Public Governing Body Papers 13 November 2018
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BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 13 NOVEMBER 2018 BOARDROOM, WHITE ROSE HOUSE AT 1.00 PM AGENDA PART 1 No. Agenda Item Lead officer 1. Welcome and Chair’s Opening Remarks 2. Apologies for Absence – Dr Phillip Earnshaw 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 18 September 2018 b Action sheet from the meeting held on 18 September 2018 6. Matters arising 7. Safeguarding Annual Reports 2017/18 a Adult Safeguarding Board Annual Report Lisa Willcox b Children’s Safeguarding Board Annual Report Edwina Harrison 8. Chief Officer Briefing Jo Webster 9. Refresh of the Wakefield Health and Well Being Plan Esther Ashman 10. Public Health - Joint Strategic Needs Assessment Update - Anna Hartley Presentation 11. Governing Body Assurance Framework Ruth Unwin 1 12. Performance and Quality Report Jonathan Webb 13. a Finance Report Month 6 - 2018/19 Jonathan Webb 14. Receipt of minutes and items for approval a Audit Committee (i) Minutes of meeting held on 26 July 2018 b Integrated Governance Committee (i) Minutes of meeting held on 16 August 2018 (ii) Minutes of meeting held on 20 September 2018 c Clinical Cabinet (i) Minutes of meeting held on 23 August 2018 (ii) Minutes of meeting held on 27 September 2018 d Connecting Care Executive (i) Minutes of meeting held on 9 August 2018 (ii) Minutes of meeting held on 13 September 2018 e Probity Committee (i) Minutes of meeting held on 14 August 2018 f Health and Well Being Board (i) Minutes of meeting held on 26 July 2018 g Decisions of the Chief Officer – verbal update 15. Any other business 16. The Board is recommended to make the following resolution: “That representatives of the press and 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 1970)”. 17. Date and time of next Public meeting: Tuesday, 15 January 2019 at 1.00 pm in the Boardroom, White Rose House. 2 Agenda item: 5a NHS Wakefield Clinical Commissioning Group GOVERNING BODY BOARD MEETING Minutes of the meeting held on 18 September 2018 Boardroom, White Rose House Present: Andrew Balchin Corporate Director, Adults, Health & Communities Melanie Brown Programme Commissioning Director – Integrated Care Suzannah Cookson Chief Nurse Dr Phil Earnshaw CCG Chair Michele Ezro Associate Director Service Delivery & Quality Dr Deborah Hallott GP, New Southgate Surgery Diane Hampshire Nurse Member Stephen Hardy Lay Member Dr Clive Harries GP, Chapelthorpe Medical Centre Anna Hartley Interim Director of Public Health Richard Hindley Lay Member (Deputy Chair) Dr Pravin Jayakumar GP, Trinity Medical Centre Pat Keane Chief Operating Officer Hany Lotfallah Secondary Care Consultant Karen Parkin Associate Director Finance & Contracting Dr Adam Sheppard Assistant Clinical Leader Ruth Unwin Associate Director Corporate Affairs Richard Watkinson Lay Member Jonathan Webb Acting Chief Finance Officer Jo Webster Chief Officer In attendance: Laura Elliott Head of Quality & Engagement (item, 18/ Dasa Farmer Angela Peatfield Minute taker Amrit Reyat Governance & Board Secretary Andrew Singleton Natalie Tolson 18/156 Welcome and Chair’s Opening Remarks Dr Phil Earnshaw welcomed everyone to the meeting and commented that following the hot weather during the summer seeing an increase in deaths, plans are underway to prepare for the winter months. It was noted that details of the NHS England 10 year plan is expected to be available in the Autumn with an integrated care focus on Mental Health, Children and Young People, reducing health inequalities and improving early cancer diagnosis. 1 Dr Phil Earnshaw welcomed Suzannah Cookson, Chief Nurse to her first Governing Body meeting since joining the CCG. Dr Phil Earnshaw went on to give an announcement regarding his own position. Dr Earnshaw formally advised the Governing Body that he will stand down as Chair of the CCG next summer when his term of office will come to an end. There will be further discussions at future Governing Body meetings regarding the election process. 18/157 Apologies for Absence There were no apologies of absence. 18/158 Public Questions and Answers No public questions were received on the day of the meeting. 18/159 Declarations of Interest There were no declarations of interest made. 18/160 Minutes of the meeting held on 10 July 2018 The minutes of the meeting held on 10 July 2018 were agreed as a correct record. 18/161 Action sheet from the meeting held on 10 July 2018 The action sheet from the meeting held on 10 July 2018 was noted. 18/162 Matters arising There were no matters arising. 