Virtual Governing Body To be held on Thursday 4 March 2021 From 1pm until 3.30pm VIRTUAL GOVERNING BODY To be held on Thursday, 4 March 2021 at 1pm A G E N D A Ref Item Enclosure Led By Action Required 1. Apologies for Absence Verbal Dr Crichton For noting 2. Declarations of Interest Verbal All For noting 3. Minutes of the meeting held on 4 February Enc A Dr Crichton For approval 2021 4. Matters Arising not on the Agenda Verbal Dr Crichton For discussion 5. Notification of Any Other Business Verbal Dr Crichton For discussion 6. Questions from Members of the Public Verbal Dr Crichton For discussion (See our website for how to submit questions – required in advance) 7. Patient Story Verbal Dr Crichton For discussion Strategy 8. Learning Disabilities Strategy Enc B P Tarantiuk For approval 9. Equality & Diversity Annual Report Enc C L Devanney For approval Assurance 10. Quality & Performance Report Enc D A Fitzgerald For noting and • Spotlight Report on Living Well A Russell 11. Finance Report Enc E H Tingle For noting 12. Chair & Chief Officer Report Enc F D Crichton For noting Items to Note 13. Integrated Care System CEO Report Enc G D Crichton For noting Receipt of Minutes Page 1 of 2 Ref Item Enclosure Led By Action Required 14. Receipt of Minutes Enc H D Crichton For noting • Executive Committee – Minutes of the meeting held on 20 January 2021. • Engagement & Experience Committee – Minutes of the meetings held on 3 December 2021. • Primary Care Commissioning Committee – Minutes of the meeting held on 10 December 2020. 15. Any Other Business Verbal Dr Crichton For discussion 16. Date and Time of Next Meeting For noting Thursday 1 April 2021 at 1pm Governing Body Quorum is 6 Members: Chair or Vice Chair, at least 3 Clinical Members and Chief Officer or Chief Finance Officer Page 2 of 2 Minutes of the Virtual Governing Body Thursday 4 February 2021 at 1pm Members Dr D Crichton NHS Doncaster Clinical Commissioning Present: Group (CCG) Chairman (Chair) J Pederson Chief Officer H Tingle Chief Finance Officer A Russell Chief Nurse Dr E Jones Secondary Care Doctor P Wilkin Lay Member S Whittle Lay Member Dr M Khan Locality Lead, Central Locality Dr M Pieri Locality Lead, North Locality Dr R Kolusu Locality Lead, East Locality Dr M Pande Locality Lead, South Locality Formal A Fitzgerald Director of Strategy and Delivery Attendees L Devanney, Associate Director of Corporate Service & Present: HR A Goodall Healthwatch Doncaster Representative In J Satterthwaite PA to Chair and Chief Officer (Minute attendance: Taker) J Telford Healthwatch Doncaster (Item 7 Patient Story) E Price Head of Strategy & Delivery – Children’s (Item 11 Performance Report) K Featherstone-Bennett Doncaster Council (Item 11 Performance Report) D Woodcock Performance & Intelligence Manager (Item 11 Performance Report) Action 1. Apologies for Absence Apologies were noted from: • L Tully, Lay Member • Dr R Suckling, Director of Public Health • P Holmes, Doncaster Council Representative 2. Declarations of Interest The Chair reminded Governing Body members of their obligation to declare any interest they may have on any issues arising at Governing Body meetings 1 which might conflict with the business of NHS Doncaster Clinical Commissioning Group (CCG). Declarations declared by members of the Governing Body 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 committees / working groups: None declared. Declarations of interest from today’s meeting: None declared. 3. Minutes from the Previous Meeting held on 3 December 2020 The minutes of the meetings held on 3 December 2020 were approved as a correct record. 4. Matters Arising not on the Agenda There were no Matters Arising. 5. Notification of Any other Business There was no notification of further business to discuss. 6. Questions from Members of the Public There were no questions received from the Public. 7. Patient Story Dr Crichton informed the Governing Body that the Patient Story will be discussed in Item 11 as part of the Starting Well Spotlight Report. 8. Climate Commission Report In September 2019, Doncaster Council declared a Climate and Biodiversity Emergency and the Team Doncaster partnership of organisations set up a local Commission to advise on targets and actions for the borough as a whole in response to the threat of climate change. Doncaster Climate and Biodiversity Commission has concluded that Doncaster is already experiencing the impact of climate change, and that the impact is likely to escalate dangerously over the coming years and decades unless 2 radical action is taken. Doncaster will need to act fast to reduce the likelihood of harm (mitigation) and to prepare to be resilient for changes in the climate that are already making an impact (adaptation). The main area where action is needed is to reduce greenhouse gas emissions in Doncaster or related to