Performance And Audit Committee (integration Joint Board) - 29/05/2018

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 29th May, 2018.

Present:-

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

Doug Cross, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 27th March, 2018 was submitted and approved.

IV OUTCOME OF CARE INSPECTORATE INSPECTION TURRIFF HOUSE

There was submitted Report No PAC25-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspection of Turriff House Older Peoples Care Home.

The Committee agreed:-

(i) to note the content of the report and the content of the inspection report which was attached to the report as Appendix 1;

(ii) to note the one recommendation as detailed in paragraph 4.6 of the report and the action plan to address this which was attached to the report as Appendix 2; and

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

V ANNUAL RISK MANAGEMENT OVERVIEW

There was submitted Report No PAC28-2018 by the Chief Finance Officer providing an annual overview of Dundee Health and Social Care Partnerships Risk Management Strategy.

The Committee agreed:

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

(ii) to note the work being undertaken to formalise escalation protocols for specific risks to the Integration Joint Board and to partner bodies and future developments around Locality Operational Risk Management Plans and a Resilience Group as outlined in Paragraphs 4.4, 4.3 and 4.5 of the report.

VI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP ACTION PLAN IN RESPONSE TO THE SERVICES FOR OLDER PEOPLE(EDINBURGH) INSPECTION REPORT

Reference was made to Article XI of the minute of meeting of this Committee held on 28th November, 2017 wherein the report on the Inspection of Older Peoples Services within Edinburgh Health and Social Care Partnership and the potential learning points for the Dundee Health and Social Care Partnership was submitted and it was agreed that an action plan, setting out improvements for Dundee, be prepared and presented to the Performance and Audit Committee by May 2018. There was submitted Report No PAC29-2018 by the Chief Finance Officer providing the Performance and Audit Committee with the proposed action plan.

The Committee agreed to note the content of the report, the Dundee Health and Social Care improvement action plan which was attached to the report as Appendix 1 and the progress made to date.

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT QUARTER 4

There was submitted Report No PAC30-2018 by the Chief Finance Officer updating the Performance and Audit Committee on Quarter 4 (Q4) 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 Section 5 and Appendix 1 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 Section 6 of the report and Appendix 2 of the report.

VIII UNSCHEDULED CARE

There was submitted Report No PAC31-2018 by the Chief Finance Officer providing assurance to the Performance and Audit Committee that a comprehensive analysis of unscheduled care performance had been provided to relevant professionals and groups in order to support improvements.

The Committee agreed:-

(i) to note the content of the report and the analysis of unscheduled care as outlined Section 5 and Appendix 1 of the report;

(ii) to request the Unscheduled Care Board to consider the findings of the analysis with a view to informing operational decision making and improvement actions; and

(iii) to instruct the Chief Finance Officer to present a follow up paper to the Performance and Audit Committee, containing an action plan which described how the data would be used by practitioners and the Unscheduled Care Board to make continuous improvements, timescales for improvement actions and the anticipated impact of these actions.

IX FALLS PERFORMANCE

There was submitted Report No PAC32-2018 by the Chief Finance Officer providing assurance that an in-depth analysis of falls related hospital admissions in Dundee had been provided to relevant professionals and groups in order to support improvements.

The Committee agreed:-

(i) to note the contents of the report and the analysis of falls related hospital admissions as outlined in Section 5.0 and Appendix 1 of the report;

(ii) to note the current activity to reduce falls related hospital admissions, prevent incidences of falls and support people who had fallen or who were at risk of a fall as outlined in Section 6.0 of the report; and

(iii) to note the future priority areas as outlined in Section 8.0 of the report.

X PSYCHOLOGICAL THERAPIES WAITING TIMES

There was submitted Report No PAC33-2018 by the Chief Finance Officer briefing on those specialities within the hosted Psychological Therapies Service currently failing to meet Health Improvement, Efficiency, Access & Treatment (HEAT) targets and the actions being taken to address the same.

