Board Meeting of the Governing Body to Be Held on Tuesday, 8 November 2016 Boardroom, White Rose House at 1.00 Pm Agenda
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BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 8 NOVEMBER 2016 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 – 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 20 September 2016 b Action sheet from the meeting held on 20 September 2016 6. Matters arising 7. Medicines Safety Officer ‐ Presentation Jo Pollard Safeguarding 8. a Local Safeguarding Adult Board Report 2015/16 Jo Pollard b Local Safeguarding Children Board Report 2015/16 9. Chief Officer Briefing Jo Webster 10. NHS Wakefield CCG Committee Terms of Reference Andrew Pepper 11. Patient Engagement Annual Report 2015/16 Jo Pollard 1 12. Integrated Quality and Performance Summary Report (measuring the Andrew Pepper/Jo Pollard quality and performance of local services) 13. 2016/17 Finance Report Month 6 Andrew Pepper 14. Auditor Panel Appointment Sandra Cheseldine/ Andrew Pepper 15. Wakefield Health and Wellbeing Plan Pat Keane 16. Receipt of minutes and items for approval a Audit Committee (i) Minutes of meeting held on 28 July 2016 b Integrated Governance Committee (i) Minutes of meeting held on 18 August 2016 (ii) Minutes of meeting held on 15 September 2016 c Clinical Cabinet (i) Minutes of meeting held on 25 August 2016 (ii) Minutes of meeting held on 22 September 2016 d Connecting Care Executive (i) Minutes of meeting held on 11 August 2016 (ii) Minutes of meeting held on 8 September 2016 e Probity Committee (i) Minutes of meeting held on 29 September 2016 f Health and Well Being Board (i) Minutes of meeting held on 16 June 2016 g Decisions of the Chief Officer – verbal update 17. Any other business 18. 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)”. 19. Date and time of next Public meeting: Tuesday, 17 January 2017, 1pm 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 20 September 2016 Lightwaves Leisure Centre, Wakefield Present: Andrew Balchin Corporate Director, Adults, Health & Communities – Wakefield Council Dr Avijit Biswas GP, Pinfold Lane Surgery Sandra Cheseldine Lay Member Dr Phil Earnshaw Chair and Clinical Leader Dr Deborah Hallott GP, New Southgate Surgery Stephen Hardy Lay Member Dr Pravin Jayakumar GP, Grove Surgery Hany Lotfallah Secondary Care Consultant Andrew Pepper Chief Financial Officer Jo Pollard Chief of Service Delivery and Quality Dr Adam Sheppard Assistant Clinical Leader In attendance: Esther Ashman Head of Strategic Planning (item 16/188) Melanie Brown Programme Director Integrated Care Katherine Bryant Governance and Board Secretary (minutes) Lorraine Chapman Head of Contracting and Performance (item 16/186) Michael Doyle Deputy Director of Nursing, South West Yorkshire Partnership Foundation Trust (item 16/185) Laura Elliott Head of Quality and Engagement (item 16/186) Michele Ezro Associate Director – Service Delivery and Quality Pat Keane Chief Operating Officer Mandy Sheffield Head of Safeguarding (item 16/193) 16/176 Welcome and Chair’s Opening Remarks Dr Earnshaw welcomed all to the September meeting of the Governing Body. He noted that the CCG’s Annual General Meeting would follow the meeting. 16/177 Apologies for Absence Apologies for absence were received from: Dr David Brown GP, Kings Medical Centre Sharon Fox Governing Body Independent Nurse Dr Andrew Furber Director of Public Health – Wakefield Council Dr Clive Harries GP, Chapelthorpe Medical Centre Rhod Mitchell Lay Member Karen Parkin Associate Director Finance, Governance and Contracting 1 Alison Sugarman Practice Manager, Northgate Surgery Jo Webster Chief Officer 16/178 Public Questions and Answers There were no public questions received. 16/179 Declarations of Interest Agenda item 14: Stephen Hardy noted that he is a patient representative on one of the Commissioners Working Together groups. It was agreed that this interest was not of a material nature and therefore he could remain in the meeting and take part in the discussion. Agenda item 8: Dr Philip Earnshaw noted that his reappointment as the CCG’s Chair and Clinical Leader is mentioned in the Chief Officer report. 16/180 a. Minutes of the meeting held on 12 July 2016 The minutes of the meeting held on 12 July 2016 were agreed as an accurate record. b. Action sheet from the meeting held on 12 July 2016 It was noted that all actions are complete. c. Minutes of the meeting between NHS Wakefield CCG and NHS North Kirklees CCG held on 6 July 2016 The minutes of the meeting held on 6 July 2016 were noted. 16/181 Matters arising There were no other matters arising. 