Governing Body To be held on Thursday 17 May 2018 From 1pm until 4pm in the Boardroom, Sovereign House, Heavens Walk, Doncaster DN4 5HZ Governing Body To be held on Thursday 17 May 2018 Commencing at 1pm – 4pm In the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ PUBLIC AGENDA Presenter Enc 1. Welcome and Introductions Chair Verbal 2. Apologies Chair Verbal 3. Declarations of Interest Chair Verbal 4. Questions from Members of the Public Chair Verbal (See our website for how to submit questions – required in advance) 5. Minutes of the previous meeting held on 19 April 2018 Chair Enc A 6. Matters Arising Chair Verbal Strategy 7. Public Health Annual Report Dr Suckling Enc B Assurance 8. Quality & Performance Report Mr Russell & Enc C Mr Fitzgerald • Spotlight Report on Planned Care • Spotlight Report on Primary Care 9. Finance Report Mrs Tingle Enc D 10. Corporate Assurance Quarter 4 Report Mrs Devanney Enc E Standing Items 11. Chair & Chief Officer Report Dr Crichton Enc F 12. Locality Feedback Locality Leads Verbal Items to Note/Receipt of Minutes 13. Receipt of Minutes Chair Enc G • Quality & Patient Safety Committee – Minutes of the meeting held on 15 March 2018. • Executive Committee – Minutes of the meeting held on 4 April 2018. • Primary Care Commissioning Committee – Minutes of the meeting held on 8 March 2018. 14 Any Other Business Chair Verbal 15. Date and Time of Next Meeting Chair Verbal Thursday 21 June 2018 at 1pm in the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ To resolve that representatives of the press, and Chair 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 1960. Verbal Item 1 Welcome & Introductions Verbal Item 2 Apologies for Absence Verbal Item 3 Declarations of Interest Verbal Item 4 Questions from Members of the Public Enc A Item 5 Minutes of the previous meeting Minutes of the Governing Body Held on Thursday 19 April 2018 commencing at 1pm In the Boardroom, Sovereign House, Heavens Walk, Doncaster, DN4 5HZ Members Dr David Crichton – NHS Doncaster CCG Chairman (Chair) Present: Body Miss Anthea Morris – Lay Member and Vice Chair of the Governing Mrs Linda Tully – Lay Member Mrs Sarah Whittle – Lay Member Dr Emyr Wyn Jones – Secondary Care Doctor Member Dr Nick Tupper – Locality Lead, Central Locality Dr Jeremy Bradley – Locality Lead, North East Locality Dr Marco Pieri – Locality Lead, North West Locality Dr Niki Seddon – Locality Lead, North West Locality Dr Khaimraj Singh – Locality Lead, South East Locality Mrs Jackie Pederson – Chief Officer Mrs Hayley Tingle – Chief Finance Officer Mr Andrew Russell – Chief Nurse Formal Mrs Lisa Devanney – Associate Director of HR and Corporate Services Attendees Mr Anthony Fitzgerald – Director of Strategy & Delivery present Dr Victor Joseph – Public Health Representative (Attending on behalf of Dr Suckling) Mr Andrew Goodall – Healthwatch Doncaster Representative (Attending on behalf of Mrs Hilditch) In Mrs Jayne Satterthwaite – PA (Taking Minutes) attendance: Mr Ian Carpenter - Head of Communications & Engagement Mrs Cath Doman – Director of Health & Social Care Transformation (Item 7) Mr Ian Boldy – Head Safeguarding Adults and Individual Placements (Item 8) Mrs Karen Tooley – Lead Nurse for Care Homes (Item 8) Mr Gareth Jones – Governance Manager (Item 11) ACTION 1. Welcome and Introductions Dr Crichton welcomed everyone to the Governing Body meeting. There were 4 members of the public in attendance at the meeting. 2. Apologies Apologies for absence were received from: 1 • Dr Rupert Suckling – Director of Public Health • Mrs Deborah Hilditch – Healthwatch Representative (Attending on behalf of Mr Stephen Shore) • Mr Damian Allen – DMBC Representative 3. Declarations of Interest The Chair reminded members of their obligations to declare any interest they may have on any issues arising at meetings which might conflict with the business of NHS Doncaster Clinical Commissioning Group. Declarations declared by members are listed in the CCG’s register of Interests. The Register is available either via the secretary to the Governing Body or the CCG website at the following link www.doncasterccg.nhs.uk The meeting was noted as quorate. Declarations of interest from sub-committee/working groups: None declared. Declarations of interest from today’s meeting: Dr Crichton informed the Governing Body that a partner at his GP practice has been elected to the Board of the GP Federation and that he has completed a new Declaration of Interest Form accordingly. All GP locality Governing Body members have a pecuniary conflict of interest in respect of Item 12 Clinical Leadership/Constitutional Changes. Having sort advice from the corporate governance lead it was agreed that they may remain in the room and take part in discussions, take into account the Nolan principles and accept any recommendations made. 4. Questions from Member s of the Public There were no questions received from Members of the Public. 