North East Lincolnshire Care Trust Plus 2012-13 Annual Report and Accounts You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/ © Crown copyright Published to gov.uk, in PDF format only. www.gov.uk/dh 2 North East Lincolnshire Care Trust Plus 2012-13 Annual Report 3 Annual Report 2012/2013 for North East Lincolnshire Care Trust Plus Welcome from the Chair and Chief Executive 3 Contents Information from the Chair of the CCG 4 Preparing for an Emergency 5 Compliance with Pension Scheme Regulations 5 Sustainability 5 A Review of our Performance 6 Service Performance 7 Information Governance 9 Principles for Remedy 9 Access to information 9 Humber Cluster Board 10 Board and Financial Statements 11 CCG Committee Roles 12 Declaration of Interests CCG Members 13 Salaries and Allowances for Senior Employees 14 Remuneration Report 2012/13 14 Salaries and Allowances for Senior Employees 15 Table Remuneration Ratios 16 Pension Benefits 17 Statement of designated signing officers Responsibilities 18 Governance Statement 18 Cash Equivalent Transfer Values (CETV) 19 Real Increase in CETV 19 Financial Review 20 Director of Finance 21 Audit Costs 22 Statement in Respect of Disabled Employees 23 Equality Statement 23 2 Welcome to the Annual Report of This year has been one of fast-paced The continued dedication of our NHS North East Lincolnshire for and significant change as we have workforce has ensured that quality is Welcome from worked towards and completed the maintained, necessary savings have 2012/2013. handover of full commissioning been made and important milestones the Chair and powers to Clinical Commissioning in the transition towards the new Whilst North East Lincolnshire Chief Groups (CCGs) from April 2013. system have been met. We would Care Trust Plus (CTP) remains like to thank all staff for these a statutory body, in order to Executive The healthcare of around 900,000 achievements. implement the Government's people living in Hull, East Riding of health and service reforms, the Yorkshire, North Lincolnshire and As a Cluster we are fortunate to have North East Lincolnshire remained the very good joint working arrangements four Primary Care Trusts/Care responsibility of the three PCTs and with our partners in local authorities, Trust Plus Boards across the the CTP up until April 2013. The the voluntary sector and clinicians and Humber region have been NHS Humber Cluster Board had an it has been essential that these working under the direction of a overview of the entire area, providing continued in order for us to deliver the joint board arrangement with a continuity in monitoring performance health service reform plans. single executive team. of local providers and ensuring all four organisations ended the year in Our local CCGs were fully authorised financial balance. in February 2013 and became fully The Annual Reports for East operational as independent bodies Riding of Yorkshire, Hull and In our roles as Chairman and Chief from 1 April 2013. North Lincolnshire Primary Care Executive we have been greatly Trusts (PCTs) are available supported by the Chairs of the previous PCT and CTP boards separately. including Karen Knapton, Helen Christopher Long Varey and Val Waterhouse. NHS Humber Cluster Chief Executive Together with the other non-executive board members their longstanding Kath Lavery North East Lincolnshire Care Trust knowledge and expertise in local NHS Humber Cluster Joint Board Plus is hereafter referred to as "North health care has been invaluable Chairman East Lincolnshire CTP" or "The CTP". throughout 2012/2013. In October 2011 the four CCG committees took the lead for planning and commissioning of £1.1bn health care services for Hull, the East Riding of Yorkshire, North Lincolnshire and North East Lincolnshire. Since then the local CCG committees have been actively listening and engaging with the public and partners to ensure that their residents have access to the best possible services, delivered in the most appropriate setting. 3 Preparing for a New Era of Clinical Finally the Community Forum and our In summary there seems to have Commissioning GPs are supported by an excellent team been so much upheaval over the last Information of quality NHS professionals, ensuring twelve months, with the NHS very The past 18 months has seen huge robust financial management, strong rarely out of the national news. Your from the changes in the NHS landscape and its governance and efficient management CCG however has one key focus, Chair now really possible to see not only of the system is in place at all times. and that is to deliver better outcomes what the new NHS will look like but for the residents of North East of the CCG how it will directly benefit the people of We are already creating a vision that Lincolnshire, through responsible North East