Performance And Audit Committee (integration Joint Board) - 21/05/2025

At a MEETING of the PERFORMANCE AND AUDIT COMMITTEE OF THE DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 21st May, 2025.

 

Present:-

 

Members	Role
Bob BENSON (Chair)	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)
Christine JONES	Acting Chief Finance Officer
Jocelyn LYALL	Chief Internal Auditor
Martyn SLOAN	Person providing unpaid care in the area of the local authority

 

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

 

Jenny HILL	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
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 Dave Berry, David Cheape, Glyn Lloyd and Raymond Marshall.

 

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 29th January, 2025 was submitted and approved.

 

Councillor McHugh reported that she had not received responses to queries she had raised in relation to Article VI. It was agreed that these would be added to the Action Tracker and followed up for response.

 

(b) ACTION TRACKER

 

There was submitted the Action Tracker, PAC15-2025, for meetings of the Performance and Audit Committee for noting and updating accordingly.

 

IV DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP PERFORMANCE REPORT 2024-2025 QUARTER 2

 

There was submitted Report No PAC14-2025 by the Chief Finance Officer providing an update on the 2024/2025 Quarter 3 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) of the report;

 

(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) of the report; 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) that the Lead Officer - Quality, Data and Intelligence would consider with her team how a request for further analysis on data could be provided on a quarterly basis; and

 

(vi) to note, at the request of the Chair, the positive figures in relation to care at home packages.

 

V DUNDEE HEALTH & SOCIAL CARE PARTNERSHIP CLINICAL, CARE & PROFESSIONAL GOVERNANCE ASSURANCE REPORT

 

There was submitted Report No PAC18-2025 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 this report provided and therefore the level of assurance regards clinical and care governance within the Partnership. The timescale for the data within this report is to 31st March 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 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; 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.

 

VI ANNUAL REVIEW OF 2024-2025

 

There was submitted Report No PAC13-2025 by the Chief Finance Officer enabling the Performance and Audit Committee to undertake a self-assessment review of 2024/2025 activity, which would subsequently be utilised to provide assurance to IJB.

 

The Committee agreed:-

 

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

 

(ii) to confirm the activities undertaken by Performance and Audit Committee during 2024/2025 are in line with its remit and terms of reference and instructed a report be submitted to IJB for oversight and assurance purposes.

 

VII IJB DIRECTIONS 2024-2025

 

There was submitted Report No PAC12-2025 by the Chief Finance Officer reviewing and providing assurance that IJB Directions had been issued and implemented during 2024/2025 in line with the IJB Directions Policy.

 

The Committee agreed to note the content of the report advising that Directions detailed in section 4.6 of the report had been issued in line with controls detailed in section 4.5 of the report.

 

VIII QUARTERLY FEEDBACK REPORT 4TH QUARTER 2024/2025

 

There was submitted Report No PAC16-2025 by the Chief Finance Officer summarising feedback received for the Health and Social Care Partnership (HSCP) in the fourth 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 had 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 information would be included in future reports to highlight the possibility of double-counting of complaints in certain circumstances and the issue would be raised with the Chief Officer as a policy consideration that may be required.

 

IX DHSCP STRATEGIC RISK REGISTER UPDATE

 

There was submitted Report No PAC17-2025 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;

 

(ii) to note the entry of a new risk on Increase in National Insurance (Section 6 of the report); and

 

(iii) to note the extract from the Strategic Risk register attached at Appendix 1 to the report.

 

Following questions and answers the Committee further agreed:

 

(iv) to note that a thorough review of the Risk Register following the budget setting process had started and an update would be provided at the IJB Development Session taking place on 11th June 2025.

 

X GOVERNANCE ACTION PLAN PROGRESS REPORT

 

There was submitted Report No PAC19-2025 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).

 

XI DUNDEE INTEGRATION JOINT BOARD INTERNAL AUDIT PLAN PROGRESS REPORT

 

There was submitted Report No PAC20-2025 by the Chief Finance Officer providing an update on 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:

 

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

 

(ii) to note that the Annual Internal Audit Plan for 2025/2026 would be presented to the September 2025 PAC meeting; and

 

(iii) to consider the changes arising from the new Global Internal Audit Standards (GIAS) and the implications for the Internal Audit Service and the PAC.

 

Following questions and answers the Committee further agreed:

 

(iv) that consideration would be given to having a fuller presentation on GIAS at a future meeting or Development Session; and

 

(v) that Jocelyn Lyall would feedback to Councillor McHugh in relation to her query about the NHS Tayside Savings Governance report and the Financial Recovery Action Plan.

 

XII ATTENDANCE LIST

 

There was submitted Agenda Note PAC21-2025 providing attendance returns for meetings of the Performance and Audit Committee held over 2025.

 

The Committee agreed to note the position as outlined.

 

XIII DATE OF NEXT MEETING

 

The next meeting of the Committee will be held on Wednesday 24th September, 2025 at 10.00am.

 

 

 

 

Bob BENSON, Chairperson.