Performance And Audit Committee (integration Joint Board) - 20/07/2022

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 20th July, 2022.

Present:-

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

Pat KILPATRICK, Chairperson, in the Chair.

 

There were apologies for absence submitted on behalf of:-

 

Dave BERRY	Chief Finance Officer
Raymond Marshall	NHS Tayside (Staff Partnership Representative)

 

 

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 2nd February, 2022 was submitted and approved.

 

(b) ACTION TRACKER

 

There was submitted the Action Tracker PAC18-2022 for meetings of the Performance and Audit Committee.

 

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

 

Following questions and answers the Committee further agreed:-

 

(i)                            that Vicky Irons and her management team would be remitted to review the Action Tracker prior to the next Committee with a view to amending some of the narrative and deciding if anything should be removed;

 

(ii)                           in relation to action no 25, that Vicky Irons would be remitted to check and report back to Donald McPherson why the Delayed Discharge report had been deferred from this Committee to the September Committee;

 

(iii)                          to note, in relation to action no 28, that although an induction session had taken place for members, themed development sessions would continue to be programmed for members throughout the year; and

 

(iv)                          that Vicky Irons and Dave Berry would be remitted to explore ways in which future induction sessions for members related more to their role on the Intergration Joint Board/Performance and Audit Committee.

 

IV MEMBERSHIP PERFORMANCE AND AUDIT COMMITTEE DUNDEE CITY COUNCIL

 

Reference was made to Article IV of the minute of meeting of the Dundee Integration Joint Board of 22nd June, 2022. The Committee agreed to note that Councillor Siobhan Tolland and Councillor Dorothy McHugh had been appointed as members of the Committee.

 

V HEALTH AND CARE EXPERIENCE SURVEY 2021/2022 ANALYSIS

 

There was submitted Report No PAC10-2022 by the Chief Finance officer updating the Performance and Audit Committee on the responses from the 2021/2022 Health and Care Experience Survey, which was used to provide measurement for National Health and Wellbeing Indicators 1-9.

 

The Committee agreed:-

 

(i) to note the content of the report, including benchmarked performance by Dundee for the 2021/2022 Health and Care Experience survey provided in Appendix 1 of the report;

 

(ii) to note the changes to the methodology used to filter responses and report against the National Health and Wellbeing Indicators detailed in section 5 of the report; and

 

(iii) to note the performance of Dundee Health and Social Care Partnership against the Scottish average and eight Family Group Partnerships as outlined in section 6 of the report.

 

Following questions and answers the Committee further agreed:-

 

(iv) that timescales and resources should be included, where appropriate, in the mitigating actions of the risk assessment section of future reports.

 

VI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2021/2022 - QUARTER 4

 

There was submitted Report No PAC11-2022 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 Committee agreed:-

 

(i) to note the content of the summary report contained within Appendix 1 of the 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 as summarised in Appendix 1 (table 3) of the report.

 

Following questions and answers the Committee further agreed:-

 

(iv) to note, following enquiry from Donald McPherson in relation to actions taken by the Health and Social Care Partnership on the grading of Care Services, that there was a team that leads on Care Home issues, the Care Home Oversight Group continued to meet and work at a Tayside level and that there was a well established contract monitoring process in place;

 

(v) to note that a discussion would be arranged between Pat Kilpatrick, Vicky Irons, Jenny Hill and Diane McCulloch on the work undertaken by the Royal Maudsley on supporting staff through trauma;

 

(vi) that, at request of Councillor McHugh, information would be provided on the support available to care staff;

 

(vii) to note that a specific section on Care Homes would be included in future reports; and

 

(viii) that Jenny Hill would send information to Councillor McHugh on the Sloppy Slippers Scheme.

 

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

 

There was submitted Report No PAC12-2022 by the Chief Finance Officer updating the Performance and Audit Committee in relation to the Strategic Risk Register and 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 new risks escalated to the Risk Register as outlined in section 6 of the report.

 

Following questions and answers the Committee further agreed:-

 

(iv)                          that, at the request of Pat Kilpatrick, the new risk detailed in section 6.5 of the report be reworded to reflect that this related to health and social care;

 

(v)                           that consideration would be given to what further information could be extracted from Pentana and presented to the Committee;

 

(vi)                          that a date for a development session on risk would be arranged; and

 

(vii)                         that further information on the ADP Residential Rehab Pathway and service restructure would be provided to Pat Kilpatrick.

