At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 25th September, 2018.

Present:-

Members

Role

Doug CROSS ( Chairperson)

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)

Dave BERRY

Chief Finance Officer

David LYNCH

Chief Officer

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

Bruce CROSBIE

Audit Scotland

Matthew KENDALL

Dundee Health and Social Care Partnership

Jocelyn LYALL

Internal Audit

Diane McCULLOCH

Dundee Health and Social Care Partnership

Anne Marie MACHAN

Audit Scotland

Kathryn SHARP

Dundee Health and Social Care Partnership

Judith TRIEBS

Internal Audit

Doug CROSS, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Jane MARTIN

Chief Social Work Officer

Cesar RODRIGUEZ

Registered Medical Practitioner

(not providing primary medical services)

II                      DECLARATION OF INTEREST

No declarations of interest were made.

III                     MINUTE OF PREVIOUS MEETING

The minute of meeting of the Committee held on 31st July, 2018 was submitted and approved.

IV                     DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT QUARTER 1 2018/19

 

There was submitted Report No PAC50-2018 by the Chief Finance Officer updating the Committee on Quarter 1 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 Measuring Performance Under Integration interim targets as outlined in section 5 and Appendix 1 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 section 6 and Appendix 2 of the report.

V                      DISCHARGE MANAGEMENT PERFORMANCE UPDATE, INCLUDING CODE 9 ANALYSIS

 

There was submitted Report No PAC51-2018 by the Chief Finance Officer updating the Committee on discharge management performance in Dundee.

The Committee agreed:-

(i)                     to note the current position in relation to discharge management performance as outlined in section 5·2 of the report and Appendix 1 (sections 2·2 and 2·3);

 

(ii)                    to note the current position in relation to complex delays as outlined in section 5·3 of the report and Appendix 1 (section 2·4);

 

(iii)                    to note the improved actions planned to respond to areas of pressure identified as outlined in sections 5·2 and 5·4 of the report; and

 

(iv)                   to instruct the Chief Finance Officer to present a further analysis and robust action plan in relation to complex care delays to the Performance and Audit Committee to be held on 27th November, 2018.

 

The Committee further agreed to instruct the Chief Finance Officer to provide a further breakdown of the figures which would be tracked over the year and incorporated into the regular Performance Report.

 

The Chair expressed his thanks to everyone involved in the performance of discharge management.

 

VI                     AUDIT SCOTLAND ANNUAL REPORT AND DUNDEE INTEGRATION JOINT BOARD AUDITED ACCOUNTS2017/18

 

There was submitted Report No PAC52-2018 by the Chief Finance Officer presenting the Integration Joint Boards Draft Audited Annual Statement of Accounts for the year to 31st March, 2018, for approval and asking the Committee to note the draft external auditors report in relation to these accounts and to approve the response to this report.

Bailie Helen Wright moved that the Audit Scotland Annual Report and Dundee Integration Joint Board Audited Accounts (which was issued on the afternoon of Monday, 24th September, 2018) be deferred to a further meeting of the Performance and Audit Committee, the date for which would be fixed by the Clerk in consultation with the Chief Officer and Chief Finance Officer, in order to allow members sufficient opportunity to consider the terms of the report.

There being no seconder, the Amendment proposed by Bailie Wright fell and was not voted upon.

The Committee then agreed:-

(i)                     to note the content of the Audit Scotland cover letter, which was attached as Appendix 1, and the draft external auditors report, which was attached as Appendix 2, including the completed action plan outlined on pages 23-28 of the report, and in particular that Audit Scotland had indicated they would issue an unqualified audit opinion on the IJBs 2017/18 Annual Accounts;

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

(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 January, 2019;

(iv)                   to approve the Audited Annual Accounts, which were attached as Appendix 3 to the report, for signature and instruct the Chief Finance Officer to return these to the external auditor; and

 

(v)                    to instruct the Chief Finance Officer to arrange for the above Annual Accounts to be published on the Dundee Health and Social Care Partnership website by no later than 31st October, 2018.

Bailie Wright asked for her dissent to be recorded given the date and time of the issuing of the report.

