with the companion documents and annual delivery plan would be provided to the IJB at its meeting in December 2023.

The IJB noted the position.

XI MEETING OF THE INTEGRATION JOINT BOARD 2023 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB56-2023 for meetings of the Integration Joint Board held to date over 2023.

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

XII DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Dundee Integration Joint Board would be held remotely on Wednesday, 12th December, 2023 at 10.00am.

Pat KILPATRICK, Chairperson & Ken LYNN, Vice-Chairperson.