PDF Page No. 1 BOARD MEETING OF THE GOVERNING BODY TO BE HELD ON TUESDAY, 14 NOVEMBER 2017 HEMSWORTH COMMUNITY CENTRE, WF9 4NE AT 2.30 PM AGENDA PART 1 No. Agenda Item Lead officer 1. Welcome and Chair’s Opening Remarks 2. Apologies for Absence – 3. Public Questions and Answers 4. Declarations of interest All present 5. a Minutes of the meeting held on 19 September 2017 b Action sheet from the meeting held on 19 September 2017 6. Matters arising 7. MYHT Care Quality Inspection Report - Presentation David Melia (MYHT) 8. Strategic development of urgent and emergency care Dr Adam Sheppard services for the Wakefield district 9. Chief Officer Briefing Jo Webster 10. Written Statement of Action for Children’s Autism, in Melanie Brown response to the outcome of the June 2017 Special Educational Needs and Disability (SEND) Inspection 11. Better Care Fund 2017/19 Melanie Brown Safeguarding 12. a Wakefield and District Safeguarding Adults Board Mandy Sheffield/ Annual Report 2016/17 Bill Hodson/ b Wakefield and District Safeguarding Children Board Edwina Harrison Annual Report 2016/17 c CCG Safeguarding Children Annual Report 2016/17 1 PDF Page No. 2 d CCG Safeguarding Adults Annual Report 2016/17 e The Health of Looked after Children Annual Report 2016/17 13. NHS Wakefield CCG Committee Terms of Reference Ruth Unwin 14. Integrated Quality and Performance Summary Report Andrew Pepper/ (measuring the quality and performance of local services) Mandy Sheffield 15. Finance Report Month 7 - 2017/18 Andrew Pepper 16. Receipt of minutes and items for approval a Audit Committee (i) Minutes of meeting held on 27 July 2017 b Integrated Governance Committee (i) Minutes of meeting held on 17 August 2017 (ii) Minutes of meeting held on 21 September 2017 c Clinical Cabinet (i) Minutes of meeting held on 24 August 2017 (ii) Minutes of meeting held on 28 September 2017 d Connecting Care Executive (i) Minutes of meeting held on 14 September 2017 e Probity Committee (i) Minutes of meeting held on 25 July 2017 (ii) Minutes of meeting held on 28 September 2017 f West Yorkshire and Harrogate Joint Committee of CCGs (i) Minutes of meeting held on 4 July 2017 g Joint Strategic Commissioning Board (111/999) (i) Minutes of meeting held on 8 August 2017 h Health and Well Being Board (i) Minutes of meeting held on 20 July 2017 i Decisions of the Chief Officer – verbal update 17. Any other business 18. The Board is recommended to make the following resolution: “That representatives of the press and other members of the public 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 (Admission to Meetings) Act 1970)”. 19. Date and time of next Public meeting: Tuesday, 18 January 2018 at 1.00 pm in the Boardroom, White Rose House 2 PDF Page No. 3 Agenda item: 5a NHS Wakefield Clinical Commissioning Group GOVERNING BODY BOARD MEETING Minutes of the meeting held on 19 September 2017 Hemsworth Community Centre Present: Melanie Brown Programme Commissioning Director Integrated Care Sandra Cheseldine Lay Member Dr Phil Earnshaw CCG Chair Dr Andrew Furber Head of Public Health, Wakefield Council Dr Deborah Hallott GP, New Southgate Surgery Dr Clive Harries GP, Chapelthorpe Medical Centre Stephen Hardy Lay Member Diane Hampshire Nurse Member Richard Hindley Lay Member, Deputy Chair Dr Pravin Jayakumar GP, Trinity Medical Centre Dr Hany Lotfallah Secondary Care Consultant Andrew Pepper Chief Financial Officer Jo Pollard Chief of Service Delivery and Quality Dr Adam Sheppard Assistant Clinical Leader Pat Keane Chief Operating Officer Jo Webster Chief Officer In attendance: Lorraine Chapman Head of Contracting and Performance (item 17/130) Laura Elliott Head of Quality and Engagement (item 17/124) Michele Ezro Associate Director – Service Delivery and Quality Dasa Farmer Engagement Manager (item 17/124) Ruth Unwin Associate Director of Corporate Affairs Gareth Webb Interim Governance & Board Secretary 17/118 Welcome and Chair’s Opening Remarks Dr Earnshaw welcomed members to the meeting. 17/119 Apologies for Absence Apologies were received from: Andrew Balchin Corporate Director, Adults, Health & Communities – Wakefield Council 17/120 Public Questions and Answers A question was received from a member of the public in writing. The question was in relation to DNA (Did Not Attend) letters and Dental Services. The 1 PDF Page No. 4 response to the member of the public will be included as an appendix to the minutes of this meeting. 