Publication

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 22nd September, 2020.

Present:-

Members	Role

Ken LYNN (Chairperson)	Nominated by Dundee City Council (Elected Member)
Helen WRIGHT	Nominated by Dundee City Council (Elected Member)
Donald MCPHERSON	Nominated by Health Board (Non Executive Member)
Dave BERRY	Chief Finance Officer
James COTTON	Registered medical practitioner employed by the Health Board and not providing primary medical services
Tony GASKIN	Chief Internal Auditor
Vicky IRONS	Chief Officer
Diane McCULLOCH	Chief Social Work Officer
Martyn SLOAN	Carer Representative

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

Stephen HALCROW	Health and Social Care Partnership
Matthew KENDALL	Health and Social Care Partnership
Clare LEWIS-ROBERTSON	Health and Social Care Partnership
Anne Marie MACHAN	Audit Scotland
Kathryn SHARP	Health and Social Care Partnership
Lynsey WEBSTER	Health and Social Care Partnership
Sheila WEIR	Health and Social Care Partnership

Councillor Ken LYNN, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Jenny ALEXANDER	Nominated by Health Board (Non Executive Member)
Raymond MARSHALL	Staff Partnership Representative

II DECLARATION OF INTEREST

No declarations of interest were made.

III MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 26th November, 2019 was submitted and approved.

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP SUMMARY PERFORMANCE REPORT 2019-2020 QUARTER 4

There was submitted Report No PAC16-2020 by the Chief Finance Officer updating the Performance and Audit Committee on 2019-2020 Quarter 4 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration interim targets.

The Performance and Audit Committee:

(i) noted the content of the report;

(ii) noted the performance of Dundee Health and Social Care Partnership, at both Dundee and locality levels, against the National Health and Wellbeing Indicators as summarised in Appendix 1 of the report (tables 1, 3 and 4) and section 6 of the report; and

(iii) noted the performance of Dundee Health and Social Care Partnership against the Measuring Performance Under Integration interim targets as summarised in Appendix 1 (table 2).

V DUNDEE HEALTH AND SOCIAL CARE PARTNERSHP PERFORMANCE REPORT 2020-2021 QUARTER 1

There was submitted Report No PAC25-2020 by the Chief Finance Officer updating the Performance and Audit Committee on 2020-2021 Quarter 1 performance against the National Health and Wellbeing Indicators and Measuring Performance Under Integration interim targets.

The Performance and Audit Committee:

(i) noted the content of the report;

(ii) noted 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 of the report and section 6 of the report;

(iii) noted the performance of Dundee Health and Social Care Partnership against the Measuring Performance Under Integration interim targets as summarised in Appendix 1 (table 2) and section 6 of the report; and

(iv) noted the improvement actions planned in each performance areas as summarised in Appendix 2 of the report.

VI DISCHARGE MANAGEMENT PERFORMANCE UPDATE ON COMPLEX AND STANDARD DELAYS QUARTER 1 2020-2021

There was submitted Report No PAC19-2020 by the Chief Finance Officer updating the Performance and Audit Committee on Discharge Management performance in Dundee in relation to delays for the period up to Quarter 1 2020-2021.

The Performance and Audit Committee:

(i) noted 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; and

(ii) noted the improvement actions planned to respond to areas of pressure as outlined in section 7 of the report.

VII CARE INSPECTORATE GRADINGS REGISTERED CARE SERVIVES FOR ADULTS (EXCLUDING CARE HOMES) 2019-2020

There was submitted Report No PAC18-2020 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to registered care services for adults, these services having a contractual arrangement with Dundee Health and Social Care Partnership (excluding care homes), for the period 1st April, 2019 to 31st March, 2020.

The Performance and Audit Committee:

(i) noted the content of the report and the gradings awarded as detailed in the Performance Report attached as Appendix 1 to the report and highlighted in section 4.2 of the report and;

(ii) noted the range of continuous improvement activities progressed during 2019/2020 as described in section 4.3 of the report.

VIII CARE INSPECTORATE GRADINGS REGISTERED CARE HOME FOR ADULTS 2019-2020

There was submitted Report No PAC17-2020 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to Dundee registered care homes for adults in Dundee for the period 1st April, 2019 to 31st March, 2020.

The Performance and Audit Committee:

(i) noted the content of the report and the gradings awarded as detailed in the Performance Report attached as Appendix 1 to the report and highlighted in section 4.2 of the report; and

(ii) noted the range of continuous improvement activities progressed during 2019/2020 as described in section 4.3 of the report.

