Chair, Haringey CCG Strategy and Finance Committee and North East GP Lead. Chair, Islington CCG Strategy and Finance Committee and Lay Member
|
|
- Baldric Martin Sanders
- 5 years ago
- Views:
Transcription
1 Minutes Meeting of the Haringey CCG and Islington CCG Strategy and Finance Committee in Common Thursday, 30 August 2018 at 1pm Clerkenwell Room, Laycock Professional Development Centre Present: Dr John Rohan Helen Pettersen Sorrel Brookes Dr Jo Sauvage Dr Dina Dhorajiwala Dr Rathini Ratnavel Adam Sharples Tony Hoolaghan Simon Goodwin Eileen Fiori Alex Smith Sue Richards Haider Al-Shamary Sarah Rothenberg In attendance: Charlotte Ashton John O Reilly Julian Hartley Rachael Campbell Dan Windross Andrew Broddle Seonaid Henderson Alice Tertois Steve Beeho Chair, Haringey CCG Strategy and Finance Committee and North East GP Lead Accountable Officer, NCL CCGs Chair, Islington CCG Strategy and Finance Committee and Lay Member Chair, Islington CCG West GP Member, Haringey CCG Elected South East Locality Member, Islington CCG Lay Member, Haringey CCG Chief Operating Officer, Haringey CCG and Islington CCG Chief Finance Officer, North Central London CCGs Director of Acute Commissioning, North Central London CCGs Director of Planning, Performance and Delivery, Haringey CCG and Islington CCG Patient Representative, Islington CCG Assistant Director of Delivery, Haringey and Islington CCGs NCL POD Director, NELCSU Consultant in Public Health, Camden and Islington Public Health Head of Finance, Islington CCG Assistant Director of Contracts Haringey MDT, NELCSU System Resilience Programme Manager, Haringey CCG Assistant Director, Integrated Care Head of Performance and Planning, Islington CCG Head of Planning and Performance, Haringey CCG Assistant Director of Contracts Islington MDT, NELCSU Board Secretary, Haringey CCG (minutes)
2 1. INTRODUCTION 1.1 Present and Apologies John Rohan welcomed everybody to the meeting of the Haringey CCG and Islington CCG Strategy and Finance Committee in Common. Apologies had been received from Lucy De Groot, Clare Henderson and Anthony Browne. It was also noted that Jo Sauvage would be joining the meeting at 2.30pm. 1.2 Declarations of Interest The Committee NOTED the Register of Interests. 1.3 Minutes from Previous Meeting The Committee AGREED the minutes of the previous meeting. 1.4 Matters Arising and Action Log The Committee NOTED that the actions from the previous meeting had been discharged and that reports addressing actions 26/10-2 and 18/5-4, 5 and 6 which had been carried over from the Islington Strategy and Finance Committee would be brought to the next meeting. Tony Hoolaghan confirmed that the Memorandum of Understanding for the Islington CCG CSU re-staffing proposal was being re-drafted and therefore this should remain on the action log. The Committee also noted with regards to action 18/5-7 that Better Care Fund brokerage arrangements will be kept under review and brought back to the committee as and when a decision is required, and it was therefore agreed that the formal action should be closed. 2. Update on Contracts 2.1 Alice Tertois provided an overview of the paper, highlighting the following points: Haringey CCG acute contracts were overperforming by 13.8m at month 4, primarily due to overperformance at NMUH, Whittington Health and UCLH This position was inclusive of additional out of contract QIPP of 11.7m that had not been included within the signed contracts. The reported position against agreed contract values was 2.1m overperformance Islington CCG s acute contracts were overperforming by 4.7m in month 4, primarily due to overperformance at Whittington Health, UCLH and Royal Free London This position was inclusive of additional out of contract QIPP of 6.3m that had not been included within the signed contracts values. The reported position against agreed contract values was 1.6m underperformance. The 4.3m overperformance seen within the Haringey Non-Elective POD was largely driven by overperformance at NMUH, Royal Free London and Barts Health. At specialty level overperformance was seen within Accident and Emergency, Nephrology, Stroke Medicine and Cardiology, partially offset by an underspend in Paediatrics. Coding issues relating to Accident and Emergency, as well as Stroke Medicine overperformance had been identified as potential contributory factors and are being discussed with the Trusts 2
3 The 1.7m overperformance seen within the Haringey Outpatients POD was largely driven by overperformance at Whittington Health and UCLH. The Whittington Health cost increase was mainly driven by a contractual move from the 2017/18 position of a block contract for Ambulatory Care to a cost and volume contract for 2018/19. UCLH overperformance had mainly been caused by the adult ENT waiting list backlog being reduced at a faster rate than forecast. The Critical Care, Maternity and Patient Transport PODs were forecast to underperform across all Providers for Islington CCG, whereas the A&E, Diagnostic Imagining, Drugs and Devices, Elective, Non-Elective and Outpatients PODs were forecast to overperform across all Providers. The overperformance within the Islington CCG Outpatients POD was caused primarily by overperformance at UCLH and Whittington Health ( 0.2m). 2.2 The Committee then discussed the report, making the following points: The move to exception reporting was welcomed It was suggested that consideration should be given to combining this report with the Finance Report, given the degree of overlap between them The heading for section 2 should refer to 2018/19, rather than 2017/18 Due to the overperformance against its acute contracts Haringey CCG would still be overspending even if the QIPP figures were excluded Three-quarters of Haringey CCG s acute QIPP target was not included in the contract baselines Overperformance at NMUH and Barts was largely caused by the knock-on effects of an extended winter Without all parties being signed up to achieve the challenging QIPP targets it will be extremely difficult to deliver them It was agreed that John O Reilly would provide more clarity outside the meeting regarding the predicted 2m underspend on Community Services in Haringey Contract reports should focus more on activity Helen Pettersen and Simon Goodwin were attending all NCL Finance and Performance Committee meetings in recognition of the challenging position across NCL The Strategy and Finance Committee in Common NOTED the contracts update. ACTION: John O Reilly to provide more details about the predicted 2m underspend on Haringey Community Services. 3. Winter Planning Update Rachael Campbell provided an overview of the report which detailed the winter planning requirements for Haringey and Islington CCGs in 2018/19, a gap analysis against national LOS requirements and proposals for winter system resilience funding. The report outlined how both CCGs are performing against key areas. Each CCG was broadly performing well, although there was still room for improvement. This analysis had been used to inform the respective funding priorities. 3
