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Governing Body Governing Body To be held on Thursday 20 th July 2017 From 1pm until 4pm in the Boardroom, Sovereign House, Heavens Walk, Doncaster DN4 5HZ Governing Body To be held on Thursday 20 July 2017 Commencing at 1pm – 4pm In the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ PUBLIC AGENDA Presenter Enc 1. Welcome and Introductions Chair Verbal 2. Apologies Chair Verbal 3. Declarations of Interest Chair Verbal 4. Questions from Members of the Public Chair Verbal (See our website for how to submit questions – required in advance) 5. Minutes of the previous meeting held on 15 June 2017 Chair Enc A 6. Matters Arising Chair Verbal Strategy 7. Children’s Surgery and Anaesthesia Mrs Pederson & Enc B Dr Crichton 8. South Yorkshire & Bassetlaw Sustainability & Mrs Pederson Enc C Transformation Plan Memorandum of Understanding Assurance 9. Quality & Performance Report Mr Russell & Enc D Mr Fitzgerald • Spotlight Report on Learning Disabilities Mrs Gordon • Spotlight Report on Community and End of Life Mrs Forrestall • Looked After Children Report - Update Mr Russell 10. Finance Report Mrs Tingle Enc E 11. Assurance Framework Quarter 1 Report Mrs Atkins Enc F Whatley Standing Items 12. Chair & Chief Officer Report Dr Crichton & Enc G Mrs Pederson 13. Locality Feedback Locality Leads Verbal Items to Note/Receipt of Minutes 14. Receipt of Minutes Chair Enc H • Quality & Patient Safety Committee – Minutes of the meeting held on 4 May 2017. • Primary Care Commissioning Committee – Minutes of the meeting held on 13 April 2017. • Executive Committee – Minutes of the meeting held on 3 May 2017. • South Yorkshire and Bassetlaw Sustainability and Transformation Partnership Collaborative Partnership Board – Minutes of the meeting held on 12 May 2017. 15. Any Other Business Chair Verbal 16. Date and Time of Next Meeting Chair Verbal Thursday 17 August 2017 at 1pm in the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ To resolve that representatives of the press, and Chair 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 1960. Verbal Item 1 Welcome & Introductions Verbal Item 2 Apologies for Absence Verbal Item 3 Declarations of Interest Verbal Item 4 Questions from Members of the Public Enc A Item 5 Minutes of the previous meeting Minutes of the Governing Body Held on Thursday 15 June 2017 commencing at 1pm In the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ Members Dr David Crichton – NHS Doncaster CCG Chairman (Chair) Present: Miss Anthea Morris – Lay Member and Vice Chair of the Governing Body Mrs Sarah Whittle – Lay Member Dr Emyr Wyn Jones – Secondary Care Doctor Member Dr Nick Tupper – Locality Lead, Central Locality Dr Jeremy Bradley – Locality Lead, North East Locality Dr Marco Pieri – Locality Lead, North West Locality Dr Pat Barbour – Locality Lead, South East Locality Dr Khaimraj Singh – Locality Lead, South East Locality Dr Lindsey Britten – Locality Lead, South West Locality Dr Karen Wagstaff – Locality Lead, South West Locality Mrs Jackie Pederson – Chief Officer Mr Andrew Russell – Chief Nurse Formal Mrs Sarah Atkins Whatley – Chief of Corporate Services Attendees Mrs Laura Sherburn – Chief of Partnerships Commissioning and Primary present Care Mr Anthony Fitzgerald – Chief of Strategy & Delivery Dr Rupert Suckling – Director of Public Health Mrs Deborah Hilditch – Healthwatch Representative (Attending on behalf of Mr Stephen Shore) In Mrs Jayne Satterthwaite – PA (Taking Minutes) attendance: Mr Ian Carpenter, Head of Communications & Engagement Mrs Tracy Wyatt – Deputy Finance Officer – (Attending on behalf of Mrs Tingle) Mr Lee Golze - Head of Strategy & Delivery Children & Maternity (Item 8) Mr Ian Boldy – Head of All Age Individual Placements and Designated Nurse Safeguarding Adults (Item 8) Mrs Debbie Aitchison - Doncaster Intermediate Health and Social Care Project (Item 8) ACTION 1. Welcome and Introductions Dr Crichton welcomed everyone to the Governing Body meeting. There were 6 members of the public and 1 NHS Doncaster CCG staff member in attendance at the meeting. 1 2. Apologies Apologies for absence were received from: • Mrs Linda Tully – Lay Member • Dr Niki Seddon – Locality Lead, North West Locality • Mrs Hayley Tingle – Chief Finance Officer • Mr Damian Allen – DMBC Representative 3. Declarations of Interest The Chair reminded members of their obligations to declare any interest they may have on any issues arising at meetings which might conflict with the business of NHS Doncaster Clinical Commissioning Group. Declarations declared by members are listed in the CCG’s register of Interests. The Register is available either via the secretary to the Governing Body or the CCG website at the following link www.doncasterccg.nhs.uk The meeting was noted as quorate. Declarations of interest from sub-committee/working groups: None declared. Declarations of interest from today’s meeting: None declared. 