BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 16 JANUARY 2018 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 – Melanie Brown 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 14 November 2017 b Action sheet from the meeting held on 14 November 2017 6. Matters arising 7. Communication, Engagement and Equality Strategy Ruth Unwin (including patient story) 8. Chief Officer Briefing Jo Webster 9. Progressing our collaborative journey with Wakefield Jo Webster Council 10. West Yorkshire and Harrogate Sustainability and Jo Webster Transformation Partnership Plan (STP) Draft Work Plan 11. Review of the Constitution and Appendices Ruth Unwin a) Constitution b) Standing Orders c) Scheme of Reservation and Delegation d) Prime Financial Policies 1 12. Nominations Committee Ruth Unwin a) Terms of Reference b) Governing Body Members Terms of Office 13. Annual Public Health Report 2017 – Item withdrawn Item withdrawn 14. End of Life Care - Outline Business Case for change Pat Keane/ Tina Turner, Chief Executive Wakefield Hospice 15. Integrated Quality and Performance Summary Report Andrew Pepper/ (measuring the quality and performance of local services) Laura Elliott 16. Finance Report Month 8 - 2017/18 Andrew Pepper 17. Receipt of minutes and items for approval a Audit Committee (i) Minutes of meeting held on 26 September 2017 b Integrated Governance Committee (i) Minutes of meeting held on 19 October 2017 (ii) Minutes of meeting held on 16 November 2017 c Clinical Cabinet (i) Minutes of meeting held on 26 October 2017 (ii) Minutes of meeting held on 23 November 2017 d Connecting Care Executive (i) Minutes of meeting held on 12 October 2017 (ii) Minutes of meeting held on 9 November 2017 e Probity Committee (i) Minutes of meeting held on 24 October 2017 f Health and Well Being Board (i) Minutes of meeting held on 21 September 2017 g Joint Committee of CCGs (i) Minutes of meeting held on 18 October 2017 h Decisions of the Chief Officer – verbal update 18. Any other business 19. 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)”. 20. Date and time of next Public meeting: 2 Tuesday, 13 March 2018 at 1.00 pm in the Boardroom, White Rose House 3 Agenda item: 5a NHS Wakefield Clinical Commissioning Group GOVERNING BODY BOARD MEETING Minutes of the meeting held on 14 November 2017 Hemsworth Community Centre Present: Andrew Balchin Corporate Director, Adults, Health & Communities – Wakefield Council Melanie Brown Programme Commissioning Director Integrated Care Sandra Cheseldine Lay Member Dr Phil Earnshaw CCG Chair Dr Deborah Hallott GP, New Southgate Surgery Dr Clive Harries GP, Chapelthorpe Medical Centre Stephen Hardy Lay Member Diane Hampshire Nurse Member Richard Hindley Lay Member, Deputy Chair Dr Pravin Jayakumar GP, Trinity Medical Centre Dr Hany Lotfallah Secondary Care Consultant Andrew Pepper Chief Financial Officer Dr Adam Sheppard Assistant Clinical Leader Pat Keane Chief Operating Officer Jo Webster Chief Officer In attendance: Edwina Harrison Chair of Wakefield District Safeguarding Children Board (item 17/166) Bill Hodson Chair of Wakefield District Safeguarding Adult Board (item 17/165) Ian Holdsworth Senior Commissioning Manager, Children’s Services (item 17/163) Hannah McGinty Lead Nurse Looked after Children, MYHT (item 17/169) David Melia Chief Nurse, MYHT (item 17/160) Sarah Roxby Associate Director Health & Housing Transformation (shadowing Jo Webster) Laura Schubert NHS Graduate Trainee Mandy Sheffield Head of Safeguarding (deputising for Jo Pollard) Angela Peatfield Minute taker Natalie Tolson Performance & Intelligence Manager (item 17/171) Ruth Unwin Associate Director of Corporate Affairs Jane Wilson Designated Nurse Safeguarding Adults (item 17/167) 1 17/154 Welcome and Chair’s Opening Remarks Dr Earnshaw welcomed members to the meeting. 17/155 Apologies for Absence Apologies were received from: Dr Andrew Furber Director of Public Health, Wakefield Council Jo Pollard Chief of Service Delivery & Quality Michele Ezro Associate Director Commissioning & Integration 17/156 Public Questions and Answers No public questions were received. 17/157 Declarations of Interest 17/169 – The Health of Looked after Children Annual Report 2016/17 Dr Phillip Earnshaw declared an interest in this item with regard to health assessments of children placed in out of area placements. Advising that his GP practices are across two Local Authorities which poses difficulties in the completion of some health assessments. This declaration was noted and as this is not a decision making item it was determined that Dr Earnshaw could provide input into the debate. 17/158 a. Minutes of the meeting held on 19 September 2017 The minutes of the meeting held on 19 September 2017 were agreed. A response to a question raised by a member of the public at the 19 September meeting was provided as an appendix to the minutes. b. Action sheet from the meeting held on 19 September 2017 All actions were noted as complete. 