here - NHS North Kirklees CCG

Minutes of the NHS North Kirklees CCG Governing Body Meeting held on
Wednesday 7th May 2014, 9am – 12pm
Batley Town Hall
Present:
David Kelly (DK)
Chris Dowse (CD)
Andrew Cameron (AC)
Kath Greaves (KG)
Julie Elliott (JE)
Khalid Naeem (KN)
Chair
Chief Officer
GP Member
Practice Nurse Member
Quality, Performance &
Finance Lay Member
Chief Finance Officer
Registered Nurse Member
Practice Manager Member
GP Member
GP Member
Patient and Public Engagement Lay
Member
GP Member
Alison O’Sullivan (AO’s)
Tony Gerrard (TG)
Adnan Jabbar (AJ)
Matt Shepherd (MS)
Kirklees Council Member
Audit Lay Member
GP Associate
Secondary Care Consultant member
Steve Brennan (SB)
Joanne Crewe (JC)
Rachael Kilburn (RK)
Yasar Mahmood (YM)
Nadeem Ghafoor (NG)
Kiran Bali (KB)
In-attendance;
Helen Severns (HS)
Deborah Turner (DT)
Pam Vaines (PV)
Head of Transformation
Head of Quality and Safety & Chief
Nurse
Designated Professional
Safeguarding Adults
Continuing Health Care Programme
Manager
Head of Communications and
Engagement
Associate Governance and Risk
Apologies:
Jackie Holdich (JH)
Judith Hooper (JHo)
Head of Primary Care
Public Health member
Claire Robinson (CR)
Kelly Glover (KGl)
Martin Carter (MC)
Minutes:
Natasha Brown (NB)
NKCCGGB/14/077
Corporate Governance Administrator
Introductions
The Chair opened the meeting by welcoming all those in attendance. It was highlighted
that this was a meeting in Public not a Public Meeting and questions could be raised by
members of the public and will be answered accordingly as indicated on the agenda. The
Governing Body (GB) Members introduced themselves.
The GB welcomed MS who has recently joined the GB and is a Consultant at Harrogate
Foundation Trust. MS has joined the GB as the Secondary Care Consultant.
NKCCGGB/14/078
Declarations of Interest
TG declared an interest as a Lay Members for GHCCG.
All GPs and RK declared an interest in agenda item:
 NKCCGGB/14/092 - Urgent Care Transformation.
NKCCGGB/14/079
Unconfirmed Minutes of NHS North Kirklees CCG Governing Body Meeting,
held on 2nd April 2014
The minutes were AGREED as a true and accurate record with noted amendments.
NKCCGGB/14/080
Live Action Sheets
It was NOTED that all actions from the meeting held on 2nd April 2014, were now
complete.
NKCCGGB/14/081
Matters Arising
No further matters were received for discussion.
Question from the Public
Please refer to appendix 1.
NKCCGGB/14/082
Patient Story: Creative Minds
DT introduced DTa who was in attendance to tell the GB about her story of her mental ill
health, which she has had since she was 8 years old, and her experience of receiving
care.
DTa has been a service user for many years and has both positive and negative
experience of care throughout her journey through the services. DTa said that her
experience in A&E was atrocious as health care professionals treated her with no respect.
She said that the services have now improved and had seen signs that compassionate
nursing care is now being delivered in Mental Health services. DTa is very passionate
about the services for Mental Health patients and has shadowed the CEO from SWYPFT.
The trust has embraced the feedback from DTa and she is now is now treated as a part of
the improvement team and not just a patient. DTa has already seen a huge improvement
in the services.
DTa participated in SWYPFT Creative Minds project which provided opportunities for her
to develop her artistic and abilities and through that to create strength and ability to take
control of her own life. She said that this was a life changing experience.
A video was presented to the GB to give an overview of what Creative Minds offers to
patients with a mental illness.
DTa was on 21 tablets per day. She is now on no medication which indicates a huge and
positive difference in the client and delivers a saving to the NHS of £1,000 per year.
DT linked this patient story to the Urgent Care Transformation agenda item.
The GB NOTED that NKCCG are working closely with SWYPFT to improve patient
pathways.
DT thanked DTa for her time to tell the GB her powerful story.
AC introduced himself and advised that he is the clinical lead for Mental Health and
advised that this topic is very high on the CCG’s agenda, to ensure pathways are
improved for Mental Health patients.
It was suggested that the video could be uploaded into waiting rooms within GP Practices
in North Kirklees to inform patients and families.
