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Governing Body Meeting to Be Held at 2Pm Governing Body Meeting to be held at 2pm on Thursday 30th May 2013 in the Board Room, Sanger House, Brockworth, Gloucester GL3 4FE No. Item Lead Recommendation 1 Apologies for Absence Chair 2 Declarations of Interest Chair 3 Minutes of the Inaugural Chair Approval Meeting held on Tuesday 2nd April 2013 4 Matters Arising Chair 5 Chair’s Update Chair Information 6 Accountable Officer Update Mary Hutton Information 7 Annual Operating Plan Kelly Matthews Approval 8 2013/14 Budget Update Cath Leech Information 9 Francis Report Marion Information Andrews- Evans 10 NHS Gloucestershire Marion Information Quality Handover Andrews- Document Evans 11 Performance Report Cath Leech Information 11a Proposed Performance Cath Leech Information Management Framework & Update on National Indicators 12 Gloucestershire Urgent Simon Sethi Information Care Recovery Plan 13 QIPP Programme Kelly Matthews Information 14 Any Other Business (AOB) Chair 15 Public Questions Chair Date and time of next meeting: Thursday 25th July 2013 at 2pm in Board Room at Sanger House Questions should be sent in advance to the Associate Director of Corporate Governance: [email protected] by 12 noon on Thursday 23rd May 2013. Questions must relate to items on the agenda. Gloucestershire Clinical Commissioning Group (CCG) Governing Body Minutes of the Inaugural Meeting held on Tuesday 2nd April 2013 in the Board Room, Sanger House, Gloucester GL3 4FE Present: Dr Helen Miller HM Clinical Chair Dr Charles Buckley CBu GP Liaison Lead Julie Clatworthy JCI Registered Nurse Alan Elkin AE Lay Member – Patient and Public Engagement Marion Andrew- MAE Director of Nursing & Quality Evans Dr Malcolm Gerald MGe GP Liaison Lead Dr Martin Gibbs MG GP Liaison Lead Colin Greaves CG Lay Member - Governance Dr William Haynes WH GP Liaison Lead Mary Hutton MH Accountable Officer Cath Leech CL Chief Finance Officer Dr Hein le Roux HLR GP Liaison Lead Rob Rees RR Lay Member – Patient and Public Engagement Dr Andy Seymour AS Deputy Clinical Chair Mark Walkingshaw MW Deputy Accountable Officer Alice Walsh AW Deputising for the Director of Public Health Valerie Webb VW Lay Member - Business Dr Jeremy Welch JW GP Liaison Lead Margaret Willcox MW Director of Adult Social Care In attendance: Alan Potter AP Associate Director Corporate Governance Emma Simpson ES Board Administrator There were 2 members of the public present. 1 Welcome The Chair welcomed the Governing Body and members of the public to the Inaugural Meeting of Gloucestershire Clinical Commissioning Group. Gloucestershire CCG Governing Body Minutes – April 2013 Page 1 of 5 2 Apologies for Absence Dr Steve Allder, Dr Shona Arora, Dr Caroline Bennett. 3 Declarations of Interest 3.1 There were no Declarations of Interest. 4 Gloucestershire Clinical Commissioning Group (CCG) Clinical Chair’s Update 4.1 The report which outlines the key issues address by the CCG in March 2013 was taken as read. 4.2 It was noted that Gloucestershire Clinical Commissioning Group received authorisation without conditions at midnight on Monday 1st April 2013. 4.3 RESOLUTION - The CCG noted the report. 5 Governance Arrangements 5.1 The Accountable Officer introduced the paper which outlines the principal documents upon which the governance structure of the Gloucestershire Clinical Commissioning Group is based. 5.2 The report also presents 12 principal policies for approval and lists those policies of the former Gloucestershire PCT that are being recommended for adoption by the CCG. Gloucestershire CCG Governing Body Minutes – April 2013 Page 2 of 5 5.3 A number of issues were raised in relation to the report and it was agreed that these areas requiring clarity would be addressed: P7 - CCG adopts schemes and relevant services currently in procurement. P17 - section 5.2.4 add quality premiums. Appendix H seven key principles of the NHS Constitution - Approved subject to incorporation of NHS England amendments published end of March 2013 post the Francis Inquiry report. Integrated Governance Committee TOR - p143: addition of Research Governance and Quality Governance. P4 section 1.1.1. - name to be amended to read Gloucestershire CCG. P18 - quality group surveillance needs to be included. Adopted the schemes currently being procured, detailed in 5.2 of the report. RESOLUTION: The Governing Body: Noted the content of this paper Approved the Constitution including the revised: o Standing Orders; o Scheme of Reservation and Delegation; o Detailed Scheme of Delegation; o Prime Financial Policies; and o Terms of Reference for the principal committees. Approve the twelve attached policies. Adopted the listed polices of the former Gloucestershire PCT. 6 Annual Operating Plan : 2013/14 6.1 The Deputy Accountable Officer introduced the report which provides an outline of the key components of the CCG 2013/14 Annual Operating Plan (AOP). 