GOVERNING BODY. MINUTES OF INTEGRATED GOVERNANCE COMMITTEE HELD ON Tuesday 11 th February 2014 at the Conference Room, Guildhall 1

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1 GOVERNING BODY LEAD: Integrated Governance Chair ATTACHMENT: L2 ACTION: For Information MINUTES OF INTEGRATED GOVERNANCE COMMITTEE HELD ON Tuesday 11 th February 2014 at the Conference Room, Guildhall 1 PRESENT: Phil Moore Chair Dr Junaid Syed Jill Pearse Head of Governance & Business Support Brian Roberts Information & Performance Manager Chris Robjohn Designated Nurse: Safeguarding Children and Looked After Children Laura Jackson Quality Manager Neil Ferrelly Chief Finance Officer Tamsin Day Adult Safeguarding Christine Jones Project Development Officer, RBK Helen Raisin Public Health IN ATTENDANCE: Gurvinder Chana Governance Coordinator APOLOGIES: Seema Buckley Chief Pharmacist Vanessa Lodge Governing Body Nurse Rep & Deputy Chair Dr Naz Jivani David Knowles Lay Member Tonia Michaelides Chief Operating Officer Dr Pete Smith Jo Carmody Adult Safeguarding (RBK) Julia Billington Primary Care Nurse Jonathan Hildebrand Director of Public Health Naeem Iqbal Board Member / Caldicott Guardian 1. WELCOME AND INTRODUCTIONS: Those present were welcomed to the meeting by the Chair. 2. MINUTES OF LAST MEETING The minutes of the last meeting were agreed as an accurate record of the meeting. Version: Final 1

2 3. ACTION LOG Matters Arising The open actions were discussed: CCG Code of Governance PM confirmed that Mike Chester is putting these questions together and will circulate to the GP s. HR Policies and staff side representation it was confirmed that TM has liaised with KCCG s staff side rep and all HR policies will be circulated to her for comments, as well as the IGC. 4. SUB-COMMITTEE REPORTS Sub-group leaders presented committee reports, the highlights of which are outlined below: 4.1 Safeguarding Adults CJ and TD attended on behalf of JC. They explained that there are still 9 GP practices that have to yet engage with the project to develop integrated processes and training across the Borough. Two practice nurse seminars have been arranged for mid-february and a practice manager briefing is also scheduled for April Information for Adult Safeguarding e-learning for NHS staff was circulated and there were questions around whether all levels of staff need to complete this or not. CJ confirmed that all levels of staff will need to undertake and complete this training. LJ asked if TD could bring an update of her project work to the next IGC which is due to end on 31 st March TD to bring update of project work to next IGC. 4.2 Urgent Care BR presented the Urgent Care report updating the IGC that winter pressure monies had gone out. KHT are still suffering bed occupancy problems and bed numbers are being discussed. There were questions around KHT assuring quality; however due to no representation from the Urgent Care working group, these were unable to be answered, therefore will be directed back to the group and brought back to the next IGC. 4.3 IGSG JP updated the IGC that although Stage 1 ASH status has been achieved by KCCG, there is still no green light to proceed with risk stratification, and this now represented a very high risk to the organisation. As further guidance was yet not available the IGSG had considered three options regarding a way forward and recommended that the third be adopted pending final approval from the Governing body. The IGC agreed with to support recommend option 3 (use the HSCICobtained SUS data at a risk in the R/S solution) 4.4 Medicines Management There were no concerns, risks or actions identified in the report following the last prescribing report. Version: Final 2

