Virtual Governing Body To be held on Thursday 2 September 2021 From 1.00 pm until 3.30 pm VIRTUAL GOVERNING BODY To be held on Thursday, 2 September 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 The CCG’s register is available via the Governance team or on the CCG website which can be accessed here. 3. Minutes of the meeting held on 1 July 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. LeDeR Annual Report Enc B I Boldy For approval 9. Joint Commissioning Strategy & Enc C Dr Crichton For approval delegation to the Joint Committee Clinical Commissioning Groups 10. Healthwatch Doncaster Annual Report Enc D S Whittle For noting 2020/2021 11. Audit Committee Annual Report Enc E P Wilkin For noting Assurance 12. Quality & Performance Report Enc F A Fitzgerald & For noting A Russell • Spotlight Report on Living Well 13. Finance Report Enc G T Wyatt For noting 14. Governing Body Assurance Framework – Enc H C Rollinson For approval Quarter 1 Page 1 of 2 Ref Item Enclosure Led By Action Required 15. Chair and Chief Officers Report Enc I Dr Crichton & J For noting Pederson Items to Note 16. ICS CEO Report – August 2021. Enc J Dr Crichton For noting Receipt of Minutes 17. Receipt of Minutes Enc K Dr Crichton For noting • Executive Committee – Minutes of the meeting held on 16 June and 21 July 2021. • Quality & Patient Safety Committee – Minutes of the meeting held on 6 May 2021. • Engagement & Experience Committee – Minutes of the meeting held on 3 June and 1 July 2021. • Public Primary Care Commissioning Committee – Minutes of the meeting held on 10 June 2021. 18. Any Other Business Verbal Dr Crichton For discussion 19. Date and Time of Next Meeting For noting Thursday 7 October 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 1 July 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 L Tully 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 Doncaster Healthwatch Representative In J Satterthwaite PA to Chair and Chief Officer (Minute attendance: Taker) J Telford Healthwatch Doncaster (Item 7 Patient Story) S Barnes Interim Estates Lead (Item 9 Performance Report) K Dowson Director of Digital (Item 9 Performance Report) A Molyneux Head of Medicines Management (Item 9 Performance Report) Action 1. Apologies for Absence Apologies were noted from: • Dr R Suckling, Director 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: Dr Jones and L Tully declared an interest in item 8 of the agenda, Governing Body Tenures, Dr Crichton advised that they both refrain from the discussion and decision for this item. 3. Minutes from the Previous Meeting held on 3 June 2021 The minutes of the Governing Body meeting held on 3 June 2021 and the Extraordinary Governing Body meeting on 10 June 2021 were approved as correct records. 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 The Governing Body received a video which featured Denise who had to access health services during the pandemic in support of several health conditions. Denise utilised an online booking system to make appointments with her GP, Advance Nurse Practitioner and Pharmacist which were conducted via the telephone and found this to be very useful as it reduced the frustration of continuous calls to the surgery. On one occasion the GP needed visual access to a particular condition. Denise was sent a link on her mobile phone and asked 2 to upload a photograph to the link and was very surprised at how easy the process was. A hospital referral to dermatology was made. Denise has diabetes which requires annual health checks. Although initially apprehensive, her appointment was conducted face to face where her feet, weight, blood tests and the flu vaccine were undertaken. The blood test required repeating which was done at the Keepmoat Stadium drive through and took only minutes to do. Denise felt this was a very good system and hoped that it will continue going forward. Denise has received both her COVID-19 vaccinations and was advised by a friend to download the NHS App, which she was unaware of, as they are recorded on it along with other relevant information. Although Denise found the online services hugely beneficial and was satisfied and grateful for the services she has received over the last year, she is aware that there may be some people who do not have access to smartphones or may struggle with the technological aspects. A Fitzgerald commented that Denise’s story is particularly topical as clinicians are aware of the increase and demand currently being experienced to access General Practice and we are exploring different models across the Primary Care Networks (PCNs) to help alleviate the issue. S Whittle queried if all Doncaster residents have access to all their health record on the NHS App or if it related just to the COVID-19 vaccinations. Dr Crichton advised that the App can be downloaded by individuals following a verification process and contains a basic medical record. A secondary process via your registered practice enables further detailed information. S Whittle acknowledged that telephone access to GPs may save time for patients and asked if this was the case for GPs. Dr Pieri felt that it doubled the time with a patients for GPs as some may require a further face to face appointment following. Dr Kolusu highlighted that during telephone consultations, GPs could potentially miss visual clues to a patient’s wellbeing such as body language. If his patients need a face-to-face appointment the practice has a designated COVID safe area for the consultations which is sanitised after each patient. Dr Crichton thanked J Telford for attending the Governing Body. He commented that the patient story summary slide was very useful and recommended that they be used for each meeting going forward. 8. 2021/2022 Governing Body Tenures L Devanney explained that there are two Governing Body tenures due to cease during 2021/22 as follows: • Secondary Care Doctor – due to cease 30 September 2021 • Lay Member for Primary Care – due to cease 28 February 2022 3 Considering the changes anticipated from April 2021, having a stable and consistent Governing Body during the transition period would be a benefit to the CCG not just from a leadership perspective but also in terms of capacity and skill mix of the Governing Body. It was proposed at the Remuneration Committee meeting on 27 May 2021 that the existing contracts of the above posts be extended to 31 March 2022 in line with recent NHS England guidance. The Governing Body was asked to approve the recommendation from Remuneration Committee to extend the two existing posts to 31 March 2022 for the: • Secondary Care Doctor • Lay Member for Primary Care Dr Crichton advised the Governing Body that he had attended the Remuneration Committee meeting where the proposal to extend the tenures was unanimously recommended to the Governing Body for approval. The Governing Body approved the extension of the following posts to 31 March 2022: • Secondary Care Doctor • Lay Member for Primary Care 9. Quality and Performance Report A Fitzgerald presented the Quality & Performance Report for noting by the Governing Body. The format of the Report has been changed to reflect the Operating Planning Guidance and the following priorities for 2021/2022: • Supporting the health and wellbeing of staff and taking action on recruitment and retention. • Delivering the NHS COVID vaccination programme and continuing to meet the needs of patients with COVID-19. • Building on what we have learned during the pandemic to transform the delivery of services, accelerate the restoration of elective and cancer care and manage the increasing demand on mental health services. • Expanding primary care capacity to improve access, local health outcomes and address health inequalities.