Questions from Members of the Public Will Be Received Under Item 4
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Questions from members of the public will be received under Item 4; if submitted in advance in line with the protocol on the CCG’s website: http://www.blackburnwithdarwenc cg.nhs.uk/about-us/governing- body-meetings/ CLINICAL COMMISSIONING GROUP (CCG) GOVERNING BODY MEETING Wednesday 5th September 2018 at 1 pm Meeting Rooms 1 and 2, Blackburn Central Library Town Hall Street, Blackburn BB2 1AG A G E N D A (REVISED) Item No: Agenda Item Member Responsible Report PUBLIC PARTICIPATION 1. Chair’s Welcome Mr Graham Burgess Verbal 2. Apologies for Absence and Confirmation of Quoracy Mr Graham Burgess Verbal 3. Declarations of Interest relating to items on the agenda Mr Graham Burgess Verbal Members and attendees are requested to identify any interests relating specifically to the agenda items being considered (see guide below) and inform the Chair and Governing Body Secretary in advance of the meeting. 4. Questions from Members of the Public Mr Graham Burgess Verbal 5. Life Expectancy Trends 2002-17 Professor Dominic Presentation Harrison PART 1 BUSINESS (APPROXIMATELY 1.30 PM) 6. Minutes of the Meeting held on 4th July 2018 Mr Graham Burgess Attached 6.1 Extract from Part 2 of the Minutes of the Meeting held on Attached 4th July 2018 7. Matters Arising Mr Graham Burgess 7.1 Action Matrix Attached 8. Clinical Chief Officer’s Report Dr Penny Morris Attached 9. Chief Finance Officer’s Report Mrs Jill Marr Attached 10. Contract, Quality and Performance Report Mrs Jill Marr/ Attached Mrs Janet Thomas 11. Governing Body Assurance Framework Update Mr Iain Fletcher Attached STRATEGY 12. Communication and Engagement Strategy Mr Iain Fletcher Attached FOR INFORMATION 13. Pennine Lancashire Volunteer Strategy and Action Plan Mr Iain Fletcher Attached 14. Pennine Lancashire Accident and Emergency Delivery Mrs Janet Thomas Attached Board Update 15. Lancashire and South Cumbria Perinatal Mental Health Mrs Jill Marr Attached (Community) Report 16. Annual Report of the Audit Committee Mr Paul Hinnigan Attached 16.1 External Audit Annual Audit Letter Attached 17. Sub-Committees and Groups’ Minutes Mr Iain Fletcher Attached 18. Review of Governing Body Register of Interests Mr Iain Fletcher Attached 19. Communication and Engagement Report Mr Iain Fletcher Attached 20. Any Other Business All Verbal 21. Date and Time of Next Meeting: Mr Graham Burgess Verbal Wednesday 7th November 2018 at 1 p.m. in Meeting Rooms 1 and 2, Blackburn Central Library, Town Hall Street, Blackburn BB2 1AG Annual General Meeting – Wednesday 26th September 2018 at 12.45 p.m. in the Hornby Theatre, Blackburn Central Library, Town Hall Street, Blackburn BB2 1AG EXCLUSION OF THE PRESS AND PUBLIC – ‘That representatives of the press and other members of the public be excluded from the remainder of the meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest’ (Section1(2)Public Bodies(Admission to Meetings)Act 1960) PART 2 (APPROXIMATELY 3 PM) A/18 Minutes of Part 2 of the Meeting held on 4th July 2018 Mr Graham Burgess Attached B/18 Matters Arising Mr Graham Burgess B/18.1 Action Matrix Attached C/18 Pennine Lancashire Clinical Commissioning Groups’ Mrs Janet Thomas Attached Confidential Provider Update D/18 System Update Mr Graham Burgess Verbal D/18.1 Developing the Integrated Care Partnership for Pennine Attached Lancashire E/18 Draft Estates Strategy Dr Penny Morris Attached F/18 Mental Health Commissioning and Improving Access to Mrs Janet Thomas Attached Psychological Therapies G/18 Adult Community Services Update Mrs Janet Thomas Verbal H/18 Any Other Business All Verbal Types of Conflict of Interest Type of Interest Description Financial This is where an individual may get direct financial benefits from the consequences of a Interests commissioning decision. This could, for example, include being: • A director, including a non-executive director, or senior employee in a private company or public limited company or other organisation which is doing, or which is likely, or possibly seeking to do, business with health or social care organisations; • A shareholder (or similar owner interests), a partner or owner of a private or not-for- profit company, business, partnership or consultancy which is doing, or which is likely, or possibly seeking to do, business with health or social care organisations. • A management consultant for a provider; Page 2 of 3 Type of Interest Description • In secondary employment (see paragraph 56 to 57); • In receipt of secondary income from a provider; • In receipt of a grant from a provider; • In receipt of any payments (for example honoraria, one off payments, day allowances or travel or subsistence) from a provider • In receipt of research funding, including grants that may be received by the individual or any organisation in which they have an interest or role; and • Having a pension that is funded