DUDLEY CLINICAL COMMISSIONING GROUP

PUBLIC AGENDA

Thursday, 8 March 2018 1.00pm – 4.05pm Boardroom, 3rd Floor, Brierley Hill Health & Social Care Centre, Venture Way, DY5 1RU

QUORACY Meetings of the governing body will be quorate when four elected GP clinical members and two other governing body members (one from the lay members or secondary care doctor and one from the Chief Accountable Officer, Chief Finance Officer or Chief Nurse are present, (provided that if the Chair is not present, then either the Accountable Officer or Chief Finance Officer must be present).

Time Agenda Item Attachment Presented By

1.00pm 1. Apologies

1.00pm 2. Declarations of Interest

2.1 To request members to disclose any interest they have, direct or indirect, in any items to be considered during the course of the meeting and to note that those members declaring an interest would not be allowed to take part in the consideration for discussion or vote on any questions relating to that item. (Enclosed)

2.2 This meeting will be held in public and will be recorded purely as an aide memoir for the minute taker to ensure an accurate transcript of the meeting, decisions and actions. Once the minutes have been approved the recording will be destroyed. All care is taken to maintain your privacy; however, as a visitor in the public gallery, your presence may be recorded. Should you contribute to the meeting during questions from the public, you agree to being recorded. 3. Minutes

1.05pm 3.1 Minutes from Board held on 11 January 2018 Enclosed Mr S Wellings 1.05pm 3.2 Matters Arising Enclosed Mr S Wellings 4. Public Voice

1.10pm 4.1 Questions from the Public Verbal Mrs J Jasper To respond to questions from members of the public received prior to the Board, in writing, on the provision of health care to the population served by the CCG.

1.15pm 4.2 Feet on the Street: Urgent Treatment Centre at Russell’s Presentation Mrs L Broster Hall Hospital

1.25pm 4.3 Public Update Enclosed Mrs L Broster 1.35pm 5. Chairman & Chief Executive Officer Report Verbal Mr P Maubach 6. Strategy

1.45pm 6.1 Report from the Partnership Board Enclosed Dr C Handy 1.55pm 6.2 Corporate Objectives 2017/18 Update Enclosed Mr P Maubach 2.05pm 6.3 Black Country Joint Commissioning Committee Assurance Enclosed Mr P Maubach Reports 1 | Page

Time Agenda Item Attachment Presented By 7. Quality & Safety

2.15pm 7.1 Quality and Safety Committee Report Enclosed Mrs C Brunt

8. Governance

2.25pm 8.1 Report from Audit & Governance Committee Enclosed Mrs J Jasper 2.35pm 8.2 Risk Register and Board Assurance Framework Enclosed Mrs J Jasper 2.45pm 8.3 Report from Remuneration & HR Committee Enclosed Mrs S Cartwright 2.55pm 8.4 Staff Survey Enclosed Mrs S Cartwright 3.05pm 8.5 Dudley CCG Constitution Update Enclosed Mrs J Jasper

BREAK

9. Finance, Performance and Business Intelligence

3.25pm 9.1 Report from Finance, Performance & Business Intelligence Enclosed Dr R Tapparo Committee 10. Acute & Community Commissioning

3.35pm 10.1 Integrated Commissioning Executive Report Enclosed Mr N Bucktin 3.45pm 10.2 MCP Procurement Process - Progress Report Enclosed Mr N Bucktin

11. Primary Care Commissioning

3.55pm 11.1 Report from Primary Care Commissioning Committee Enclosed Mrs C Brunt

4.05pm 12. Reflection Time 13. Exclusion of the Press and Public

That under the Public Bodies (Admission to Meetings) Act 1960, the public and representatives of

the press and broadcast media be excluded from the meeting during the consideration of the following items of business as publicity would be prejudicial to the public interest because of the confidential nature of the business to be transacted. 14. Date and Time of Next Meeting

Thursday 10 May 2018 1pm – 4pm 3rd Floor Boardroom, Brierley Hill Health and Social Care Centre A Glossary of terms is included at the end of the papers