17/159 Matters arising There were no matters arising. 17/160 Mid Yorkshire Hospitals NHS Trust (MYHT) Care Quality Commission (CQC) Inspection Report – Presentation David Melia attended the meeting to give a presentation on the recent MYHT CQC Inspection Report which gave an overall rating of “requires improvement”. The presentation detailed the overall ratings and change from the previous CQC inspection in 2015. Together with details of required actions in relation to nurse staffing; escalation of deteriorating patients; falls; 2 nutrition; extra capacity beds; patient moves at night and assessment of patient mental capacity in relation to the Mental Capacity Act and Deprivation of Liberty. David Melia commented that the Trust received positive verbal feedback from the CQC following the recent inspection noting there had been considerable improvements within Community Services and the End of Life pathway was rated as good. David also reported that there are currently no additional beds open at the Trust. Improved documentation on wards is now in place, particularly in relation to recording the correct information for chronic conditions. Further development of ward managers is ongoing. David Melia reported that Falls incidents have decreased and volunteers on wards to help with mealtimes have also proved successful. Nurse recruitment is improving and work is ongoing to ensure staff remain with the Trust and appropriate career progression is improved alongside providing opportunities for staff to move around specialities and gain experience in other areas of the hospital. It was noted that previously employed nurses are choosing to return to work at the Trust. Huddersfield University student nurses are now receiving an improved learning experience at the Trust and a Mid Yorkshire School of Nursing is to be developed next year. A discussion followed. Diane Hampshire queried what were the key factors of the community services improvement? David Melia responded that it was the leadership and the targeted actions put in place. Mr Hany Lotfallah queried the results of the Maternity and Gynaecology service in the inspection. David Melia confirmed that he would provide further detail following the meeting. It was acknowledged that Clinical leaders need to set the standards in key areas such as good basic nursing care, reduced falls incidents and appropriate dietary requirements for patients. It was noted that a Quality Summit is to be held at the end of November 2017. It was agreed that Pat Keane would update Jo Pollard of this discussion to ensure quality matrix working and suggest a further update is presented to the Governing Body following the scheduled Quality Summit. Jo Webster thanked David Melia for the presentation and the improvements already made with all partners in the system working together. It was RESOLVED that: (i) members noted the content of the presentation 17/161 Strategic development of urgent and emergency care services for the Wakefield district 3 Dr Adam Sheppard gave a presentation regarding the strategic development of urgent and emergency care services for the Wakefield district. Adam explained that earlier this year the CCG were told there would be new national guidance on urgent treatment centres. This gave the CCG an opportunity to make it clear how urgent care services fit together so people across the district can get the safest care when they have an unexpected or emergency health need. Advice was sought from the Yorkshire and Humber Clinical Senate regarding the new national guidance and through feedback received from public engagement it was clear local people, MPs and councillors who represent them that people wanted 24/7 urgent care at Pontefract. The national definition for conditions that can be treated in an Urgent Treatment Centre matches the service already provided at Pontefract. Adam explained some of the reasons for change including Pontefract being unable to treat patients with very serious or life threatening illness or injuries. Ambulances already take people who are very seriously ill to other hospitals. During the day there are specialist doctors on duty at Pontefract but most of the people who go there do not need this level of care and their specialist skills could be better used at Pinderfields where people who are more seriously ill already go. The Business Case sets out the case for change for urgent and out of hours care for the Wakefield district. Appropriate engagement with the local population needs to take place to explain what each part of the urgent care system offers so people can make the best choice about where to go in an emergency.