Agenda Nhs Bolton Clinical Commissioning Group Public
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AGENDA NHS BOLTON CLINICAL COMMISSIONING GROUP PUBLIC BOARD MEETING Date: 23rd January 2015 Time: 12.30pm – 15.00pm Venue: Main Meeting Room, Friends Meeting House Start Duration Item Subject Paper/ By Whom Time No. Verbal General Business: 12.30pm 1. Apologies for Absence. Verbal Joanne Taylor 12.30pm 5 mins 2. Introductions & Chair’s Update. Verbal Wirin Bhatiani 12.35pm 10 mins 3. Questions/Comments from the Verbal All Public on any item on the agenda. 12.45pm 5 mins 4. Declarations of Interest in Items on Verbal All the Agenda (In addition to those recorded by Members on the Declarations of Interest Register). 12.50pm 5 mins 5. Minutes of the Part 1 & Part 2 Papers Wirin Bhatiani Meetings previously agreed by the Board and Action Log from 28th November 2014 meeting. 12.55pm 10 mins 6. Patient Story. Presentation Colin Mercer Items for Decision: 13.05pm 30 mins 7. Co-Commissioning Joint Paper to follow Stephen Committee Report - Bolton Quality Liversedge Contract. 13.35pm 5 mins 8. Information Governance Paper Mike Robinson Framework. Priority Assurance Items: 13.40pm 10 mins 9. Annual Equality Data Publication. Paper Mike Robinson 13.50pm 20 mins 10. Ambulance Turnaround Update. Paper Jackie Bell 14.10pm 10 mins 11. Corporate Performance Dashboard. Paper Colin Mercer 14.20pm 10 mins 12. Report of the Chief Finance Officer. Paper Annette Walker 14.30pm 10 mins 13. QIPP Programme Update. Paper Fiona Moore Items to Receive: 14.40pm 5 mins 14. (i) Healthier Together Committee Paper For noting in Common Minutes 21/11/14. (ii) GM Association of CCGs Paper For noting Summary 6/1/15. For noting (iii) CCG Executive Update. Minutes from:- (iv) Q&S Committee 12/11/14 and 10/12/14. Available on (v) Audit Committee 5/11/14. the CCG (vi) Governance & Risk Committee website 14/11/14. (vii) Health & Wellbeing Board 10/12/14. (viii)Joint Commissioning Committee 18/12/14 & 22/12/14. 14.45pm 5 mins 15. Annual Review of Gifts & Paper For noting Hospitality and Declarations of Interest Registers. 14.50pm 5 mins 16. Any Other Business. Verbal For noting 14.55pm 17. Date of next meeting:- Verbal For noting Friday 27th February 2015 at 12.30pm in the Main Meeting Room, Friends Meeting House. Part 2 Board Meeting (if required): 14.55pm 18. Exclusion of the Public:- Verbal Chair to “That publicity would be prejudicial to the confirm public interest by reason of the confidential nature of the business to be transacted, and that the public be excluded”. MINUTES NHS Bolton Clinical Commissioning Group Board Meeting Date: 28th November 2014 Time: 12.30pm Venue: Main Meeting Room, Friends Meeting House Present: Wirin Bhatiani Chair Joe Leigh Vice Chair & Lay Member, Governance Alan Stephenson Lay Member Colin Mercer Clinical Director, Clinical Governance & Safety Stephen Liversedge Clinical Director, Primary Care & Health Improvement Barry Silvert Clinical Director, Commissioning Charles Hendy GP Board Member Charlotte Mackinnon GP Board Member Tarek Bakht GP Board Member Shri Kant GP Board Member Ann Benn Lay Member, Patient Engagement Su Long Chief Office Annette Walker Chief Finance Officer Mary Moore Chief Nurse In attendance: Wendy Meredith Director of Public Health, Bolton LA Sarah Fletcher-Hogg Communications Officer Rob Bellingham Director of Commissioning, NHSE Area Team Minutes by: Joanne Taylor Board Secretary Minute Topic No. 183/14 Apologies for absence Apologies for absence were received from: • Tarek Bakht, GP Board Member. 184/14 Introductions and Chair’s Update Board members introduced themselves. There were 21 members of the public recorded on the attendance sheet. Karen Reissmann introduced the members that had attended who were representing the Save the Bolton health services campaign. Karen had submitted some follow up questions to the Chair and Chief Officer further to the questions raised at the October board meeting. 1 Karen also handed the Chair a petition including over 8,000 names of people in support of the campaign. The Chair also reported that he had received a letter of resignation from Charlotte Mackinnon from her roles as Board member and clinical lead for children and maternity. Charlotte was to continue in her clinical lead role for safeguarding and would be serving a period of notice on her other roles. The CCG would be undertaking an election process in the future to recruit to the vacant board member position. The Chair also reported that interviews had been undertaken that day for the secondary care specialist board member role. An announcement on the successful candidate would be made once all the recruitment paperwork had been completed. 