Title First Name Surname Job Title Declarations of Interest

Director of Communications & Mrs Laura Broster Director of Shrops Hire Solutions Ltd Public Insight Mrs Caroline Brunt Chief Nurse None Chairman of the Corporation, Heart of Worcestershire College Mr Neill Bucktin Director of Commissioning Member of Managers in Partnership Director - North East Worcestershire Enterprises Ltd. Director of Organisational In a personal relationship with Chief Mrs Stephanie Cartwright Development & Human Executive Officer Resources

2 | Page Title First Name Surname Job Title Declarations of Interest

Salaried GP at St Margaret’s Well Surgery BBC Drama, Birmingham Director Manor Abbey Investments Clinical Executive for Acute & Dr Jonathan Darby Non-Executive Director for the Royal Community Commissioning Wolverhampton Hospitals NHS Trust Shareholder, Future Proof Health Limited (via practice shareholding) Board Member Kingswinford, GP Partner - AW Surgeries Amblecote & Brierley Hill Dr Ruth Edwards Shareholder, Future Proof Health Limited Locality / Clinical Executive for (via practice shareholding) Quality & Safety Chief Officer of Dudley Mrs Jayne Emery None Healthwatch Appointed member of Dudley Group Dr Richard Gee GP Engagement Lead Foundation Trust Council of Governors GP Partner at Links Medical Practice Purshotam Board Member Dudley & Member of Labour Party Dr Gupta Das Netherton Locality Shareholder, Future Proof Health Limited (via practice shareholding) Chief Executive, Accord Group Visiting Professor at Birmingham City University Board Member of: - Black Country LEP Board Dr Christopher Handy Lay Member for Quality & Safety - Matrix - Redditch Co-operative Homes - Black Country Consortium - Birmingham Chamber of Commerce - Walsall Housing Regeneration Agency - Direct Health Chief Officer for Health & Mrs Deborah Harkins Wellbeing (Director of Public None Health) Director of Dudley Infracare Lift LTD Director of Whitbrook Management Company Member of Chartered Institute of Public Chief Operating & Finance Mr Matthew Hartland Finance and Accountancy Officer Interim Chief Strategic Finance Officer, Walsall CCG Interim Chief Strategic Finance Officer, Wolverhampton CCG GP Partner - Wychbury Medical Group Director of DM Hegarty Ltd Council Member, West Midlands Clinical CCG Chair / Board Member Senate Dr David Hegarty , Wollescote & Lye Wife an employee of Central Midlands and Locality Lancashire CSU Shareholder, Future Proof Health Limited (via practice shareholding) Shareholder with D C Corporation Ltd Sessional GP - Netherton Health Centre. Clinical Executive for Primary Dr Tim Horsburgh Member of the Local Medical Committee Care & LMC Representative Clinical Lead for Partners in Paediatrics

3 | Page Title First Name Surname Job Title Declarations of Interest Lay Member - Sandwell and West Birmingham CCG Lay Member – Patient & Public Mrs Julie Jasper Managing Director of Westland’s Associates Involvement Ltd Member of CIPFA Ms Sue Johnson Deputy Chief Finance Officer None Director of Membership Mr Daniel King None Development & Primary Care

GP Partner – Feldon Practice Surgery Board Member & Dr Rebecca Lewis Shareholder, Future Proof Health Limited Quarry Bank Locality (via practice shareholding)

Board Member Halesowen & Dr Mohit Mandiratta GP – Feldon Lane Surgery Quarry Bank Locality

