Minutes of the meeting of the CCG Collaborative Group held on Thursday 18 April 2013, 1.00pm in the Pavilion, Rushbrook House

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1 Ipswich & East Suffolk Clinical Commissioning Group West Suffolk Clinical Commissioning Group Minutes of the meeting of the CCG Collaborative Group held on Thursday 18 April 2013, 1.00pm in the Pavilion, Rushbrook House PRESENT Martin Smith Dr Christopher Browning Julian Herbert Graham Leaf Dr Mark Shenton IN ATTENDANCE Pam MacBride APOLOGIES Bill Banks CCG Collaborative Group Chair Chair, West Suffolk CCG Governing Body Chief Officer, Ipswich & East Suffolk and West Suffolk CCGs Lay Member (Governance) Ipswich & East Suffolk CCG Governing Body Chair, Ipswich & East Suffolk CCG Governing Body Committee & Governance Officer Lay Member (Governance), West Suffolk CCG Governing Body 13/019 Welcome and apologies Martin Smith welcomed everyone to the meeting and the apology for absence was noted. 13/020 Minutes of meeting held on 24 January 2013 The minutes of the meeting held on 24 January 2013 were considered and agreed as a correct record after the following amendments: The numbering of the items from 13/015 to follow concurrently. Item 13/015 Current Collaborative ideas The second bullet point to read one separate contract 13/021 Matters arising and review of action log i) Current Collaborative Working Areas With regard for the need to agree KPIs across both CCGs in relation to Serco, the CCG Chief Officer (CCG CO) reported that the Lead Officer for Serco was reconfiguring the review and the Interim Chief Contracts Officer had moved the KPIs into the contract schedule. KPIs had been agreed by both CCGs. The action log was reviewed and updated. 13/022 Key Performance Indicators (KPIs) for Management Areas 1

2 The CCG CO informed the Joint CCG Collaborative Group that KPIs had been set for the Management teams and he would be setting KPIs for the Chief Officers. The KPIs had been updated to reflect discussions and reflected the current position. Ipswich and East Suffolk CCG(I&ESCCG) Chief Operating Officer o Headline and key areas were all on track. Chief Redesign Officer o The KPIs around the 111 programme were red because of constraints associated with problems nationally around the call centres. I&ESCCG and West Suffolk (WS) CCG Chief Nursing Officer o Management of provision of Adult Continuing Healthcare was amber/ red because of the backlog of cases. The Continuing Healthcare team was currently recruiting to address this. Chief Contracts Officer o All contracting KPIs were on track. The CCG CO highlighted the biggest risk as being that as a result of the NHS white paper there was no legal basis for CCGs to receive, retain and process patient identifiable data. PCTs had received a dispensation for three months and a decision regarding CCGs was expected on April This might require a different way of working. One option could be to contract a Data Management Integration Centre (DMIC) to hold the data in a secure place, but this would have staff and cost implications. An update would be given at the next meeting. o o There was a slight delay in the procurement plan linked to contract risk and the CO explained that it was up to the Officers to work with the CCGs. High cost drugs could not be tracked without patient identifiable data. Chief Finance Officer o The Finance area needed more resource as it was originally structure to support one organisaton. A process was in place to recruit two senior finance officers, one for the East and one for the West, who would link into the workstrams. Chief Corporate Services Officer o Summary Care Records (SCRs) remained a problem as there was no resource for the SCR projects to be completed. Communications o With regard to winter planning review of communications, the teams were linking into workstreams to make communications effective. WSCCG Chief Operating Officer o Regarding authorization, two conditions were outstanding, to be evidenced in June 2

3 o GP appraisal programme to be completed by the WSCCG Chair. Chief Redesign Officer o All KPIs had been completed. The Chair requested that the reporting areas for each Office be added to the KPI report heading. With regard to the Chief Corporate Services Office, the Lay Member (Governance) I&ESCCG Governing Body, requested that the action logs for the Remuneration and Audit Committees be completed before the next meeting. In response to a query regarding Public and Patient involvement, the Chair, WSCCG Governing Body, reported that patient stories were aspirational at present, but the community engagement groups were working well. The Chief Operating Officer (COO), I&ESCCG to prepare an update on Public and Patient involvement for the next meeting. 13/023 Chief Officers Posts The CCG CO informed the Joint CCG Collaboration Group that there were two vacant posts, Chief Contracts Officer and Chief Operating Officer (I&ESCCG). With regard to the Chief Contracts Officer, Wendy Tankard was not joining, as she had been offered a bigger role within Care UK. John Wicks, who was Interim Contracts Officer, was leaving and Jon Reynolds, Deputy Chief Contracts Officer was acting up as another recruitment process was commenced. Maddie Baker-Woods, I&ESCCG Deputy Chief Operating Officer was acting up as I&ESCCG Chief Operating Officer. The advert and job description was prepared ready for the recruitment process. 13/024 Approach to Retrospective Continuing Healthcare Claims By way of background, the CO explained that the Government had asked PCTs to advertise for people to back claim for Continuing Healthcare funding. The initial advice from the Area Team and NHS England was that the CCGs would not be responsible for historic debts. However, it now seemed likely that CCGs would have to pay this bill. WSCCG were considering rallying Norfolk, Suffolk and Cambridgeshire together to make a joint case against this, but, it was recognized that this would not carry much influence nationally. It was discussed that the NHS Commissioning Board should be working on the CCGs behalf. The Chair, I&ESCCG Governing Body,also reported that he was meeting with Dr Dan Poulter (MP) to raise the issue of retrospective Continuing Healthcare claims, as he felt there was the principle of being promised that would be no historic debt and then being asked to finance last year s claims, the backlog and the retrospective debts. This constituted a serious risk to the financial stability of the CCG. 3

4 He reported that this would cost I&ESCCG 14m over a period of time, which had been highlighted in I&ESCCG s forthcoming plans. There would be no transformation money to support: The redesign of Mental Health Children s autism CAMHS The redesign of main providers such as Ipswich Hospital A&E. 13/025 Update on Drug and Therapeutic Committee position The CCG CO reported that the next step was to agree a joint approach for Drugs, Therapies and IVF with the CCG AOs and Chairs. At present, the Committee was Suffolk wide, but it was hoped to encompass Great Yarmouth & Waveney and Cambridge & Peterborough. It was noted that a single body for East of England would constitute a far more efficient use of resources if it could be agreed. The position would be discussed again at the next CCG Collaboration Group meeting. 13/026 Schedule of Contracts The CO presented the paper and informed the Group that NHS Suffolk had reviewed all contracts in anticipation of the transition to I&ES and WS CCGs. The paper identified all those contracts which were due for renewal in the next three years, when they were due and when work needed to commence. All I&ES and WS CCG s contracts had workstreams assigned to them and the workstreams would identify the next steps. Suffolk wide issues were more difficult. The CCGs could either work collaboratively or choose to proceed separately. The Chair requested that a list only of joint contracts be identified at a later date. The CCG Collaboration Group agreed that in future, contracts should be renewed in the correct timescale and not just extended. The CCG Collaboration Group noted the report. 13/027 Six month review of Terms of Reference (TOR) The CCG Collaboration Group reviewed the TOR and the following amendments were agreed regarding the Membership, Quorum and Voting. The Independent Chairman would not be a voting member except in that he held a casting vote whenever required. The CCG Accountable Officer amended to read: The CCG Chief Officer The Committee and Governance Officer would update TOR accordingly. 13/028 Any other business There were no other items for discussion. 4

5 13/029 Dates of next meeting 20 June October December February 2014 All meetings to be held pm in The Pavilion, 1 st Floor, Rushbrook House. 5

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