Performance And Audit Committee (integration Joint Board) - 12/09/2017

At a MEETING of THE PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 12th September, 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 Cesar RODRIGUEZ, Registered Medical Practitioner.

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 19th July, 2017 was submitted and approved.

IV AUDIT SCOTLAND ANNUAL REPORT & INTEGRATION JOINT BOARD ANNUAL ACCOUNTS 2016/17

There was submitted Report No PAC21-2017 by the Chief Finance Officer presenting the Integration Joint Boards (IJB) Draft Audited Annual Statement of Accounts for the year to 31st March, 2017 for approval, to note the draft external auditors report in relation to these accounts and approve the response to this report.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of the attached Audit Scotland cover letter (attached as Appendix 1) and the draft external auditors report (attached as Appendix 2) including the completed action plan outlined on pages 22-24 of the report and, in particular, that Audit Scotland had indicated they would issue an unqualified audit opinion on the IJBs 2016/17 Annual Accounts;

(ii) Endorse the report as the IJBs formal response to the external auditors report;

(iii) Instruct the Chief Finance Officer to provide an update on progress of the action plan noted in Appendix 1 of the external auditors report by January, 2018;

(iv) Approve the attached Audited Annual Accounts (attached as Appendix 3) for signature and instructs the Chief Finance Officer to return these to the external auditor; and

(v) Instruct the Chief Finance Officer to arrange for the above Annual Accounts to be published on the Dundee Health & Social Care Partnership website by no later than 31st October, 2017.

V ANNUAL INTERNAL AUDIT REPORT 2016/17 ACTION PLAN

There was submitted Report No PAC24-2017 by the Chief Finance Officer to consider a proposed action plan to respond to the recommendations of the Annual Audit Report 2016/17.

The Performance and Audit Committee agreed to:-

(i) Note and approve the proposed action plan as outlined in Appendix 1; and

(ii) Remit the Chief Finance Officer to provide a progress report to the PAC prior to 31st March, 2018.

VI APPOINTMENT OF INTERNAL AUDIT FOR 2017/18

There was submitted Agenda Note PAC31-2017 advising that Dundee IJB approved the arrangements for the provision of internal audit services to the IJB in May, 2016 for the period 2016/17 with a partnership approach between Fife, Tayside and Forth Valley Audit and Management Services (FTF) and Dundee City Council internal audit service. The Chief Internal Auditor from FTF was appointed to this same role within the IJB. Following receipt of the Annual Internal Audit Report for 2016/17, presented to the PAC in July, 2017, it was recommended that this arrangement for the provision of internal audit arrangements be continued for 2017/18. This would enable consistency in approach and continue the good partnership working between NHS a Tayside and Dundee City Councils internal audit services.

The PAC approved this arrangement.

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT (QUARTER 1)

There was submitted Report No PAC23-2017 by the Chief Finance Officer updating the Performance and Audit Committee on Quarter 1 (Q1) performance against the National Health and Wellbeing Indicators and Measuring Performance under integration interim targets.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the performance of Dundee Health and Social Care Partnership against the Measuring Performance under Integration interim targets as outlined in Appendix 1 and section 5; and

(ii) Note the performance of Dundee Health and Social Care Partnership against the National Health and Wellbeing Indicators as outlined in Appendix 2 and section 6 and associated risk assessment as set out in section 7 of the report.

VIII REGISTERED CARE HOME SERVICES FOR ADULTS CARE INSPECTORATE GRADINGS

There was submitted Report No PAC20-2017 by the Chief Finance Officer summarising for the Performance and Audit Committee the gradings awarded by the Care Inspectorate to registered care homes for adults in Dundee for the period 1st April, 2016 to 31st Mach, 2017.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of this report, the gradings awarded as detailed in the attached Performance Report (Appendix 1) and highlighted in paragraph 4.1.5 below and the risk assessment outlined in section 6; and

(ii) Endorse the approach to achieve continuous improvement to registered care home services within Dundee as outlined in paragraph 4.2.

