Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland
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Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group ` Meeting Commissioning Collaborative Board Date Thursday 18 July 2019 Title (Joint Committee) - Meeting in Public Meeting no. 6 Time 1:00pm – 2:15pm Dr Nick Pulman Conference Room, 4th Floor, Venue / Chair Deputy Clinical Chair LC CCG, St John’s House, Location West Leicestershire CCG 30 East Street, Leicester, LE1 6NB REF AGENDA ITEM ACTION PRESENTER PAPER TIMING Welcome and Introductions CCBP/19/51 Dr Pulman 1:00pm Apologies for Absence: • Mrs Karen English • Ms Sue Lock • Dr Ursula Montgomery To CCBP/19/52 • Professor Lakhani Dr Pulman verbal 1:00pm receive • Ms Donna Enoux • Ms Chris West • Ms Gillian Adams • Ms Tamsin Hooton Notification of Any Other Business To CCBP/19/53 Dr Pulman verbal 1:00pm receive Declarations of Interest on Agenda To CCBP/19/54 Dr Pulman verbal 1:00pm Topics receive To receive questions from the Public To verbal CCBP/19/55 Dr Pulman 1:05pm in relation to items on the agenda only receive GOVERNANCE ARRANGEMENTS Minutes of the meeting held on 16 To Dr Pulman CCBP/19/56 A 1:10pm May 2019 approve Minutes of the meeting held on 20 To Dr Pulman CCBP/19/57 B 1:15pm June 2019 approve Matters Arising: Update on actions Dr Pulman To CCBP/19/58 from the meeting held on 20 June C 1:20pm receive 2019 ITEMS FOR DECISION, ACTION AND ESCALATION Update on Community Paediatric To Sarah CCBP/19/59 service D 1:25pm receive Shuttlewood University Hospitals of Leicester To Sarah CCBP/19/60 Presentation 1:40pm (UHL) performance receive Shuttlewood To Spencer CCBP/19/61 2019/20 QIPP Schemes position E 1:55pm receive Gay To Tim CCBP/19/62 Primary Care Strategy F 2:05pm receive Sacks Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group ` REF AGENDA ITEM ACTION PRESENTER PAPER TIMING The next meeting of the Commissioning Collaborative Board will take place on Thursday 22 August 2019, Conference Room, 4th Floor, Leicester City CCG, St John’s House, 30 East Street, Leicester, LE1 Dr Pulman verbal 6NB West Leicestershire CCG to Chair meetings from May – August 2019 A Blank Page Paper A LLR CCGs’ Commissioning Collaborative Board (CCB) meeting 20 June 2019 LEICESTER, LEICESTERSHIRE AND RUTLAND CCGs COMMISSIONING COLLABORATIVE BOARD Minutes of the Public Commissioning Collaborative Board held on Thursday 16 May 2019 at 1:00pm in the Conference Room, 4th Floor, St John’s House, 30 East Street, Leicester, LE1 6NB PRESENT: Dr Nick Pulman Deputy Clinical Chair, West Leicestershire CCG (Chair) Dr Ursula Montgomery Clinical Chair, East Leicestershire and Rutland CCG Professor Azhar Farooqi Clinical Chair, West Leicestershire CCG Dr Avi Prasad Co-Chair, Leicester City CCG Dr Andy Ker Vice Clinical Chair, East Leicestershire and Rutland CCG Ms Donna Enoux Chief Finance Officer, East Leicestershire and Rutland CCG Mrs Caroline Trevithick Interim Managing Director, West Leicestershire CCG Ms Sue Lock Managing Director, Leicester City CCG Ms Gillian Adams Independent Lay Member, West Leicestershire CCG Mrs Michelle Iliffe Director of Finance, Leicester City CCG Mr Zuffar Haq Independent Lay Member, Leicester City CCG Ms Chris West Director of Nursing and Quality, Leicester City CCG Ms Sarah Prema Director of Strategy and Implementation, Leicester City CCG Ms Tamsin Hooton Director Lead for Community Services Redesign IN ATTENDANCE Ms Elaine Egan-Morriss CAMHS Lead Commissioner and C&YP Whole System Transformation Lead, Leicester City CCG(CCBP/19/39) Mrs Jayshree Raval Commissioning Collaborative Support Officer East Leicestershire and Rutland CCG (minutes) PUBLIC GALLERY There were no members of the public present in the public gallery ITEM DISCUSSION LEAD RESPONSIBLE CCBP/19/32 Welcome and Introductions Dr Pulman welcomed all members to the Commissioning Collaborative Board (CCB) meeting. CCBP/19/33 Apologies received - Mrs Karen English Managing Director, East Leicestershire and Rutland CCG - Dr Andy Ker, Vice Clinical Chair, East Leicestershire and Rutland CCG - Professor Mayur Lakhani, Clinical Chair, West Leicestershire CCG - Mr Clive Wood, Independent Lay Member, East Leicestershire and Rutland CCG - Mr Spencer Gay, Chief Finance Officer, West Page 1 of 6 Paper A LLR CCGs’ Commissioning Collaborative Board (CCB) meeting 20 June 2019 ITEM DISCUSSION LEAD RESPONSIBLE Leicestershire CCG. CCBP/19/34 Notification of Any Other Business The Chair had not received notification of any other business for discussion. CCBP/19/35 Declarations of Interest on Agenda Items The Chair reminded members of their obligation to declare any interest they may have on any business arising at committee meeting which might conflict with the business of NHS Leicester City CCG, East Leicestershire and Rutland CCG or West Leicestershire CCG. There were no conflicts of interest declared by members present. CCBP/19/36 To receive