16/182 Patient Story Jo Pollard welcomed the patient and thanked her for attending the meeting. Jo explained how important it is for members of the Governing Body to hear from patients about their experience of local health services. The patient described her experience of diagnosis with liver cancer and the subsequent treatment and liver transplant. She expressed her thanks to the GP for identifying the problem and referring her for early treatment. It was RESOLVED that: (i) Members of the Governing Body noted the patient story. 16/183 Chief Officer Briefing Pat Keane presented this report. He noted that Dr Philip Earnshaw has been reappointed as Chair and Clinical Leader for the CCG. Members of the Governing Body welcomed this news. It was reported that Orchard Croft GP Surgery has recently undertaken a patient and stakeholder engagement about their proposal to close the branch surgery at Netherton. As a 2 result the CCG have received a number of petitions in relation to this issue. On 3 May 2016 a petition was handed to Orchard Croft surgery addressed to NHS Wakefield CCG. There were 236 signatories to the paper petition and an online petition on the Change.Org website raised a further 208 signatories, there were 77 comments. As a result of a template circulated with the Liberal Democrats newsletter by Cllr Finbarr Cronin the CCG received 131 signatories, the first dated 10 July and the last 8 August 2016. Mary Creagh MP also began an online petition. This has not been presented to the CCG but has 174 “likes” and many “reactions”. Orchard Croft Medical Centre are aware of the views expressed by local councillors and MP and have offered a meeting with them in September 2016. Wakefield CCG, via, the Probity Committee will take into account the outcome of this engagement in agreeing the future of Orchard Croft Branch Surgery. It was RESOLVED that: (ii) Members noted the content for information and support on‐going developments outlined in the content of the report. (iii) Member noted receipt of the petitions regarding the Orchard Croft Surgery proposal to close the branch surgery at Netherton. 16/184 Annual Audit Letter 2015/16 Andrew Pepper explained this letter prepared by the CCG’s external auditors provides a very helpful summary of the financial year 2015/16. It confirms the auditors issued an unqualified regularity opinion on the CCG’s 2015/16 financial statements. There was no value for money issues identified. There was one recommendation that the CCG should attend the stocktakes of Wakefield Metropolitan District Council to satisfy itself that the inventory it includes in its Statement of Financial Position exists. Furthermore the letter confirms that the auditors have nothing further to report, after the presentation of the ISA260 to the Audit Committee on 19 May 2016. Sandra Cheseldine paid credit to the finance and governance teams for their work during a very challenging year. It was RESOLVED that: (i) Members noted the Annual Audit Letter for 2015/16 16/185 South West Yorkshire Partnership Foundation Trust CQC Inspection Jo Pollard introduced Michael Doyle from South West Yorkshire Partnership Foundation Trust (SWYPFT). She explained that he was in attendance to provide a presentation update about the recent CQC inspection. The inspection was published in June and found the Trust ‘requires improvement’. A Quality Summit to consider the report was held on 14 July 2016 and a representative from Wakefield CCG was in attendance at this meeting. Michael Doyle provided a short summary of the Trust’s current operational base and services provided. This was one of the first new style CQC inspections. The Trust welcomed the inspection and viewed it as an opportunity to identify improvements. It focused on all inpatient services and one third of community services. 3 The CQC found all services to be ‘caring’. Although the overall rating was ‘requires improvement’ 70% of services were good or outstanding. No areas were found to be inadequate and there were no immediate compliance actions. It was noted that 60% of mental health providers are rated as ‘requires improvement’, SWYPFT are not an outlier; similar issues are recognised nationally. Michael explained that following the inspection an action plan has been developed. This included the four priority actions noted in the report. Actions detailed in the plan include financial investment in mandatory training, a review of the internal inspection programme, and a focus on resolving some issues with the patient record system (RIO). Following a meeting with the CQC planned for 22 September, a copy of the action plan will be published. Michele Ezro provided the Governing Body with reassurance that from a commissioning perspective the CCG and SWYPFT have regular meetings and contract oversight.