Dundee City Health & Social Care Integration Joint Board - 16/04/2025

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 16th April, 2025.

Present:-

Members	Role
Ken LYNN (Chair)	Nominated by Dundee City Council (Elected Member)
Bob BENSON (Vice Chair)	Nominated by Health Board (Non-Executive Member)
Colleen CARLTON	Nominated by Health Board (Non Executive Member)
David CHEAPE	Nominated by Health Board (Non-Executive Member)
Dorothy MCHUGH	Nominated by Dundee City Council (Elected Member)
Dave BERRY	Acting Chief Officer
Suzie BROWN	Registered Nurse
Christine JONES	Acting Chief Finance Officer
Glyn LLOYD	Chief Solical Work Officer
Jim McFARLANE	Trade Union Representative
Raymond MARSHALL	Staff Partnership Representative
Dr Sanjay PILLAI	Registered Medical Practitioner (not providing primary medical services)
Martyn SLOAN	Person providing unpaid care in the area of the local authority

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

Rachel BROWNE	Audit Scotland
Jenny HILL	Health and Social Care Partnership
Clare LEWIS-ROBERTSON	Health and Social Care Partnership
Sandra MacLEOD	NHS Tayside
Mary OCONNOR	Audit Scotland
Angie SMITH	Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member	Role
Christina Cooper	Third Sector Representative
Dr Emma Fletcher	Director of Public Health
Dr David Shaw	Clinical Director
Councillor Siobhan Tolland	Nominated by Dundee City Council (Elected Member)
Dr David Wilson	NHS Tayside (Registered Medical Practitioner (whose name is included in the list of primary medical performers)

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTES OF PREVIOUS MEETINGS

(a) The minutes of previous meetings of the Integration Joint Board held on 19th February and 26th March, 2025 were submitted and approved.

(b) ACTION TRACKER

The Action Tracker DIJB25-2025 for meetings of the Integration Joint Board was submitted and noted.

Following questions and answers the Integration Joint Board agreed:-

(i) that at the request of Councillor McHugh, any actions that were not fully complete, eg reports were to be brought back to the IJB, should remain on the Action Tracker in amber rather than green.

IV LEARNING DISABILITY INPATIENT TRANSITION PROGRAMME UPDATE

There was submitted Report No DIJB27-2025 by the Chief Officer providing an update on progress with the Learning Disability Inpatient Transition Programme led by NHS Tayside.

The Integration Joint Board agreed:-

(i) to note the progress against the recommendations within the Learning Disability Inpatient Transition Programme as set out in Appendix 1 to the report; and

(ii) to instruct the Chief Officer to provide a futher update to the Integration Joint Board no later than 31st August, 2025.

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

(i) to note that firm deadlines would be contained in the next update report to the IJB; and

(ii) to note the assurance given by Sandra MacLeod in relation to progress in dealing with delayed discharges.

V EQUALITY MAINSTREAMING AND EQUALITY OUTCOMES PROGRESS REPORT 2023-2025

There was submitted Report No DIJB22-2025 by the Chief Officer seeking approval of the Dundee Integration Joint Boards Equality Mainstreaming and Equality Outcomes Progress Report 2023-2025.

The Integration Joint Board agreed:-

(i) to note the content of the report; and

(ii) to approve the Dundee IJB Equality Mainstreaming and Equality Outcomes Progress Report 2023/2025.

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

(iii) that the Chief Officer would reflect on how to make it clearer in future reports about how well outcomes were being achieved;

(iv) to note the request from Raymond Marshall to be invited to any future meetings regarding the MCR Pathway that may take place with Dundee City Council reps;

(v) to note the request by IJB members to be kept updated about the MCR Pathway work and the requirement for consideration to be given to how to publicise beyond the IJB

VI STATUTORY REVIEW OF A CARING DUNDEE 2

There was submitted Report No DIJB32-2025 by the Chief Officer providing an update on the findings of the statutory review of A Caring Dundee 2 carried out buy the Dundee Carers Partnership.

The Integration Joint Board agreed:-

(i) to note the work undertaken by the Dundee Carers Partnership, supported by the Strategic Planning Advisory Group, to progress the statutory review of A Caring Dundee 2;

(ii) to complete the statutory review of the Dundee Local Carer Strategy (A Caring Dundee 2) required under Section 33 of the Carers (Scotland) Act 2016 by approving the Carers Partnership recommendation to revise A Caring Dundee 2 during 2025/2026;

(iii) approve the recommendation that a revised version of the Short Breaks Service Statement be developed during 2025/2026;

(iv) to instruct the Chief Officer to provide a final report to the IJB with the revised documents by no later than 31st October, 2025; and

(v) to note that until such times as a revised strategy and Short Breaks Service Statement have been produced, submitted and approved that the current strategy and policy would remain in place and continue to direct the work of the Partnership.

