2018-05 WBCCG Governing Body Agenda & Papers
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WIGAN BOROUGH CLINICAL COMMISSIONING GROUP GOVERNING BODY - OPEN MEETING Tuesday, 22 May 2018 3.30 pm Wigan Borough CCG Boardroom - Wigan Life Centre AGENDA Agenda Item Time Presenter Pages/ Action Verbal Required 1. Chairman's Welcome 3.30 pm Tim Dalton 2. Apologies for Absence Tim Dalton Record 3. Declarations of Interest All Record Individuals will declare any interest that they have, in relation to a decision to be made in the exercise of the commissioning functions of Wigan Borough Clinical Commissioning Group, in writing to the governing body, as soon as they are aware of it and in any event no later than 28 days after becoming aware. 4. Minutes of Previous Wigan Borough Tim Dalton 1 - 12 Approve Clinical Commissioning Group Governing Body Meeting held on 24 April 2018 5. Actions/Decisions Log from Previous Tim Dalton 13 - 16 Approve Wigan Borough Clinical Commissioning Group Governing Body Meeting 6. Questions from Members of the Public 7. Key Messages Verbal 7.1 Chair's Key Messages Tim Dalton Information Report Caroline Verbal 7.2 Chief Officer's Key Messages Information Kurzeja Report 8. Service Delivery Footprint Primary Care 17 - 18 Highlight Reports 8.1 Leigh Gen Wong 19 - 24 Receive Sanjay 8.2 LIGA North 25 - 30 Receive Wahie Neeta 8.3 LIGA South 31 - 34 Receive James Peter 8.4 North Wigan 35 - 42 Receive Marwick Mohan 8.5 SWAN 43 - 50 Receive Kumar 8.6 TABA+ Ashok Atrey 51 - 56 Receive Jayne 8.7 Wigan Central 57 - 60 Receive Davies 9. New Business Items Frank Patient Engagement Briefing and 9.1 Costello/Ale 61 - 112 Receive Patient Forum Attendance xia Mitton Julie 113 - 9.2 End of Life Strategy Approve Crossley 176 Governing Body Assurance Sally 177 - 9.3 Approve Framework Qrt 4 2017/18 Forshaw 198 Quality, Safety and Safeguarding Sally 199 - 9.4 Receive Report Qrt 4 2017/18 Forshaw 226 10. Current Business Items Material Conditions Transformation 227 - 10.1 Mike Tate Receive Funding (2) 238 239 - 10.2 QIPP Update Mike Tate Receive 248 Greater Manchester Health & Care 249 - 10.3 Tim Dalton Receive Board Minutes 260 11. Governing Body Committee Updates 11.1 Healthier Together Joint Committee Tim Dalton No meeting Chairperson's Report - Audit 11.2 Peter Armer No Meeting Committee Chairperson's Report - Clinical 261 - 11.3 Ashok Atrey Approve Governance Committee 266 Chairperson's Report - Corporate Maurice 267 - 11.4 Approve Governance Committee Smith 270 Chairperson's Report - Finance and Mohan 271 - 11.5 Approve Performance Committee Kumar 274 Chairperson's Report - Service Peter 11.6 Design and Implementation No Meeting Marwick Committee Minutes - Primary Care 275 - 11.7 Gary Cook Approve Commissioning Committee 282 12. Any Other Business - To be accepted at the Chairman's discretion 13. Date and time of next meeting Tuesday 26 June 2018 at 13.30 in Room 17, Wigan Life Centre This page is intentionally left blank OPEN MEETING (Unratified) Meeting of Wigan Borough Clinical Commissioning Group (WBCCG) Governing Body Held on Tuesday 24 April 2018 at 1.30pm in Meeting room 17, Wigan Life Centre Present: Dr Tim Dalton, Chair (TD) Caroline Kurzeja, Deputy Chief Officer (CK) Frank Costello, Lay Member – Deputy Chair (FC) Mike Tate, Chief Finance Officer (MT) Dr Gary Cook, Secondary Care Consultant Governing Body member (GC) Dr Pete Marwick, Clinical Executive for North Wigan SDF (PM) Dr Mohan Kumar, Clinical Executive SWAN SDF (MK) Dr Sanjay Wahie, Clinical Executive LIGA North SDF (SW) Dr Jayne Davies, Clinical Executive Wigan Central SDF (JD) Dr Neeta James, Clinical Executive LIGA South SDF (NJ) Dr Gen Wong, Clinical Executive Leigh SDF (GW) Maurice Smith, Lay Member Governance and Conflicts of Interest (MS) Dr Ashok Atrey, Clinical Executive, TABA+ SDF (AA) Peter Armer, Lay Member, audit and Financial Management (PA) In Attendance: Jane Clucas, PA to Chair – Minute Taker (JCl) Tim Collins, Assistant Director Governance (TC) Craig Hall, Deputy CFO, item 9.1 (CH) ACTION 1. Chairman’s Welcome The Chairman opened the meeting at 1:30pm formally welcoming all Governing Body members and members of the public. 2. Apologies for Absence Apologies for absence were received from: Trish Anderson Catherine Jackson 3. Declarations of Interest Other than the previously recorded declarations of interest there were no additional declarations of interest for any items on this agenda. The Chairman reminded Governing Body members that apart from the standing declarations of interest individuals must declare any interest that Page 1 they have, in relation to a decision to be made in the exercise of the commissioning functions of Wigan Borough Clinical Commissioning Group (WBCCG) in writing to the Governing Body, as soon as they are aware of it and in any event no later than 28 days after becoming aware. Where an individual is unable to provide a declaration in writing, for ALL example, if a conflict becomes apparent in the course of a meeting, they will make an oral declaration before witnesses, and provide a written declaration as soon as possible thereafter. 