Performance And Audit Committee (integration Joint Board) - 19/07/2017

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 19th July, 2017.

Present:-

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

Doug CROSS, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of Judith GOLDEN, Nominated by Health Board (Non Executive Member) and Raymond MARSHALL, Staff Partnership Representative.

II DECLARATION OF INTEREST

No declarations of interest were made.

III MEMBERSHIP DUNDEE CITY COUNCIL

Reference was made to Article VII of the minute of meeting of the Dundee City Health and Social Care Integration Joint Board held on Tuesday, 27th June, 2017, wherein it was reported that the membership of the Performance and Audit Committee comprised two voting members from Dundee City Council on the basis that they did not hold the positions of Chairperson or Vice Chairperson of the Integration Joint Board.

The Committee agreed to note that the remaining two voting members Councillor Roisin Smith and Bailie Helen Wright from Dundee City Council were appointed as members of the Performance and Audit Committee.

IV MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 14th March, 2017 was submitted and approved.

V CLINICAL, CARE & PROFESSIONAL GOVERNANCE EXCEPTION REPORT

Reference was made to Article XII of the minute of meeting of the Dundee City Health and Social Care Integration Joint Board held on 28th February, 2017 wherein progress made in implementing the Clinical, Care and Professional Governance Framework was noted.

Reference was also made to Article XVI of the minute of meeting of the Dundee City Health and Social Care Integration Joint Board held on 27th June, 2017 wherein updated information on clinical care and professional governance work underway across the Partnership was noted.

There was submitted Agenda Note PAC18-2017 reporting that the report submitted to the meeting of the Dundee City Health and Social Care Integration Joint Board in February 2017 provided the Integration Joint Board with an update on the progress made in implementing the Clinical, Care and Professional Governance Framework and recommended that exception reporting be provided to every meeting of the Performance and Audit Committee and six monthly reports be provided to the Integration Joint Board. It was reported that at the request of the Integration Joint Board an earlier progress report was submitted to the Integration Joint Board held on 27th June 2017 which provided members with a further update on the progress made and summarised the work undertaken in the financial year April 2016 March 2017. The Integration Joint Board made suggestions as to how this reporting framework might be improved and this would be incorporated into the future reports to both the Integration Joint Board and the Performance and Audit Committee.

The Committee agreed:-

(i) to note that the information for period April 2017 June 2017 would be considered by the R2 Forum in July 2017 and as such was not available for the Committee meeting and that the timing of meetings would be reviewed in line with the Performance and Audit Committee arrangements to ensure reports were available for future meetings;

(ii) to note that there was a robust, single reporting arrangement in place to support consideration of health governance matters which was previously established within Dundee Community Health Partnership and that the framework was being mapped against social care governance arrangements to align systems and further develop integrated performance reporting and that a development day was being held on 17 July 2017 to support this;

(iii) to note the annual summary report to the Integration Joint Board identified the areas considered by R2 Forum during the period April 2016 March 2017 and that there were no significant outstanding governance issues identified as part of this process;

(iv) to note that the R2 Forum had considered both governance and risk issues for three service areas; Palliative Care Services; Mental Health Officer Service and Tayside Substance Misuse Service; and

(v) to note that information on the three service areas; Palliative Care Services; Mental Health Officer Service and Tayside Substance Misuse Services was reported within the yearly summary presented to the Integration Joint Board at its meeting held on 27th June, 2017.

VI DUNDEE INTEGRATION JOINT BOARD INTERNAL ANNUAL AUDIT REPORT 2016/17 AND ANNUAL GOVERNANCE STATEMENT

There was submitted Report No PAC14-2017 by the Chief Finance Officer advising the Committee of the outcome of the Chief Internal Auditor's Report on the Integration Joint Board's internal control framework for the financial year 2016/17 and to agree the Integration Joint Boards revised Annual Governance Statement following this assessment.