ACTION - DT to discuss with DTa regarding the video being uploaded in GP
practice waiting rooms to raise the awareness of Mental Health and promote the
Creative Mind Service.
All information on Creative Minds can be accessed via the website.
NKCCGGB/14/083
Quality and Safety Report
DT presented the Quality and Safety Report which was presented and discussed in full at
the Quality, Finance and Performance Committee (QFPC).
Mortality Surveillance Pack - Standardised Hospital Mortality Index (SHMI)
Overall, MYHT is 5% lower than national average given the patient mix case.
MYHT - MRSA
There have been a total of 7 reported MRSA cases. This is one less than the trajectory.
MYHT staff sickness rates
Staff Sickness Rates at MYHT was reported as 4.42% year to date. This is higher than
the period target being 4%. DT advised that this has been discussed and evidence
shows that this is not impacting on the quality of care that is being delivered.
Locala Serious Incidents - Pressure Ulcers
The GB NOTED that there have been 98 pressure ulcers reported year to date, however,
50% of the reported cases were deemed to have occurred elsewhere, such as Care
Homes.
The plan for the Tissue Viability Nurse has yet to be confirmed, however,
conversations are on-going with the Local Authority to be involved in contract meetings to
look into care plans for patients. DT advised that she will update the GB on any progress.
CQUIN
A question was raised regarding the CQUINs being reported as amber. DT advised that
she was waiting for further information and confirmed that she would discuss this with JCr
outside the meeting once the information has been confirmed.
ACTION – DT and JCr to discuss the CQUIN areas that are showing as Amber
outside the meeting.
The GB:
 RECEIVED and NOTED the Quality and Safety information and activity.
NKCCGGB/14/084
Safeguarding Adult Report
YM presented the Safeguarding Adult Report and advised that this is the first report for
NKCCG. The report was very comprehensive and highlighted some of the achievements
over the last 12 months.
The report provided assurance that NKCCG are fulfilling its responsibilities in regards to
Safeguarding Adults, providing an overview of the Safeguarding adults work and
activity from April 2013 to March 2014.
CR advised that NKCCG have a clear work plan and are working closely with the
providers and key partners.
CR emphasised the importance of the Safeguarding Mandatory Training.
A bespoke training session will be arranged for GB members; however the date has yet to
be confirmed. CR requested that GB members attend the training session if they have not
yet undertaken their mandatory training.
The GB thanked CR for her hard work and commitment and acknowledged the dedication
from the Adult Safeguarding Board going forward.
The GB:
 RECEIVED and NOTED the Safeguarding Adult Annual Report
NKCCGGB/14/085
Chairs Report
DK presented the Chairs Report.
GB Vacancies
There are currently 2 GP GB Member vacancies. Interviews were taking place in the
next couple of weeks. There have been 2 applicants so far.
Making Change Happen Manifesto
DK attended a conference with NHS Clinical Commissioning and presented the
Manifesto. All members were asked to take this document away and read through the
content.
Office Move for NKCCG
NKCCG will be moving to Empire House, Dewsbury on 8th and 9th May 2014. This is to
ensure the CCG’s HQ is in the heart of North Kirklees.
NKCCGGB/14/086
Chief Officer Report
CD presented the Chief Officer report. MC has been working to update and improve the
NKCCG’s website and advised that the Intranet would be tackled next.
The GB NOTED that Siobhan Jones has been appointed as Head of Communications
and Engagement and will be joining NKCCG as of 12th May 2014.
The GB:
 NOTED the Chief Officer report
NKCCGGB/14/087
Finance and Contracting Report
SB provided the GB with a verbal update on the latest finance and contracting position.
Financial Position - 2013/14
The draft annual accounts have been submitted and will be presented to the Audit
Committee later today.
Financial Position - 2014/15
SB advised that forecast for 2014/2015 will be presented at the next GB meeting.
The GB:
 NOTED the Finance and Contract position.
NKCCGGB/14/088
Monthly Performance Report
SB presented the Monthly Performance Report which had been discussed in detail at
QPFC.
The GB NOTED that the report covers the period of February 2014. It has been NOTED
that an investigation is taking place regarding MYHT’s 18 week waiting times position and
the links to the implementation of the new PAS system.
