Enc 00 Stafford & Surrounds Clinical Commissioning Group Governing Body Meeting in Public Beacon International Centre, Unit 26 Anson Court, Staffs Technology Park, Stafford, ST18 0GB To be held on Tuesday 30th June 2015 14:00 – 16:30 AGENDA 12:30 – 14:00 Confidential Governing Body Meeting FOLLOWED BY: 14:00 – 16:30 Governing Body Meeting in Public A=Approval R=Ratification D=Discussion I=Information A/R/ Enc Lead D/I 1. Welcome by the Chair Verbal PH I 2. Apologies for Absence Verbal PH I Conflicts of Interests 3. Declarations of Interest Register for Stafford & Surrounds Enc 01 PH I Governing Body Mark 4. WMAS Presentation Verbal I Docherty Minutes of the last meeting: 5. • Minutes of Meeting 21/04/15 Enc 02 PH A • Matters Arising/Action List Enc 03 PH A 6. Chairs Report Verbal PH I 7. Chief Officers Report Enc 04 AD I 8. Quality and Safety Report Enc 05 VJ I 9. Performance Report Enc 06 AT I 10. Board Assurance Framework (BAF) Enc 07 SY D 11. Finance Report Enc 08 PS D/I Jon 12. Section 19 – External Auditors - Grant Thornton Enc 09 I Roberts 13. CCG 360o Stakeholder Survey 2015 - Summary Enc 10 AD D/I 14. Q3 SAS CCG Assurance Letter Enc 11 PH I 15. COPD Emergency Admissions – Business Case Enc 12 PH I 16. CCG Workforce Report 2014/15 Enc 13 SY I Enc 00 17. Shared Parental Leave Policy Enc 14 SY R Items for Information • Finance, Performance & Contracting Minutes 19/02/15; 19/03/15; 23/04/15 18. Enc 15 PH I • Audit Committee Minutes 27/04/15 • Comms & Engagement Committee Minutes 24/02/15; 28/04/15 19. Any Other Business Verbal PH I 20. Questions from the public: 16:00 – 16:30 Verbal 21. Glossary of Terms Enc 16 I Next Meeting in Public Date: Tuesday 28th July 2015 22. Time: 14:00 – 16:30 Venue: Beacon International Centre, Unit 26 Anson Court, Staffordshire Technology Park, Stafford, ST18 0GB Declarations of Interest Register for Stafford & Surrounds Governing Body Name Position/Role Date of Designation Potential or actual area where interest Declaration could occur Dr Manu GP 12.05.2015 Rising Brook Practice member of GP First Agrawal Surgery Director of GPF Rising Brook Limited Membership Board Member Andrew Donald Chief Officer 06.05.2015 CC & SaS Spouse - Chief Operating Officer North CCG division Staffordshire & Stoke on Trent Partnership Trust. Working across both CCGs. Ruth Goodison Lay Member 06.05.2015 Stafford & Nil to declare for PPI Surrounds CCG Dr Paddy Chair 13.05.2015 Holmcroft Partner at Holmcroft Surgery Hannigan GP Surgery Practice is Shareholder in GP First Spouse - Consultant Neonatologist at UHNM Jean Harrison Lay Member 08.05.2015 Stafford & Sibling is Director of Stafford Railway Circle (Non Surrounds Ltd Statutory) CCG Trustee and Chair of The Proteus Family Network UK Charity Bank Staff in Finance Department at Katharine House Hospice 'Member of the Proteus Family Network UK Medical Advisory Board at Gt Ormond St Hospital, London Dr Marianne GP 05.06.2015 Hazeldene Partner at Great Haywood Healthcare Holmes House Surgery Private Company Practice Member GP First Val Jones Director 18.05.2015 CC & SaS Working across both CCGs. Quality & CCG Safety/ Chief Nurse Dr Kate GP 06.05.2015 Mansion Partner Mansion House Surgery Millward House Practice Member GP First Practice representative on CCG Membership Board & Governing Body Clinical Advisor in Quality & Safety for CCG Doug Secondary 01.05.2015 CC & SaS No direct connection Liaison with various Robertson Care CCG organisations in NHS role. Consultant Honorary lecturer at Warwick University Medical School. Employed by Sandwell and West Birmingham Hospital as Consultant Physician. Small research interest – Grants go through Sandwell research fund. Secondary Care consultant for North Staffs CCG and Stafford and Surrounds CCG Paul Simpson Director of 06.05.2015 CC & SaS Working across both CCGs Finance CCG Page | 1 June 2015 Declarations of Interest Register for Stafford & Surrounds Governing Body Name Position/Role Date of Designation Potential or actual area where interest Declaration could occur Diana Smith Lay Member 21.05.2015 Stafford & Active member of the Labour Party (Non Statutory) Surrounds CCG Non- voting – In attendance Adele Communications 06.05.2015 CSU Works for the CSU Edmondson & Engagement Working across both CCGs Manager Lynn Millar Director of 18.05.2015 CC & SaS Working across both CCGs Primary Care CCG Sally Young Assistant to 06.05.2015 CC & SaS Working across both CCGs Chief Executive CCG Page | 2 June 2015 Stafford & Surrounds Clinical Commissioning Group Governing Body Meeting In PUBLIC Tuesday 21st April 2015 2.00 pm – 4.30 pm Upper Tower Room, Beacon International Centre Unit 26 Anson Court, Stafford, ST18 0BG Members: 21/04/15 Quoracy Dr Anne-Marie Houlder (AMH) Chair Andy Donald (AD) Chief Officer Paul Simpson (PS) Director of Finance and Deputy Chief