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 March, 2019.

Present:-

Members

Role

Ken LYNN (Chairperson)

Nominated by Dundee City Council (Elected Member)

Helen WRIGHT

Nominated by Dundee City Council (Elected Member)

Dave BERRY

Chief Finance Officer

David W LYNCH

Chief Officer

Jane MARTIN

Chief Social Work Officer

Tony GASKIN

Chief Internal Auditor

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

Stephen HALCROW

Dundee Health and Social Care Partnership

Clare HARPER

Dundee Health and Social Care Partnership

Diane McCULLOCH

Dundee Health and Social Care Partnership

Kathryn SHARP

Dundee Health and Social Care Partnership

Sheila WEIR

Dundee Health and Social Care Partnership

Anne Marie MACHAN

Audit Scotland

Ewan ROBERTSON

Audit Scotland

Councillor Ken LYNN, Chairperson, in the Chair.

I                       APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Jenny ALEXANDER, Nominated by Health Board (Non Executive Member)

Norman PRATT, Nominated by Health Board (Non Executive Member)

Raymond MARSHALL, Staff Partnership Representative

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 12th February, 2019 was submitted and approved.

IV                     READMISSIONS PERFORMANCE ANALYSIS

There was submitted Report No PAC10-2019 by the Chief Finance Officer providing assurance to Committee that in-depth analysis of readmissions performance had been provided to relevant professionals and groups in order to support improvement.

The Committee agreed:-

(i)                     to note the content of the report and the analysis of readmissions as outlined in Section 5 and Appendix 1 of the report;

 

(ii)                    to request that the Unscheduled Care Board consider the findings of the analysis with a view to further informing operational decision making and improvement actions;

 

(iii)                    to request that the Home and Hospital Transitions Group further considers the local variation in readmission rates with a view to developing targeted responses to reduce variation; and

 

(iv)                   that further analysis would be carried out using available benchmarking information and be reported back to Committee in July.

 

V                      STANDARDISED LOCALITY PERFORMANCE ANALYSIS

There was submitted Report No PAC12-2019 by the Chief Finance Officer providing assurance to Committee that analytical work was being undertaken to better understand variation in performance against the National Health and Wellbeing Indicators across Local Community Planning Partnerships (LCPP) and to share emerging findings for initial analytical work.

The Committee agreed:

(i)                     to note the content of the report and the analysis of locality performance which was attached as an Appendix to the report;

 

(ii)                    to note the findings of initial analysis of LCPP performance when standardised for deprivations, sex and age as outlined in Sections 4.7, 4.8 and Appendix 1 of the report;

 

(iii)                    to note the next steps to be undertaken to better understand and build upon the initial analysis outlined at Section 4.9 of the report;

 

(iv)                   to instruct the Chief Finance Officer to provide an update on locality performance to Committee no later than 30th September, 2019; and

 

(v)                    to remit the Chief Finance Officer to arrange for the analysis to be shared with LCPPs and Chairs of the Dundee Partnership Executive Boards.

 

VI                     LOCAL GOVERNMENT BENCHMARKING FRAMEWORK 2017/18 PERFORMANCE

There was submitted Report No PAC13-2019 by the Chief Finance Officer informing Committee of the Performance of Dundee Health and Social Care Partnership towards the social care indicators in the Local Government Benchmarking Framework (LGBF) for the financial year 2017/2018 and to approve the proposed targets for future ranking.

The Committee agreed:-

(i)                     to note the performance detailed in the report and Appendix 1 of the report;

(ii)                    to approve the proposed targets for future rank set out in Table 1 Appendix 1 and described in Section 4.6 of the report; and

(iii)                    to note that the LGBF performance information would be published on the Dundee City Council website.

VII                    DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP SUMMARY PERFORMANCE REPORT 2018/19 QUARTER 3

There was submitted Report No PAC14-2019 by the Chief Finance Officer updating the Committee on 2018/19 Quarter 3 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 Appendix 1 Tables 1, 3 and 4 and Section 6 of the report; and

 

(iii)                    to note the performance of Dundee Health and Social Care Partnership against the Measuring Performance Under Integration interim targets as summarised in Appendix 1 Table 2.

VIII                   GOVERNANCE ACTION PLAN

There was submitted Report No PAC15-2019 by the Chief Finance Officer considering a proposed Governance Action Plan to enable the Committee to regularly monitor progress in implementing agreed actions arising from internal and external audit recommendations.

The Committee agreed:-

(i)                     to note and approve the proposed Governance Action Plan as outlined in Appendix 1 of the report; and

(ii)                     to remit the Chief Finance Officer to present an update progress report to each Committee meeting.

 

IX                     AUDIT SCOTLAND ANNUAL AUDIT PLAN 2018/19

There was submitted Report No PAC16-2019 by the Chief Finance Officer noting and approving the proposed Dundee Integration Joint Board (IJB) Annual Audit Plan 2018/2019 as submitted by the IJBs appointed External Auditor (Audit Scotland).

 

The Committee agreed:-

 

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

 

(ii)                     to approve the proposed Audit Plan for 2018/2019 as submitted by Audit Scotland attached as Appendix 1 to the report.

 

X                      DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

There was submitted Report No PAC18-2019 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 continuing delivery of the 2018/2019 plan as outlined in the report.

 

XI                     MEETING OF PERFORMANCE AND AUDIT COMMITTEE 2019 ATTENDANCES

 

There was submitted Agenda Note PAC17-2019 providing a copy of the attendance return for meetings of the Performance and Audit Committee held over 2019.

 

The Committee noted the position as outlined.

 

XII                    DATE OF NEXT MEETING

 

The Committee noted that the next meeting would be held in Committee Room 1, 14 City Square, Dundee on Tuesday, 28th May, 2019 at 2.00 pm.

 

Ken LYNN, Chairperson.