Public Governing Body Papers 9 July 2019
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BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 9 JULY 2019 HEMSWORTH COMMUNITY CENTRE, WF9 4NE AT 1.00 PM AGENDA PART 1 No. Agenda Item Lead officer 1. Welcome and Chair’s Opening Remarks 2. Apologies for Absence – Andrew Balchin, Suzannah Cookson, Dr Deborah Hallott 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 14 May 2019 b Action sheet from the meeting held on 14 May 2019 6. Matters arising 7. Public Health Update – Presentation Anna Hartley 8. Chief Officer Briefing Jo Webster 9. Local implementation of the NHS Long Term Plan mental Melanie Brown health priorities and the Mental Health Five Year Forward View 10. Pontefract Freestanding Midwifery Led Unit Case for Pat Keane Change 11. Committee Annual Reports 2018/19 Ruth Unwin a Audit Committee b Clinical Cabinet c Connecting Care Executive d Integrated Governance Committee e Probity Committee 1 12. Local Multi-Agency Safeguarding Partnership Mandy Sheffield Arrangements 13. Quarter 4 2018/19 Quality Reports – Governing Body Judith Wild Summaries a Experience of Care b Patient Safety and Outcomes Report 14. Performance Report Jonathan Webb 15. Finance Report Month 2 2019/20 Jonathan Webb 16. Remuneration Committee Terms of Reference Ruth Unwin 17. Working Together pledge to create a vibrant Voluntary and Melanie Brown Community Sector in Wakefield 18. Receipt of minutes and items for approval a Audit Committee (i) Minutes of meeting held on 16 April 2019 (ii) Minutes of meeting held on 2 May 2019 b Integrated Governance Committee (i) Minutes of meeting held on 18 April 2019 (ii) Minutes of meeting held on 16 May 2019 c Clinical Cabinet (i) Minutes of meeting held on 25 April 2019 (ii) Minutes of meeting held on 23 May 2019 d Probity Committee (i) Minutes of meeting held on 27 November 2018 (ii) Minutes of meeting held on 26 March 2019 e Public Involvement and Patient Experience Committee (i) Minutes of meeting held on 14 March 2019 f West Yorkshire and Harrogate Joint Committee of CCGs (i) Minutes of meeting held on 5 March 2019 (ii) Minutes of meeting held on 7 May 2019 g Decisions of the Chief Officer – verbal update 19. Any other business 20. The Board is recommended to make the following resolution: “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 1970)”. 2 21. Date and time of next Public meeting: Tuesday, 10 September 2019 at 1.00 pm in the Boardroom, White Rose House 3 Agenda item: 5a NHS Wakefield Clinical Commissioning Group GOVERNING BODY BOARD MEETING Minutes of the meeting held on 14 May 2019 Boardroom, White Rose House Present: Dr Phillip Earnshaw CCG Chair Suzannah Cookson Chief Nurse Dr Deborah Hallott GP, New Southgate Surgery Diane Hampshire Nurse Member Stephen Hardy Lay Member Dr Clive Harries GP, Chapelthorpe Medical Centre Anna Hartley Director of Public Health Richard Hindley Lay Member (Deputy Chair) Dr Pravin Jayakumar GP, Trinity Medical Centre Pat Keane Chief Operating Officer Hany Lotfallah Secondary Care Consultant Dr Adam Sheppard Chair Designate Richard Watkinson Lay Member Jonathan Webb Chief Finance Officer Jo Webster Chief Officer In attendance: Dominic Blaydon Associate Director Primary Care Commissioning (item 19/97) Melanie Brown Commissioning Director Integrated Care Laura Elliott Head of Quality (item 19/103) Michele Ezro Associate Director System Transformation Dr Kiran Ganjam MYHT Community Paediatrics (item 19/94) Angela Peatfield Minute taker Amrit Reyat Governance & Board Secretary Dr Bala Seshadri Consultant Community Paediatrics (item 19/94) Nick Sutton MYHT Designated Clinical Officer (item 19/94) Natalie Tolson Performance & Intelligence Manager (item 19/102) Ruth Unwin Director Corporate Affairs Judith Wild Deputy Chief Nurse & Head of Continuing Healthcare (item 19/98) 19/87 Welcome and Chair’s Opening Remarks Dr Phillip Earnshaw welcomed everyone to the meeting advising that this would be the last Governing Body meeting that he would be chairing. 1 Dr Adam Sheppard will take up the post as Chair and Clinical Leader of Wakefield CCG with effect from 1 July 2019. He is currently Chair Designate. Dr Earnshaw commented that there had been several cases of the Norovirus at Mid Yorkshire Hospitals NHS Trust and it is hoped that as the weather improves the number of cases will reduce. Stephen Hardy wished to express his personal thanks to Dr Earnshaw for his support and commitment over the last six years as Chair and Clinical Leader of the CCG. 19/88 Apologies for Absence Apologies for absence were received from: Andrew Balchin Corporate Director, Adults, Health & Communities Suzannah Cookson Chief Nurse 19/89 Public Questions and Answers Dr Phillip Earnshaw advised that two questions had been received by a member of the public attending the meeting and it was agreed that a written letter of response will be provided. 