Executive Val Jones (VJ) Director of Quality & Safety & Board Nurse Dr Doug Robertson (DR) Secondary Care Consultant Dr Paddy Hannigan (PH) Clinical Leader Dr Marianne Holmes (MH) Clinical Leader Dr Kate Millward (KM) Clinical Leader Dr Manu Agrawal (MA) member and at least 2 Clinical Leaders Clinical Leader officer/Chief Finance Officer, at least one lay Voting Members including Chair/Vice Chair, Chief Ruth Goodison (RG) 6 Lay Member for PPI In attendance: Jean Harrison (JH) Lay Member Diana Smith (DS) Lay Member Sally Young (SY) Assistant to the Chief Executive Lynn Millar (LM) Director of Primary Care Dr Janet Eames (JE), LMC Representative Gill Hackett – Minutes (GH) Executive Assistant Liann Brookes-Smith (LB-S) Public Health Andrew Tanner (AT) Deputy Director of Operations Adele Edmondson (AE), Comms & Engagement Dawn Rayson (DR), Comms & Engagement Page 1 of 11 Action 1. Welcome by the Chair AMH welcomed all present to the meeting. AMH advised the public that there would be time at the end of the meeting for any questions. AMH welcomed Dr Doug Robertson as the newly appointed Secondary Care Consultant for the CCG, and asked that all members introduce themselves around the table. DR then introduced himself and gave a brief background to his career. 2. Apologies for Absence There were no apologies for absence. 3. Conflicts of Interest It was noted that any matters relating to GP First are a conflict of interest for the GP Clinical Leads. 4. Minutes of Previous Meeting Members confirmed the minutes of 17th February 2015 were a true and accurate record of the meeting. Actions were noted on the Action List 5. Chair’s Report SY then explained to the public the meaning of Purdah and that no significant appointments could be announced at this time. AMH reported to the Governing Body on the following subjects:- OD session March for Governing Body AMH advised on the Organisational Development session on Patients in Control that was held in March. AMH stated that patients should be encouraged to take part in the commissioning process at every stage through co-design. AMH explained that Patients in Control was launched in November by NHS England and was getting patients to manage their own health. ACTION: VJ to present Patients in Control papers to EMT VJ Assurance Meeting Q3 AMH explained that this was a review of the outstanding actions from Q2 and progress made on the financial agenda. Cancer Task Force AMH explained that the Cancer Task Force was announced in January with the remit to design cancer services for the next 5 years from early detection, screening, prevention and all treatment including End of Life. AMH advised that she had attended a Cancer Strategy Workshop for patient services during the morning and that it was apparent that patients still bad experiences. AMH Page 2 of 11 Action confirmed that there would be a report produced by the Cancer Work Force at the end of June. Clinical Leaders Group This was a Monthly group-membership-CCGs, NHSE and secondary and community providers clinical leaders. Initially this had been set up to provide clinical sign off for the recommendations from the Ian Sturgess report but it will also act as part of the clinical opinion for new pathways and service redesign and output from the KPMG report and will be opened up to include a Staffordshire wide membership. AMH advised that she had found this meeting to be very useful which involved CCGs leads, acute hospital leads and nurses across the Staffordshire area. The Governing Body RECEIVED AND NOTED the Chair’s Report 6. Chief Officer’s Report Strategic Resilience AD advised that during March the system had achieved the 4 hour 95% standard for the first time which suggests the system is becoming more stable and resilient. AD explained that there were still challenges and after the Easter break, performance again dipped below acceptable levels. However, the CCG team continue to work with all Providers to maintain a long term sustainable position with regard to urgent care. Challenges still persist at the Royal Stoke site. The CCG management team is playing its part supporting the system and all Providers to achieve the standard. The unprecedented activity over the winter means that a number of routine operations were cancelled. The Trust is now working on clearing the backlog this will therefore see a dip in the 18 week admitted performance target. The plan is to ensure the standard is achieved by the end of May 2015. AD advised that work was continuing with partners to focus on further service transformation to ensure more services are provided locally in Stafford. He explained that the production of the Forward View by NHS England sets out a number of opportunities to work differently with Providers linking Primary, Community and Acute based care together.