IX DUNDEE CARERS PARTNERSHIP PERFORMANCE REPORT 2017-2019

There was submitted Report No PAC4-2020 by the Chief Finance Officer informing the Performance and Audit Committee of the progress towards realising the ambitions of the local carers strategy A Caring Dundee 2017-2020 achieved through the Dundee Carers Partnership over the period 2017‑2019.

The Performance and Audit Committee:

(i) noted the content of the report and of the Dundee Carers Partnership Performance Report 2017-2019 (section 5 of the report and Appendix 1 to the report); and

(ii) noted the intention of the Carers Partnership to review and refresh the local Carers Strategy by October 2021.

X LOCAL GOVERNMENT BENCHMARKING FRAMEWORK 2018-2019 PERFORMANCE

There was submitted Report No PAC2-2020 by the Chief Finance Officer informing the Performance and Audit Committee of the performance of Dundee Health and Social Care Partnership against the health and social care indicators in the Local Government Benchmarking Framework (LGBF) for the financial year 2018/2019.

The Performance and Audit Committee:

(i) noted the performance detailed in the report and in Appendix 1 of the report;

(ii) approved the proposed targets for future rank set out in Table 1 of Appendix 1 and described in section 4.6 of the report; and

(iii) noted that LGBF performance information would be published on the Dundee City Council website.

XI QUARTERLY COMPLAINTS PERFORMANCE 1ST QUARTER 2020-2021

There was submitted Report No PAC20-2020 by the Chief Finance Officer summarising the complaints performance for the Health and Social Care Partnership (HSCP) in the first quarter of 2020-2021. The complaints included complaints handled using 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 Performance and Audit Committee:

(i) noted the complaints handling performance for health and social work complaints set out within the report; and

(ii) noted the work that had been taken to address outstanding complaints within the HSCP and to improve complaints handling, monitoring and reporting as set out in sections 4.6 and 4.13 of the report.

XII RISK MANAGEMENT ACTION PLAN UPDATE

There was submitted Report No PAC26-2020 by the Chief Finance Officer informing the Performance and Audit Committee of the progress made on the Risk Management Action Plan that was developed in response to the outcome of the Internal Audit Assessment of the Risk Maturity of the IJB.

The Performance and Audit Committee:

(i) approved the updated Action Plan in response to the Internal Audit Assessment of the Risk Maturity of the Integration Joint Board that was presented to the Performance and Audit Committee on 25th September, 2018;

(ii) instructed the Chief Finance Officer to provide a further update on the Action Plan in early 2021; and

(iii) noted the work ongoing by the Tayside Risk Management Group that had been set up and had regular meetings.

XIII JOINT INSPECTION (ADULTS): THE EFFECTIVENESS OF STRATEGIC PLANNING IN PERTH AND KINROSS (SEPTEMBER 2019)

There was submitted Report No PAC10-2020 by the Chief Finance Officer providing an update to the Performance and Audit Committee on progress made by the Clinical, Care and Professional Governance Group in considering learning and associated improvement actions from the Joint Inspection (Adults) of the Effectiveness of Strategic Planning in Perth and Kinross Heath and Social Care Partnership.

The Performance and Audit Committee:

(i) noted the progress made by the Clinical, Care and Professional Governance Group in identifying areas of learning and associated improvement actions from the Perth and Kinross Joint Inspection report as outlined in section 4.4 of the report;

(ii) noted the ongoing work within the Strategy and Performance Section to collate a range of existing improvement plans and actions into a single governance, business support and strategic commissioning improvement plan that would be deliverable within available resources; and

(iii) instructed the Chief Finance Officer to present the single improvement plan for approval by the Performance and Audit Committee no later than 31st March, 2021.

XIV IMPACT OF REPEAT ELECTIVE ACTIVITY ON READMISSION RATES

There was submitted Report No PAC3-2020 by the Chief Finance Officer providing an analysis of the impact of repeat elective activity on readmissions performance.

The Performance and Audit Committee:

(i) noted the content of the report and the analysis of readmissions, including the impact of recording practices for day cases within NHS Tayside on performance against the national readmissions indicator as outlined in section 5 of the report and Appendix 1 to the report;

(ii) noted that the Unscheduled Care Board would now receive data based on the national methodology and data excluding day cases to support monitoring of readmissions performance and inform subsequent improvement actions as outlined in section 6 of the report; and

(iii) instructed the Unscheduled Care Board to consider the content of the report and review and update improvement actions relating to readmissions as appropriate.

