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NHS Mid Essex CCG Annual Report and Accounts 2019/20

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NHS Mid Essex CCG Annual Report and Accounts 2019/20 NHS Mid Essex CCG Annual Report and Accounts 2019/20 We want everyone in mid Essex to livewell NHS Mid Essex CCG Annual Report and Accounts 2019/20 Contents Contents........................................................................................................................................... 2 Chair’s foreword ............................................................................................................................... 3 1. Performance Report .................................................................................................................. 4 Accountable Officer’s introduction ................................................................................................ 4 1.1 Performance Overview ........................................................................................................... 5 1.1.1 What Mid Essex CCG does .............................................................................................. 5 1.1.2 Key issues and challenge ............................................................................................... 12 1.1.3 Performance Summary ................................................................................................... 17 1.1.4 Financial Overview ......................................................................................................... 21 1.2 Performance Analysis ........................................................................................................... 26 1.2.1 Improve quality ............................................................................................................... 26 1.2.2 Health and wellbeing strategy ........................................................................................ 33 1.2.3 Engaging people and communities................................................................................. 34 1.2.4 Reducing health inequality ............................................................................................. 41 1.2.5 Detailed review of the CCG’s development and performance ........................................ 43 1.2.6 Sustainable development ............................................................................................... 51 2. Accountability Report............................................................................................................... 53 2.1 Corporate Governance Report.............................................................................................. 54 2.1.1 Members Report – member practices ............................................................................ 54 2.1.2 Composition of Governing Body ..................................................................................... 55 2.1.3 Personal-data-related incidents ...................................................................................... 60 2.1.4 Statement as to disclosure to auditors ............................................................................ 60 2.1.5 Donations to political parties and charitable organisations ............................................. 60 2.1.6 Modern Slavery Act ........................................................................................................ 61 2.1.7 Statement of Accountable Officer’s Responsibilities....................................................... 61 2.2 Governance Statement ......................................................................................................... 63 2.2.1 Scope of responsibility .................................................................................................... 63 2.2.2 Governance arrangements and effectiveness ................................................................ 64 2.2.3 Risk management arrangements and effectiveness ....................................................... 71 2.2.4 Other sources of assurance ........................................................................................... 73 2.2.5 Control Issues................................................................................................................. 78 2.2.6 Review of economy, efficiency and effectiveness of the use of resources ..................... 79 2.2.7 Review of the effectiveness of governance, risk management and internal control ....... 83 2.3 Remuneration and Staff Report ............................................................................................ 84 2.3.1 Remuneration Committee Report ................................................................................... 84 2.3.2 CCG staff ........................................................................................................................ 93 2.3.3 Expenditure on consultancy ......................................................................................... 100 2.3.4 Off-payroll engagements .............................................................................................. 100 2.3.5 Pension liabilities .......................................................................................................... 101 2.4 Parliamentary Accountability and Audit Report ................................................................... 102 3. Independent Auditor’s Report to the Members of the Governing Body ................................. 103 4. Annual Accounts ................................................................................................................... 106 Appendix A: Glossary of non-financial terms ............................................................................... 107 Appendix B: Glossary of financial terms ...................................................................................... 109 2 NHS Mid Essex CCG Annual Report and Accounts 2019/20 Chair’s foreword It is something of a cliché to say, “It has been a busy year,” in an annual report but 2019/20 has proven to be uniquely challenging to say the least. The principal reason for this of course is the pandemic of novel coronavirus known as COVID-19. This global threat to our health has seen an unprecedented response from the NHS and partner organisations. NHS Mid Essex Clinical Commissioning Group (CCG) and our neighbouring CCGs in the south of the county were a key part of organising the local response to the virus to limit its spread and treat the people who fell ill as a result of the virus. It will probably be some time before we have a full understanding of the effect COVID-19 has had on our health and care system and our society, but I can already say with a great deal of confidence that Mid Essex CCG’s member GP practices and staff have all made an enormous effort to help our residents to livewell through the pandemic. Many of the nurses who work in the CCG’s Quality team, whose work you can read about later in this report, returned to front-line care. Pharmacists from our Medicine Optimisation team joined them, and some of our non-clinical staff were also redeployed across mid and south Essex, even into other parts of the NHS, so we could act in as unified and coordinated fashion as possible. Local GPs had to change completely the way they worked to protect their staff and patients, in an almost impossibly short time-frame. And our acute hospitals and community NHS providers totally shifted focus of their work to coronavirus response. Swift action was needed to save lives and I am hugely proud of my fellow NHS and social care colleagues, and other key workers who have helped us stay on our feet, for their vital efforts during what many have found a frightening time. Months before the COVID-19 outbreak, Mid Essex CCG was already managing another, more localised, outbreak of invasive Group A streptococcus or iGAS. We led the incident management of this outbreak and worked in partnership with our community healthcare provider, regional bodies and other partners. The incident management team had planned to publish an independent serious incident investigation report on the iGAS outbreak in the Spring of 2020. The purpose of this independent investigation was to draw together the findings and learnings from those affected or involved in managing the incident, so steps may be taken to reduce the risk of reoccurrence. NHS resources, like many other public services, are now focused on responding to the COVID-19 pandemic. In April 2020, we informed families affected by the iGAS outbreak and other stakeholders that we would release the report once the NHS has started to recover from the impact of COVID-19. However, we will not let the delay stop us making improvements that can be actioned now. Our thoughts remain with all those who lost their lives to both iGAS and COVID-19. Dr Anna Davey Chair, NHS Mid Essex CCG 16 June 2020 3 NHS Mid Essex CCG Annual Report and Accounts 2019/20 1. Performance Report Accountable Officer’s introduction I contribute to this Annual Report within 40 days of starting as interim Accountable Officer, or AO, for the 5 Mid and South Essex CCGs. When asked to step into the role of Joint AO (and Lead Executive for the Health and Care Partnership of which the CCGs are part) I expected much of my time to be focused on strengthening the commissioning and other functions across our geography. So, I was very appreciative of the outgoing Accountable Officers’ in-depth handovers and pleased to see how much progress local GP practices had made in forming Primary Care Networks. Such changes lay the foundations for delivery of the NHS Long Term Plan that you can read more about
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