CLINICAL COMMISSIONING GROUP BOARD MINUTES OF THE MEETING HELD ON FRIDAY 26 MAY 2017, 9.30 AM, THE BOARD ROOM, WILBERFORCE COURT

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1 CLINICAL COMMISSIONING GROUP BOARD Item: 3 MINUTES OF THE MEETING HELD ON FRIDAY 26 MAY 2017, 9.30 AM, THE BOARD ROOM, WILBERFORCE COURT PRESENT: Dr D Roper, NHS Hull CCG (Chair) C O Neill, NHS Hull CCG, (Programme Director, STP) Dr A Oehring, NHS Hull CCG (GP Member) Dr D Heseltine, NHS Hull CCG (Secondary Care Doctor) Dr J Moult, NHS Hull CCG (GP Member) Dr J Parker, NHS Hull CCG (GP Member) Dr S Richardson, NHS Hull CCG (GP Member) Dr V Rawcliffe, NHS Hull CCG (GP Member) E Daley, NHS Hull CCG (Director of Integrated Commissioning) E Latimer, NHS Hull CCG (Chief Officer) E Sayner, NHS Hull CCG (Chief Finance Officer) J Stamp, NHS Hull CCG (Lay Representative) J Weldon, Local Authority (Director of Public Health and Adult Services) K Marshall, NHS Hull CCG (Lay Representative) M Napier, NHS Hull CCG (Associate Director of Corporate Affairs) M Whitaker, NHS Hull CCG (Practice Manager Representative) P Jackson, NHS Hull CCG (Vice Chair / Lay Representative) S Lee, NHS Hull CCG, (Associate Director of Communications and Engagement) S Smyth, NHS Hull CCG (Director of Quality and Clinical Governance/Executive Nurse) IN ATTENDANCE: E Jones, NHS Hull CCG (Business Support Manager) Minute Taker G Turner, Champion East riding County FA (Development Manager) Item 1 Only K Martin, NHS Hull CCG, Deputy Director of Quality & Clinical Governance/ Lead Nurse P Davis, NHS Hull CCG, (Head of Primary Care) Matthew Moore, KPMG (Assistant Audit Manager) Item 6.6 WELCOME AND INTRODUCTIONS The Chair welcomed everyone to the meeting. It was reported that there would be a slight alteration to the agenda owing to the implications of Purdah. Therefore it was not possible to currently discuss some of the agenda items in public, specifically Items 6.5, 6.6, 6.7 and 6.8. Members of the public would therefore be excluded from discussing these items. The Chair welcomed two new Board Members to the meeting as follows: Dr Scot Richardson, GP Member Mark Whitaker, Practice Manager representative 1. PRESENTATION: PATIENT STORY - HULL2020 CHAMPION EAST RIDING COUNTY FA Graham Taylor, Development Manager spoke to this item and thanked the CCG Board for the opportunity to attend the meeting. See the attached presentation. Page 1 of 16

2 East Riding FA.pptx The following key points were noted: The East Riding FA had recently become a NHS Hull CCG 2020 Champion and was the local arm of the national governing body for football. Over the last 12 months, there had been real focus locally on activity and outcomes and the power of football to help achieve positive change. Man v Fat programme engaged with men through football to lose weight. 40 men took part and received advice about diet and nutrition. A total of 567lb weight loss in total was achieved in 14 weeks. The Over 50 group, was a weekly walking football programme activity, predominantly men, involved in football. Physical health benefits were seen. Some players had previously been socially isolated and new friendship groups had been formed as well as empowering individuals. Pedometers were also used to see the benefits and positive outcomes. There was a real spike in physical activity levels when taking part in the programme as well as weight loss, blood pressure reduction, provided greater purpose to participant s week and reduced visits to their GP. As part of the social responsibility it was hoped the new partnerships would help develop new collaborations and co design tailored projects. All the programmes were transferrable to women and more were becoming involved. Information was advertised through the website, social media channels and Facebook. There were limits in terms of the reach but there was potential to target other groups. There were 1100 local football teams affiliated with the FA. Adults had dropped but the junior section had grown. The local FA programmes could be linked to the local social prescribing work. Discussion took place and J Stamp declared an indirect pecuniary interest as employed as the Chief Executive of North Bank Forum voluntary sector which currently hosts the social prescribing service which could have a potential interest in other health and social care contracts. He along with the other Board Members expressed their delight with regard to the Power of Football programme and suggested that every GP Surgery could have their own team. The engagement challenge of middle age men in particular was acknowledged by the CCG Board as well as the wider cohort of people that still do not engage. Consideration was needed to be given by the CCG to tailor some of the CCG s engagement work to the harder to reach groups as the models adopted by the FA could be replicated in a positive way in terms of prevention and wellbeing. It was further noted that regular activities sit outside of the Power of Football programme and that individuals were able to just turn up and take part. Activities were available for 35+ and 50+ age group and these were promoted to individuals in order to continue their lifestyle journey. The Chair thanked G Taylor for attending the meeting. Page 2 of 16

