Governing Body Meeting in Public Agenda AGENDA Date: Thursday, 27th November 2014 at 13.00 – 15.00 hrs Venue: Boardroom, 3rd Floor, Merton House, Bootle, L20 3DL 13.00 hrs Members of the public may highlight any particular areas of concern/interest and address questions to Board members. If you wish, you may present your question in writing beforehand to the Chair. 13.15 hrs Formal meeting of the Governing Body in Public commences. Members of the public may stay and observe this part of the meeting. The Governing Body Dr Clive Shaw Chair and Clinical Director CS Graham Morris Vice Chair and Lay Member - Governance GM Dr Craig Gillespie Clinical Vice-Chair and GP Governing Body Member CG Lin Bennett Practice Manager and Governing Body Member LB Fiona Clark Chief Officer FLC Michelle Creed Chief Nurse, NHSE (Merseyside) (co-opted member on behalf of Clare Duggan) MC Roger Driver Lay Member, Engagement & Patient Experience RD Debbie Fagan Chief Nurse DF Margaret Jones Consultant in Public Health (co-opted Member on behalf of Dr Janet Atherton) MJ Maureen Kelly Chair, Healthwatch (co-opted Member) MK Dr Dan McDowell Secondary Care Doctor DMcD Martin McDowell Chief Finance Officer MMcD Sharon McGibbon Practice Manager and Governing Body Member SMcG Dr Andrew Mimnagh Clinical Director and Governing Body Member AM Peter Morgan Deputy Chief Executive, Sefton MBC (co-opted member on behalf of M Carney) PM Dr Paul Thomas Clinical Director and Governing Body Member PT Dr John Wray GP and Clinical Director JW In Attendance Paul Horwood Insight, Engagement and Research Team Leader, SMBC PH Tracy Jeffes Chief Delivery and Integration Officer TJ Dwayne Johnson Director of Older People, SMBC DJ Jan Leonard Chief Redesign and Commissioning Officer JL Karl McCluskey Chief Strategy and Outcomes Officer KMcC The meeting will be preceded by a presentation by Dr Craig Gradden of Liverpool Community Health NHS Trust on Integrated Clinical and Quality Strategy No Item Lead Report Receive/ Time Approve Governance GB14/142 Apologies for Absence Chair Verbal R 5 mins GB14/143 Declarations of Interest regarding agenda items All Verbal R 5 mins GB14/144 Hospitality Register Chair R 5 mins GB14/145 Minutes of the Previous Meeting Chair A 5 mins GB14/146 Action Points from Previous Meeting Chair R 5 mins GB14/147 Business Update Chair Verbal R 5 mins Page 1 of 440 No Item Lead Report Receive/ Time Approve GB14/148 Chief Officer Report FLC R 10 mins - including verbal update re Care Makers in CCGs DF GB14/149 Safeguarding Annual Report DF A 5 mins GB14/150 Remuneration Committee Terms of Reference TJ A 5 mins AGENDA GB14/151 Risk Management Strategy TJ A 10 mins GB14/152 Emergency Preparedness and Resilience and FLC A 5 mins Response Statement of Compliance Finance and Quality Performance KMcC/ GB14/153 Integrated Performance Report MMcD/ R 10 mins DF Service Improvement/Strategic Delivery GB14/154 Update on CCG Strategy KMcC R 10 mins GB14/155 Care Act 2014 DJ R 10 mins GB14/156 Commissioning Policy Review JL A 10 mins GB14/157 Sefton Strategic Needs Assessment PH A 10 mins GB14/158 Better Care Fund Update TJ R 10 mins For Information GB14/159 Emerging Issues ALL Verbal R 5 mins GB14/160 Key Issues reports from committees of Governing Body: a) Quality Committee R b) Finance & Resource Committee R c) Service Improvement Redesign Committee R d) CCG Network R GB14/161 Quality Committee Minutes - R GB14/162 Finance & Resource Committee Minutes - R GB14/163 Merseyside CCG Network Minutes - R GB14/164 Service Improvement Redesign Committee - R Minutes GB14/165 Locality Meetings: a) Seaforth & Litherland Locality - R b) Bootle Locality - R c) Crosby Locality - R d) Maghull Locality - R Closing Business GB14/166 Any Other Business 5 mins Matters previously notified to the Chair no less than 48 hours prior to the meeting. GB14/167 Date, Time and Venue of Next Meeting - Thursday 29th January 2015 at 13.00 at Boardroom, Merton House, Bootle Estimated meeting close 15.00 Motion to Exclude the Public: Representatives of the Press and other members of the Pubic to be excluded from the remainder of this meeting, having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest, (Section 1{2} Public Bodies (Admissions to Meetings), Act 1960 Page 2 of 440 Register 14/144 Hospitality Hospitality Register November 2014 Date Approximate Recipient: Nature of Gift / Hospitality: Received Value Donated by: _ _ _ _ _ No hospitality received 1 Page 3 of 440 Governing Body Meeting in Public Minutes Minutes Date: Thursday, 25th September 2014 at 14.00 – 16.00 Venue: L20 Hotel School, Opposite Hugh Baird College, Bootle, L20 Present Dr Clive Shaw Chair and Clinical Director CS 14/145 Minutes of Previous Graham Morris Vice Chair and Lay Member - Governance GM Dr Craig Gillespie Clinical Vice-Chair, GP Governing Body Member CG Lin Bennett Practice Manager and Governing Body Member LB Fiona Clark Chief Officer