Governing Body Part a Reports

Public Document Pack

NHS TAMESIDE AND GLOSSOP CCG GOVERNING BODY MEETING

Day:

Wednesday

29 April 2020 11.00 am
Date: Time:

Place:

Via Webcast

Item No.
AGENDA

Page No

PART A

1. 2. 3. 4.
WELCOME AND APOLOGIES DECLARATIONS OF INTEREST

1 - 2

CONSIDERATION OF ANY ITEMS OF URGENT BUSINESS DRAFT MINUTES OF THE GOVERNING BODY MEETING HELD IN PUBLIC

3 - 16

ON 11 DECEMBER 2020 – DR ASAD ALI
5. 6.

a)

ACTIONS ARISING FROM THE LAST MEETING – DR ASAD ALI

17 - 18

FOR GOVERNING BODY ACTION: 2020-21 CCG FINANCIAL PLANNING AND BUDGET SETTING

19 - 34

– KATHY ROE *FOR APPROVAL*

b) c)

MONTH 11 FINANCE REPORT – KATHY ROE *TO NOTE *

35 - 42 43 - 54

DESIGNATED MEDICAL OFFICER: SPECIAL EDUCATIONAL NEEDS & DISABILITIES (SEND) ANNUAL REPORT (2019/20) - GILL GIBSON *TO NOTE*

d) e)

REVISED TERMS OF REFERENCE FOR PRIMARY CARE COMMITTEE - CAROL PROWSE *FOR APPROVAL*

55 - 64 65 - 74

GOVERNING BODY ASSURANCE REPORT – DAVID SWIFT *FOR APPROVAL*

7.

COVID BUSINESS

a)

COVID RESPONSE BOARD: MINUTES OF THE MEETINGS HELD ON 8 AND 15 APRIL 2020

75 - 106

8.

a) b) c)

APPROVED MINUTES OF COMMITTEES: TO RECEIVE MINUTES AND NOTE CONTENT

STRATEGIC COMMISSIONING BOARD: 27 NOVEMBER AND 18 DECEMBER 2019, 22 JANUARY, 12 FEBRUARY AND 25 MARCH 2020

107 - 136

PRIMARY CARE COMMITTEE: 4 DECEMBER 2019, 5 FEBRUARY AND 4 137 - 152 MARCH 2020

FINANCE AND QIPP ASSURANCE GROUP: 27 NOVEMBER AND 18 DECEMBER 2019, 22 JANUARY AND 25 MARCH 2020

153 - 176
From: Tameside and Glossop CCG – any further information may be obtained from the reporting officer or from Jayne Somerville 0161 342 5609, to whom any apologies for absence should be notified.

Item No.
AGENDA

Page No

d)

AUDIT COMMITTEE: 20 NOVEMBER 2019 AND 15 JANUARY 2020

177 - 190

9.

PARTNERSHIP AND GREATER MANCHESTER MEETINGS -

TO RECEIVE APPROVED MINUTES AND NOTE CONTENT :

a) b)

GREATER MANCHESTER JOINT COMMISSIONING BOARD: 17 SEPTEMBER 2019

191 - 200 201 - 208

GREATER MANCHESTER HEALTH AND CARE BOARD: 25 OCTOBER 2019

c)

TAMESIDE HEALTH AND WELLBEING BOARD: 23 JANUARY 2020 DERBYSHIRE HEALTH AND WELLBEING BOARD: 3 OCTOBER 2019 ANY ITEMS OF URGENT BUSINESS

209 - 212 213 - 220

d)

10.

DATE AND TIME OF NEXT MEETING - 20 MAY 2020 AT 1PM

From: Democratic Services Unit – any further information may be obtained from the reporting officer or from Jayne Somerville 0161 342 5609, to whom any apologies for absence should be notified.

NHS Tameside and Glossop CCG Register of Interests Declared Interest
Interest
Date of Declaration/ Confirmation
Action taken in response to the declaration
Date
Withdrawn

Name

Position Held/Member Practice

Membership of Professional

Body
Type of Interest

Financial Financial Financial Non-Financial Professional Interest Non-Financial Professional Interest
Director of AR Medical Consultancy Limited GP Principal Millgate Health Partnership, GP GB Member, GP Trainer HENW, GP appraiser
Governing Body GP

Would not take part in decision making/procurement or other activities relating to this interest.