3 That Board Members noted the presentation on the Once Upon a Time in West Hull and the additional updates provided. 2. APOLOGIES FOR ABSENCE Apologies for Absence were received and noted from: Dr Ragu Raghunath, GP Member Sarah Smyth, Director of Quality & Clinical Governance/Executive Nurse 3. MINUTES OF THE PREVIOUS MEETINGS HELD ON 31 MARCH 2017 The minutes of the meeting held on 31 March 2017 were submitted for approval and the following amendments were made: Grammatical errors 7.1 CITY PLAN FOR HULL with regard to the VCS and how they could respond to the ongoing needs of the City. 7.2 HUMBER COAST AND VALE SUSTAINABILITY TRANSFORMATION PLAN The key issues to note were the Sustainability Transformation Plans (STPs) were here to stay with more focus on Local Authority (LA) integration. Remove paragraph QUALITY AND PERFORMANCE REPORT Remove paragraphs 5, 6, 7, 10, 11, and HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST ALIGNED INCENTIVE CONTRACT and financial values had now been agreed with an overall contract value of 312 million for Hull and East Riding of Yorkshire CCGs. Remove paragraphs, 10, 11, 12 and 13. Subject to the above amendments the minutes of 31 March 2017 were approved and would be signed by the Chair. 4. MATTERS ARISING FROM THE MINUTES The Action List from the meeting held on 31 March 2017 was provided for information. All actions had been completed. Board Members noted the Action List. Page 3 of 16

4 5. NOTIFICATION OF ANY OTHER BUSINESS Any proposed item to be taken under Any Other Business must be raised and, subsequently approved, at least 24 hours in advance of the meeting by the Chair. There were no items of Any Other Business to be discussed at this meeting. 6. GOVERNANCE 6.1 DECLARATIONS OF INTEREST In relation to any item on the agenda of the meeting Board Members were reminded of the need to declare: (i) (ii) (iii) any interests which were relevant or material to the CCG; any changes in interest previously declared; or any pecuniary interest (direct or indirect) on any item on the agenda. Any declaration of interest should be brought to the attention of the Chair in advance of the meeting or as soon as they become apparent in the meeting. For any interest declared the minutes of the meeting must record: (i) (ii) (iii) (iv) the name of the person declaring the interest; the agenda number to which the interest relates; the nature of the interest and the action taken; be declared under this section and at the top of the agenda item which it relates too; Name J Stamp Agenda No All Items Nature of Interest / Action Taken Indirect Pecuniary Interest as Chief Executive of North Bank Forum voluntary sector which currently hosts the social prescribing service which could have a potential interest in other health and social care contracts. Indirect Pecuniary Interest as employed as the independent Chair of the Patient and Public Voice on the Assurance Group for specialised commissioning in NHS England. Dr James Moult 8.4 General Interest GP Partner at Faith House Surgery Dr Amy Oehring 8.4 General Interest GP Partner at Sutton Manor Surgery Dr Scot Richardson Dr Vince Rawcliffe 8.4 General Interest GP Partner at Alexander Family Practice 8.4 General Interest GP Partner at New Hall Surgery That the above declarations of interest be noted. Page 4 of 16

