Publication

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 24th November, 2020.

Present:-

Members	Role

Trudy McLEAY (Chairperson)	Nominated by Health Board (Non-Executive Member)
Lynne SHORT	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
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:-

Kevin GRUBB	Health and Social Care Partnership
Christine JONES	Health and Social Care Partnership
Matthew KENDALL	Health and Social Care Partnership
Anne Marie MACHAN	Audit Scotland
Fiona MITCHELL-KNIGHT	Audit Scotland
Amber OGILVIE	Audit Scotland
Kathryn SHARP	Health and Social Care Partnership
Sheila WEIR	Health and Social Care Partnership

Trudy McLeay, Chairperson, in the Chair.

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Roisin SMITH	Nominated by Dundee City Council (Elected Member)
James COTTON	Registered medical practitioner employed by Health Board and not providing primary medical services
Raymond MARSHALL	Staff Partnership Representative

II DECLARATION OF INTEREST

No declarations of interest were made.

III PERFORMANCE AND AUDIT COMMITTEE MEMBERSHIP AND CHAIRPERSON

Reference was made to Article IV of the minute of meeting of the Integration Joint Board held on 27th October, 2020, wherein the membership of the Performance and Audit Committee was agreed and appointment was made to the position of Chairperson of the Committee.

The Committee noted that the membership of the Performance and Audit Committee was agreed as follows:- Councillor Roisin Smith, Bailie Helen Wright, Trudy McLeay, Donald McPherson, Diane McCulloch, James Cotton, Raymond Marshall and Martyn Sloan, and that Trudy McLeay was appointed to the position of Chairperson.

IV MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 22nd September, 2020 was submitted and approved.

V AUDIT SCOTLAND ANNUAL REPORT AND INTEGRATION JOINT BOARD ANNUAL ACCOUNTS 2019/2020

There was submitted Report No PAC36-2020 by the Chief Finance Officer presenting the Integration Joint Boards (IJB) Draft Audited Annual Statement of Accounts for the year to 31st March, 2020 for approval, to note the draft external auditors report in relation to these accounts and approve the response to this report.

The Performance and Audit Committee:

(i) Noted the contents of the Audit Scotland cover letter (attached as Appendix 1) and the draft external auditors report (attached as Appendix 2) including the completed action plan outlined on pages 28-33 of the report, and in particular that Audit Scotland have indicated they will issue an unqualified audit opinion on the IJBs 2019/2020 Annual Accounts;

(ii) Endorsed the report as the IJBs formal response to the external auditors report;

(iii) Instructed the Chief Finance Officer to provide an update on progress of the action plan noted in Appendix 1 of the external auditors report by January 2021;

(iv) Approved the Audited Annual Accounts (attached as Appendix 3) for signature and instructed the Chief Finance Officer to return these to the external auditor; and

(v) Instructed the Chief Finance Officer to arrange for the Annual Accounts to be published on the Dundee Health and Social Care Partnership website by no later than Monday 30th November, 2020.

VI MEASURING PERFORMANCE UNDER INTEGRATION 2020/2021

There was submitted Report No PAC32-2020 by the Chief Finance Officer seeking approval of an interim approach to assessing and reporting performance against Measuring Performance under Integration indicators set by the Ministerial Strategic Group for Health and Community Care (MSG) during 2020/2021.

The Performance and Audit Committee:

(i) Noted the content of the report, including the need to agree a formal position in relation to the reporting of performance against Measuring Performance under Integration indicators for 2020/2021 as noted in section 4.2.3 of the report; and

(ii) Agreed the proposal that Measuring Performance under Integration targets were not set for 2020/2021 but that data continued to be integrated into the Quarterly Performance Reports submitted to PAC as noted in section 4.2.6 of the report.

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

The Performance and Audit Committee noted that this report had been withdrawn. A verbal update was given by Matthew Kendall, Allied Health Professions Lead and the Committee noted the following key points:

- Risk Management significant work was required in this area and the position had now improved however, additional work was required to bring the NHS and Council systems together;

- Governance Arrangements education and peer support mechanism in place;

- Adverse Events there was a reduction of adverse events with harm. Ongoing training was in place for staff. Noted a change in demographic in the patients in Psychiatry of Old Age and Medicine for the Elderly;

- Falls work had taken place with the Scottish Ambulance Service to develop a dataset and additional funding had been received to continue work with the Service;

- Complaints a new report was being developed to present the number of complaints received monthly over time.

The Performance and Audit Committee agreed that a written report would be brought to the next Committee for information.

VIII GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC34-2020 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 of the report.

IX DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC35-2020 by the Chief Finance Officer providing the Performance and Audit Committee with a progress update in relation to the current Internal Audit Plan.

X MEETING OF PERFORMANCE AND AUDIT COMMITTEE 2020 - ATTENDANCES

There was submitted a copy of the Attendance Return PAC38-2020 for meetings of the Performance and Audit Committee held over 2020.

The Performance and Audit Committee noted the position as outlined.

XI DATE OF NEXT MEETING

To be advised.

Trudy McLEAY, Chairperson.