4 Enfield CCG s funding proposals had been included in the paper alongside Haringey and Islington s to provide a broader picture of how the boroughs are working together. The differences between the CCGs funding reflected variations in funding allocations. It was noted that multi-agency planning meetings are taking place in Haringey and Enfield (for NMUH) and Haringey and Islington (for Whittington Health) in September 2018, to refine plans further and enable organisations to agree mitigations to any emerging risks. Alex Smith highlighted that NHS England had informed Trusts that they would be required to meet all winter staffing costs that relate to staff employed by acute hospitals and therefore commissioners will need to obtain assurance that the necessary additional consultants and discharge support staff will be in post by 1 November No challenges had been expressed to this funding request at the recent A&E Delivery Board meetings. The level of support that the Trusts were being asked to put in place was similar to the previous year. It was anticipated that the majority of the staff would be recruited via the Temporary Staffing Bank. Adam Sharples queried why Haringey CCG was spending more on winter planning than Enfield and Islington CCGs and questioned whether this was affordable, given the CCG s financial position. He also highlighted that in the length of stay gap analysis Haringey was rated red for 7 day working in care homes. Alex Smith observed that the use of the Better Care Fund (BCF) somewhat muddied the situation, as Whittington Health has historically received more funding from BCF for system resilience, so it was necessary to consider the proposals in this light when ensuring value for money. He also noted that although CCGs have discretion over how they spend their money, there would be material risks to patient safety and the CCGs reputations if appropriate funding was not in place. He noted that Enfield CCG also faced significant financial challenges. Alex Smith then clarified that the care home workforce recruitment was a national issue, and the fact that Islington CCG is meeting this standard was an exception to the rule. He highlighted that CCGs are working hard to ensure that a lead GP is allocated to each care home and assured the committee that the situation is monitored closely by a group of Directors of Social Care who meet regularly as part of of the STP to review this. The committee then discussed the scope for reviewing the proposed funding in light of the CCGs financial positions. It was agreed that the funding needed to be reviewed within the context of the CCGs wider investments as this constituted discretionary spend. However, patient safety needed to be integral to this discussion so it was imperative that the lead urgent care GPs for each CCG were involved. It was therefore agreed that Jennie Williams, Simon Caplan, Jo Sauvage, Alex Smith and Anthony Browne would review the proposals as a matter of urgency. 4
5 The Strategy and Finance Committee in Common NOTED the provisional winter plans being discussed at AEDBs and multi-agency planning sessions. ACTION: Jennie Williams, Simon Caplan, Jo Sauvage, Alex Smith and Anthony Browne to review the winter funding proposals as a matter of urgency. Jo Sauvage joined the meeting at this point and it was agreed to take item 5 next /19 Month 4 Finance Update 5.1 Simon Goodwin provided an overview of the papers. He highlighted that Haringey CCG currently had a 6m - 9m financial gap, primarily due to unidentified QIPP savings and overperformance against its acute contracts. Of the NCL CCGs, only Enfield CCG was in a more challenging position. If the position did not change over the next few months, the CCG would need to declare that it would be unable to meet its control total. He and Helen Pettersen would shortly be meeting NHS England, where it would be necessary to inform NHS England that the NCL CCGs would be unable as a whole to meet the overall control total. If Haringey CCG is unable to meet its control total, this will trigger unpalatable interventions from NHS England. In light of this, all new and existing expenditure in Haringey would need to be reconsidered as a priority. 5.2 Although Islington CCG was not in such a challenging financial position, Jo Sauvage noted that it too had unidentified QIPP savings to meet, so the CCG s position could yet deteriorate further. 5.3 Adam Sharples observed that it was unrealistic to hope that Haringey CCG could implement QIPP savings on the scale required, so advice was required on the potential options to reduce the volume of current activity by a sufficient scale to reduce the deficit. 5.4 Helen Pettersen noted that both CCGs need to review uncommitted budgets to see what planned activity can be halted or reduced, while ensuring that quality and patient safety are taken fully into account. It was important that both CCGs do the best that they can for their populations, with the money that they have. Any proposals will be shared transparently with both Governing Bodies. 5.5 John Rohan expressed concern about the fact that at the end of the previous financial year Haringey CCG had had to absorb part of the overspend on its acute contracts, as Trusts invariably spend up to the limit of their contracts irrespective of QIPP targets, knowing that the CCG will be required to pay for 50% of the overspend. 5.6 Tony Hoolaghan assured the Committee that the CCGs have been aware of the worsening financial positions for some time and work was therefore already underway on reviewing every element of the CCGs expenditure as part of their recovery plans, which includes re-looking at all QIPP schemes in terms of whether they will deliver the planned savings and whether they warrant future investment. This would inevitably require difficult decisions to be taken and the Senior Management Team was discussing how the situation should be communicated to staff. 5
6 5.7 As part of this work both CCGs had been liaising with the NHS England Right Care team to undertake benchmarking at a local level to identify potential savings. Alex Smith noted that he would be meeting the Right Care team in mid-september to discuss their analysis. 5.8 The Committee then discussed the potential value of bringing the monthly Right Care reports to future committee meetings. Alex Smith confirmed that the report would be taken initially to the QIPP Development Group meeting if it was considered useful, and then brought as an appendix to the main Finance Reports presented to the committee. He also drew members attention to the sections in both Finance Reports which highlighted the barriers to achieving QIPP savings and the actions being taken to address these. 5.9 The Strategy and Finance Committee in Common NOTED the Month 4 financial positions for Haringey and Islington CCGs. 4. Care Homes Support and Trusted Assessor Business Case and Impact Analysis 4.1 Haider Al-Shamary introduced the business case to improve the quality of care in care homes and to provide Trusted Assessments on behalf of care home managers. The proposed model would provide proactive healthcare and ensure coordinated and effective use of community services. Additional support to care homes was expected to improve the quality of life for care home residents and avoid unnecessary unplanned admissions, and the provision of Trusted Assessments on behalf of care home managers was expected to improve the quality of transfers between care settings. The proposed model required investment for components not currently commissioned by Haringey CCG, whilst a number of commissioned services would be aligned and coordinated to provide full Multi-Disciplinary Team (MDT) support for the care homes. 4.2 It was noted that care home admissions and discharges were frequently challenging over the winter period due to issues relating to the availability of beds and patient flow, resulting in delayed discharges and assessments. Unlike other areas, Haringey did not currently take an MDT approach and it was an outlier for non-elective admissions and A&E attendance for care home residents. The scheme therefore reflected the strong need for a sustainable long-term model. While the implementation of the model was anticipated to be cost-neutral in 2018/19, significant recurrent savings were anticipated after it had been embedded. 4.3 John Rohan observed that the projected savings did not seem sufficient to warrant the planned investment, given the CCG s financial position. He also queried whether the start date could be pushed back to April Alex Smith clarified that it would be funding from the resilience budget that would enable the scheme to commence (beyond the pilot stage) from November 2018, ahead of recurrent planned investment in 2019/ Helen Pettersen commented that the projected savings set out in the paper are cautious compared to what the model should be seeking to deliver. The evidence from a similar initiative implemented by Sutton CCG was extremely impressive and ought to be taken into consideration. 6
