Publication

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 13th February, 2018.

Present:-

Members	Role

Doug CROSS (Chairperson)	Nominated by Health Board (Non-Executive Member)
Judith GOLDEN	Nominated by Health Board (Non-Executive Member)
Roisin SMITH	Nominated by Dundee City Council (Elected Member)
Helen WRIGHT	Nominated by Dundee City Council (Elected Member)
David W LYNCH	Chief Officer
Dave BERRY	Chief Finance Officer
Jane MARTIN	Chief Social Work Officer
Cesar RODRIGUEZ	Registered Medical Practitioner (not providing primary medical services)

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

Tony GASKIN	Chief Internal Auditor
Diane McCULLOCH	Dundee Health and Social Care Partnership
Arlene HAY	Dundee Health and Social Care Partnership
Lynsey WEBSTER	Dundee Health and Social Care Partnership
Kathryn SHARP	Dundee Health and Social Care Partnership

Doug CROSS, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Raymond MARSHALL

Staff Partnership Representative

II DECLARATIONS OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of this Committee held on 28th November, 2017 was submitted and approved.

IV OUTCOME OF CARE INSPECTORATE INSPECTIONS JANET BROUGHAM HOUSE, MENZIESHILL HOUSE ANDCRAIGIE HOUSE

There was submitted Report No PAC3-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspections of the older people care homes Janet Brougham House, Menzieshill House and Craigie House.

The Committee agreed:-

(i) to note the content of the report and the content of the inspection reports which were attached to the report as Appendices 1, 2 and 3;

(ii) to note the one recommendation for Janet Brougham House as noted in paragraph 4.1.6 of the report and the three recommendations for Menzieshill House as outlined in paragraph 4.2.6 of the report;

(iii) to note the grades awarded to the services, the strengths of the services, and the very positive comments made by service users and carers as outlined in the report;

(iv) to note that from April, 2018 Care Inspectorate inspections would be measured against a new set of standards and that the Chief Social Work Officer would submit a report on this to a future meeting of the Committee; and

(v) to record their appreciation for the contribution and diligence of staff within the Partnership with responsibility for the individual services referred to in the report towards achieving positive reports for the inspections carried out by the Care Inspectorate.

V OUTCOME OF CARE INSPECTORATE INSPECTION DUNDEE COMMUNITY LIVING

There was submitted Report No PAC1-2018 by the Chief Finance Officer advising of the outcome of the Care Inspectorate inspection of Dundee Community Living which was undertaken in October, 2017.

The Committee agreed:-

(i) to note the content of the Inspection Report dated 13th October, 2017 which was attached to the report as Appendix 1;

(ii) to note the grades awarded to the services, the strengths of the services, and the very positive comments made by service users and carers as outlined in the report; and

(iii) to record their appreciation for the contribution and diligence of staff within the Partnership with responsibility for the service referred to in the report towards achieving the positive report from the inspection carried out by the Care Inspectorate.

VI OUTCOME OF CARE INSPECTORATE INSPECTION SUPPORTED LIVING TEAM

There was submitted Report No PAC2-2018 by the Chief Finance Officer advising of the outcome of the recent Care Inspectorate inspection of the Supported Living Team which was undertaken in December, 2017.

The Committee agreed:-

(i) to note the content of the Inspection Report dated 12th December, 2017 which was attached to the report as Appendix 1;

(ii) to note the grades awarded to the services, the strengths of the services, and the very positive comments made by service users and carers as outlined in the report; and

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT (QUARTER 3)

There was submitted Report No PAC4-2018 by the Chief Finance Officer providing an update on the Quarter 3 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration interim targets.

The Committee agreed:-

(i) to note the content of the report;

(ii) to note the performance of Dundee Health and Social Care Partnership against the Measuring Performance Under Integration interim targets as outlined in Appendix 1 of the report and section 4.8 of the report; and

(iii) to note the performance of Dundee Health and Social Care Partnership against the National Health and Wellbeing Indicators as outlined in Appendix 2 of the report and section 4.9 of the report.

VIII 2017/18 MID YEAR PERFORMANCE SUMMARY

There was submitted Report No PAC5-2018 by the Chief Finance Officer providing a summary of performance against key areas of service delivery reflected in the national health and wellbeing outcomes and indicators and Measuring Performance under Integration targets in the first six months of 2017/18.