Lincolnshire. delivers joined up services for patients; commissioning. Whilst we face GPs, Consultants, Nurses, Social challenging times, and an even more The North East Lincolnshire CCG is Workers and a whole range of challenging future, the long term committed to building on the successes professionals will be working together as benefits to the patient, service user of North East Lincolnshire Care Trust one effective team, all working the same and wider community will remain at Plus. At the heart of our approach are way with the same goals. Residents can the heart of all our decisions. three essential groups, all essential be assured that they will be served by and all working towards the same goal the most appropriate professional in the Finally I'd like to thank all the local of better health and care outcomes for best setting when needed. Professionals staff and volunteers who have worked our community. will not only continue to care for tirelessly over the past 18 months individuals; they will work together to under an uncertain future to help As members of the new organisation, support one another’s development, implement the change from a Care North East Lincolnshire GP Practices new services and importantly, help Trust to a Clinical Commissioning will be at the centre of implementing families and communities to manage Group. Without their hard work and the necessary NHS and social care their own health and wellbeing. enthusiasm we couldn't have reforms for our area. GPs will be achieved what we have so far. uniquely placed to use their clinical Fundamental to our vision is putting expertise, local knowledge and families and communities at the very community leadership role to design heart of everything we do. The CCG is and implement the changes that make adopting the principle that families and real sense for our residents and our communities are best placed to help one area. another, and we will do everything we can to support families and communities Mark Webb In support of our clinicians we are very to help one another. North East Lincolnshire Clinical fortunate to have a robust, Commissioning Group Chair knowledgeable and committed The CCG is clear about its wider Community Forum. responsibility to support the local Health and Wellbeing Board to create a vibrant Individuals selected from the 2500 North East Lincolnshire. We are keen to strong Accord group to work in specific explore how it can improve employment, areas, supporting improvement, education and training and contribute to challenging us all to ensure changes a safer, healthier and entertaining that are made are real and benefit first environment. and foremost the patients, service users and their families. 4 In the event of a major incident, Hull Providing staff with mobile technology PCT takes on the strategic role for the along with the development of a flexible NHS in the Humber region (Hull, East working policy will subsequently reduce Preparing Riding of Yorkshire, North and North Sustainability the associated travel costs and CO2 East Lincolnshire) once the initial emissions of staff working from for an emergency or 'blue light' phase has designated headquarters building. Emergency passed. Buildings The local risk register currently The reduction in the number of identifies flooding, a pandemic and buildings that the CTP occupies has industrial fire/explosions as the top continued to decrease in 2012/2013 risks in our area. with the CTP now occupying 1.5 buildings (2 in 2011/12). This will As a commissioner of healthcare generate further carbon emission services and as an employer, we savings, ensuring the CTP will easily The CTP works with other agencies to surpass the 10% reduction in CO2 develop robust emergency plans and Compliance recognise the need to minimise our impact on the environment. building emissions by 2015 against a participates in various multi-agency with Pension 2007 target. emergency planning forums across the The NHS Carbon Reduction Strategy Transport Humber area. developed in 2009 sets out clear and Scheme measurable objectives to measure, The staff car sharing forum is aimed at monitor and drastically reduce carbon increasing the uptake of multi- • Typically, an emergency might be Regulations related emissions generated from NHS occupancy car journeys. There is a an explosion, a major crash or operations. The CTP has worked specific section on the CTP's intranet flooding, but the CTP is also required towards the delivery of these encouraging staff to car share either to plan and prepare for slow-building objectives through the implementation on a daily commute to and from their problems such as pandemics and of a Sustainable Development work place or to car share for meetings. outbreaks of disease. As an employer with staff entitled to Management Plan.