7 4.5 Jo Sauvage observed that from a clinical perspective accessible pro-active care is important in the early identification of symptoms which can lead to falls or mobility issues that is not traditionally done when GPs visit care homes. The proposed model therefore represented a more systematic and effective way of addressing a cohort of patients with clinical needs. 4.6 Adam Sharples highlighted that the results of the pilot schemes carried out at two care homes differed significantly and queried whether this might reflect differences in management response. John Rohan observed that the two care homes were very different, so the data did not really compare like with like. 4.7 The Committee agreed that Tony Hoolaghan should carry out in his capacity as Chief Operating Officer an overview of the savings assumptions outside the meeting, taking into account the approach followed in Sutton to ensure that a similar model was being proposed in Haringey, while also focusing on where the largest gains can be made. Assuming that Tony Hoolaghan was satisfied with the case for proceeding, he would write to John Rohan, recommending that approval of the business case via Chair s Action, in accordance with the committee s Terms of Reference. 4.8 Jo Sauvage noted that Islington had seen a significant reduction in A&E attendance following the introduction of the Integrated Community Ageing Team. She also observed that Whittington Health already had a virtual ward in place, so the interface between the proposed model and Community Services would be fairly straightforward. 4.9 The Haringey CCG Strategy and Finance Committee NOTED the Care Homes Support and Trusted Assessor Business Case and Impact Analysis ACTION: Tony Hoolaghan to review the savings assumptions behind the Care Homes Support and Trusted Assessor Business Case in light of the savings delivered by the model implemented by Sutton CCG and if appropriate, recommend to John Rohan outside the meeting that the business case should be approved via Chair s Action. 6. System Intentions for 2019/ Seonaid Henderson provided an overview of the provisional Haringey and Islington acute and community commissioning intentions for 2019/20 and the backdrop to the development of North Central London System Intentions for 2019/ Adam Sharples observed that the document contained an attractive list of proposals but queried where they had emanated from. He also highlighted that the document lacked a breakdown of the financial implications. 6.3 Alex Smith clarified that the majority of the intentions represented QIPP pathways and reflected the need for commissioners to work jointly with providers to deliver sustainability within the system. It would therefore be imperative that the CCG is very clear on the messages it gives to providers. 6.4 Jo Sauvage agreed on the importance of moving to a meaningful new way of working. As part of this, discussions would need to take place within the Haringey and Islington Wellbeing Partnership about risk share, over and above the discussions that occur at PID level. 7
8 6.5 Sorrel Brookes suggested that it would be helpful if future iterations could make it clear when something is mandated. 6.6 Adam Sharples observed that the CCGs need to be prepared to be push back when things are either not clinically worthwhile or affordable. 6.7 Rathini Ratnavel queried who Islington CCG gave notice to in the sentence In 17/18 Islington CCG gave notice that we were seeking to commission a service which is more responsive, will provide a wider range of support (Children's MDTs, CHINs, etc.) and provide better value for money. 6.8 Dan Windross confirmed that this was referring to an integrated network, rather than a specific service as such, and alternative providers were now in existence. This wording would be made clearer in the next version of the document. 6.9 The Strategy and Finance Committee in Common NOTED the reports and on the local Haringey and Islington Commissioning Intentions for 2019/20 and the iteration of the NCL System Intentions for 2019/ ACTION: Dan Windross to make clearer the wording of the first sentence of the eighth bullet point on page five of the Islington System Intentions document. 7. Contract Award Recommendation for PRJ 620 Islington Care Navigation Service 7.1 Dan Windross provided an overview of the report on the decision by Islington CCG to re-commission Age UK to provide the Islington Care Navigation Service, following a procurement process overseen by NELCSU. 7.2 It was noted that Haringey CCG commissions a similar scheme at a smaller scale, via its CHINs. In response to a suggestion that there would be potential economies of scale if the service was jointly commissioned by both CCGs, Tony Hoolaghan observed that this would require a separate tender process but he assured the committee that the general principle would be borne in mind. 7.3 Jo Sauvage said that both CCGs should build on the joint working and crossfertilisation already taking place through the meetings of the Joint QIPP Delivery Group and the Strategy and Finance Committee in Common by considering how else they could maximise productivity and efficiency. As part of this, all procurements ought to be considered for their collaborative potential. 7.4 The Islington CCG Strategy and Finance Committee NOTED the report on the Contract Award Recommendation for PRJ 620 Islington Care Navigation Service. 8. Risk Register Review 8.1 The Committee in Common considered the separate extracts from the Haringey and Islington CCGs risk registers. 8
9 8.2 Adam Sharples suggested that it might now be more appropriate for Risk 10 on the Haringey CCG Risk Register ( There is a risk that the performance against the A&E target at NMUH will not improve in line with the requirements of the planning guidance for 2018/19, NHS Improvement and the A&E Delivery Board ) to be overseen by the Quality and Performance Committee going forward. Alex Smith confirmed that this would be considered by the risk leads as part of a wider review of the assignment of each risk in the next round of reviews. 8.3 Sorrel Brookes expressed concern about the fact that the high score for Risk 437 on the Islington CCG Risk Register, which related to the delivery of the 2018/19 QIPP programme, was not decreasing, despite the range of mitigations being implemented. 8.4 The Haringey CCG Strategy and Finance Committee APPROVED the Haringey Risk Report. 8.5 The Islington CCG Strategy and Finance Committee APPROVED the Islington Risk Report. 8.6 ACTION: Steve Beeho to highlight the need for the assignment of Risk 10 to be considered during the next round of reviews. 9. Any Other Business 9.1 There was no other business. 10. Date of Next Meeting 10.1 Thursday, 25 October
