Public Board Meeting of the Lincolnshire Clinical Commissioning Group (CCG) To be held on Wednesday, 25th August 2021 at 9.30 am This meeting will be held virtually BOARD MEETING - PUBLIC DATE Wednesday, 25th August 2021 TIME 9.30 am VENUE To be held virtually as a Live Event AGENDA ENCLOSURE ITEM NUMBER ACTION LEAD TIME /VERBAL STANDING ITEMS 1. Welcome and Introduction from the - Verbal All 9.30 CCG Chair - Apologies for Absence - Declarations of pecuniary and non-pecuniary interests and conflict of interests 2. Minutes of the previous meeting held Approve Enclosures All 9.35 on 28th July 2021 - Matters arising - Action Log Receive Enclosure Mr Sean Lyons 3. Update from the CCG Chair and Note Verbal Mr Sean Lyons & 9.40 Chief Executive Mr John Turner 3.1 Petition by Better Health For Note Enclosure Mr Sean Lyons & Mr Stamford (BH4S) regarding primary Turner care services in Stamford GENERAL ISSUES 4. COVID-19 Pandemic Update 10.00 4.1 Report in relation to the NHS Note Enclosure Mrs Clair Raybould System and CCG response to COVID-19 Pandemic, including the Vaccination Programme 4.2 Public Health update Note Verbal Professor Derek Ward 10.15 4.3 Healthwatch update Note Verbal Mrs Sarah Fletcher 10.25 QUALITY, PERFORMANCE AND PATIENT EXPERIENCE 5. Integrated Performance Report – Note Enclosure Mr Martin Fahy/ 10.35 August 2021 Mr Matt Gaunt BREAK FINANCE 6. CCG and System Finance Report – Consider Enclosure Mr Matt Gaunt 11.05 July 2021 (Month 4) STRATEGY AND PLANNING 7. Update on the White Paper – Note Verbal Mr John Turner 11.15 Innovation and Integration 8. Older Adults Mental Health Services Note Enclosure Mr Andy Rix 11.25 GOVERNANCE No specific items MINUTES FROM COMMITTEES, ESCALATION REPORTS AND TERMS OF REFERENCE No specific items 9. To identify any areas of risk to be Discuss Verbal All 11.35 included on the Risk Register 10. Date and Time of the Next Meeting – Close 29th September 2021 at 9.30 am – to be held as a Live Event via MS Teams Please send apologies to: Jules Ellis-Fenwick, CCG Board Secretary via email at: [email protected] Papers are available on the CCG website at www.lincolnshireccg.nhs.uk In case of difficulty accessing the papers, please contact – Jules Ellis-Fenwick, CCG Board Secretary on 07825 938794 or via email as above Confidential Motion: The Board will resolve that representatives of the press and other members of the public be excluded from the remainder of this meeting, having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest (Section 1[2] Public Bodies [Admission to Meetings] Act 1960) Subject to approval by the Board at its next meeting MINUTES OF THE NHS LINCOLNSHIRE CLINICAL COMMISSIONING GROUP BOARD MEETING HELD VIRTUALLY ON WEDNESDAY, 28th JULY 2021 AT 9.30 AM PRESENT: Dr Gerry McSorley Non-Executive Director (Chair for the meeting) Dr Majid Akram GP and Clinical Lead, South Locality Dr Dave Baker GP and Clinical Lead, South West Locality Dr David Boldy Secondary Care Doctor Mrs Fenella Chambers Non-Executive Director Mr Jim Connolly Non-Executive Director Mr Martin Fahy Director of Nursing and Quality Mr Graham Felston Non-Executive Director (with effect from 1st July 2021) Mr Matt Gaunt Director of Finance and Contracting Mrs Janet Inman Non-Executive Director Mr Pete Moore Non-Executive Director Dr John Parkin GP and Clinical Lead, West Locality Mr John Turner Chief Executive N ATTENDANCE: Mr Pete Burnett System Strategy and Planning Director Mrs Jules Ellis-Fenwick CCG Corporate Secretary/Manager Mrs Sarah Fletcher Chief Executive, Healthwatch Mr Andy Fox Consultant in Public Health, Public Health Representative Mrs Sarah-Jane Mills Chief Operating Officer, West Locality Ms Sue Liburd Non-Executive Director Mrs Clair Raybould Director of Operations (lead for South West Locality) – from item 5 onwards) Mr Andy Rix Chief Operating Officer, South Locality Mrs Sandra Williamson Chief Operating Officer, East Locality APOLOGIES: Dr James Howarth GP and Clinical Lead, East Locality Mr Sean Lyons CCG Chair Professor Derek Ward Director of Public Health Cllr Sue Woolley Chair of the Health and Wellbeing Board 21/249 WELCOME AND INTRODUCTIONS Dr McSorley advised that he would be Chairing the Board meeting on this occasion as Mr Lyons was on annual leave. Dr McSorley welcomed everyone to the Lincolnshire CCG Board meeting, highlighting this was Mr Felston’s first meeting as the new Non-Executive Director, having replaced Mr Murray Macdonald from 1st July 2021. Dr McSorley advised the meeting was being held via Microsoft Teams as a live event, which included a facility for members of the public to post any questions they wished to submit either through the Question and Answers facility, or alternatively a proforma was available on the CCG website, which should be submitted to Mrs Julie Ellis-Fenwick, CCG Board Secretary. Dr McSorley emphasised that this is a meeting held in public and not a public meeting. As such any questions submitted would be responded to after the meeting subject to inclusion of name and contact details. Questions will be published on the CCG website in future along with the response in terms of being open and transparent. 