5 6.2 GIFTS AND HOSPITALITY DECLARATIONS The Gifts and Hospitality Declarations made since the Board Meeting in March 2017 were provided for information. Board Members noted the contents of the declarations of gifts and hospitality report. 6.3 USE OF THE CORPORATE SEAL QUARTERLY REPORT The Associate Director of Corporate Affairs presented the Use of the Corporate Seal Quarterly Report. This identified the single use of the Seal during the period, relating to the contract for the use of Alexandra Wharf Car Park from 15 February February It was reported that CCG staff paid to use the car park through a salary sacrifice scheme. Senior officers were also members of the scheme despite parking at Wilberforce Court. Board Members noted the contents of the Corporate Seal Quarterly report. 6.4 UPDATE ON NHS HULL CLINICAL COMMISSIONING GROUP BOARD APPOINTMENTS The Associate Director of Corporate Affairs provided an update on the NHS Hull Clinical Commissioning Group Board appointment for the Board Practice Manager Member. A Local Medical Council (LMC) managed ballot was held in light of the three nominations received. In accordance with the CCG Constitution Mark Whitaker of Newland Health Centre polled the greatest number of votes and his appointment was duly ratified at the Council of Members (CoM) meeting on 11 May The Practice Manager Member was a full voting Board Member. Board Members noted the appointment of Mark Whitaker as the Board s Practice Manager Representative for NHS Hull CCG. Members of the Public were asked to leave the room. 6.5 CCG ANNUAL REPORT The Associate Director of Communications and Engagement presented the CCG s Annual Report for for noting, ahead of its submission to NHS England (NHSE) on 31 May 2017 and the publication of the designed version on 16 June The Annual Report provided an overview of the CCG s work and reflected on a year of working with local people and partners to create a healthier Hull. The report also presented the annual accounts for the year 1 April March Page 5 of 16

6 The design of the Annual Report was tabled at the meeting A City of Culture theme had been selected for the AGM this year and it was noted that a far greater prescribed content had to be followed this year, in accordance with NHS England (NHSE) requirements. Copies would be printed and available for the Annual General Meeting on 28 June Pages 60, 61, 62 and 63 of the report described the remuneration and staff support information, which included the Greenbury Disclosure requirements. With regard to Page 71, it was noted that the gender composition of CCG employees would be confirmed as 57 female and 31 male. Board Members noted that the Integrated Audit and Governance Committee (IAGC) had also reviewed the Annual Report at its meeting earlier in the week. The CCG s level sickness level of 11% was noted. While this was the same rate as in the previous year, it was considered to be high and this needed to be improved as this was not in line with private organisations. Performance against NHS Constitutional standards on Pages 56, 57, was noted to be challenging, albeit it was noted that there had been some slight improvements recently. Board Members congratulated members of the Communications and Engagement team for the production of the report. Board Members noted the contents of the CCG s Annual Report for ANNUAL ACCOUNTS The Chief Finance Officer tabled the audited Annual Accounts for , which had been through an external scrutiny process. It was noted that the Annual Accounts needed to be approved and formally adopted by the Board. The Accounts had been discussed in detail by the Integrated Audit and Governance Committee (AIGC) and the committee made a formal recommendation at their meeting on 22 May 2017 that the Board adopt the accounts. The Chief Finance Officer provided an overview of the Accounts and it was noted that there were no major changes to report and the main statements were outlined on the first two pages. In terms of the balance sheet, little movement was noted from the previous year. There had been one redundancy during the previous financial year and was therefore reflected in the Accounts. This related, to a Hull CCG hosted service; therefore one sixth of the cost was attributable to the CCG. The redundancy had been approved by the CCG s Remuneration Committee. Page 6 of 16

7 Board Members noted that there was a more detailed breakdown of the expenditure on Page 26. Board Members noted and approved the contents of the CCG s Annual Accounts for and formally adopted these. 6.7 ANNUAL AUDIT LETTER The Chief Finance Officer tabled the Annual Audit Letter for This had been through an internal scrutiny process. It was reported that Page 5 provided a summary of the work undertaken and the report was split into two distinct areas; Financial and Value for Money and there was nothing further to report on either subject area. The assessment had concluded that the arrangements were adequate in terms of value for money. It was noted that on Page 19, Appendix 3, part of the internal audit s role was to provide independent assurance and a declaration was provided on Page 20 in this regard. The ongoing areas identified on page 3 had now been completed and the final Audit Letter had been updated accordingly and the Audit Certificates would be issued early the following week. Board Members noted that no external audit recommendations had been made for the CCG, for the fourth year running. This was a significant achievement and testament to the work of the CCG s finance team. Thanks were also conveyed to KPMG as this would be the final year that they provided external audit support to the CCG. Board Members noted the contents of the CCG s Annual Audit Letter for ANNUAL GOVERNANCE STATEMENT The Associate Director of Corporate Affairs presented the Annual Governance Statement which was the same format as in previous years and followed a standard template issued by NHS England (NHSE). It has been discussed at the Integrated Audit and Governance Committee (IAGC) and considered by the internal auditors. The Statement formed part of the formal year-end declarations of the CCG as a public body. The assessment had concluded that there was a sound system of control in place for the CCG for 2016/17. It was reported that Page 53, identified the risks and how the risk assessments have been progressed. With regard to Page 54, Conflicts of interest, significant assurance had been received with regard to this. Page 55, identified the control issues and interpretation of these took into account the wider and economy issues. Page 7 of 16