1.2.1 The minutes from the last meeting were agreed and recorded as accurate.
Minutes Meeting of the Haringey CCG Finance and Performance Committee Thursday 17 December 2015, 13:00 15:00 Room 7, 4 th Floor, River Park House, 225 High Road, N22 8HQ Present: Name Initials Title John
More informationBradford City CCG X. Minutes of the Joint Finance and Performance Committee Meeting Thursday 3 rd May 2018,
Airedale, Wharfedale & Craven CCG X Bradford City CCG X Bradford Districts CCG X Minutes of the Joint Finance and Performance Committee Meeting Thursday 3 rd May 2018, 10.30 12.30, Douglas Mill Present:
More information1.1.1 Apologies were received from Nick Atkinson, Vaughan C. Matthews, David Foley and Peter Christian.
Minutes Meeting of the Haringey Audit Committee 24 May 2013 at 10:00am Hornsey Central Present: Caroline Rivett CR Chair, Governing Body Lay Member Dr Sherry Tang STa GP Governing Body Member, Central
More informationAccountable Officer Report
Accountable Officer Report 1. CCG Annual Report and Annual Public Meeting At its 24 May 2018 meeting, in line with delegated responsibilities, the Audit and Governance Committee approved the CCG s Annual
More informationA review of the role and costs of clinical commissioning groups
A picture of the National Audit Office logo Report by the Comptroller and Auditor General NHS England A review of the role and costs of clinical commissioning groups HC 1783 SESSION 2017 2019 18 DECEMBER
More informationCollaboration Agreement
Collaboration Agreement Central London, West London, Hammersmith & Fulham, Hounslow, Ealing Clinical Commissioning Groups January 2014 Version 5 1 Context In December 2011 the eight North West London (NWL)
More informationBoth strategies are available on the CCG s website:
Appendix 3.4 MEETING: Haringey Clinical Commissioning Group Governing Body DATE: Thursday, 25 July 2013 TITLE: Communications and Engagement Strategy: update on progress LEAD DIRECTOR/ MANAGER: Jennie
More informationMinutes from the Health and Well-Being Board Financial Planning Group Tuesday 15 December North London Business Park, F13 1pm 3pm
Minutes from the Health and Well-Being Board Financial Planning Group Tuesday 15 December North London Business Park, F13 1pm 3pm Present: (AC) Andrew Charlwood, Head of Governance, LBB (AD) Anisa Darr,
More informationNHS HMR CCG and NHS England Primary Care Joint Commissioning Committee 2015/16
NHS HMR CCG and NHS England Primary Care Joint Commissioning Committee 2015/16 Date of Meeting: 15 September 2015 Agenda Item: 14 Subject: CCG Assurance New Operating Model Reporting Officer: Sandra Croasdale
More informationJOINT PRIMARY CARE COMMISSIONING COMMITTEES
JOINT PRIMARY CARE COMMISSIONING COMMITTEES TITLE: Primary Care Finance report Month 7 DATE OF MEETING: 24 November 2016 PAPER REF: JPC/16/117 AUTHOR: Marcus Pratt, Associate Chief Finance Officer, Sarah
More informationBradford City CCG X. Minutes of the Joint Finance and Performance Committee Meeting Thursday 7 th June 2018, 11 1, Millennium Business Park
Airedale, Wharfedale & Craven CCG X Bradford City CCG X Bradford Districts CCG X Minutes of the Joint Finance and Performance Committee Meeting Thursday 7 th June 2018, 11 1, Millennium Business Park Present:
More informationFinancial Review 2013/14. Context
Financial Review 2013/14 Context Wandsworth CCG was created from 1 st April 2013 and has completed its first year by successfully achieving its financial targets. At the time of writing the CCG is submitting
More informationAn interpretation of NHS England s Primary Care Co-commissioning: Regional Roadshows questions and answers Rachel Lea, Beds & Herts LMC Ltd
An interpretation of NHS England s Primary Care Co-commissioning: Regional Roadshows questions and answers Rachel Lea, Beds & Herts LMC Ltd 2. Joint Commissioning Arrangements 2.1 One option for CCGs is
More informationNHS Vale of York CCG TURNAROUND ACTION PLAN
NHS Vale of York CCG TURNAROUND ACTION PLAN Ref. Area Action Priority By When Progress Responsible Status 01. Underlying Financial TP Position The material underlying deficit position highlights the unsustainable
More informationBOARD PAPER - NHS ENGLAND. To provide an update on discussions and actions following the authorisation and assurance committee held in October 2013.
