Performance And Audit Committee (integration Joint Board) - 28/11/2017

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 28th November, 2017.

Present:-

Also in attendance:-

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), Raymond MARSHALL, Staff Partnership Representative and Tony GASKIN, Chief Internal Auditor.

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of this Committee held on 12th September, 2017 was submitted and approved.

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT (QUARTER 2)

There was submitted Report No PAC32-2017 by the Chief Finance Officer providing an update on Quarter 2 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration interim targets.

The Committee agreed:-

(i) to note the content of the report;

(ii) to 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 4.8 of the report; and

(iii) to note the performance of Dundee Health and Social Care Partnership against the National Health and Wellbeing Indicators as outlined in Appendix 2 and section 4.9 of the report.

V PERFORMANCE REPORT CARE INSPECTORATE GRADINGS FOR DUNDEE REGISTERED CARE SERVICES FORADULTS (EXCLUDING CARE HOMES) 2016/17

There was submitted Report No PAC34-2017 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to Dundee registered care services for adults (excluding care homes) for the period 1st April 2016 to 31st March 2017.

The Committee agreed:-

(i) to note the content of the report including the gradings awarded as detailed in the Performance Report which was attached to the report as Appendix 1 and highlighted in paragraph 4.3 of the report; and

(ii) to note the Care Inspectorate requirements as detailed in Appendix 2 of the report.

VI DISCHARGE MANAGEMENT PERFORMANCE UPDATE (INCLUDING CODE 9 ANALYSIS)

Reference was made to Article XI of the minute of meeting of this Committee held on 12th September 2017 wherein it was agreed that information on actions by which performance could be improved be provided.

There was submitted Report No PAC39-2017 by the Chief Officer providing an update on Discharge Management performance in Dundee. The report also provided detailed information about the current discharge management position for complex delays (code 9s) and practical actions being undertaken in response to current pressures as requested by the Performance and Audit Committee at its meeting on 12th September 2017.

The Committee agreed:-

(i) to note the content of the report and the current position in relation to discharge management performance as outlined in paragraph 5.2 of the report and Appendix 1 of the report and in particular sections 2.2 and 2.3 of that document;

(ii) to note the current position in relation to complex delays as outlined in paragraph 5.3 of the report and Appendix 1 of the report and in particular section 2.4 of that document; and

(iii) to note the improvement actions planned to respond to areas of pressure identified as outlined in paragraphs 5.2 and 5.4 of the report.

VII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN 2017/18

There was submitted Report No PAC37-2017 by the Chief Finance Officer the purpose of the report was to consider the proposed Dundee City Health and Social Care Integration Joint Boards 2017/18 Internal Audit Plan.

The Committee agreed to note the content of the report and approve the proposed Dundee Integration Joint Board 2017/18 Internal Audit Plan as outlined in Appendix 1 of the report.

VIII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT CHARTER

There was submitted Report No PAC35-2017 by the Chief Finance Officer the purpose of the report was to consider a proposed Internal Audit Charter for Dundee City Health and Social Care Integration Joint Board which set out the responsibility for and approach to internal audit activity.

The Committee agreed to note the content of the report and approve the proposed Dundee City Health and Social Care Integration Joint Board Internal Audit Charter as outlined in Appendix 1 to the report.

IX INTERNAL AUDIT OUTPUT SHARING PROTOCOL

There was submitted Report No PAC36-2017 by the Chief Finance Officer the purpose of the report was to consider a proposed protocol for the sharing of Internal Audit work across the Tayside Integration Joint Boards, Tayside local authorities and NHS Tayside.

The Committee agreed to note the content of the report and approve the proposed Sharing of Audit Outputs Protocol as outlined in Appendix 1 of the report, subject to approval by all relevant parties.

X DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC38-2017 by the Chief Finance Officer the purpose of the report was to provide a progress update in relation to the current Internal Audit Plan.

The Committee agreed to note the content of the report and the progress of the current Internal Audit Plan as detailed in Appendix 1 of the report.

XI SERVICES FOR OLDER PEOPLE IN EDINBURGH INSPECTION REPORT (MAY 2017) DUNDEE POSITIONSTATEMENT

There was submitted Report No PAC42-2017 by the Chief Finance Officer appraising of the published inspection report of older peoples services within the Edinburgh Health and Social Care Partnership. It was reported that as part of the continual improvement process, the report highlighted learning to be gained for the Dundee Health and Social Care Partnership.

The Committee agreed:-

(i) to note the content of the report and the Edinburgh inspection report produced by the Care Inspectorate/Health Improvement Scotland which was attached to the report as Appendix 1;

(ii) to note the Dundee position as assessed against the Edinburgh report as detailed in Appendix 2 of the report;

(iii) to note the areas for consideration by the Performance and Audit Committee as detailed in paragraphs 4.2 and 4.3 of the report; and

(iv) to instruct the Chief Finance Officer to provide the Performance and Audit Committee with an action plan setting out the actions and timescales to address any highlighted areas for improvement and that this be submitted to the meeting of this Committee to be held on Tuesday 29th May 2018.

XII PROGRAMME OF MEETINGS 2018

The Committee agreed that the programme of meetings of the Committee over 2018 be as follows:-

XIII DATE OF NEXT MEETING

The Committee noted that the next meeting of the Committee would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 13th February, 2018 at 2.00 pm.

Doug CROSS, Chairperson.