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Full text of "Integration Joint Board - 29/08/2019"

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NORTH AYRSHIRE 

Health and Social Care 
Partnership 


North Ayrshire Health and Social Care Partnership 
Performance and Audit Committee 

Friday 8 March 2019 at 10.15 a.m. 

Council Chambers, Cunninghame House, Irvine 


Present 

Councillor Timothy Billings, North Ayrshire Council (Chair) 

David Donaghey, Staff Representative, NHS Ayrshire and Arran 
Marie McWaters, Carers Representative 

In Attendance 

Stephen Brown, Director of the North Ayrshire Social Care Partnership 
Caroline Whyte, Head of Finance (HSCP) 

Anne-Marie Fenton, Team Manager - Internal Audit 

Eleanor Currie, Principal Manager - Finance 

Neil McLaughlin, Manager (Performance and Information Systems), 

NAHSCP 

Pat Kenny, Deloitte 

Euan Gray, Committee Services Officer, NAC 

Apologies for Absence 

Mr Alistair McKie, NHS Ayrshire and Arran (Vice-Chair) 

Louise McDaid, Staff Representative, North Ayrshire 


1. 

Apologies 



The Committee noted apologies from Alistair McKie and Louise McDaid. 


2. 

Declarations of Interest 



There were no declarations of interest in terms of Standing Order 7.2 
and Section 5.14 of the Code of Conduct for Members of Devolved 
Public Bodies. 


3. 

Minutes/Action Note 



The accuracy of the Minutes of the meeting held on 31 August 2018 
were confirmed and the Minutes signed in accordance with 
Paragraph 7(a) of Schedule 7 of the Local Government (Scotland) Act 
1973. 

The Chair confirmed that all of the actions were either completed or 
would be addressed by the items on the agenda. 















NORTH AYRSHIRE 

Health and Social Care 
Partnership 


4. 

Updated Terms of Reference 



Submitted a report by the Head of Finance (HSCP) on the updated 
terms of reference for the Performance and Audit Committee. 

The Chair stated that the proposed changes to the terms of reference 
were timely given the fact that his two year term is coming to an end and 
that membership changes are expected as Alistair McKie has plans to 
retire. 

The Head of Finance (HSCP) informed the Committee that the updated 
terms of reference would require approval from the IJB and outlined the 
changes as detailed below:- 

• voting members would require substitutes appointed by the IJB; 

• the Chair or Vice Chair would be required to attend a meeting for 
the quorum to be met; and 

• the remit of the Committee is clearly set out with sections for 
performance, audit, risk, annual accounts and standards. 

The Chair requested that a section is added which sets out that PAC 
minutes should be reported to the IJB. 

The Committee agreed to submit the updated terms of reference to the 
IJB for approval subject to the changes mentioned above. 

C. Whyte 

5. 

Performance and Audit Committee Work Pian 2019-20 



Submitted a report by the Head of Finance (HSCP) on the proposed 
Performance and Audit Committee Work Plan for 2019-20. The plan set 
out which reports would appear on each meeting agenda and 
categorised each report under the following headings; Performance, 
Audit, Risk and Other. 

It was suggested that an annual staffing report be added to the plan 
under the "Other" section and that the Internal Audit Plan be added for 
the June meeting. 

The Committee agreed to submit the proposed work plan to the IJB for 
approval subject to the changed mentioned above. 

C. Whyte 

6. 

Q3 2018-19 IJB PAC Report 



Submitted a report by the Performance and Information Systems 
Manager on the performance of the North Ayrshire Health and Social 
Care Partnership in Ouarter 3 of 2018-19. 

The Committee discussed the new format of the report and praised the 
layout for displaying information clearly. The Chair requested that a line 
is added following each item explaining to the reader what information 
the figures and trends infer. A request was also made to change the 
colour used to make it easier to read on-screen. 

