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NHS Leeds West Clinical Commissioning Group Annual Report and Accounts 2015–2016 CONTENTS

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NHS Leeds West Clinical Commissioning Group Annual Report and Accounts 2015–2016 CONTENTS NHS Leeds West Clinical Commissioning Group Annual Report and Accounts 2015–2016 CONTENTS Annual Report 3 Accountable Officer’s Foreword 4 Chair’s Message 9 Introduction to the CCG’s Annual Report from our Member Practices 11 The Nature and Purpose of NHS Leeds West Clinical Commissioning Group 13 Our Business Model 15 Performance Report 16 Overview of Performance – Statement from the Accountable Officer 17 Financial Outlook 18 CCG Assurance Framework 20 Healthcare in Leeds 21 Research Studies 25 Quality and Safety 26 Reducing Health Inequalities 30 Meeting our Strategic Objectives 32 Involving our Patients 39 Working with our Partners 43 Safeguarding 49 Equality and Diversity 53 Sustainable Development 56 Requests for Information / Data Loss 59 Emergency Preparedness 60 Accountability Report 61 Corporate Governance 62 Members’ Report 62 Audit Committee 64 Conflicts of Interest 64 Governing Body Profiles 65 Staff Report 70 Remuneration Report 73 Statement of Accountable Officer’s Responsibilities 78 Annual Governance Statement 80 Independent Auditor’s Report to the Members 100 Annual Accounts 104 2 NHS LeedsAnnual West Report Clinical and Commissioning Accounts 2015–2016 Group ANNUAL REPORT The annual report and accounts for the year ended 31 March 2016 have been prepared as directed by NHS England in accordance with section 232 (Schedule 15, Paragraph 3) of the National Health Service Act 2006. The directions issued by NHS England require clinical commissioning groups to comply with the requirements laid out in the Manual for Accounts issued by the Department of Health. The Manual for Accounts complies with the requirements of the Government Financial Reporting Manual, which the Department of Health Group Accounts are required to comply with. NHSAnnual Leeds Report West and Clinical Accounts Commissioning 2015–2016 Group 3 ANNUAL REPORT ACCOUNTABLE OFFICER’S FOREWORD The last 12 months have been about we’ve continued to engage clinicians and preparing to meet the challenges that patients so that we can continue to make we face in the coming years while improvements and promote the extended ensuring we continue to plan and fund opening hours. (commission) the best possible services for our local communities. Our strong relationship with our member GP practices will be key as, from 1 April 2016, Before I reflect on the key developments we’ll be co-commissioning primary care over the last year I wanted to say thank you services with NHS England. We’ll be doing to our staff, our 37 member GP practices and this in collaboration with our neighbouring all our partners. In particular I’d like to thank CCGs in Leeds – NHS Leeds North CCG and our patients and wider public who have NHS Leeds South and East CCG. continued to have their say in the way we shape health and care services. It has now been 18 months since NHS England published the Five Year Forward The Government is pursuing its goal of giving View for the NHS. We’re making good people access to seven day primary care progress in implementing some of the core services. Here at our CCG we are proud to elements of the NHS Five Year Forward View say that we’ve already made great progress so that we can meet the challenges of an in extending access to primary care services ageing population, rising demand for services for our 370,000 patients registered at our 37 and increasing costs for treatment. member practices. The NHS Five Year Forward View sets out At the time of writing 19 practices, covering how local health and care systems can a population of 184,000 patients, offered develop integrated services referred to as appointments seven days a week. The new models of care. The key principles of the remaining 18 practices, covering a population new models of care are that organisational of 186,000 patients, now offer extended boundaries are eroded. This leads to locality services five days a week from (neighbourhood) based care that is provided 7am – 7pm or 8am – 8pm. by a single care team made up of lots of different health and care professionals. Our relationship with our 37 member practices has been key to the way we’ve We’ve already started taking steps to set developed our extended access scheme. We up a pilot in the Armley and New Wortley were delighted to welcome Sir Bruce Keogh, area to see how new models of care can Medical Director for NHS England, to one of be implemented locally. We’re working our locality development sessions to find out with local care providers including GPs and more about our scheme. colleagues at Leeds Teaching Hospitals NHS Trust, Leeds Community Healthcare Sir Bruce heard directly from GPs and other NHS Trust, Leeds and York Partnership NHS practice staff, as well as CCG colleagues, Foundation Trust and Leeds City Council to about how we’ve worked together to set see how we can set up a single care team for up the programme. He also found out how this locality. 