Performance And Audit Committee (integration Joint Board) - 29/01/2025
At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 29th January, 2025.
Present:-
|
Members |
Role |
|
|
|
|
Bob BENSON (Chair) |
Nominated by Health Board (Non-Executive Member) |
|
David CHEAPE |
Nominated by Health Board (Non-Executive Member) |
|
Dorothy MCHUGH |
Nominated by Dundee City Council (Elected Member) |
|
Siobhan TOLLAND |
Nominated by Dundee City Council (Elected Member) |
|
Dave BERRY |
Acting Chief Officer |
|
Glyn LLOYD |
Chief Social Work Officer |
|
Jocelyn LYALL |
Chief Internal Auditor |
|
Martyn SLOAN |
Person providing unpaid care in the area of the local authority |
Non-members in attendance at the request of the Chief Finance Officer:-
|
Jenny HILL |
Health and Social Care Partnership |
|
Lynne MORMAN |
Health and Social Care Partnership |
|
Shahida NAEEM |
Health and Social Care Partnership |
|
Kathryn SHARP |
Health and Social Care Partnership |
|
Angie SMITH |
Health and Social Care Partnership |
|
Lynsey WEBSTER |
Health and Social Care Partnership |
Bob BENSON, Chairperson, in the Chair.
I APOLOGIES FOR ABSENCE
There were apologies for absence submitted on behalf of Christine Jones and Sanjay Pillai.
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 20th November, 2024 was submitted and approved.
(b) ACTION TRACKER
There was submitted the Action Tracker, PAC1-2025, for meetings of the Performance and Audit Committee for noting and updating accordingly.
IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2024-25 QUARTER 2
There was submitted Report No PAC4-2025 by the Chief Finance Officer providing an update on 2024-2025 Quarter 2 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.
Following questions and answers the Committee further agreed:
(v) to note that the 300-400 hours per week of new packages would be unlikely to be sustained and that the impact would continue to be discussed at budget development sessions with IJB members; and
(vi) that the Chief Officer would consider how to progress with the Scottish Government the lack of data provided by them in relation to certain indicators.
V DUNDEE HEALTH & SOCIAL CARE PARTNERSHIP CLINICAL, CARE & PROFESSIONALGOVERNANCE ASSURANCE REPORT
There was submitted Report No PAC8-2025 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 regards clinical and care governance within the Partnership. The timescale for the data within the report was to 30th November, 2024; and
(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 was 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 further agreed:
(iii) to note that the Interim Head of Heath and Community Care would provide more detail on workforce risks in future reports that would include narrative on trend over time;
(iv) that the Interim Head of Heath and Community Care would check and provide information to David Cheape on whether referrals for anti-obesity drugs not being accepted was forming part of the number of complaints being referred to in the paper; and
(v) that the Chief Officer would consider including an update on Care Opinion as a topic for an IJB development session.
VI DRUG AND ALCOHOL SERVICES INDICATORS 2024/25 QUARTER 2
There was submitted Report No PAC2-2025 by the Chief Finance Officer providing an update on the performance of the Drug and Alcohol Services.
The Committee agreed:-
(i) to note the data presented in the report, including the improvements in key indicators relating to access to drug treatment services during 2024/2025 (at section 6 and appendix 1 of the report); and
(ii) to note the range of ongoing improvement activity (at section 7 of the report).
Following questions and answers the Committee further agreed:
(iii) to note that a report would be taken to the IJB on a Safer Consumption Facility at an appropriate time and once it had been considered by the Alcohol and Drug Parntership (ADP);
(iv) that the Head of Health and Community Care would provide further information to Councillor McHugh on why the number of individuals starting alcohol treatment per quarter was remaining low;
(v) that the Lead Officer - Quality, Data and Intelligence would provide further information to Councillor McHugh on whether the number of people disengaging was more of an issue with alcohol dependancy rather than drug dependancy;
(vi) to note that the Head of Health and Community Care would take into the work on the whole alcohol pathway the suggestion that there could be a link to poverty and deprivation and disengagement with services;
(vii) that issues in relation to disengagement would be more fully addressed in future reports; and
(viii) that thanks would be passed on to the team in relation to the excellent work being carried out around the MAT standards.
VII MENTAL HEALTH SERVICES INDICATORS 2024/25 QUARTER 2
There was submitted Report No PAC3-2025 by the Chief Finance Officer reporting a suite of measurement relating to the activity of mental health services for scrutiny and assurance.
The Committee agreed:-
(i) to note the content of the report, including current performance against the suite of mental health service indicators (at section 6 and appendix 1 of the report); and
(ii) to note the operational and strategic narrative in the context of the trends in performance and activity (at section 7 of the report).
VIII UNSCHEDULED CARE
There was submitted Report No PAC5-2025 by the Chief Finance Officer providing an update on Unscheduled Care Services and Discharge Management performance in Dundee.
The Committee agreed:-
(i) to note the current position in relation to complex and standard delays as outlined in sections 5-8 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 consideration would be given to how the message be shared with the public about the positive position.
IX DHSCP STRATEGIC RISK REGISTER UPDATE
There was submitted Report No PAC10-2025 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;
(ii) to note the entry of a new risk on Increase in National Insurance (at section 6 of the report); and
(iii) to note the extract from the Strategic Risk register attached at Appendix 1 to the report.
Following questions and answers the Committee further agreed:
(iv) to note that risks around public sector funding, workforce issues etc would continue to be discussed at the National Chief Officers Group;
(v) to note that for budget purposes it was assumed that there was no additional funding coming through for third sector national insurance contributions at the moment; and
(vi) to note that work on giving IJB members access to the risk register would be progressed as a priority.
X DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT REPORT WORKFORCE (D06-24)
There was submitted Report No PAC7-2025 by the Chief Finance Officer presenting the findings of the Internal Audit Review of Workforce arrangements in place within Dundee Health and Social Care Partnership.
The Committee agreed:-
(i) to note the content and recommendations of the Internal Audit Report on Workforce as set out in Appendix 1 to the report;
(ii) to note the audit opinion of limited assurance, and management action plan to address the weaknesses identified; and
(iii) to instruct the Chief Finance Officer to implement the recommendations of the report and provide an update on progress through the internal audit actions reporting process.
Following questions and answers the Committee further agreed:
(iv) to note that a draft revised workforce plan would be submitted to the Scottish Government by 17th March, 2025 and submitted to the IJB in April.
XI GOVERNANCE ACTION PLAN PROGRESS REPORT
There was submitted Report No PAC9-2025 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 against the actions within the Governance Action Plan (contained within Appendix 1 of the report).
Following questions and answers the Committee further agreed:
(i) to note that the actions in relation to the workforce audit would be added to the action plan.
XII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT
There was submitted Report No PAC6-2025 by the Chief Finance Officer providing an update on the completion of the 2023/2024 Internal Audit Plan and progress of the 2024/2025 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 IJB.
The Committee agreed:-
(i) to note the completion of the 2023/2024 internal audit plan and work undertaken on the 2024/2025 plan; and
(ii) to note that Internal audit report D06/24 Workforce provided Limited Assurance report and was presented as a separate agenda item to the meeting.
XIII ATTENDANCE LIST
There was submitted Agenda Note PAC11-2025 providing attendance returns for meetings of the Performance and Audit Committee held over 2024.
The Committee agreed to note the position as outlined.
XIV DATE OF NEXT MEETING
The next meeting of the Committee will be held remotely on Wednesday, 21st May, 2025 at 10.00am.
Bob BENSON, Chairperson.