The Committee agreed:-

(i) to note the current position and reasons for certain specialities currently failing to meet HEAT targets as outlined at Sections 4.3, 4.4, 4.6, 4.7 and 4.8 of the report;

(ii) to note the actions already being taken within the Psychological Therapies Service to address the current waiting time challenges as outlined at Sections 4.12 of the report;

(iii) to note the intention of the service to adopt alternative means of providing planned cover arrangements given the demographic of the workforce and level of demand for psychological therapy services as outlined at Sections 4.8 and 4.9 of the report;

(iv) to note the intention of the service to review current psychology service models within General Adult Psychiatry Service as outlined at Section 4.7 of the report; and

(v) to note the requirement for more detailed modelling of demand, capacity and potential impact on future financial resources within Clinical Neuropsychology as outlined at Section 4.11 of the report.

XI DRUG AND ALCOHOL TREATMENT WAITING TIMES

There was submitted Report No PAC41-2018 by the Chief Finance Officer providing an update to the Performance and Audit Committee on Substance Misuse waiting times performance in Dundee.

The Committee agreed:-

(i) to note the current position in relation to Drug and Alcohol Treatment Waiting Times as outlined in Section 5.2 and Appendix 1 of the report;

(ii) to note the improvement actions planned to respond to areas of pressure identified as outlined in Section 5.3 of the report;

(iii) to note the intention to develop a balanced scorecard as outlined in Section 4.2 of the report; and

(iv) that a further report be provided to the Committee outlining the Substance Misuse Improvement and Redesign Plan.

XII DISCHARGE MANAGEMENT PERFORMANCE UPDATE (INCLUDING CODE 9 ANALYSIS)

There was submitted Report No PAC34-2018 by the Chief Finance Officer providing an update to the Performance and Audit Committee on Discharge Management performance in Dundee.

The Committee agreed:-

(i) to note the content of the report and the current position in relation to Discharge Management Performance as outlined in Section 5.2 of the report and Appendix 1 (Sections 2.2 and 2.3);

(ii) to note the current position in relation to complex delays as outlined in Section 5.3 of this report and Appendix 1 (Section 2.4); and

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

XIII NHS TAYSIDE INTERIM EVALUATION OF INTERNAL CONTROL FRAMEWORK 2017/18

There was submitted Report No PAC40-2018 by the Chief Finance Officer sharing NHS Taysides Interim Evaluation of Internal Control Framework 2017/18 report.

The Committee agreed:-

(i) to note the content of the report and the content of the NHS Tayside Internal Audit Services Interim Evaluation of Internal Control Framework which was attached to the report as Appendix 1 including the recommendations and corresponding management actions as set out in the Appendix (page 30 onwards); and

(ii) to instruct the Chief Finance Officer to take into consideration the outcome of the review when developing Dundee Integration Joint Boards Annual Governance Statement 2017/18.

XIV DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC38-2018 by the Chief Finance Officer providing the Performance and Audit Committee with a progress update in relation to the current Internal Audit Plan.

The Committee agreed to note the progress of the current Internal Audit Plan as outlined in the report and the Appendix which was attached to the report.

XV AUDIT SCOTLAND ANNUAL REPORT 2016/17 PROGRESS ON ACTION PLAN

There was submitted Report No PAC11-2018 by the Chief Finance Officer providing an update of progress of the actions identified and agreed as a response to the recommendations outlined by Audit Scotland in their Annual Review of Dundee Integration Joint Board 2016/17.

The Committee agreed:

(i) to note the contents of the report and progress of the actions agreed as part of Audit Scotlands Annual Review 2016/17 as set out in Appendix 1 of the report; and

(ii) to instruct the Chief Finance Officer to progress the outstanding actions to ensure the completion of the action plan prior to the completion of the 2017/18 Audit Scotland Annual Review.

XVI 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, 31st July, 2018 at 2.00 pm.

Doug CROSS, Chairperson.