4 NHS Leeds West Clinical Commissioning Group Before we make any firm arrangements Again we’re already making progress we’ve already started discussions with local on this as West Yorkshire is one of the community and voluntary groups, patients ‘vanguard’ sites for urgent and and political colleagues. In addition, we emergency care. The vanguard sites for held a deliberative event in March attended the new care models programme are one by over 70 local people so that we could of the first steps towards delivering the understand what their pressing needs and Five Year Forward View and supporting concerns are with our suggested approach. improvement and integration of services. We’ll be continuing this engagement with community members, staff and clinicians I now want to share some key developments before firming up our plans. that have taken place over the last year at a more local level. We’re active members Each health and care system in the country is of the Leeds Health and Wellbeing Board being asked by NHS England to put together which is responsible for setting the direction a sustainability and transformation plan for health and wellbeing through the Joint (STP). The STP is designed to support health Health and Wellbeing Strategy. The strategy and care systems to deliver the NHS Five Year is now being refreshed as it was designed to Forward View. cover the years 2013-2015. The STP challenges system leaders to deliver We’ve been asking local people about what sustainable change that can drive through they’d like to see as being the city’s priorities transformation of care. for health and wellbeing before we put together the next Joint Health and Wellbeing We’ve got a strong base to build from as Strategy for Leeds. The strategy will also need health and care organisations in Leeds have to take into account national guidelines such been working together for some time. as those in the NHS Five Year Forward View. We’ve already been recognised for our In addition, there’s clinical guidance that pioneering way of delivering integrated care. comes from bodies such as National Institute This is being backed up by the roll out of the for Health and Care Excellence (NICE) and Leeds Care Record so we can remove some of Public Health England as well as meeting key the IT frustrations that can get in the way of duties set out by healthcare regulators such frontline professionals looking to deliver the as the Care Quality Commission (CQC). best possible care. Like many other areas of a similar size and The guidance for developing a STP makes with similar communities, we’ve experienced it clear that it’s not just organisational challenges with meeting our referral to boundaries we need to remove, there’s also treatment times for cancer. However we’ve a need to move away from geographical been actively working with our partners boundaries. This means trying to work out on developing an integrated approach to how we can deliver critical services at scale cancer services. while ensuring everyone has equal access to them. Annual Report and Accounts 2015–2016 5 We’ve managed to secure funding from We’ve found that some patients can have the ACE early diagnosis programme this done at home because they’re medically set up by NHS England. In March we fit to leave hospital and have adequate held an event featuring leading health care waiting for them at home. This means and care professionals in the city and they don’t need to wait for the assessment patients to explore options for how we by hospital-based healthcare professionals can develop quicker testing (diagnostic) before being discharged. routes for patients. We’ve continued to work with Leeds and We’ve already got access to a range of York Partnership NHS Foundation Trust national evidence and have been working (LYPFT) to see how we can continue to give with patients locally as well to find out mental health equal levels of support as we more about their current experiences, do for all other aspects of healthcare. As part what worked well and what could have been of this we’ve been supporting the Man Up improved. I’m confident that over campaign by LYPFT which encourages men the coming years we’ll be able to establish to open up about how they’re feeling. patient-centred cancer services that will mean people are seen, diagnosed and treated We also continue to work with community quickly to reduce the impact cancer has on organisations in the LS12/LS13 area to lives here in Leeds.
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