Dundee City Health & Social Care Integration Joint Board - 13/12/2023

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 13th December, 2023.

Present:-

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

Pat KILPATRICK, Chairperson, in the Chair.

The Vice Chair paid tribute to Pat Kilpatrick as this was her last meeting of the IJB before moving to NHS Fife Board.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTES OF PREVIOUS MEETINGS

(a) The minutes of meetings of the Integration Joint Board held on 23rd August, 2023 and 25th October, 2023 were submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB70-2023 for meetings of the Integration Joint Board was submitted and noted.

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

(i) to note that, in relation to a query from Councillor McHugh, that development sessions for IJB members would be arranged to take place in the first quarter of 2024 on governance issues, strategic planning and understanding data; and

(ii) that the Chair would arrange a discussion between herself, Councillor Lynn and Councillor McHugh in relation to Integrated Impact Assessments.

IV PERFORMANCE AND AUDIT COMMITTEE

(a) MINUTE OF PREVIOUS MEETING OF 22ND NOVEMBER, 2023

The minute of the previous meeting of the Performance and Audit Committee held on 22nd November, 2023 was submitted and noted for information and record purposes.

(b) CHAIRS ASSURANCE REPORT

There was submitted Report No DIJB74-2023 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.

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

(c)                           REVISED PAC TERMS OF REFERENCE

There was submitted Report No DIJB72-2023 by the Chief Finance Officer updating and agreeing revised Terms of Reference for Dundee Integration Joint Boards Performance and Audit Committee.

The Integration Joint Board agreed the revised Terms of Reference for the IJBs Performance and Audit Committee as attached as Appendix 1 to the report.

V DELIVERY OF THE PRIMARY CARE MENTAL HEALTH AND WELLBEING FRAMEWORK

There was submitted Report No DIJB66-2023 by the Chief Officer providing an update on the delivery of the Dundee Primary Care Mental Health and Wellbeing Framework and seeking approval for its continued development in 2024.

The Integration Joint Board agreed:-

(i) to note the local and national strategies and guidance on the development of a framework to provide multi-disciplinary mental health and wellbeing support within Primary Care as described in section 4.1 of the report;

(ii) to note the progress to date in delivering the framework and key achievements as described in section 4.2 of the report;

(iii) to note the Progress Review at Appendix 1 of the report; and

(iv) to approve the recommendations set out within section 9, page 21 of the Progress Review at Appendix 1 of the report.

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

(v) to note how services were being promoted;

(vi) to note that there was a wide range of third sector and other activity taking place that was not included in the report;

(vii) to note that a subgroup would be developing outcomes and measures and the measures would be brought back to the IJB in the next quarter;

(viii) that Emma Lamont would share the recently published information from the Scottish Government on outcomes and measures; and

(ix) to note that a mapping event was planned to take place in January for all children and young people services and that consideration would be given to providing an update to a future IJB meeting on the outcome of the event.

VI DUNDEE GENERAL PRACTICE STRATEGY 2024 TO 2029

There was submitted Report No DIJB68-2023 by the Chief Officer providing an overview of the Dundee General Practice Strategy for 2024 to 2029.

Julia Martineau, Programme Manager gave a presentation on the report covering:

- the vision

- scope and challenges

- areas of focus

- guiding principles

- work programme; key activites.

The Integration Joint Board agreed:-

(i) to approve the Dundee General Practice Strategy to enable general practice to progress with the activities set out under the 5-year Strategic Work Programme; and

(ii) that half-yearly updates on progress would be brought to the IJB following implementation of the Dundee General Practice Strategy.

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

(i) to note the ongoing work in relation to pharmacy; and

(ii) to note the work being carried out across the city in relation to access to Primary Care.

VII WINTER PLAN NHS TAYSIDE AND PARTNER ORGANISATIONS

There was submitted Report No DIJB65-2023 by the Chief Officer presenting the Winter Planning arrangements for NHS Tayside and Health and Social Care Partnerships for 2023/2024. A whole system Health and Social Care approach to develop an integrated plan was essential. The Tayside and Fife Health and Social Care Partnerships, the Scottish Ambulance Service (SAS), 3rd Sector, as well as staff side/partnership representation had been involved in the development of the plan to ensure timely access to the right care, in the right place, first time. Third sector involvement was through the Health and Social Care Partnerships.

The Integration Joint Board agreed:-

(i) to approve and endorse the Winter Plan (NHS Tayside and Partner Organisations) 2023/2024 for submission to the Scottish Government; and

(ii) to note ongoing whole system collaboration in preparation for anticipated winter challenges.

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

(iii) to note that the position in Dundee was the best it had been in the last 3-4 years and thanks were to be passed on to all those involved.