8 It was noted that an extra sentence would be included in terms of service assurance provided by internal audit and the Head of Internal Audit s overall opinion of significant assurance was provided on Page 58. Board Members noted or commented, where appropriate, on the relevant risks, controls and assurances within the corporate risk register. Members of the public returned to the meeting. It was reported that the above reports would be published following the end of the purdah period. 6.9 BOARD CORPORATE WORKPLAN 2017/18 The Associate Director of Corporate Affairs presented the Board Corporate Workplan for , which provided a breakdown of key areas of work that were to be completed to support the achievement of the CCG strategic objectives. It was proposed and agreed that the workplan be reviewed and refreshed in terms of the Identified Lead outside of the meeting. Board Members noted the workplan for the year and agreed for this to be reviewed and refreshed in terms of the identified lead outside of the meeting PRIMARY CARE COMMISSIONING COMMITTEE TERMS OF REFERENCE The Chair of the Primary Care Commissioning Committee presented the revised terms of reference for the CCG Primary Care Commissioning Committee (PCCC). The terms of reference for a Primary Care Commissioning Committee had previously been substantially revised and subsequently approved by the CCG Board at its November 2016 meeting in preparation for the CCG assuming fully delegated responsibility for the commissioning of primary medical care services with effect from 1 st April It was noted by Board Members that the current proposed revisions related to minor updates to the Voting and Non-Voting members of the Committee. Board Members noted and approved the revised Terms of Reference. 7. STRATEGY 7.1 HUMBER COAST AND VALE SUSTAINABILITY TRANSFORMATION PLAN UPDATE The Chief Officer reported that owing to purdah the CCG were limited as to what could be publicly reported. Page 8 of 16

9 A Sustainability and Transformation Plan (STP) Leadership event had taken place on 22 May Planning at scale was being undertaken within every main party s manifesto, resources remained tight overall and Capital Expenditure Plans (CEP) were in place. It was noted that the north area of the patch had been asked to provide support to the North Lincolnshire patch area and there would be opportunity in the Part 2 meeting to discuss the details and the strategic themes. The STP Programme Director reported that there was evidence of progress being made and discussions had taken place with staff side representatives, Lay Members and the University of Hull. Genuine collaborative working within the region was being undertaken and constructive discussions were taking place. Much more detailed delivery plans had been requested, following the October 2016 submissions and there was indication that these would be phased. Updates on the process would be provided as guidance was received. It was noted that the CCG was fully committed in terms of delivering what was required and the senior team were providing much support to the process. Board Members noted the verbal updated provided. 7.2 INTEGRATED COMMISSIONING UPDATE The Chief Finance Officer updated Board Members on the work undertaken with regard to integrated commissioning. Following the recent article in Health Service Journal (HSJ) article on 24 April 2017: it was noted that statutory responsibility would remain with each respective organisation, however good progress had been made in aligning financial plans between Hull City Council (HCC) and the CCG, which in turn led to greater value for money. At the recent Local Authority (LA) Cabinet meeting the arrangements for the Integrated Partnership Board and Committees in Common were approved and the inaugural meeting was to be held on 12 June Discussion took place and clarification was sought as to the role of elected members in the integrated arrangements. It was noted that the Health and Wellbeing Board (H&WBB) was still a statutory board and continued to hold the system to account for health and wellbeing and improving health. It was originally formalised in 2013 and it was acknowledged that it was now operating in a different system and consideration needed to be given as to how it could play its part going forward particularly in relation to the Health Based Plan. Board Members noted the verbal update provided. Page 9 of 16

