Performance And Audit Committee (integration Joint Board) - 24/09/2019

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 24th September, 2019.

Present:-

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

Councillor Ken LYNN, Chairperson, in the Chair (items I to V).

Bailie Helen WRIGHT, Chairperson, in the Chair (items VI to XVII).

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:

Jenny ALEXANDER, Nominated by Heath Board (Non Executive Member)

David LYNCH, Chief Officer

Raymond MARSHALL, Staff Partnership Representative

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 28th May, 2019 was submitted and approved.

IV AUDIT SCOTLAND ANNUAL REPORT AND INTEGRATION JOINT BOARD ANNUAL ACCOUNTS 2018/19

There was submitted Report No PAC34-2019 by the Chief Finance Officer presenting the Integration Joint Boards Draft Audited Annual Statement of Accounts for the year to 31st March, 2019 for approval, noting the draft external auditors report in relation to the accounts and approving the response to the report.

The Committee:-

(i) noted the contents of the Audit Scotland cover letter that was attached as Appendix 1 and the draft external auditors report attached as Appendix 2 including the completed action plan, and in particular that Audit Scotland had indicated they would issue an unqualified audit opinion on the Integration Joint Boards (IJB) 2018/2019 Annual Accounts;

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

(iii) instructed 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 2020;

(iv) approved the Audited Annual Accounts attached as Appendix 2 for signature and instructed the Chief Finance Officer to return these to the external auditor;

(v) instructed the Chief Finance Officer to arrange for the Annual Accounts to be published on the Dundee Health and Social Care Partnership website no later than 31st October, 2019;

(vi) delegated the Chief Finance Officer to consider any post balance sheet events on the actual date of signing of the accounts; and

(vii) delegated the Chief Finance Officer to ensure the ISA580 Letter of Representation is signed and submtted to the certifying auditor on the revised authorised for issue date.

The Committee further agreed:-

(viii) to note that due to the unavailability of the Chief Officer to sign the accounts by the required date of 30th September, 2019, the Integration Joint Board would fail to comply with the Local Authority Accounts (Scotland) Regulations 2014;

(ix) to note that there may be potential post balance sheet implications given the timescales between the date the Performance and Audit Committee approved the accounts for signature and the earliest date on which the accounts could be signed being 1st October, 2019;

(x) to note that the Chief Finance Officer could not sign the balance sheet and authorise the accounts for issue until the accounts were signed by the Chief Officer and the Chair of the Integration Joint Board;

(xi) that the Chief Finance Officer inform the voting members of the Committee of any post balance sheet events prior to formal signing and issue of the accounts;

(xii) to note that a change in the External Auditor's Annual Audit Report would be required and that this would be brought to the next meeting of the Committee for information.

V QUARTERLY COMPLAINTS PERFORMANCE 1ST QUARTER 2019/20

There was submitted Report No PAC39-2019 by the Chief Finance Officer summarising for Committee the complaints performance for the Health and Social Care Partnership in the first quarter of 2019/20, and to highlight the proposed changes to improve complaints reporting for the Performance and Audit Committee. The complaints included complaints handled using the Dundee Health and Social Care Partnership Social Work Complaint Handling Procedure, the NHS Complaint Procedure and the Dundee City Integration Joint Board Complaint Handling Procedure.

The Committee:-

(i) noted the complaints handling performance for health and social work complaints set out within the report;

(ii) noted the work which had been undertaken to address outstanding complaints within the Health and Social Care Partnership; and

(iii) noted the ongoing work taking place to improve complaints handling, monitoring and reporting within the Health and Social Care Partnership.

VI CARE INSPECTORATE GRADINGS REGISTERED CARE SERVICES FOR ADULTS (EXCLUDING CAREHOMES) 2018-2019

There was submitted Report No PAC25-2019 by the Chief Finance Officer summarising for Committee the grades awarded by the Care Inspectorate to registered care services for adults (excluding care homes), these services having a contractual arrangement with Dundee Health and Social Care Partnership, for the period 1st April, 2018 to 31st March, 2019.

The Committee:-

(i) noted the content of the report and the gradings awarded as detailed in Appendix A of the report and highlighted in section 4.2 of the report; and

(ii) noted the range of continuous improvement activities progressed during 2018-19, as described in section 4.3 of the report.

VII CARE INSPECTORATE GRADINGS DUNDEE REGISTERED CARE HOMES FOR ADULTS 2018-2019

There was submitted Report No PAC26-2019 by the Chief Finance Officer summarising for Committee the gradings awarded by the Care Inspectorate to Dundee registered care homes for adults in Dundee for the period 1st April, 2018 to 31st March, 2019.

