CLINICAL COMMISSIONING GROUP BOARD MEETING TO BE HELD ON JULY 18TH 2012 AT 1.30PM BOARD ROOM NEW CENTURY HOUSE DENTON A G E N D A Page 1. Apologies for Absence 2. Declarations of Interest 3. Chair’s Update 4. Minutes of the Meeting Held on June 20th 2012 p3-12 Matters Arising 5. - Transition Update – to follow Steve Allinson - Public Health Transition update – verbal Elaine Michel 6. Collaborative Commissioning of Care Homes Michelle Rothwell p13-17 7. Safeguarding Children and Vulnerable Adults Gill Gibson p18-52 8. EDHR Strategy Julia Allen p53-101 9. Patient Transport Services – Re-Procurement Exercise Steve Allinson p102-106 Standing Items:- 10. Planning and Implementation and Quality Committee Clare Watson p107-114 11. Finance Report - to follow Kathy Roe 12. Performance Update Kathy Roe p115-143 13. Quality Committee Minutes Lynn Travis p144-151 14. Medicines Management Minutes John Doldon p152-156 15. GM Clinical Board – Summary Document Raj Patel p157-182 16. Any Other Business 17. Date and Time of Next Meeting – August 15th 2012 at 12.30pm MINUTES OF THE CLINICAL COMMISSIONING BOARD MEETING HELD ON JUNE 20TH 2012 Present: Raj Patel Richard Bircher John Doldon Alan Dow Tina Greenhough Jo Rowell Phaninder Tatineni Guy Wilkinson Graham Curtis Lynn Travis Steve Allinson Kathy Roe Clare Symons In attendance: John Boyington, Elaine Michel, Yvonne Pritchard, Dr. Vikram Tanna, Clare Watson, Dr. Andrew Hershon, Dr. Matthew Kinsey, Julie Bell 1. Apologies for Absence None to record 2. Declarations of Interest Dr. Tina Greenhough – Item 8. 111 Procurement Strategy 3. Chair’s Update Steve Allinson (interim Chief Operating Officer) and Kathy Roe (interim Director of Finance) for the CCG Raj Patel was pleased to announce that both Steve Allinson and Kathy Roe were successful in their assessments through the Assessment Centre and both had been deemed ready for appointment. 1 3 Hyde Doctor Makes Top ‘Influential’ Listing – Manchester Evening News It was noted that Dr. Raj Patel had been named as one of the most influential people in Greater Manchester, and had been placed in the top 250 in the region, on the Manchester Evening News published list. He is the only practicing doctor to be included in the list. C. Diff Elaine Michel informed the meeting that C. Diff figures were improving. The biggest reduction had been seen with Tameside FT. It was noted that the health economy had not been in this position for a long time. Chlamydia Screening Elaine Michel stated that the final confirmed 2011/12 Chlamydia Screening figures had just been published. Tameside and Glossop’s performance was 32.4%, which is the highest in Greater Manchester. In addition, when analysed against the new target for 2012/13 (i.e. diagnosis rate of between 2,400 and 3,000 or higher per 100,000) Tameside and Glossop also had the highest performance in Greater Manchester: 3,150. Board conveyed their congratulations to all involved, noting that the PH team would be looking at actions for the forthcoming year at the next Chlamydia Screening Implementation Group meeting on the 10th July. 4. Minutes of the Meeting Held on May 16th 2012 The minutes were agreed as a correct record of the meeting. Matters Arising CCG Practice Dashboards Clare Watson informed the meeting that there had been no further information on when to expect the National Scorecard. E. Learning – Introducing Finance Kathy Roe stated that she was currently analysing the most useful modules for CCG Board members. It is an aspiration to roll out the E. 2 4 Learning tool to each GP practice (once more licenses were purchased through NHS GM). Action: Kathy Roe NWAS – Future of Ambulance Services Steve Allinson and Kathy Roe were meeting with a representative from Blackpool. GM had also reiterated its intent for more traction with the Board of NWAS, to keep apprised of developments. 5. QIPP/Finance/Performance Presentation The Board received an informative presentation from Kathy Roe. Board discussed at length, areas that required further attention:- National Measures: Referral to Treatment; A & E 4 hour target; Category A; stroke; HCAI. Quality: SHMI CQC Patient Experience/LINK report Outcomes: Life Expectancy Colorectal Cancer Survival rates Smoking Status at time of delivery Excess weight in 4 to 5 and 10 -11 year olds Financial Risks: Secondary care Continuing Care Prescribing Contingencies QIPP target On a general note, Board outlined the sterling work of Dr. Andrew Hershon on the ICATS agenda, noting how a front line clinician, in leading and engaging colleagues, can make a positive difference in driving forward change. 3 5 Michelle Rothwell and her team were also formally thanked for their exemplary work on the Continuing Care Panels, as was Yvonne Pritchard. It was noted that Board members had a ‘standing invite’ to attend the CCP’s. It was noted that managers would ‘buddy up’ with CCG Board members (based on individual’s portfolios), to offer additional support in understanding more the organisations’ business. 