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Herts Valleys Clinical Commissioning Group Agenda Board Meeting Held in Public Thursday 3rd September 2015 at 1.30pm at the Conference Centre, Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ 1 Herts Valleys Clinical Commissioning Group Agenda Board Meeting Held in Public Thursday 3rd September 2015 at 1.30pm at the Conference Centre, Rothamsted Research, Harpenden, Hertfordshire, AL5 2JQ Administrative Items Led by 1. Welcome and apologies for absence (to note) Chairman 2. Interests to declare (to note) Chairman 3. Minutes of previous meeting (enclosed - for approval) Chairman 4. Matters arising and action log (enclosed - for approval) Chairman 5. Accountable Officer’s report (enclosed - to note) Nicola Bell Strategy and Performance 6. Patient story (Verbal - for discussion) Diane Curbishley 7. Integrated Quality, Finance and Performance Report Diane Curbishley / Alan Warren / (enclosed - for discussion) Charles Allan 8. Prostate cancer follow-up (enclosed - for information) David Buckle 9. Cancer review update (enclosed - for discussion) Avni Shah / Phil Sawyer 10. Proposal for the future funding for the home visiting Rami Eliad / David Evans service (Home Start) (enclosed - for approval) 11. Performance against Public and Participation Strategy Juliet Rodgers and communication update (enclosed - for discussion) 12. Locality Committees detailed year end reports 2014/15 Avni Shah (enclosed - for approval) 12.1 Dacorum 12.2 Hertsmere 12.3 St Albans and Harpenden 12.4 Watford and Three Rivers Governance and Assurance 13. Care Quality Commission Reports and Outcomes Diane Curbishley (enclosed - for discussion) 14. Register of Board Interests (enclosed - for information) Nicola Bell 15. GP Board elections (enclosed - for information) Nicola Bell 16. Annual review of Board Committee Terms of Reference Nicola Bell (enclosed - for approval) 17. Board Assurance Framework (enclosed - for approval) Nicola Bell 18. Board Committee Briefings (enclosed - for information) 18.1 Joint Commissioning Committee with NHS England – Alison Gardner Minutes 14/05/2015 18.2 Patient and Public Involvement Committee – Alison Gardner Minutes 10/06/2015 18.3 Quality and Performance Committee Stuart Bloom 18.3.1 Minutes 27/05/2015 2 Herts Valleys Clinical Commissioning Group Agenda 18.3.2 Minutes 25/06/2015 18.3.3 Minutes 30/07/2015 18.4 Audit Committee Paul Smith 18.4.1 Minutes 19/05/2016 18.4.2 Report – Audit Committee Meeting 30/07/2016 18.4.3 Annual external audit letter Alan Warren 19. Any other business Chairman 20. Risks identified during the meeting (for agreement) Chairman 21. Questions from Members/Staff/Public Chairman 22. Date and time of next meeting Chairman Thursday 5th November 2015 at 1.30 pm In the interests of transparency, at the end of each section, time will be allowed for members/staff/public/carers to have an opportunity to ask questions relevant to agenda items. Questions will be accepted at the discretion of the Chairman (it will not be possible to answer any questions that refer to named staff or patients) 3 Herts Valleys Clinical Commissioning Group Agenda Board Meeting in Public Question Sheet Do you have a question that you would like to ask about health services in West Hertfordshire? It doesn’t have to relate to a topic that has been discussed at the Board meeting today. If you do, then please write your question in the box below and we will take it away and provide an answer for you. Please ensure you write your name and contact details (post or e-mail) clearly in the space provided. Name: Organisation (if appropriate): Email/postal address: My question is: 4 5 6 Item 3 NHS Herts Valleys Clinical Commissioning Group Board Meeting held on Thursday, 4 June 2015 at 1.30pm at the Niland Centre, 93 Elstree Road, Bushey Heath, Watford Present Nicolas Small Chairman (Hertsmere GP) (Chaired the meeting from item B/174/15 onwards) Nicola Bell Accountable Officer Stuart Bloom Deputy Chairman, (Board Lay Member) (Chaired the meeting from B/169/15 to B/173/15) Mike Edwards Board GP Member (Hertsmere) Rami Eliad Board GP Member (Watford and Three Rivers) Trevor Fernandes Board GP Member (Dacorum) Robert Ghosh Secondary Care Consultant of the Board Keith Hodge Board GP Member (Dacorum) Clair Moring Board GP Member (Watford and Three Rivers) Richard Pile Board GP Member (St Albans and Harpenden) Paul Smith Board Lay Member Mike Walton Board GP Member (St Albans and Harpenden) Alan Warren Chief Finance Officer In Attendance Charles Allan Director of Commissioning Diane Curbishley Deputy Director of Nursing Paul O’Hare Community Navigator Manager (item B/174/15 only) Louise Gaffney Interim Director of Strategy Brian Gunson Healthwatch Representative Lynn Hughes Interim Head of Corporate Governance Jim McManus Director of Public Health, Hertfordshire County Council (from item B/175/15 onwards) David Radbourne Programme Director for West