10/05/19

Asad Ali

RCGP, GMC, BMA

GP Principal Millgate Health

Partnership

Medical Protection Society Senior GP Partner and Trainer

Financial

GP Partner - Market Street Medical

Practice
Royal College of General
Practitioners

Orbit GP federation Share holding practice

Financial

Ashwin Ramachandra Carol Prowse
N/A N/A
13/01/19 06/02/19
Governing Body GP (Clinical Vice Chair)

Nil

Chairman High Peak Theatre Trust

N/A

Lay Member for Commissioning
Husband Dr Saif Ahmed, employed a Clinical Lead for Millbrook Medical Practice, Indirect Clinical Lead for Primary Care for GTD, a Partner at Mossley Medical Practice and
General Medical Council
Governing Body GP

Clinical Director for Frailty and Stalybridge Neighbourhood TGICFT.

Financial

Medical and Dental Defence

Union of Scotland

Christine Ahmed

11/01/19

Non Financial Professional

Millbrook Medical Practice (salaried GP)
Royal College of General
Practitioners

Nil

N/A

Clare Todd

David Swift
Governing Body Nurse

N/A

12/12/18 23/12/18
Nursing & Midwifery Council
Lay Member for Audit and Governance for NHS East Lancashire CCG. Sessional Lay Audit Committee Member for NHS Stockport CCG.
Non-financial professional Non-financial professional Indirect

Lay Member for Governance and Audit Lay Deputy Chair
Chartered Institute of Internal

Audit (Member)

Wife is an Independent Hospital Manager for Mental Health Act Appeals with

MerseyCare NHS Foundation Trust

Caldicott Guardian for Tameside & Glossop CCG as of 31 May 2017

N/A

Nursing and Midwifery Council

Royal College of Nursing
03/01/19 09/01/19

Gillian Gibson

Director of Quality & Safeguarding

Director of Population Health
Nil
Directorships held in private companies or PLC’s; Highgate Spinney (Residents) Management Company Ltd
ADPH (President)
Faculty of Public Health
(Member)
British Medical Association
(Member)
Financial Financial

Jeanelle de Gruchy
Highgate Spinney Property Limited

Director, The Association of Directors of Public Health (ADPH) Trustee, The Men’s Room, Manchester
Non-financial professional Non-financial personal

Programme Director, Care Together Interim Director of Commissioning

Jessica Williams

Nil

27/12/18

Member of Orbit (GP federation)
Royal College of GPs

My husband, Adam Hebden, is employed by Manchester Foundation Trust in the position of Associate Director of Strategy for Royal Manchester Children’s Hospital.
Indirect
Faculty of Sexual and

Reproductive Healthcare

Governing Body GP
Kate Hebden

Kathryn Roe
04/01/19
My brother-in-law, Dr Michael Clark, is a Governing Body GP member of East Cheshire CCG
Denton Medical Practice (GP Partner)
Medical Defence Union

General Medical Council
Indirect

N/A

Hold the post of Director of Finance and Section 151 Officer at Tameside

Metropolitan Borough Council.
Association of Accounting Technicians
Director of Finance / Chief Finance

Officer

N/A

20/12/18

Chartered Institute of Management Accountants

Declared Interest
Date of

Declaration/ Confirmation
Action taken in response to the declaration
Date
Withdrawn

Name

Position Held/Member Practice

Membership of Professional

Body

Interest

Type of Interest

Directorships held in private companies or PLC’s; Local Education Partnership Board Manchester Institute of Health and Performance Airport City (General Partner) Ltd
Chief Executive Tameside MBC and Accountable Officer Tameside & Glossop CCG
Will be declared in any relevant meetings and Chair will decide how to proceed.
Non financial professional Financial Financial

Steven Pleasant

20/12/18

28/01/19
Nil
Non-financial professional Financial
Trustee of National Confidential Enquiry into Patient Outcome and Death (NCEPOD)
Secondary Care Member of Governing

