BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 17 JANUARY 2017 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 – 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 8 November 2016 b Action sheet from the meeting held on 8 November 2016 6. Matters arising 7. Patient Story – Personal Health Budgets Jo Pollard 8. Chief Officer Briefing Jo Webster 9. Delivery of the 5 Year Forward View Update Pat Keane 10. Proposed Collaborative Commissioning Arrangements (“Healthy Jo Webster Futures”) for the West Yorkshire and Harrogate CCGs 11. West Yorkshire Sustainability Transformation Plan (STP) Diabetes Dr Andrew Furber Prevention Programme – Memorandum of Understanding 12. Better Care Fund Plan 2017/18 ‐ Presentation Melanie Brown 13. Management of Conflicts of Interest Update Andrew Pepper 14. NHS Wakefield Clinical Commissioning Group Assurance Framework Andrew Pepper 15. Integrated Quality and Performance Summary Report (measuring the Andrew Pepper/Jo Pollard quality and performance of local services) 1 16. 2016/17 Finance Report Month 8 Andrew Pepper 17. Annual Public Health Report 2016 Dr Andrew Furber 18. Receipt of minutes and items for approval a Integrated Governance Committee (i) Minutes of meeting held on 20 October 2016 (ii) Minutes of meeting held on 17 November 2016 b Clinical Cabinet (i) Minutes of meeting held on 27 October 2016 (ii) Minutes of meeting held on 24 November 2016 c Connecting Care Executive (i) Minutes of meeting held on 13 October 2016 (ii) Minutes of meeting held on 10 November 2016 d Probity Committee (i) Minutes of meeting held on 20 October 2016 e Health and Well Being Board (i) Minutes of meeting held on 22 September 2016 f Decisions of the Chief Officer – verbal update 19. Any other business 20. 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)”. 21. Date and time of next Public meeting: Tuesday, 14 March 2017, 1pm in the Boardroom, White Rose House. 2 Agenda item: 5a NHS Wakefield Clinical Commissioning Group GOVERNING BODY BOARD MEETING Minutes of the meeting held on 8 November 2016 Boardroom, White Rose House Present: Andrew Balchin Corporate Director, Adults, Health & Communities – Wakefield Council Dr Avijit Biswas GP, Pinfold Lane Surgery Dr David Brown GP, Kings Medical Centre Sandra Cheseldine Lay Member Dr Phil Earnshaw Chair and Clinical Leader Stephen Hardy Lay Member Dr Clive Harries GP, Chapelthorpe Medical Centre Dr Pravin Jayakumar GP, Grove Surgery Hany Lotfallah Secondary Care Consultant Rhod Mitchell Lay Member Andrew Pepper Chief Financial Officer Jo Pollard Chief of Service Delivery and Quality Dr Adam Sheppard Assistant Clinical Leader Alison Sugarman Practice Manager, Northgate Surgery Jo Webster Chief Officer In attendance: Esther Ashman Head of Strategic Planning (Item 16/224) Melanie Brown Programme Director Integrated Care Katherine Bryant Governance and Board Secretary Lyndsey Clayton Medicines Safety Officer (item 16/215) Michele Ezro Associate Director – Service Delivery and Quality Dasa Farmer Engagement Manager (item 16/220) Edwina Harrison Independent Chair, Wakefield and District Safeguarding Children Board (item 16/217) Bill Hodson Independent Chair, Wakefield and District Safeguarding Adult Board (item 16/216) Gemma Reed Minute Taker Lorraine Chapman Head of Contracting and Performance (item 16/220) Laura Elliott Head of Quality and Engagement (item 16/220 and 16/221) 16/209 Welcome and Chair’s Opening Remarks Dr Earnshaw welcomed all to the November meeting of the Governing Body, noting that a positive Annual General Meeting was held in September which involved the voluntary and community sector. Dr Earnshaw informed the Governing Body that the Sustainability and Transformation Plan (STP) has been sent to NHS England and will be published on Thursday 10 November 2016. The NHS is under great strain and doing all it can approaching winter. 1 16/210 Apologies for Absence Apologies for absence were received from: Sharon Fox Governing Body Independent Nurse Dr Andrew Furber Director of Public Health, Wakefield Council Dr Deborah Hallott GP, New Southgate Surgery Pat Keane Chief Operating Officer Karen Parkin Associate Director – Finance, Governance & Contracting It was noted that Dr Harries would arrive late to the meeting. 16/211 Public Questions and Answers There were no questions from the public. 16/212 Declarations of Interest There were no declarations made. 16/213 a. Minutes of the meeting held on 20 September 2016 The minutes of the meeting held on 20 September 2016 were agreed as an accurate record. b. Action sheet from the meeting held on 20 September 2016 Katherine Bryant confirmed that all actions are complete. 16/214 Matters arising There were no other matters arising. 