18/163 Patient and Public Engagement Report 2017/18 Ruth Unwin introduced this comprehensive report providing information on consultations and engagement activities. Details of known consultations and engagement activity planned for 2018/19 are also included in the report. The report reflects the range of issues discussed and the diversity of the audience acknowledging the support from the Public Involvement and Patient Experience Committee (PIPEC) and the Local Patient Reference Groups (PRG). Stephen Hardy as Chair of PIPEC commented that the detailed report reflected the issues discussed and the opportunity for the public to provide feedback on future changes. Dasa Farmer referred to the Communications, Engagement and Equality strategy and the work that had taken place over 2017/18 to refresh this document and the public having the opportunity to provide their feedback. Dasa Farmer also advised that as part of the work to develop equality and diversity an Equality Health Panel had been set up. Engagement in support of commissioning decisions in relation to maternity, self-care, urgent care and 2 dementia also took place during 2017/18. Dasa Farmer referred to the work that has taken place collectively at a West Yorkshire and Harrogate Health and Care Partnership level and with the development of the South Yorkshire and Bassetlaw Sustainability and Transformation Plan which involves looking at how best to provide services across a wider footprint with the benefit of doing the work once and sharing. Glennis Rhodes, Practice Manager at Outwood and Wrenthorpe GP Practice attended the meeting to share the experience of the recent application to close the Wrenthorpe branch surgery. The CCG received the application and following approval by the Probity Committee in July 2018 an engagement commenced with the registered patients of Dr Putman and Partners to seek views on the proposal to close the Wrenthorpe branch surgery and centralise all services at Outwood Medical Centre. Glennis Rhodes acknowledged the support provided to the practice by the Communications and Engagement teams at Wakefield CCG and the local patient group. Ruth Unwin commented that it was helpful to talk through the process and noted the acknowledgement of the support provided by the engagement staff. This issue has demonstrated how public engagement works. Andrew Balchin commented that the presentation of the proposal to the Local Authority Overview and Scrutiny Committee had helped to reflect on the importance of the relationship between the Local Authority and the CCG. Richard Hindley referred to the CCG engagement at the wider West Yorkshire and Harrogate Health Care System and queried whether there was anything the CCG should be aware of. Dasa Farmer advised that there is a co- ordinated approach to engagement at both a local and wider level. Stephen Hardy wished to express his thanks to Dasa Farmer and her team for the support they have provided to the engagement process throughout 2017/18. Dr Phil Earnshaw expressed his thanks to Glennis Rhodes for attending the meeting and sharing the experiences of the consultation regarding the Wrenthorpe branch surgery closure. It was RESOLVED that: (i) members noted content of the report for information; and (ii) noted public engagement is considered and undertaken for all commissioning intentions. 18/164 Chief Officer Briefing Jo Webster presented this paper and highlighted the following: NHS England Annual Assessment and feedback on the Financial Recovery Plan – the CCG was rated ‘requires improvement’ which was the 3 highest rating it could achieve given that it had not achieved its statutory duty to break even. The CCG has received feedback from NHS England on the CCG’s financial recovery plan for 2018/19 and this has been rated as green overall which has enabled the CCG to access the £2m Commissioner Sustainability Fund if we achieve our financial delivery targets, which will enable the CCG to reconcile the £2m deficit plan. National GP survey results – 8 out of 10 patients registered with GP practices in the Wakefield district have rated their overall experience of their surgery as good in the national GP survey published in August. On all measures the best performing practices in Wakefield did better than the best performing practices in neighbouring CCG areas. However there are a small number of practices whose performance has deteriorated. The CCG are working specifically with 11 practices to put in place an action plan to address the concerns raised through the patients’ survey. Wakefield Health and Care System Peer Review – the Wakefield health and care system has put itself forward to become the first ‘place’ in the West Yorkshire and Harrogate Integrated Care System to undertake a Peer Review Challenge. This will be the first pilot for this new programme which will then be rolled out to the other five places across West Yorkshire and Harrogate in the New Year. The review will test and review specific key lines of enquiry and will bring together feedback from both patients and stakeholders.