VII                    CLINICAL CARE AND PROFESSIONAL GOVERNANCE GROUP CHAIRS ASSURANCE REPORT

 

There was submitted Report No PAC53-2018 by the Clinical Director, Dundee Health and Social Care Partnership providing the Committee with an update on the business of the most recent Clinical, Care and Professional Governance (CCPG) Group and advising that update reports would be submitted following each Clinical, Care and Professional Governance meeting to provide assurance of the governance systems and processes within the Dundee Health and Social Care Partnership.

The Committee noted the content of the assurance report and instructed the Clinical Director to consider how the Performance and Audit Committee could receive assurance from NHS Taysides Clinical Quality Forum.

VIII                   ANNUAL COMPLAINTS PERFORMANCE

 

There was submitted Report No PAC54-2018 by the Chief Finance Officer providing the Committee with an analysis of complaints received by the Dundee Health and Social Care Partnership over financial year 2017/18. This included complaints handled by 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 analysis of 2017/18 Social Work complaint performance as set out in section 5 of the report; and

(ii)                    to note the analysis of 2017/18 NHS complaint performance as set out in section 6 of the report.

IX                     RISK MANAGEMENT INTERNAL AUDIT REPORT

 

There was submitted Report No PAC36-2018 by the Chief Finance Officer advising the Committee of the outcome of the Internal Audit assessment of the Risk Maturity of the Integration Joint Board.

 

The Committee agreed:

 

(i)                     to note the content of the Internal Audit Assessment of the IJBs Risk Maturity as set out in Appendix 1 of the report; and

 

(ii)                    to remit to the Chief Finance Officer to provide an action plan to respond to the issues raised within the report at the Performance and Audit Committee to be held on 27th November, 2018.

 

X                      MENTAL WELFARE COMMISSION REPORT THEMED VISIT TO PEOPLE WITH DEMENTIA IN COMMUNITYHOSPITALS

There was submitted Report No PAC46-2018 by the Chief Finance Officer advising the Committee of the outcome of the recent Mental Welfare Commission Report Themed Visit to People with Dementia in Community Hospitals.

 

The Committee agreed:

 

(i)                     to note the content of the Mental Welfare Commissions report which was attached as Appendix 1;

 

(ii)                    to note the good practice identified within Royal Victoria Hospital in relation to provision of activities contained within the report, as described in section 4·4 of this report;

 

(iii)                    to note the actions in relation to the report recommendations with regards to Royal Victoria Hospital, as described in sections 4·5 and 4·6 of the report and in Appendix 2 which was attached to the report.

 

XI                     DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

There was submitted Report No PAC56-2018 by the Chief Finance Officer providing the Committee with 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.

 

XII                    DUNDEE INTEGRATION JOINT BOARD ANNUAL INTERNAL AUDIT REPORT 2017/18 ACTION PLAN

 

There was submitted Report No PAC57-2018 by the Chief Finance Officer considering a proposed action plan to respond to the recommendations of the Annual Internal Audit Report 2017/18.

 

The Committee agreed:

 

(i)                     to note and approve the proposed action plan as outlined in Appendix 1 of the report; and

 

(ii)                    to remit the Chief Finance Officer to provide a progress report to the Performance and Audit Committee prior to 31st March, 2019.

 

XIII                   MEETING OF THE PERFORMANCE AND AUDIT COMMITTEE 2018 ATTENDANCES

 

There was submitted Agenda Note PAC58-2018 providing a copy of the attendance return for meetings of the Performance and Audit Committee held to date over 2018.

 

The Committee noted the position as outlined.

 

XIV                  DATE OF NEXT MEETING

The Committee noted that the next meeting would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 27th November, 2018 at 2:00 pm.

XV                   CHAIRPERSON OF PERFORMANCE AND AUDIT COMMITTEE

 

The Chief Finance Officer reported that Doug Cross term of office as Chairperson of the Performance and Audit Committee had come to an end and thanked him for his leadership and stewardship since the Performance and Audit Committee started.

Doug CROSS, Chairperson.