4. Questions from Members of the Public/ Patient Stories Dr Crichton stated that the questions received from members of the public both related to Item 7 of the agenda the Doncaster Place Plan – Ernst & Young Phase 1 Report and would be answered as part of this item. 5. Minutes of the Previous Meeting held on 18 May 2017 The minutes of the meeting held on 18 May 2017 were agreed as an accurate record. 6. Matters Arising Dr Crichton stated that the Quality & Patient Safety Committee Terms of Reference are an item on today’s agenda. 2 7. Doncaster Place Plan – Ernst & Young Phase 1 Report Mr Fitzgerald explained that in 2016 Health and Social Care organisations across Doncaster developed the Doncaster Place Plan. The joint vision was that Care and support will be tailored to community strengths to help Doncaster residents maximise their independence, health and wellbeing. Doncaster residents will have access to excellent community and hospital based services when needed. The Doncaster Place Plan was approved by NHS Doncaster CCG Governing Body in October 2016. In January 2017 Health & Social Care partners appointed Ernst & Young as a strategic partner to facilitate implementation of the Doncaster Place Plan. The report is the Phase 1 assessment of the Health and Social Care partnerships’ ability to implement the Doncaster Place Plan. It includes an assessment of readiness state across 6 key areas, and describes the key areas of focus for Phase 2 of implementation. The report has also been presented at the CCG Strategy & Organisational Development Forum meeting on 4 May 2017. Mr Fitzgerald requested that the Governing Body note the Phase 1 state of assessment and support the recommendations and work programme for Phase 2 of implementation. The Governing Body noted the Phase 1 state of assessment and supported the recommendations and work programme for Phase 2 of implementation. Questions from Members of the Public Dr Crichton informed the Governing Body that the following questions regarding the Doncaster Place Plan – Ernst & Young Phase 1 Report have been received from Mr Steve Merriman and Mr Doug Wright respectively. • Page 64 of the Doncaster Place Plan – Ernst & Young Phase 1 Report says “The current governance of the Doncaster Place Plan is not fit for purpose” because of the lack of a formalised Steering Group, Working Group, Joint Commissioning Group or Joint Provider Group. How does this apparently serious assertion fit with the positive tone taken in the CCG report Key Summary which claims “There has been strong engagement with regards to governance processes”? Mr Fitzgerald explained that Ernst & Young undertook a baseline assessment of current Governance processes and specifically their fitness for purpose toward moving to the future Health and Social care vision described within the Place Plan. The findings, (which were supported across the relevant organisations) were that these would need strengthening and formalising in order to enable the integration 3 approach described. This is true across integrated commissioning with the CCG and Local Authority, and indeed the Accountable Care approach across providers. As described within key summary areas, there has been excellent engagement across organisations to making this move, and this has included key leaders getting into the room with Ernst & Young to work through what arrangements are needed to formulise the governance process required in the “new system”. At a meeting of the Health & Social Care Transformation Group (a regular meeting of all Chief Executives and leaders of health and social care organisations), Commissioners and the Providers will be describing these arrangements and the timelines for implementation. This will include a proposed revised Governance structure and a suite of Supporting Agreements, which will include Partnership Agreements, Areas of Delegated Authority, Supporting Terms of Reference and risk arrangements. These will clarify the responsibility of the relevant partnership groups and delegated functions. These proposed arrangements will of course be worked through with Governing Body members and brought for ratification before implementation. Mr Merriman queried if a completion date had been identified and Mr Fitzgerald replied that shadow arrangements will be effective from 1 October 2017 and will be applicable for certain areas only and dependent upon the various Governing Bodies
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