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«In Attendance Hazel Buchanan (HB) Director of Operations Andy Hall (AH) Director of Outcomes and Information Helen Jones (HJ) Head of Urgent Care, ...»


Nottingham North & East Clinical Commissioning Group Governing Body

Meeting Held 19th July 2016 at Gedling Civic Centre


Janet Champion (JC) Deputy Chair – Lay Member PPI

Jonathan Bemrose (JB) Chief Finance Officer

Dr Ian Campbell (IC) GP Representative

Dr James Hopkinson (JH) Assistant Clinical Chair

Dr Caitriona Kennedy (CK) GP Representative

Dr Paramjit Panesar (PP) Assistant Clinical Chair

Rebecca Stone (RS) Deputy Director of Nursing and Quality on behalf of Nichola Bramhall, Registered Nurse, Director of Nursing and Quality Susan Turner (ST) Nottinghamshire County Council, on behalf of Paul Mckay, Service Director Sam Walters (SW) Chief Officer In Attendance Hazel Buchanan (HB) Director of Operations Andy Hall (AH) Director of Outcomes and Information Helen Jones (HJ) Head of Urgent Care, NHS Nottingham City CCG Sharon Pickett (SP) Deputy Chief Officer Apologies Terry Allen (TA) Lay Member – Financial Management & Audit Nichola Bramhall (NB) Registered Nurse, Director of Nursing & Quality Dr Elaine Maddock (EM) GP Representative Dr Ben Teasdale (BT) Secondary Care Consultant Paul McKay (PM) Service Director, Nottinghamshire County Council Stephen Storr (SS) Patient Representative Agenda Actions Items Welcome & Apologies GB 16/079 Janet Champion (JC) welcomed all to the meeting.

Apologies were noted as above. JC confirmed that Rebecca Stone (RS) was deputising for Nichola Bramhall and Susan Turner (ST) was deputising for Paul McKay.

Declarations of Interest GB 16/080 No declarations were made specific to the agenda. JC confirmed that ST had no conflicts of interest.

Questions from the Public relating to the Agenda GB 16/081 No questions from the public were raised prior to the meeting.

Minutes of the Last Meeting GB 16/082 The minutes of the meeting held on 17th May 2016 were accepted as an accurate record with the amendment to a typing error on page three to read: ‘recognised’.

Matters arising and actions from the meeting held on GB 16/083 17th May 2016 16/058 – Shared Lives Scheme – Hazel Buchanan (HB) confirmed that NNE is currently reviewing how we can extend the Shared Lives Scheme to include carers for health needs. This is being taken through the Carers Commissioning Forum, attended by Nottinghamshire C

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16/061 – Paul McKay (PM) is currently reviewing joint policies for the Occupational Therapy Teams and as part of this is reviewing referrals through the Care Delivery Group.

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Sam Walters (SW) discussed the annual assurance letter to which NNE has been rated as ‘good’. The assessment followed five key components that included; ‘well led organisation’, ‘delegated functions’, ‘finance’, ‘performance’ and ‘planning’. The assurance summary highlights the strengths and areas for improvement. It was noted that this is the last time this particular regime will be used as a new one is expected after the summer.

The Governing Body acknowledged the assurance letter.

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SW provided an update on the current contract with Nottingham University Hospitals NHS Trust. The contract was agreed in April 2016 however this subsequently went into mediation. Nottingham University Hospitals NHS Trust and the CCGs have been given three months to agree four outstanding elements of the contract. This includes services that fall outside of tariff, called locally priced services. All locally priced services have been fully reviewed and an extraordinary Contract Executive Board meeting has been held to confirm next steps in relation to decommissioning. Reviews will be supported with service specifications allowing for decisions to be made in relation to service provision and this also provides an opportunity to

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Acknowledged the contracting update and supported the actions being taken in relation to local pricing.

Emergency Pathway in Emergency Department GB 16/087

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Sustainability and Transformation Plan (STP) GB 16/088 SW confirmed that The Sustainability and Transformation plan (STP) was successfully submitted by 30th June 2016 and includes four high impact areas; prevention and promoting independence, primary and community care, urgent and emergency care and technology enabled care.

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JB presented the activity report and financial position and summarised the performance against QIPP. The month three summary highlighted the delivery of duties by the CCG, the emerging level of risk across all areas (acute and continuing healthcare) and the challenging financial position. Activity data is being reviewed for discrepancies in relation to specialised commissioning. The budget for Sherwood Forest Hospitals NHS Foundation Trust currently has a small underspend of £135,000 at month three. Key messages on areas where we are not achieving have been reported to NHS England. It was noted that we are currently off plan with a slight deterioration.

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RS shared the patient story, taken from the perspective of the patient’s niece who talks about her aunt’s end of life care and treatment. The story highlights the frustrations and anxiety the family member encountered over a four week period when trying to navigate numerous processes.

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The framework focuses on six clinical priorities including mental health, dementia, learning disabilities, cancer, maternity and diabetes.

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Approved the self-assessment against the core standards and acknowledged the supporting information.


GB 16/098 Peoples Council Update

a) Minutes from 24th May 2016

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SIGNED: ……………………………….…………… (Chair)

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