Performance And Audit Committee (integration Joint Board) - 02/02/2022

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 2nd February, 2022.

Present:-

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

Trudy MCLEAY, Chairperson, in the Chair.

Prior to the commencement of the business the Chair advised that she would be retiring from her position as a Non-Executive Member with NHS Tayside effective from 31st March 2022 and that as such this would be her last meeting of the Committee. Tributes were made to the personal contribution she had made over her period of office as Chair of the Committee.

I APOLOGIES FOR ABSENCE

There were no apologies for absence submitted on behalf of:-

II DECLARATION OF INTEREST

There were no declarations of interest.

III MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of meeting of the Committee held on 24th November, 2021 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker PAC8-2022 for meetings of the Performance and Audit Committee.

The Committee agreed to note the content of the Action Tracker.

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE

REPORT 2021/2022 QUARTER 2

There was submitted Report No PAC1-2022 by the Chief Finance Officer updating the Performance and Audit Committee on 2021/2022 Quarter 2 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration indicators.

The report also proposed a revised approach and format for quarterly performance reports based on feedback received from Integration Joint Board Members and internal audit colleagues.

The Committee agreed:-

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

(ii) to note 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 (tables 1, 2 and 3) of the report; and

(iii) to note the performance of Dundee Health and Social Care Partnership, against the Measuring Performance Under Integration indicators summarised in Appendix 1 (table 3) of the report.

Following questions and answers the Committee further agreed:-

(iv) to note reply from Dr Kendall following enquiry from Bailie Wright in relation to the admissions figures for the Coldside area that work in relation to Falls was continuing and that so far the data collected was not showing any pattern for lighting or pavement conditions being the cause;

(v) to note that Kathryn Sharp would send Bailie Wright a copy of the previous Falls Report for her reference;

(vi) to note the advice of Trudy McLeay that in relation to elderly people in Dundee there was currently a Safe Slipper Campaign taking place arranged by Richard McIntosh whereby elderly people could exchange their slipper footwear for safer walking alternatives to assist their stability and lessen possibility of any falls;

(vii) to note the observation of Cllr Short in relation to percentage information expressed there would be benefit for baseline figure information to be contained in future reports to allow a further understanding of the position;

(viii) to note following enquiry from Cllr Short that Dave Berry would take forward the possibility of the Integration Joint Board being appraised of work undertaken by Robin Falconer through the Health and Wellbeing Networks in Maryfield and Coldside areas;

(ix) to note following enquiry from Trudy McLeay that Lynsey Webster would further investigate the figures and underlying causes in relation to Emergency Admissions which were showing a deterioration;

(x) to note the request from Trudy McLeay for the Committee to be provided with a timeframe for Quarter 2 Data and that there may be benefit for report from Lynne Morman to be issued to the Committee for their reference;

(xi) to note the observation from Donald McPherson in relation to the variance between the figures for Delayed Discharge between The Ferry area and the other areas in Dundee and what could be learned from this and that in this respect the advice of the Chief Officer that a full report on Delayed Discharge would be submitted to the next meeting of the Committee;

(xii) to note that Cllr Short would take forward the possibility of using electronic messages at bus stops with officers of Dundee City Council for the purpose of making the public further aware of help which could be provided and where that could be obtained; and

(xiii) to note as indicated by Dr Cotton the importance of providing narrative within reports to assist understanding of figures provided so that data is understood and explained in context.

V NATIONAL INDICATOR 17 INSPECTION GRADINGS ANALYSIS

There was submitted Report No PAC2-2022 by the Chief Finance Officer providing the Performance and Audit Committee with an in-depth analysis of performance against national indicator 17 (care inspectorate gradings). The report also provided an overview of approaches within the Dundee Health and Social Care Partnership to monitor the quality of services and to provide improvement support where required.

The Committee agreed:-

(i) to note the content of the report;

(ii) to note the analysis of performance against national indicator 17 contained within section 4 and Appendix 1 of the report; and

(iii) to note the range of mechanisms through which the Dundee Health and Social Care Partnership monitored the quality of social care and social work services on an ongoing basis, both for internal services and those that were externally commissioned, as detailed in section 5 of the report.

Following questions and answers the Committee further agreed:-

(iv) to note the work of the Oversight Working Group for Care Homes as advised by Diane McCulloch and the significant level of scrutiny that Care Homes had been under over the period of the Pandemic; and

(v) to note the advice of Kathryn Sharp following enquiry from Councillor Short that comparitive data on level of service between national and local providers was published on an annual basid by Public Health Scotland.

