Governing Body Meeting to Be Held at 2Pm on Thursday 24 November
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Governing Body Meeting to be held at 2pm on Thursday 24th November 2016 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 Meeting held on Chair Approval 29th September 2016 4 Matters Arising Chair 5 Patient’s Story – Supporting Helen Ford Information Children and Young People’s Emotional Health and Wellbeing 6 Public Questions Chair 7 Chair’s Update Chair Information 8 Accountable Officer’s Update Mary Hutton Information 9 Performance Report Cath Leech Information 10 Gloucestershire Sustainability Mary Hutton Information and Transformation Plan 11 2017/18 Planning Round update Ellen Rule Information 12 Social Prescribing Procurement Ellen Rule Approval 13 Out of Hours Procurement Mark Approval Walkingshaw 14 Constitution Update Alan Potter Approval 15 Standards of Business Conduct Alan Potter Approval Policy 16 Assurance Framework Cath Leech Information Items to Note: 17 Integrated Governance and Julie Clatworthy Information Quality Committee Minutes 18 Primary Care Commissioning Alan Elkin Information Committee Minutes 19 Priorities Committee Minutes Chair Information 20 Joint Commissioning Mary Hutton Information Partnership Board Minutes 21 Any Other Business (AOB) Chair Date and time of next meeting: Thursday 26th January 2017 at 2pm in Board Room at Sanger House A recording will be made of this meeting to assist with the preparation of the minutes. This recording will be made on an encrypted device owned by the CCG and will be held securely for a maximum of one week before being deleted. Governing Body Minutes of the Meeting held at 2.00pm on Thursday 29th September 2016 in the Board Room, Sanger House, Gloucester GL3 4FE Present: Dr Andy Seymour AS Clinical Chair Marion Andrews-Evans MAE Executive Nurse and Quality Lead Dr Charles Buckley CBu GP Liaison Lead – Stroud and Berkeley Vale Julie Clatworthy JC Registered Nurse Joanna Davies JD Lay Member – Patient and Public Engagement Alan Elkin AE Lay Member – Patient and Public Engagement and Vice Chair Helen Goodey HG Director of Locality Development and Primary Care Colin Greaves CG Lay Member - Governance Dr Malcolm Gerald MGe GP Liaison Lead – South Cotswolds Dr Will Haynes WH GP Liaison Lead – Gloucester Mary Hutton MH Accountable Officer Cath Leech CL Chief Finance Officer Dr Tristan Lench TL GP Liaison Lead – Forest of Dean Dr Hein Le Roux HLR Deputy Clinical Chair Ellen Rule (part meeting) ER Director of Transformation and Service Redesign Dr Raju Reddy RR Secondary Care Doctor Sarah Scott SS Director of Public Health, GCC Mark Walkingshaw MW Director of Commissioning Implementation and Deputy Accountable Officer In attendance: Helen Edwards (Item 5) HE Associate Director of Locality Development and Primary Care Stephen Rudd (Item 11) SR Head of Locality and Primary Care Development Hannah Williams (Item 14) HW End of Life Commissioning Manager/Quality Lead for Community Services Rachel Pearce RP Director of Commissioning Operations, NHS England Alan Potter AP Associate Director of Corporate Governance Fazila Tagari FT Corporate Governance Support Officer There were 5 members of the public present. Page 1 of 19 1 Apologies for Absence 1.1 Appologies were received from Margaret Willcox. 2 Declarations of Interest 2.1 All GPs declared a general interest in: agenda Item 11 - Primary Care Strategy for Gloucestershire agenda item 12 - Sustainability and Transformation Plan Update; and agenda item 15 - Constitution Update. 3 Minutes of the Meeting held on Thursday 28th July 2016 3.1 The minutes of the meeting held on Thursday 28th July 2016 were approved. 4 Matters Arising 4.1 26.05.16 AI 12.4 - Performance Report – MW advised that the outcome of the SWASFT pilot was included within the performance scorecard and that the methodology underpinning this was outlined on pages 17-18 of the performance report (Agenda Item 12). Item Closed. 4.2 28.07.16 AI 9.15 – Performance Report – MAE advised that Becky Parish would be taking this action forward and would discuss the Patient Reported Outcome Measures (PROMs) with thhe Director of Patient Experience of GHFT. 5 Patient’s Story 5.1 HE presented a patient’s story relating to patients’ experiences of the social prescribing service. 5.2 HE provided a background context to the service and advised that as at the end of July 2016, 2264 referrals had been made through this scheme. 5.3 The Committee agreed that this was a welcome initiative which had received national recognition. MGe concurred and congratulated the Gloucestershire CCG Governing Body Minutes – September 2016 Page 2 of 19 CCG for its success. 5.4 RESOLUTION: The Governing Body noted the patient’s story. 6 Public Questions 6.1 There were no questions received from the public. 7 NHS England Priorities 7.1 RP introduced herself and provided a verbal update on the work of the NHS England and their key priorities. 