Annual Report and Accounts 2020/21 This document can be provided in alternative formats upon request, such as larger print, easy read, braille, audio format and different languages. Version: V0.1 12/04/2021 First Draft V0.2 13/04/2021 Reviewed by Tricia D’Orsi, NHS Alliance Director SEE CCGs V0.3 15/04/2021 Reviewed by Sharon Earl and Nicola Adams, Governance Lead TCCG V0.4 16/04/2021 Reviewed by Mark Barker, Joint Chief Finance Officer V0.5 19/04/2021 Reviewed by Lay Members V0.6 21/04/2021 Reviewed by Claire Routh, Comms Lead V0.7 22/04/2021 Reviewed by Mike Shimmon, Head of Financial Planning & Costing V0.8 23/04/2021 Formatting amends by Angela Wongkeet, Comms Team V0.9 23/04/2021 Reviewed by Tracey Freeman, Audit and Risk Committee Chair V0.10 25/04/2021 Reviewed by Tracey Freeman, Audit and Risk Committee Chair V0.11 26/04/2021 Reviewed by Joint Executive Team V0.12 27/04/2021 Financial Statements added V0.13 28/05/2021 Reviewed by Hayley Waggon and Nicola Adams, Governance Lead TCCG V0.14 01/06/2021 Reviewed by Claire Routh, Communications Lead V0.15 09/06/2021 Reviewed by Hayley Waggon, Lee Bushell and Mike Shimmon V0.16 10/06/2021 Reviewed by Hayley Waggon V0.17 17/06/2021 Reviewed by Nathan Ackroyd 1 Contents Chair’s foreword .......................................................................................................................................... 4 Accountable Officer’s introduction ............................................................................................................... 5 About us ...................................................................................................................................................... 7 Locality overview ......................................................................................................................................... 7 The CCGs responsibilities under the NHS Long Term Plan .................................................................... 8 Health and wellbeing strategy ..................................................................................................................... 9 Our vision, values and objectives .............................................................................................................. 11 Where we buy your healthcare.................................................................................................................. 11 Partnerships and integration ..................................................................................................................... 12 Palliative care ............................................................................................................................................ 13 Frailty ........................................................................................................................................................ 13 Primary Care Networks ............................................................................................................................. 13 Respiratory ................................................................................................................................................ 14 COVID-19 care .......................................................................................................................................... 14 Diabetes .................................................................................................................................................... 15 Workforce hub ........................................................................................................................................... 15 Children and young people ....................................................................................................................... 16 Better Care Fund ....................................................................................................................................... 16 Key challenges to local health and care in 2020/21 and the road ahead .................................................. 16 The local COVID-19 pandemic response in 2020/21 ................................................................................ 16 The Mid and South Essex Health and Care Partnership ........................................................................... 17 Involving our residents in commissioning decisions during the pandemic response ............................. 19 Performance summary .......................................................................................................................... 20 Maintaining quality ................................................................................................................................. 24 Mental health and Dementia .................................................................................................................. 25 Financial overview ................................................................................................................................. 28 Capital spending .................................................................................................................................... 30 Paying our suppliers and providers ....................................................................................................... 30 Reducing health inequality ........................................................................................................................ 30 Equality, diversity and inclusion ............................................................................................................. 30 Working towards an NHS that is personal, fair and diverse .................................................................. 32 Accountability Report .................................................................................................................................... 34 Corporate Governance Report .................................................................................................................. 35 Members’ Report – Member practices .................................................................................................. 35 Statement of Accountable Officer’s responsibilities ............................................................................... 41 Governance statement .......................................................................................................................... 43 Scope of responsibility ........................................................................................................................... 43 Governance arrangements and effectiveness ....................................................................................... 43 Remuneration Report and Staff Report ..................................................................................................... 62 Remuneration Report ............................................................................................................................ 62 2 Remuneration Committee Report (not subject to audit) ......................................................................... 62 The policy of the Remuneration Committee .......................................................................................... 63 Performance conditions ......................................................................................................................... 63 Relevant proportions of remuneration ................................................................................................... 63 Policy on the duration of contracts, notice periods and termination payments ...................................... 63 Remuneration report tables (subject to audit) ........................................................................................ 64 Salaries and allowances table ............................................................................................................... 64 Joint Committee table ............................................................................................................................ 64 Joint Executive Team table.................................................................................................................... 64 Staff Report ........................................................................................................................................... 72 Parliamentary Accountability and Audit Report ......................................................................................... 84 Independent Auditor’s Report to the members of the governing body of NHS Southend Clinical Commissioning Group ............................................................................................................................... 85 Financial Statements ............................................................................................................................. 89 Appendix A: Glossary of non-financial terms .............................................................................................. 116 Appendix B: Glossary of financial terms ..................................................................................................... 118 3 Chair’s foreword It is a real privilege to be writing the foreword to this year’s annual report, because it gives me an opportunity to say how proud I am of all my fellow health and care professionals in mid and south Essex and the non-clinical colleagues