Governing Body Meeting Agenda Item: 8 Date: 7 July 2015 Author: Clinical Lead: CCG Director/Manager: Dr Mary Backhouse Chief Clinical Officer Chief Clinical Officer s Report to Governing Body Recommendations (Endorse, approve, receive, discuss) The Governing Body is asked to: Receive the July 2015 report of the Chief Clinical Officer Background As Chief Clinical Officer I have a number of roles and responsibilities. My lead areas are on partnership. Purpose The purpose of this report is to update and inform the Governing Body and GP membership on my activities on behalf of the Clinical Commissioning Group over the last month. The report forms part of the Governing Body papers and is also distributed to the member practices and Clinical Commissioning Group staff to give them an oversight of our work. Main Body of Report 1. North Somerset Clinical Commissioning Group The May GP Membership Forum received the Chief Clinical Officer s Report, Summary Integrated Performance report, approved CCG Constitutional Changes, heard about Audit of Discharges at Weston General Hospital, discussed the Orthopaedics Pathway and how the Primary / Secondary Care interface, is working
in practice and what can be done to improve it. There was a vote to elect the interim Membership GP representative on Governing Body. Dr David John was elected. The June GP Membership Forum received the Summary Integrated Performance report, heard about planned Strategic Estates Plan being commissioned by NHS England, Patients in control, Early Warning Scoring of clinical deterioration, One Care Consortium - Wave two Prime Minister s Challenge Fund. The membership overwhelmingly agreed the process to extend the contracts of the following for 3 years. Lay Chair Kathy Headdon Lay Member (chair of audit committee) Graham Nix Chief Clinical Officer Dr Mary Backhouse (subject to national approval). The April Clinical Commissioning Leadership Group meeting received the Integrated Performance Report Month 12, there was a presentation from Dr Ed Mann, a North Somerset GP who is one of 7 GP Clinical Evidence Fellowship from the 7 CCGs which are part of the West of England Acaedemic Health Science Network. Ed described his role, the importance of evidence for Clinical Commissioning Groups and described some of his work done for the Clinical Commissioning Group on elderly people in nursing homes. The May Clinical Commissioning Leadership Group meeting received the Integrated Performance Report Month 1, Integrated Performance Report, the North Somerset Operational Resilience and Capacity Plan, NHS England Strategic Estates Plan, received an update on Any Qualified Provider Procurement of the Independent Sector Treatment Centre and Specification, approved the updated Levonorgestrel Patient Group Directive, approved the North Somerset Public Health Core Offer, approved the Equity and Choice Policy, received the Healthwatch Report North Somerset GP Practice Survey Report, discussed the Clinical Commissioning Group Stakeholder Event Programme, approved a number of Interventions Not Normally Funded Policies and noted the Risk Register. Practice visit took place to the Harbourside Practice at Portishead, a growing practice serving the new developing housing in Portishead. The Clinical Commissioning Group Annual Report for 2014 / 2015 is available on the Clinical Commissioning Group website or from the Clinical Commissioning Group office. https://www.northsomersetccg.nhs.uk/media/medialibrary/2015/06/nsccg_annualrep ort_1415_1.pdf The May Quality Assurance Group received the Quality of Care report of Local Health Services, Quality Accounts from Weston Health Authority Trust, North Somerset Community Partnership and Avon and Wiltshire Mental Health
Partnership, the Serious Incident Framework 2015/16 and Revised Never Events Policy and Framework 2015/16, Annual Equality and Diversity Report 2014 2015, the North Somerset Multi-Agency Guidance for injuries in non-mobile Babies, Health Care Acquired Infection committee Minutes April, the Clinical Commissioning Group Staff Survey 2014, the Human Resource workforce report, the Avon Primary Care Research Consortium Quarter 4 Report and approved a proposal to approve the Fifth Pillar work being undertaken by the Avon Primary Care Research Consortium. The Decision Scrutiny Committee met in June and reviewed handling of potential Conflicts of interest in relation to Alternative Provider Medical Services Procurement and the new quarterly Conflicts of interest Review Update. The first meeting of the North Somerset Joint Commissioning Committee took place in public in June. The papers can be found on the Clinical Commissioning Group website or from the Clinical Commissioning Group office. This committee is a joint committee between the Clinical Commissioning Group and NHS England sub-regional team. The terms of reference are to be found in the papers. There were no Public Questions, the Terms of Reference including Governance, Voting and Working arrangements were agreed. A presentation was heard on an overview of Primary Care and Joint Commissioning in North Somerset, Current Priorities in Primary Care including updates on the Alternative Provider Medical Services reprocurement, the Strategic Estates Plan, the Prime Minister s Challenge Fund and 7 day working, Personal Medical Services Contract Reviews, discussion on the Primary Care Strategy Development and work plan. https://www.northsomersetccg.nhs.uk/library/joint-commissioning-committee-25thjune/ public The Avon Primary Care Research Consortium held a Research seminar for Clinical Commissioning Group staff in June. It was an opportunity to hear about the importance of taking research evidence into consideration when planning new work. The role of evaluation was discussed. Staff have open access to this service. 2. North Somerset The North Somerset People and Communities Board (including the Health and Wellbeing Board and the Safer, Stronger Board) met for a seminar with facilitators from the Local Government Association to review the role and functions of the Board.