 

VIII INTERNAL AUDIT REPORT DUNDEE INTEGRATION JOINT BOARD AS A CATEGORY 1 RESPONDER

VIII INTERNAL AUDIT REPORT DUNDEE INTEGRATION JOINT BOARD AS A CATEGORY 1 RESPONDER

There was submitted Report No PAC13-2022 by the Chief Finance Officer presenting the findings of the Internal Audit Review of Dundee Integration Joint Board (IJB) as a Category 1 Responder.

 

The Committee agreed:-

 

(i)                            to note the content and findings of the Internal Audit Review of Dundee IJB as a Category 1 Responder which was attached as Appendix 1 to the report; and

 

(ii)                           to note and agree the action plan associated with the report as the management response to the findings.

 

Following questions and answers the Committee further agreed:-

 

(iii)                          that Dave Berry would be remitted to explain why paragraph 2.3 in the report recommended reporting progress through the Governance Action Plan rather than the way in which other audit reports were tracked; and

 

(iv)                          that an update report would be presented to the next Committee.

 

IX DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

There was submitted Report No PAC14-2022 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. Progress on the non-discretional elements of the provisional plan was also incorporated. The report also included internal audit reports that were commissioned by the partner Audit and Risk Committees, where the outputs were considered relevant for assurance purposes to the Dundee Integration Joint Board.

 

The Committee agreed:-

 

(i)                            to note the continuing delivery of the audit plans and related reviews as outlined in the report and noted in Appendix 1 to the report.

 

Following questions and answers the Committee further agreed:-

 

(ii)                           to seek assurance from Dave Berry that the reports, where the target had slipped twice, would definitely be presented to the September Committee.

 

X INTERNAL AUDIT ANNUAL PLAN 2022/2023

 

There was submitted Report No PAC15-2022 by the Chief Finance Officer seeking approval of the Annual Internal Audit Plan for Dundee City Integration Joint Board (IJB) for 2022/2023 and for agreement to the appointment of the Chief Internal Auditor.

 

The Committee agreed:-

 

(i)                            to the continuation of Fife, Tayside and Forth Valley Audit and Management Servies (FTF) as the IJBs lead internal auditors and therefore taking the role of the Chief Internal Auditor;

 

(ii)                           to approve the 2022/2023 Annual Internal Audit Plan as set out in Appendix 1 to the report; and

 

(iii)                          to note that no updates were required to the Internal Audit Charter at this time.

 

XI ANALYTICAL REVIEW OF EMERGENCY ADMISSION RATES

 

On a reference to Article VII of the minute of meeting of this Committee of 24th November, 2021 wherein the Chief Finance Officer was instructed to submit a further in-depth analysis of readmissions data, there was submitted Agenda Note PAC16-2022 providing the updated position.

 

The Committee agreed to note the updated position.

 

XII GOVERNANCE ACTION PLAN PROGRESS REPORT

 

There was submitted Report No PAC17-2022 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 Appendix 1 of the report.

 

Following questions and answers the Committee further agreed:-

 

(ii)                           that areas where there was not enough resource available should be highlighted as risks to the IJB; and

 

(iii)                          that Dave Berry would be remitted to undertake a deeper dive review of the Governance Action Plan.

 

XIII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCE ASSURANCE REPORT

 

There was submitted Report No PAC19-2022 by the Clinical Director providing assurance regarding matters of Government policy directives and legal requirements. This aligned to the safe, effective and person centred quality ambitions of NHS Scotland.

 

The report was brought to the Committee to provide 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. Clinical Governance was a statutory requirement to provide, at Board level, from Scottish Government as per NHS MEL (1998) 75. The Performance and Audit Committee was asked to provide their view on the level of assurance the report provided in regard to clinical and care governance within the Partnership. The timescale for the data within the report was to May, 2022.

 

The Committee agreed:-

 

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

 

(ii)                           with the Lead Officer for Dundee Health and Social Care Partnership that the level of assurance provided was: Reasonable.

 

Following questions and answers the Committee further agreed:-

 

(iii)                          that an explanation on how the risk levels were calculated would be provided in future reports;

 

(iv)                          that Diane McCulloch would provide information relating to the missing heading in the table on page 117;

 

(v)                           that, at the request of Pat Kilpatrick, officers be commended for the work that had gone into reducing the number of complaints;

 

(vi)                          that updates would be provided to the next Committee on the Community Mental Health Service Activity and MAT Standards;

 

(vii)                         to note that reports on the Adult Weight Management Service and the Dundee Drug and Alcohol Recovery Service (DDARS) would be brought to future Committee meetings.

 

XIV ATTENDANCE LIST

 

There was submitted Agenda Note PAC20-2022 providing attendance returns for meetings of the Performance and Audit Committee held over 2022.

 

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, 28th September, 2022 at 10.00 am.

 

 

 

 

Pat KILPATRICK, Chairperson.