Paper NHSE13109 BOARD PAPER - NHS ENGLAND Title: Authorisation and assurance committee Clearance: Lord Victor Adebowale, Non-Executive Director Purpose of paper: To provide an update on discussions and
More informationGOVERNING BODY MEETING in Public 25 April 2018 Agenda Item 3.2
GOVERNING BODY MEETING in Public 25 April 2018 Paper Title Paper Author(s) Jerry Hawker Accountable Officer NHS Eastern Cheshire CCG The Future of CCG Commissioning in Cheshire Alison Lee Accountable Officer
More informationCCG 360 o stakeholder survey 2017/18
CCG 360 o stakeholder survey 2017/18 Case studies of high performing and improved CCGs 1 Contents 1 Background and key themes 2 3 4 5 6 East and North Hertfordshire CCG: Building on a strong internal foundation
More informationMinutes of the meeting of the CCG Collaborative Group held on Thursday 18 April 2013, 1.00pm in the Pavilion, Rushbrook House
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,
More informationNHS England CCG Authorisation
NHS England CCG Authorisation Post Authorisation December 2013 Review Conditions Report CCG name: Vale of York CCG Wave: 3 Regional Operations Director Jon Develing Date report generated: 22/01/2014 Vale
More informationThe NHS England Assurance Framework: national report for consultation Chief Officer, Barnet Clinical Commissioning Group
Meeting Health and Well-Being Board Date 27 June 2013 Subject Report of Summary of item and decision being sought The NHS England Assurance Framework: national report for consultation Chief Officer, Barnet
More informationPRIMARY CARE CO-COMMISSIONING
What is Co-Commissioning? Currently, hospital and community services are commissioned by CCGs, while primary care services are commissioned by NHSEngland, and Social Services by Local Authorities. NHSE
More informationCCG Procurement Plan
CCG Procurement Plan 2014-15 Governing Body meeting F 1 May 2014 Author(s)/Presenter and title Sponsor Key messages Ian J Atkinson, Head of Contracting Julia Newton, Director of Finance Julia Newton, Director
More informationFINANCE REPORT. April 2014 to December 2014
FINANCE REPORT April 2014 to December 2014 This report summarises the financial position of Rushcliffe CCG for the 9 months ending 31 December 2014. The table below summarises the statutory financial duties
More informationNHS SOUTH NORFOLK CLINICAL COMMISSIONING GROUP COMMUNICATIONS AND ENGAGEMENT STRATEGY
NHS SOUTH NORFOLK CLINICAL COMMISSIONING GROUP COMMUNICATIONS AND ENGAGEMENT STRATEGY 2014-16 Ref Number: Version 3.0 Status FINAL DRAFT Author Oliver Cruickshank Approval body Governing Body Date Approved
More informationGPC update on co-commissioning of primary care: Important Guidance for CCG member practices and LMCs
GPC update on co-commissioning of primary care: Important Guidance for CCG member practices and LMCs This paper is to inform GP practices and LMCs about options for your CCG to take greater commissioning
More informationPatient Choice and Resource Allocation Policy. NHS South Warwickshire Clinical Commissioning Group (the CCG)
Patient Choice and Resource Allocation Policy (the CCG) Accountable Director: Alison Walshe Director of Quality and Performance Policy Author: Sheila Browning Associate Director Continuing Healthcare Approved
More informationHerefordshire CCG Patient Choice and Resource Allocation Policy
Reference number HCCG0004 Last Revised January 2017 Review date February 2018 Category Corporate Governance Contact Lynne Renton Deputy Chief Nurse Who should read this All staff responsible for drawing
More informationPOOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS
A POOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS Part 1 Minutes of the meeting of the Board of Directors of Poole Hospital NHS Foundation Trust held at 9.00 am on Wednesday 29 February 2012 in
More informationMeeting of NHS Bristol CCG Primary Care Joint Commissioning Committee Meeting
Meeting of NHS Bristol CCG Primary Care Joint Commissioning Committee Meeting Minutes of the meeting held on Tuesday 15 March 2016 at 2-3.30pm CCG Conference Room Minutes Present: Tara Mistry Lay Member
More informationNHS South Kent Coast. Clinical Commissioning Group. Complaints, Comments and Compliments Policy
NHS South Kent Coast Clinical Commissioning Group Complaints, Comments and Compliments Policy Version: Version 1.6 Ratified by: Date ratified: Name of originator/author: Name of responsible committee/individual:
More informationCLINICAL COMMISSIONING GROUP (CCG) ANNUAL GENERAL MEETING
CLINICAL COMMISSIONING GROUP (CCG) ANNUAL GENERAL MEETING Wednesday 6 th September 2017 at 12 noon Hornby Theatre, Blackburn Central Library Town Hall Street, Blackburn BB2 1AG ORDER OF BUSINESS No. Item
More informationSWL Primary Care Quality, Prevention and Innovation Working Group
MINUTES Members in attendance Dr Nicola Jones (Co-Chair) Wandsworth CCG Chair, Primary Care Lead for SWL - NHS England Head of Primary Care, South London Nora Simon NHS England Assistant Head of Primary
More informationLambeth Clinical Commissioning Group
Lambeth Clinical Commissioning Group Constitution V003 18 June 2012 Lambeth Clinical Commissioning Group Introduction [DN: Introductory wording to be provided by CCG] Doc no. CLS/067266.5912242 i Lambeth
More informationUK Shared Business Services Ltd
SBS 001-18 UK Shared Business Services Ltd Minutes of the 76 th UK SBS Board Meeting held at Polaris House, Swindon on Wednesday 6 th December 2017 commencing at 10.00am. Attending: Board Members: UK SBS
More informationPOOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS
POOLE HOSPITAL NHS FOUNDATION TRUST BOARD OF DIRECTORS Part 1 Minutes of the meeting of the Board of Directors of Poole Hospital NHS Foundation Trust held at 9.00 am on Thursday 25 April 2013 at Salterns
More informationPersonal Medical Services (PMS) Contract Review Update
Personal Medical Services (PMS) Contract Review Update 1. Introduction NHS England commenced the Personal Medical Services (PMS) Review process across the North West London (NWL) Collaboration of CCGs
More informationThe risks and opportunities for CCGs when co commissioning primary care: Things to consider when making your decision
The risks and opportunities for CCGs when co commissioning primary care: Things to consider when making your decision 1 st December 2014 Introduction The ability for CCGs to become involved in commissioning
More informationCCG Organisational Structure
Harrow CCG Title of Meeting : Harrow CCG Governing Body Agenda Item 2 Paper No 2 Date of meeting: 24 September 2013 Attachment B CCG Organisational Structure Purpose of the report To gain Board sign off
More informationHerts Valleys Clinical Commissioning Group. Review of NHS Herts Valleys CCG Constitution
Herts Valleys Clinical Commissioning Group Review of NHS Herts Valleys CCG s constitution Agenda Item: 14 REPORT TO: HVCCG Board DATE of MEETING: 30 January 2014 SUBJECT: Review of NHS Herts Valleys CCG
More informationHARROGATE AND RURAL DISTRICT CLINICAL COMMISSIONING GROUP. Minutes of the Meeting of the Harrogate and Rural District Clinical Commissioning Group
Item 9.4 HARROGATE AND RURAL DISTRICT CLINICAL COMMISSIONING GROUP Minutes of the Meeting of the Harrogate and Rural District Clinical Commissioning Group Finance, Performance and Commissioning Committee
More informationSAFEGUARDING ADULTS FRAMEWORK. Prevention and effective responses to neglect, harm and abuse is a basic requirement of modern health care services.