XV ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCE GROUP

There was submitted Report No PAC30-2020 by the Clinical Director providing assurance regarding matters of Clinical, Care and Professional Governance. In addition, the report provided information on the business of the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group and outlined the ongoing planned developments to enhance the effectiveness of the Group.

The Performance and Audit Committee:

(i) noted the content of the report; and

(ii) noted the work undertaken by the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group from April 2019 March 2020 to seek assurance regarding matters of Clinical, Care and Professional Governance.

XVI CLINICAL, CARE AND PROFESSIONAL GOVERNANCE (CCPG) PERIOD MARCH 2020 JULY 2020

There was submitted Report No PAC31-2020 by the Clinical Director providing an update to the Performance and Audit Committee on the business of the Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Group. The report was presented as an SBAR (Situation, Background, Assessment and Recommendations).

The Performance and Audit Committee noted the exception report for the Dundee Health and Social Care Partnership Clinical Care and Professional Governance.

XVII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC27-2020 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 Performance and Audit Committee noted the progress made in relation to the actions set out in the Governance Action Plan as outlined in Appendix 1 to the report.

XVIII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT CHARTER

There was submitted Report No PAC22-2020 by the Chief Finance Officer seeking approval for an updated Internal Audit Charter for Dundee Integration Joint Board.

The Performance and Audit Committee:

(i) noted and approved the proposed update of the Internal Audit Charter as set out in Appendix 1 to the report; and

(ii) agreed that changes to the Internal Audit charter in future will be approved as part of the approval of the Integration Joint Boards Annual Internal Audit Plan.

XIX INTERNAL AUDIT REVIEW INFORMATION GOVERNANCE AND TECHNOLOGY AS ENABLERS

There was submitted Report No PAC24-2020 by the Chief Finance Officer presenting to the Performance and Audit Committee the findings of the Internal Audit Review of Information Governance and Technology as Enablers.

The Performance and Audit Committee:

(i) noted the content and findings on the Internal Audit Review of Information Governance and Technology as Enablers which was attached as Appendix 1 to the report;

(ii) noted and agreed the action plan associated with the report as the management response to the findings; and

(iii) instructed the Chief Finance Officer to report progress in delivering the actions set out in the action plan through the Governance Action Plan presented to each Performance and Audit Committee meeting.

XX INTERNAL AUDIT REVIEW GOVERNANCE MAPPING

There was submitted Report No PAC28-2020 by the Chief Finance Officer presenting to the Performance and Audit Committee the findings of the Internal Audit Review of Governance Mapping.

The Performance and Audit Committee:

(i) noted the content and findings on the Internal Audit Review of Governance Mapping which was attached as Appendix 1 to the report;

(ii) noted and agreed the action plan associated with the report as the management response to the findings; and

XXI DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC21-2020 by the Chief Finance Officer providing the Performance and Audit Committee with a progress update in relation to the current Internal Audit Plan.

The Performance and Audit Committee noted the continuing delivery of the audit plan and related reviews as outlined in the report.

XXII AUDIT SCOTLAND ANNUAL AUDIT PLAN 2019-2020

There was submitted Report No PAC29-2020 by the Chief Finance Officer on the proposed Dundee Integration Joint Board Annual Audit Plan 2019-2020 as submitted by the Integration Joint Boards appointed External Auditor (Audit Scotland).

Th Performance and Audit Committee:

(i) noted the content of the report; and

(ii) approved the proposed Audit Plan for 2019-2020 as submitted by Audit Scotland which was attached as Appendix 1 to the report.

XXIII BEST VALUE ARRANGEMENTS AND ASSESSMENT 2019-2020

There was submitted Report No PAC23-2020 by the Chief Finance Officer providing assurance to the Performance and Audit Committee and the Chief Officer that the Integration Joint Board and partners had arrangements in place to demonstrate that Best Value was being achieved.

The Performance and Audit Committee:

(i) noted the content of the report and the full Best Value assessment as set out in Appendix 1 to the report; and

(ii) noted that the outcome of this assessment provided assurance that Best Value was being achieved through the Integration Joint Boards governance arrangements and activities.

XXIV DATE OF NEXT MEETING

The Committee noted that the next meeting of the Performance and Audit Committee would be held on Tuesday, 24th November, 2020 at 2.00 pm.

Ken LYNN, Chairperson.