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NHS Calderdale, Kirklees and Wakefield District Cluster

Minutes of the CKW Cluster Board held on Tuesday 7 February 2012 at 2.00pm in the Boardroom at Broad Lea House, Huddersfield Present: Angela Monaghan Roger Grasby Sandra Cheseldine Ann Liston Keith Wright Mehboob Khan Mike Potts Jonathan Molyneux Ann Ballarini Sue Cannon Dr Andrew Furber Dr Judith Hooper Dr Graham Wardman

Chair Non-Executive Director and Vice Chair Non-Executive Director Non-Executive Director Audit Committee Chair Non-Executive Director Chief Executive Interim Executive Director of Finance and Efficiency Executive Director of Commissioning and Service Development Executive Director of Quality and Governance (Executive Nurse) Executive Director of Public Health (NHS Wakefield District) Executive Director of Public Health (NHS Kirklees) Executive Director of Public Health (NHS Calderdale)

In attendance: Peter Flynn June Goodson-Moore Carol McKenna Gill Galdins Julie Lawreniuk Sheila Dilks Vicky Pickles Eleanor Nossiter Pauline Kershaw Alison Fearnley

Director of Performance and Commissioning Intelligence Executive Director of Workforce and Corporate Development Chief Operating Officer (NHS Kirklees) Chief Operating Officer (NHS Wakefield District) Chief Operating Officer (NHS Calderdale) Director of Transformation Head of Corporate Affairs (NHS Calderdale) Head of Communications and Engagement (NHS Wakefield) Executive Assistant (NHS Kirklees) Corporate Governance Administrator (NHS Kirklees)

In addition there were three members of the public also in attendance. The Chair opened the meeting by welcoming all those in attendance. CKWCB/12/31

Apologies for Absence Apologies for absence were received from Dr Matt Walsh, Executive Medical Director, Tony Gerrard, Non-Executive Director and Roy Coldwell, Non-Executive Director.

CKWCB/12/32

Declarations of Interest Sandra Cheseldine declared an interest in agenda item CKWCB/12/39 as Chair of the Trustee Board for Wakefield District Citizens Advice Bureau, as the service they provide at Ash Grove Medical Centre was mentioned in the report. Page 1 of 10


CKWCB/12/33

Minutes of the last meeting held on 17 January 2012 The minutes of the Cluster Board meeting held on the 17 January 2012 were AGREED as a true and accurate record.

CKWCB/12/34

Matters arising from the Minutes of the last meeting There were no specific matters arising from the minutes of the last meeting. The Board also reviewed and updated the action log sheet.

CKWCB/12/35

Public Question Time The Chair gave an opportunity for any members of the public to raise any questions. No questions were raised.

CKWCB/12/36

Chair’s Comments The Chair had no comments to make on this occasion.

CKWCB/12/37

Chief Executive’s Report Mike Potts presented his report to the Board highlighting the following: NHS Calderdale, Kirklees and Wakefield District - Obituary The Board acknowledged the sad and sudden death of Ian Hazlehurst, Senior Human Resources Manager, on 21 January 2012. It was recognised that Ian would be greatly missed by his many friends and colleagues. Mid Yorkshire Hospitals NHS Trust The Board noted that Julia Squire, Chief Executive of MYHT, was to take up a new appointment at the NHS Confederation. Stephen Eames had been appointed as the Trust’s new Chief Executive on an interim basis who would take up his appointment at the beginning of March 2012. In addition Ed Anderson had also stepped down as Chairman on 2 March 2012. The Board acknowledged that David Stone CBE had been appointed as the new Chair on an Interim basis. NHS Commissioning Board design

The Board was informed that the NHS Commissioning Board Authority (CBA) had published a key document, as part of its Board papers, setting out its recommendations for the structure of the future Commissioning Board. The proposals contained in Design of the NHS Commissioning Board include the size and shape of the organisation, the principles behind the design and what happens next. The Board was encouraged to read this important document.

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National Directors appointed Mike confirmed that the NHS Commissioning Board Authority had confirmed the appointment of the following five National Directors: -

Chief Operating Officer - Ian Dalton (currently Cluster Chief Executive, NHS North of England)

-

Chief of Staff - Jo-Anne Wass (currently NHS Chief of Staff)

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National Director: Commissioning Development – Dame Barbara Hakin (currently National Managing Director of Commissioning Development)

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National Director: Improvement and Transformation – Jim Easton (currently National Director for Improvement and Efficiency)

-

National Director: Policy, Corporate Development and Partnership – Bill McCarthy (currently Managing Director, NHS Commissioning Board Authority)

Feedback on the Enhanced Commissioning Framework Exercise Mike advised that the Cluster had received feedback from the SHA regarding the above exercise and confirmed that across the cluster there were a number of good practise examples in place. It was recognised that each of the PCTs in the cluster had developed action plans following this exercise and he provided assurance that the Governance Committee would monitor delivery of these action plans. Single Integrated Plan Peter Flynn advised the Board that the draft plan was submitted to the Strategic Health Authority (SHA) prior to the deadline and that initial feedback was encouraging. It was noted that the first draft would be presented to the Board on 6 March 2012. The Board RECEIVED and NOTED the contents of the Chief Executive’s Report. CKWCB/12/38

Finance and Efficiency Report Jonathan Molyneux updated the Board on a number of developments since the previous meeting. Following a financial review, Mid Yorkshire Hospitals NHS Trust (MYHT) had reported a revised year end Income and Expenditure projection, to a deficit of £19.7m for 2011/12. This is after additional funding agreed in principle by CKW Cluster of £14m and reinvestment of the readmissions penalties in line with national guidance. This has Page 3 of 10


now clarified and reduced the outstanding risk to the Cluster, regarding the financial position of MYHT, identified in the Month 9 finance report. The Cluster had successfully bid for additional funding of £6m in total for Calderdale and Huddersfield NHS Foundation Trust (CHFT) and MYHT, linked to the achievement of specific access targets, including reductions in patient waiting times. The funding will be passed direct to the providers although the Cluster will be closely involved in monitoring performance against the revised targets. Jonathan confirmed that the Cluster was still on target to achieve its Income and Expenditure surplus of £15m, after taking into account the above issues. The Cluster Board RECEIVED and NOTED the content of the Finance and Efficiency Report. CKWCB/12/39

Application to Close a Branch Surgery; Ash Grove Medical Centre, Knottingley, Wakefield Gill Galdins presented the report to the Board. She explained that NHS Wakefield District had received a final application from Ash Grove Medical Centre in Knottingley to close the practice branch surgery site in Ferrybridge. It was recognised that the Primary Medical Services Working Group (PMSWG) had met in January 2012 to discuss the application and consider whether the closure was appropriate. It was noted that it was decided by the group that there was sufficient evidence to support the closure of the branch site and for the application to be referred to the Wakefield Alliance Clinical Commissioning Executive for support and then the Cluster Board for a final decision to be made. The Board were informed that it had been part of the original plans to close the branch surgery when Ash Grove Medical Centre was refurbished. In addition, it was emphasised that an extensive consultation process had been undertaken with patients and key stakeholders since July 2011. Ann Liston read out a question that Roy Coldwell had asked to be considered in his absence. Roy’s question related to whether there were any other NHS premises in a similar condition. Gill confirmed that to her knowledge there were no other GP premises in the Wakefield District in the same condition. Carol McKenna and Julie Lawreniuk provided an update from a Kirklees and Calderdale perspective. Following discussion it was AGREED to provide Roy with a list of PCT estate that might be considered as substandard. Angela Monaghan enquired what steps were being taken to discontinue the use of the premium rate telephone numbers that patients and members of the public are required to use to contact GP surgeries. Gill provided assurance that action was being taken to resolve this issue. Page 4 of 10


Following consideration the Board: NOTED the content of the report and attached appendices; APPROVED the closure of the Ash Grove Medical Centre branch surgery at Ferrybridge and; REQUESTED that Ash Grove Medical Centre give a minimum of three months notice to patients and inform all registered patients of the closure by letter, including the notice period and closure date. CKWCB/12/40

North of England Specialised Commissioning Group Establishment Agreement The Board was presented with the North of England Specialised Commissioning Group Establishment Agreement for approval. Ann Ballarini gave background to the report and explained that the Establishment Agreement had been previously discussed at the inaugural meeting of the North of England Specialised Commissioning Group. It was emphasised that the Establishment Agreement had taken into account relevant content included within the North of England Specialised Commissioning Governance paper that was previously approved by the Board. Following discussion the following observations were made: THAT each individual member will be able to commit only those resources which have been agreed to be allocated to the North of England SCG and within the limits set out in their own Cluster’s/PCT’s Standing Financial Instructions (SFIs) ; THAT the North of England SCG should recognise variations in authorised financial limits between its members and note that, in the event of a conflict between the Standing Orders(SOs) and SFIs of the SCG and an individual member PCT, that the SOs and SFIs of that member will prevail; and THAT any confidential matters discussed by the North of England Specialised Commissioning Group are reported to the CKW Cluster Board via a Private Board minute. Subject to the above comments the Board ENDORSED the Establishment Agreement for the North of England Specialised Commissioning Group in so doing agreeing to: 1. The committee’s functions and duties including the scope of services to be commissioned and the establishment of Regional Operating Groups. 2. The principles upon which the North of England Specialised Commissioning Group is based. 3. The composition of the North of England Specialised Commissioning including meeting and business transactions. 4. Accountability arrangements including funding and the procurement of service. Page 5 of 10


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CKWCB/12/41

Configuration of CCGs in South East Wakefield The Board received an update on the Commissioning Development agenda. Ann Ballarini explained that the paper updated the Board on the following three topics: Proposals for the Establishment of an emerging Clinical Commissioning Group (eCCG) known as the South Wakefield Commissioning Partnership; Design of the NHS Commissioning Board; and Future arrangements for managing NHS Estate. Ann explained that the red risk rating from the Strategic Health Authority (SHA) for the South Elmsall and Rycroft and the Grange emerging Clinical Commissioning Groups remained in place. She confirmed that the CKW Cluster was supporting the practices to agree a new configuration for clinical commissioning. It was recognised that a resolution would be taken to the next meeting. The Board received a summary of the proposal for the design of the NHS Commissioning Board which described the proposed role and function of the NHS CB Board across 9 directorates with a single operating model of four sectors and 50 local offices. It was noted that the total workforce will be approximately 3,500 with 800 people working in NHS CB centre, around 200 people in the four sectors and 2,500 across 50 local offices. Ann confirmed that the NHS CB running cost budget for 2014/15 would be ÂŁ492 million which represented a 50% reduction on current costs. Mehboob Khan expressed concerns that the proposals were complex and bureaucratic and he asked Mike to feed his comments upward. Mike encouraged Mehboob to read the document published by the NHS Commissioning Board Authority titled Design of the NHS Commissioning Board. In addition it was suggested it would be useful for the Health and Well Being Boards to engage in early discussion with the shadow NHS Commissioning Board regarding how these arrangements would work in their infancy. Finally, Ann explained that the Department of Health had set up a company NHS Property Services Ltd to manage NHS estate that is currently owned by PCTs, SHAs and Arms Length Bodies. It was recognised that further details on this were expected in the spring. The Board AGREED to: NOTE the update on resolving the configuration of emerging CCGs in South East Wakefield; NOTE the update on the design of the NHS Commissioning Board; and NOTE the future arrangements for managing NHS Estate.

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CKWCB/12/42

Draft Minutes of the procurement of Chronic Pain Service Sub Committee The Board APPROVED the Draft Minutes of the Procurement of Chronic Pain Service Sub Committee held on 9 January 2012.

CKWCB/12/43

Draft Minutes of the CKW Governance Committee The Board RECEIVED and NOTED the Draft Minutes of the CKW Governance Committee held on 12 December 2012. It was highlighted that Executive Directors would be invited to attend the Governance Committee meetings as and when required to update the committee on the high level strategic objectives.

CKWCB/12/44

Minutes of the North Kirklees Health Alliance Clinical Commissioning Executive The Board RECEIVED and NOTED the Minutes of the North Kirklees Health Alliance Clinical Commissioning Executive held on 23 November 2011.

CKWCB/12/45

Minutes of the Greater Huddersfield Clinical Commissioning Executive The Board RECEIVED and NOTED the Minutes of the Greater Huddersfield Clinical Commissioning Executive held on 23 November 2012.

CKWCB/12/46

Minutes of the Calderdale Clinical Commissioning Executive The Board RECEIVED and NOTED the Minutes of the Calderdale Clinical Commissioning Executive held on 8 December 2011.

CKWCB/12/47

Minutes of the Wakefield Alliance Clinical Commissioning Executive The Board RECEIVED and NOTED the Minutes of the Wakefield Alliance Clinical Commissioning Executive held on 20 December 2011.

CKWCB/12/48

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 Tuesday 6 March 2012 in the Shibden Room, F Mill, Dean Clough, Halifax.

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CKWCB/12/49

Exclusion of the Press and Public It was RESOLVED that: “representatives of the press and other members of the public be excluded from part two 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� (sections 1 (2) Public Bodies (Admission to Meetings) Act 1960.

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/CKWCB-12-52_Draft_Cluster_Board  

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