Hertfordshire Strategic Review Caroline Sutherland Patient Representative 15 Members of Public in Attendance B/169/15 Welcome and Apologies for Absence 169.1 The Chairman welcomed everyone to the meeting. Apologies for absence were received from Jan Norman, Alison Gardner and Juliet Rodgers. B/170/15 Declaration of Interests 170.1 There were no interests declared and no interests declared in relation to open items on the agenda. B/171/15 Minutes of Previous Meeting 7 171.1 The minutes of the previous meeting held on 2 April 2015 were accepted as an accurate record subject to the inclusion of R Pile and M Walton to the attendance list. 171.2 RESOLVED: the minutes be updated and signed as a true record. B/172/15 Matters Arising and Action Log 172.1 Matters Arising There were no Matters Arising in addition to those included on the agenda. 172.2 Action Log It was agreed that all actions but one had been completed. The one open action B/120.1/15 Cancer Review Update Report had been deferred from May 2015 to the 3 September 2015 Board meeting. It was noted that the reason for the deferral was to enable the update report to include progress in line with new national requirements. B/173/15 Accountable Officer’s Report 173.1 The Accountable Officer’s report was noted. Specific reference was drawn to the: Stakeholder Survey results which were noted to have improved from the previous year’s results but it was recognised that there were still improvements to be made to bring the CCG in line with the national position. 173.2 Quality Assurance process for the Q3 Performance Review resulted in ‘assured with support’ which was noted to be attributable to the CCG’s in-year financial pressure and below target performance on a number of targets. It was noted that the Quality Assurance process had changed for 2015/16 with an additional domain added which totalled four domains that the CCG will be assessed against going forward. 173.3 HSJ Award Nomination, the Accountable Officer was pleased to report that the CCG had been nominated for a HSJ Award for its Carers Strategy. 173.4 Joint Commissioning Committee, it was noted that the first meeting of the Joint Commissioning Committee had taken place with NHS England and A Gardner, Lay Member of the Board had agreed to Chair the meetings until the additional Lay Member of the Board vacancy was appointed to. The Board placed its thanks on record to A Gardner for taking on the additional interim work. 173.5 Herts Valleys CCG Constitution, the Accountable Officer explained that in addition to the information included within the report the CCG had consulted with its members and received legal advice over changes to its Constitution and the Board approved changes to the GP Board election terms of office in order to stagger terms of office to prevent all GP Board members being up for election in one round at a private meeting in April 2015. It was noted that NHS England required to approve any changes to the CCG’s Constitution and they would be considering these sometime during June 2015. 173.6 RESOLVED: the Accountable Officer’s Report was noted. B/174/15 Patient Story 8 174.1 Paul O’Hare presented the Patient Story in respect of a patient who had suffered from long term health problems. He highlighted the significant impact that the Community Navigator service had on improving the quality of the patient’s life which was noted. 174.2 RESOLVED: the Patient Story was noted. B/175/15 Integrated Quality, Performance and Finance Report 175.1 The Integrated Quality, Performance and Finance report was noted. Reference was drawn to the format change of the report which had resulted from discussions at the Quality and Performance Committee. The Chair invited questions in relation to the report. 175.2 Performance M Walton queried the Cancer 62 week wait performance at West Hertfordshire Hospitals NHS Trust. In response to that C Allan explained that performance had fluctuated in recent months but it was anticipated compliance would be reported in the next report to the Board at its September 2015 meeting. He highlighted that there had been a significant investment in equipment and increasing capacity. T Fernandes explained that as the CCG’s GP Cancer Lead he had noted improvements to cancer compliance but highlighted that workforce was a national concern. The Accountable Officer agreed in her capacity as Co-Chair of Bedfordshire/Hertfordshire Cancer Network to raise the Board’s concerns with regards to Cancer performance at West Hertfordshire Hospitals NHS Trust. ACTION B/175.2/15 (N Bell) 175.2.1 It was also agreed that arrangements would be made for a representative from Health Education England to attend a future Board Development session to provide an update on NHS workforce plans. ACTION B/175.2.1/15 (N Bell) 175.2.2 R Pile raised concerns with regards to Stroke performance at West Hertfordshire Hospitals NHS Trust.

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