5. Minutes of the Previous Meeting held on 15 March 2018 The minutes of the meeting held on 15 March 2018 were agreed as an accurate record subject to the following amendment: 6. Matters Arising Refreshing NHS Plans for 2018/2019 – Planning Guidance – Maternal 2 Smoking Dr Joseph reported that he did not have an update on the recruitment process into smoking in pregnant women and Dr Crichton asked that this be concluded outside of the meeting. Delivery Plans Mr Fitzgerald reported that patient experience has now been added to all Delivery Plans and that the Engagement & Experience Committee completes a ‘Deep Dive’ into 2 Delivery Plans per meeting. Mr Russell informed the Governing Body that as the Care Home Delivery Plan becomes more formed additional data regarding A&E attendances will be included. Healthwatch Doncaster published report and recommendations on missed hospital appointments Dr Crichton requested that Healthwatch Doncaster and Public Health Mr Goodall/ liaise outside of the meeting regarding the child friendly charter. Dr Joseph 7. Commissioners Agreement Mr Fitzgerald presented the Commissioners Agreement to the Governing Body. Dr Crichton highlighted that there had been an anomaly on the page numbering when the document had been converted into an Adobe PDF document. Mr Fitzgerald summarised the work undertaken by both NHS Doncaster CCG and Doncaster Council and the background to the development of the Agreement as follows: • In 2017 the Doncaster Place Plan was developed and is a proposal toward integrated commissioning. • In November 2017 a Memorandum of Understanding was developed and is an intent toward integrated commissioning. • In April 2018 the Commissioning Agreement formalised our approach. It is a legally binding framework which commits the CCG and Doncaster Council to the development of place plan during 2018/19. It delegates commissioning responsibilities for 7 Areas of Opportunity (in first instance) to the Joint Commissioning Management Board (JCMB) and it describes the portfolios of work during the “Shadow Year” and ensures momentum. • The Commissioning Agreement is not a Section 75 agreement, it does not cover all CCG commissioning responsibilities, does not take away the required statutory responsibilities of the CCG (e.g Financial Balance, 4 hour A&E target etc). The financial arrangements will be complex and we are dependent on robust relationships to get us to a full Section 75 agreement. • The agreement will be aligned to the Provider Collaboration 3 Agreement (PCA) and will not affect existing contracts with providers. • By 1 April 2019 we will work to fulfil the new Section 75 arrangements. • The Commissioners Agreement will be presented to the Doncaster Council Cabinet for approval on 24 April 2018. Mr Fitzgerald asked that the Governing Body note the progress achieved by the Doncaster Place Plan partners and to approve the 2018/2019 Joint Commissioners Agreement on behalf of NHS Doncaster CCG, noting that this is a legally binding agreement, delegating authority to the Joint Commissioning Management Board for commissioning decisions associated with the delivery of the Doncaster Place Plan. Mrs Whittle asked if the document would be presented to the Governing Body again if the Cabinet wished to make changes. Mr Fitzgerald advised that delegated authority has been given to Mrs Doman, Director Health & Social Care Transformation and Mr Allen, Director of People Learning and Opportunities: Children and Young People/Adult Health & Wellbeing Directorate, DMBC however it is not anticipated that any major challenges will be made. Mr Goodall queried if the Agreement is not a Section 75, how money will be spent appropriately and what assurance may be given regarding engagement with the community. Mrs Tingle stated that the arrangements regarding finances are complicated and has not yet been finalised. Finance still currently sits with respective organisations; going forward we will move to pooled budgets. Notwithstanding the 7 areas of opportunity the public will be addressed on areas for concentration. Dr Jones commented that it is an imaginative agreement and underpins our approach to collaborative working. He requested that, as we progress to a Section 75, that the Governing Body is kept aware of proceedings in order that we may remain assured and evaluate how it is functioning. Mrs Doman stated that the forthcoming year will focus on evaluation and business intelligence. Mr Russell added that we will work with Doncaster Council on a joint approach to quality assurance and look at our skill set to develop a good quality assurance framework. The Governing Body noted the progress achieved by the Doncaster Place Plan partners and approved the 2018/2019 Joint Commissioners Agreement on behalf of NHS Doncaster CCG, noting that this is a legally binding agreement, delegating authority to the Joint Commissioning Management Board for commissioning decisions associated with the delivery of the Doncaster Place Plan.