AGENDA GOVERNING BODY Part I Wednesday, 30 September 2020 14:00 – 17:00 Hrs Meeting Held Virtually 14:00 Public Meeting Welcome and Introductions - open agenda for members of the public to raise items previously shared with the Clinical Commissioning Group 14:00 Start of NHS Salford Clinical Commissioning Group Governing Body Meeting Item Time Description Lead 1 14:00 Patient Story Chair a) Apologies for absence 2 14:05 Chair b) Declarations of Interest a) Minutes of last meeting – 29 July 2020 3 14:10 b) Action Log – 29 July 2020 Chair c) Matters arising Leadership Reports 14:15 a) Chair’s Urgent Business (verbal) Chair 4 14:25 b) Chief Accountable Officer Report (paper) Chief Accountable Officer For Assurance/Decision Strategy 14:45 a) COVID-19 Recovery and Phase 3 Planning (paper) Chief Accountable Officer Performance 15:00 b) Assurance Framework Report, Organisational Chief Accountable Officer Planning, Performance and Risk (paper) 15:15 c) Quality of Commissioned Services (paper) Medical Director 5 15:30 d) Finance Performance (paper) Chief Finance Officer 15:45 e) Safeguarding Adults Annual Report (paper) Chief Accountable Officer 16:00 f) Medicines Optimisation Annual Report (paper) Chief Accountable Officer 16:15 g) Learning Disabilities Mortality Review (LeDeR) Chief Accountable Officer Annual Report (paper) 16:30 h) Annual Workforce Profile Data Report and Action Chief Accountable Officer Plan (paper) Process 16:45 i) Declarations of Interest, Gifts and Hospitality Chief Accountable Officer Registers (paper) For Information Reports of Partnership Boards/Sub-Committees a) Adults’ Commissioning Committee (ACC) (paper) Chair of ACC b) Primary Care Commissioning Committee (PCCC) Chair of PCCC (paper) 6 16:55 c) Audit Committee (paper) Chair of Audit Committee d) Executive Team (paper) Chief Accountable Officer 7 17:00 Reflection Chair 8 17:00 Meeting close Chair Date and Time of Next Meeting: 25 November 2020, 14:00 – 17:00 Hrs Venue: Meeting Held Virtually GOVERNING BODY Part 1 24 June 2020, 14:00-16:30Hrs Meeting Held Virtually Present: Dr Tom Tasker (TT) Chair Steve Dixon (SD) Chief Accountable Officer Paul Newman (PN) Lay Member for Innovation Matters Brian Wroe (BW) Deputy Chair and Senior Lay Member for Patient and Public Participation Dr Chris Babbs (CB) Governing Body Secondary Care Consultant Kate Jones (KJ) Neighbourhood Lead Dr Jeremy Tankel (JT) Medical Director Dr David McKelvey (DM) Neighbourhood Lead Edward Vitalis (EV) Lay Member for Finance and Audit Matters David Warhurst (DW) Chief Finance Officer Dr Tom Regan (TR) Clinical Director for Commissioning In Attendance: Jenny Noble (JN) Head of Governance & Policy Francine Thorpe (FT) Director of Quality and Innovation Karen Proctor (KP) Director of Commissioning Ross Baxter (RB) Senior Patient Services Officer (Minutes) Apologies: Paul Kavanagh-Fields (PKF) Governing Body Nurse Hannah Dobrowolska (HD) Director of Corporate Services Councillor John Merry (JM) Deputy City Mayor, SCC Dr Muna Abdel Aziz (MAA) Director of Public Health, SCC Dr May Moonan (MM) Assistant Director for Health Care Public Health, SCC Dr Nick Browne (NB) Clinical Director for Partnerships/Neighbourhood Lead David Flinn (DF) Neighbourhood Lead Governing Body Page 1 of 7 29 July 2020 1. Patient Story The patient story was presented, and highlighted the case of a patient’s experience with social care occupational therapy and equipment services. 2. Apologies and Declarations of Interest a) Apologies The above apologies were noted and the meeting was quorate. b) Declarations of Interest TT reminded committee members of their obligation to declare any interest they may have on any issues arising at the Governing Body meeting which might conflict with the business of the CCG. No interests were declared. 3. Minutes of the Meeting and Matters Arising a) 24 June 2020 Meeting Minutes The minutes were accepted as an accurate record of the formal meeting held on 24 June 2020. b) 24 June 2020 Action Log The Nitrous Oxide action has been completed, subject to re-circulation. KP’s action is ongoing as there is a need to analyse local data, and this will be brought back in future. c) Matters arising There were no matters arising. 