by a provider (where the value of this might be affected by the success or failure of the provider). Non-Financial This is where an individual may obtain a non-financial professional benefit from the Professional consequences of a commissioning decision, such as increasing their professional Interests reputation or status or promoting their professional career. This may, for example, include situations where the individual is: • An advocate for a particular group of patients; • A GP with special interests e.g., in dermatology, acupuncture etc. • A member of a particular specialist professional body (although routine GP membership of the RCGP, BMA or a medical defence organisation would not usually by itself amount to an interest which needed to be declared); • An advisor for Care Quality Commission (CQC) or National Institute for Health and Care Excellence (NICE); • A medical researcher. Non-Financial This is where an individual may benefit personally in ways which are not directly linked to Personal their professional career and do not give rise to a direct financial benefit. This could Interests include, for example, where the individual is: • A voluntary sector champion for a provider; • A volunteer for a provider; • A member of a voluntary sector board or has any other position of authority in or connection with a voluntary sector organisation; • Suffering from a particular condition requiring individually funded treatment; • A member of a lobby or pressure groups with an interest in health. Indirect This is where an individual has a close association with an individual who has a financial Interests interest, a non-financial professional interest or a non-financial personal interest in a commissioning decision (as those categories are described above). For example, this should include: • Spouse / partner; • Close relative e.g., parent, grandparent, child, grandchild or sibling; • Close friend; • Business partner. Page 3 of 3 Subject to approval at the next meeting CLINICAL COMMISSIONING GROUP (CCG) Item 6 Minutes of the Governing Body (GB) Meeting held on Wednesday 4th July 2018 2018 at 1 p.m. in Rooms 1 and 2, Blackburn Central Library, Town Hall Street, Blackburn, BB2 1AG PRESENT: Mr Graham Burgess Chair Mr Roger Parr Deputy Chief Executive/Chief Finance Officer Dr Malcolm Ridgway Clinical Director for Quality and Primary Care Dr Adam Black GP Executive Member Dr Preeti Shukla GP Executive Member Dr Zaki Patel GP Executive Member Dr Geraint Jones Lay Member – Secondary Care Doctor (Retired) Dr Nigel Horsfield Lay Member Mrs Janet Thomas Executive Nurse/Associate Director of Quality and Commissioning Professor Dominic Harrison Director of Public Health, Blackburn with Darwen Borough Council (BwDBC) Miss Claire Jackson Director of Commissioning Operations IN ATTENDANCE: Mr Iain Fletcher Head of Corporate Business Ms Jacquie Allan Executive Support Mrs Caroline Edwards End of Life Executive Nurse (Item 18.055 only) Min No: 18.051 Chair’s Welcome The Chair opened the meeting by welcoming all attendees and members of the public to the meeting. He apologised to those in attendance that the audio equipment had malfunctioned and requested that members speak clearly and concisely and advised those in attendance to inform him if they could not hear the discussions. 18.052 Apologies for Absence and Confirmation of Quoracy Apologies for absence had been received in respect of Dr Penny Morris, Chief Clinical Officer, Dr John Randall, GP Executive Member and Mr Paul Hinnigan Lay Member – Governance. The Chair noted the Professor Dominic Harrison, Director of Public Health, BwDBC, would be arriving late to the meeting. The Chair confirmed that the meeting was not quorate but could commence as the first item was for information only. 18.053 Declarations of Interest Relating to Items on the Agenda The Chair reminded Members of their obligation to declare any interest they may have on any issues arising at Committee Meetings which might conflict with the business of BwD CCG. Declarations declared by members of the GB are listed in the CCG’s Register of Interests. The Register is available, either via the Secretary to the GB or the CCG website via the following link: http://www.blackburnwithdarwenccg.nhs.uk/about-us/registers-interests/. Mr Roger Parr declared a non-financial personal Conflict of Interest (CoI) in Item 5, End of Life Care Update. It was agreed that Mr Parr would remain in the meeting but take no part in the discussion. The Chair reminded members that they should, if appropriate, make a declaration should a conflict emerge during the meeting and these would be recorded against the relevant agenda item. 18.054 Questions from Members of the Public No questions had been received from members of the public. Later in the meeting a member of the public declared that he had sent questions into the CCG that had not been included. As the CCG had not received these in line with the protocol, these were deferred.