Performance And Audit Committee (integration Joint Board) - 03/02/2021

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 3rd February, 2021.

Present:-

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

Trudy MCLEAY, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 24th November, 2020 was submitted and approved.

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2020/2021 QUARTER 2SUMMARY

There was submitted Report No PAC1-2021 by the Chief Finance Officer updating the Performance and Audit Committee on the 2020/2021 Quarter 2 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration indicators.

The Performance and Audit Committee:-

(i) noted the content of the summary 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 of the report; and

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

Following questions and answers the Performance and Audit Committee further agreed:-

(iv) to note that Kathryn Sharp would arrange for previous reports on analysis of Discharge Rates from Hospital setting in Dundee to be re-issued to the membership for their reference and to provide them with assurance that people were being discharged from hospital appropriately in light of the re-admission rates to hospital which were highlighted in the report;

(v) to note as advised by Dr Mathew Kendall that the Partnership were working closely with a range of services in relation to online exercise classes for the over 65 age group to help improve their fitness levels which may help curb the rise in the number of elderly people injuring themselves after a fall and that the Royal Voluntary Service had produced a DVD and an online media clip via You Tube and that work had been undertaken in the community to provide access to laptops and Tablets in this respect;

(vi) to note as indicated by Dr Mathew Kendall that data on injury resulting from falls and conditions relating to that continued to be collected by hospitals:

(vii) to note as indicated by Bailie Wright that it may be useful to publish details of Dundee Voluntary Action exercise groups on the Partnership website; and

(viii) to note as advised by Kathryn Sharp that the performance figures in relation to Maryfield, North East and Coldside Wards would be looked at further in the Discharge Management report for submission to next meeting of the Committee with particular focus on the position in the North East Ward to establish if anything can be learned for the benefit of other areas.

V HEALTH AND CARE EXPERIENCE SURVEY 2019/2020 ANALYSIS

There was submitted Report No PAC2-2021 by the Chief Finance Officer updating the Performance and Audit Committee on the responses from the 2019/2020 Health and Care Experience Survey, which was used to provide measurement for National Health and Wellbeing Indicators 1 to 9.

The Performance and Audit Committee:-

(i) noted the changes to the methodology used to filter responses and report against the National Health and Wellbeing Indicators as outlined in section 5 of the report;

(ii) noted the performance of Dundee Health and Social Care Partnership against the Scottish average and 8 Local Government Benchmarking Framework (LGBF) family group partnerships as outlined in section 6 and Appendix 1 of the report; and

(iii) noted that the survey results would be further considered as part of the ongoing revision of the Partnerships Strategic Needs Assessment and by the Operational Management Team with a view to identifying any further actions required to supplement ongoing improvement activity as outlined in section 7 of the report.

Following questions and answers the Performance and Audit Committee further agreed:-

(iv) to note that as indicated by Lynsey Webster that the Partnership were performing better than the Scottish average.

VI GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC3-2021 by the Chief Finance Officer providing the Performance and Audit Committee with an update on the progress of the actions set out in the Governance Action Plan.

The Performance and Audit Committee noted the content of the report and the progress made in relation to the actions set out in the Governance Action Plan as outlined in Appendix 1 and supplemented in Appendices 2 and 3 of the report.

Following questions and answers the Performance and Audit Committee further agreed:-

(i) to note as indicated by Donald McPherson that there would be benefit to carry out an exercise with Internal Audit on overarching themes and to establish works that needed to be undertaken and to outline realistic completion dates for those works;

(ii) to note as indicated by Tony Gaskin that the Risk profile had changed due to the current health pandemic and the need to re-examine actions as a result of this; and

(iii) to note that Dave Berry would give consideration to whether or not a shortlife Working Group be established to look at Risk areas as suggested by Trudy McLeay.

VII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC4-2021 by the Chief Finance Officer providing the Performance and Audit Committee with a progress update in relation to the current Internal Audit Plan.

The Performance and Audit Committee noted the continuing delivery of the audit plan and related reviews as outlined in the report.

VIII INTERNAL AUDIT REVIEW FINANCE

There was submitted Report No PAC5-2021 by the Chief Finance Officer presenting the Performance and Audit Committee with the findings of the Internal Audit Review of Finance.

The Performance and Audit Committee:-

(i) noted the content of the report and the findings of the Internal Audit Review of Finance as in Appendix 1 of the report;

(ii) noted and agreed the action plan associated with the report as the management response to the findings; and

(iii) instructed the Chief Finance Officer to report progress in delivering the actions set out in the action plan through the Governance Action Plan presented to each Performance and Audit Committee meeting.

Following questions and answers the Performance and Audit Committee further agreed:-

(iv) to note that Dave Berry and the Clerk were in discussion in relation to the Audit recommendation on the recording of action points from meetings.

IX DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCEASSURANCE REPORT

There was submitted Report No PAC6-2021 by the Clinical Director to provide the Performance and Audit Committee with assurance on the clinical and care governance activities and arrangements across the Partnership as outlined in the Getting It Right For Everyone (GIRFE) Framework in accordance with the Partnership Integration Scheme.

The Performance and Audit Committee:-

(i) noted the Exception Report for the Dundee Health & Social Care Partnership Clinical, Care & Professional Governance Group as detailed in Section 4 of the report; and

(ii) noted that this report was being presented for assurance and the Committee noted that the level of assurance provided was Moderate.

Following questions and answers the Performance and Audit Committee further agreed:-

(iii) to note that Dr Mathew Kendall would further liaise with NHS Tayside on the content of the Risk Management section of the report in relation to the recording of inherent risk; and

(iv) to note as indicated by Tony Gaskin that it may be worthwhile to examine the role of the Committee in relation to Integration Joint Board Strategic Risks.

X QUARTERLY COMPLAINTS PERFORMANCE 2ND QUARTER 2020/2021

There was submitted Report No PAC7-2021 by the Chief Finance Officer summarising the complaints performance for the Health and Social Care Partnership (HSCP) in the second quarter of 2020/2021. 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 Performance and Audit Committee:

(i) noted the content of the report;

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

(iii) noted the work which had been undertaken to address outstanding complaints within the Health and Social Care Partnership and to improve complaints handling, monitoring and reporting as outlined in sections 4.6 and 4.13 of the report.

XI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC8-2021 by the Chief Finance Officer providing the Performance and Audit Committee with an update report in relation to Dundee Health and Social Care Partnerships Strategic Risk Register and strategic risk management activities in the Partnership.

The Performance and Audit Committee:-

(i) noted the work ongoing around risk management across Dundee Health and Social Care Partnership and partner organisations; and

(ii) noted the updated risks around Finance, EU UK Transition and Governance arrangements.

XII MEETINGS OF THE PERFORMANCE AND AUDIT COMMITTEE - ATTENDANCE LIST

There was submitted a copy of the Attendance Return PAC9-2021 for meetings of the Performance and Audit Committee held over 2020.

The Performance and Audit Committee noted the position as outlined.

XIII PROGRAMME OF MEETINGS PERFORMANCE AND AUDIT COMMITTEE 2021

The Committee noted that the programme of meetings for the Performance and Audit Committee over the remainder of 2021 would be as follows:-

- Wednesday 24th March 2021 10.00am

- Wednesday 26th May 2021 10.00am

- Wednesday 29th September 2021 10.00am

- Wednesday 24th November 2021 10.00am

XIV DATE OF NEXT MEETING

The Committee noted that the next meeting of the Performance and Audit Committee would be held on Wednesday, 24th March, 2021 at 10.00 am (unless otherwise advised by the Chief Officer).

Trudy MCLEAY, Chairperson.