questions from the Public in relation to the items on the agenda only There were no members of the public present in the public gallery and there were no questions received in advance relating to the items on the agenda. CCBP/19/37 To APPROVE the minutes of the Public Commissioning Collaborative Board (CCB) meeting held on 18 April 2019 The minutes of the Public CCB meeting held in April 2019 were approved as an accurate record of the meeting It was RESOLVED to: - APPROVE the minutes of the public CCB meeting. CCBP/19/38 To RECEIVE the Matters Arising: actions from Commissioning Collaborative Board held on 18 April 2019 (Paper B) Matters arising following the meeting held on 18 April 2019 were received: CCBP/19/18 and CCBP/18/27: Progress on QIPP Schemes: It was agreed that the two actions were one and the same and therefore they have been amalgamated. It was noted that work was underway in regards to allocating clinicians against each of the QIPP schemes. This information has been circulated and the list has been agreed. Further update will be provided at the next meeting. Action ongoing. Page 2 of 6 Paper A LLR CCGs’ Commissioning Collaborative Board (CCB) meeting 20 June 2019 ITEM DISCUSSION LEAD RESPONSIBLE CCBP/19/28: Update on EMAS Contract Negotiations: Mrs Trevithick that negotiations are underway which should be concluded shortly. It was agreed to close the action and to be taken as part of the normal business discussion. Action closed. It was RESOLVED: - RECEIVE the action log. CCBP/19/39 To RECEIVE Children and Young People’s Mental Health Support Team 2019/20 Trailblazer Pilot Bid Phase 2 (Paper C) Ms Egan-Morriss, presented the paper outlining that in January 2019, the government published the NHS Long-term plan which re-confirmed the commitments from the 2017 children and young people’s mental health green paper which set out proposals to improve mental health support in schools and college’s. She stated that over the next five years, the NHS will fund new mental health support teams (MHST) working in schools and colleges, building on the support already available. In 2018 a selection process identified the first 25 trailblazer sites nationally. At the time the three Leicester, Leicestershire and Rutland (LLR) CCGs submitted a joint bid which was however unsuccessful at that time. Ms Egan-Morriss informed that in April 2019, the LLR CCG’s were invited to apply for the Phase two Trailblazer bid with the aim to increase capacity and deliver a more efficient and effective mental health and wellbeing service in schools. She added that the trailblazer bid will focus on children and young people with ASD/Autism, behaviour that challenges and addresses the increasing need for neurodevelopmental interventions, support advice and training. She stated that this service will increase access to evidence based interventions for mild to moderate needs in schools. Ms Egan-Morriss informed that the proposal is based on the Leicester Leicestershire and Rutland (LLR) enhancing the current local plans to develop a whole school approach to address the emotional, mental health and wellbeing needs of children and young people (C&YP). She stated that by becoming a trailblazer site, it will provide the increased resource and capacity to develop 2 MHST’s to focus on C&YP with Autism/ADHD and behaviour that challenges. The teams will provide input across a wide range of schools including supporting those schools with ASD units for C&YP with additional needs. The provision will also address those Page 3 of 6 Paper A LLR CCGs’ Commissioning Collaborative Board (CCB) meeting 20 June 2019 ITEM DISCUSSION LEAD RESPONSIBLE C&YP not attending school. Ms Egan-Morriss highlighted that the report details the number of schools that responded to the expression of interest to schools and education settings across LLR. A number of schools also attended the multiagency workshops. Ms Egan-Morriss explained how the funding would be split between City and County services with more collaborative work with the relevant stakeholders. Ms Enoux queried if this work will have positive impact on CAMHS waiting list and Community Paediatrics Service. Ms Egan-Morriss informed that the work will certainly assist in reducing CAMHS waiting times. Mrs Trevithick asked for some clarity around what the outcome measures were as it was not clear in the report. Ms Egan-Morriss explained what some of the routine outcome measures, including clinical and non-clinical outcomes. Dr Montgomery asked what Clinical involvement has taken place at this stage. Ms Egan-Morriss informed that at this stage clinicians have not been involved however once the bid has been successful, clinical input will be part of the development stage. Some of the CCB members stated that there is disparity on the number of schools between City and County and queried how the service would be made available across all schools including secondary schools.