Performance And Audit Committee (integration Joint Board) - 01/02/2023

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 1st February, 2023.

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 23rd November, 2022 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker, PAC6-2023, for meetings of the Performance and Audit Committee. Dave Berry reported that work was underway to close off some of the older actions

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

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2022-2023 QUARTER 2

There was submitted Report No PAC1-2023 by the Chief Finance Officer updating the Performance and Audit Committee on 2022-2023 Quarter 2 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration indicators. For the first time, the published Social Care Demand for Care at Home Services had been summarised and included in the report.

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);

(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); and

(iv) to note the number of people waiting for social care assessment and care at home package and associated hours of care yet to be provided in Appendix 2.

Following questions and answers the Committee further agreed:-

(v) that Lynsey Webster would check why there was a red line (Number of People waiting in the community for a social care assessment) on the legend on the graph on page 31 but there was no line red detailed in the content of the graph; and

(vi) to note that data about the length of time people were waiting for a care at home package would be incorporated into the Performance Report at an appropriate time.

V MENTAL HEALTH SERVICES INDICATORS

There was submitted Report No PAC2-2023 by the Chief Finance Officer seeking approval of a proposed suite of indicators summarising performance in delegated Mental Health services for scrutiny and assurance that would form the basis of future six-monthly performance reports to the Performance and Audit Committee.

The Committee agreed:-

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

(ii) to note the intention to further develop the proposed suite of indicators into a full 6-monthly performance report for submission to PAC on an ongoing basis, in-line with arrangements already in place for Discharge Management and under development for Drug and Alcohol Services (as outlined in section 5.4 of the report).

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

There was submitted Report No PAC4-2023 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 November, 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 the section of the report on page 56 containing Xs would be removed; and

(iv) that Matthew would ensure that embedded documents would be included as appendices to the report in future.

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC5-2023 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 of the report; and

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

VIII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC3-2023 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.

IX DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC8-2023 by the Chief Finance Officer providing the Performance and Audit Committee (PAC) 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 Integration Joint Board.

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

X INTERNAL AUDIT REPORT SUSTAINABILITY OF PRIMARY CARE

There was submitted Report No PAC9-2023 by the Chief Finance Officer presenting the findings of the internal audit review of the Sustainability of Primary Care.

The Committee agreed:-

(i) to note the content and findings of the internal audit report which provided Limited Assurance (which was attached as Appendix 1 to the report);

(ii) to note that progress with implementation of the agreed actions would be monitored by the organisations which commissioned the review; and

(iii) to instruct the Chief Officer to provide a further report on progress made in relation to both Tayside wide and local actions by September 2023.

XI ATTENDANCE LIST

There was submitted Agenda Note PAC7-2023 providing attendance returns for meetings of the Performance and Audit Committee held over 2022.

The Committee agreed to note the position as outlined.

XII DATE OF NEXT MEETING

The Committee agreed to note that the next meeting of the Committee would be held on Wednesday, 24th May, 2023 at 10.00 am.

Ken LYNN, Chairperson.