Governing Body Agenda – 28.7.15
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NHS WEST LANCASHIRE CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING 28 July 2015, 9.30 am – 11.30 am Boardroom, Hilldale, Wigan Road, Ormskirk, Lancashire, L39 2JW 15 minutes to be allocated for questions from members of the public based on agenda items. Item Time Agenda item Action Presenter WLCCGB 07/15/1 09.30 Welcome John Caine 07/15/2 09.35 Declaration of Interests All 07/15/3 09.40 Minutes of previous meeting held on 26 May 2015 DR John Caine 07/15/4 09.45 Matters arising - Action sheet DR John Caine Communication 07/15/5 10.00 Chair’s update I John Caine 07/15/6 10.10 Chief Officer’s Update DR Mike Maguire Governance 07/15/7 10.20 Declarations of interest for members register update I Katie Wightman 07/15/8 10.25 Board Assurance Framework and risk register I Katie Wightman 07/15/9 10.35 Budget update DR Paul Kingan Operational Management Section 07/15/10 10.50 Integrated business report D Paul Kingan 07/15/11 11.05 Stroke service specification DR Mike Maguire 07/15/12 11.15 Procurement of Community services DR John Caine Consent items 07/15/13 11.25 Minutes of sub-committees: I John Caine - Quality Improvement Committee – May and June 2015 - Executive Committee – 12 May – 7 July 2015 - Audit Committee – May 2015 Other minutes: - Lancashire CCG network – April 2015 - Merseyside CCG network – May and June 2015 - Care Closer to Home Board – May 2015 - Health and Wellbeing Board – June 2015 - West Lancashire Community Safety Partnership – April 2015 Other Business 07/15/14 11.30 Any other business I John Caine Date and Time of Next Meeting – 22 September 2015, 9.30 – 11.30 am, tbc I – Information D – Discussion DR – Decision Required Members of the governing body will be available after the close of the meeting for informal discussion, time permitting Minutes D R A F T Meeting Title: West Lancashire Clinical Date: 26 May 201 5 Commissioning Governing Body Meeting Time: 10 .00 – 12.00 noon Venue: Boardroom, Hilldale Present: In attendance: Dr John Caine, Chair Katie Wightman , Head of Corporate Affairs Mike Maguire, Chief Officer Karen Thompson , Public Health Specialist Paul Kingan, Chief Finance Officer/Deputy Chief Lucinda McArthur , Senior Operating Officer Officer David Ashley, Healthwatch Lancashire Dr Adam Robinson , Secondary Care Consultant Cathy Ashcroft, Executive Assistant Dr John (Jack) Kinsey, GP Executive Lead Ian Crabtree , Head of Services Policy Greg Mitten, Lay Member information and commissioning, Lancashire Douglas Soper, Lay Member County Council Apologies: Claire Heneghan , Chief Nurse Dr Simon Frampton, GP Executive Lead Dr Peter Gregory , GP Executive Lead Dr Bapi Biswas, GP Executive Lead Agenda Summary of Discussion Action Item WLCCGB/ 05/15/01 Welcome and apologies for absence John Caine opened the meeting of the West Lancashire Clinical Commissioning Group Governing Body. Introductions were made by the governing body to the two members of the public present. No questions had been received from the public in respect of the agenda. Apologies for absence were received from the above and noted. 05/15/02 Declarations of interests No declarations of interests pertinent to the agenda items were raised. 05/15/03 Minutes of previous meeting held on 24 March 2015 The minutes of the meeting held on 24 March were agreed as an accurate and correct record. The governing body: Approved the previous minutes 05/15/04 Matters arising The action sheet was updated. ANNUAL ACCOUNTS 05/15/05 Annual report Paul Kingan confirmed that the audit committee had met this morning and agreed to recommend the approval of the audited annual accounts, and the submission of the requested letter of representation by the governing body. The audit findings report had provided a clean opinion on the financial statements. Praise was given to Katie Wightman and Meg Pugh in producing the annual report, which includes strategic, membership and remuneration reports; statement of accountable officer’s responsibilities; annual governance statement; auditor’s report containing the, “Director of West Lancashire Clinical Commissioning Group Governing Body meeting - 26 May 2015 Page 1 of 6 internal audit statement of opinion“. Only one audit review carried out in 2014-15 had not achieved significant assurance. The governing body were asked to approve the annual accounts, annual report and the management representation letter. The management representation letter is a standard letter and essentially gives confirmation that the CCG governing body members have fulfilled their responsibilities around preparation of the accounts in accordance with International Financial Reporting Standards and accounting policies directed by the NHS Commissioning Board. On approval, the letter will be signed by the chair and chief officer of the CCG on behalf of the governing body . The Governing Body thanked Paul Kingan, Katie Wightman and the finance team for their good work in producing the