PAPER N. North Manchester CCG 13 February Chief Operating Officer. Signed off by: Date of paper: 5 February Subject:

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1 North Manchester CCG 13 February 2013 Report of: Paper prepared by: Chief Operating Officer Jaki Heslop, Programme Manager and Signed off by: Date of paper: 5 February 2013 Subject: Background papers and links to priorities/objectives: Board Assurance Framework Risk Management Framework Risk register 2012/13 Purpose of the paper: To share the board assurance framework and actions being taken (risks rated at 15 and above). Relevance of the paper to delivery of North Manchester Commissioning Strategy: Implications for Access and Inclusion: The risks associated with specific objectives within the Strategy are included in the risk register (and so where the ratings are associated with the above are shared as part of this paper) Not applicable How does the proposal contribute to reducing health inequalities? How does the paper evidence North Manchester Clinical Commissioning competencies and governance for authorisation? How does the paper evidence Use of Resources? How does this paper contribute to 2012/13 NHS Operating Framework areas of Quality, Reform and Finance Any risks associated with this are included in the risk register The risk management framework identifies how the CCG manages and monitors risk. The risk register is the document that contains the risk information required as part of the framework and this paper is the first paper reporting the board assurance framework elements). Any risks associated with this are included in the risk register The risks associated with specific objectives within the frameworks and QIPP programmes are included in the risk register (and so where the ratings are associated with the above are shared as part of this paper) 1

2 Action/decision required: The Board is asked to: 1. review the board assurance framework and actions being taken 2. identify any further actions that should be taken in relation to the board assurance framework. 2

3 1. Purpose of paper The purpose of this paper is to provide the Board with a copy of the Board Assurance Framework dashboard highlighting: those risks rated 15 and above (along with information about the actions being taken to mitigate these); and those risks rated 8-15 for information. This is in accordance with the Risk Management Framework approved by the Board at is December 2012 meeting. 2. Informing the Board Assurance Framework 2.1 Risk Register The CCG has a risk register that incorporates risks: to the CCG s financial operations and planning; to the CCG s ability to achieve quality, innovation, productivity and prevention (QIPP) targets; to the safety of any patient that the CCG is responsible for; associated with the quality of CCG commissioned care that is received by patients; that impact on the CCG organisation as a whole; or that may bring the reputation of the CCG into question. The risk register is regularly reviewed by the CCG s management team (including Manchester city wide team personnel). 2.2 Sub-Committee Review Each risk is attributed to a sub-committee of the CCG Board for them to review. Each relevant sub-committee has looked at the risks attributed to them since the risk management framework was approved by the Board in December The Board Assurance Framework The Board Assurance Framework is attached at Appendix A. This is presented in the form of a dashboard that ranks the risks in the risk register in terms of their rating and shows the risks to the CCG (including risks associated with achieving the CCG s objectives as described in the Operational Plan). In accordance with the risk management framework further information regarding risks rated 15 and above is provided below: 3.1 Managing Emergency Activity - Ancoats walk in centre relocation takes place (with the walk in centre closing on 10 February and re-opening at North Manchester General Hospital (NMGH) on 11 February This will improve the management of pressures within A&E at NMGH and to reduce the risk of extra A&E activity at Central Manchester Hospitals NHS Foundation Trust a business case for additional GP resource in their Primary Care Emergency Centre has been approved - A business case is being developed for a Crisis Response service (6 month 3

4 pilot) to go live March 2013 (with a view to testing the viability and impact of such a service for any long term service commissioning decisions) - The North West Ambulance Service (NWAS) pathfinder project has been implemented initially with patients known to the Falls Service and there are plans to roll this out to include other services - A community alarms service is in place to respond to un-injured fallers who are triaged as low priority by NWAS - A business case has been approved for additional services to meet winter pressure demands including intermediate care places and transitional beds. In terms of performance against the 95% standard: NMGH is just under 95% for the year. 3.2 Reducing the Number of Children who are Overweight Public Health Manchester continue to commission a number of weight management services including: Community Nutrition Service (Your Choice, Child and Family Weight Management and Counterweight weight management in primary care programmes Active Lifesstyles (Fit Families and Weight No More weight management programmes) the Physical Activity on Referral Service (PARS) and other school/community based programmes. Support for training and policy (development and implementation) is in place, e.g. for Early Years staff (Manchester City Council, Private Sector and child-minders). They are also working with a range of partners (e.g. Active Lifestyles Service, Children's Services, the CCG and Manchester City Council) to deliver early years/ family based interventions and training. Manchester is achieving good coverage but year six children are still higher than national average weight. 3.3 Information, Management and Technology (IM&T) Transition Arrangements through the CSU Due to the current transition there are particular operational risks associated with the transfer of legacy documentation and filing systems, the development of CCG systems / access to going forward, i.e. accessibility to shared folders and accounts from 1 April 2013 onwards. Action to date includes: The Greater Manchester IM&T team have been asked to reaffirm any requirements from the CCG regarding access to electronic diaries, , etc. Issues have been escalated through the Manchester PCT Closedown Team (from the CCG as a receiving organisation in the transition). The CCG s Chief Operating Officer has also met with Greater Manchester Commissioning Support Unit (CSU) IM&T lead to clarify actions and plans. Through the Manchester representative on the Greater Manchester PCT Closedown Group NHS Manchester has tried to ensure that this is resolved as quickly as possible so that file names, access, etc. are clarified prior to the 'termination' of NHS Manchester. Some clarification has been received in terms of user addresses and storage quotas will remain the same. No downtime is expected during the transition. Actions that will need to be taken are identified as: 4

5 All Nhs.net distribution lists will have to be re-created All generic mailboxes will have to be re-created and issued with a new address. What is not yet clear is whether these are actions the CCG should take direct, whether the CSU will do this on our behalf and how to access historical information in the generic mailboxes. Guidelines has been issued regarding data/ governance on the Information Assets Registers (developed as part of the PCT Closedown) and the highlights are: There is a link to an online Secure File Transfer tool which can be used to send data of less than 1 GB in size. People will have to have an Nhs.net address and also register with the site. Anything over 1 GB would have to be moved on an encrypted drive. In all cases justification must be given and approved by the Information Governance Manager (not sure if this is for sending and / or receiving organisations). Concerns remain in terms of the following: The Length of time to get approval to migrate data The capacity of IG Manager(s) to process all such application in a timely manner Large files would require encrypted hard disk to be purchased and funding of this remains unclear. All the issues highlighted above will continue to be pursued through the Manchester and Greater Manchester Closedown groups. Everything is expected to be sorted by the end of June Allocations to CCGs This is covered within the finance update to the Board in a separate paper. 4. Recommendation The Board is asked to: 1. note the actions being taken for the four risks rated 15 or above (described in section 3 of this report); 2. identify any further actions that should be considered or taken; and 3. note the remainder of the assurance framework (i.e. risks rated 8-15) in Appendix A. 5

6 Appendix 1 Board Assurance Framework BRAF for Jan 2013 for Board - Appendix