3 4.5 Informatics and IT Steering Nothing to report; the group met on Equality and Diversity Nothing to report; the group has not met since the last IGC. 4.7 Finance Committee NF confirmed that the feedback from SWL risk pool bid confirmed that the CCG s full contribution of 962k will be returned in full. Further discussions regarding property services are still being undertaken with the NHS Property national and local team to mitigate the risk. Recharges have been raised to NHS Property Services to reimburse the CCG for double charges. 4.8 SWL & StG CQRG No major concerns or issues were identified. PM explained that the recent CQC visit to Tolworth was positive and only one area of non-compliance was reported in relation to Outcome 2 consent and the Trust has already responded to this and a report has been circulated to CQRG members. 4.9 KHFT CQRG The KHFT CQRG is due to meet next week. No major concerns were identified. LJ informed the IGC that a healthcare acquired infection seminar is planned for KCCG s Governing Body and Council of Members in the near future. JS asked the committee if they were aware of the Lucentis pathway, which is a new drive from ophthalmologists to start using very expensive drugs. No further details were known about this YHC CQRG No patient safety concerns or areas identified Local safeguarding Children Board The named LAC paediatrician has undergone all the training and is now progressing with initial health assessments. The audit of children who self-harmed and attended Kingston A&E has been shared with the health economy and CCG Board, the LSCB and safeguarding improvement board, along with the Secondary Head Teachers collaborative Primary Care Quality and Development An initial meeting has been arranged to agree terms of reference for this group on Patient Experience and engagement group The first meeting for this group is due to take place on South London Quality Surveillance Group No patient safety concerns or areas identified. Version: Final 3

4 5. INTEGRATED GOVERNANCE REPORT The key integrated governance issues for Kingston CCG were discussed: Serious Incidents more work still needs to be done in understanding what harm means. The majority of incidents reported have been grade 3 pressure ulcers. Workforce it was noted that whilst ex Kingston PCT staff received letters regarding the transfer of their contracts to Kingston CCG, formal contracts have yet to be issued. Appraisal training has been undertaken by all CCG staff and appraisals are due to start taking place in March / April JP informed the IGC that the CCG are now receiving quarterly workforce reports from the CSU. PALS and Complaints in Q3 2 complaints were received; both relating to KCAS, one relating to the communications from KCAS and the other about patient choice and the sitting of their appointment. QIPP overview this was briefly discussed and the two areas that still remain red are risk stratification and Telehealth. Kingston CCG Planning Return As part of the CCG planning cycle, CCG s are required to submit a planning return for BR presented these templates and they were approved and signed off by the IGC for first draft submission on RISK REGISTER/BOARD ASSURANCE FRAMEWORK It was discussed that there were no major changes since the last IGC however it was proposed that risk 651 inability to take forward essential business due to information governance restrictions is changed from High (12) to Very High (20) following discussion at the last Audit Committee until information flows are established. It was agreed that this change will be reported to the next Governing Body. Risk 641 continuing care; it was proposed that this risk is amended as the financial risk will no longer exist; therefore take out financial risk. JP to update risk register with these changes and send to Governing Body for information. 7. FRANCIS, KEOGH AND BERWICK REPORT ACTION PLAN LJ brought back the action plan following an action from the previous meeting to breakdown the action plan to named leads and working groups. The IGC agreed that this should now go to the next Governing Body and there should be a public representation of this. LJ to forward the action plan to Jo Dandridge for inclusion in next Public Governing Body meeting. 8. IGC TERMS OF REFERENCE It was agreed that JP and PM will look at the ToR together and a revised version will be brought back to a future IGC. Any comments or questions should be sent to JP. JP and PM to revise existing IGC ToR. 9. PATIENT AND PUBLIC ENGAGEMENT JP confirmed that the PPI Action plan and engagement proforma will both be used internally. The IGC ratified and signed off both documents. Version: Final 4

5 10. POLICIES The Gifts and Hospitality policy was circulated to the IGC for ratification and sign off. JP confirmed that since circulation, Jo Dandridge has received comments and is in the process of making minor changes. It was agreed that once this has been completed, the policy will be re-circulated to the IGC and can be signed off virtually. JP to re-circulate amended Gifts and Hospitality policy to IGC for virtual sign off. 11. ANY OTHER BUSINESS None 12. DATE OF NEXT MEETING Tuesday 11 th March pm 5.30pm Conference Room, Third Floor, Guildhall 1 Version: Final 5