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NHS Leeds West CCG: Annual Report and Accounts 2014-15

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NHS Leeds West CCG: Annual Report and Accounts 2014-15 NHS Leeds West Clinical Commissioning Group Annual Report and Accounts 2014–2015 2 NHS Leeds West Clinical Commissioning Group CONTENTS Annual Report 4 Accountable Officer’s Foreword 5 Chair’s Message 10 Introduction to the CCG’s Annual Report from our Member Practices 11 The Nature and Purpose of NHS Leeds West Clinical 15 Commissioning Group Our Business Model 18 Strategic Objectives 19 Our plans for 2015-2016 23 Performance and Quality 26 Financial Performance and Outlook 26 Healthcare in Leeds 27 Quality and Safety 29 Serious Incidents 32 Never Events 32 Responding to Concerns and Complaints 33 Patient Advice and Liaison Service 34 Working with Partners 35 Patient and Public Involvement 39 Environmental, Social and Community Matters 41 Sustainable Development Report 41 Equality and Diversity 44 Our Employees 46 Employee Consultation Training Sickness Absence Data Equality of Opportunity (including policies and training) 47 Gender Equality Data Loss 47 Request for Information under the Freedom of Information Act 48 Emergency Preparedness 48 Safeguarding Children and Vulnerable Adults 49 Our Governing Body and Committees 53 Audit Committee 54 Conflict of Interest 55 Governing Body Profiles 56 Remuneration Report 61 Off Payroll Engagements 66 External Audit 66 Statement of Accountable Officer’s Responsibilities 67 Annual Governance Statement 68 Auditors Report 88 Annual Accounts 91 Annual Report and Accounts 2014–2015 3 ANNUAL REPORT The accounts for the year ending 31 March 2015 have been prepared as directed by NHS England in accordance with section 232 (Schedule 15, Paragraph 3) of the National Health Service Act 2006. The directions issued by NHS England require clinical commissioning groups to comply with the requirements laid out in the Manual for Accounts issued by the Department of Health. The Manual for Accounts complies with the requirements of the Government Financial Reporting Manual, which the Department of Health Group Accounts are required to comply with. 4 NHS Leeds West Clinical Commissioning Group ACCOUNTABLE OFFICER’S FOREWORD As we mark our second year as a statutory In October 2014 NHS England published its body I want to reflect on the excellent Five Year Forward View for the NHS. The progress we have made. We have in place a Five Year Forward View sets out the reasons really strong membership with active input why the NHS needs to change to address provided by our 38 GP member practices, the challenges it will face in the future, ensuring that any decisions we make are including an ageing population, costs for based on sound clinical judgement as well as new treatments and integrated services. feedback from patients and the wider public. Locally we are looking at how we can Thanks to the support of our member introduce some of the new care models practices, many of the patients we serve as outlined in the Five Year Forward View a CCG now benefit from extended access and in particular the multi speciality care to primary care GP services. This means providers which will see a shift in emphasis patients can now see a GP outside traditional in where patients are treated. This will help opening hours. Since setting up the scheme reduce the number of patients being seen over 6,000 additional appointment times in hospital and instead seen and treated by have been taken up by our patients. This community-based services. will help us as we prepare for seven day services which will be a major change to the This will also mean that GP practices of the way services are delivered as indicated by future will look different and offer a range guidance from NHS England. of services and host a range of staff. For example we may see physiotherapists based To help us shape local services I am pleased within GP practices or offering sessions to report that all three Leeds CCGs will be within practices which means patients no working with NHS England to co-commission longer need to be seen at hospital for this primary care services. This will ultimately kind of care. These are just early thoughts give us greater influence on the way we and considerations however any proposed transform local primary care services. changes will only happen once we have engaged with our member practices and In addition we will also be working with NHS with our patients. England to begin co-commissioning some specialised services. Specialised services are It is not just our relationships with our those provided in relatively few hospitals, member practices that have strengthened, accessed by comparatively small numbers of we have also made great strides in patients but with catchment populations of developing strong partnerships with key usually more than one million. organisations and community groups in the city. This means we are able to maintain a real focus on local services while acknowledging and acting on key citywide priorities. Annual Report and Accounts 2014–2015 5 To help us with this we have a Joint Health with the progress of the Leeds Care Record and Wellbeing Strategy for Leeds which programme which provides health and care has been developed in consensus by all professionals with a single view of essential partners on the Leeds Health and Wellbeing GP and secondary care data. Sharing data Board. This allows us, and our partners, to will play a key role in integrating services focus on key health outcomes for people and reducing duplication especially for our in Leeds so that we can tackle some of the patients. health inequalities that affect local people. It also allows us to concentrate resources on We have been working closely with Leeds services that require additional support. City Council to see how we can improve support for patients requiring social care. One of the key priorities for the city and for In addition we recognise that some of the our CCG is to ensure parity of esteem for challenges facing our hospitals is discharging mental health services so that mental health older and often frail patients to appropriate is given equal priority with physical health. community care settings provided either by The Leeds Health and Wellbeing Board has NHS organisations or Leeds City Council’s approved a new mental health framework Adult Social Care. for Leeds so that we can address some of the access issues facing people experiencing Also sitting under the transformation mental ill-health particularly for younger programme is the work of the Leeds patients. It is equally important that we Integrated Cancer Services (LICS) made up challenge stigma and discrimination faced of partners from primary care, secondary by those who have experienced mental care and academics. The aim of LICS is to ill-health. I’m pleased to say that our CCG is radically review cancer services and care proud to be a Mindful Employer and we are so that they are integrated, co-ordinated involved with Time to Change – England’s and personalised around people’s needs. In most ambitious anti-stigma campaign. particular we need to review pathways and how people are referred. The first area being We supported Leeds Community Healthcare reviewed is the breast diagnostic pathway. NHS Trust’s campaign to promote the talking therapies service (referred to as Improving Leeds CCGs are working with Leeds Teaching Access to Psychological Therapies) for Hospitals NHS Trust to start looking at people experiencing low levels of mental ill- redesigning breast cancer diagnostic health such as anxiety or stress. We are also pathways as this is one of the areas where working with Leeds and York Partnership we have seen an unprecedented increase in NHS Foundation Trust to see how we can demand for our services. Over the next few integrate mental health and primary care months, we will be listening to the views of services so that we can offer quicker access patients and staff and hearing about their to support for those needing it. experiences, particularly looking for their ideas and suggestions on how we can do Work continues on the Leeds Health and things better. Social Care Transformation Programme. One of the areas where significant progress Last year we set up a patient empowerment has been made is on integrating health project (PEP) which is an innovative and social care services. We are delighted initiative that builds on the principles of 6 NHS Leeds West Clinical Commissioning Group ‘social prescribing’. The PEP gives our GP support people with a learning disability to practices immediate access to community understand what to expect when they visit and voluntary groups and services that could their GP as well as providing easily accessible help patients. For example we know that information to help them manage their own for some people their mental ill-health can health. stem from money worries. Thanks to the PEP programme patients can be quickly referred In addition we have also worked with Leeds to debt advice agencies. Gypsy and Traveller Exchange (GATE) to see how we can improve access to primary care I also wanted to highlight how the PEP for people from this community. We are project has been set up with patient now in a position to develop plans which involvement. As a CCG we are committed will see better access to care to support this to working with patients and the wider community. public to improve services and have lots of examples demonstrating this. However for We are now working with GATE and the first time ever we asked a patient to residents of Cottingley Springs on the be involved throughout the procurement recommendations from the engagement process of the PEP project. This level of exercise which include: patient involvement is one of only a handful of examples I can think of nationally.
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