3. Bristol, North Somerset and South Gloucestershire The Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group partnership meets every 2 weeks. In addition to the significant amount of work that we are doing on the future procurement of Commissioning Support Services we have worked on Spinal End Stage Report, Trauma and Orthopaedics Steering Group, West of England Public Health Core Offer, Weston acquisition: update, System-wide performance/provider management Systems Resilience Group minutes, Update on commissioning and contracting round 2015/16, Independent Sector Treatment Centre and Patient Transport Services procurements, System Leadership Group, Children s Community Health Services Procurement, Evaluation of Urology Services Move, Cossham urgent care update, refurbishment of Elgar Ward, Southmead Hospital, Planned Care & Referral To Treatment Recovery, NICE Cancer Guidelines Impact of 2 week wait, Update and reflection on commissioning and contracting round 2015/16, Annual Review of BNSSG Access Policy The Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Strategic Informatics group meets monthly. Items covered in May and June have included Business Intelligence Development programme, Risk stratification, Informatics programme, Windows 7 monthly update, NHS SMS and FAX changes, NHS Mail update Briefing, LANDesk Rollout Update, EMIS partnership feedback, CCG-practice agreement, Connecting Care Project update, Data Centre Colocation Migration Bristol Health Partners held its annual Health Integration Team Conference in June. It was attended by more than 130 academics, clinicians, commissioners, patients and others from organisations across Bristol, South Gloucestershire and North Somerset. The new Bristol Health Partners strategy outlining the purpose, vision and future plans of the partnership, was launched. The day had a mixture of updates, practical workshops, presentations from the HITs and the three local Clinical Commissioning Groups. 4. Wider area The May South West Clinical Senate Council meeting examined the question Can the South West Clinical Senate assure CCGs that the clinical codependencies identified in the report produced by the South East Coast Senate are appropriate to support comprehensive, timely, high quality and safe acute hospital based services across the South West region?. This used the document http://www.secsenate.nhs.uk/news/clinical-co-dependencies-acute-hospitalservices-clinical-senate-review. The conclusions of the meeting can be seen on thee South West Senate website http://www.swsenate.org.uk/senate-advice/. The roles of Senates, Strategic Clinical Networks and Acaedemic Health Science Networks are being reviewed by NHS England.
NHS Clinical Commissioners is the national group which represents the majority of Clinical Commissioning Groups nationally. We have a regional South-West group which meets quarterly and is a useful forum for sharing issues and good practice. In May we met in Exeter, heard about work that is being done on our behalf. The annual NHS Confederation annual conference took place in June. This is a useful annual meeting for the whole NHS family. Both NHS England and Jeremy Hunt used this platform to make national announcements. In addition to speeches there are useful workshops and time to network with colleagues. The presentations are available http://www.nhsconfed.org/events/2015/06/nhs-confederation-annualconference-and-exhibition-2015 The West of England Acaedemic Health Science Network Board met in June, approved the annual report and had feedback from the workstreams. The report is available on their website. https://www.weahsn.net/west-of-england-annual-report- 20142015/5674/. Financial impact Safety and Quality Impact Consultation, Involvement and Engagement Risk Assessment Equality Impact Assessment Appendices None