19/90 Declarations of Interest 19/96 - NHS Wakefield Clinical Commissioning Group – Chair Appointment A declaration of interest was made by the GP members of the Governing Body in relation to this agenda item. The Chair noted the declaration and as this item is for noting the Chair determined that the GP members could provide input into the debate on this item. Diane Hampshire advised that she will be taking up an interim post with the Wakefield Adult Safeguarding Board and will update her Conflicts of Interest form and forward to Amrit Reyat, Governance and Board Secretary. 19/91 Minutes of the meeting held on 12 March 2019 The minutes of the meeting held on 12 March 2019 were agreed as a correct record. 19/92 Action sheet from the meeting held on 12 March 2019 The action sheet from the meeting held on 12 March 2019 was noted. 19/93 Matters arising 2 There were no matters arising. 19/94 Update on Wakefield’s Progress on SEND Written Statement of Action Dr Phillip Earnshaw congratulated the members of the Autism Spectrum Disorder (ASD) team from both Mid Yorkshire Hospital Trust (MYHT) and South West Yorkshire Partnership Foundation Trust (SWYPFT) who had jointly won an award for Outstanding Clinical Initiative at the recent Mid Yorkshire Hospitals Trust Staff Awards event held on 10 May 2019. Mel Brown went on to present a further update on the Wakefield’s Progress on Special Educational Needs and Disability (SEND) Written Statement of Action. Mel explained that following an Ofsted Inspection carried out in June 2017 a recovery plan was developed aimed at reducing the diagnostic waiting times. This update provides details of the progress made against the agreed targets, details of the monitoring meeting which took place in Wakefield on 23 April 2019, together with details of the expectations and format of the revisit. The purpose of the re-visit is to determine whether the CCG and partner organisations have made sufficient progress in addressing the areas of significant weakness detailed in the Written Statement of Action. The re-visit inspection team will notify the director of children’s services 10 working days before the re-visit team arrive on site. The ASD Project Group continue to prepare for the revisit and a repository of evidence is held by Wakefield District Council. Mel advised that there have been some significant demand increases in ASD referrals for the over 14 year’s cohort of children and young people and work is taking place across the system to mitigate this as much as possible. 29 young people supported by South West Yorkshire Partnership Foundation Trust (SWYPFT) have been waiting for their ASD Assessment longer than 26 weeks and SWYPFT has reported that the longest wait currently is 49 weeks for young people over 14 years. This has arisen due to the impact of consultant vacancies and the challenges of not successfully recruiting locums to these vacancies. The CCG has been working through these concerns with SWYPFT to implement the following actions to recover the position for July 2019. The CCG intend to commission 12 ASD assessments from July 2019 which is an increase from the previous number of 4 assessments for the over 14 year old pathway. The Wakefield system is developing an ASD strategy and to help inform this three Parent Engagement sessions have been held since November 2019 with some really good quality feedback. More parent engagement events are proposed up until Autumn 2019. A ‘business as usual’ model across the Integrated Care System has been agreed to focus on working with the six places in West Yorkshire on commissioning pre and post ASD diagnostic support. Jo Webster extended her congratulations to the teams on the work that has been achieved in reducing waiting lists through collaborative working. 3 Dr Phillip Earnshaw acknowledged the good work that was taking place and suggested any lessons learned are shared across the wider mental health services. It was RESOLVED that: (i) Members noted the progress underway with implementing Wakefield’s Written Statement of Action for SEND 19/95 Chief Officer Briefing Jo Webster presented the Chief Officer briefing providing an update of ongoing developments. Jo highlighted the following in the report: 360 Degree Stakeholder Survey of CCG Partners - positive comments have been received as part of the 360 Degree Stakeholder feedback noting the CCG having an effective relationship with 93% of the key stakeholders who responded to the national 360 Degree Stakeholder survey. West Yorkshire Health and Care Partnership – the joint committee considered proposed changes to the Musculoskeletal Service (MSK) and urgent and emergency care services.