MEETING of the GOVERNING BODY held in public Wednesday 29 April 2015 at 6.00pm Bridestone Suite, Congleton Town Hall Chair: Dr Paul Bowen A G E N D A 17.45 Arrival and refreshments Agenda Delivery & Time Title / Description Speaker No. Decision 18.00 1. PRELIMINARY BUSINESS 1.1 Welcome & apologies for Paul Bowen Verbal absence 1.2 Declaration of any interests Paul Bowen Verbal relevant to the agenda items 1.3 Notes from previous meeting Paul Bowen Paper attached held in public – February 2015 For approval 18.10 1.4 Public Speaking Time 18.20 1.5 Chief Officer Report Alex Mitchell Paper attached For information 18.40 2. STANDING ITEMS 2.1 Finance & Performance Report Alex Mitchell Paper attached Month 12, as at 31 March 2015 For information 18.50 2.2 Governing Body Assurance Alex Mitchell Paper attached Framework For approval 2.2.1 Case Study: Dermatology Neil Evans Presentation 19.05 2.3 Sub Committee Minutes and Reports 2.3.1 Governance and Audit Committee Gerry Gray Paper attached – 25 March 2015 For information 2.3.2 Remuneration Committee Gerry Gray Verbal - 25 March 2015 For information 2.3.3 Clinical Quality and Performance Gill Boston Paper attached Committee – April 2015 For information NHS ECCCG Governing Body Meeting held in public 29 April 2015 Agenda Delivery & Time Title / Description Speaker No. Decision 19.15 2.4 Advisory Committee Reports 2.4.1 Locality Management Meeting - - – none in April 2.4.2 Eastern Cheshire HealthVoice Bill Swann Paper attached - notes of meeting 20 March 2015 For information - Verbal update on meeting held 23 April 2015 19.20 BREAK BREAK BREAK BREAK 19.30 3. ITEMS FOR DISCUSSION 3.1 Caring for Carers: a Joint Strategy Jacki Wilkes Paper attached for Carers of all ages in Cheshire For endorsement East 2015 - 2018 3.2 NHS Eastern Cheshire CCG Five Fleur Blakeman Paper attached Year Strategic Plan: Year Two For approval 2015/16 Implementation Plan 3.3 Caring Together governance Fleur Blakeman Paper attached update and refreshed terms of For information reference for key groups 20.30 4. CLOSING REMARKS Paul Bowen Verbal CLOSE OF MEETING Followed by informal Q&A session DATE AND TIME OF NEXT GOVERNING BODY MEETING held in public: Wednesday 27 May 2015 Macclesfield Town Hall 10.30am –1.00pm 21.4:2015 21:10 Page 2 of 2 MEETING OF THE GOVERNING BODY held in public Wednesday 25 March 2015 –9-12.30 Macclesfield Town Hall Unconfirmed MINUTES VOTING MEMBERS OF THE GOVERNING BODY Executive Chair, PRESENT Dr Paul Bowen GP McIlvride Medical Centre, Poynton Gill Boston Lay Member, Patient and Public Involvement PRESENT General Practice Representative – PRESENT Dr Mike Clark Macclesfield Gerry Gray Lay member, Governance PRESENT Jerry Hawker Chief Officer PRESENT Dr Jennifer Lawn General Practice Representative – Knutsford PRESENT General Practice Representative – PRESENT Joanne Morton Alderley Edge, Chelford, Handforth, Wilmslow Alex Mitchell Chief Finance Officer PRESENT Sally Rogers Registered Nurse Member PRESENT General Practice Representative – PRESENT From item Julie Sercombe Congleton and Holmes Chapel 2.4.1 onwards Senior Public Health Representative, PRESENT Dr Julie Sin Associate Director of Public Health, Public Health department, Cheshire East Council Bill Swann Lay Member, Patient and Public Involvement PRESENT General Practice Representative – PRESENT Angela Wales Bollington, Disley, Poynton Duncan Matheson Secondary Care Doctor Member PRESENT IN ATTENDANCE Fleur Blakeman Director of Strategy & Transformation Whole meeting Hazel Burgess Note taker Whole meeting Matthew Cunningham Head of Corporate Services Whole meeting & for item 3.1 Neil Evans Commissioning Director Whole meeting Dr Ian Hulme CCG Information Technology Lead Part meeting & for item 3.5 Corporate Managed Health Improvement, Part meeting & for item 3.4 Guy Kilminster Cheshire East Council Sally Larvin Contract Manager Part meeting & for item Jacki Wilkes Associate Director of Commissioning Part meeting & for item 3.7 Members of the CCG’s management support Whole & part meeting staff Members of the public Whole & part meeting NHS ECCCG Governing Body Meeting held in public 25 March 2015 Page 1 of 3 22 April 2015 1. PRELIMINARY BUSINESS 1.1 Welcome and apologies for absence Dr Bowen opened the meeting. He stated that, due to the impending General Election, from 30th March when Parliament is dissolved until the election the rules of “purdah” will be in effect: publicly-funded bodies must not make any statements, comments, or answer any questions, which might affect public support for any political party. The rules of purdah may therefore affect what questions the CCG will be able to respond to in the public speaking part of the April meeting. 1.2 Declaration of any new interests No new interests were declared. 1.3 Notes from previous meeting held in private – 25 February 2015 The notes of the previous meeting were accepted as an accurate record. 