Minutes of the NWC AHSN Board Meeting

Minutes of the NWC AHSN Board Meeting Held on Wednesday 15th October from 2pm to 4pm In Room S04, Vanguard House, Sc-Tech Park, Daresbury

Item Item Action no 1. Present:  Gideon Ben-Tovim, Chair NWC AHSN  Bruce Ash, Vice Chair, NEW AHSN & ABHI representative  Dr Liz Mear, Chief Executive, NWCAHSN  Professor John Goodacre  Lisa Butland, Director of Research & Innovation, NWCAHSN  Professor Tony Gatrell, Dean, Faculty of Health & Medicine, University of Lancaster  Kathryn Moorby, Accountant, Lancashire Care Foundation Trust  Alison Bayley, Accountant, Lancashire Care Foundation Trust  Joan Smith, Partnership Development Manager, Self-Management UK  Sally Spencer, Associate Director, Clinical Research, Lancashire Health Hub  Kathryn Thomson, Chief Executive, Liverpool Women’s Hospital  Alan Welby, Executive Director, Liverpool City Region LEP  Rosalind Way, Director of Operations, Liverpool Health Partners  Jackie Daniels, Chief Executive, University Hospitals Morecambe Bay  Alan Rice,  Professor Ken Wilson, Medical Director, CRN  Kathy Blacker, Director of Operations, NHS England, Lancashire

In attendance:  Nicola Allen on behalf of Clare Duggan, NHS England Merseyside  Tony Woods on behalf of Katherine Sheerin, Liverpool CCG  Clare Perkins on behalf of Clare Duggan, Public Health England, Knowledge and Intelligence Team  Alan Rice, on behalf of Dr Alison Rylands, Assistant Medical Director, NHS England, Cheshire  Pamela Briers, Acting Executive Assistant, NWCAHSN  Margo Kane, Cheshire & Merseyside LWEG

Apologies:  Lorna Green, Commercial Director, NWCAHSN  Katherine Sheerin, Chief Officer, Liverpool CCG  Clare Duggan, NHS England  Dr Alex Gaw, Chair, Lancashire North CCG  Dr Umesh Chauhan, Research Lead, East Lancashire CCG  Professor Ian Greer, Dean, Faculty of Health and Life Sciences, University of Liverpool

1  Harriet Lewis, Associate of British Pharmaceutical Industry  Kathy Hull, Executive Officer, Healthwatch, Liverpool  Andy Walker, Chief Officer, Lancashire LEP  Marry Gabbay, Director, NIHR CLAHRC NWC  Aidan Kehoe, Chief Executive, RLBUHT  Heather Tierney-Moore, Chief Executive, Lancashire Care NHS FT  Karen Partington, Chief Executive, Lancashire Teaching Hospitals  Tracy Bullock, Chief Executive, Mid Cheshire Hospitals  Francis Lee, Executive Director, Cheshire and Warrington LEP  Jim Wilson, Chair, Healthwatch, Halton  Melanie Sirotkin, Public Health England, Knowledge and Transfer Team (NW)  Dr Any Davies, Chair, Warrington CCG

Minutes of the Previous Meeting (dated 16th July 2014)

These were agreed as a correct record

Review of Actions from previous meeting:

LM confirmed that the AHSN had supported a regional bid for the 100,000 genomes project Genomics and that this had been shortlisted to the 2 nd stage with a timescale of Mid November, for submission.

LM confirmed that following discussions with a number of CEOs who sit on the AHSN Board the joint fee agreement with AQuA is to be refreshed. A letter had been sent out to Trusts from LM and David Fillingham with a joint paper describing the principles which underpin the partnership and member subscription. Board LM members were agreeable to this approach. A paper will be presented at the AHSN Board next month and DF will attend to present on AQuA’s work across the region, which is relevant to AHSN priorities. 2. CEO Update

LM reported as follows:

1. GBT and LM had now visited all Universities and had informed them about the work of the AHSN and what value they were able to add for them. Opportunities taken by universities so far include the shaping of an approach for joint health and social care training, the award of contracts to two of our universities for telehealth assessment and telehealth readiness. Each university had also been sent the preferred supplier documentation for the Patient Safety Collaborative.

2. As part of its work relating to the green and natural world economy the AHSN has been working with Mersey Forest and the Heseltine Institute. The NWCAHSN will support a PhD student to work on this subject who will utilise office space at Vanguard House. On 27th January there will be an event Beyond Green Space, further details to be sent out to Stakeholders.

3. The NWCAHSN is to provide Programme support for the Forerunner Workforce Planning Project looking at the Health and Social Care workforce.

2 Further updates will be brought back to the Board. This project is being led by Margo Kane.

4. Lots of work has been delivered against the European strategy, raising the profile of the region.

5. The second European healthcare Connected event was held at Chorley Town Hall und was very well received. These are run every quarter.