FLC Canon Roger Driver Lay Member, Engagement and Patient Experience RD Debbie Fagan Chief Nurse DF Margaret Jones Consultant in Public Health (co-opted Member on behalf of Dr Janet Atherton) MJ Maureen Kelly Chair, Healthwatch (co-opted Member) MK Dr Dan McDowell Secondary Care Doctor DMcD Martin McDowell Chief Finance Officer MMcD Sharon McGibbon Practice Manager SMcG Dr Andrew Mimnagh Clinical Director AM Peter Morgan Deputy Chief Executive, Sefton MBC (co-opted member on behalf of M Carney) PM Dr Paul Thomas Clinical Director PT In Attendance Mark Graham Liverpool Community Health NHS Trust MG Karl McCluskey Chief Strategy and Outcomes Officer KMcC Sue Page Acting Chief Executive, Liverpool Community Health NHS Trust SP Ian Senior Liverpool Community Health NHS Trust IS Katherine Sheerin Chief Officer, Liverpool CCG KS Minutes Bronagh Slater Sue Page, Interim Chief Executive at Liverpool Community Health Services NHS Trust, made a presentation updating the Governing Body on the LCH improvement plan. Action: Mr Astles and Mr Senior to provide details of nursing posts within the community and supply information to Mrs Bennett. Ms Clark acknowledged the progress made by LCH. Canon Driver reiterated these comments, providing positive feedback from a patient engagement perspective. No Item Action GB14/119 Apologies for Absence were noted from Dr John Wray GB14/120 Declarations of Interest regarding agenda items – there were no additional declarations to report. Page 4 of 440 No Item Action GB14/121 Minutes of the Previous Meeting The minutes of the previous meeting were accepted as an accurate record of the previous meeting. GB14/122 Action Points from Previous Meeting Minutes 14/101 Ms Fagan referenced a national IT system issue, which has subsequently been corrected. GB14/123 Business Update Dr Shaw suggested increased focus was required in relation to the CCG 14/145 Minutes of Previous localities. The recent NHS England assurance meeting was a success. The Chair wished to thank staff in the CCG, acknowledging recent challenges. GB14/124 Chief Officer Report Ms Clark presented her Chief Officer report to the Governing Body. In particular members were advised that in respect of the ongoing issues associated with CHC, the Chief Finance Officer and Chief Nurse are working together to lead on the necessary improvements locally which includes the integration agenda of CHC across Sefton and restitution cases. Good progress continues to be made in respect of the follow up actions arising from the CQC visit to Aintree and there is a continued focus on ensuring that the improvement plan is implemented. Members noted that over the past six weeks work had been undertaken at pace to meet 19th September deadline for the Better Care Fund submission and supported same. The Governing Body noted the content of the report. GB14/125 South Sefton CCG – New Case for Change Process Mr McCluskey presented the report to Governing Body which outlined the process by which cases for change or investment proposals, under an estimated value of £50,000 will be assessed. The model documentation requires individuals and teams to provide a sufficient amount of information to enable robust decision making in respect of investment opportunities. This will ensure that there is a clear rationale and framework by which such decisions are made and will ensure that investment matches CCG strategic priorities. Ms Bennett noted recent challenges to the process, however, Mr McCluskey assured the Governing Body as to the availability of support to clinicians. Following the discussion at Seaforth & Litherland locality, the consensus was that they were satisfied with this solution. Dr Mimnagh queried what would happen in the event of system failure; Ms Clark advised that a service redesign would be put in place. The Governing Body approved the documentation and associated processes KMcC contained within the report, subject to the minor changes proposed. Page 5 of 440 No Item Action GB14/126 Healthy Liverpool Programme – Committee in Common Ms Sheerin gave an overview of the Healthy Liverpool Programme which is supported by the Mayor of Liverpool. The CCG is considering the optimum model of care for hospital and out of hospital services. Formal consultation will ultimately be required with NHS England and neighbouring CCGs, for which a Committee in Common is sought. Minutes Engagement with the community is ongoing and connection with Liverpool Community Health Services NHS Trust and other providers was highlighted. 14/145 Minutes of Previous There is engagement with the Liverpool Health and Wellbeing Board, which is chaired by the Mayor of Liverpool. The Governing Body approved in principle the establishment of a Committee in Common with Liverpool CCG and Knowsley CCG, upon the proviso that the paper will be circulated to the Governing Body after the meeting and email FLC confirmation obtained.