1 Subject to approval by the Board at its next meeting The Board Members and those in attendance were asked to remain ‘muted’ until they wished to ask questions which will be monitored throughout the meeting and also asked to ensure they introduced themselves either when presenting items or asking questions. 21/250 DECLARATIONS OF PECUNIARY AND NON PECUNIARY INTERESTS AND CONFLICTS OF INTERESTS Dr McSorley reminded the Board members of their obligation to declare any interest they may have on any issues arising at the meeting which might conflict with the business of the CCG. Declarations made by members of the Board are listed in the CCG’s Register of Interests. The Register is available either via the CCG Board Secretary or the CCG website Declaration of Interest from Committees: No items declared. Declarations of Interest from today’s meeting: Dr David Boldy advised that the Integrated Performance Report included in the pack of papers made reference to the Medical Examiner at United Lincolnshire Hospitals NHS Trust (ULHT); he had previously worked as a part-time Medical Examiner for ULHT during December 2020 and January 2021 as a result of the COVID-19 pandemic and asked that this be noted. Mrs Ellis- Fenwick noted the details for inclusion in the minutes. The Board agreed to: • Note the interest as declared. 21/251 MINUTES OF THE PREVIOUS MEETING The minutes from the previous meeting held on 30th June 2021 (not the 26th May and 9th June 2021 as stated on the agenda) were presented and the Board agreed to: • Approve the minutes as a true record subject to the following amendment: - Mr Matt Gaunt should be listed under apologies, not present. 21/252 MATTERS ARISING The Action Log was presented which included three actions; all of which were identified as delivered or the additional information requested had been added to specific reports which were included in the pack of papers for today’s meeting. The Board agreed to: • Note the Action Log. 21/253 UPDATE FROM THE CHAIR AND CHIEF EXECUTIVE Dr McSorley provided a briefing and highlighted the following: • Mr Lyons continued to attend the fortnightly Regional Chairs meeting where regional key priorities and performance is discussed. Lincolnshire is performing very well by comparison to other areas, particularly in terms of the vaccination programme, which has been acknowledged by the NHSEI Regional Team. • A specific point of note is that there is an increasing focus on the ‘green’ NHS agenda and initial attention will be given to anaesthetic gases and metered dose inhaler prescribing. • Mr Lyons had recently chaired the Lincolnshire System Leaders Board in the absence of Mrs Elaine Baylis who is the regular Chair. There was a full agenda at the latest meeting including vaccination update, update on the Lincolnshire Strategic Investment Infrastructure Group which is Chaired by Ms Sarah Connery, Acting Chief Executive, Lincolnshire Partnership NHS Foundation Trust (LPFT), planning update and a progress report on the Acute Services Review (ASR). 2 Subject to approval by the Board at its next meeting • There was also a discussion about staff welfare, with an acknowledgement that individuals should continue to be encouraged to ensure they take their annual leave and seek support as and when they feel appropriate. • Mr Turner, Mr Lyons and other CCG Executive colleagues had recently attended an initial meeting with local Dentistry, Optometry, Pharmacists and general practice representatives entitled the ‘Four Pillars of Primary Care’ This was a pre-meeting in preparation for what is anticipated to move from being a delegated commissioning responsibility of the CCG to under the remit of the ICS. There were concerns raised about resourcing in terms of dentistry and optometry specifically. A set of actions have been agreed following that meeting and further meetings are being arranged to take place later in the year. • The monthly Local Outbreak Engagement Board meeting had recently taken place with updates provided on the vaccination programme and the progress to date was commended. There was also a briefing provided on wider operational pressures across the system. On a final note, Mr Lyons had attended the first meeting of the ICS Development Board which will be called the Better Lives Lincolnshire Development Board going forward. The meeting was attended by NHS Chairs, Mr Turner, Mrs Debbie Barnes, Chief Executive, Lincolnshire County Council and Councillor Sue Woolley and the he Terms of Reference were agreed and the emphasis will be on addressing the health needs of the population and ensuring meaningful consultation as and when required.