7.2 It was noted that the NHS England South Central portfolio covered 14 CCGs, 31 prisons, 5 immigration centres and the armed forces amongst others. 7.3 RP explained the work that NHS England oversees i.e. direct commissioning, CCG assurance, screening and immunisations, primary care, complaints, quality improvement and safety. 7.4 RP advised that the key priorities for NHS England were: sustainability of health services; delivery of the constitutional standards; cancer; mental health; maternity; national policies; and STP assurance process and supporting delivery. 7.5 RESOLUTION: The Governing Body noted the verbal update. 8 Gloucestershire Clinical Commissioning Group (CCG) Clinical Chair’s Report 8.1 AS presented this report that was taken as read and highlighted a summary of key issues that arose during August and September 2016. 8.2 AS updated members on primary care and advised that practices had organised themselves into 15 ‘clusters’ across the county. It Gloucestershire CCG Governing Body Minutes – September 2016 Page 3 of 19 was noted that the clusters were working on their bids for the STP funding and were now progressing with implementation. 8.3 Members noted the work being undertaken on the General Practice Forward View. It was noted that funding from NHS England had been received to support the General Practice Resilience Programme and the General Practice Development Programme. 8.4 AS drew attention to Section 4 of the report relating to the National GP Patient Survey and noted the positive results that had been achieved against the national average. 8.5 AS advised that the CCG recently submitted a sustainability self- assessment to the Good Corporate Citizen and noted that the CCG measured comparatively well compared to other CCGs in many areas. 8.6 Members were updated on the Gloucestershire living with and beyond Cancer Programme and were advised on some current delivery progress particularly within acute, community care and primary care. 8.7 AS updated members on the Mental Health work and advised that two of the elected members for Cheltenham in their roles as ‘Mental Health Champions’ had committed to delivering ‘Heads Up Cheltenham’ year of mental health action which would be launched on 10th October 2016 (World Mental Health Day). 8.8 AS advised that the Gloucestershire Suicide Prevention Partnership Forum had launched their five-year plan to reduce the rate of suicide in Gloucestershire which included raising awareness. AS advised that as part of this commitment, agencies recently supported the World Suicide Prevention Day on the 10th September 2016 by making pledges on social media using the hashtag #GlosCares. It was noted that councillors, local business leaders, staff and other dignitaries had participated in this initiative. SS highlighted the strong presence on social media and welcomed this initiative. 8.9 AS informed members that the CCG had commissioned 2gether and Swindon MIND to deliver a new 5 bedded house in Alexandra Road, Gloucester, for people aged 18 and upwards experiencing acute emotional distress associated with a mental health problem. Gloucestershire CCG Governing Body Minutes – September 2016 Page 4 of 19 The aim of the service would be to provide early intervention for those at risk of crisis, and prevent the need for admission to an inpatient setting by offering short term respite and wellbeing support. 8.10 Members noted that the CCG had funded the Crisis Café at Westgate Street to open every evening from 6pm – 11pm to offer non-clinical mental health support to people during out of hours. It was reported that since opening approximately six weeks ago, the project had received 250 visits/contacts and 40 separate individuals registered with the service. AS highlighted an example of an individual who was a high frequency user of the Emergency Department but had not attended since the café had opened. 8.11 RESOLUTION: The Governing Body noted the contents of this report. 9 Gloucestershire Clinical Commissioning Group Accountable Officer’s Report 9.1 The Accountable Officer introduced this report which was taken as read, and provided a summary of key issues arising during August and September 2016. 9.2 MH highlighted the work of the Transforming Care Programme and advised that capacity was being developed within the county to return long stay in-patients who were living around the county back to their home county to live in community based settings. It was noted that Gloucestershire had 16 such individuals placed in in- patient units. 9.3 MH informed members that an Integrated High Needs Team had been developed which incorporated social workers, clinical case managers, support planners and enablement workers. It was noted that the project had been a huge success. 9.4 Members noted that work was underway to improve the uptake of the Learning Disability Annual Health Checks as uptake was low. 9.5 It was noted that a £3.2m fund had been awarded for three years to assist vulnerable adults to re-join the workforce.