SAFEGUARDING ADULTS FRAMEWORK Introduction Prevention and effective responses to neglect, harm and abuse is a basic requirement of modern health care services. Safeguarding adults involves a range of additional
More informationGetting the evidence: Using research in policy making
Getting the evidence: Using research in policy making REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 586-I Session 2002-2003: 16 April 2003 LONDON: The Stationery Office 14.00 Two volumes not to be sold
More informationCCG Assurance and the Balanced Scorecard Balanced Scorecard An overview of the tool, and its role in CCG assurance. Khadir Meer Richard Wells
CCG Assurance and the Balanced Scorecard Balanced Scorecard An overview of the tool, and its role in CCG assurance Khadir Meer Richard Wells July 2013 Contents 1. Background: development of the Balanced
More informationManagement of Fair Share Expenditure Areas
1. Introduction Management of Fair Share Expenditure Areas 2013-14 CCG budgets in Kent and Medway were set by the Department of Health on the basis of analyses of expenditure carried out by PCTs in 2012-13.
More informationNWL CCGs collaboration board: shared support services
NWL CCGs collaboration board: shared support services 111 service reprocurement Author: Bernard Quinn, Director of Delivery & Performance (SRO) 1. Purpose 1.1 This is the first in a series of 111 updates
More informationQIPP Programme Report
QIPP Programme Report NHS West Cheshire CCG Executive Summary QIPP Plan as at 27 February 2017 Review of Governance Summary of opportunities Scheme Value Priority Oncology specialist dietician Low Primary
More informationAppointment of External Auditors
Appointment of External Auditors This paper is for: Recommendation: Decision The Governing Body is asked to note the report and agree that a specialised Audit Panel be set up for the selection of the CCG
More informationMEETING OF THE BOARD OF TRUSTEES
MEETING OF THE BOARD OF TRUSTEES Hampton Court Palace, Wednesday 22 nd May 2013 Minutes Present: Apologies Charles Mackay (Chairman) Sir Alan Reid (Deputy Chairman) Dawn Austwick Ian Barlow Liz Cleaver
More informationTrafford CCG. CCG authorisation 360 o stakeholder survey report. Version 18 Internal Use Only Version 14 Internal Use Only
Trafford CCG CCG authorisation 360 o stakeholder survey report Version 18 Internal Use Only 1 Background and objectives In April 2012 the NHS Commissioning Board Authority (NHSCBA) published Clinical commissioning
More informationCCG 360 o Stakeholder Survey
July 2017 CCG 360 o Stakeholder Survey National report NHS England Publications Gateway Reference: 06878 Ipsos 16-072895-01 Version 1 Internal Use Only MORI This Terms work was and carried Conditions out
More informationWorkforce and Governing Body Members Equality Information (incorporating the WRES progress report) For further information please contact:
Equality Information Report 2016-17 Appendix 1 Workforce and Governing Body Members Equality Information (incorporating the WRES progress report) For further information please contact: Final draft Emdad
More informationNHS Bedfordshire Clinical Commissioning Group Constitution. December 2012 version 7
NHS Bedfordshire Clinical Commissioning Group Constitution December 2012 version 7 NHS Bedfordshire Clinical Commissioning Group Constitution Introduction Bedfordshire Clinical Commissioning Group, as
More informationCancer. Overview. average 2 It is also important to remember that this assessment is relative: a CCG might make improvements on all
Cancer Overview 1. The CCG Improvement and Assessment Framework provides information to health care organisations, professionals and patients about how their local NHS services are performing and is used
More informationNW London Financial Strategy 14/15 18/19. Updated 29 April 2014
North West London NW London Financial Strategy 14/15 18/19 Updated 29 April 2014 Clare Parker CFO, CWHHE Jonathan Wise CFO, BHH Preamble The NWL-wide financial strategy set out in this document encompasses
More informationNORTHERN IRELAND FIRE & RESCUE SERVICE BOARD MINUTES OF A MEETING 26 MARCH PM
NORTHERN IRELAND FIRE & RESCUE SERVICE BOARD MINUTES OF A MEETING 26 MARCH 2013 1.30 PM PRESENT: APOLOGIES: Dr J McKee, Chairman presiding Mr C Kerr, Interim Chief Fire Officer Cllr D Barbour Mr J Barbour
More informationHarrogate and Rural District Clinical Commissioning Group (HaRD CCG) Governing Body 5 April :00 12:30
Harrogate and Rural District Clinical Commissioning Group (HaRD CCG) Governing Body 5 April 2018 10:00 12:30 The Nidderdale Suite, Best Western Dower House Hotel, Bond End, Knaresborough, HG5 9AL Present
More informationNHS South Tees Clinical Commissioning Group. Governing Body. Agenda Item:
NHS South Tees Clinical Commissioning Group Governing Body Agenda Item: Wednesday, 18 th September 2013 Title Quarter 1 Assurance Report Responsible Officer Amanda Hume Author of the Report Craig Blair
More informationSouthwark Integrated Governance & Performance Committee
Southwark Integrated Governance & Performance Committee Minutes of the meeting held on 26 March 2015 Room 132, Tooley Street. MINUTES Present: Robert Park (RP) Dr Richard Gibbs (RG) Andrew Bland (AB) Malcolm
More informationNHS England London Region Clinical Commissioning Group (CCG) Safeguarding Deep Dive 2015/16 Report
NHS England London Region Clinical Commissioning Group (CCG) Safeguarding Deep Dive 2015/16 Report 1 Contents Introduction. The Process.. Outcome/Findings London Wide Results Overall Comments.. Learning..
