Agenda Document for Chorley and South Ribble CCG Governing Body
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Chorley and South Ribble CCG Governing Body - Part 1 25 September 2019 at 2.30 pm Victoria Room, Farrington Lodge Hotel, Stanifield Lane, Farington, Lancashire, Preston PR25 4QR Item Agenda Item Objectives/ Presented By Time No Desired Outcomes 1 Welcome and Apologies for Dr G Bangi 2.30 pm Absence Verbal 2 Declarations and Register of To provide Dr G Bangi 2.32 pm Interests (Pages 5 - 14) assurance Assurance 3 Minutes of Previous Meeting For group approval Dr G Bangi 2.35 pm (Pages 15 - 34) Approval 4 Matters Arising (Pages 35 - To update the Dr G Bangi 2.40 pm 36) group Discussion Standing Items 5 Chair's Update To update the Dr G Bangi 2.45 pm group Verbal Board Assurance 6 Governing Body Assurance To provide Mr M Gaunt 2.55 pm Framework and Corporate assurance Assurance Risk Register (Pages 37 - 104) Strategy 7 Integrated Care System (ICS) To update the Mr D Gizzi 3.05 pm Update (Pages 105 - 136) group Discussion 8 Integrated Care Partnership To update the Mr D Gizzi 3.15 pm (ICP) Update (Pages 137 - group Discussion 192) 9 Our Health Our Care (OHOC) To update the Mr D Gizzi 3.25 pm Programme Update (Pages group Discussion 193 - 200) Operational Delivery 10 Integrated Board Report To update the Mrs H Curtis 3.45 pm Agenda Chorley and South Ribble CCG Governing Body - Part 1 Meeting MEETING HELD IN PUBLIC (Pages 201 - 306) group Mr M Gaunt Mrs J Mellor Discussion 11 Financial Performance Report To update the Mr M Gaunt 3.50 pm (Pages 307 - 326) group Discussion Governance and Quality 12 Healthier Lancashire and To update the Mr M Gaunt 4.05 pm South Cumbria Joint group Approval Committee of CCGs Terms of Reference (Pages 327 - 362) 13 Governance Update (Pages For group approval Mr M Gaunt 4.15 pm 363 - 372) Approval 14 Organisational Development To update the Mrs H Curtis 4.25 pm Update (Pages 373 - 390) group Discussion 15 Assurance Engagement of the For group approval Mrs L Chivers 4.35 pm Mental Health Investment Approval Standard 2018/19 TO FOLLOW 16 Policies for Approval (Pages For group approval Mrs L Chivers 4.40 pm 391 - 436) Mr P Richardson Approval Committee Updates and Minutes 17 Audit Committee Update To provide Mrs L Chivers 4.45 pm (Pages 437 - 452) assurance Approval 18 Joint Quality and Performance To provide Mr P Richardson Committee Update (Pages 453 assurance Approval - 466) 19 Primary Care Commissioning To provide Mr P Richardson Committee Update (Pages 467 assurance Discussion - 474) 20 Remuneration Committee Mr P Richardson Update (Pages 475 - 478) Assurance 21 Clinical Effectiveness To provide Mr G Committee Update (Pages 479 assurance O'Donoghue - 510) Assurance 22 Patient Voice Committee To provide Mr G Update (Pages 511 - 524) assurance O'Donoghue Assurance 23 Lancashire Health and For information Mr D Gizzi Wellbeing Board Minutes Information Agenda Chorley and South Ribble CCG Governing Body - Part 1 Meeting 25 September 2019 MEETING HELD IN PUBLIC (Pages 525 - 534) Questions from the Public 24 Questions from the Public For discussion Dr G Bangi 4.50 pm Verbal Any Other Business 25 GBAF Risk Review For Discussion Dr G Bangi / 5.00 pm Mr M Gaunt Verbal 26 Any Other Business For discussion Dr G Bangi 5.05 pm Verbal Date, Time and Venue of next meeting: Wednesday, 27 November 2019, 1.30 pm, Boardrooms, Chorley House, Lancashire Business Park, Centurion Way, Leyland, PR26 6TT Agenda Chorley and South Ribble CCG Governing Body - Part 1 Meeting 25 September 2019 This page is intentionally left blank Agenda Item 2 Governing Body Meeting – Part 1 Date of meeting 25 September 2019 Title of paper Declarations and Register of Interests Presented by Dr Gora Bangi, Chair Author Mrs Sarah Mattocks - Corporate Affairs and Governance Manager Clinical lead N/A Confidential No Purpose of the paper This register is a standing item on all statutory Committee agendas. The register is for information purposes and allows members to challenge any potential conflicts against agenda items. This item also allows members and attendees to declare any additional interests against agenda items prior to the main body of the meeting. Executive summary The Clinical Commissioning Group (CCG) has a statutory requirement to keep and maintain a Register of Interests for the organisation with regard to actual or potential interests declared by; Governing Body members, Membership Council members, members of Sub Committees of the Governing Body, and employees of the CCG. This report presents the flowchart for declaring and managing Conflicts of Interest, as outlined in the Managing Conflicts of Interest Policy. The Governing Body should note that the annual request for Members to declare their interests was distributed in December 2018; all submissions received, in addition to updates given after this date have been included within this latest register. All conflicts or potential conflicts should be declared, and where a conflict of interest has required specific management arrangements during the course