The Committee:-

(i) the content of the report and the gradings awarded as detailed in Appendix A of the report and highlighted in section 4.2 of the report; and

(ii) noted the range of continuous improvement activities progressed during 2018-19 as described in section 4.3 of the report.

VIII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2018/19 QUARTER 4

There was submitted Report No PAC30-2019 by the Chief Finance Officer updating Committee on 2018/19 Quarter 4 performance against the National Health and Wellbeing Indicators and Measuring Performance under Integration interim targets.

The Committee:-

(i) noted the content of the report;

(ii) noted the performance of Dundee Health and Social Care Partnership, at both Dundee and Local Community Planning Partnership (LCPP) Levels, against the National Health and Wellbeing Indicators as summarised in Appendix 1 and section 6 of the report; and

(iii) noted the Performance of Dundee Health and Social Care Partnership against the Measuring Performance Under Integration interim targets as summarised in Appendix 1 (table 2) and section 6 of the report.

IX DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP SUMMARY PERFORMANCE REPORT 2019/20 QUARTER1

There was submitted Report No PAC33-2019 by the Chief Finance Officer updating Committee on 2019/20 Quarter 1 performance against the National Health and Wellbeing Indicators and Measuring Performance under Integration interim targets.

The Committee:-

(i) noted the content of the report;

(ii) noted the performance of Dundee Health and Social Care Partnership, at both Dundee and locality levels, against the National Health and Wellbeing Indicators as summarised in Appendix 1 (tables 1, 3 and 4) and section 6 of the report; and

(iii) noted the performance of Dundee Health and Social Care Partnership against the Measuring Performance under Integration interim targets as summarised in Appendix 1 (table 2) of the report.

X DISCHARGE MANAGEMENT PERFORMANCE UPDATE ON COMPLEX AND STANDARD DELAYS

There was submitted Report No PAC37-2019 by the Chief Finance Officer updating Committee on Discharge Management performance in Dundee in relation to delays.

The Committee:-

(i) noted the current position in relation to complex delays as outlined in section 5 of the report, and in relation to standard delays as outlined in section 6 of the report;

(ii) noted the improvement actions planned to respond to areas of pressure as outlined in section 7 of the report; and

(iii) agreed to the Audit Scotland NHS workforce planning part 2 report being discussed at the next Performance and Audit Committee.

XI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCE

There was submitted Report No PAC27-2019 by the Chief Finance Officer updating Committee on the business of the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group.

The Committee:-

(i) noted the exception report for the Dundee Health and Social Care Partership Clinical, Care and Professional Governance Group; and

(ii) noted that the Dundee Health and Social Care Partnership had received a report from the Drugs Commission and would provide a comprehensive response to the recommendations at a future Performance and Audit Committee meeting.

XII DUNDEE CITIZENS SURVEY 2018 HEALTH AND SOCIAL CARE RESULTS

There was submitted Report No PAC31-2019 by the Chief Finance Officer summarising the results on the Dundee Citizens Survey 2018 that were of relevance to the Health and Social Care Partnership strategic priorities.

The Committee:-

(i) noted the content of the report and the result of the Citizens Survey 2018 as detailed in Appendix 1 and section 4.2 of the report; and

(ii) noted that the Health and Social Care results had been incorporated into the Partnerships locality needs assessment profiles that would be published on the Partnership website by 30th September, 2019.

XIII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC35-2019 by the Chief Finance Officer providing Committee with an update on the progress of the actions set out in the Governance Action Plan.

The Committee noted the progress made in relation to the actions set out in the Governance Action Plan as outlined in Appendix 1 of the report.

XIV DUNDEE INTEGRATION JOINT BOARD AUDIT PLAN 2019/20

There was submitted Report No PAC36-2019 by the Chief Finance Officer considering the proposed Dundee Integration Joint Boards 2019/20 Internal Audit Plan.

The Committee noted and approved the proposed Dundee Integration Joint Board 2019/20 Internal Audit Plan as outlined in Appendix 1 of the report.

XV DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC38-2019 by the Chief Finance Officer providing Committee with a progress update in relation to the current Internal Audit Plan.

The Committee noted the continuing delivery of the 2018/19 plan as well as commencement of work on the 2019/20 plan as outlined in the report.

XVI MEETING OF PERFORMANCE AND AUDIT COMMITTEE 2019 ATTENDANCES

There was submitted Agenda Note PAC23-2019 providing a copy of the attendance return for meetings of the Performance and Audit Committee held over 2019.

The Committee noted the position as outlined.

XVII DATE OF NEXT MEETING

The Committee noted that the next meeting of the Performance and Audit Committee would be held in Committee Room 1, 14 City Square on Tuesday, 26th November, 2019 at 2.00 pm.

Ken LYNN, Chairperson.

Helen WRIGHT, Chairperson.