The Committee agreed:-

(i) to note the performance in each service delivery area from 1st April, 2017 to 30th September, 2017 as outlined in Appendix 1 of the report;

(ii) to note the performance achieved by the Partnership in comparison to the pre-integration position (2015/16) as outlined in section 4.2 of the report;

(iii) to note the variation in performance between Local Community Planning Partnerships in comparison to the pre-integration position as outlined at section 4.3 and Appendix 2 of the report; and

(iv) to note planned improvement actions and timescales and planned investment in relation to areas of service delivery where performance had not been improving as outlined at sections 4.6 and 4.8 of the report.

IX MEASURING PERFORMANCE UNDER INTEGRATION 2018/19 SUBMISSION

There was submitted Report No PAC6-2018 by the Chief Finance Officer informing of the 2018/19 submission made by the Partnership to the Ministerial Strategic Group for Health and Community Care as part of the Measuring Performance under Integration work stream.

The Committee agreed:-

(i) to note the summary table of targets under each service delivery area as outlined in Appendix 1 of the report and the 2018/19 submission to the Ministerial Strategic Group for Health and Community Care as outlined in Appendix 2 of the report;

(ii) to note the methodology used to develop proposed targets for submission to the Ministerial Strategic Group for Health and Community Care as outlined in sections 4.2.3 and 4.2.4 and Appendix 3 of the report;

(iii) to note that 2018/19 targets would remain in draft until such times as the Integration Joint Board budget for 2018/19 had been confirmed as outlined in section 4.2.5 of the report and the submission had been approved by the Integration Joint Board at its meeting on 27th February, 2018; and

(iv) to note that in relation to indicator 21 of Appendix 1 of the report the number under 2017/2018 Trajectory heading should have been 97.6%.

X ANALYSIS ON RE-ADMISSIONS TO HOSPITAL

Reference was made to Article XI of the minute of meeting of this Committee held on 12th September, 2017 wherein it was agreed to direct the Chief Finance Officer to submit a full analysis of reasons for re-admission to hospital by January, 2018 following completion of analytical work commissioned by the Unscheduled Care Board.

There was submitted Agenda Note PAC7-2018 reporting that resources identified by the Unscheduled Care Board had not yet been available as expected and as a result the detailed analysis had been delayed. The Unscheduled Care Board had given a commitment to identify alternative resources to support the progression of this work.

The Committee noted the position as outlined in the note and requested that this work be completed as soon as possible to allow for submission to be made to the Committee at the earliest opportunity.

XI DUNDEE INTEGRATION JOINT BOARD HIGH LEVEL RISK REGISTER UPDATE

There was submitted Report No PAC10-2018 by the Chief Finance Officer noting the status of the risks identified within Dundee Integration Joint Boards High Level Risk Register.

The Committee agreed:-

(i) to note the status of the risks identified within Dundee Integration Joint Boards High Level Risk Register as reflected in Appendix 1 of the report;

(ii) to instruct the Chief Finance Officer to continue to monitor and update these risks and other emerging strategic risks and present the risk position to the Performance and Audit Committee on a regular basis; and

(iii) to instruct the Chief Finance Officer to bring forward an annual Risk Management report to the Performance and Audit Committee on 29th May, 2018, covering the year to 31st March 2018.

XII DUNDEE INTEGRATION JOINT BOARD CLINICAL, CARE AND PROFESSIONAL GOVERNANCE INTERNALAUDIT REVIEW

There was submitted Report No PAC9-2018 by the Chief Finance Officer noting the findings of the Clinical, Care and Professional Governance Internal Audit Review and noting the management response and associated action plan.

The Committee agreed:-

(i) to note the findings of the Clinical, Care and Professional Governance Internal Audit Review, which was attached to the report as Appendix 1; and

(ii) to note the management response to the review and associated action plan as outlined in the report and instruct the Chief Officer to progress the action plan accordingly.

XIII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC12-2018 by the Chief Finance Officer providing a progress update in relation to the current Internal Audit Plan.

The Committee agreed to note the progress of the current Internal Audit Plan as outlined in the report.

XIV DATE OF NEXT MEETING

The Committee agreed to note that the next meeting of the Committee would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 27th March, 2018 at 2.00 pm.

Doug CROSS, Chairperson.