6. Transition Update Board received its monthly update from Steve Allinson, focussing on the good progress that is being made and the further work required to stay on track to apply for Authorisation. The Board noted that it now had confirmation that Authorisation would be Wave 3 – September 2012. The Board also received an update on the Constitution, which was being shared with all GP constituents via Locality Groups and the LMC. The Board noted that further work on the Board composition would be necessary, and in short order, in terms of clarity around a deputy Chair; Chair’s appointment process; voting roles on Governing Body; co- option situation; Lay advisor; GP election process and committee structures, in preparation for a full elective Board by 1st September 2012. Board received the transition update and supported the direction of travel. 6a. Public Health Transition and Memorandum of Understanding The Board received its monthly update on the Public Health Transition and the Memorandum of Understanding (MOU). The Board noted the key areas of progress made on the public health agenda in terms of:- 1. The PH Memorandum of Understanding The Board noted that the purpose of the Memorandum of Understanding between NHS Tameside and Glossop, TMBC, Derbyshire CC and the CCG, was to establish the principles by which each party will work together to establish the principles and together deliver the Tameside and Glossop public health function during 2012/13 and to lay 4 6 the foundations for the full service transfer of the public health function to Tameside MBC. It set out how organisations will work together to maintain and strengthen joint working relationships. Board accepted the MOU. 2. An update on the PH workforce. The Board noted that NHS Tameside and Glossop had the smallest Public Health team in the North West, this issue was being raised at a Greater Manchester level. 3. Contract Stock-take with the Local Authority The Board noted that agreement had been reached with Tameside Local Authority to extend current Public Health contracts by 1 year to 2014, to allow a review and stock-take. 4. Transformation Change Programme with Tameside Local Authority The Board noted that there was an invite to become involved in the above project, to help build a joint vision across the health economy. This would also align to the CCG’s Transition process. Board noted the progress made on the Public Health Transition agenda. 7. Joint Strategic Needs Assessment Strategy The Board received the Joint Strategic Needs Assessment 2011 -2012. This was one of a number of reports that form the basis of the on-going assessment of needs in terms of the populations’ wellbeing. The report has been led by the Public Health Department, and supported by staff from the NHS and the Local Authority. The Board felt the JSNA was well constructed, with a good focus on vulnerable groups, however, they noted that the challenge would be to manage the strategy across both of our council boundaries. The Board agreed the following:- CCG Leads would review the outcomes in relation to their leadership roles 5 7 CCG noted that a workshop would be arranged by the Public Health directorate to decide upon the priorities for investment, and to align to the Clinical Commissioning Strategy. CCG Board agreed their on-going commitment to priority areas. 8. III Procurement Clare Watson briefed the Board on the development of 111, a new national NHS service, which will provide a telephone advice line for patients with urgent health problems which require assessments but which are not so serious as to require a 999 call. The service will be available free to callers, 24 hours a day, 7 days a week, 365 days a year and intended to absorb most the calls going to NHS Direct and our GP out of hours services. The Board noted the update and that the North West PCT Clusters have commenced a process to procure the 111 services that will commence by 21st March 2013 at the latest in line with the national deadline. The Board acknowledged the financial implications (already aligned within Tameside and Glossop’s financial contingency plans). The Board discussed some implications in relation to the new service. Tina Greenhough particularly raised some potential issues in relation to out of hours cover. Board agreed to continue to support the 111 Programme in the North West through continued engagement with the Programme and through support for development of the infrastructure required to successfully deliver the required savings. 9. Any Qualified Provider Update The Board received an update from Clare Watson, outlining that, following previous discussions, in Tameside & Glossop and at GM Cluster (GM Clinical Strategy Board) it was decided that the 3 pathways for AQP would be podiatry, adult hearing, and diagnostics (MRI – head & neck, and NOUS).