Dundee City Health & Social Care Integration Joint Board - 17/04/2024

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 17th April, 2024.

Present:-

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

Beth HAMILTON, Chairperson, in the Chair.

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 21st February, 2024 and 27th March, 2024 were submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB14-2024 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 number of the actions, development sessions would be arranged to take place in late May/June; and

(ii) to note that in relation to having older people and carers involved in the Falls Group, it had been agreed that this would be a positive addition to the work of the group and Matthew Kendall was following up on identifying reps.

IV PERFORMANCE AND AUDIT COMMITTEE NHS MEMBERSHIP APPOINTMENTS

Reference was made to Article III(a) of the minute of meeting of the Integration Joint Board of 27th March, 2024 wherein it was noted that NHS Non-Executive voting membership of the Integration Joint Board from 1st May, 2024 would be Bob Benson (Chairperson), Beth Hamilton and David Cheape.

It was reported that there were two NHS Non-Executive voting member vacancies on the Performance and Audit Committee and the Integration Joint Boards instructions were requested with regard to the appointment of Beth Hamilton and David Cheape to fill the vacancies from 1st May, 2024.

The Integration Joint Board agreed that Beth Hamilton and David Cheape be appointed as members of the Performance and Audit Committee.

V LEARNING DISABILITIES, AUTISM AND NEURODIVERGENCE BILL CONSULTATION

There was submitted Agenda Note DIJB12-2024 reporting that the Scottish Government estimated that people with a learning disability or who were neurodivergent comprise 10-15% of the population of Scotland. They also recognised a range of evidence regarding the significant inequalities and challenges experienced by people with these characteristics, including lower life expectancy amongst people with learning disabilities and autism and higher prevalence of suicide amongst people diagnosed with autism or ADHD. People from these groups also reported experiencing stigma, social isolation and loneliness and inequalities in terms of employment, education, community justice and safety and wellbeing outcomes. During 2022, as part of the Programme for Government, scoping work was carried out for a Bill, including through the establishment of a Lived Experience Advisory Panel (LEAP), a Stakeholder Panel and a Practitioner Panel. The key messages from this scoping work had now been consolidated into the Scottish Governments Learning Disabilities, Autism and Neurodivergence Bill Consultation.

The consultation aimed to provide an opportunity for public discussion about how the rights of people with learning disabilities, autism and who were neurodivergent could be better protected, respected and championed. The consultation invited views in relation to:

- Overarching themes including reach and definitions, statutory strategic plans for neurodivergence and learning disabilities, mandatory training in the public sector, inclusive communication, data and independent advocacy.

- Specific themes including health and wellbeing, mental health and capacity law, social care, housing and independent living, complex care, relationships, access to technology, employment, social security, justice, restraint and seclusion, transport, education, and transitions to adulthood for children and young people.

The consultation period was to 21st April, 2024; the document and supporting information can be accessed at: https://www.gov.scot/publications/learning-disabilities-autism-neurodivergence-billconsultation/documents/

The consultation included proposals that had a direct and indirect impact on Integration Joint Boards. This included proposing new statutory responsibilities to produce a local strategy covering learning disabilities and neurodivergence, to provide training for public facing staff in some public services (including the health and social care workforce), to gather data, and to comply with an enforceable Accessible Information Standard for Scotland. Proposals also covered aspects such as enhancing access to and understanding of independent advocacy, implementation of annual health checks, and the creation of a Patient Passport that would follow people across care pathways and include information about their needs and preferences.

The consultation document was lengthy and diverse, meaning that there were a number of local partners who may have contributions to make to a response from the Dundee Health and Social Care Partnership. A Senior Officer from the Strategic Planning and Business Support Team, supported by the Learning Disabilities and Autism Strategic Planning Group, was working to gather views and collate a composite response in advance of the submission deadline. This would include linking to Wellgate Day Centre who were planning an event to gather service user views. However, it should be noted that individual partners may decide to submit separate responses on specific matters directly impacting their functions.

The IJB noted the consultation and intended approach to developing a response.

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

(i) to note that Kathryn offered to have a discussion with anyone with an interest or who wished to comment on the response.

VI TAYSIDE PRIMARY CARE STRATEGY UPDATE

There was submitted Report No DIJB13-2024 by the Chief Officer providing an update on the work to produce a Tayside Primary Care Strategy and seeking agreement that ongoing work to produce this strategy be adopted into the NHS Tayside Strategy which was progressing a system-wide approach, taking account of national and local priorities.

