Board Meeting Date: Thursday 25th January 2018 Time: Commencing at 1:30pm until 5:00pm Venue: Braintree Town Hall, Fairfield Road, Braintree, CM7 3YG We want everyone in mid Essex to Live Well Mid Essex Clinical Commissioning Group Board Meeting Thursday, 25 January 2018 - Commencing at 1.30 pm Braintree Town Hall, Fairfield Road, Braintree, CM7 3YG PART I AGENDA Item Time Title Lead Action Papers Page No 1. 1.30 – Welcome, apologies for Caroline Dollery To note Verbal - 1.35 pm absence and declarations of interest. 2. 1.35 – Questions from the Public Caroline Dollery To receive Verbal - 1.50 pm 3. 1.50 – Register of Interests Caroline Dollery To note Attached 1 - 6 1.55 pm 4. 1.55 – Minutes of Previous Meeting Caroline Dollery To approve Attached 7 - 27 2.00 pm 5. 2.00 – Action Log from Previous Caroline Dollery To approve Attached 28 - 29 2.05 pm Meeting 6. 2.05 – Matters Arising from last Caroline Dollery To note Verbal - 2.10 pm Meeting (not on agenda) Standing Items 7. 2.10 – Chair’s Update Caroline Dollery To note Verbal 30 - 31 2.15 pm 8. 2.15 – Accountable Officer Update Caroline Rassell To note Attached 32 - 36 2.20 pm 9. 2.20 – Patient Story Rachel Hearn To note Verbal - 2.35 pm 10. 2 .35 – Performance Overview 3.00 pm 10.1 Patient Safety & Quality Rachel Hearn To note Attached 37 - 46 Report 10.2 Performance Report James Wilson To note Attached 47 - 65 10.3 Financial Savings Plan Dee Davey To note Attached 66 - 68 10.4 Finance Report Dee Davey To note Attached 69 - 90 10.5 Primary Care Report Viv Barnes To note Attached 91 - 100 11. 3.00 – STP Joint Committee 3.05 pm 11.1 Chair’s Update Report 101 – 102 11.2 Minutes 103 - 123 12. 3.00 – Reporting from Committees Caroline Dollery 3.05 pm 12.1 Audit Committee To note Attached 124 - 125 Summary Report Item Time Title Lead Action Papers Page No 12.2 Quality & Governance To note Attached 126 - 127 Committee Summary Report 12.3 Finance & Performance To note Attached 128 - 130 Committee Summary Report 12.4 Live Well Committee To note Attached 131 - 132 Summary Report 12.5 Primary Care To note Attached 133 - 134 Commissioning Committee 3.10 – Break 3.20 pm 13. 3.20 – Communications & Anne-Marie To note Attached 3.30 pm Engagement Report Garrigan 135 - 151 14. 3.30 – Policies Update Viv Barnes To approve Attached 152 - 153 3.35 pm 15. 3.3 5 – Assurance Framework and Viv Barnes To approve Attached 154 - 174 3.45 pm Risk Register 16. 3.45 – Any further questions from Caroline Dollery To receive Verbal - 3.55 pm the public Non-Standard Items 17. 3.5 5 – Home First – Update on Caroline Rassell To note Attached 175 - 211 4.10 pm Engagement Process 18. 4.10 – Primary Care Foundations Dan Doherty For decision Attached 212 - 221 4.30 pm Viv Barnes 19. 4. 30 – 2018/19 Financial Plan Dee Davey To note Attached 222 - 225 4.40 pm 20. 4.40 – Revised Committee Terms of Viv Barnes To approve Attached 226 - 228 4.45 pm Reference 21. 4.4 5 – Emergency Powers Decisions Viv Barnes To note Attached 229 - 230 4.50 pm 22. 4.50 – Any Other Business Caroline Dollery To note Verbal - 5.00 pm 23. Date and time of next Board Caroline Dollery To note Verbal - Meeting in Public: 1.30 pm – 5.00 pm on Thursday, 29 March 2018 at Maldon Town Hall, Market Hill, Maldon CM9 4RL MID ESSEX CCG REGISTER OF BOARD MEMBERS' INTERESTS - JANUARY 2018 Historic interests will remain on the register for at least six months. Declared Interest Is the interest Type of Interest First Name Surname Current Position (Name of the organisation and direct or Nature of Interest Date of Interest Actions taken to mitigate risk Declared nature of business) indirect? From To Financial Non-Financial Non-Financial Non-Financial Personal Interest Interest Personal Professional Interest Interest Professional Keith Andrew Lay Member Chelmer Housing Partnership Ltd x Direct Trustee Mar-10 Oct 2019 I would always declare this interest. However I would Housing Association only be a 'method' of introducing the parties Keith Andrew Lay Member Myraid Capital Ltd - subsidiary of x Direct Director 2014 Ongoing This company is only used as a vehicle to form a bond Chelmer Housing Partnership (CHP) for CHP. A conflict is not likely to materialise raising finance for CHP. Keith Andrew Lay Member Keith Andrew Associates Business x Direct Owner Feb-98 Ongoing Not likely tp materialise into a conflict but would declare Consultants if that were the case Mike Bailey MECCG Elected Board Trustee of BEARS (Basics Essex) x Direct Provides emergency 1985 Ongoing It is unlikely that a conflict of interest will arise as there Member and Clinical Lead Immediate Care Scheme paramedic/doctor is no financial or other connection between the CCG support to East of and this organisation. However, should a situation England Ambulance arise, I will declare the interest Service. No longer respond clinically Mike Bailey MECCG Elected Board Former Partner at Writtle GP x Indirect Ceased clinical work in 1980 Ongoing I will declare my interest if at any time issues specific to Member