The GB:
 NOTED North Kirklees CCG performance against the key outcomes and
measures for 2013/2014
CCG Q4 Assurance Framework Self Certification
As part of the new annual CCG assurance framework process, a quarterly checkpoint
procedure requires the CCG to complete the UNIFY2 self-certification template which
captures information on:
 Quality of Care
 Progress against the CCG’s chosen local Quality Premiums
 Finance
SB advised that the Self Certification must be approved by the CCG’s GB. Owing to the
timeline of notification and the date of formal submission, the CCG Delegation of Authority
Function was initiated by the CCG Performance Manager, GB Approval was delegated to
the CCG Chair, Accountable Officer and Chief Finance Officer.
The GB:
 NOTED the content of the NHS England CCG Assurance Framework Q4 Self
Certification Template
 APPROVED the delegation of Authority function being applied in this
instance
NKCCGGB/14/090
Delegation of approval of Annual report and Account to Audit Committee
SB advised that there has been a slight change to ensure the annual report and annual
accounts link together. The Audit Committee will be reviewing these documents to
ensure they are consistent. The GB NOTED that in previous years, the annual report was
published separately. This year, both documents will be published together. This is due
to the timing of the audit work being undertaken.
The GB NOTED that the timetable for submitting the Annual Report and Accounts are
required to be received by the NHS England by no later than midday on Friday 6th June.
This does not allow time for the GB to approve the Annual Report and Accounts prior to
submission.
The GB were asked to delegate Authority to the Audit Committee to approve the Annual
Report and Accounts on behalf of NKCCG. The delegated authority is to remain in place
until such a time the GB wishes to revoke it.
The final version will be brought to the GB meeting in July 2014.
It was NOTED that members of the GB are invited to attend the Audit Committee on 3rd
June for the final approval. All GB members will be informed of the date, time and venue
of the meeting via email.
ACTION – NB to email all GB members informing them of the date, time and venue
of the Extra Audit Committee Meeting to consider the APPROVAL for the Annual
Report and Accounts on 3rd June 2014.
It was confirmed that the Audit Committee are meeting today (7th May 2014) and in-depth
discussions will take place. The final version of the reports will be taken to the Audit
Committee on 3rd June 2014. The GB will receive the final version for information at the
GB meeting in July 2014.
ACTION – It was AGREED that the draft reports are to be circulated to the GB prior
to the final report going to the Audit Committee on 3rd June 2014. GB members are
then to send comments accordingly.
The GB:
 AGREED the delegation of approval of Annual Report and Accounts to Audit
Committee
NKCCGGB/14/091
Continuing Health Care Policy
KGl presented the Draft Continuing Health Care Policy and highlighted that Continuing
Health Care is governed by a check list and a support tool. This policy states how
packages of care are delivered for each individual, making sure all clinical risks are taken
into account.
It was NOTED that this has been discussed in detail at CSG and QPFC.
The GB AGREED that due to the lack of clarity about which versions of the policy they
were being asked to consider and the Quality Impact Assessment not being included in
the papers, a decision on the Continuing Health Care Policy would be deferred to the next
GB meeting.
ACTION – The GB AGREED to defer the policy due to the incorrect version being
included in the meeting papers.
NKCCGGB/14/091
Final Draft – NKCCG 2 Year Integrated Delivery Plan 2014/15 – 2015/16
HS presented the 2 year Integrated Delivery Plan and advised that members of the public
were asked for their input into the plan at the GB meeting held in March 2014.
HS reminded the GB that as part of the planning round for 2014/15, NKCCG were
required to submit the following information to NHS England on the 4th April 2014.
 Planning ambitions template and trajectories
 Finance plans
 Better Care Fund Template
A 5 Year Strategy is also being worked on in partnership with GHCCG and Kirklees
Council.
The GB were asked to approve the 2 Year Integrated Delivery plan which was discussed
in detail at QPFC.
ACTION – HS to update the PPE Network on page 20 to state PRG Network.
The GB congratulated Rachel Albutt for her hard work and dedication in writing the
delivery plan.
The delivery plan will be a public document and has been shared with the Area Team.
It was NOTED that delivery plan will be monitored on a monthly basis by the Joint
Transformation Team (JTT) to QPFC.
The GB:
 APPROVED the NKCCG 2 Year Integrated Delivery Plan
NKCCGGB/14/092
Urgent Care Transformational Plan
HS presented the Urgent Care Transformation Plan and advised that the proposal for the
reconfiguration of urgent care services within Dewsbury Hospital Emergency department
is to provide a single point of access and improved 24/7 provision of primary care
services.
