Bristol CCG Urgent Care Working Group Terms of Reference Author(s): Lead Clinician (if appropriate): In consultation with: Ratified by: Issue/Ratification date: Review date: Jo Whitehead -Commissioning Support Unit Martin Jones Bristol CCG Judith Brown Bristol CCG Bristol Urgent Care Forum Thursday 25 th July
1 Constitution Bristol Clinical (The CCG) and partners are committed to the continued development of an Urgent Care Working Group (UCWG) which has no executive powers other than those specified in these Terms of Reference. 2 Purpose 2.1 To ensure that dignity / quality of care and the experience of patients are the priorities in planning urgent and emergency care in the local community 2.2 To ensure that there is a process for the development and delivery of the Urgent Care recovery plan relating to the Emergency Departments at University Hospitals Bristol NHS Foundation Trust (General, Children s and Eyes) through the management of the Bristol Health and Social care system against clear milestones, tasks and performance indicators. 2.3 To identify and monitor clinical risks and patient safety issues relating to urgent and emergency care performance and to ensure that these risks are mitigated through the recovery plan. 2.4 To ensure that there is a process for identifying risks to delivery of the Urgent Care recovery plan and that there is a plan to mitigate these risks 2.5 To optimise the urgent and emergency care pathways for the population of Bristol through the on-going review of recommendations of peer reviews / national recommendations and the review of performance against the agreed performance indicators 2.6 To utilise data to review the effectiveness of all parts of the urgent care system, including primary care, community services, hospital services, ambulance services, NHS 111 and adult social care. 2.7 To provide a forum for decision making at time of system stress. Tactical group at time of extremis able to deploy resources differently if required. 2.8 To ensure the engagement of external organisations whose services contribute to the effective delivery of urgent and emergency care 2.9 To link with the Healthy Futures Programme Board to influence and amend the programme as required to deliver the objectives of the Urgent Care Forum
2.10 To ensure alignment of any proposals with the BNSSG Healthy Futures Programme and work undertaken within neighbouring Urgent Care Networks 2.11 To agree and develop local standards and protocols to facilitate benchmarking and comparative audit 2.12 To contribute to the Bristol CCG strategic commissioning plan for urgent and emergency care 3 Authority The group is authorised by the Bristol CCG Governing Body to act as the Programme Board and key reference group for urgent and emergency care within Bristol. 4 Membership and Meeting Arrangements Organisation Name Role Bristol Clinical North Somerset Clinical South Gloucestershire Clinical Commissioning Group Martin Jones Judith Brown Peter Goyder Alison Moon Jill Shepherd David Fulker Richard Lyle Brian Hanratty Mary Backhouse Liam Williams David Jarrett Patrick Nagle CCG Chair Operations Director Clinical Lead for U&E Care Chair of UCWG Director of Transformation and Quality Accountable Officer & Executive lead for U&E Care- Vice Chair Practice Manager North & West Locality Programme Director Community Partnerships & PPI GP Chair of South LEG Chief Clinical Officer Chief Nursing Officer Director of Operations Urgent Care Programme Manager
University Hospitals Bristol Rhiannon Hills Head of Performance & Delivery Anne Frampton Consultant Emergency Medicine Lisa Munro Davies Consultant Emergency Medicine Bristol Community Health Bernie Greenan James Rimmer Julia Clark Ceridwen Massey Michele Narey Matron for Emergency Department Director of Operations Chief Executive Deputy Director Operations Director Operations Bristol City Council Vareta Bryan Service Director Care Services South Gloucestershire Council Kate Spreadbury Service Manager Hospitals, Safeguarding and DoLS Alison Comley Interim Strategic Director - Health and Social Care Denise Porter Head of Social Care & Housing North Somerset Council Claire Leandro Assistant Director Adult Care Brisdoc Helen England Service Delivery Director Julia Holman Service Manager Harmoni Caroline Pike Relationship Manager South Western Ambulance Service NHS Foundation Trust Sue Brooks Neil Le Chevalier Nicholas Evans 111 Service Director Deputy Director of Delivery Operational Locality Manager
Avon and Wiltshire Mental Health Partnership NHS Trust South West Commissioning Support Unit NHS England BNSSSG Area Team Malcolm Sinclair Roshan Robati Claire Thompson Tiina Mustonen Laura Nicholas Managing Director Mental Health Urgent Care Contract Performance Manager Programme Director Programme Manager Director of Operations & Delivery NHSE Area Team Lesley Woakes Head of Primary Care and Public Health 4.2 The Urgent Care Forum welcomes engagement from clinical staff delivering urgent and emergency care and will ensure all considerations are taken with pertinent clinical staff present to inform discussions and decisions. Additional members may be co-opted for particular time limited projects, according to their specialist knowledge. 4.3 Meetings will take place on a monthly basis and should last no longer than 2 hours. 4.4 A meeting will be quorate when both of the following conditions are met: Condition 1: The following must be present: Chair or Vice-chair Primary care clinician Secondary care clinician SWAST LA or Programme Director Community partnerships & PPI Bristol CCG University Hospitals Bristol NHS Foundation Trust Condition 2: Three of the following five organisations must be represented: Bristol City Council Brisdoc Out of Hours SWAST NHS111 Bristol Community Health 4.5 Members should ensure that where they cannot attend, a deputy attends the meeting in their place. The deputy will be deemed to act in the same capacity as the member they are representing. 4.6 The Group will be supported by the South West Commissioning Support Unit. The agenda and papers for the meetings should go out one week prior to the meeting. Papers for inclusion at meetings should be submitted
with the agenda papers and only tabled at the meeting with the permission of the Chair. Notes of the meetings will be circulated in advance of the next meeting with an aim of five working days post meeting. 5 Links to other groups As detailed in appendix A 6 Approval & Review These terms of reference were approved by: Organisation Bristol Clinical South Gloucestershire Clinical North Somerset Clinical Unniversity Hospitals Bristol Bristol Local Authority South Gloucestershire Local Authority North Somerset Local Authority Brisdoc Out of Hours Harmoni UK NHS 111 South Western Ambulance Service NHS Foundation Trust Avon and Wiltshire Mental Health Partnership NHS Trust Forum / Date Bristol Community Health
Appendix A