N. McLaughlin 











NORTH AYRSHIRE 

Health and Social Care 
Partnership 



Discussion then took place around the targets for each service with a 
number of points raised including:- 

• contrasting observations which can be taken from some trends 
including the number of referrals to CAMHS; 

• trends around short terms staff absences and the impact of 
having a high percentage of the workforce living in areas of 
deprivation; 

• issues around transferring adults to direct payments; and 

• the "anti-vax" movement and whether this has an impact on 
immunisation rates in North Ayrshire. 

Noted. 


7. 

North Ayrshire Proposed MSG Objectives 2019-20 



Submitted a report by the Performance and Information Systems 
Manager on the proposed performance targets for 2019/20. The report 
provided the baseline target from 2014/15, 2018/19 target, 2018/19 
result and the proposed 2019/20 target for each objective. 

The Committee agreed to approve the targets as set out in the report. 

N. McLaughlin 

8. 

External Audit Plan 



Submitted a report by the Engagement Director (Deloitte) on 
the External Audit Plan 2018/19. The report detailed the core audit 
work to be undertaken by Deloitte LLP, who have been designated as 
the IJB’s external auditors for the five year period 2016/2021. A 
paper detailing sector developments was appended. 

Members asked questions and were provided with further information in 
relation to:- 

• areas identified to be declining in performance and whether these 
areas could be highlighted in the quarterly performance report; 

• the impact of Brexit on staffing, the support being offered and 
whether this had been identified in the audit; and 

• areas of innovation identified in the sector developments 
appendix and the benefits of circulating these to HSCP Heads of 
Service. 

Noted. 











NORTH AYRSHIRE 

Health and Social Care 
Partnership 


9. 

Internal Audit Reports Issued 



Submitted a report by the IJB Chief Internal Auditor on the findings of 
relevant audit work. 

The Team Manager - Internal Audit provided details of three audits 
which have been carried out and summarised the findings as follows:- 

1. Charging for Sociai Care Services 

Generated two high, three medium and one low priority actions 
and provided a reasonable assurance. The high priority actions 
were around the management of resources and work plans to 
ensure invoices are raised and the production of procedure notes 
to allow staff to cover absences effectively. 

2. Movers Process 

Generated eight high and one medium priority actions and 
provided a limited assurance. The high priority actions were 
around the use of multiple processes across different teams, the 
role of new line managers in the process, the production of 
written procedures, use of the employee's ID number as a unique 
identifier and the need for reviews of access. 

3. Aids and Adaptations 

Generated one high priority action and provided a substantial 
assurance. The high priority action was around ensuring records 
were updated in a timely fashion. 

Members discussed the use of automatic flags in the NHS which 
highlight when a user has accessed information they should not have 
permission to view and if this method could be used to improve the 
movers process within NAG. There was also a suggestion that staff 
could highlight if they have access to restricted data. 

Noted. 


10. 

Risk Management Governance 



Submitted a report by the Principal Manager - Finance on the proposed 
risk management governance for the NAHSCP. 

The report set out the governance arrangements around strategic and 
operational risks, roles and responsibilities for managing risks and future 
areas for development. The remit of the Clinical and Care Governance 
Group was also set out. 

The Committee agreed to approve the governance arrangements. 

E. Currie 









NORTH AYRSHIRE 

Health and Social Care 
Partnership 


11. 

Integration Authorities - Financiai Performance 



Submitted a report by the Head of Finance (HSCP) on the latest 
summary of financial performance of integrated authorities which 
provides an overview for all IJBs across Scotland. 

Members discussed the total overspend, savings which still have to be 
identified and the level of reserves held. 

The Committee (a) agreed that future summaries should be reported to 
the IJB PAG and (b) noted the report. 

C. Whyte 

12. 

Date of Next Meeting 



The next meeting of the Integration Joint Board Performance and 
Audit Committee will be held on 27 June 2019. 

The Head of Finance (HSCP) informed the Committee that changes 
may be required to the final two agreed meeting dates in 2019 to fit in 
with reporting timetables. 

Members will be consulted prior to any changes. 

Noted. 



The meeting ended at 12.10 p.m.