Meeting Details

There were no declarations of Members' interests in respect of any item on the agenda.

The Minute of the meeting dated 26 July 2018 was submitted and approved.

The Action Log of the meeting dated 26 July 2018 was discussed and it was noted that all items had been completed.

A report by the Chief Officer (CO) provided an overview of the current strategic risks, along with a summary of actions in place to mitigate those risks, updated as at September 2018. 

It was advised that NHS and Moray Council use 2 different systems to record information and investigations are ongoing looking into how information can be combined. 

Discussion took place on the risks involved in relation to the CO taking on an executive leadership role covering Dr Gray's Hospital.  The CO advised she would present a report in November that would provide answers to queries raised. 

There was further discussion on the nature of the actions and how they are being addressed and a request was made for a report to be presented in November outlining plans to refine actions and thereafter a further report being presented in March 2019 advising progress. 

Thereafter the Committee agreed to:

1. note the updated Strategic Risk Register;
   
   
   
2. task the CO with presenting a report in November in relation to her executive leadership role at Dr Gray's Hospital; and
   
   
   
3. task the Corporate Manager with presenting a report in November on plans to address actions, with a further report in March 2019 advising progress.

A report by the Chief Financial Officer presented a summary of findings from a recent NHS Grampian internal audit review carried out by PricewaterhouseCooper.  The audit assessed the performance reporting and Key Performance Indicator processes of the three Integration Joine Boards within the Grampian Health Board area.

Discussion took place on the process for bringing the report to Committee and how actions required are recorded and by exception reported back to Committee.  The Chief Financial Officer agreed to consider a process for providing this assurance to the Committee.

Under the Management comment on page 3 of appendix 1 of the report it was advised that where it refers to comment by the councils this should refer to comment by the Integration Joint Boards.

The Chair undertook to write to the NHS Grampian Committee to highlight disappointment that this was noted incorrectly.

Thereafter the Committee agreed to:

1. note the findings from the audit, attached as appendix 1 to the report;
   
   
2. note the management responses to the audit recommendations and timescales outlined in appendix 1 of the report;
3. task the Chief Financial Officer with developing an assurance process for the Committee on monitoring and exception reporting actions arising from audits; and
   
   
4. task the Chair with writing to the NHS Grampian Committee to highlight disappointment that the Management comment was listed as being from the council and not the Integration Joint Board.

Under reference to paragraph 5 of the Minute of the meeting of the Audit and Scrutiny Committee of Moray Council dated 23 May 2018 a report by the Chief Internal Auditor provided information on the proposed internal audit coverage for completion in the current 2018/19 financial year.

Following consideration the Committee agreed to the proposed audit coverage.

Under reference to paragraph 9 of the draft Minute of the meeting of this Committee dated 26 July 2018 a report by the Chief Internal Auditor provided an update on audit work concluded since the last meeting of the Committee.

Discussion took place on what is done in respect of following up actions to ensure they have been completed.  It was advised actions were followed up by the senior management team and that no formal reporting to Committee was undertaken as reporting was by exception.

Following further discussion it was agreed a further report, to the next meeting, would allow Committee to understand what needed addressed and what processes were in place to ensure actions had been undertaken.

Thereafter the Committee agreed to:

1. note the contents of the update report together with the completed audit reviews; and
   
   
2. seek a further report, to the next meeting.

Mrs Webb took the position of Chair in the absence of Dame Anne Begg.