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Publication

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 20th November, 2024.

Present:-

Members

Role

Bob BENSON (Chair)

Nominated by Health Board (Non-Executive Member)

David CHEAPE

Nominated by Health Board (Non-Executive Member)

Siobhan TOLLAND

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Dave BERRY

Acting Chief Officer

Barry HUDSON

For Chief Internal Auditor

Christine JONES

Acting Chief Finance Officer

Glyn LLOYD

Chief Social Work Officer

Sanjay PILLAI

Registered Medical Practitioner (not providing primary medical services)

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

Peter ALLAN

Dundee City Council

Suzie BROWN

NHS Tayside

Rachel BROWNE

Audit Scotland

Matthew KENDALL

Health and Social Care Partnership

Clare LEWIS-ROBERTSON

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

Elaine TORRANCE

Independent Chair

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 Jocelyn Lyall, Councillor McHugh and Martyn Sloan.

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 25th September, 2024 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker, PAC39-2024, for meetings of the Performance and Audit Committee for noting and updating accordingly.

IV PROTECTING PEOPLE COMMITTEE ANNUAL REPORT 2023/2024

 

There was submitted Report No PAC38-2024 by the Protectig People Committee Independent Chairs presenting the annual report published by the Protecting People Committees for the period 2023/2024.

The Committee agreed:-

(i) to note the content of the annual report for the Dundee Protecting People Committees (main report and supporting information) (attached as appendices 1 and 2 of the report);

(ii) to note the progress made in developing an effective partnership response to the needs of at risk children and adults during 2023/2024 (section 4.2 of the report); and

 

(iii) to note the challenges and priority areas for action identified across the annual reports for focus during 2024/2025 and beyond (section 4.3 of the report).

 

Following questions and answers the Committee further agreed:-

(iv) to note that datasets continued to be developed for different groups and would be monitored closely; and

(v) that Kathryn Sharp would share information with Committee members from Womens Aid in relation to what was driving the increase in refuge requests.

 

V AUDIT SCOTLAND ANNUAL REPORT AND INTEGRATION JOINT BOARD ANNUAL ACCOUNTS 2023/2024

 

There was submitted Report No PAC45-2024 by the Chief Finance Officer presenting the Integration Joint Boards (IJB) Draft Audited Annual Statement of Accounts for the year to 31st March, 2024 for approval, to note the draft external auditors report in relation to these accounts and approve the response to this report.

The Committee agreed:-

(i) to note the contents of the attached Audit Scotland cover letter (attached as Appendix 1) and the draft external auditors 2023/2024 Annual Audit Report (attached as Appendix 2) including the completed action plan outlined on page 20 of the report, and in particular that Audit Scotland had issued an unmodified audit opinion on the IJBs 2023/2024 Annual Accounts;

 

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

 

(iii) to instruct the Chief Finance Officer to provide an update on progress of the action plan noted in Appendix 1 of the external auditors report by March 2025.

 

Following questions and answers the Committee further agreed:-

 

(iv) that the Audited Annual Accounts document would be circulated separately and the following would be agreed remotely by members:

 

- approval of the Audited Annual Accounts for signature and to instruct the Chief Finance Officer to return these to the external auditor;

 

- to instruct the Chief Finance Officer to arrange for the above Annual Accounts to be published on the Dundee Health & Social Care Partnership website by no later than 30th November, 2024.

 

Post-meeting note: the Audited Annual Accounts were approved by Performance and Audit Committee members on 20th and 21st November, 2024.

 

VI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2024/2025 QUARTER 1

 

There was submitted Report No PAC42-2024 by the Chief Finance Offficer providing an update on the Performance and Audit Committee on 2024-2025 Quarter 1 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.

 

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCEASSURANCE REPORT

 

There was submitted Report No PAC44-2024 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 regards clinical and care governance within the Partnership. The timescale for the data within the report was to 30th September, 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 was evidence of noncompliance relating to a fully comprehensive governance system across some teams, i.e. contemporary management of adverse events and risks.

VIII QUARTERLY FEEDBACK REPORT 2ND QUARTER 2024/2025

There was submitted Report No PAC40-2024 by the Chief Finance Officer summarising feedback received for the Health and Social Care Partnership (HSCP) in the second quarter of 2024/2025. 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 has been undertaken to address outstanding complaints within the HSCP and to improve complaints handling, monitoring, and reporting;

 

(iii) to note the recording of Planned Service Improvements following complaints that were upheld or partially upheld; and

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

 

Following questions and answers the Committee further agreed:-

(v) that the HSCP Management Team would consider arranging a presentation from Care Opinion at a future Development Session.

IX DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP STRATEGIC RISK REGISTER UPDATE

There was submitted Report No PAC46-2024 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;

 

(ii) to note the entry of a new risk on Information Governance (Section 6 of the report); and

 

(iii) to note the archival of four risks which are now considered to be covered as Operational Risks (Section 7 of the report).

X CHIEF SOCIAL WORK OFFICER ANNUAL REPORT 2023/2024

There was submitted Report No PAC37-2024 by the Chief Social Work Officer bringing forward for information the Chief Social Work Officers Annual Report for 2023/2024.

The Committee agreed to note the content of the report and the Chief Social Work Officers Annual Report for 2023/2024 attached as Appendix 1 to the report.

Following questions and answers the Committee further agreed:-

(i) that thanks would be expressed to all staff.

XI CITY PLAN FOR DUNDEE 2022-2032 ANNUAL REPORT FOR 2023/2024

There was submitted Report No PAC36-2024 by the Chief Finance Officer submitting the second annual progress report on the City Plan for Dundee 2022-2032 was considered and agreed by the Dundee Partnership on 5th September, 2024. The Dundee Partnership Management Group committed to bring updates to their individual organisations for noting.

The Committee agreed:-

(i) to note the progress made since the first report on the City Plan for Dundee 2022-2032 in October 2023 (section 5 and appendix 1 of the report);

 

(ii) to note that the Strategic Leadership Groups will review performance indicators that had deteriorated and take measures to improve these going forward; and

 

(iii) to remit the Health and Social Care Partnership Leadership Team and Strategic Planning Advisory Group to monitor Dundee Health and Social Care Partnerships commitment and inputs to delivering actions supporting the plan.

 

XII GOVERNANCE ACTION PLAN PROGRESS REPORT

 

There was submitted Report No PAC43-2024 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 agreed:-

(i) to note that duplicate audit actions would continue to be refined over time; and

(ii) a graphic representation of how the plans, frameworks and strategic groups fit together would be provided in future.

XIII DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC41-2024 by the Chief Finance Officer providing an update on 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 to note the progress on the 2023/2024 internal audit plan and work undertaken on the 2024/2025 plan.

Following questions and answers the Committee further agreed:-

(i) to note that an External Quality Assessment of FTF Internal Audit was underway and once the work was completed, a full report would be presented to the PAC.

XIV ATTENDANCE LIST

 

There was submitted Agenda Note PAC47-2024 providing attendance returns for meetings of the Performance and Audit Committee held over 2024.

The Committee agreed to note the position as outlined.

XV DATE OF NEXT MEETING

To be confirmed.

 

Bob BENSON, Chairperson.