IESCCG ANNUAL MEMBERS MEETING

Draft Minutes of the Annual Members Meeting held on Thursday 17 September 2015 From 1600-1630 at Trinity Park,

Present: Julian Herbert Chief Officer, IESCCG JH Dr Mark Shenton Chair, IESCCG MS Carl Goulton Chief Finance Officer, IESCCG CG Graham Leaf Vice Chair and Audit and Governance Lay Member, GL IESCCG Maddie Baker-Woods Ipswich & East CCG MBW

Member Practices Represented: Alderton Surgery, The Peninsular Practice Ivry Street Medical Practice Barham and Claydon Surgery Surgery Bildeston Health Centre Little St Johns Street Surgery Burlington Road Surgery Surgery The Chesterfield Drive Practice Health Centre Combs For Surgery Needham Market Country Practice Deben Road The Norwich Road Surgery Surgery Orchard Medical Practice Road Medical Practice The Solway & Dr Whale Practice Framfield House Surgery Ravenswood Medical Practice Surgery Health The Grove Stow Health Hadleigh Health Centre The Birches Haven Health Two Rivers Surgery Hawthorn Drive Surgery Walton Surgery The Holbrook & Shotley Practice Medical Centre Howard House Woodbridge Road Surgery

Minutes: Liz Hallworth Ipswich & East CCG

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1. Welcome

JH welcomed everyone to the meeting and introduced those in attendance from IESCCG.

2. Election of Meeting Chair

Dr Mike Barstow (MB) from Framlingham Surgery was appointed to Chair the meeting, by the member practices presents. MB confirmed that the meeting was quorate with 85% of practices being represented. . 3. Ipswich and East CCG Annual Review

MS gave a short presentation providing a review of 2014/15, together with a brief look at the coming year and the challenges ahead:  All practices have been provided with a hard copy of the Annual Report for 2014/15 – as well as the annual accounts, the report provides details of what has been undertaken on behalf of our patients. Achievements from 2014/15:  New services have been commissioned: Community Diabetes Service Community Dermatology (which has just started) Community Memory Assessment Service (CMAS) in 10 localities  Financial balance from a £430m budget allocation  Fully assured by NHSHE  Programmes of leadership and engagement, including the first cohort of a GP/Consultant programme which will hopefully be replicated in future years  A lot of time has been spent looking at how social care and health services work together in a joined-up way. Work has been undertaken with Suffolk County Council, the voluntary sector, hospitals and mental health services with patient engagement. Opportunities and Challenges ahead:  Eliminating silo working  Continuously improving quality  Delivering an integrated health and social care service - clinically led; managerially enabled; joined up for the people we serve and to work with prevention in a much bigger way  Addressing inequalities in health outcomes  Meeting our budget - to continue to be assured is very important for maintaining independence and this requires maximum effort  Being organisationally ‘fitter than ever’  Helping practices to work together  Engaging with consultant colleagues - a network meeting between GPs and IHT consultants has been arranged for 12.11.15 following on from the Training and Education event  Focusing on the quality of the system to deliver the outcomes for those working in the system and the people we serve

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4. Ipswich and East Suffolk CCG – Annual Accounts 2014/15 and Annual Audit Letter 2014/15 CG presented the report with the following points being highlighted:  As MS outlined, the CCG achieved financial balance in 2014/15 in what was a very challenging year. This was a very good achievement; however, financial pressures are continuing to increase.  The Auditors report is required to express an opinion on the financial statements and to undertake a value for money test.  No material errors found.  Only one issue raised in relation to CHC provision.  With regards to securing financial resilience, the auditors were initially hesitant but were assured as a number of QIPP savings had been built into contracts with provider Trusts. They did, however, highlight a significant challenge for delivering the 2015/16 £11m QIPP target, as historically the CCG has only delivered an average of 45% of the QIPP plan target in previous years.  In relation to securing economy, efficiency and effectiveness the auditors found a significant risk with regards to the Continuing Health Care backlog which had been raised in last year’s annual report and was raised again this year. This relates, in particular, to claims older than 28 days before being assessed (66% of cases are in excess of 90 days). The Governing Body was given 3 months to review the arrangements in place and to report back, which it has duly done.  The Area Team has assessed the CCG against the requirements of the Health and Social Care Act. CG was pleased to report that NHSE fully assured the CCG on all of the 6 different domains.

5. Questions and Answers

CCG congratulated on financial balance.

Following on from the winter beds and Crisis Action Team discussions earlier on in the afternoon, the question was raised as to whether the CCG would be able to invest more in primary care workforce recruitment and retention?  Investment in primary care is an on-going challenge. In terms of winter plans for this coming year, there is an opportunity with the Suffolk Fed PM challenge award to look at how to use this as a function of primary care effectively and to see how it is more sustainable. There is a challenge around getting the system working effectively with less spending on A&E services and high dependency units as well as looking at more effective prevention. Moving money from acute into primary care is a great opportunity to make a difference.

Question raised regarding the £1.8m behind target by Month 5 - What plans do the CCG have to recover this and to make a surplus?  JHe reiterated that the £1.8m is against the CCG’s target and that the CCG is not in deficit and may be on target for ‘break even’.  The CCG is currently going through all the options available to bring this back, together with GP leadership in the workstreams.  There are three main areas of overspend i) IHT ‘cost and volume’ ii) Prescribing - this is a significant challenge

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iii) CHC – this continues to rise

 Finances are extremely challenging every year but it is getting harder and the practices help in this regard is much appreciated

6. Close

Meeting closed at 1630

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