Improving the quality of services provided for patients is a key goal for the health and
social care economy in North Kirklees. In support of this, key partners have recognised
the need to make changes to the way in which care is commissioned to ensure the
delivery of high quality integrated care. North Kirklees CCG has an active urgent care
transformation programme that is seeking to develop an integrated approach to urgent
and emergency care which involves changes to hospital, community primary and
ambulance services.
To progress the Urgent Care Transformational Plan, a specification has been developed
to provide a primary care service at a single point of access which is fully integrated with
the emergency department at Dewsbury and District Hospital. The specification is set out
to deliver a service for both adults and children.
It was NOTED that the Urgent Care Transformation Plan has been closely scrutinised at
CSG and QPFC who recommend the GB to approve the Urgent Care Transformational
Plan.
HS advised that two walk in-centres are currently located in Dewsbury; School House
Practice and a Walk-in Centre at DDH. The School House practice contract is due to
come to an end. The Walk-in Centre at DDH will continue until 2015.
MC added that an engagement process will be taking place and leaflets have
been produced to highlight what the future service will look like and the benefits of the
proposed model.
The GB:
 Support the improved model for Dewsbury Hospital Emergency Department
on a basis that it will provide 24/7 single point of access and a much
improved service for patients and service users
 SUPPORT the decision of the CSG and QPFC not to renew the School House
Practice Walk-in Centre service contract when the current contract expires.
 SUPPORT the decision of the CSG and QPFC not to renew the current
contract of the nurse-led walk-in service provided at DDH
NKCCGGB/14/093
Risk Register
PV presented the Risk Register and advised that is has been discussed in detail at Senior
Management Team (SMT) meetings and Governance and Corporate Affairs
Committee.
Assurance was given to the GB that all risks are reviewed on a regular basis within
teams.
It was NOTED that the risk register will come to the GB every quarter for discussion.
It was suggested that the dates when reviews have taken place are included as a
separate column on the Risk Register.
ACTION – It was AGREED that dates of which reviews of each risk have taken place
are included on the register.
The GB:
 NOTED the Risk Register
NKCCGGB/14/094
Minutes of the NHS North Kirklees CCG Quality, Performance and Finance
Committee held on Wednesday 19th March 2014
Following discussion and questions, The GB RECEIVED and NOTED the minutes of the
NHS North Kirklees CCG Quality, Performance and Finance Committee held on
Wednesday 19th March 2014.
NKCCGGB/14/095
Ratified Minutes of the Kirklees Health and Wellbeing Board held on 27th March
2014.
The GB RECEIVED and NOTED the minutes of the Kirklees Health and Wellbeing Board,
held on 27th March 2014.
NKCCGGB/14/096
Any Urgent Business
No urgent business was raised.
NKCCGGB/14/097
Question from the Public
Please refer to appendix 1.
NKCCGGB/14/098
Date and Time of Next Meeting
Wednesday 4th June 2014
Cleckheaton Town Hall
9.00am – 12.00pm
This concluded the content of the Governing Body meeting and the Chair declared
the meeting CLOSED at approximately 12.30pm
Chairman’s Signature:
Date:
AGREED ACTIONS
NHS North Kirklees Governing Body
Wednesday 7th May 2014
9.00am – 12.00pm
Agenda Item
Lead Name
Action
NKCCGGB/14/082
Patient Story: Creative Minds
DT
DT to discuss with DTa regarding the video being
uploaded in GP practice waiting rooms to raise the
awareness of Mental Health and promote the Creative
Mind Service.
NKCCGGB/14/083
Quality and Safety Report
DT/JCr
DT and JCr to discuss the CQUIN areas that are showing
as Amber outside the meeting.
NKCCGGB/14/090
Delegation of approval of Annual
report and Account to Audit
Committee
NB
NB to email all GB members informing them of the date,
time and venue of the Extra Audit Committee Meeting to
consider the APPROVAL for the Annual Report and
Accounts on 3rd June.
SB
It was AGREED that the draft reports are to be circulated
to the GB prior to the final report going to the Audit
Committee on 3rd June. GB members are then to send
comments accordingly.
NKCCGGB/14/091
Continuing Health Care Policy
The GB AGREED to defer the policy due to the incorrect
version not being included in the meeting papers.
Comments
Complete
Complete and on the agenda for
the 4th June 2014.
NKCCGGB/14/091
Final Draft – NKCCG 2 Year
Integrated Delivery Plan
HS
HS to update the PPE Network on page 320 to state PRG
Network.
NKCCGGB/14/093
Risk Register
PV
It was AGREED that dates of which reviews of each risk
have taken place are included on the register.

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