10 8. QUALITY AND PERFORMANCE 8.1 QUALITY AND PERFORMANCE REPORT The Chief Finance Officer presented the Quality & Performance Report for the period ending 31 March 2017, It was reported that the financial close-down happened very quickly within the CCG by the 3 rd week in May The A&E 4-hour waiting time had shown consistent improvement during March 2017, although variation was still being experienced across cancer waiting time targets. Governance arrangements had been established for the operation of the new Aligned Incentive Contract (AIC) for local acute service provision. The first, high cost out of area complex mental health patient had been identified and was in the process of being repatriated to the local area. Under performance, was still being experienced with regard to the Improved Access to Psychological Therapies (IAPT) recovery targets. It was however noted that the position had improved marginally as of the January 2016 data. There had been no Never Events at Hull and East Yorkshire Hospitals (HEYHT) during and the number of Serious Incidents (SIs) reported had declined. Workforce capacity, particularly nursing staff, continued to be a significant issue for both HEYHT and Humber NHS Foundation Trust (Humber FT). It was noted that the CQC report for City Health Care Partnership (CHCP) was published on 24 April 2017 and not 2014 as stated in the report. Overall the standards being achieved in terms of quality were positive. Discussion took place and it was queried whether the fall in the number of SIs over the year related to good practice or not. Robust systems were now in place and there was far greater scrutiny within the process in order that suitable assurance could be gained that services were safe and appropriate actions plans were in place. The CCGs draft annual accounts showed an achieved surplus of 3,846k against the in-year allocation. This related to the 1% risk reserve in order to offset the deficits reported by provider organisations. The running cost allocation was 6.24 million. In terms of performance, areas for improvement were known and being targeted via the Hull Place Based Plan. The CCG was also supporting the GP Practice Groupings to reduce variation. Quality Premium information was awaited, although it was unlikely that these would be achieved due to wider economy issues. Page 10 of 16

11 Board Members noted the Quality and Performance report. 8.2 SAFEGUARDING ADULTS QUARTER 4 REPORT The Deputy Director of Quality & Clinical Governance/Lead Nurse presented the Quarter 4 update with regard to safeguarding adults arrangements across the city of Hull and surrounding area. The report described how the CCG and local providers were fulfilling legislative duties in relation to safeguarding adults in accordance with the Health and Social Care Act 2012 and the Care Act It was reported that the CCG s training compliance with regard to Safeguarding Adults and Prevent WRAP training had declined in Quarter 4. This was part of the CCG s statutory and mandatory training process and could be access via the Electronic Staff Record system (ESR). Quarter 4 Training compliance had also declined for City Health Care Partnership (CHCP) and Hull and East Yorkshire Hospitals (HEYHT). CHCP had since completed and returned the safeguarding self-assessment via the Contract Management Board (CMB) process and declared as compliant for all elements. Further evidence had been requested by the Designated Leads and suitable assurance relating to queries had been provided. It was recognised, however, that further work was required. It was noted that the CCG had a statutory duty to oversee and ensure that systems and process were in place for Adults and Children safeguarding. GP Practices held a similar responsibility. Clarification was sought with regard to adequate training for Prevent WRAP and it was noted that the CCG held regular Workshops to Raise Awareness for Prevent (WRAP). Board Members noted the contents of the report and considered the report in relation to safeguarding adult s activity in the city of Hull and the level of assurance provided from the associated providers. 8.3 SAFEGUARDING CHILDREN QUARTELY UPDATE REPORT QUARTER 3 The Deputy Director of Quality & Clinical Governance/Lead Nurse presented the Quarter 4 update with regard to Safeguarding Children arrangements across the Hull area. The report set out how NHS Hull CCG and local providers were fulfilling legislative duties in relation to safeguarding children in accordance with the NHS England Accountability and Assurance Framework 2015 and Working Together It was reported that the CCG s training compliance in Quarter 4 indicated a decline, which was due to access difficulties owing to migration to the Electronic Staff Record (ESR) system. Staff notifications had been sent in order to increase the uptake and compliance had subsequently been achieved. City Health Care Partnership (CHCP) were compliant with the requirements for statutory safeguarding posts. Page 11 of 16

