NHS Salford Clinical Commissioning Group Governing Body Meeting Wednesday, 27th September 2017 14:00 – 17:00Hrs Salford Suite, Salford Civic Centre Chorley Road, Swinton, M27 5AS AGENDA Part I Start of NHS Salford Clinical Commissioning Group Governing Body Meeting 14:00 Public Meeting Welcome and Introductions - open agenda for members of the public to raise items previously mentioned to the Senior Committee Support Officer 14:10 Start of NHS Salford Clinical Commissioning Group Governing Body Meeting Item Time Description Lead 1 14:10 Patient Story Chair 2 14:15 a) Apologies for absence Chair b) Declaration of Interest in items on this Meeting’s Agenda 3 14:20 Minutes of the meeting and matters arising a) 19th July 2017 Meeting Minutes Chair b) 19th July 2017 Action Log Chair c) Matters arising Chair 4 14:30 Leadership Reports a) Chair (Verbal) Chair b) Chief Accountable Officer (Paper) Chief Accountable Officer For Assurance/Decision 5 14:45 Strategy a) Risk Management Strategy Update Chief Accountable Officer (Paper) b) Update on the implementation of the Chief Accountable Officer Primary Care Workforce Strategy (Paper) c) Conflict of Interest Policy (paper) Chief Accountable Officer 6 15:30 Performance a) Looked After Children Annual Report Chief Accountable Officer b) Quality Performance Quality and Safety Clinical Lead i. Quality and Safety Overview (Paper) ii. Quality of Commissioned Services Quality and Safety Clinical Lead (Paper) c) Organisational Planning, Performance and Chief Accountable Officer Risk – (Paper) d) Financial Performance (Paper) Chief Finance Officer e) Information Governance Framework Chief Finance Officer (Paper) f) Designated Medical / Clinical Officer Chief Accountable Officer Special Educational Needs and Disabilities (SEND) Annual Report 2016/17 (Paper) For Information 7 16:30 Minutes/Reports of Partnership Boards/Sub Committees a) Commissioning Committee Report (Paper) Chair of the Commissioning Committee b) Integrated Adult Health and Social Care Co-Chair of the ICJC Commissioning Joint Committee (ICJC) (Paper) c) Primary Care Commissioning Committee Chair of the PCCC (PCCC) Part 1 – 18th July 2017 d) Executive Team Report (Paper) Chief Accountable Officer e) Audit Committee Report (Paper) Audit Committee Chair f) Association of Greater Manchester CCG Chair Summaries g) Salford Children and Young People’s Chair Trust (Paper) 9 16:55 Reflection a) Key Decisions Chair b) Key Messages Chair c) Benefits to the Population of Salford Chair 10 17:00 Meeting to close Date and Time of Next Meeting: 14:00-17:00Hs on 29th November 2017 Venue: Salford Suite, Salford Civic Centre, Chorley Road, Swinton, M27 5AS MINUTES OF NHS SALFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING Held on 19th July 2017, the Lighthouse, 12 Coronet Way, Salford, M50 1RE Governing Body reports and previous minutes can be found by following the link: http://www.salfordccg.nhs.uk/GoverningBodyMeetings.asp Part I Present: Dr Tom Tasker (TT) Chair Dr Nick Browne (NB) Neighbourhood Lead Mr Steve Dixon (SD) Chief Finance Officer Dr Chris Babbs (CB) Governing Body Secondary Care Consultant Mr David Flinn (DF) Neighbourhood Lead Mr Anthony Hassall (AH) Chief Accountable Officer Mr David Herne (DH) Director of Public Health Mrs Kate Jones (KJ) Neighbourhood Lead Mrs Alison Kelly (AK) Governing Body Nurse Dr David McKelvey (DM) Neighbourhood Lead Mr Paul Newman (PN) Lay Member – Commercial Dr Tom Regan (TR) Clinical Director for Transformation Dr Jeremy Tankel (JT) Medical Director Mr Edward Vitalis (EV) Lay Member – Finance and Governance Dr Ben Williams (BW) Neighbourhood Lead Mr Brian Wroe (BWR) Lay Member – Engagement In attendance: Mrs Hannah Dobrowolska (HD) Director of Corporate Services Mr David Dobson (DD) Senior Committee Support Officer Mr Judd Skelton (JS) Assistant Director of Integrated Commissioning Mrs Francine Thorpe (FT) Director of Quality and Innovation Mrs Karen Proctor (KP) Director of Commissioning Apologies: Mrs Charlotte Ramsden (CR) Director of Adult and Children’s Services, Salford City Council 1. Apologies for absence 1.1 Apologies were received from Charlotte Ramsden. 1.2 A member of the public raised a question that related to the provision of respite care which is commissioned by the Local Authority and delivered by the NHS. The question also referred to the duty of care required by commissioners to ensure the necessary delivery of respite care beds and facilities. AH reported on the changes which have taken place in the delivery of respite care across the city, acknowledging the importance of bookable respite care. As such the CCG are working closely with the Local Authority which is urgently undertaking work assessing the long term solutions to the delivery of respite care across the city. AH reported that in response to this question a root cause analysis will be completed by the CCG in collaboration NHS Salford Clinical Commissioning Group Governing Body Meeting 19th July 2017 with the Local Authority to explore the challenges associated in the delivery of respite care and the required solutions. He added that as part of this analysis, a formal response from the CCG would be provided to the member of the public. Action: AH to liaise with CR to carry out a root cause analysis regarding the commissioning and delivery of respite care across the city. Action: AH to formally respond to the member of the public who raised the question. 