Doncaster. The Commission considers that Doncaster must be very ambitious and aim to be ‘net-zero’ in greenhouse gas emissions by 2040 – this is also the target for Sheffield City Region and is 10 years ahead of the Government’s own 2050 target. In looking at the net-zero target for Doncaster, the Commission considered the local changes necessary across seven themes: • Housing and Buildings • Energy • Transport and Travel • Land use, biodiversity and carbon storage • Food • Business and Enterprise • Resources and Waste There were also four cross-cutting themes that emerged through the discussions: • Fairness – no one should be unfairly disadvantaged • Responsibility – must be shared between national government, local institutions and businesses and individuals • Inclusion – we need to involve everyone • Changing behaviours – we need to make better decisions and choices Some of the changes that need to be made will be very large scale and very costly, beyond Doncaster’s current resources. Government will need to make significant investments and enable money from other sources to be available to Doncaster. There will be some difficult choices and decisions to make. However, the Commission found lots of evidence to suggest that changes we need to make for the climate can also benefit the quality of our lives, providing us with better physical and mental health, stronger communities, and a greener cleaner environment. There is already good progress in some areas, and there is much more that we all can do now. Recommendations for Team Doncaster Vision: Doncaster will deliver its contribution to the regional, national and international effort to tackle the climate change emergency, creating a stronger economy, a sustainable natural and built environment, and a better quality of life for residents and for future generations. Doncaster should aim for net-zero greenhouse gas emissions by 2040. All of Doncaster’s institutions, businesses and communities should aim to: 3 • Play its full role in local, regional, national and global responses to climate heating • Limit emissions within a carbon budget based on science and national or international protocols, updated as necessary • Reach a point where net-zero emissions can be achieved and maintained, by 2040 • Aim for 85% reduction in net greenhouse gas emissions from 2005 levels by 2030 or an approximate 13% - 14% annual reduction • Have systems in place that allow us to monitor and report on progress across the borough towards net-zero • Use ever-developing evidence (including from the community) to update climate plans on a regular basis • Develop the structures to govern our climate plans, hold those delivering the plans to account, and promote the engagement and participation of all parts of the Doncaster’s communities. • Promote carbon- and cost-effective, socially acceptable interventions and behaviour changes that are fair and inclusive, across the eight themes • Build stronger neighbourhoods and communities that are more sustainable and resilient to climate change • Make strong links between the recovery of our natural environment with our public health, and with our economic wellbeing L Devanney requested that the Governing Body: • Note the full report. • Agree that NHS Doncaster CCG fully supports the vision and aims as a Team Doncaster partner. S Whittle acknowledged that she had learned so much from the report however queried the timescales as there was of work to be undertaken if the targets are to be met. J Pederson explained that there is an expectation upon the CCG to participate as it is for Doncaster as a whole. It may be necessary to utilise external expertise as our knowledge is limited. Dr Jones added that the CCG is a significant organisation both as an employer and commissioner and we have the ability to influence organisations we commission services from. Dr Crichton highlighted some dilemmas and that unfortunately the PPE used by the NHS is not biodegradable but is necessary during the COVID-19 pandemic. The Governing Body: • Noted the full report. • Agreed that NHS Doncaster CCG fully supports the vision and aims as a Team Doncaster partner. 9. Audit Committee Terms of Reference L Devanney presented the Audit Committee Terms of Reference for approval by the Governing Body. They were reviewed in detail by the Audit Committee at its meeting on 10 December 2020 and there are no removals or inclusions to draw to the attention of the Governing Body. 4 The Governing Body approved the Audit Committee Terms of Reference. 10. Emergency Preparedness, Resilience and Response Policy L Devanney presented the reviewed and updated Emergency Preparedness, Resilience and Response Policy to the Governing Body for approval. The framework had been reviewed to address a recommendation from the Internal Audit Head of Internal Audit Stage 1 Report.