IX CARE INSPECTORATE FOLLOW UP VISIT WEAVERS BURN

There was submitted Report No PAC29-2017 by the Chief Finance Officer advising the Performance and Audit Committee of the outcome of the recent Care Inspectorate inspection visit, undertaken in March, 2017 as a follow up to the full inspection of May, 2016.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of the follow up inspection reports (Appendices 1 & 2);

(ii) Note the progress made following the inspection dated May, 2015; and

(iii) Note the content of the July, 2017 inspection report and regrading of the service (Appendix 3).

X FALLS PERFORMANCE

There was submitted Report No PAC26-2017 by the Chief Finance Officer providing an in depth analysis of falls related hospital admissions in Dundee and an update regarding the current model of service for people who are at risk of falling in Dundee.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of the report including the analysis of falls related admissions outlined in section 4.2 and Appendix 1 and risk assessment outlined in section 5;

(ii) Note the current activity to reduce falls related hospital admissions, prevent incidences of falls and support people who have fallen or who are at risk of a fall (section 4.3);

(iii) Note the future priority areas (section 4.4); and

(iv) undertake further more detailed analysis of data in relation to falls related admissions across the benchmark.

XI RE-ADMISSION TO HOSPITAL

There was submitted Report No PAC27-2017 by the Chief Finance Officer providing an update on progress regarding further analysis of reasons for high hospital re-admissions rates in Dundee.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of this report including the update position outlined in section 5 and risk assessment outlined in section 8;

(ii) Instruct the Chief Finance Officer to submit a full analysis of reasons for readmission to hospital to the PAC in January, 2018 (section 7.1) following completion of this work commissioned by the Unscheduled Care Board; and

(iii) Provide detailed information to the PAC on mechanisms by which the performance could be improved.

XII ANNUAL COMPLAINTS PERFORMANCE 2016/17

There was submitted Report No PAC28-2017 by the Chief Finance Officer providing an analysis of complaints by the Dundee Health and Social Care Partnership over the past financial year 2016/2017. This included complaints handled using the previous Dundee City Council Statutory Social Work Complaint Procedure, the previous NHS Tayside Complaint Management Procedure and the Dundee City Integration Joint Board Complaint Handling Procedure.

The report also provided an update on the progress made towards providing a quarterly complaint performances.

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of this report including the analysis of 2016/17 Social Work and NHS complaint performance (sections 5 & 6) and the associated risk assessment (section 9); and

(ii) Approve the work undertaken to ensure that quarterly complaint reporting is carried out (section 7)

XIII CLINICAL, CARE AND PROFESSIONAL GOVERNANCE EXCEPTION REPORT

There was submitted Report No PAC25-2017 by the Chief Finance Officer providing clinical, care and professional governance performance information and reporting on the work of the Clinical, Care and Professional Governance Forum (R2 Forum).

The Performance and Audit Committee (PAC) agreed to:-

(i) Note the content of the report and the associated risk assessment at section 6;

(ii) Note the ongoing work to progress to a fully integrated Clinical, Care and Professional Governance Performance reporting arrangement as described in section 4.2.2 and 4.2.3; and

(iii) Note the recent considerations of the R2 Forum (section 4.3).

XIV DUNDEE INTEGRATION JOINT BOARD BUDGET PLANNING PROCESS 2018/19

There was submitted Report No PAC30-2017 by the Chief Finance Officer providing context to the development of the 2018/19 Dundee IJB delegated budget including the key timescales and milestones within the process.

The Performance and Audit Committee (PAC) agreed to:-

(i) Approve the content of the report including the budget setting timetable; and

(ii) Remit the Chief Finance Officer to provide updates to the PAC and IJB on the progression of the budget including arranging separate budget development sessions with IJB members.

XV DATE OF NEXT MEETING

The next meeting of the Committee would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 28th November, 2017 at 2.00 pm.

Doug CROSS, Chair.