of the meeting, this should be recorded in the minutes, along with the action taken by the Governing Body Chair in managing the conflict. Recommendations The Governing Body is asked to note the register of interest and to make any additional declarations as appropriate against any agenda items. Declarations and Register of Interests NHS Chorley and South Ribble CCG Governing Body Meeting Page 5 25 September 2019 Links to CCG Strategic Objectives SO1 Improve quality through more effective, safer services, which deliver a ☐ better patient experience SO2 Commission care so that it is integrated and ensures an appropriate ☐ balance between in-hospital and out-of-hospital provision SO3 Be an integral part of a financially sustainable health economy ☐ SO4 Ensure patients are at the centre of the planning and management of ☐ their own care, and that their voices are heard SO5 Be a well-run clinical commissioning group and the system leader ☒ Governance and reporting (list committees, groups or other bodies that have discussed this paper) Meeting Date Outcome This paper was last reported to Governing Body 24 July 2019 Governing Body on 24 July 2019 Were any conflicts of interest identified at previous meetings (mark X in the correct box below) Yes No X If conflicts of interest were identified what were these: N/A Implications Quality/patient experience ☐ ☒ ☐ implications? Yes No N/A (Potential) conflicts of interest? Yes ☐ No ☒ N/A ☐ Equality Impact Assessment? Yes ☐ No ☒ N/A ☐ Privacy Impact Assessment? Yes ☐ No ☒ N/A ☐ Are there any associated risks? Yes ☐ No ☒ N/A ☐ Are the risks on the CCG’s risk ☐ ☒ ☐ register? Yes No N/A If yes, please include risk description and reference number Assurance Assurances will continue to be provided to the Governing Body from the CCG’s Audit Committee. Declarations and Register of Interests NHS Chorley and South Ribble CCG Governing Body Meeting Page 6 25 September 2019 NHS Chorley and South Ribble CCG Governing Body - Declarations of Interest Declarations of Interest are recorded on the Register when specifically declared by a member of the meeting. This Register was accurate at the time meeting papers were submitted; therefore, any changes received after submission will be included on the Register for the next statutory meeting. Codes for the types of interests declared are (2018 proforma): DP=Direct Pecuniary, IP=Indirect Pecuniary, NP=Non Pecuniary Personal Interest, CL=Conflict of Loyalty, PR=Professional or Personal Relationship. (2019 proforma): FI=Financial Interest, NFProI=Non Financial Professional Interest, NFPI=Non Financial Personal Interests, II=Indirect Interests. Interests declared in 'bold' are pending confirmation of the type of interest. Name Role Declaration Date Mitigating Actions Mrs Helen Curtis Director of Quality and NFPI - Daughter is Specialty Business 14.12.2018 This will be declared separately in any Performance, NHS Manager for Surgery at Lancashire meetings whereby this presents a conflict Chorley and South Teaching Hospitals NHS Foundation Trust to my decision making Ribble and NHS Greater - December 2018 Preston CCG NFPI - Son is a Social Worker in central Preston - Current Mrs Patricia Governing Body Nurse, No Interests Declared 19.12.2018 Not applicable - no interests declared Hamilton NHS Chorley and South Ribble and NHS Greater Preston CCG Dr Eamonn Secondary Care Doctor, NFProI - Retired Consultant Anaesthetist 18.12.2018 Interest noted. Will be reviewed in line McKiernan NHS Chorley and South who worked at Lancashire Teaching with agenda items at committee meetings Ribble and NHS Greater Hospitals NHS Foundation Trust for 31 and procurement involvement. Where a Preston CCG years conflict emerges the individual will be NFPI - Oldest daughter is a social worker excluded from decision making. in Newcastle Upon Tyne - Current NFPI - Second daughter is a Psychiatrist researching and practicing in Cambridge - Page 7 Declarations and Register of Interests NHS Chorley and South Ribble CCG Governing Body Meeting 25 September 2019 Name Role Declaration Date Mitigating Actions Current NFPI - Third daughter is Children's nurse in Stockport - Current NFPI - Son in Law training in Cardiology in Cambridge and Norwich - Current Mr Paul Vice Chair and Lay NFProI - Lancashire Joint Police Audit & 12.06.2019 Interest to be managed as and when Richardson Member for Governance, Ethics Committee - Updated conflict arises NHS Greater Preston NFPI - Son is employed by NHS Blackpool CCG & NHS Chorley & Teaching Hospitals Trust - Current South Ribble CCG NFPI - Daughter employed by Public Health England - from 2013 Vacant post GP Director, NHS Personal Chorley and South TBC Ribble CCG TBC Dr Lindsey GP Director, NHS NFPI - Sister in law works for LCFT as 12.12.2018 No direct involvement in commissioning Dickinson Chorley and South Team Manager for Mental Health - from contracts from LCFT Ribble CCG Dec 2018 Interest noted, will be reviewed in line with FI - GP Partner in The Chorley Surgery - agenda items at committee meetings and from 2016 procurement involvement.