Body

Fellow of Royal College of Physicians of London
Advisor to Clinical Panel Ltd - a company previously attached to Price Waterhouse Copper (PwC)
Timothy Hendra
Chair of Health Care Advisory Group (HCAG)
Non-financial professional

Financial
Member of the Free Mason (not a member of a Lodge in this Area or West of the Pennines) Salaried GP in a practice (Guide Bridge Medical Practice) for which Go-to-Doc (GTD) Primary Care is the contract holder.
We acknowledge that Vinny has an additional conflict (beyond that of being a General Practitioner) through his Clinical Lead role at Go-to-Doc. This will need to be managed by careful consideration of upcoming agenda items and, in line with the CCG’s policy for managing conflicts of interest, by retaining the option of asking Vinny to leave a meeting when he has a conflict.
CCG Governing Body GP Member
Clinical Lead for in hours Primary Care at GTD Healthcare (fixed salary role.)

A GP appraiser contracted by NHS England.
Financial
CCG Clinical Lead for Mental Health and Learning Disabilities (ends 31/3/19)
Medical Protection Society
Non-Financial Professional

Vineet Khunger

18/12/18

Guide Bridge Medical Practice (Salaried GP)

Agenda Item 4

Draft minutes of the Governing Body meeting held on 11 December 2019
Tameside One
Part A
Present

Dr Asad Ali

Co-Chair / GP Member **Chaired meeting **

GP Member – Starting Well GP Member – Primary Care
Dr Christine Ahmed Dr Kate Hebden

Dr Tim Hendra

Secondary Care Consultant

Dr Vinny Khunger Mr Steven Pleasant
GP Member – Primary Care Accountable Officer, NHS Tameside and Glossop CCG and Chief Executive, Tameside Metropolitan Borough Council Lay Member for Commissioning Co-Chair / GP Member – Living Well Governing Body Nurse
Ms Carole Prowse Dr Ashwin Ramachandra Ms Clare Todd

In attendance

Director of Quality and Safeguarding Executive Support Manager
Mrs Gill Gibson Mrs Joanne Keast Dr Jeanelle De Gruchy Mrs Jayne Somerville Mrs Jessica Williams
Public Health Consultant Personal Assistant – Note taker Interim Director of Commissioning and Care Together Programme Director

Apologies

Director of Finance Lay Member for Governance
Mrs K Roe Mr D Swift

1 Welcome and Apologies

A Ali welcomed the Governing Body members and members of the public to the December meeting.

Apologies were noted from K Roe and D Swift.

2 Declarations of Interest

The Governing Body received the Register of Interests as at December 2019. The Chair invited colleagues to advise of any amendments to the Register of Interest over and above those already formally notified to the CCG.

1

Page 3

C Ahmed advised that she is no longer employed as an Extensivist within the Extensive Care Team for the Tameside and Glossop Integrated Care NHS Foundation Trust. It was agreed that the Register be amended to reflect this change.

Action: J Keast

3 Consideration of items of any urgent business

A Ali asked the Governing Body if there were any urgent items of business for today’s meeting. No items of urgent business were put forward.

4 Chairs Intro

A Asad updated colleagues on the outcome of a recent election process for the GP Mental Health role on the Governing Body.

He reported that V Khunger has been elected to the role of Governing Body GP for Mental Health from 1 December 2019.

A Asad advised that, as a result of V Khunger’s new appointment, a vacancy has arisen for his part of the job share role he holds with K Hebden as Governing Body GP for Primary Care.

The Governing Body was asked to consider the proposal for K Hebden to increase her sessional commitment to cover the job share vacancy until her tenure is up for re-election in January 2021.

The Governing Body supported this proposal, subject to there being no objections from the

CCG’s GP membership. It was agreed for a communication to be issued to the GP

membership in this respect.

Action: J Keast

A Ali made reference to a vacancy for a Lay Member on the Governing Body, following M Murdoch’s resignation. He confirmed that the role is to be advertised with interviews scheduled for the end of January 2020. It is hoped that a new Lay Member will commence by April 2020.

A Asad confirmed that arrangements are underway to appoint a Clinical Lead for Effect Use of Resources (maternity cover).

