Governing Body Meeting Held in Public
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NHS Brighton and Hove Clinical Commissioning Group (CCG) Governing Body Meeting held in Public DRAFT Minutes Date: Tuesday 9 February 2021 Time: 14:30-17:00 Location: Meeting held virtually (MS Teams) Present: Chris Adcock (CA) Chief Finance Officer Representing Until 19 January 2021 Jim Hayburn Akeela Ahmed (AA) Lay Member, Patient and Public Engagement Faustina Bayo (FB) Associate Governing Body Lay Member Karen Breen (KB) Deputy Chief Executive Officer Jane Chandler (JC) Independent Clinical Member- Registered Nurse Justin Daniels (JD) Independent Secondary Care Clinician Adam Doyle (AD) Chief Executive Officer For items 1.7 and 3.1 to 5 Samantha Durrant (SD) Lay member – Finance and Performance May Gabriel (MG) Associate Governing Body Lay Member Gill Galliano (GG) Lay Vice Chair Elizabeth Gill (EG) Chief Medical Officer Nina Graham (NG) Locality Representative Andrew Hodson (AH) Clinical Chair Meeting Chair Jerry Luke (JL) Independent Clinical Member – GP and Local Medical Committee (LMC) Representative for Brighton and Hove Sangeetha Sornalingam Locality Representative (SS) Ian Wilson (IW) Deputy Director of Quality Representing Allison Cannon In attendance: Lola Banjoko (LB) Executive Managing Director Nicola Bottomley (NB) Company Secretary David Cryer (DC) Executive Director of Strategy Hugo Luck Associate Director, Primary and Representing Community Care Amy Galea Moosa Patel (MP) Corporate Governance Support Rob Persey (RP) Executive Director Health and Adult Social Care, Brighton and Hove City Council (BHCC) Alison Perry (AP) Governance Officer Minutes Terry Willows (TW) Executive Director of Corporate Governance Apologies: Allison Cannon (AC) Chief Nursing Officer Amy Galea Executive Director, Primary Care Andrew Taylor (AT) Lay Member - Governance Alistair Hill (AH) Director of Public Health, BHCC Jim Hayburn (JH) Chief Finance Officer Members of the public Two members of the public were in attendance Item Item description Action ref 1. Welcome and apologies 1.1. Apologies and welcome The Chair welcomed all those attending. The Chair noted that the meeting was being recorded and would be posted on the organisation’s website. Members of the public were admitted to observe the meeting, virtually. Apologies for absence were received from the members listed above. The Governing Body was quorate. 1.2. Declarations of conflicts of interest The Chair requested declarations of any interests relevant to the agenda items for the meeting. The Governing Body noted that there were no new or no existing declarations of interest considered prejudicial to any of the agenda items. 1.3. Questions previously submitted by the public The Chair noted one question had been received from a member of the public regarding How the Governors assured themselves that the "Discharge to Assess" policy at Brighton and Sussex University Hospitals NHS Trust (BSUH) ensured that people were being discharged to a safe environment with their immediate personal needs met. The Chair provided a response that would be provided to the member of the public in writing following the meeting. A record of the question and the full response is appended to these minutes at Appendix A. 1.4. Minutes of the previous meeting The Chair presented the draft minutes of the previous meeting and invited comments. The Governing Body resolved to approve the minutes of its meeting held on 8 December 2020 as an accurate record. 1.5. Action Log The Governing Body reviewed the Action Log. There were three actions recommended for closure. The following matters were highlighted: Action 10 and Action 23 were linked to the Children and Young Persons (CYP) Mental Health Report and remained open. The Governing Body resolved to note the Action Log and approve closure the three actions recommended for closure. 1.6. Report from Clinical Chair The Chair presented the report. The following matters were highlighted: The Chair welcomed the following new members to the NHS Brighton and Hove CCG Governing Body: o Sangeetha Sornalingam, Brighton and Hove CCG Locality Representative; o Akeela Armed, Lay Member, Patient and Public Engagement; o Justin Daniels, Independent Secondary Care Clinician; o Faustina Bayo and May Gabriel, Associate Governing Body Lay Members; and o Jim Hayburn, Chief Finance Officer. The Chair thanked the outgoing members - Chris Adcock, Chief Finance Officer and Tim Caroe, Chief Medical Officer - on behalf of the Governing Body as they had both made a huge contribution to the work of NHS Brighton and Hove CCG. The Governing Body was advised that recent Locality meetings had an increased attendance. The Chair highlighted the Primary Care input into the Covid-19 Vaccination Programme. The Governing Body resolved to note the Clinical Chair’s written report. 