4. Minutes from the Previous Wigan Borough Clinical Commissioning Group governing Body Meeting held on the 27 March 2018 The minutes of the meeting held on the 27 March 2018 were agreed as a true and accurate account of the meetings. Resolved: 1. The Governing Body members received the minutes. 5. Actions/Decisions Log from Previous Wigan Borough Clinical Commissioning Group Governing Body Meetings 24.10.17, item 8.2 – Draft Operating Model for the SCF – the Joint Commissioning Committee is being reinstated. To be carried forward to June then close. 27.2.18 item 9.2 – HWP Alliance Agreement – June 2018 item 9.5 – Briefing Paper – Over the counter medications – May 2018 item 10.4 – GMHSCP Governance review – closed 27.3.18, item 10.2 – Performance Report – June 2018 6. Questions from Members of the Public There was one member of the public present. There were no questions from members of the public. 7. Key Messages 7.1 Chair’s Key Messages TD referred to two key documents which had been received by the CCG; the Independent Review Leading to a Single Commissioning Function and Successful Delivery of the Locality Plan in Wigan 2 Page 2 written by Mike Farrar and the Overview of the 2017/18 Financial Position written by Mersey Internal Audit (MIAA). They have led to the reinstatement of the Joint Commissioning Committee and have focused the work being undertaken through the Health and Wellbeing Board, the GP Collaborative and Healthier Wigan Partnership. This year’s Quality, Innovation, Productivity and Prevention (QIPP) challenge is bigger and more challenging than it has been before and is refocusing everyone’s work particularly with regard to transformation. The Service Delivery Footprints (SDFs), the GP Collaboratives and the Clinical Champions are aware that they need to focus their work around this challenge. The Governing Body members need to take ownership of the delivery of the QIPP challenge. Resolved: The Governing Body members received the update. 7.2 Chief Officer’s Key Messages CK advised that she had concentrated her time at a local level working with the team and getting to know everyone in the Wigan health economy. She is also planning to meet the Governing Body members individually to ensure they are receiving the necessary support from the CCG. This month’s work has also focused on the QIPP position and working to deliver stronger plans for the next three years through the Single Commissioning Function. CK has attended the Bridgewater Quality Group meeting; walked around the Royal Albert Edward Infirmary where she noted the high number of frail elderly patients but also noted it was a very good facility. Stronger plans are being worked on to improve the A&E position which remains at under 80% for patients being seen within the 4 hour target and to understand why it has declined from its previous strong position. Resolved: The Governing Body members received the report. 8. Service Delivery Footprint Primary Care Highlight Reports 8.1 Leigh The monthly highlight report from Leigh SDF was received by the 3 Page 3 Governing Body members. Resolved: The Governing Body members received the report. 8.2 LIGA North The monthly highlight report from LIGA North SDF was received by the Governing Body members. Resolved: The Governing Body members received the report. 8.3 LIGA South The monthly highlight report from LIGA South SDF was received by the Governing Body members. Resolved: The Governing Body members received the report. 8.4 North Wigan and Wigan Central & 8.7 PM gave a joint presentation on behalf of North and Central Wigan SDFs who see themselves as one Cluster but two SDFs and highlighted the following key points: North Wigan Highest proportion of registered population in each age category from 50-54 to 95+, 43% of total compared to Borough average of 38.3%. Lowest proportion of 0-14 year olds, 15.1% of total compared to Borough average of 17.1%. Lowest proportion of 20-39 year olds, 22.1% of total compared to Borough average of 25.2%. Wigan North is the least deprived SDF in the Borough. A&E attendance rates are comparatively lower than planned care rates suggesting a healthier, more empowered population in this area. Wigan Central Highest proportion of registered population in the age categories 25-29 and 30-34, 14.5% of total compared to Borough average of 13.3%. 4 Page 4 Lowest proportion of 45-49 year olds and 70-74 year olds. The SDF tends to be below average from 40 up to 75 and has an above average proportion of 0-4 year olds.