12 Issues continued at Hull & East Yorkshire Hospitals (HEYHT) with regard to training compliance. Additional training places had been made available since Quarter 2 and this had resulted in an increase in compliance for Level 3 training. There had been poor uptake of Level 3 training due to reduced staff levels at Humber NHS Foundation Trust (Humber FT). An action plan, including clear trajectories, had been produced which would be monitored via the Clinical Quality Forum (CQF) and Contract Management Board (CMB). It was further reported that there were still issues with regard to the Looked After Children (LAC) assessment process and further consideration about how this could be enhanced was ongoing with the Local Authority (LA).. Discussion took place and it was acknowledged that LAC were often some of the most vulnerable children and particular attention was required to ensure they received appropriate care. It was also noted that very little children services were commissioned through Spire Hull and East Riding Hospital although the CCG would need to identify what services were actually being provided. Additionally, it was noted that Spire s present information system was not able to reflect the overall data required by the CCG and this continued to be pursued through the CMB. Discussion took place and it was expressed that action was needed, through the CMB and Quality & Performance Committee (Q&PC) with regard the issues raised. It was also noted that East Riding of Yorkshire CCG were the lead commissioner for Humber FT and issues were escalated through the contractual route as well as via the Safeguarding Board Meetings. Assurance was required by the CCG Board with regard to how the issues were being progressed. (b) Board Members noted the report in relation to safeguarding children activity and the responsibilities and actions of the NHS Hull Clinical Commissioning Group and providers. Assurance was required by the CCG Board with regard to how the issues were being progressed. 8.4 RESEARCH REPORT AND UPDATE ANNUAL REPORT The Deputy Director of Quality & Clinical Governance/Lead Nurse presented the Research and Development (R&D) Annual Report, which described the R&D activity for and demonstrated how Hull CCG maintained and developed the mandate of promoting research, innovation and the use of research evidence (Health and Social Care Act, 2012). Board Members noted the progress information within the report on the status of studies allocated monies from the CCG s R&D budget. It was acknowledged that some of the projects pre-date the CCG as they were allocated monies from the legacy days of the Primary Care Trust (PCT). In the CCG was allocated Page 12 of 16

13 Research Capability Funding (RCF) of 20,000 and the Department of Health (DoH) had defined criteria of how the monies could be spent and a local bidding process was developed. Three applications were successful and progress information was provided in the report. It was reported that there was a focus to work with Sustainability Transformation Plan (STP) colleagues with regard to R&D opportunities. It was noted that the research theme for bids for the current year was integration and only two submissions met this criteria. Concern was expressed with regard to the pace of some of the research projects and it was acknowledged that the nature of research could be quite slow and the pace of future research projects needed to link with the CCG s objectives going forward. In terms of the Access to mental services: exploring the barriers and facilitators to helping Hull s distressed young people research project (Page 9), it was noted that the recommendations had been built into the commissioning and practice of the service provided and this was commended. It was recognised that lots of research happened in the city and the intentions in terms of the Hull Based Plan needed to be considered going forward. There was opportunity to strengthen links especially between research and engagement as these should inform each other. Work was taking place around Lesbian, Gay, Bisexual and Trans (LGBT) research subjects and it was noted this linked with equality and engagement work with communities. It was also noted that there appeared to be little research taking place within primary care at present and greater awareness was needed of the work that was taking place. It was reported that some local GP practices were actively involved in research and it would be useful to communicate this more fully. It was suggested and agreed to hold a CCG Board development session with regard to R&D. (b) (c) Board Members noted the contents of the report and discussed and endorsed the R and D Annual Report ( ). The CCG Board considered and noted the potential impact that NHS Hull Funded projects have made in It was suggested and agreed to hold a CCG Board development session with regard to R&D. 9. STANDING ITEMS 9.1 PLANNING AND COMMISSIONING COMMITTEE CHAIR S UPDATE REPORT 1 MARCH 2017 AND 5 APRIL 2017 The Chair of the Planning and Commissioning Committee provided the update reports for information. Page 13 of 16