The Committee agreed:-

(i) to note the content and findings of the Annual Internal Audit Report 2016/17 which was attached to the report as Appendix 1;

(ii) to instruct the Chief Finance Officer to develop an action plan in response to identified issues for consideration by management arising from the report; and

(iii) to note and approve the revised Annual Governance Statement which was attached to the report as Appendix 2; following the Chief Internal Auditor's conclusion that reliance could be placed on the Integration Joint Board's governance arrangements and systems of internal control for 2016/17 and instruct the Chief Finance Officer to incorporate this within the Integration Joint Board's Draft Annual Accounts.

VII DRAFT ANNUAL ACCOUNTS 2016/17

Reference was made to Article VI of this minute of the Committee wherein it was agreed to incorporate the revised Annual Governance Statement with the Integration Joint Boards Draft Annual Accounts.

There was submitted Report No PAC12-2017 by the Chief Finance Officer presenting for noting the Integration Joint Board's Draft Annual Statement of Accounts 2016/17.

The Committee agreed:-

(i) to note the Integration Joint Board's Draft Annual Statement of Accounts 2016/17 which was attached to the report as Appendix 2; and

(ii) to note that the Chief Finance Officer had been instructed to include the revised Annual Governance Statement with the Draft Annual Statement of Accounts and submit the document to Audit Scotland to enable the External Audit process to progress.

VIII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT (QUARTERS 3 & 4)

Reference was made to Article V of the minute of meeting this Committee held on 27th January, 2017 wherein the last update on the implementation of the Partnerships performance framework was noted.

There was submitted Report No PAC15-2017 by the Chief Finance Officer updating the Committee on progress in implementing the Partnership's performance framework. The report also brought forward the combined Quarter 3 and Quarter 4 Performance Report for 2016/17 for consideration by the Committee.

The Committee agreed:-

(i) to note the progress that had been made in further developing and implementing the performance framework, and supporting structures and systems, since the last update was provided to the Committee on 17th January 2017 as outlined in section 4.1 of the report;

(ii) to note the performance of Dundee Health and Social Care Partnership as outlined in Appendix 1 of the report;

(iii) to note the progress that had been made to develop information from the quarterly performance reports and Ministerial Strategic Group submission into a Partnership Delivery Plan for 2017/18 with a focus on improvement in identified areas as outlined in section 4.1.3 of the report;

(iv) to approve the proposed approach to Quarterly Performance Reports for 2017/18 as outlined in section 4.3 of the report; and

(v) to note the progress that had been made in developing links between the Quarterly Performance Report and Risk Register as outlined in section 4.3.4 of the report.

IX ANNUAL PERFORMANCE REPORT UPDATE

There was submitted Report No PAC16-2017 by the Chief Finance Officer updating the Committee on progress in producing the 2016/17 Health and Social Care Partnership Annual Performance Report.

The Committee agreed:-

(i) to note the updates provided and the unformatted advance draft summary of the Annual Performance Report which was attached to the report as Appendix I.

(ii) to approve the planned approach to approval and publication as outlined in sections 4.2.3, 4.2.4 and 4.2.5 of the report.

X OUTCOME OF CARE INSPECTORATE INSPECTIONS

There was submitted Report No PAC17-2017 by the Chief Finance Officer advising the Committee of the outcome of recent Care Inspectorate inspections of the MacKinnon Centre and older people care homes Craigie House and Turriff House.

The Committee agreed:-

(i) to note the contents of the report and the content of the inspection reports which were attached to the report as Appendices 1, 2 and 3;

(ii) to note the one requirement for the MacKinnon Centre as outlined in paragraph 4.3.5. of the report;

(iii) to note the grades awarded to the service, the strengths of the service, and the very positive comments made by service users and carers as outlined in the report.

The Committee further agreed to record their appreciation for the contribution and diligence of staff within the Partnership with responsibility for the individual services referred to in the report towards achieving positive reports from the inspections carried out by the Care Inspectorate.

XI PROGRAMME OF MEETINGS - 2017

The Committee agreed to note that the programme of meetings of the Committee for the remainder of 2017 was as follows:-

XII DATE OF NEXT MEETING

The Committee noted that the next meeting of the Committee would be held in Committee Room 2, 14 City Square, Dundee on Tuesday, 12th September, 2017 at 2.00 pm.

Doug CROSS, Chairperson.