Performance And Audit Committee (integration Joint Board) - 28/09/2022

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 28th September, 2022.

Present:-

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

Pat KILPATRICK, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

There were 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 20th July, 2022 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker PAC28-2022 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) to note that in relation to actions no 25 and 33 (Delayed Discharge report), a report on capacity issues around community resources was to be tabled at the next IJB meeting along with a full Discharge Management strategic update, as well as a report on Delayed Discharge in a new format to the November PAC meeting;

(ii) that consideration would be given by the Management Team to using colour coding to indicate on the Action Tracker when actions were overdue; and

(iii) that consideration would be given by the Management Team to noting the briefing notes, that were issued inbetween PAC meetings, at the next available meeting of the PAC.

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2022/2023 QUARTER 1

There was submitted Report No PAC20-2022 by the Chief Finance Officer updating the Performance and Audit Committee on 2022/2023 Quarter 1 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration indicators. The report also set out a revised approach and format for quarterly performance reports based on feedback received from Integration Joint Board members and internal audit queries.

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 Partenrship 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:-

(i) that Kathryn Sharp would send information on the descriptions of standard and complex delays to Councillor McHugh;

(ii) that Kathryn Sharp would discuss with Lynsey Webster, Senior Officer, the possibility of including information on bed days lost as well as rates; and

(iii) that consideration would be given to using more nuanced colour coding in the report.

V FALLS PERFORMANCE

There was submitted Report No PAC21-2022 by the Chief Finance Officer providing a further analysis of falls related admissions and assurance regarding the preventative and pro-active work being undertaken.

The Committee agreed:-

(i) to note the content of the report and the analysis of falls related hospital admissions detailed in section 5 and Appendix 1 of the report; and

(ii) to note the current model for preventation and rehabilitation and how this linked with the wider socio-economic situation.

Following questions and answers the Committee further agreed:-

(i) that Matthew Kendall would send further information on the falls pathway to Councillor McHugh.

VI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESIONAL GOVERNANCEASSURANCE REPORT

There was submitted Report No PAC22-2022 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 report, 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 from June, 2022 to July, 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 2 of the report; and

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

Following questions and answers the Committee further agreed:-

(i) that Matthew Kendall would send information on the risk matrix to Councillor McHugh; and

(ii) that consideration would be given to making a special case for additional funding for drug services.

VII DUNDEE INTEGRATION JOINT BOARD AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC23-2022 by the Chief Finance Officer providing an update on the substanative completion of the previous years internal audit plans as well as progress against the 2022/2023 plan. In addition, 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 IJB.

The Committee agreed to note the continuing delivery of the aduit plans and related reviews as outlined in the report.

VIII CARE INSPECTORATE GRADINGS REGISTERED CARE HOMES FOR ADULTS/OLDER PEOPLE AND OTHERADULT SERVICES 2021/2022

There was submitted Report No PAC25-2022 by the Chief Finance Officer providing a summary of the gradings awarded by the Care Inspectorate for Dundee registered care homes for adults/older people and other adult services in Dundee for the period 1st April, 2021 to 31st March, 2022.

The Committee agreed:-

(i) to note the content of the report and the gradings awarded as detailed in the Performance Report which was attached as Appendix 1 to the report and highlighted in section 4.2 of the report;

(ii) to note the significant changes to the scale and scope of Care Inspectorate led inspections carried out in 2021/2022 due to the COVID-19 pandemic as outlined in section 4.1.2 of the report; and

(iii) to note the range of continuous improvement activities progressed during 2021/2022 as described in section 4.3 and Appendix 1 of the report.

IX GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC24-2022 by the Chief Finance Officer providing an update on the progress of the actions set out in the Governance Action Plan.

The Committee agreed 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 which was attached to the report.

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC26-2022 by the Chief Finance Officer providing an update 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 report;

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

(iii) to note the Archived Risks detailed in section 6 of the report; and

(iv) to note the recent work and future work on Pentana Risk Management System in section 7 of the report.

XI ATTENDANCE LIST

There was submitted Agenda Note PAC27-2022 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, 23rdNovember, 2022 at 10.00 am.

Pat KILPATRICK, Chairperson.