6. The AHSN has supported a number of funding bids across the region including a bid to the Integrated Care Digital Fund for the Lancashire Digital programme, interviews have been held and a response as to whether we have been successful is awaited. A bid has also been submitted with five Mersey councils to the Transformation Challenge Fund.

7. The Northern Industry Forum comprising of all northern AHSN’s and industry have met for the first time and will continue to meet on a quarterly basis. This is part of the strategy to promote the ‘northern powerhouse’ aimed at how we can promote the North as the best place to invest and locate a business.

3. Board Terms of Reference

LM presented the new Board Terms of Reference for approval, which are partially modelled on other hosted AHSNs. With regards to the list of board responsibilities, these were standard responsibilities and LM drew the Boards attention to - The sharing of minutes of associated meetings across the footprint to ensure transparency and sharing of good practice. It was felt that sharing minutes would be too burdensome but that sharing themes or strands would be useful where there are complimentary areas. GBT suggested a mechanism capturing information from the five closely related bodies where they are supposed to be developing joint working – these being the NWCAHSN/CLAHRC/LHP/CRN/Lancaster Hub LM - Terms of membership for Board members were agreed at 2 years with the possibility of extension. - There is one Board Sub-Committee – the Finance and Business Performance Committees. Preparing the terms of reference for the board had highlighted a ‘gap’ in the approvals for this committee. The Board– were happy for the Finance and Business Performance Committee to approve funding requests of up to £50k and changes to job roles. - Accountability –it was noted that Board members are representative of their area of work not representatives of their work area but may be asked infrequently to consult colleagues

It was agreed that deputies for Board members can attend the Board

The Board approved the Terms of Reference for the Board and revised Finance and Business Performance Committee Terms of Reference in accordance with the above.

3 4. Forerunner Workforce Planning project

Margo Kane presented the Forerunner Project for future workforce planning and developing a workforce strategy across Cheshire & Merseyside. This project is about the future pipeline of workforce and Margo confirmed she had undertaken a Gap analysis to identify key recommendations and develop new ways of working. Key stakeholders she had already engaged in have welcomed this. With regards to apprenticeships she confirmed she had a model for providing apprentices and was working with young people and colleges. She confirmed that the LWEG were also undertaking some work which will be shared. They had lots of connections they were able to make and she was also looking to gain some international best practice. MK confirmed she would undertake a further presentation on this at the Academic Summit in December. The AHSN are providing project support for this project. The Board noted the work on the Forerunner project for future workforce planning across NWC.

5. Finance and Business Performance Committee

LB presented the Business & performance report highlighting the current performance on 8 campaigns. She noted that the 2 campaigns reported as amber in the last report were now green, two campaigns were on amber green due to NHS England policy changes and lack of information.

It was noted that the minutes of the last meeting were not yet approved but will LM be circulated in the November Board Pack.

BA confirmed this Committee had its own Terms of Reference highlighting it was an audit type meeting which was bound by statutory obligations to the stakeholders and the delivery of plans. As the NWC had an agreement with NHS England, they need to make sure they were fulfilling their obligations. He raised the issue of governance and highlighted there may be occasions when the Execs would need to get things signed off without going outside their authority limits.

The financial position at month 5 was highlighted with an underspend of £665k was noted. A breakeven point was forecast at year end, with a bulk of expenditure being programmed for the last two quarters of the year. BA requested that a KM forecast be produced for the next 6 months. With regards to financial allocation for next financial year, this would not be known under March.

Investment fund & Funded Projects LM updated the Board on the progress of the investment fund and confirmed that GMAHSN had appointed Enterprise Ventures as the fund manager. They are well established in the North West with offices in Liverpool, Preston, Manchester and Sheffield. The current proposal is for the NWC AHSN to work together with GMAHSN and to run a bigger fund across the North West with the potential of extending this further to include the other northern AHSNs including Yorkshire and Humber and North East. This is currently work in progress and a further update will be presented at the next Board Meeting.

4 Kathy Thomson stated the need to identify what innovations were going on across the patch and what the process was to test this out. It was recognised that Apposite had undertaken this trawl. Lorna Green had this information and would LG update at the next Board.

Alan Welby highlighted the large number of potential innovations and products for investment. He stated there was a Biomedical Fund run by Spark and there is the North West Fund. GBT confirmed there needed to be more clarity around the North West Funds performance and the NWCAHSN needed to link in with Alan LG Welby.

LM reported on LG’s paper regarding funding projects and highlighted that Liverpool CCG had done a lot of work around the telehealth study and have been able to share lessons. This will form a piece of work around adoption for the telehealth readiness tool. The NWCAHSN have funded £25k into a Cumbria/ CSC study on readiness for telehealth.

LM highlighted the 13/14 funding for Alder Hey was for the Training and Development Centre and that phase 2 of this centre is an innovation hub and simulation centre. She stated that it may be something we would want to think about but as yet no decisions have been made on this next piece of work. This was recognised as an exemplar model given the success of Alder Hey’s digital health solutions.

