Agenda Item No: 4.2 Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 28 th October 2014 Title of Report Purpose of the Report Minutes of the NHS Trafford Clinical Commissioning Group Annual General Meeting held on the 30 th September 2014 For approval. Actions Requested Decision X Discussion Information Strategic Objectives Supported by the Report 1. Consistently achieving local and national quality standards. 2. Delivering an increasing proportion of services from primary care and community services from primary care and community services in an integrated way. 3. Reduce the gap in health outcomes between the most and least deprived communities in Trafford. 4. To be a financial sustainable economy. Recommendations The NHS Trafford Clinical Commissioning Group Governing Body is asked to approve the minutes of the NHS Trafford Clinical Commissioning Group Annual General Meeting held on the 30 th September 2014 Discussion history prior to the Governing Body Financial Implications Risk Implications Equality Impact Assessment Communications Issues Public Engagement Summary
Trafford Clinical Commissioning Group Agenda Item No. 4.2 Prepared by Responsible Director Jo Young, PA to the Chief Clinical Officer Gina Lawrence,Chief Operating Officer and Director of Commissioning Page 2
PRESENT: DRAFT Minutes of the NHS Trafford Clinical Commissioning Group Annual General Meeting Held on Tuesday 30 September 2014, 1.00pm, At Crossgate House, Cross Street, Sale Dr Liz Clarke Alan Foster Dr Michael Gregory Dr Nigel Guest Dr Ann Harrison Dr Mark Jarvis Julie Langton Gina Lawrence Dr Priscilla Nkwenti Joe McGuigan Dr Marik Sangha Dr Kath Sutton GP Member Lay Member for Governance Clinical Director Policy & Strategy Chief Clinical Officer GP Member Clinical Director Quality, Finance & Performance Secondary Care Clinician Chief Operating Officer Lay Member for Patient and Public Involvement Interim Chief Finance Officer Clinical Director Primary Care Interface & Member Relations Chair IN ATTENDANCE: Michael Armstrong Claire Baker Ian Belnavis Ralph Bilsborrow Lynne Blears Emily Booth Jane Campbell Ross Carruthers Phil Cheetham Tracey Clarke Matthew Crosbie Jonathan Cross Julie Crossley Ann Day George Devlin Peter J Donnelly Andrea Ferguson Barry Glasspell Kate Green MP Debbie Hulme Ann Marie Jones Andrew Latham Pat Lees Ruth Malkin A Meredith Fredrick Meredith Paul Moores / Pennine Care NHS Foundation Trust Governor Trafford Housing Trust THT Salford Royal NHS Foundation Trust Roche Pennine Care Foundation Trust Healthwatch Trafford and Patient Reference and Advisory Panel Mastercall Trafford Council Member of Parliament AgeUK Trafford Healthwatch Trafford Patient Reference and Advisory Panel Trafford CIL KSNW AGM 1
Khan Moghal Elizabeth Morgan Elisabeth Newton Ron Rolph John Schofield Derek Seex Sue Skuse Lesley Spencer Simone Spray Jason Swift Tim Weedall Paula Whittaker Voice of BME Trafford Mastercall Trafford Hard of Hearing Group Pennine Care NHS Foundation Trust BBMC Patient Reference and Advisory Panel 42 nd Street Trafford Council 1. APOLOGIES FOR ABSENCE Apologies for absence were received from: Cllr Sean Anstee Trafford Council Henrietta Bottomley Deborah Brownlee Trafford Council Graham Brady MP House of Commons Bridgewater Community Healthcare NHS Trust Sir David Dalton Salford Royal NHS Foundation Trust Theresa Grant Trafford Council Dr Ken Griffith Healthier Together John Jesky North Manchester General Hospital/The Pennine Acute Hospitals NHS Trust Colin Kelman Council of Members and Salford & Trafford Local Medical Council Cllr Judith Lloyd Health Overview & Scrutiny Committee, Trafford Council Peter Mount Central Manchester University Hospitals NHS Foundation Trust Lesley Thornton Patient Reference and Advisory Panel Mary Whyham North West Ambulance Service NHS Trust Cllr Michael Young Trafford Council 2. INTRODUCTION The Chair welcomed attendees to the NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting (AGM), the CCG s first AGM since its authorisation. She introduced the Chief Clinical Officer, the Chief Operating Officer, and the interim Chief Finance Officer. The Chair outlined the format of the meeting, in which updates will be provided on the CCG s work in 2013/14 and future CCG plans for 2014/15. She advised that the meeting is scheduled to close at 2.30pm, and requested in advance that any questions from members of the public which are not able to be taken within the meeting time be forwarded to the CCG s Administration Manager for response following the meeting. AGM 2
The Chief Clinical Officer welcomed attendees to the AGM, and to the CCG s new premises. 3. 2013/14 OPERATIONAL PERFORMANCE The Chief Operating Officer delivered a presentation on the CCG s 2013/14 operational performance. She advised that the Trafford CCG constitution promises to provide an update on how members of the public have been engaged, on the delivery of the Quality Strategy, and on improvements made across primary care services (GPs). The Chief Operating Officer outlined the areas of work commenced and completed in 2013/14, including details of: performance highlights, for Central Manchester University Hospitals NHS Foundation Trust and University Hospital of South Manchester NHS Foundation Trust quality highlights, for Central Manchester University Hospitals NHS Foundation Trust and University Hospital of South Manchester NHS Foundation Trust adult safeguarding work Trafford urgent care services cancer services Patient Care Co-ordination Centre (PCCC) 4. 2013/14 FINANCIAL PERFORMANCE The interim Chief Finance Officer gave a presentation on the 2013/14 financial performance. He informed the AGM that the CCG s financial accounts for 2013/14 have been published on its website. He detailed: 2013/14 financial duties and performance; all financial duties in 2013/14 were achieved new investments in 2013/14 services commissioned from hospitals and other organisations, and the breakdown of areas in which the CCG s finances were spent financial position, currently and in the future national and local finance looking forward 5. FUTURE CLINICAL COMMISSIONING GROUP PLANS 2014/15 The Chief Clinical Officer (the CCG s Accountable Officer) delivered a presentation on future NHS CCG plans for 2014/15. He outlined: priorities and work underway and planned for this year details of co-commissioning in primary care, in which Trafford CCG will look to take back some areas of primary care commissioning NHS England Greater Manchester Local Area Team planned merger with NHS England Lancashire Local Area Team AGM 3
