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 September, 2025.

Present:-

Members	Role
Bob BENSON (Chair)	Nominated by Health Board (Non-Executive Member)
Colleen CARLTON	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	Chief Officer
Barry HUDSON	Regional Audit Manager, Internal Audit
Christine JONES	Acting Chief Finance Officer
Dr Sanjay PILLAI	Registered Medical Practitioner (not providing primary medical services)

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

Linda GRAHAM	Health and Social Care Partnership
Matthew KENDALL	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

Apologies for absence were noted from Glyn Lloyd, Jocelyn Lyall, Raymond Marshall 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 21st May, 2025 was submitted and approved.

(b) ACTION TRACKER

There was submitted the Action Tracker, PAC28-2025, for meetings of the Performance and Audit Committee for noting and updating accordingly.

Following questions and answers the Committee further agreed:-

(i) to note that since the Action Tracker had been issued, items 4 and 5 had been completed; and

 

(ii) that any actions relating to reporting would be reviewed.

IV REVISED PERFORMANCE AND AUDIT COMMITTEE (PAC) TERMS OF REFERENCE

 

There was submitted Report No PAC33-2025 by the Chief Finance Officer reviewing the Terms of Reference for the Dundee Integration Joint Boards Performance and Audit Committee.

The Committee agreed to review the existing Terms of Reference for the IJBs Performance and Audit Committee as attached as Appendix 1 to the report and confirmed that the draft updated version should be submitted to the next IJB meeting for approval.

Following questions and answers the Committee further agreed:-

(i) that the internal officers workplan would be submitted to each future PAC Pre-Meeting for consideration; and

 

(ii) to note the mechanism for PAC members to highlight any issues or concerns was at the PAC meeting and these would be escalated to the Integration Joint Board through the PAC Chairs Assurance report.

V ANNUAL PERFORMANCE REPORT 2024/2025

 

There was submitted Report No PAC27-2025 by the Chief Finance Officer submitting the Dundee Integration Joint Board Annual Performance Report 2024-25 for noting following publication on 31st July, 2025 and approval by the Board on 20th August, 2025.

The Committee agreed:-

(i) to note the content of the report and the Annual Performance Report 2024/2025, which was contained in Appendix 1;

(ii) to note that the Annual Performance Report 2024/2025 was published on 31st July, 2025 following approval by the Chair and Vice-Chair of the Integration Joint Board, the Clerk and the Chief Officer and Chief Finance Officer as at Appendix 2 and section 4.1.3 of the report;

(iii) to note that the Integration Joint Board approved the Annual Performance Report on 20th August, 2025 and that the Chief Officer would update the report with financial year 2024/2025 data for all National Health and Wellbeing indicators as soon as data was made available by Public Health Scotland (section 4.2.3 of the report).

 

Following questions and answers the Committee further agreed:-

 

(iv) to note Councillor McHughs concerns about the process for approving the Annual Performance Report; and

 

(v) to note that issues regarding the statutory reporting timescales to the Scottish Government continued to be fed back to them; and

 

(vi) that consideration could be given to whether there was a different way of approving the report.

VI DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2024/2025 QUARTER 4

 

There was submitted Report No PAC23-2025 by the Chief Finance Officer providing an update on the 2024/2025 Quarter 4 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 of the report (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 of the report.

 

Following questions and answers the Committee further agreed:-

 

(v) to note that, in relation to concerns raised by Councillor McHugh, the Falls Data Group had been looking in more detail at the data for some time and were continuing to do so.

 

VII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCE ASSURANCE REPORT

There was submitted Report No PAC31-2025 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 Health and Social Care Partnership. The timescale for the data within the report was to 31st July, 2025; 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 Dundee 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; and

 

- 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 risks around clinical capacity would be included in the PAC Chairs Assurance report to the IJB.

VIII MENTAL HEALTH SERVICES INDICATORS 2024/2025 QUARTER 4

 

There was submitted Report No PAC29-2025 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 (section 6 and Appendix 1 of the report); and

 

(ii) to note the operational and strategic supporting narrative in the context of the trends in performance and activity (section 7 of the report).

 

Following questions and answers the Committee further agreed:-

 

(iii) to note that consideration would be given to numbering the table of indicators and updates in future reports for ease of reference;

 

(iv) that further data would be provided to Councillor McHugh on the number of children on the child protection register; and

 

(v) to note that an update on the Tayside Psychological Therapies Services position would be brought to a future PAC meeting.

 

IX DRUG AND ALCOHOL SERVICES INDICATORS 2024/2025 QUARTER 4

There was submitted Report No PAC30-2025 by the Chief Finance Officer providing an update on the performance of 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 (section 6 and Appendix 1 of the report); and

(ii) to note the range of ongoing improvement activity (section 7 of the report).