More informationContinuing Healthcare Patient Choice and Resource Allocation Policy
Continuing Healthcare Patient Choice and Resource Allocation Policy Procedure and Guidance April 2015 Version: 1 Ratified by: Date ratified: Name of originator/author: Name of responsible committee/individual:
More informationInnovation & health connected. Business plan summary
Innovation & health connected Business plan summary 2017-18 CONTENTS Contents Introduction What do we do? Our five goals Goal 1: Transformation through innovation Goal 2: Economic growth Goal 3: Adoption
More informationRevised CCG allocations for 2018/19
Revised CCG allocations for 2018/19 Revised CCG allocations for 2018/19 Version number: 1 First published: February 2018 Prepared by: NHS England Publications Gateway Reference: 07703 This information
More informationEnfield CCG. CCG 360 o stakeholder survey 2015 Main report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results
More informationOxfordshire CCG. CCG 360 o stakeholder survey 2015 Main report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results
More informationSouthern Derbyshire CCG. CCG 360 o stakeholder survey 2015 Main report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results
More informationSouth Devon and Torbay CCG. CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results Slide 7 Using the results
More informationReflections on progress made at the fifth part of the second session of the Ad Hoc Working Group on the Durban Platform for Enhanced Action
Reflections on progress made at the fifth part of the second session of the Ad Hoc Working Group on the Durban Platform for Enhanced Action Note by the Co-Chairs 7 July 2014 I. Introduction 1. At the fifth
More informationPortsmouth CCG. CCG 360 o stakeholder survey 2015 Main report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results
More informationPatient and Community Engagement Indicator (Compliance with statutory guidance on patient and public participation in commissioning health and care)
Patient and Community Engagement Indicator (Compliance with statutory guidance on patient and public participation in commissioning health and care) 2018/19 CCG Improvement and Assessment Framework Guidance
More informationCCG Improvement and Assessment Framework 2016/17. Briefing Document
CCG Improvement and Assessment Framework 2016/17 Briefing Document 4 th April 2016 Executive Summary NHS England has launched a new Improvement and Assessment Framework for Clinical Commissioning Groups
More informationMerton Clinical Commissioning Group Constitution. [29 May] 2012
Merton Clinical Commissioning Group Constitution [29 May] 2012 Merton Clinical Commissioning Group Constitution Introduction Dear Members CHAIR S STATEMENT Merton Clinical Commissioning Group has been
More informationSutton CCG. CCG 360 o stakeholder survey 2015 Main report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2015 Main report Version 1 Internal Use Only 1 Table of contents Slide 3 Background and objectives Slide 4 Methodology and technical details Slide 6 Interpreting the results
More informationTechnology and Innovation in the NHS Highlands and Islands Enterprise
Technology and Innovation in the NHS Highlands and Islands Enterprise Introduction Highlands and Islands Enterprise (HIE) welcomes the opportunity to respond to the Committee s call for views. We recognise
More information. Faye Goldman. July Contents
July 2018 Contents Background... 2 Introduction... 2 A new strategy for 2018-21... 2 Project overview... 2 Project partners... 3 Digital Product Development... 4 What we re looking for... 4 Deliverables...
More informationDecember Eucomed HTA Position Paper UK support from ABHI
December 2008 Eucomed HTA Position Paper UK support from ABHI The Eucomed position paper on Health Technology Assessment presents the views of the Medical Devices Industry of the challenges of performing
More informationCheshire, Warrington and Wirral Area Team Commissioning for Value Pack
Cheshire, Warrington and Wirral Area Team Commissioning for Value Pack February 2014 NHS England Gateway ref: 00525 1 Contents Context 3 Introduction: The call to action.... 4 The approach Where to look
More informationGeneral Practice Extended Access Survey - September London Results Briefing
General Practice Extended Access Survey - September 2017 London Results Briefing Date: 1st November 2017 Author: Sultana Rahman, Healthy London Partnership, Transforming Primary Care s.rahman5@nhs.net
More informationClinical Commissioning Groups: Basic decision making around delegation
briefing January 2013 Clinical Commissioning Groups: Basic decision making around delegation To delegate, or not to delegate? That is the question. If only it were that simple. The question is not whether
More informationIAPT What Now? What Next? Kevin Mullins Head of Mental Health 2 nd October 2015
IAPT What Now? What Next? Kevin Mullins Head of Mental Health 2 nd October 2015 Clinical Networks Business Planning Parameters for 2015/16 Business Planning Parameters for 2015/16 1. There should be a
More informationSouthwark CCG CCG 360 o Stakeholder Survey
CCG 360 o Stakeholder Survey 2017-18 Findings 1 Table of contents Slide 3 Summary Slide 6 Introduction Slide 7 Background and objectives Slide 8 Methodology and technical details Slide 10 Interpreting
More informationPOOLE HOSPITAL NHS FOUNDATION TRUST COUNCIL OF GOVERNORS
POOLE HOSPITAL NHS FOUNDATION TRUST COUNCIL OF GOVERNORS Part 1 minutes of the Council of Governors of Hospital NHS Foundation Trust held at 4.30pm on Thursday 15 October 2015, in the Board Room. Present:
More informationNHS CONTINUING HEALTH CARE:
NHS CONTINUING HEALTH CARE: CHOICE AND RESOURCE ALLOCATION POLICY DOCUMENT STATUS: Draft Approved by Commissioning Development Committee 17 October 2018 and reported to Governing body on 8 November 2018.
