Performance And Audit Committee (integration Joint Board) - 22/05/2024

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 22nd May, 2024.

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 Raymond Marshall (Staff Partnership Representative.

II DECLARATION OF INTEREST

There were no declarations of interest.

lll MINUTE OF PREVIOUS MEETING AND ACTION TRACKER

(a) MINUTE

The minute of meeting of the Committee held on 31st January, 2024 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker, PAC19-2024, for meetings of the Performance and Audit Committee for noting and updating accordingly.

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

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2023/2024 QUARTER 3

There was submitted Report No PAC15-2024 by the Chief Finance Officer, providing an update on 2023/2024 Quarter 3 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration indicators. Data was also provided in relation to Social Care Demand for Care at Home services.

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 a social care assessment and care at home package and associated hours of care yet to be provided in Appendix 2.

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

There was submitted Report No PAC16-2024 by the Clinical Director providing assurance to Committee on the business of Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group.

This aligned to the following NHS Scotland quality ambitions:

- Safe

- Effective

- Person-centred

The report provided evidence of the following Best Value Characteristics:

- Equality

- Vision and Leadership

- Effective Partnerships

- Governance and Accountability

- Use of Resources

- Performance Management

- Sustainability

The Committee agreed:-

(i) to provide their view on the level of assurance the report provided and therefore the level of assurance regarding clinical and care governance within the Partnership. The timescale for the data within this report was to 31st January, 2024.

(ii) to note that the Lead Officer for Dundee HSCP, Dr David Shaw suggested that the level of assurance provided was:

Reasonable; due to the following factors:

- There was evidence of a sound system of governance throughout the HSCP.

- The identification of risk and subsequent management of risk was articulated well throughout services.

- There was ongoing scope for improvement across a range of services, in relation to the governance processes, although this was inextricably linked to the ongoing difficulties with recruitment and retention of staff.

- There is evidence of noncompliance relating to a fully comprehensive governance system across some teams, i.e. contemporary management of adverse events and risks.

Following questions and answers the Committee agreed to accord with the level of assurance as indicated above.

VI QUARTERLY COMPLAINTS AND FEEDBACK REPORT 3RD QUARTER 2023/2024

There was submitted Report No PAC14-2024 by the Chief Finance Officer, summarising the complaints and feedback performance for the Health and Social Care Partnership (HSCP) in the third quarter of 2023/2024. 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;

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

(iii) to note the work ongoing to implement using Care Opinion as a feedback tool for all services in the Health and Social Care Partnership.

Following questions and discussion the Committee noted that there may be service users from the older population who may not be familiar with online feedback participation and the need for their views to be gathered accordingly and that this would be examined by Dave Berry.

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC18-2024 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 Strategic Risk Register Update report; and

(ii) to note the extract from the Strategic Risk register attached at Appendix 1 to the report.

Following questions and answers the Committee further agreed to note that Dave Berry would be liaised with further on ways in which cyber security issues may be reflected in future reports.

VIII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP FINANCE AND STRATEGIC SERVICES CAPACITY

There was submitted Report No PAC13-2024 by the Chief Finance Officer, presenting an overview of the progress made within Dundee Health and Social Care Partnerships Finance and Strategic Services to enhance service capacity to meet the increasing demands on the service.

The Committee agreed to note the content of the report including the challenges that Finance and Strategic Services had faced due to a lack of capacity and the steps taken to remedy this through a new structure attached at Appendix 1 to the report.

IX DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC20-2024 by the Chief Finance Officer, providing an update on progress against the 2023/2024 Internal Audit 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 progress against the 2023/2024 internal audit plan.

X GOVERNANCE ACTION PLAN UPDATE

With reference to Article XI of the minute of meeting of this Committee of 31st January, 2024 wherein it was reported that the mapping work to develop revised reporting of outstanding Governance Actions previously reported through the Governance Action Plan was complete and that the next stage of the process would be to enhance and refine the recording of these actions on the Ideagen system (previously known as Pentana). This would show a clear link between the source of the required action (Internal Audit Review, External Audit Recommendations, Annual Governance Statement reviews etc), progress made and actions being taken. The plan was to provide a comprehensive revised report to the May meeting of the PAC.

There was submitted Agenda Note PAC17-2024 reporting that since then the focus of the service had been diverted to prepare for significant changes in the IT infrastructure provided by Dundee City Council which would be implemented sooner than originally anticipated. This had diverted the identified resources to carry out the annual governance statement work away from this work and therefore the full migration of the outstanding actions for monitoring purposes had not been able to be achieved to date. This instead would be presented to the September meeting of the PAC for consideration.

The Committee agreed to note the position

XI ATTENDANCE LIST

There was submitted Agenda Note PAC21-2024 providing attendance returns for meetings of the Performance and Audit Committee held over 2024.

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 take place remotely on Wednesday, 25th September, 2024 at 10.00am.

Ken LYNN, Chairperson.