185/14 Questions/Comments from the Public on any item on the agenda The Chair had discussed with Karen Reissmann prior to the meeting that only questions specific to items on the agenda can be taken and that there were other routes for questions being raised to be answered. However, Karen requested that the Chair allow her to read out her questions at the meeting. The Chair agreed to this and confirmed that answers would not be able to be given at the meeting. The Chief Officer responded to the questions raised by confirming that a letter had been sent to Karen Reissmann answering the questions raised at the October board meeting and that a copy of the letter would be appended to the minutes from that meeting. In summing up, the Chief Officer reported that the CCG had to follow the rules within the Health Act regarding procurement when implementing service changes. Su Long also confirmed that it was not the CCG’s intention to reduce spend on IAPT services, the intention was to increase spend on mental health services by reducing resources spent on other acute services. Su Long had also made a statement in her response letter that this will not lead to privatisation. The CCG had to ensure that the correct procurement processes were in place and that this was communicated to the relevant organisations, however this could not be shared with individuals. Su confirmed that the Board meeting was not the place for continued questions and answers on this particular area, however she was willing to speak to people outside the Board meeting if this would be helpful. 186/14 Declarations of Interest in Items on the Agenda GP Board Members expressed an interest in the item on the agenda regarding improving primary care in Bolton. There would be no requirement for the GPs to remove themselves from these discussions, as there were no decisions being taken at this meeting on this item. Barry Silvert expressed a potential conflict of interest in the item on the agenda regarding Bolton FT estates and proposed to leave the meeting at this stage. Charles Hendy, Charlotte Mackinnon and Shri-Kant also confirmed an interest in this item. Following the comments made by members of the public, Wendy Meredith expressed her ongoing declaration of interest regarding psychological therapy services. The Board noted that ongoing declarations of interest stood for every Board meeting and were publicised on the CCG’s website. 187/14 Minutes of the Meeting previously agreed by the Board and Action Log from 24th October 2014 meeting The Minutes were agreed as an accurate record and the update on the action log noted. 2 188/14 Patient Story Colin Mercer presented the patient story for this month. This focused on a complaint from a Bolton patient who unfortunately had a poor experience with Arriva Patient Transport service. The report details how the CCG has addressed this complaint and further action to be taken with Arriva at a future performance meeting being held in December. Members queried the service being provided by Arriva, given the mode of transport that was used to transport this patient home was by taxi. It was acknowledged that these issues would be discussed with Arriva through the contract monitoring meeting to be held to ensure standards are improved further. Members noted that although standards had improved, 80% meant that 1 in 5 patients were not getting the required standard of pick up within 1 hour. The Board noted the update. Presenting patient stories in different formats would continue to be developed with the CCG’s Communications and Engagement team. 189/14 Relocation of Children’s Outpatient Department and Minerva Day Centre Dr Barry Silvert left the meeting at this point. Bolton FT has proposed the relocation of Children’s Outpatient Departments from the Bolton FT site and Hallliwell Health Centre and services from the Minerva Day Centre to Bolton One. These moves would provide improved environments for patients to receive clinical care, whilst addressing the risk of harm to patients and staff in respect of the high and significant backlog maintenance issues identified with the premises that the services are currently delivered from. This proposal is in accordance with Bolton FT’s estates strategy to reduce the hospital footprint and utilise community premises, and aligns with the CCG’s estates strategy relating to transferring services into the community and into higher quality buildings. It was noted that the Quality Impact Assessments (QIAs) and the Equality Impact Assessments (EIAs) processes were still ongoing. However, it was appropriate to present the proposal at this stage acknowledging that approval would be subject to finalising these processes. Members discussed the proposal and sought confirmation that services proposed to be moved would be the services that the CCG would want to relocate into the community. It was agreed these are services that have the poorest estate currently and are the right services to move. It was acknowledged that this was an opportunity to look at innovative ways to look after children in the community and would provide a central base for patients.