reports in a timely manner to a high standard. It was noted that the financial challenge the CCG faces next year is significant and the level of financial risk is much higher going forward. Doug Soper commented on the CCG’s excellent relationship with the external auditors. The governing body: approved the audited annual accounts, annual report and the letter of representation. It was agreed that Mike Maguire, chief officer and Dr John Caine, chair will sign the letter of representation on behalf of the governing body. COMMUNICATION 05/15/06 Chair’s update The report provided members with an update on both strategic and operational issues since the last meeting. John Caine highlighted key areas of interest: • Facing the Future Together update – in conjunction with Southport and Ormskirk Hospital NHS Trust, work continues on Facing the Future Together (FtFT). The Trust board had met with the CCG and membership council to discuss current issues including FtFT and will return in July to discuss the gateway. The final gateway is in June, when progress against key milestones is reviewed. • Results of 360 degree stakeholder survey – as the CCG is required to undertake an external 360 degree survey as part of the annual assurance, Ipsos MORI conducted a survey on behalf of NHS England. The results of the survey were very positive and reflected that the stakeholders feel engaged,, listened to and confident that the CCG effectively monitor the quality of services commissioned. Thanks were expressed to all who completed the survey. • Macmillan update – further updates on progress of the survivorship project include: a consultant led cancer event for practice nurses and GPs; the Macmillan Steering Group meets bi-monthly; a Macmillan project manager will be appointed; engagement with Lancashire Cancer network will take place; and negotiations around the location of the Macmillan Information Centre are taking place. • Advanced community paramedic – in liaison with North West Ambulance Service (NWAS), the advanced community paramedic commenced in post in West Lancashire on 27 April. The paramedic will focus on improving the local community infrastructure to provide safe care closer to home and look at NWAS standards. Doug Soper commented that the board to board meeting with the Trust had been useful and more frequent meetings would be beneficial. The general feeling from the meeting had been that positive listening had taken place, West Lancashire Clinical Commissioning Group Governing Body meeting - 26 May 2015 Page 2 of 6 with a commitment from Rob Gillies to turnaround some of the red indicators in the FtFT programme within the six-week period prior to the next gateway. Different feedback was received following the Trust board’s meeting with the membership council and a further meeting will take place in July. The general consensus from the CCG senior managers is that the ICO is beginning to move in the right direction although there is still a lot to do to hit the June gateway requirements. Greg Mitten commented that the Trust board had recognised that engagement with the public was required around Facing the Future Together, Better Care Fund and action to be taken in response to the CQC report, which will require patient involvement. This commitment will be monitored. David Ashley had raised monitoring exercises and improvements made at a recent patient summit. The governing body: Noted the content of the report 05/15/07 Chief Officer’s update The report provided members with an update on both strategic and operational issues since the last meeting. Mike Maguire highlighted key areas of interest: • England’s Chief Inspector of Hospitals – Southport and Ormskirk Hospital NHS Trust – following the inspection in November 2014, the CQC report was published on 13 May. The report rated the Trust as ‘requires improvement’. The two areas rated as ‘inadequate’ are maternity and spinal injuries. Areas receiving good ratings included end of life care, children’s and young people’s services and community services for children and young families. The CCG expect improvements in all areas and progress will be monitored through the quality and safety committee in the coming months. • Quarter 3 assurance with NHS England – the assurance meeting took place on 13 April. The meeting reviewed whether the targets in the CCG plans were achievable. The meeting went well overall and the CCG achieved ‘assurance with support’. Five of six domains achieved ‘assurance’ and the remaining domain achieved ‘assurance with support’, which is due to cancer target issues. These issues are being addressed by Dr Jack Kinsey and Carol McCabrey. • Commissioning policies – the CCG had originally adopted legacy PCT policies. A policy development group had updated a number of policies with four received today for approval: Policy for exceptionality; statement of principles; policy for the reversal of sterilisation; and policy for varicose veins. All policies have been to the clinical executive committee.