Performance And Audit Committee (integration Joint Board) - 23/11/2022

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 23rd November, 2022.

Present:-

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

Ken LYNN, 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 28th September, 2022 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker (PAC36-2022) for meetings of the Performance and Audit Committee.

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

IV PERFORMANCE AND AUDIT COMMITTEE MEMBERSHIP AND CHAIRPERSON

Reference was made to Article V of the minute of meeting of the Integration Joint Board held on 26th October, 2022, wherein the membership of the Performance and Audit Committee was agreed and appointment was made to the position of Chairperson of the Committee.

The Committee noted that the voting membership of the Performance and Audit Committee was agreed as follows:- Councillor Ken Lynn, Councillor Dorothy McHugh, Anne Buchanan and Sam Riddell and that Councillor Ken Lynn was appointed to the position of Chairperson.

V AUDIT SCOTLAND ANNUAL REPORT AND INTEGRATION JOINT BOARD ANNUAL ACCOUNTS 2021/2022

There was submitted Report No PAC40-2022 by the Chief Finance Officer presenting the Integration Joint Boards (IJB) Draft Audited Annual Statement of Accounts for the year to 31st March, 2022 for approval, to note the draft external auditors report in relation to these accounts and approve the response to this report.

The Committee agreed:-

(i) to note the contents of the attached Audit Scotland cover letter (attached as Appendix 1 to the report) and the draft external auditors report (attached as Appendix 2 to the report) including the completed action plan outlined on pages 28-29 of the report, and in particular that Audit Scotland had indicated they would issue an unqualified audit opinion on the IJBs 2021/2022 Annual Accounts;

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

(iii) to instruct the Chief Finance Officer to provide an update on progress of the action plan noted in Appendix 1 of the external auditors report by February 2023;

(iv) to approve the attached Audited Annual Accounts (attached as Appendix 3 to the report) for signature and instructed the Chief Finance Officer to return these to the external auditor; and

(v) to instruct the Chief Finance Officer to arrange for the above Annual Accounts to be published on the Dundee Health & Social Care Partnership website by no later than 30th November, 2022.

Following questions and answers the Committee further agreed:-

(vi) to record thanks to Anne Marie Machan and her team as this was the final audit that they would carry out for the IJB;

(vii) to note that further budget development sessions would be arranged by Dave Berry for IJB members; and

(viii) to note that further information would be issued to IJB members in relation to the Register of Interests.

VI DRUG AND ALCOHOL SERVICES INDICATORS

There was submitted Report No PAC33-2022 by the Chief Finance Officer seeking approval of a proposed suite of indicators summarising performance in Drug and Alcohol Services that would form the basis of future six-monthly performance reports to the Performance and Audit Committee.

The Committee agreed:-

(i) to note the data presented in the report;

(ii) to approve the proposed suite of indicators outlined in section 5 and Appendix 1 of the report;

(iii) to note the intention to further develop the proposed suite of indicators into a full 6-monthly performance report for submission to the Performance and Audit Committee on an ongoing basis, in-line with arrangements already in place for Discharge Management (as outlined in section 5.4 of the report); and

(iv) to note that work was progressing to develop a proposed suite of indicators for delegated mental health services for presentation to the Performance and Audit Committee at their meeting in February 2023 (as outlined in section 5.5 of the report).

Following questions and answers the Committee further agreed:-

(v) to note that it was unlikely that mid year data could be provided in relation to drug deaths as the data was controlled by Public Health; and

(vi) to note that the pandemic may have been a contributing factor in the significant rise in alcohol referrals received.

VII DISCHARGE MANAGEMENT PERFORMANCE UPDATE ON COMPLEX AND STANDARD DELAYS

There was submitted Report No PAC34-2022 by the Chief Finance Officer updating the Performance and Audit Committee on Discharge Management performance in Dundee.

The Committee agreed:-

(i) to note 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; and

(ii) to note the improvement actions planned to respond to areas of pressure as outlined in section 9 of the report.

Following questions and answers the Committee further agreed:-

(iii) that arrangements would be made to show actual numbers in the charts, where possible, in future reports; and

(iv) that Lynne Morman would check if the data on the number of patients being discharged without a care package was being tracked.

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

There was submitted Report No PAC31-2022 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 to September, 2022.

The Committee agreed:-

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

Following questions and answers the Committee further agreed:-

(iii) that Matthew Kendall would ensure that original data was available for future reports to ensure that better quality charts were produced.

IX QUARTERLY COMPLAINTS PERFORMANCE 2ND QUARTER 2022/2023

There was submitted Report No PAC30-2022 by the Chief Finance Officer summarising the complaints performance for the Health and Social Care Partnership (HSCP) in the first quarter of 2022/2023. 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 as set out within the report; and

(ii) to note the work which had been undertaken to address outstanding complaints within the HSCP and to improve complaints handling, monitoring and reporting.

Following questions and answers the Committee further agreed:-

(iii) to note that any GP complaints in the report would only relate to 2C practices.

X DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC32-2022 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 at Appendix 1 to the report; and

(iii) to note the recent work and future work on Pentana Risk Management System noted in Section 7 of the report.

Following questions and answers the Committee further agreed:-

(iv) to note that consideration was being given to adding a risk around the national power outages; and

(v) to note that work was continuing to link the Strategic Plan with the Risk Register.

XI ADULT WEIGHT MANAGEMENT

There was submitted Report No PAC35-2022 by the Chief Finance Officer providing information and assurance regarding access to Adult Weight Management services in Dundee.

The Committee agreed:-

(i) to note the current service model of the weight management service; and

(ii) to note the current waiting list and associated improvement plans.

Following questions and answers the Committee further agreed:-

(iii) to note that an update report would be brought to a future Committee.

XII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC29-2022 by the Chief Finance Officer providing the Performance and Audit Committee with an update on the substantive completion of the previous years internal audit plans as well as progress against the 2022/2023 plan. 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 Dundee IJB.

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

XIII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC38-2022 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 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.

XIV ATTENDANCE LIST

There was submitted Agenda Note PAC37-2022 providing attendance returns for meetings of the Performance and Audit Committee held over 2022.

The Committee agreed to note the position as outlined.

XV DATE OF NEXT MEETING

To be advised.

Ken LYNN, Chairperson.