6.2 It was noted that the AOP will come before the Governing Body in May 2013 for full review. Gloucestershire CCG Governing Body Minutes – April 2013 Page 3 of 5 6.3 Further clarity was sought in relation to Appendix C. It was agreed that figures in relation to key performance indicators (KPI) on Chronic Obstructive Pulmonary Disease (COPD) (p29) would be clarified by the time the report comes before the Governing Body in May. On p31 – it was noted the sentence relating to care homes should read 50% of the care home population not 50% of care homes. 6.4 RESOLUTION: The Governing Body approved the AOP and noted the next steps: Detailed performance management framework under development Plan components, including the prevention strategy, urgent care plans and detailed locality plans, to be refined by governing body members during April. Final plan including public facing document to be signed off by the Board in May 2013. 7 2013/14 Budgets 7.1 The report presents the draft 2013/14 budgets for Gloucestershire Clinical Commissioning Group. 7.2 The Chief Finance Officer highlighted a number of key points set out in the report including the risks and that the budget shows a planned surplus of £6.7. In order to achieve the planned surplus, savings and productivity gains of £18.3m are required. 7.3 Draft capital plans will be brought to Board once further clarity has been obtained on resources available. 7.4 RESOLUTION: The Board approved the draft budgets, noted the inherent risks and the financial management framework. 8 Partnership Agreements between Gloucestershire CCG and Gloucestershire County Council (GCC) 2013/14 Gloucestershire CCG Governing Body Minutes – April 2013 Page 4 of 5 8.1 The report provides details of the s256 and s75 agreements entered into by the above organisations in 2013/14. 8.2 Clarity was sought on a number of areas including: The reporting structure into the Governing Body. Minutes of Health & Wellbeing Board and Joint Commissioning Partnership Executive (JCPE) will come to Governing Body meetings. Health Watch new agreements for 2013/14 (Appendix 1). Village agents – formal control with Gloucestershire Rural Communities Council monitored through joint partnership agreement. MG will bring a report to Board on this within the next 3 months. More detail required on s75 agreements. 8.3 RESOLUTION: The Board approved the partnership agreements. 9 Any Other Business 9.1 Members were reminded about completing Declarations of Interest Forms. 10 The meeting closed at 14:28. Minutes Approved by Gloucestershire Clinical Commissioning Group Governing Body: Signed (Chair):____________________ Date:_____________ Gloucestershire CCG Governing Body Minutes – April 2013 Page 5 of 5 Agenda Item 5 Gloucestershire Clinical Commissioning Group Governing Body Thursday 30th May 2013 Meeting Date Title Gloucestershire Clinical Commissioning Group Chair’s Report Executive Summary This report outlines the key issues the Chair would like to highlight to the Governing Body. Key Issues The key issues arising include: Welsh Border Residents Re-ablement Project Update on Locality Structure Risk Profiling Local Enhanced Service GP Practice Visits Clinical Priorities Forum Advice and Guidance Service Extended to Diabetes Risk Issues None Financial Impact None Legal Issues None (including NHS Constitution issues) Impact on Equality None and Diversity Impact on Health None Inequalities Impact on Sustainable None Development Patient and Public Involvement Recommendation This report is provided for information and the Board is requested to note the contents. Author Dr Helen Miller Designation Gloucestershire CCG Chair Sponsoring Director (if not author) Page 1 of 5 Gloucestershire Clinical Commissioning (GCCG) Chair’s Report 1 Introduction 1.1 This report outlines the key issues the Chair would like to highlight to the Governing Body. 2 Cross-Border Patients 2.1 Concerns have been raised by members of the public regarding the provision of access to elective health care for Gloucestershire residents registered with Welsh GP practices. It has come to the notice of the CCG that Aneurin Bevan Health Board (ABHB) introduced a policy last September which restricts patient access to some elective and outpatient services from English providers. This specifically affects approximately 6000 patients who live in Gloucestershire and receive GP services from branch surgeries of Welsh practices which are located in Gloucestershire. ABHB under the current agreement with the Department of Health and the Welsh Assembly, receive the funding for these patients’ health care services. These resources are not contained within the CCG allocation. 2.2 This policy change has affected these residents in many ways including difficulties in accessing local English services, additional travel costs, waiting significantly longer for outpatient appointments and elective treatments and these residents consider that it has limited their right to choice in respect of NHS services. 2.3 The CCG is sympathetic to these residents’ concerns and has raised this matter with both senior management in the ABHB and the Welsh Government. Unfortunately as a result of the agreement between to the two health departments, the CCG has no powers or resources to make changes to the current policy arrangements for our residents.
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