More informationMinute of Meeting of 22 February 2016
BOARD OF MANAGEMENT The meeting commenced at 1300 hours. Minute of Meeting of 22 February 2016 PRESENT: D Anderson, A Bell, S Brimmer, S Cormack, D Duthie, I Gossip, J Harper, J Henderson, C Inglis, R
More informationEnfield CCG. CCG 360 o stakeholder survey 2014 Summary report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 360 o stakeholder survey 2014 Summary report Version 1 Internal Use Only 1 Background and objectives Clinical Commissioning Groups (CCGs) need to have strong relationships with a range of Clinical
More informationUNIVERSITY HOSPITALS OF LEICESTER NHS TRUST REPORT BY TRUST BOARD COMMITTEE TO TRUST BOARD
Trust Board paper L UNIVERSITY HOSPITALS OF LEISTER NHS TRUST REPORT BY TRUST BOARD COMMITTEE TO TRUST BOARD DATE OF TRUST BOARD MEETING: 5 May 2011 COMMITTEE: UHL RESEARCH AND DEVELOPMENT COMMITTEE CHAIRMAN:
More informationCCG Assurance Framework. England
CCG Assurance Framework England NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning Development Finance Human Resources Publications
More informationEvidence for Effectiveness
Evidence for Effectiveness Developing a standards framework for digital health innovations Digitally empowering people to manage their health and care October 2018 The issue NHS England programmes Apps
More informationCity and Hackney CCG Clinical Governance Framework. Approved by the CCG Board November 2014
City and Hackney CCG Clinical Governance Framework Approved by the CCG Board November 2014 1 City and Hackney CCG Clinical Governance Framework Clinical Governance is the overarching framework through
More informationProject Status Update
Project Status Update Reporting cycle: 1 October 2016 to 30 June 2017 (Year 1) Date: 13 July 2017 Designated Charity: Funded initiative: Snapshot overview: headspace National Youth Mental Health Foundation
More informationMEETING OF THE GOVERNING BODY held in public 25 April am. Boardroom 1, New Alderley House. Unconfirmed MINUTES
MEETING OF THE GOVERNING BODY held in public 25 April 2018 9 am Boardroom 1, New Alderley House Unconfirmed MINUTES VOTING MEMBERS OF THE GOVERNING BODY CCG Chair GP McIlvride Medical Centre, Poynton Dr
More informationSutton CCG. CCG 360 o stakeholder survey 2014 Summary report. Version 1 Internal Use Only Version 1 Internal Use Only
CCG 36 o stakeholder survey 214 Summary report Version 1 Internal Use Only 13-98464-1 Version 1 Internal Use Only 1 Background and objectives Clinical Commissioning Groups (CCGs) need to have strong relationships
More informationPolicy for CCG Engagement with the Pharmaceutical Industry
Policy for CCG Engagement with the Pharmaceutical Industry UNIQUE REFERENCE NUMBER: CD/MM/066/V1 DOCUMENT STATUS: DATE ISSUED: October 2014 DATE TO BE REVIEWED: October 2016 Approved by Clinical Development
More informationDoing, supporting and using public health research. The Public Health England strategy for research, development and innovation
Doing, supporting and using public health research The Public Health England strategy for research, development and innovation Draft - for consultation only About Public Health England Public Health England
More informationSCOTTISH ENVIRONMENT PROTECTION AGENCY STRATEGY MEETING
SCOTTISH ENVIRONMENT PROTECTION AGENCY STRATEGY MEETING The twenty-first Board Strategy meeting took place at 1.00 p.m. on Tuesday 27 October 2015 in the Forth Suite, SEPA s Edinburgh Office, Riccarton,
More informationUnderstanding and demonstrating variation through use of national data tools
Understanding and demonstrating variation through use of national data tools Today s workshop Introduction to: RightCare and Commissioning for Value The Pathway on a page Understanding priorities from
More informationUniversity Secretary and Clerk to the Board of Governors
Minutes of a Meeting of the Board of Governors held at 4pm on Thursday, 17 October 2013 in DCG12&13, Clarence Centre for Enterprise and Innovation, St George s Circus, London SE1 Present David Longbottom
More informationTha Board O Ulster-Scotch 97th Board Meeting 31 March 2010 Ulster-Scots Agency Board Room Belfast
Tha Board O Ulster-Scotch 97th Board Meeting 31 March 2010 Ulster-Scots Agency Board Room Belfast Present; In attendance: Recording Secretary: Mrs Angela Graham Dr Ian Adamson Mr William Humphrey Mr John
More informationCCG 360 stakeholder survey 2017/18 National report NHS England Publications Gateway Reference: 08192
CCG 360 stakeholder survey 2017/18 National report NHS England Publications Gateway Reference: 08192 CCG 360 stakeholder survey 2017/18 National report Version 1 PUBLIC 1 CCG 360 stakeholder survey 2017/18
More informationRQIA Board Meeting. Min/Nov17/public. To share with Board members a record of the previous meeting of the RQIA Board.
RQIA Board Meeting Date of Meeting 11 January 2018 Title of Paper Public Session Minutes Agenda Item 1 Reference Author Presented by Purpose Executive Summary FOI Exemptions Applied Equality Impact Assessment
More informationSCIE Board meeting Minutes of meeting on 20 March 2009
SCIE Board meeting Minutes of meeting on 20 March 2009 Minutes of the meeting on 20 March 2009 Copthorne Tara Hotel in Kensington Attendance (Board) Allan Bowman Nadra Ahmed Peter Beresford Jon Glasby
More information