The Board noted the financial position and update on investment funds and funded projects.

6. Patient Safety Collaboration

LM presented a paper on the patient safety collaboration. She asked the Board to discuss and approve the patient safety topics and other priorities chosen by members and to note the process for and suggested providers of support service for the collaborative.

She highlighted that the NWC AHSN had been working with the Netherlands and Northern Ireland around medicines optimisation, as part of its mandate to introduce global innovation to the NHS.

Three additional areas of clinical priority had been identified and the project was rolling out to include management of Sepsis, transition between paediatric and adult care and hydration.

On 14th October a national launch event was held. The national launch brochure was circulated to The Board.

NWCAHSN have been asked to look at letting contracts for procurement to LM preferred suppliers. This decision was taken following procurement advice to the AHSN. Tenders have been sent out in 3 lots covering 5 areas.

1. Building leadership capacity and capability, and networking 2. Board development

5 3. Measurement and data analysis.

Closing date for return of proposals is 20th October.

The NWC AHSN are currently in the process of recruiting an Associate Director of Patient Safety Collaborative to head up its activities in this area.

On 17th September the NWCAHSN held a Stakeholder Event around patient safety and LM drew the Boards attention to the creative comic strip minutes. The short film of this was played to the Board and can be accessed via YouTube or the AHSN website.

LM confirmed that this was a 5 year programme and sought the Boards view.

Tony Gatrell confirmed his approval in principle and asked what the practical consequences of this will be. He wanted to know how this would be disseminated to Trust Boards who have relentless focus on patient safety. LM confirmed there would be two campaigns one around PSC and also the Sign up to Safety Campaign.

Nicky Allen highlighted that moving forward the key challenges will be to focus on the challenges of the CCG’s around enhancing service and self-help standards and best practice. She stated that hydration and medicines optimisation are the reasons for readmission and these would need to be embedded in the organisations.

Sally Spencer explained the need to identify leads for priorities. It was recognised the need to have leads other than the AHSN. LB to liaise with SS and take forward. LB

The Board approved the topics for dissemination and the approach taken to issue a preferred supplier document.. 7. Commercial Director’s Update

LM reported on LG’s behalf.

LM confirmed that NWCAHSN are working with Proteus who are an American Company who produce an ingestible sensor to track medicines compliance. They are currently working on a clinical trial and have set up a Steering Group chaired by JG to oversee the variety of workstreams arising from this.

LM confirmed that the NWCAHSN had won a tender from Liverpool City Region (LCR) LEP for a business assist programme supporting companies who wish to engage with the NHS. AW confirmed this was a good opportunity to join the LEP work with the AHSN. He highlighted this would be a one stop shop for business.

LG is meeting with Cumbria LEP in November and it is hoped we will be able to do something with them shortly.

NWCAHSN have sponsored the North West Procurement Development Excellent in Supplier Awards in November.

The 1st anniversary celebration and stakeholder event will be held in December key

6 note speaker, the Rt Hon Andy Burnham MP.

NWCAHSN working with the DoH has the lead on procurement across the AHSN network. A first meeting has been held at a national level to position procurement as an enabler of services.

The Northern Industry Forum met in September bringing together the 4 Northern AHSN’s and industry. This was a successful meeting and will continue on a quarterly basis.

The board noted the update on Commercial activity.

8. European Strategy

LB presented a paper regarding the AHSN’s European Strategy. She confirmed the NWCAHSN intention to deliver the strategic plan through active participation via European networks including Coral and ECHAlliance. It was noted that working on a regional level is common to other European countries. NWCAHSN were recently invited to participate in a European consultation exercise and to submit views on potential funding.

LB to share with the Board the report commissioned on “Towards a European Strategy for North west Coast Academic Health Science Network”. LB/ PB

AW welcomed this strategy and working with partners across the patch. He would like to focus on Horizon 2020 and link SME’s into a transnational European Funding. He recognised that the translational research side they have not done well on and feels there is a gap. RW highlighted the need to recognise what is going on already in order to bid effectively for it and the need to link in with SMEs LB/ to bid. It was identified that for Horizon 2020 we could ring fence funding to go to AW SME’s and is something that could be explored more. JG confirmed that Christopher Kelly the Academic Liaison Officer is talking to universities about this. CK

In terms of next steps we need to look at how systems are running the integrated health systems and a potential study visit was welcomed by the Board.

The Board Noted noted and approved the report.

9. Any other Business

LM confirmed that the deadline for the AHSN on NHS Service Architecture was due on 17th October.

Sally Spencer confirmed she had received comments from a business who had worked with a number of AHSNs. their view was the NWC AHSN was a more joined up network and that they would want to work with us in future.

10. Details of Next Meeting Date: Wednesday 19th November Time: 2 to 4pm Venue: Board Room, Vanguard House, Sci-Tech Park, Daresbury, Warrington