cancer services, for which Trafford CCG is lead organisation at Greater Manchester-level cervical screening 2014/15 Personal Health Budgets adult safeguarding 2014/15 mental health across Greater Manchester Association of Governing Groups 2014/15, and mental health progress and performance in Trafford 2014/15 diabetes musculoskeletal services community dermatology Clinical Assessment and Treatment Service (CATS) cardiology Better Care Fund The Chief Clinical Officer provided an update on Healthier Together, a major reform programme taking place in Greater Manchester. This seeks to improve the appropriate secondary care in the right place for the Greater Manchester population, with planned improvements to primary care in addition. He advised that the formal consultation ends on 30 September 2014, with a deadline of 5pm on 24 October 2014 for consultation responses. The Chief Clinical Officer emphasised the importance of responses to the consultation, noting the significant choice in respect of University Hospital of South Manchester NHS Foundation Trust and Stockport NHS Foundation Trust. 6. LOOKING AHEAD: INTRODUCING THE NHS TRAFFORD CCG PUBLIC REFERENCE AND ADVISORY PANEL (PRAP) The Lay Member for Patient and Public Involvement gave a presentation on the CCG Public Reference and Advisory Panel (PRAP). The PRAP is a subcommittee of the Governing Body, and represents the views of the Trafford public and its representative group. She outlined the current cross-organisation representation on the PRAP. The Lay Member for Patient and Public Involvement detailed the work in which the panel has been involved to date, and the upcoming programme. She emphasised the importance of public and patient involvement in the CCG s work, and welcomed the views of all across Trafford. 7. QUESTIONS FROM MEMBERS OF THE PUBLIC Q1. How many people involved in the CCG s work have experienced the NHS? A patient s view from inside the NHS is needed. For example, are organisations and hospital trusts able to prepare for a visit from the CCG? A1. Chief Operating Officer: Visits are announced, and therefore preparation would be possible. The CCG team goes round the organisation or trust being visited and talks to a number of people including patients, and asks patients about their experience. Information regarding patient views and experiences and regarding AGM 4
trends is also gained through the CCG s complaints procedure and from the work of the Patient Reference and Advisory Panel. This information supports the CCG in its commissioning decisions. Q2. It is not the case, as stated in the presentation, that all wards are single-sex. The Prime Minister has stated that this must be single-sex wards. A2. Chief Operating Officer: All trusts have single-sex bays, some of which may be in wards with male and female patients. The CCG welcomed patients views and concerns about single-sex bays. Q3. How does respite care fit in the services? A3: Chief Operating Officer: Respite care is commissioned by a combination of health services and social care, and the CCG and Council are looking at how to jointly commission intermediate and respite care. Some respite care is provided in some nursing homes. Much respite care is commissioned under social care, and evidence shows that respite care could reduce the amount of acute admissions. Work is taking place to develop a model for respite care for a patient s carer. Systems are in place to provide this care in a carer s home. The Carers Strategy, which is joint between the CGC and Trafford Council, supports carers with respite care. Q4: Kate Green MP: What is the interface between the CCG and Public Health? A4: Chief Clinical Officer: The Chief Clinical Officer is the Chair of the Trafford Health and Wellbeing Board, a Board which has an important role within Public Health in Trafford. The majority of the Public Health service is now part of Trafford Council, with a small part remaining with Trafford CCG. Public Health continues to have a strong role in all services, and there is close work between Trafford CCG, Trafford Council and the Public Health team. The Health and Wellbeing Strategy is a joint strategy between Trafford Council and Trafford CCG. The CCG has reviewed the Public Health strategy and regularly receives updates on this work. Q5: George Devlin: Requested an update on health inequalities. A5: Chief Operating Officer: Work is taking place in North Trafford, a focus of which is further engagement with GPs and the public. A substantial piece of work regarding Shrewsbury Street is taking place, and the CCG is keen to work at AGM 5
locality-level where possible and where appropriate, rather than solely in Trafford as a whole. An example of the work of the CCG in the area of health inequalities is the joint work with Public Health on engagement with local mosques with a focus on hard-to-reach groups. Chair: Work towards federations of GP practices is progressing. Many practices in North Trafford are small, and therefore working together can also help to address health inequalities. Changes are already starting to be seen. Q6: Michael Armstrong: In terms of costs, is an acute trust able to make large claims for treatment for a patient who has died? Interim Chief Finance Officer: Costs are based on a national tariff, and discussions are taking place on a national basis regarding a potential different payment mechanism. The CCG needs to ensure that it delivers good outcomes for value for money, and can do so using various tools, such as CQUINs. Opportunities also exist for savings through the way the CCG works with providers and through changes in culture, for example in areas such as minimising waste in prescribing. 8. CONCLUDING REMARKS AND CLOSE OF THE AGM The Chair noted that the time was 2.30pm, the scheduled close time of the meeting. She asked that any further questions from members of the public be forwarded to the Administration Manager, for responses to be provided following the AGM. The Chair thanked officers and members of the public for attending the Annual General Meeting (AGM) and closed the meeting. AGM 6