GP Partner - Lion Health. Board Member Stourbridge, Sister – Dr Rebecca Mann who provides the Dr Steve Mann Wollescote & Lye Locality / Paediatric Triage Service Clinical Executive for MCP Shareholder, Future Proof Health Limited (via practice shareholding) Member of Dudley Health & Wellbeing Board Member of CIPFA Mr Paul Maubach Chief Executive Officer Member of Managers in Partnership In a significant personal relationship with Director of OD & HR since April 2016 Interim Chief Executive Officer, Walsall CCG GP Board Member, Dudley & Dr Kiranmaya Penumaka GP Partner – Quarry Bank Medical Practice Netherton Locality GP Woodsetton Medical Practice Board Member Sedgley, Dr Matthew Read Shareholder, Future Proof Health Limited Coseley & Gornal (via practice shareholding) Board Member Sedgley, Dr Fiona Rose GP Castle Meadows Surgery Coseley & Gornal GP Partner - Three Villages Medical GP Board Member and Clinical Practice Dr Ruth Tapparo Executive Finance, Performance Shareholder, Future Proof Health Limited & Business Intelligence (via practice shareholding) Wife employed by Dudley MBC Housing Department Mr Steve Wellings Lay Member - Governance One Niece employed by DGFT as a nurse Member of CIPFA

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DUDLEY CLINICAL COMMISSIONING GROUP BOARD PUBLIC MINUTES

MINUTES OF THE MEETING HELD IN PUBLIC ON THURSDAY 11 JANUARY 2018 AT BRIERLEY HILL HEALTH AND SOCIAL CARE CENTRE

Members:

Mr S Wellings Lay Member for Governance/Vice Chair – Dudley CCG (Vice Chair) Mrs C Brunt Chief Nurse – Dudley CCG Dr R Edwards Clinical Executive – Dudley CCG Prof C Handy Lay Member for Quality and Safety – Dudley CCG Mr M Hartland Chief Operating and Finance Officer – Dudley CCG Dr T Horsburgh Clinical Executive – Dudley CCG (LMC Representative) * Mrs J Jasper Lay Member for Patient & Public Engagement – Dudley CCG Dr R Lewis GP Board Member – Dudley CCG Mr P Maubach Chief Executive Officer – Dudley CCG Dr M Mandiratta GP Board Member – Dudley CCG Dr S Mann Clinical Executive – Dudley CCG Dr M Read GP Board Member – Dudley CCG Dr F Rose GP Board Member – Dudley CCG Dr R Tapparo Clinical Executive – Dudley CCG

Non-Voting Members:

Mr N Bucktin Director of Commissioning – Dudley CCG Mrs S Cartwright Director of Organisational Development and Human Resources – Dudley CCG Ms D Harkins Chief Officer, Health and Wellbeing (Director of Public Health) – Dudley MBC Mr D King Director of Membership Development & Primary Care – Dudley CCG

In Attendance: Ms S Johnson Deputy Chief Finance Officer – Dudley CCG Mrs H Codd Patient Engagement Manager – Dudley CCG

Minute Taker:

Mrs E Smith Governance Support Manager – Dudley CCG

CCG001/2018 APOLOGIES

Apologies were received from:

Mrs L Broster Director of Communications and Public Insight – Dudley CCG Dr J Darby Clinical Executive – Dudley CCG Dr D Hegarty Chair & GP Board Member – Dudley CCG Dr P D Gupta GP Board Member – Dudley CCG Ms J Emery Chief Executive – Healthwatch Dr R Gee GP Engagement Lead – Dudley CCG Dr K Penumaka GP Board Member – Dudley CCG Mr M Bowsher Chief Officer/Deputy Director Adult Social Care - Dudley MBC * Dr Horsburgh is also the LMC representative on the Board which is a non-voting role.

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Mr Wellings welcomed Dr Edward’s return to the Board and welcomed Dr Mandiratta as a new Board member.

CCG002/2018 DECLARATIONS OF INTEREST

Members were asked to disclose any interest they may have, direct or indirect, in any of the items to be considered during the course of the meeting and to note that those Members declaring an interest would not be allowed to take part in the consideration or discussion or vote on any questions relating to that item.

CCG003/2018 MINUTES FROM BOARD HELD ON 9 NOVEMBER 2017

The minutes of the Board meeting held on 9 November 2017 were accepted as a true and accurate record with minor amendments to spellings.