1.3 A member of the public raised a question in relation to the issuing of funding under social care service provision noting that service users could and should seek out the cheapest options, such as using Friends and Family discounts on rail travel. JS advised that carer’s personal budgets are closely monitored by the Local Authority and are issued following an eligibility assessment. 1.4 JS read out a patient story, regarding a lady called Angela who had reported on her own experience from the ‘Community Employment Recovery Team’ (CERT). He added that the case of Angela involved domestic abuse; however the work of the CERT had supported her to have positive self-esteem which has helped Angela back into employment. TT thanked JS and the patient for allowing the Governing Body to hear and understand the success stories of the work delivered by the CERT. 2. Declarations of Interest in Items 2.1 There were no declarations of interest raised. 3. Minutes of the Meeting and Matters Arising 3.1 Minutes from 24th May 2017 3.1.1 The minutes of the Governing Body meeting were approved as a true and accurate reflection. 3.2 Action Log from 24th May 2017 and Matters Arising 3.2.1 TT advised that all seven actions detailed within the action log are complete with detailed responses included against each area. 4. Leadership Report 4.1 Chair’s Report 4.1.1 TT provided a verbal update and made reference to matters raised at the Patient Panel. He referred to the presentation delivered at the Patient Panel event which detailed the challenges associated with not having patients at the heart of the decision making process. Reference was made to information shared at the AGM that detailed how both Salford CCG and ‘Salford Royal NHS Foundation Trust’ (SRFT) are both outstanding organisations. 4.1.2 TT highlighted the CCG’s Members Event held on 13th June for GPs across the city that included more than 200 delegates in attendance. Jon Rouse – Chief Officer of the ‘Greater Manchester Health and Social Care Partnership’ (GMHSCP) also attended the event to discuss the Greater Manchester position. In addition, TT referenced Healthwatch Salford’s annual report from 2016/17, noting the importance of this key partner organisation and recommended that individuals read the report. NHS Salford Clinical Commissioning Group Governing Body Meeting 19th July 2017 4.2 Chief Accountable Officer’s (CAO) Report 4.2.1 AH began by referencing the Members Event of 13th June which he reported was well attended. The Members Events form a key part of engagement with member practices which also run alongside the practice visits undertaken by AH and TT throughout the year. AH highlighted the recent cyber-attack which affected NHS IT systems. He reported that the CCG has been supported by ‘NHS Greater Manchester Shared Services’ (GMSS) who oversee both the CCG’s and General Practice’s IT systems across Salford and the other nine localities of Greater Manchester. He added that dialogue to mitigate the risks continues as well as taking forward the lessons learnt from the incident. 4.2.2 AH reported on the tragic events of Grenfell Tower, advising that the CCG is working with colleagues in partner organisations, including primary care to ensure all NHS buildings and premises are safe. He added that he has received assurance from partner organisations that there are no significant risks to premises in Salford. AH advised that detailed in July’s CAO Report is reference to the one stop shop cancer services available to Salford patients which was an action from the previous meeting, adding that the one stop cancer services aim to reduce the number of times patients attend outpatient and test results appointments. AH reported that the CCG’s Race Equality Submission is provided within his CAO update, which gives assurance to the CCG’s processes. He added that the CCG complies with the requirements of the CCG’s constitution and the Race Equality Act 2010. 4.2.3 DH highlighted the public health news items contained in the CAO Report. He reinforced the key messages of the challenges in the way that the media covers the news, in particular nutrition advice and guidance. He added that there are emergent new threats, including dementia, with reference made to one in three dementia cases being an effect of lifestyle changes. DH reported on the vaping culture which remains a contentious issue and also the population inactivity initiative.