SUMMARY: This report updates the Governing Body on developments in the local NHS and wider policy issues.

Transcription

1 Appendix 2.1 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE: Thursday 25 July 2013 TITLE: Chief Officer s Report LEAD Sarah Price, Chief Officer DIRECTOR/MANAGER: AUTHOR: Sarah Price CONTACT DETAILS: Sarah.price@haringeyccg.nhs.uk SUMMARY: This report updates the Governing Body on developments in the local NHS and wider policy issues. SUPPORTING PAPERS: There are no supporting papers. RECOMMENDED ACTION: The Governing Body is asked to: NOTE the contents of this report Objective(s) / Plans supported by this paper: This report is for information only. Audit Trail: This report is for information only. Patient & Public Involvement (PPI): This report is for information only. Equality Impact Assessment: This report is for information only. Risks: This report is for information only. Resource Implications: This report is for information only.

2 Governing Body election update Chief Officer s Report Elections for the Haringey CCG Governing Body will be taking place in September. The deadline for applications for the 11 GP member positions on the Haringey CCG Governing Body was 8 July A panel consisting of Sarah Price, Chief Officer, Haringey CCG, Dr Sue Sumners, Chair, Barnet CCG and Dr Gillian Ostrowski, Associate Medical Director, NHS England, will interview the majority of the applicants on 19 July 2013 (with an additional second session to be arranged). The interviews are intended to check correct understanding of the role, obtain further clarification where required, and resolve issues of conflict of interest if they arise. Candidates who successfully pass this stage will go forward to the voting pool. The formal election period will run from 2 16 September /14 Contracting Round Update NMUH - Significant progress has been made with this agreement over the past month, with contract papers being issued for signature and final sign-off scheduled for week commencing 22 July A block contract has been agreed with the Trust and the Heads of Terms have been finalised. Whittington Health Trust - The CCG has a two year block contract with Whittington Health, with 2013/14 being the second and final year of this agreement. The Deed of Variation supporting the second year of the agreement is close to being signed. Work is currently being undertaken to finalise the key performance indicators, particularly those relating to community services at Whittington Health. Barnet, Enfield & Haringey Mental Health Trust - A block contract has also been agreed with Barnet, Enfield and Haringey Mental Health Trust for 2013/14. Heads of Terms have been agreed between the Trust and Enfield CCG, in their role of lead commissioner. Final sign-off is expected week ending 26 July Royal Free London NHS Foundation Trust - Discussions with the Royal Free are progressing well, with significant involvement from Barnet CCG as lead Commissioner. Agreement in principle has been reached with the Trust on the financial value of the contract and this is in the process of being discussed with individual Chief Finance Officers for their sign-off. UCLH An offer based on 12 NEL CCGs now incorporates an enhanced portfolio of metrics. Key Performance Indicators have been agreed but further negotiation is taking place around QIPP schemes. CQUINs and Reporting Schedule are close to being finalised, and revised offers are to be submitted to the Trust by 26 July In addition to the above, agreement has been reached with providers on a number of smaller contracts for 2013/14. 2

3 Organisational update The following members of staff have recently been appointed and are now in post: Dow Smith - Clinical Director Michael Hepworth Director, Primary Care Strategy Ekuba Edjah - Board Support Co-ordinator Hassan Serghini - Prescribing Advisor In addition to being Clinical Director, Dow Smith is also the CCG s registered Caldicott Guardian. This responsibility was previously being covered by Jennie Williams, Director of Quality and Integrated Governance. Organisational Development Haringey CCG is committed to developing its people, processes and organisation so that it can be in the best possible position to deliver on its vision for the health of Haringey s communities: To enable the people of Haringey to live long and healthy lives with access to safe, well co-ordinated and high quality services. The CCG has developed an Organisation Development (OD) plan that provides us with a programme of work to meet our development needs and support our aims for Haringey s communities. The plan is ambitious and the focus for action in the first year is to help secure Governing Body ownership, delivery of the CCG priorities and embedding our values which are Engagement, Efficiency, Innovation, Openness, Quality and Inclusiveness. In order to take this forward, the specific areas for work in 2013/14 are: Whole organisation Develop and promote the Haringey reputation and values through eg launch event, posters Embed clinical leadership that focuses on patient outcomes Strengthen primary care through collaboratives, clinical leads, network leads Governing Body Develop corporate responsibilities and behaviours Learning from 2012/13 commissioning round Secure election of new GB members Continuous development Staff Establish permanent structure and posts Induction Identify staff development and training needs to secure necessary expertise Goal setting, team and individual development and embedding values and associated behaviours 3