VII ADULT SUPPORT AND PROTECTION IMPROVEMENT ACTIVITY UPDATE

There was submitted Report No DIJB23-2025 by the Chief Officer informing of progress made by the Health and Social Care Partnership to improve arrangements for identifying and responding to adults at risk of harm following the joint inspection of adult support and protection in Dundee published in December 2023.

The Integration Joint Board agreed:-

(i) to note the overview of findings from the joint inspection of adult support and protection published in December 2023;

(ii) to note the actions progressed by the Health and Social Care Partnership in response to these findings, and initial evidence of impact in terms of improved responses to adults at risk; and

(iii) to note the current priorities and next steps for further improvement, including joint work with other partners via the Protecting People Committees.

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

(iv) that Jenny Hill would look into whether there had been any ASP campaigns recently or if there were any planned and report back to the Chair.

VIII STRATEGIC PLANNING ADVISORY GROUP TERMS OF REFERENCE

There was submitted Report No DIJB24-2025 by the Chief Officer submitting for approval the updated terms of reference for the Dundee Integration Joint Boards Strategic Planning Advisory Group.

The Integration Joint Board agreed to approve the revised terms of reference for the Strategic Planning Advisory Group (as attached as Appendix 1 to the report).

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

(i) that consideration would be given to how recent Scottish Government guidance in relation to the health system cross boundary working etc could be reflected in the Strategic Planning documents and whether there was a disconnect; and

(ii) that the Chief Officer would take back to the SPAG for consideration the request from Raymond for Trade Union or Partnership colleagues in health to be represented.

IX DUNDEE CITY IJB STRATEGIC RISK REGISTER ANNUAL REPORT

There was submitted Report No DIJB28-2025 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 focussed 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:-

(iv) to note that further development work was required in relation to setting the risk appetite of the IJB and that a Development Session on Assurance and Risk was scheduled to take place on 11th June, 2025.

X AUDIT SCOTLAND ANNUAL AUDIT PLAN 2024/2025

There was submitted Report No DIJB29-2025 by the Chief Finance Officer to note and approve the proposed Dundee Integration Joint Board Annual Audit Plan 2024/2025 as submitted by the IJBs appointed External Auditor (Audit Scotland).

The Integration Joint Board agreed:-

(i) to note the content of the report; and

(ii) to approve the proposed Audit Plan for 2024/2025 as submitted by Audit Scotland (attached as Appendix 1 to the report).

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

(iii) to consider providing any feedback they had on the report to Rachel Browne, Audit Scotland.

XI FINANCIAL MONITORING POSITION AS AT FEBRUARY 2025

There was submitted Report No DIJB26-2025 by the Chief Finance Officer providing an update of the projected financial position for delegated health and social care services for 2024/2025.

The Integration Joint Board agreed:-

(i) to note the content of the report including the projected operational financial position for delegated services for the 2024/2025 financial year end as at 28th February, 2025 as outlined in Appendices 1, 2, and 3 of the report; and

(ii) to note the ongoing actions being taken by Officers and Senior Management to address the current projected financial overspend position through the Financial Recovery Plan, as detailed in parapgraph 4.5 of the report.

XII MEETINGS OF THE INTEGRATION JOINT BOARD 2025 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB31-2025 for meetings of the Integration Joint Board held to date over 2025.

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

XIII IJB DEVELOPMENT SESSIONS

The IJB noted that the following Development Sessions had been arranged for IJB members:

23rd April Workforce

14th May Social Care Demand and Response

11th June Assurance and Risk

27th August Mental Health and Adult Support & Protection

17th September Engagement and Co-production

29th October Equalities

26th November topic to be confirmed

17th December Budget.

All sessions would be held in Meeting Room DH1-1, Dundee House between 10am 12 noon. There would be an option to join remotely for those unable to attend in person.

XIV 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, 18th June, 2025 at 10.00am.

XV VALEDICTORY

Councillor Lynn reported that this was the last meeting for Suzie Brown and Dr Emma Fletcher. On behalf of the IJB he expressed thanks for their contribution and wished them well for the future.

Ken LYNN, Chairperson