14 Board Members noted the Planning and Commissioning Committee Chairs Update Reports for 1 March and 5 April QUALITY AND PERFORMANCE COMMITTEE CHAIRS UPDATE REPORT 22 FEBRUARY 2017 AND 28 MARCH 2017 The Chair of the Quality and Performance Committee provided the update reports for information. Board Members noted the Quality and Performance Committee Chairs Update Reports for 22 February 2017 and 28 March January INTEGRATED AUDIT AND GOVERNANCE COMMITTEE CHAIR S ASSURANCE REPORT 7 MARCH 2017 The Chair of the Integrated Audit and Governance Committee (IAGC) provided the assurance report for information. The CCG was commended for working within its remit. Development Session with regard to security management in terms of delegated commissioning. Board Members noted the Integrated Audit and Governance Chairs Update Report for 7 March GENERAL 10.1 POLICIES The Deputy Director of Quality & Clinical Governance/Lead Nurse presented the following policies: Attendance Management Induction and Probation Policy Learning And Development Policy Other Leave Policy Recruitment and Selection It was noted that consultation had taken place with staff, the Senior Leadership Team (SLT) and the Partnership Forum. In terms of the Attendance Management Policy it was noted that much stricter timescales had been included and it was subsequently recommended and agreed that the following amendment be made: 8. INFECTIOUS AND CONTAGIOUS CONDITIONS 8.2 Following an episode of diarrhoea and/or vomiting staff must wait 48 hours symptom free, before returning to work. Page 14 of 16

15 (b) Board Members ratified the policies. Attendance Management Policy Agreed that the following amendment be made: 8. INFECTIOUS AND CONTAGIOUS CONDITIONS 8.2 Following an episode of diarrhoea and/or vomiting staff must wait 48 hours symptom free, before returning to work. 11. REPORTS FOR INFORMATION ONLY 11.1 PLANNING AND COMMISSIONING COMMITTEE APPROVED MINUTES 1 MARCH 2017 AND 5 APRIL 2017 The Chair of the Planning and Commissioning Committee provided the minutes for information. Board Members noted the Planning and Commissioning Committee approved minutes for 1 March 2017 and 5 April QUALITY AND PERFORMANCE COMMITTEE APPROVED MINUTES 22 FEBRUARY 2017 AND 28 MARCH 2017 The Chair of the Quality and Performance Committee provided the minutes for information. Board Members noted the Quality and Performance Committee approved minutes for 22 February 2017 and 28 March INTEGRATED AUDIT AND GOVERNANCE COMMITTEE APPROVED MINUTES 7 MARCH 2017 AND 21 APRIL 2017 The Chair of the Integrated Audit and Governance Committee provided the minutes for information. Board Members noted the Integrated Audit and Governance Committee approved minutes for 7 March 2017 and 21 April PRIMARY CARE JOINT COMMISSIONING COMMITTEE APPROVED MINUTES 24 FEBRUARY 2017 The Chair of the Primary Care Joint Commissioning Committee provided the minutes for information. Board Members noted the Primary Care Joint Commissioning Committee approved minutes for 24 February Page 15 of 16

16 12. ANY OTHER BUSINESS The Chair advised that there were no items of Any Other Business submitted at this meeting. 13. DATE AND TIME OF NEXT MEETING The next meeting will be held on Friday 28 July 2017 at 9.30 am in the Boardroom at Wilberforce Court, Alfred Gelder Street, Hull, HU1 1UY Signed: Date: Dr Dan Roper Chair of NHS Hull Clinical Commissioning Group Abbreviations 5YFV A&E C&E CCG CD CFO CAMHS CHCP CQC DOIC DPSA FGM HCV HEYHT HHCFG IAGC LGBT NECS NHSE P&CC PCJCC Q&PC R&D RCF SAR Spire STP Five Year Forward View Accident and Emergency Communications and Engagement Clinical Commissioning Group Controlled Drugs Chief Finance Officer Child and Adolescent Mental Health Services City Health Care Partnership Care Quality Commission Director of Integrated Commissioning Designated Professional for Safeguarding Adults Female Genital Mutilation Humber Coast and Vale Alliance Hull and East Yorkshire Hospitals Healthier Hull Community Fund Grant Integrated Audit & Governance Committee Lesbian Gay Bisexual and Trans North East Commissioning Support NHS England Planning & Commissioning Committee Primary Care Joint Commissioning Committee Quality & Performance Committee Research & Development Research Capability Funding Safeguarding Adult Review Spire Hull and East Riding Hospital Sustainable Transformation Plan Page 16 of 16