4 Collaboratives Promote geographical provider networks GP practices Promote engagement with commissioning cycle Develop future talent Facilitate sharing of best practice and embed new ways of working The Governing Body will be updated on progress through the year. Continuing Health Care Good progress continues to be made in strengthening the CCG continuing healthcare function following concerns first identified in autumn The Central and North West London Foundation Trust team continue to provide support and advice to improve both the continuing healthcare function and Mental Health commissioning and have assisted in particular with improving the structures and processes with which the team work. New procedures for decision making have been drawn up for a single panel process. We are working closely with the Local Authority to agree Terms of Reference for the new panel and have also developed a new process for dispute resolution. It is hoped that these can be agreed shortly and training for panel members will then take place The backlog of retrospective case appeals continues to be addressed. The total number of retrospective claims is now 59 as 20 have been discounted and closed as non-applicable. 23 of these case reviews are now underway and the panel to consider the first cases will meet before the end of July. Potential financial exposure is being estimated so that provision can be made as information is developed. A separation of the commissioning and nurse assessment functions in the team has been proposed to make best use of staff skills and ensure conflicts of interest are eliminated. In order to this a staff consultation was launched on 18 July 2013, outlining the role changes associated with the separation. This will run until 18 August 2013, with a view to becoming operational during September. Section 75 The CCG and Haringey Council have had an arrangement for formally working together and pooling resources under Section 75 of the National Health Service Act 2006 for Integrated Services for Adults with Learning Disabilities. This agreement is expiring and work is underway to update and refresh the agreement. An early draft of the new document has been was circulated to key staff in both organisations and the feedback is currently being collated. A second draft will go for wider debate on 23 July Barnet, Enfield and Haringey Clinical Strategy update Work continues to implement the Clinical Strategy, with the programme continuing on track to deliver the proposed changes in November 2013, subject to the decision at a meeting in common between Barnet, Enfield and Haringey CCGs on 25 September 2013 on the timing of the changes. This meeting will consider the NHS England external clinical assurance report, the programme report and the latest Equality Impact assessments. 4

5 The external assurance process is underway. Building works continue with some operational impact on the Barnet Hospital A and E at this time. Recruitment is underway at the North Middlesex University Hospitals Trust and consultation has completed at Barnet and Chase Farm Hospitals NHS Trust. Capacity planning has been completed and the detail is being considered within all three CCGs. The Finance workstream is underway and is agreeing the detail and assurance process for agreement on redundancy and transitional costs; Chief Finance Officers from all three CCGs are members of the workstream. The programme underwent a Gateway Review at the end of June 2013 which concluded that the programme was on track and detailed five recommendations which are now being actioned, including increasing our work on communications and engagement. For further information, please contact Siobhan.Harrington@enfieldccg.nhs.uk North London Clinical Commissioning Committee The five CCG Chairs and Chief Officers in North London (Barnet, Camden, Enfield, Haringey and Islington) continue to meet regularly to take forward work on our collaboration commissioning agreement. This Committee also has representatives from NHS England (London) who are our partners in commissioning specialist services. The Committee had previously been called the North London Clinical Commissioning Board, but members recently decided to call it a Committee as this more accurately reflects its role. The Terms of Reference for this Committee were previously approved by our Governing Body meeting on 14 March 2013 and remain unchanged. Date of next Governing Body Meeting In order to ensure that Governing Body meetings are aligned with the reporting cycle, the meeting previously scheduled for 19 September 2013 has now been rescheduled for 25 September Please note that this meeting is being held on a Wednesday, rather than the customary Thursday. Part II Meeting of the Haringey CCG Governing Body In the Part II session the Governing Body will receive: The minutes of the Part II Meeting held on 16 May 2013 Urology procurement update 5