1.3.1 Matters arising from the Minutes The outcome of the TRICE application is not yet known. 1.4 Public Speaking Time No questions had been raised in advance of the meeting. 1.5 Chief Officer Report Items covered in the report submitted with the agenda were: Vanguard application – the CCG has been unsuccessful in its bid NHS Change Day Devolution of health and social care budgets to Greater Manchester Reprocurement of the NHS 111 service Review by Mersey Internal Audit Agency of Governing Body reporting arrangements Mental Capacity Act and Deprivation of Liberty Safeguards Conference held on 10 March Cheshire End of Life Partnership – recognition in the Nursing Times Cheshire East Health and Wellbeing Board agenda items for March. Jerry Hawker highlighted elements of the report. 1.5.1 Devolution of health budget to Greater Manchester Letters have been received expressing concern at the Government’s plans to devolve control of health and social care budgets in Greater Manchester. The plans will not affect the right to choice of where to go for hospital care offered under the NHS Constitution; residents of Eastern Cheshire will remain free to elect to go to Manchester hospitals for their care. The CCG will continue to work with Greater Manchester on access to services on behalf of the local population. 1.5.2 Mental Capacity and Deprivation of Liberty Safeguarding Conference NHS ECCCG Governing Body Meeting held in public 25 March 2015 Page 2 of 16 22 April 2015 Regarding the extremely successful event on 10th March at Crewe co- hosted by the CCG, Jerry Hawker said great credit was due to Lindsay Ratapana - Adult Safeguarding Manager, and Rebecca Patel - the CCG’s former Patient Engagement Manager, for their work in organising this and enabling wider partners to come together to discuss such important issues. 1.5.3 Improving Access to Primary Care Fund - the announcement of the outcome of the bid made by Vernova Healthcare CiC on behalf of Eastern Cheshire, is expected this week. 1.5.4 Forward View into action – Vanguard/Forerunner application - Jerry Hawker confirmed that over 268 applications were submitted, but unfortunately the Caring Together bid was unsuccessful. Although the bid for funding was unsuccessful, this will not impact plans for the scale of the transformation project in Eastern Cheshire. The value that nurses could add to leadership in commissioning was acknowledged, as was the need for future providers to factor collaborative working with nurses into their service specifications. Sally Rogers informed the group that a Practice Nurse Leadership course is being launched by the CCG, along with South Cheshire and Vale Royal CCGs. It is the first in the country and will be academically evaluated by Birmingham University. Expressions of interest from nurses in four out of the five Peer Groups have been received; Joanne Morton will look into promoting the opportunity within the Alderley Edge, Chelford, Handforth and Wilmslow group. The Governing Body Noted the contents of the Chief Officer Report 2. STANDING ITEMS 2.1 Finance & Performance Report Month 11, as at 28 February 2015 Alex Mitchell highlighted the main points of the paper. As at 28th February a cumulative surplus of £174,000 was being delivered. The forecast was for an end of year surplus of £193,000. A ‘Referral to Treatment improvement’ has been received from NHS England of £173,000 in recognition of a reduction in the number of patients awaiting operations. The potential risk was highlighted in the previous GB meeting held in February 2015. 2.1.1 Since the Finance Report was written, discussions with Cheshire East Council regarding disputed continuing healthcare payments have taken place. Alex Mitchell read out a prepared statement: “NHS Eastern Cheshire CCG is disputing a recharge from Cheshire East Council concerning the contribution towards the management of patients with complex health and social needs. It is apparent that there is a fundamental difference between the parties with regard to applying the National Continuing Health Care Framework and Responsible NHS ECCCG Governing Body Meeting held in public 25 March 2015 Page 3 of 16 22 April 2015 Commissioner rules and we are therefore commencing a formal dispute resolution process and seeking arbitration. The formal dispute resolution process will include NHS South Cheshire CCG who has also disputed a similar recharge from Cheshire East Council. ‘The value in dispute for NHS Eastern Cheshire CCG is £2.7 million and this will pose a significant risk on our organisation being able to discharge its financial duties for 2014/15. All parties have agreed to reconvene on the 8th April 2015 where they will agree the process and commence to the next stage of Arbitration.” The issue will be discussed at the Governance and Audit Committee meeting following the Governing Body meeting. NHS England and the external auditors are being kept informed of the background and the process.