Following questions and answers the Committee further agreed:-

(iii) that consideration would be given to providing further information on the Dundee Recovery Network to a future IJB meeting; and

 

(iv) that further information would be provided to the Chair on the link between non fatal overdoses and completed suicides, if available.

X UNSCHEDULED CARE

There was submitted Report No PAC22-2025 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.

 

Following questions and answers the Committee further agreed:-

 

(iii) to note that the sustainability of Delayed Discharge performance would be included in the PAC Chairs Assurance report to the IJB.

XI CARE INSPECTORATE GRADINGS REGISTERED CARE HOMES FOR ADULTS/OLDER PEOPLE AND OTHER ADULT SERVICES

There was submitted Report No PAC25-2025 by the Chief Finance Officer summarising the gradings awarded by the Care Inspectorate to Dundee registered care homes for adults/older people and other adult services in Dundee for the period 1st April 2024 to 31st March 2025.

The Committee agreed:-

(i) to note the scale and scope of Care Inspectorate led inspections carried out in 2024/2025 during the reporting year (section 4.1 of the report);

(ii) to note the contents of the report and the gradings awarded as detailed in the performance report (Appendix 1) and highlighted in section 4.2 of the report; and

(iii) to note the range of continuous improvement activities progressed during 2024/2025 as described in section 4.3 and Appendix 1 of the report.

 

Following questions and answers the Committee further agreed:-

 

(iv) that the information on Substance Misuse/Homelessness that was missing from page 221 would be circulated to PAC members.

XII DHSCP STRATEGIC RISK REGISTER UPDATE

 

There was submitted Report No PAC24-2025 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, including the extract from the strategic risk register contained within Appendix 1 of the report;

 

(ii) to note the ongoing work, led by the Partnerships Senior Management Team, to revise the strategic risk register; and

 

(iii) to instruct the Chief Officer to submit a report detailing proposed revised arrangements for recording, managing and reporting strategic risk across the IJB and the Health and Social Care Partnership to the IJB no later than 31st December, 2025.

XIII BEST VALUE ARRANGEMENTS AND ASSESSMENT 2025/2026

 

There was submitted Report No PAC32-2025 by the Chief Finance Officer providing assurance that the Integration Joint Board and partners had arrangements in place to demonstrate that Best Value was being achieved.

The Committee agreed:-

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

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

XIV GOVERNANCE ACTION PLAN PROGRESS REPORT

There was submitted Report No PAC26-2025 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) that some work would be undertaken with Internal Audit to consider if there could be streamlining of any of the actions.

XV DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

There was submitted Report No PAC34-2025 by the Chief Finance Officer providing an update on progress of the 2024/2025 internal audit plan. The audit plan for 2025/2026 was included on the agenda as a separate item. 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 Integration Joint Board.

 

The Committee agreed:-

(i) to note the ongoing work undertaken on the 2024/2025 plan; and

(ii) to note that the Annual Internal Audit Plan for 2025/2026 was included at item 16 of the agenda.

 

Following questions and answers the Committee further agreed:-

 

(iii) to note that the updated Internal Audit Charter would be presented to the next Committee.

 

XVI INTERNAL AUDIT PLAN 2025/2026

 

There was submitted Report No PAC35-2025 by the Chief Finance Officer seeking approval of the 2025/2026 Annual Internal Audit Plan for Dundee City Integration Joint Board (IJB) and to agree the appointment of the Chief Internal Auditor for the financial year.

 

The Committee agreed:-

 

(i) the continuation of Fife, Tayside and Forth Valley Audit Internal Audit (FTF) as the IJBs lead internal auditors and the continuing Chief Internal Auditor arrangement for 2025/2026. This would be the tenth year of FTF providing the lead role, with the annual plan delivered jointly by the NHS Tayside and the Dundee City Council internal audit teams;

 

(ii) to approve the 2025/2026 Annual Internal Audit Plan as set out in Appendix 1 of the report.

 

Following questions and answers the Committee further agreed:-

 

(iii) to note that the Chair would be invited to join a planning meeting between the Chief Finance Officer and Internal Audit colleagues.

 

XVII ATTENDANCE LIST

 

There was submitted Agenda Note PAC37-2025 providing attendance returns for meetings of the Performance and Audit Committee held over 2025.

The Committee agreed to note the position as outlined.

XVIII DATE OF NEXT MEETING

The next meeting of the Committee would be held on Wednesday 19th November, 2025 at 10.00am.

 

Bob BENSON, Chairperson.