The Integration Joint Board agreed:-

(i) to note the work undertaken to revise the Tayside Primary Care Strategy Plan on a Page; and

(ii) to agree that further work required to produce a Tayside Primary Care Strategy be adopted into the system-wide approach to develop an NHS Tayside Strategy.

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

(i) that Shona Hyman would link with colleagues about developing a more simplified version of the Plan on a Page;

(ii) to note that a report providing an update on dentistry would be provided to a future IJB meeting; and

(iii) to note that a dental health needs assessment was being developed which would be disseminated across Tayside when appropriate.

VII GENERAL PRACTICE PREMISES STRATEGY UPDATE

There was submitted Report No DIJB16-2024 by the Chief Officer providing an update on the recommendations and activities that were outlined in the General Practice (GP) Premises Strategy and associated consultation.

The Integration Joint Board agreed:-

(i) to note the progress made to date; and

(ii) to instruct the Chief Officer to continue to provide progress reports to the IJB on the implementation of the GP Premises Strategy on an annual basis.

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

(i) to note the explanation that was given in relation to the low use of video consultations and that practices were being encouraged to use digital solutions where possible;

(ii) note that the work that was underway, as listed at paragraph 4.3.1 of the report, had secured funding; and

(iii) to note that in relation to a query about obligations of housing developers to provide resource for certain infrastructure, Councillor Tolland would raise with the Executive Director of City Development of Dundee City Council to establish whether any discussion was needed between Planning, Economic Development and the Health and Social Care Partnership.

VIII DUNDEE CITY IJB STRATEGIC RISK REGISTER ANNUAL REPORT

There was submitted Report no DIJB19-2024 by the Chief Officer providing the annual report on developments, changes in specific risks and progress made in Dundee Health and Social Care Partnerships Strategic Risk Management over the past year.

The Integration Joint Board agreed:-

(i) to note the progress made in Dundee Health and Social Care Strategic Risk Management including new Clinical Care and Professional Governance meetings focused on considering Operational Risks against Strategic Risks;

(ii) to note the changes in the specific risks in the Strategic Risk Register including changes in scoring of existing risks, recording of new risks, and archived risks; and

(iii) to note the future work planned to further embed Strategic Risk Management in the IJB.

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

(i) to note that the two new risks that were noted in paragraph 5.5 of the report were not yet included in the Strategic Risk Register but would be in the next iteration that would be presented to the Performance and Audit Committee.

IX AUDIT SCOTLAND ANNUAL AUDIT PLAN 2023/2024

There was submitted Report No DIJB17-2024 by the Chief Finance Officer on the proposed Dundee Integration Joint Board Annual Audit Plan 2023/2024 as submitted by the IJBs appointed External Auditor (Audit Scotland).

The Integration Joint Board agreed:-

(i) to note the content of the report;

(ii) to approve the proposed Audit Plan for 2023/2024 as submitted by Audit Scotland (attached as Appendix 1 to the report); and

(iii) to explicitly note the requirements under Paragraph 8 of the Audit Plan 2023/2024, as detailed in section 4.3 of the report, requesting that any instances of actual, suspected or alleged fraud should be brought to the attention of Audit Scotland for consideration.

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

(i) to note that Brain Howarth had retired and Rachel Browne was now the auditor for the IJB; and

(ii) to note that there would be no penalty for the audit not being in accordance with target timescales.

X FINANCIAL MONITORING POSITION AS AT FEBRUARY 2024

There was submitted Report No DIJB15-2024 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 29th February, 2024 as outlined in Appendices 1, 2, and 3 of the report; and

(ii) to note steps that continue to be taken by Officers to consider options and opportunities to improve the financial position during the remainder of 2023/2024 as part of the Financial Recovery Plan process, as outlined in section 4.7 of the report.

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

(i) to note that a paper may be brought to a future IJB meeting reprofiling and reviewing the reserves position;

(ii) to note that a comparable report would be brought to the June IJB meeting alongside the statutory accounts to close out the financial year for 2023/2024; and

(iii) to note that work was being carried out nationally and locally in relation to supplementary spend (eg agency staff) and there should be a significant reduction in this spend across the year.

XI MEETINGS OF THE INTEGRATION JOINT BOARD 2024 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB18-2024 for meetings of the Integration Joint Board held to date over 2024.

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, 19th June, 2024 at 10.00am.

Beth HAMILTON, Chairperson.