VIII PROTECTING PEOPLE COMMITTEES ANNUAL REPORTS 2022/2023

There was submitted Report No DIJB63-2023 by the Protecting People Committee Independent Chairs/Dundee Alcohol and Drug Partnership Co-Chairs presenting the annual reports published by the Protecting People Committees for the period 2022/2023.

The Integration Joint Board agreed:-

(i) to note the production of a single integrated annual report for all of the Dundee Protecting People Committees;

(ii) to note the content of the annual reports for the Dundee Protecting People Committees (full and summary versions) and the Tayside MAPPA Strategic Oversight Group (attached as appendices 1 to 3 of the report);

(iii) to note the progress made in developing an effective partnership response to the needs of at risk children and adults during 2022/2023 (section 4.2 of the report);

(iv) to note the challenges and priority areas for action identified across the annual reports for focus during 2023/2024 and beyond (section 4.3 of the report).

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

(v) that information would be sent to Councillor McHugh on the process of registering and deregistering children.

IX CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2022/2023

There was submitted Report No DIJB64-2023 by the Chief Social Work Officer bringing forward for information the Chief Social Work Officers Annual Report for 2022/2023, attached as Appendix 1 to the report.

The Integration Joint Board agreed to note the content of the report and the Chief Social Work Officers Annual Report for 2022/2023 attached as Appendix 1 to the report.

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP WORKFORCE PLAN 2022-2025

There was submitted Report No DIJB75-2023 by the Chief Officer informing the Integration Joint Board of updates to the Dundee Health and Social Care Partnership Workforce Plan 2022/2025 to reflect recent changes in strategy, policy and workforce demographics.

The Integration Joint Board agreed:-

(i) to note the updates to the Dundee Health and Social Care Partnership Workforce Plan 2022/2025.

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

(ii) that Kathryn would check timescales for the development of the integrated data dashboard and report back.

XI BEST VALUE ARRANGEMENTS AND ASSESSMENT 2023/2024

There was submitted Report No DIJB69-2023 by the Chief Finance Officer providing assurance that the Integration Joint Board and partners had arrangements in place to demonstrate that Best Value was being achieved.

The Integration Joint Board agreed:-

(i) to note the content of the report and the full Best Value assessment as set out in Appendix 1 to the report; and

(ii) to note that the outcome of the assessment provided assurance that Best Value was being achieved through the Integration Joint Boards governance arrangements and activities.

XII DUNDEE IJB 2024/2025 BUDGET OUTLOOK

There was submitted Report No DIJB71-2023 by the Chief Finance Officer providing the Integration Joint Board (IJB) with an overview of the IJBs delegated budget 2024/2025.

The Integration Joint Board agreed:-

(i) to note the content of the report including the range of estimated cost pressures impacting on the IJBs delegated budget 2024/2025 including anticipated funding levels from the partner bodies and resultant projected budget shortfall; and

(ii) to note the budget development process for the agreement of the IJBs 2024/2025 Revenue Budget as outlined in section 4.7 of the report.

XIII FINANCIAL MONITORING POSITION AS AT OCTOBER 2023

There was submitted Report No DIJB67-2023 by the Chief Finance Officer providing an update of the projected year-end financial position for delegated health and social care services for 2023/2024.

The Integration Joint Board agreed:-

(i) 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 October 2023 as outlined in Appendices 1, 2, and 3 of the report; and

(ii) to instruct the Chief Officer to develop a financial recovery plan for the current financial year to be considered by the IJB at its meeting in February 2024 or earlier and if approved, present to Dundee City Council and NHS Tayside as per the terms of the Integration Scheme.

XIV MEETING OF THE INTEGRATION JOINT BOARD 2023 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB73-2023 for meetings of the Integration Joint Board held to date over 2023.

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

XV PROGRAMME OF MEETINGS OF INTEGRATION JOINT BOARD AND PERFORMANCE AND AUDIT COMMITTEE 2024

(a) INTEGRATION JOINT BOARD

The Integration Joint Board agreed that the programme of meetings for the Integration Joint Board over 2024 be as follows:-

Wednesday 21st February, 2024 - 10.00am

Wednesday 27th March, 2024 - 10.00am (Budget Meeting)

Wednesday 17th April, 2024 - 10.00am

Wednesday 19th June, 2024 -10.00am

Wednesday 21st August, 2024 - 10.00am

Wednesday 23rd October, 2024 - 10.00am

Wednesday 11th December, 2024 - 10.00am

(b) PERFORMANCE AND AUDIT COMMITTEE

The Integration Joint Board agreed that the programme of meetings for the Performance and Audit Committee over 2024 be as follows:-

Wednesday 31st January, 2024 - 10.00am

Wednesday 22nd May, 2024 - 10.00am

Wednesday 25th September, 2024 - 10.00am

Wednesday 20th November, 2024 - 10.00am

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 21st February, 2024 at 10.00am.

Pat KILPATRICK, Chairperson