VI DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC3-2022 by the Chief Finance Officer providing the Performance and Audit Committee with an update on the ongoing work from the 2021/2022 plan and the one remaining review from the 2020/2021 plan.

The Committee agreed to note the continuing delivery of the audit plan and related reviews as outlined in the report and in Appendix 1 of the report.

VII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC4-2022 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 Committee agreed:-

(i) to note the content of the report and the progress made in relation to the actions set out in the Governance Action Plan as outlined in Appendices 1 and 2 of the report.

Following questions and answers the Committee further agreed:-

(ii) to note following enquiry from Trudy McLeay that Dave Berry would be looking to arrange for inductions for members to be progressed following the possible change in membership which may take place over the coming months and that induction information was also available on a national level;

(iii) to note following enquiry from Donald McPherson in relation to the range of actions with deadlines of 31st March 2022 that these dates may be subject to change as actions are progressed by Managers through Pentana.

VIII CLINICAL, CARE AND PROFESSIONAL GOVERNANCE

There was submitted Report No PAC5-2022 by the Clinical Director providing an update to the Performance and Audit Committee on the business of the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group. The report was presented as an SBAR (Situation, Background, Assessment and Recommendations).

The Committee agreed:-

(i) to note the exception report for the Dundee Health and Social Care Partnership Clinical Care and Professional Governance; and

(ii) to note that the authors were recommending that the report provided moderate assurance.

Following questions and answers the Committee further agreed:-

(iii) to note following enquiry from Trudy McLeay the range of supports including training available to staff in relation to dealing with violence and aggression;

(iv) to note that advice of Diane McCulloch that regularity of reporting arrangement for this report would be examined and that content may be reported on an annual basis in future;

(v) to note following enquiry from Trudy McLeay in relation to whether or not the Mental Health Emergency Ambulance was only available for Adults and not children that Diane McCulloch would confirm if any requests had been made for treatment of children;

(vi) to note following enquiry from Donald McPherson in relation to complaints received that in future dates of complaints would be indicated in the report;

(vii) to note as advised by Dr Kendall that the service liaised with complainants over the period of their complaint advising them of the position in relation to progress over the period of investigation and the support also given to the staff member who may be subject to a complaint;

(viii) to note as advised by Diane McCulloch the range of efforts being made by the Partnership in relation to recruitment and retention of staff at various levels and specialisms; and

(ix) to note following enquiry from Donald McPherson in relation to work undertaken in Perth of awareness raising of the position of GP Practices the explanation from Vicky Irons on support provided in Dundee to provide assistance and support to GP Practices and that she would liaise further with Dr David Shaw and Shona Hyman in this regard towards submitting a report on this to a future meeting of the Integration Joint Board.

IX QUARTERLY COMPLAINTS PERFORMANCE - 2ND QUARTER 2021/2022

There was submitted Report No PAC6-2022 by the Chief Finance Officer summarising the complaints performance for the Health and Social Partnership in the second quarter of 2021/2022. 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 agreed:-

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

(ii) to note the work which had been undertaken to address outstanding complaints within the Health and Social Care Partnership and to improve complaints handling, monitoring and reports detailed in sections 4.6 and 4.13 of the report.

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC7-2022 by the Chief Finance Officer updating the Performance and Audit Committee in relation to the Strategic Risk Register and on strategic risk management activities in Dundee Health and Social Care Partnership.

The Committee agreed:-

(i) to note the content of the Strategic Risk Register Update Report;

(ii) to note the extract from the Strategic Risk Register attached as Appendix 1 to the report; and

(iii) to note the emergent risks as outlined in section 6 of the report.

Following questions and answers the Committee further agreed:-

(iv) to note following enquiry from Bailie Wright in relation to recruitment of staff to provide Breast Screening Service in Dundee or whether the public would have to travel to Aberdeen for this service that Diane McCulloch would establish the position with NHS Tayside and that the Partnership were also monitoring the postion of recruitment of Consultants and Doctors;

(v) to note following enquiry from Martyn Sloan in relation to the use of downwad arrow symbology in report the advice of Dave Berry that this related to previous assessment of risk and that it was now lower; and

(vi) to note following enquiry from Martyn Sloan in relation to members having access to Pentana the advice of Clare Lewis-Robertson that this issue would be covered during development session on Risk Appetite

Xl ATTENDANCE LIST

There was submitted Agenda Note PAC9-2022 providing attendance returns for meetings of the Performance and Audit Committee held over 2021.

The Committee agreed to note the position as outlined.

Xll DATE OF NEXT MEETING

The Committee agreed to note that the next meeting of the Committee would be held on Wednesday, 23rd March, 2022 at 10.00 am.

Trudy MCLEAY, Chairperson.