Resolved: 1) The Board accepted the minutes from 9 November 2017 as a true and accurate record subject to the above amendment

CCG004/2018 MATTERS ARISING

CCG127/2017 – Feet on the Street – Flu Vaccination Update Mrs Harkins to circulate to GPs the School Vaccine Programme.

Mr Wellings read out an email that Mrs Harkins had circulated in advance of the meeting for the above action. The email contained a report which was going to the Health and Adult Social Care Scrutiny Committee next week, the document included information about the current vaccination programme. In particular, she noted that GPs were keen to understand who provided immunisations in schools and she confirmed that NHS England commission Vaccination UK to provide immunisations in schools. Dr Ash Banerjee was the Screening and Immunisation Lead at NHS England in the West Midlands and oversees commissioning of immunisation services.

All other matters arising were complete.

Resolved: 1) The Board noted the updates with all the Matters Outstanding

PUBLIC VOICE

CCG005/2018 QUESTIONS FROM THE PUBLIC

Question asked: 1. Have all members read the attached reports? (Sent via email to all Board members on 24th November 2017) 2. Will the Board comment on the shameful treatment of patients and their relatives outlined in both documents? Attached reports: https://www.mariecurie.org.uk/media/press-releases/concerns-over-delays-in-fast-track-care-for-thousands-of- dying-patients/169105#JQxGbu0D5YWiqc3S.97 https://www.nao.org.uk/report/nhs-continuing-healthcare-investigation/

Response provided at Board 1. Have all members read the attached reports? All Board members have had an opportunity to view the reports you cite at the links you provided. An email containing the links and this suggested response was circulated to Board Members on the 24th November 2017.

2. Will the Board comment on the shameful treatment of patients and their relatives outlined in both documents? The Board has approved policies and processes designed to ensure that assessments for NHS Continuing Healthcare are conducted in an appropriate fashion in Dudley.

Question asked: Please can you provide an update on the Estates strategy in relation to the Kingswinford, Amblecote

2 | Page and Brierley Hill locality?

Response provided by Matthew Hartland, Chief Operating & Finance Officer We are currently in discussions with local practices about the potential for a new premises development in Kingswinford. We are however not currently at a point where we are able to share any further information as any proposal or suggestion has to be viable for all involved. Should a viable proposal be produced we, in conjunction with the practices involved, will undertake a full consultation with all affected patients, staff and local communities to ensure that views are sought on the options and that there is an opportunity to influence the future of primary care in Kingswinford.

Resolved: 1) The Board received questions from the public.

CCG006/2018 FEET ON THE STREET: ME FESTIVAL FEEDBACK

Mrs Codd spoke to this item in the absence of Mrs Broster and informed the Board that the Feet on the Street was in relation to feedback from the ME Festival which took place on the 23 November 2017.

Mr Wellings confirmed that the festival was a very well attended event and very well received. Mrs Codd recognised that Miss Keren Hodgson had put a lot of effort in to making the day a success. The Board thanked Miss Hodgson and the Patient Engagement team for all their hard work.

Resolved: 1) The Board noted the presentation for assurance

CCG007/2018 PUBLIC UPDATE

Mrs Codd spoke to this item and highlighted that there had been a recent change to the consultation process for the provision of primary care services for Tenlands Road and Coombswood. The practice led consultation had been stopped following some concerns raised and the CCG will start a CCG led consultation towards the end of the month.

With regards Extended Access, Mrs Codd reported that Central Clinic had additional capacity over the Christmas period to deliver primary care services. She reported that 169 people in total were seen at the clinic, 103 people were booked by the UCC Streaming Nurse, 15 people triaged by the clinician from NHS 111 calls and 52 people self-presented. It also ran on the 6th & 7th January and the data from the 6th (7th not yet available) had shown that 60 people were seen. There had been a good reach on social media and the system has worked well for patients.

Mrs Brunt highlighted to the Board that the request for extended access came from the extraordinary pressures