He advised that the CCG Governing Body continues to support the education, training and career progression of GPs within the locality and is recruiting a one-year Post CCT (Certificate of Completion of Training) Fellow to support the Starting Well agenda. This role will work alongside the CCG Governing Body GP Starting Well lead, Dr Christine Ahmed.

The Governing Body:
--

noted the updated

agreed for the increase in K Hebden’s sessional commitment to cover the job share

role of Governing Body GP for Primary Care until January 2021, subject to there being no objections from the CCG’s GP membership.

5 Draft minutes of the Governing Body meeting held on 18 September 2019

A Ali invited the Governing Body members to comment upon the accuracy of the draft minutes of the meeting held on 18 September 2019.

2

Page 4

The Governing Body approved the minutes of the Governing Body meeting held on 18 September 2019.

6 Actions Arising

The Governing Body members reviewed the action log:

041218: Locality wide refresh of mortality figures to be undertaken

Given that the BI team have now completed a piece of work in this respect, an update of which was provided at the last meeting, it was agreed to remove this action from the list.

040319: Formal process to be agreed between the Strategic Commissioning Board and the Governing Body in the event of a collective decision being required for the Greater Manchester Joint Commissioning Board Executive.

This has been addressed and is subject to amendments to the Terms of Reference for the Strategic Commissioning Board.

It was therefore agreed to remove this action from the list.

010519: Council Spending Review to be added to the Single Corporate Risk Register

J Keast to clarify if this has been added to the risk register.

020519: Lessons learnt from Altrincham Hub Review to be captured within the Governing Body development sessions

This was discussed at the development session held on 30 October 2019. It was therefore agreed to remove the action from the list.

010919: Primary Care Access Service (PCAS) Administration Group to be asked to conduct a survey among GP practices to seek preferences regarding list size based allocation of assess

K Heden advised that the group is to meet this afternoon and that she had asked for this request to be put forward for consideration. She agreed to update the Governing Body at its next meeting.

020919: Greater Manchester Joint Commissioning Board: Meeting papers and reports to be confidentially shared with Governing Body ahead of the Joint Commissioning Board meetings, therefore providing members and officers with an opportunity to comment

A Ramachandra confirmed that a process is now in place. It was therefore agreed to remove this action from the list.

The Governing Body noted the updates provided.

7 Update: Ofsted inspection of Children’s Services, Tameside Metropolitan Borough
Council (Tameside MBC)

S Pleasant informed the Governing Body that following the more recent full inspection by Ofsted of Childrens’ Services, Tameside is now moving to a revised Improvement Plan. This will formally report into the Strategic Commissioning Board.

In view of this, the Governing Body was asked to consider the proposal to remove Ofsted

Inspection of Children’s Services from being a standing item on its agenda.

The Governing Body agreed to this proposal.

3

Page 5

8 Commissioning for Reform
8a Locality Plan

M Ashton presented the Governing Body with the final draft of Tameside and Glossop’s

Locality Plan. The Governing Body was asked to review the content and ambition and ratify the document prior to it being shared with the Greater Manchester Health and Social Care Partnership.

The Governing Body was advised that in addition to providing a response to the NHS Long Term Plan (LTP), the refreshed Locality Plan also responds to the Public Service Reform (PSR) mandate to better connect public services within the locality and neighbourhoods by outlining our plans for integrated neighbourhood delivery, Primary Care Networks and place-based commissioning. The Locality Plan also reasserts the core aim of improving population health.

M Ashton advised the Governing Body that the Locality Plan has been devised around proactive preventative personalised care and that it is intended to work with communities within Tameside and Glossop to promote good health being an asset.

He reported that the majority of health indicators have improved with premature mortality from all causes showing a marked decrease with the gap narrowing by 35% from Greater Manchester and 11% from England.

It was reported that, encouragingly, adult smoking prevalence has reduced considerably, school readiness has improved, alcohol related hospital admissions have been reducing year on year, falls in older people aged 65 years and over have reduced across all age ranges and deaths in usual place of residence has shown the biggest increase in England.

M Ashton advised that the Locality Plan details the key priority work programmes proposed for the next 12 months which include: