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NHS Calderdale, Kirklees and Wakefield District Cluster

Minutes of the CKW Cluster Board held on Tuesday 12 June 2012 at 11.15am in the Boardroom, Broad Lea House, Huddersfield Present: Angela Monaghan Ann Liston Roy Coldwell Mehboob Khan Keith Wright Tony Gerrard Sandra Cheseldine Mike Potts Dr Andrew Furber Dr Judith Hooper Ann Ballarini

Chair Non Executive Director Non Executive Director Non Executive Director Non Executive Director and Audit Committee Chair Non Executive Director Non Executive Director Chief Executive Executive Director of Public Health (NHS Wakefield District) Executive Director of Public Health (NHS Kirklees) Executive Director of Commissioning and Service Development Executive Director of Finance and Efficiency

Ian Currell In attendance: Gill Galdins Peter Flynn June Goodson-Moore Danny Alba Pauline Kershaw Alison Fearnley

Director of Corporate Development and Transition Director of Performance and Commissioning Intelligence Director of Workforce and Corporate Development Commissioning Programmes Manager (NHS Wakefield District) Executive Assistant Corporate Governance Administrator

In addition there were two members of the public also in attendance. The Chair opened the meeting by welcoming all those in attendance. The Chair reminded the Board regarding the new ways of working ie that there would be a limited agenda at alternate meetings. CKWCB/12/133

Apologies for Absence Apologies for absence were received from Roger Grasby, NonExecutive Director and Vice Chair, Sue Cannon, Executive Director of Quality and Governance (Executive Nurse), Carol McKenna, Shadow Accountable Officer, NHS Greater Huddersfield Clinical Commissioning Group (CCG), Jo Webster, Shadow Accountable Officer, NHS Wakefield CCG, Chris Dowse, Shadow Accountable Officer, NHS North Kirklees CCG, Matt Walsh, Shadow Accountable Officer, Calderdale CCG, Graham Wardman, Executive Director of Public Health (NHS Calderdale), Alison Hughes, Managing Director, Commissioning Support Services.

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CKWCB/12/134

Declarations of Interest No Cluster Board members declared interests in any of the agenda items.

CKWCB/12/135

Minutes of the last meeting held on 8 May 2012 and matters arising The minutes of the Cluster Board meeting held on the Tuesday 8 May 2012 were AGREED as a true and accurate record. Matters arising: CKWCB/12/120

Commissioning Support Services: West Yorkshire Commissioning Support Service Joint Committee (WYCSSJC)

The Chair confirmed that Ann Liston had been appointed as the Non Executive Director representative for the CKW Cluster to the WYCSS Joint Committee. It was noted that Airedale, Bradford and Leeds Cluster had also appointed an equivalent NED. CKWCB/12/123

Transformation Programme update

Mike Potts confirmed that the Cluster Executive Team was considering issues from the Transformation Board. CKWCB/12/127

Minutes of the North Kirklees Clinical Commissioning Executive held 28 March 2012

Ann Ballarini advised that the Clinical Commissioning Group meetings were likely to start being held in the public domain from September 2012. The Board also reviewed and updated that action log sheet which would be updated as necessary. CKWCB/12/136

Chief Executive’s Report Mike Potts presented his report to the Board highlighting the following: Cluster Executive Medical Director Role The Board noted that the Chair and two Non Executive Directors (NEDs) had endorsed the appointment of Damian Riley as Cluster Executive Medical Director in accordance with Standing Orders. The Board ENDORSED this decision. In addition the Board ENDORSED Damian undertaking the following roles: Page 2 of 7


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Responsible Officer for Medical Revalidation for the Cluster, in addition to our existing approved ROs) Accountable Officer for Controlled Drugs for the Cluster in line with legislative requirements of PCTs.

Single Practitioner Performance Policy The Board ENDORSED the decision to work towards a single practitioner performance policy, and a single Performance Assessment and Management Group being established for the Cluster acting on behalf of all 3 PCTs to manage ongoing concerns. It was noted that a resolution would be brought to the July Board meeting with a view to endorsing cluster wide policies for: -

Accepting Practitioners onto Performer Lists Handling Concerns about Practitioners on Performers Lists

Maintaining Quality During Transition The Board AGREED to delegate authority to the Governance Committee to sign off an action plan in connection with this guidance at their meeting on 20 June for submission to the Strategic Health Authority (SHA) by the required deadline. Cluster Board Workplan The Board noted that the executive team were preparing a Cluster Board Workplan which would be presented to the Board in July. Safe and Sustainable – A New Visio for Children’s Congenital Heart Services The Board received a further update regarding the JCPCT progressing with the decision making around the children’s congenital heart services. It was recognised a decision would be made on 4 July 2012. BMA Ballot for Industrial Action The Board was made aware that BMA members would be taking some form of industrial action on Thursday 21 June 2012. It was recognised that work was underway to ensure that business continuity plans were ready to be implemented and that emergency and urgent patient care is not compromised during any period of industrial action. David Behan - Care Quality Commission's new Chief Executive Mike Potts informed the Board that David Behan had been appointed as the new Chief Executive of the Care Quality Commission with effect from July 2012. The Board RECEIVED and NOTED the contents of the Chief Executive’s Report. Page 3 of 7


CKWCB/12/137

Prisons Capital Bids for the refurbishment and development of the healthcare centres at HMP Wakefield and HMP & YOI New Hall Danny Alba joined the meeting to present the above report to the Board. It was noted that the report informed the Board about the successful capital bid to NHSNE Capital Finance for the refurbishment and development of the two prison’s healthcare centres (£500,000 grant for HMP Wakefield and £100,000 grant for HMP & YOI New Hall). The Board was given the opportunity to raise any issues they may have before the funds are allocated to the prisons. The Board was reassured regarding the accountability and governance arrangements following a query raised by a Board member. It was acknowledged that the Cluster was accountable for ensuring value for money for delivery of the project as holders of the grant. It was noted that the Board would receive further information regarding how this funding is allocated at a future meeting. The Board RECEIVED and NOTED the report.

CKWCB/12/138

NHS 111 Preferred Bidder Approval Process Mike Potts introduced the report to the Board and explained that the purpose of the report was to seek Board approval to delegate authority to the Chair and Chief Executive to approve the contract award of the Yorkshire and Humber NHS 111 procurement (which also includes the contract for the WYCU service) in the period 25 – 27 June 2012. The Board acknowledged the process that had been undertaken to award the contract and received assurance about the transparency and rigour that had been afforded to this process in order to give the Cluster Board the confidence to delegate the approval of contract award. The Board AGREED to: APPROVE the process as set out in the report; and DELEGATE authority under Section 17.21 of the Cluster PCT Standing Orders, to the Chair and Chief Executive to approve the outcome of the Yorkshire and Humber NHS 111 procurement process in the period 25 – 27 June 2012.

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CKWCB/12/139

Community Pharmacy West Yorkshire The Board was informed that Calderdale and Kirklees Local Pharmaceutical Committee (LPC) had been in the process of merging with Leeds and Bradford and Airedale LPCs so that they can better represent and support pharmacy contractors in the area. The Board noted that Wakefield was currently operating separately but was party to discussions. The Board officially recognised the LPC in accordance with Section 44 of the National Health Service Act 1977.

CKWCB/12/140

2011/12 Annual Reports and Accounts It was acknowledged that the Board had delegated responsibilities for the approval of the 2011/12 Annual Reports and Accounts to the Audit Committee. Ian Currell confirmed that the Audit Committee had approved the Annual Reports and Accounts on 6 June 2012 subject only to any non-substantive changes to the Annual Reports. The Board acknowledged that each of the three PCTs had achieved all their financial duties and was reassured that a robust assurance process had been undertaken at a local level. It was recognised that Board members had a further week to comment on the content of the Annual Reports and make any nonsubstantive changes. The Board RECEIVED the following documents for each of the individual PCTs and NOTED the approval given by the Cluster Audit Committee on behalf of the Board: 20111/12 Annual Accounts Head of Internal Audit Opinion Annual Governance Statement External Audit Annual Governance Report including Letter of Representation 2011/12 Annual Reports

CKWCB/12/141

Governance Committee Membership The Board received proposed revisions to the membership of the Governance Committee to reflect changes within the Cluster Executive Team in late May and to ensure that there is appropriate membership of the Governance Committee for the Cluster to fulfil its role in preparing and supporting emerging clinical commissioning groups within NHS Calderdale, Kirklees and the Wakefield District through to authorisation. The Board acknowledged that the membership included non cluster Board members with voting rights. Page 5 of 7


The Board APPROVED the changes to the membership of the Governance Committee with immediate effect as outlined within the report. CKWCB/12/142

Minutes of the Yorkshire and the Humber Specialised Commissioning Operational Group The Board ADOPTED the Minutes of the Yorkshire and the Humber Specialised Commissioning Operational Group held on 27 April 2012. Mike provided clarity regarding the existing risk share schemes and provided assurance these were regularly reviewed following a query raised.

CKWCB/12/143

Minutes of the North of England Specialised Commissioning Group The Board RECEIVED and NOTED the Minutes of the North of England Specialised Commissioning Group held on 15 March 2012. The Board welcomed an accompanying Decision summary where appropriate.

CKWCB/12/144

Minutes of NHS Wakefield Clinical Commissioning Group The Board RECEIVED and NOTED the Minutes of NHS Wakefield Clinical Commissioning Group held on 24 April 2012. It was highlighted that Mortality rates would be discussed in confidence with each of the practice representatives due to the sensitive nature of this data. It was recognised that any significant issues would be brought to the attention of the Board.

CKWCB/12/145

Minutes of the Cluster Audit Committee The Board RECEIVED and NOTED the Minutes of the Cluster Audit Committee held on 1 May 2012.

CKWCB/12/146

Draft Minutes of the Cluster Governance Committee The Board RECEIVED and NOTED the Draft Minutes of the Cluster Governance Committee held on 18 April 2012 subject to no substantive changes.

CKWCB/12/147

Date and time of the next meeting It was AGREED that the next meeting of the Cluster Board would take place between 9.00am and 1.00pm on the 3 July 2012 in the Boardroom at White Rose House, Wakefield.

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CKWCB/12/148

Resolution to Exclude Public from Part two of the meeting It was RESOLVED that: “representatives of the press and other members of the public be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity on which would be prejudicial to the public interest� (Section 1 (2) Public Bodies (Admission to Meetings) Act 1970).

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