1.7. Chief Executive Officer and Executive Managing Director Report Adam Doyle and Lola Banjoko presented the report, which provided an overview of the key updates of relevance to NHS Brighton and Hove CCG since the Governing Body’s December 2020 meeting. Adam Doyle highlighted the following matters: The significant hard work of the NHS and Care workforce (within the context of the significant pressures our NHS experienced over Christmas in the third wave of the Covid-19 pandemic) were recognised. Following the update to the changes within the Governing Body highlighted by the Chair, Adam Doyle welcomed the incoming members and extended thanks to Chris Adcock and Tim Caroe for their work. Karen Breen was welcomed back to the CCG, after a period of absence. The impact of the European Union exit continued to be monitored; no significant issues had been raised across the system to date. Significant work continued on the Black, Asian and Minority Ethnic (BAME) disparities programme for both the population health and staff. It was confirmed that the full report of the response to the CYP Mental Health Review would be presented to the Governing Body in April 2021. Work continued on the programme including the recruitment of the new Programme Director. The new programme governance and reporting processes had been established. It was recognised that the programme had been commissioned and approved by the CCG and the Local Authority. The main areas of focus that would be taken forward were: 1. Access to services for Children to ensure a clear single point of access in each of the three Local Authority (LA) areas. 2. Seamless transition between CYP and Adult services, including extension of the i-Rock model across the whole of Sussex and to the 18-25 age bracket. 3. Work on the Digital programme. 4. Modelling for increased demand and capacity of Young People experiencing psychological issues or concerns regarding their well-being. 5. Work to be clear about crisis access to services for all people at all times across the system and access across the whole programme to those with eating disorders. Lola Banjoko highlighted the following matter: The report elevated work such as Hospice Care, Carers and Community equipment and provided an update from the Health and Wellbeing Group The Governing Body resolved to note the report, including key updates for NHS Brighton and Hove CCG. 2. Strategic developments and other reports 2.1. Covid‐19 update Terry Willows presented an update on significant Covid-19 developments. The following matters were highlighted: Covid-19 infections in the Brighton and Hove community had peaked to 803 per 100,000 population on 4 January 2021. This was significantly higher than during previous waves of the pandemic and had since declined to 132 cases per 100,000 population. Covid-19 positive patients in hospitals in Sussex had peaked at 925 on 12 January 2021. This had since declined to 533, of which there were 131 patients in BSUH. Covid-19 infections requiring Critical Care had peaked to 170% of the usual bed baseline for Sussex during mid-January 2021. This had since declined to 140%. Key metrics were improving, including staff sickness. Modelling indicated that BSUH’s hospitals would see the percentage of their beds occupied by patients with Covid-19 declined to 5% by early April 2021. Work had been carried out with the Community Trust, Independent sector beds and with Care Hotels to maximise community capacity. Support from the Military had been put in place in hospitals. General Duty Officers were helping with logistical issues and a Discharge team was helping to mobilise patients. Chris Adcock provided an update on the Mass Vaccination Programme: The NHS in Sussex continued to progress its vaccination programme and was performing against trajectories to meet the target to offer everyone in the top four priority groups a first vaccine dose by 15 February 2021. Primary Care Networks (PCNs) and NHS Brighton and Hove CCG colleagues had been working closely with the General Practitioners (GP) Federation, going to extraordinary efforts to achieve the position to date. It was noted that there was still much to do before 15 February 2021. Work continued to ensure that vaccine supply and capacity remained in place to achieve the current cohort requirements. The Vaccination programme was being refreshed ensuring plans for second vaccinations and further cohorts were robust, using lessons learned in the first phase of the Mass Vaccination programme. The team were working to proactively ensure that all of the population are able to access a vaccine. Actively targeting the homeless population, in particular in the Brighton area and encouraging anyone over 70 to contact their GP to seek vaccination. Work being undertaken to address inequalities in access and take up of vaccines included: o Provision in resourcing and focus for forward looking plans in respect of this. o Taking forward learning from the first part of the vaccination programme. o Collating information produced nationally and locally by ethnically diverse communities and faith groups, with a specific desire to address vaccine hesitancy. o Cascading information and developing local methods of reaching and increasing vaccine confidence of diverse communities across Sussex.