At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held at Dundee on 12th February, 2019.

Present:-

Members

Role

Helen WRIGHT (Chairperson)

Nominated by Dundee City Council (Elected Member)

Jenny ALEXANDER

Nominated by Health Board (Non Executive Member)

Dave BERRY

Chief Finance Officer

David W LYNCH

Chief Officer

Norman PRATT

Nominated by Health Board (Non Executive Member)

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

Colin CARMICHAEL

Corporate Services, Dundee City Council

Stephen HALCROW

Dundee Health and Social Care Partnership

Clare HARPER

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

David VERNON

Corporate Services, Dundee City Council

Helen WRIGHT, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Ken LYNN

Nominated by Dundee City Council (Elected Member)

Raymond MARSHALL

Staff Partnership Representative

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 27th November, 2018 was submitted and approved.

IV                     MEASURING PERFORMANCE UNDER INTEGRATION 2019/20 SUBMISSION

There was submitted Report No PAC1-2019 by the Chief Finance Officer seeking approval of the 2019/20 submission made by the Partnership to the Ministerial Strategic Group for Health and Community Care (MSG) as part of the Measuring Performance Under Integration Workstream.

The Committee agreed:-

(i)                     to endorse the 2019/20 submission to the MSG as outlined in Appendix 3 of the report;

(ii)                    to note the methodology used to develop proposed targets for submission to the MSG as outlined in section 4.2.1, Appendix 1 and Appendix 2 of the report; and

(iii)                    to note that 2019/20 targets will remain in draft until such times as the Integration Joint Board budget for 2019/20 has been confirmed as outlined in section 4.2.2 of the report.

V                      DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2018/19 QUARTER 2

There was submitted Report No PAC2-2019 by the Chief Finance Officer updating Committee on 2018/19 Quarter 2 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, at both Dundee and locality levels, against the National Health and Wellbeing Indicators as summarised in section 6 and Appendix 1 of the report;

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

(iv)                   to instruct the Chief Finance Officer to submit to Committee summary reports only for Quarters 1 and 3 of each financial year and full performance reports for Quarters 2 and 4 of each financial year, as described in section 7 of the report.

A number of queries arose around re-admission rates and the Committee noted that a report on re-admissions would be presented to the next meeting of the Committee.

VI                     2018/19 MID-YEAR PERFORMANCE SUMMARY

 

On a reference to Article VIII of the minute of this Committee of 13th February, 2018 there was submitted Report No PAC3-2019 by the Chief Finance Officer providing Committee with a summary of performance against key areas of service delivery reflected in the National Health and Wellbeing Outcomes and Indicators and Measuring Performance Under Integration Targets in the first six months of 2018/19.

 

The Committee agreed:-

 

(i)                     to note the performance in each service delivery area from 1st April, 2018 to 30th September, 2018 as outlined in Appendix 1 of the report;

 

(ii)                    to note the areas of improving performance achieved by the Partnership in comparison to the pre-integration position (2015/16) as outlined in section 4.2 of the report;

 

(iii)                    to note the areas in which variation in performance between LCPPs had narrowed in comparison to the pre-integration position as outlined in section 4.3 and Appendix 1 of the report; and

 

(iv)                   to note planned improvement actions and timescales and planned investment in relation to areas of service delivery where performance has not been improving as outlined in setions 4.6 and 4.7 of the report.

 

The Committee also noted that future mid-year Performance Summary reports would be more in line with the format of the Annual Performance Report.

 

VII                    FALLS PERFORMANCE AND ACTION PLAN

 

On a reference to Article IX of the minute of this Committee of 29th May, 2018 there was submitted Report No PAC6-2019 providing assurance that issues in relation to falls related hospital admissions in Dundee had been identified and that an associated action plan had been developed to address the identified issues.

The Committee agreed:-

(i)                     to note the content of the report; and

(ii)                     to note the current activity to reduce falls related hospital admissions, prevent incidences of falls and support people who had fallen or who were at risk of a fall.

Jenny Alexander asked for information on what was being done to reduce the 15 week waiting time from referral for Otago maintenance classes and it was agreed that Diane McCulloch would get information and feedback.

VIII                   CLINICAL, CARE AND PROFESSIONAL GOVERNANCE (CCPG) GROUP CHAIRS ASSURANCE REPORT

There was submitted Report No PAC4-2019 by the Clinical Director, Dundee Health and Social Care Partnership providing the Committee with an update on the most recent Dundee Health and Social Care Partnership Clinical, Care and Professional Governance Committee.

The Committee noted the content of the assurance report.

The Committee also noted that meetings were taking place to review the Tayside Clinical, Care and Professional Governance Framework.

Jenny Alexander asked to be provided with details of what mandatory training had not been carried out and it was agreed that this would be provided following the next meeting of the CCPG Group.

IX                     TRANSFORMATION AND SERVICE REDESIGN INTERNAL AUDIT REPORT

There was submitted Report No PAC9-2019 by the Chief Finance Officer advising Committee of the outcome of the Internal Audit assessment of the Integration Joint Board Transformation and Service Redesign Programme.

The Committee agreed:-

(i)                     to note the content of the Internal Audit assessment of the Integration Joint Boards Transformation and Service Redesign Programme as set out in Appendix 1 of the report; and

 

(ii)                     to remit the Chief Finance Officer to provide an action plan to respond to the issues raised within the report at the Committee that would be held on 28th May, 2019.

 

X                      2017/2018 ANNUAL INTERNAL AUDIT REPORT ACTION PLAN UPDATE

 

On a reference to Article XII of the minute of meeting of this Committee of 25th September, 2018 there was submitted Report No PAC7-2019 by the Chief Finance Officer providing an update in relation to the agreed actions to deliver areas for improvement arising from the 2017/18 Annual Internal Audit Report.

The Committee agreed:-

(i)                     to note the progress of the action plan developed to respond to the range of areas for improvement contained within the Integration Joint Boards 2017/18 Annual Internal Audit Plan as set out in Appendix 1 of the report; and

(ii)                     to remit the Chief Finance Officer to report back to Committee by June, 2019 outlining the status of the outstanding actions.

 

XI                     RISK MANAGEMENT ACTION PLAN

 

On a reference to Article IX of the minute of meeting of this Committee of 25th September, 2018 there was submitted Report No PAC8-2019 by the Chief Finance Officer seeking approval of Committee to implement the Risk Management Action Plan which had been developed in response to the outcome of the Internal Audit assessment of the Risk Maturity of the Integration Joint Board.

The Committee agreed:-

(i)                     to approve the Action Plan, which was presented as Appendix 1 of the report, in response to the Internal Audit assessment of the Risk Maturity of the Integration Joint Board that was presented to this Committee on 25th September, 2018; and

 

(ii)                     to instruct the Chief Finance Officer to provide an update on the Action Plan to Committee in September, 2019.

 

XII                    DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

On a reference to Article VII of the minute of meeting of this Committee of 28th November, 2017 and Article XII of the minute of meeting of 31st July, 2018 there was submitted Report No PAC5-2019 by the Chief Finance Officer providing Committee with a progress update in relation to the current Internal Audit Plan.

The Committee agreed to note the substantial completion of the 2017/18 Internal Audit Plan, with the one remaining review at draft stage, as well as the continuing delivery of the 2018/19 plan as outlined in the report.

XIII                   MEETING OF PERFORMANCE AND AUDIT COMMITTEE 2018 ATTENDANCES

There was submitted Agenda Note PAC11-2019 providing a copy of the attendance return for meetings of the Performance and Audit Committee held 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 Monday, 25th March, 2019 at 2.00 pm.

Helen WRIGHT, Chairperson.