16/215 Medicines Safety Officer – Presentation Lyndsey Clayton presented the Wakefield approach “5afety in Num6ers” regarding incidents, learning and achievements for medicines, where a national award was won. Medication incidents can be more serious in certain cohorts of patients and the aim is to capture incidents when they occur. It is essential to learn from errors and ensure this is managed positively and there is not a blame culture. There is a level 3 directive from MHRA and NHS England for organisations to identify a Medicines Safety Officer and this generally tends to be a pharmacist, however in Wakefield CCG this is a pharmacy technician and we have made it a dedicated role. The aim of this approach is to encourage reporting of incidents, raising awareness and prevention. The role of the Medicines Safety Officer is to identify patients at risk, this is raised with GPs to address appropriately. There is now one medicines safety champion in each of the practices across the district and a regional medicines safety group has been established. Following the launch of this scheme there has been an increase in the number of incidents which are being reported. 2 Governing Body noted the excellent quality work taking place by the Medicines Optimisation Team. It was RESOLVED that: (i) Members noted the presentation 16/216 Local Safeguarding Adult Board Report 2015/16 Bill Hodson outlined that the Safeguarding Adults Board became a statutory organisation a year ago, however issues remain regarding policies and procedures due to statutory changes which requires procedures to be changed. Key points were: A more personalised approach – involvement of service users prior to and throughout the process to ensure outcomes make people feel better and safer. National service involved –“making safeguarding personal” has presented a challenge for health and police. A specialist team is in place to ensure that people are asked what they want to happen, engage with families and individuals and consent is sought where appropriate. Following a special case review a year ago a coroner requested clarification on why there isn’t a MASH for adults. There have been 13 cases since June regarding adult safeguarding. Those cases where liaison is required teams will work together appropriately. There has not been a safeguarding adults review since the new legislation has been in place and a regional conference will take place to develop how this will work. Concerns were noted regarding care quality and Adult Social Care services and issues regarding funding. A West Yorkshire survey showed quality of care is below the national average. However there is a good system in place in Wakefield to prevent cases going into crisis. Andrew Balchin confirmed that quality in care homes is addressed via formal contractual arrangements which are in place with the Local Authority. The Council also works closely with the Care Quality Commission. Challenges remain regarding economics of residential care where higher proportion of users rely on Local Authority funding within the North of England than other areas of the country where more people are able to support placements via self‐ funding. It was RESOLVED that: (i) Members noted the content of the report 16/217 Local Safeguarding Children Board Report 2015/16 Edwina Harrison presented the Safeguarding Children Annual Reporing highlighting that partnership in Wakefield is excellent. However following the annual independent chairs conference significant challenges are ahead. Wakefield has been commended nationally in how they have tackled the safeguarding charter for Wakefield. The challenge is to demonstrate how you are listening to the voices and challenges of young people. There has been no serious case reviews this year, however there is a robust process is in place to manage this. 3 The recent CQC inspection has been noted. The LSCB is monitoring progress to ensure actions are embedded in the future across the district. An Ofsted inspection regarding the Single Inspection Framework (SIF) has taken place and the judgements were good. The action plan developed following recommendations is outlined within the annual report. A key issue within this is regarding performance and the Safeguarding Children Board need to understand if outcomes are improving. Following the publication of the Wood report, there is the possibility of changes to the role of Safeguarding Children Board and the regulatory bodies of children’s services. This will present a challenge and would require legislative change. It was RESOLVED that: (i) Members noted the content of the report 16/218 Chief Officer Briefing Jo Webster outlined that the NHS planning guidance has been published that outlines operational management of the CCG over the next two years financial years to provide greater stability, support transformation and facilitate a different way of working across systems.