and Clinical Lead Surgery March 2016. I remain this Surgery are discussed so that appropriate friends with the staff at arrangements can be implemented Writtle Surgery Mike Bailey MECCG Elected Board Various NHS Trusts in the East of x Indirect Close family member is Ongoing I will declare my interest if at any time issues specific to Member. MECCG Clinical England a Junior Doctor on this Hospital are discussed so that appropriate Lead for Immediate Care rotation at various arrangements can be implemented hospitals Mike Bailey MECCG Elected Board Share Portfolio x I hold a very small Ongoing I will declare my interest if at any time issues arise that Member and Clinical Lead portfolio of shares in may be relevant to my shareholding various companies, some of which are pharmaceutical Mike Bailey MECCG Elected Board Various NHS Trusts in the East of x Indirect Close family member is Ongoing I will declare my interest if at any time issues specific to Member and Clinical Lead England a Junior Doctor on the relevant Hospital are discussed so that appropriate rotation at various arrangements can be implemented hospitals Vivienne Barnes Director of Corporate Nil N/A Services 1 Declared Interest Is the interest Type of Interest First Name Surname Current Position (Name of the organisation and direct or Nature of Interest Date of Interest Actions taken to mitigate risk Declared nature of business) indirect? From To Financial Non-Financial Non-Financial Non-Financial Personal Interest Interest Personal Professional Interest Interest Professional Joanne Beavis Co-opted Essex County Braintree District Council x Direct District Councillor 2003 Ongoing I will declare my interest if at any time issues relevant Council representative on to Braintree District Council are discussed so that Mid Essex CCG Board appropriate arrangements can be implemented. Joanne Beavis Co-opted Essex County Essex County Council x Direct County Councillor 2017 Ongoing I will declare my interest if at any time issues relevant Council representative on to Essex County Council are discussed so that Mid Essex CCG Board appropriate arrangements can be implemented. Joanne Beavis Co-opted Essex County Local Government Association x Direct Councillor 2014 Ongoing I will declare my interest if at any time issues relevant Council representative on to Braintree District Council are discussed so that Mid Essex CCG Board appropriate arrangements can be implemented. James Booth Clinical Lead GP for Partner at Melbourne House Surgery x x GP partner providing Aug-06 Ongoing I will declare my interest if at any time issues relevant Safeguarding Children & services under GMS to the Surgery are discussed so that appropriate Elected GP contact arrangements can be implemented James Booth Clinical Lead GP for Shareholder in Chelmer Healthcare x I am the named Ongoing I will declare my interest if at any time issues relevant Safeguarding Children & Ltd shareholder to the Surgery are discussed so that appropriate Elected GP representing the arrangements can be implemented practice James Booth Clinical Lead GP for Mid Essex CCG Board x Close family relative Apr-15 Ongoing Interest recorded on Board Register and declared at Safeguarding Children & also sits on MECCG Board meetings Elected GP board Dee Davey Chief Finance Officer St Helens & Knowsley Teaching x Indirect Close members of Aug-16 Ongoing Agreed with line manager that I would declare my Hospitals family employed interest and withdraw from any decision-making processes and/or financial authorisations involving the Trust Dee Davey Chief Finance Officer Resilinet Limited, IT Consultancy x Direct Secretary of Resilinet 09/01/2006 Ongoing The company is now dormant but still registered at Limited Companies House. Interest declared for audit purposes 2 Declared Interest Is the interest Type of Interest First Name Surname Current Position (Name of the organisation and direct or Nature of Interest Date of Interest Actions taken to mitigate risk Declared nature of business) indirect? From To Financial Non-Financial Non-Financial Non-Financial Personal Interest Interest Personal Professional Interest Interest Professional Daniel Doherty Director of Clinical Mid and South Essex Success x Direct Interim Director of 01/09/17 I will declare interest at all relevant meetings so that a Commissioning Regime Clinical Commissioning decision can be taken on whether or not I should step- down from voting Daniel Doherty Director of Clinical North East London Foundation Trust x Indirect Spouse is a Community 01/09/17 There is a potential that this organisation could bid for Commissioning Physiotherapist at work with the CCG, at which point I would declare my NELFT interest so that appropriate arrangements can be implemented Daniel Doherty Director of Clinical Provide Community Interest x Direct Honorary Clinical 01/09/17 I am not currently working under this contract, but it Commissioning Company Contract remains in place to perform clinical work if required.