17/121 Declarations of Interest Sandra Cheseldine declared a local interest in the potential closure of the Wrenthorpe Clinic as she lives in an adjacent village and is aware of the interest in the outcome from members of the community. Dr Earnshaw thanked Sandra for the declaration but allowed contribution to the discussion of this item. 17/122 a. Minutes of the meeting held on 11 July 2017 The minutes of the meeting held on 11 July 2017 were agreed. A response to a question raised by a member of the public at the meeting was provided in the appendix to the minutes. b. Action sheet from the meeting held on 11 July 2017. All actions were noted as complete. c. Minutes of the Extraordinary Governing Body meeting in parallel with NHS North Kirklees CCG – 3 August 2017 The minutes of the meeting held on 3 August 2017 were agreed. 17/123 Matters arising There were no matters arising. 17/124 Engagement Annual Report 2016/17 Jo Pollard presented the Engagement Annual Report Paper and the ongoing work of the engagement team with local communities. NHS England has recognised the work of the CCG on engagement by publishing 2 of the CCGs case studies in their latest guidance. Internal Audit on reviewing the work of Engagement and the Annual Report issued a finding of ‘significant assurance’. For Governing Body members to hear the benefits of engagement Jo Pollard introduced Wakefield Patient N who was a member of a Wakefield Learning Disability and Disabled Group who had agreed to share with the Governing Body the engagement he had been involved with as part of this group. Involvement consisted of visiting local supermarkets in the area and seeing how disability friendly they were; and being able to share with other small groups like the one Patient N attends. Patient N had attended Quality Control meetings where he had heard planning discussions and had been able to see the plans completed. When asked what message to give to the Governing Body Patient N wanted to say there is no one perspective of looking at facilities from a single disability point of view. Patient N enjoyed being able to share with others what 2 PDF Page No. 5 he had learnt. Patient N wanted his group to continue and to continue sharing. The Governing Body thanked Patient N The Governing Body discussed: The work of small groups and the connections they have in the local community especially Patient Engagement Groups (PEGs) and the support they need to keep motivated; How to engage young people and the significant contribution they can make; Promoting self-care and the use of web browsers. Health care professionals needing to come to terms with their patients researching their own care and support professionals to have clinical confidence; and The Care Navigation pilot and the need for time for patients to adjust to the changes to get the full benefit of the pilot. It was RESOLVED that: (i) members noted the content of the report; and (ii) noted that public engagement is considered and undertaken for all commissioning intentions 17/125 Chief Officer Briefing Jo Webster presented the Chief Officer Briefing. The Better Care Fund submission had been submitted and it is hoped that the partnership with the Local Authority and their data collection will provide assurance as we go through the final stages. The CCG is increasing the funding available under the Better Care Funding following changes in plans to pooling resources with the Local Authority and making better joint decisions. As part of this process and use of the funding all the providers are required to sign into the agreement. Jo Webster confirmed that all the GP practices within Wakefield had signed the agreement. On 3 August 2017 both Wakefield and North Kirklees Governing Bodies had a parallel meeting as part of ‘Meeting the Challenge’ and the final arrangements at Pinderfields. Both Governing Bodies agreed to delegate authority to their respective CCGs Chief Officers and Chairs (on behalf of Wakefield CCG the Deputy Chair as the Dr Earnshaw was on annual leave) to approve the final stage arrangements subject to agreement around any transport issues. Jo Webster confirmed that negotiations had taken place with Yorkshire Ambulance Service to agree additional funding to cover the impact of transfer of patients between sites and it was agreed to cary out a further quality impact assessment to ensure arrangements put in place are sustainable for the future. The Governing Body was informed that the first tranche of services of the Extended GP Access has been launched which is part of the GP Forward View. It should provide services from 6:00pm on week days to 10:00pm and from 9:00am to 3:00pm on a Saturday and Sunday including Bank Holidays, which will increase capacity during the winter months. This is to be 3 PDF Page No. 6 introduced in a phased approach to identify and manage any issues. A full phase release is expected by 10 October 2017. The Extended GP Access has purely been developed by the GP Federation with support from Wakefield CCG which demonstrates the CCG commitment to GP services in Wakefield.