4. Leadership Report a) Chair’s Urgent Business No formal update as items were covered in the main agenda. b) Chief Accountable Officer Report SD presented the Chief Accountable Officer (CAO) Report to ensure that the Governing Body remains up to date on the latest developments relevant to the organisation. The areas highlighted were; • First Do No Harm Report – This was issued as a result of a safety review conducted. It looks at harm to individuals as a result of three separate treatments, and was prompted by patient led campaigns over a number of years. It gives a frank and honest review and report of the failings within the NHS. This is being reviewed internally. Governing Body Page 2 of 7 29 July 2020 • Focus from COVID-19 on inequalities and diversity – Staff risk assessments have been undertaken for all members of staff, and all GP practices have been asked to do the same. KJ noted her delight that diversity and inclusion has remained a focus, and asked whether all practice colleagues have access to Occupational Health. It was advised that the service is inconsistent but Salford Royal (SRFT) is able to offer support locally. Action – KP to confirm what arrangements Salford Practices have KJ asked what support there is for balancing a home and work life. SD advised that the CCG has implemented measures to help keep in touch with staff such as encouraging 1-1 conversations, and there are sessions on Virtual College on mental health and wellbeing. There are examples of people changing their working day to suit their home life. Some members of staff have asked to go back into the office, and a process is in place to identify which staff can go back first which includes a risk assessment. There are three teams that do need an office base as they are more patient facing, and there was only one other request for three individual members of staff who feel their health and wellbeing is suffering from working at home, and options are being explored as part of the next phase. In response to a query from BW, SD confirmed that the staff risk assessments would be revisited as a part of 1-1s so that they are not just a one-off tick box exercise. DM said he was pleased to see the Freedom to Speak Up Guardian was being highlighted, and stated the need to encourage people to speak up through appropriate channels in confidence that their concerns will be listened to. FT noted that the First Do No Harm Report was a hard read and urged clinicians to think about their own practices and populations, and how the report is relevant to them. Governing Body noted the update. 5. For Assurance/Decision a) COVID-19 Response, Recovery and Planning Update The report provided members with an update on actions taken in the management of the ongoing COVID-19 pandemic, for the restarting of urgent and routine services to support non-COVID-19 health needs, and regarding integrated commissioning and CCG annual planning for the remainder of 2020/21. The priorities for system, integrated commissioning and CCG work for the remainder of 2020/21 were shared for approval. It was highlighted that in Salford the number of people accessing healthcare had dropped, but the level of transmission in the community is increasing, going from 3 a day a few weeks ago to 9 to date. Rochdale issued communications to the public about reinforcing good hand hygiene, social distancing and face coverings. Salford is now ranked red from a Public Health England perspective as a result of localised outbreaks in schools and the Afro-Portuguese community. Track and trace identified the individuals and did the contract tracing, advising people to isolate. Governing Body Page 3 of 7 29 July 2020 For the recovery phase and priorities in Salford, the reflection is that there is still a long list of priorities and what needs to be done, but this will all be in the context of COVID-19 and winter pressures. In response to queries from EV, SD confirmed that the outbreaks in schools were in adults rather than children, and that the definition for an outbreak is two or more cases in one setting. He advised that all care home staff and residents are entitled to a test whether symptomatic or not, and that as of the previous day there were two homes awaiting swab results. There has been a review in Salford on what went well and what did not, and whilst this is still being collated there have been really positive messages on the system coming together. On less good areas, national guidance can come out late and the system has to react quickly, and it may cause local challenges. There has also been a mortality review on all deaths of Salford residents who died using records from the GP, hospital, 111 and 999, as well as social services. For the funds to the VCSE sector, those sums are administered by Salford CVS. GM is looking at a rehab programme, and anyone discharged from hospital has a pathway to be followed up on. SD noted that there is an agreement to keep the AJ Bell facility in the short term (until the end of August so far), as it is fulfilling a number of areas and is proving a real asset. There is however a list of staff groups that can be tested regularly when asymptomatic, and the AJ Bell doesn’t fulfil this need, so there needs to be a more localised testing offer.