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Agenda Item 07 Enclosure CKWCB/12/82

Report To:

NHS Calderdale, Kirklees and Wakefield District Cluster Board

Title of Report:

Chief Executive’s Report

FOI Exemption Category: Open

Responsible Director: Report Author and Job Title:

Mike Potts, Chief Executive

Mike Potts, Chief Executive

Executive Summary:

This report updates the Cluster Board on current pertinent issues not covered elsewhere on the agenda.

Finance/Resource Implications:

The Cluster will work at all times to ensure “Best Value” in the commissioning and delivery of services.

Risk Assessment:

The Cluster will work at all times to minimise any risks inherent in the delivery of commissioning of healthcare.

Legal Implications:

The Cluster acts at all times to be compliant with existing legislation.

Health Benefits:

The Cluster will work at all times to ensure the delivery or commissioning of clinically effective healthcare for the people of Kirklees and to promote health improvements and minimise health inequalities.

Staffing/Workforce Implications:

The Cluster is working in compliance with the NHS Human Resources Framework.

Outcome of Equality Impact Assessment:


Sub Group/Committee:


Recommendation (s):

The Cluster Board is asked to RECEIVE and NOTE the content of this report.

NHS Calderdale, Kirklees and Wakefield District Cluster Board 27 March 2012

Context The Board is well focussed on its three strategic priorities as we manage the transition to the reformed NHS (subject to the Health and Social Care Bill receiving Royal Accent). The three priorities being: Control – maintaining a focus on performance, quality, safety and finance during transition. Create – creating the new NHS architecture – Clinical Commissioning Groups, Commissioning Support Services, Local Offices of the NHS Commissioning Board, development of Health and Well Being Boards and the transition of Public Health to Public Health England and Local Authorities. Close – Managing the closedown of the three statutory organisations, ensuring smooth handover of statutory functions to a range of new bodies and appropriate handover of legacy issues to the new system. As we move towards the final year of transition to April 2013, the role of the cluster and that of the Board will change, focussing more on closedown and handing over the responsibility of controlling and managing the day to day business of commissioning to the CCGs. This, of course, will still be in the context of the delegation framework agreed by the Board, as there will be no legislation in place to allow CCGs to take on formal statutory authority until April 2013. The development session arranged for 3 April 2012 will provide the Board with an opportunity to explore in more detail what this means, how it will shape the Board’s work programme for the next 12 months and the behaviours that we will expect to see from the new system as we move through the final stages of transition. Some of the papers that the Board will be discussing today will reinforce this change in focus and begin to set the scene for what will be an important discussion on 3 April 2012. Cluster Director of Finance – Ian Currell Ian Currell, Cluster Director of Finance, is to take up his post on 23 April 2012. I am sure you will join me in making Ian very welcome. I would also like to take this opportunity to again thank our Interim Director of Finance, Jonathan Molyneux, who has done a sterling job over the past few months in steering us safely towards year end.

Director of Transformation - Sheila Dilks As I mentioned in my report to the February Board meeting, Sheila Dilks, Director of Transformation, leaves the organisation at the end of March 2012. Sheila’s background is in

nursing and she started with the NHS in 1970, joining us at NHS Kirklees in 2007 from the Department of Health, where she was Professional Advisor in the Commissioning Directorate, with responsibility of ensuring policies reflected the issues of the nursing profession and in planning, writing and implementing new policy in line with strategic direction. Her energy and enthusiasm will be greatly missed. We wish Sheila all the very best for the future.

Department of Health Visit to NHS Calderdale, Kirklees and Wakefield District - Friday 20 April 2012 The Board is reminded that the Chief Executive of the NHS, Sir David Nicholson and his Director General Team, will be visiting Calderdale, Kirklees and Wakefield District on 20 April 2012. The programme for the day is currently being finalised and Board members are asked to indicate their availability to attend the morning session, to Pauline Kershaw in my office, as soon as possible.

Mid Year Review Following the Mid Year Review meeting with the SHA on 26 January 2012, the final letter summarising the outcome of that review has been received and is attached for information. The executive team are focussed on addressing the performance issues raised by the SHA, all of which the Board is sighted on through our regular performance reports. The end of year review will take place on 21 May 2012.

NHS Constitution A new version of the NHS Constitution was published earlier this month. The attached document shows the full pledge re waiting times and the changes. Staff will be briefed on these changes through our regular communication channels, including staff briefings. Safe & Sustainable – Children’s Cardiac Surgery Review Update A verdict is awaited in April from the appeal hearing held on 20 March 2012 with regards to the appeal lodged by the JCPCT. If the JCPCT wins the appeal, a decision making meeting, in public, will be held mid June. This will take the same format as the first public meeting in February 2011, but live streaming the meeting on the internet is also being looked at. A document will be published following the meeting, setting out the rationale for any decisions made. If the JCPCT loses the appeal, there will be a new consultation. Again, there will be a similar meeting to the one held in February last year, at which the options for change are discussed in public. Consultation would start end June/early July and would last until September, taking into account the Olympics and summer holidays. There will not be any formal public

consultation events as were held last year. Instead the team is planning a series of public exhibitions, which will run throughout an afternoon and evening in a given location, and will provide the public with an opportunity to pick up information, as well as speak to members of the Safe and Sustainable Steering Group and clinicians.

Emergency Preparedness, Resilience and Response (EPRR) As Lead Chief Executive for EPRR across West Yorkshire, I and other colleagues from the West Yorkshire Resilience Forum (LRF), along with the SHA, were invited to take part in a national workshop held on 6 March 2012. The purpose of this workshop was to take forward the development of EPRR implementation at an LRF level, specifically the implementation of formal Local Health Resilience Partnerships which will be how the NHS family co-ordinate the NHS response post NHS reform. Outcome of workshop The Department of Health will be publishing further guidance in the next few weeks. This will include a Local Health Resilience Partner “start up pack”. Work being undertaken at this workshop is being shared with all PCT Clusters across the North of England to ensure all PCT Clusters have the opportunity to provide consistent feedback to the Department of health on concept of operations, terms of reference, membership, etc, and produce a North of England project plan. Further consideration about the flexibility on the Local Health Resilience Partnership footprint. Within the North, further work on suggested options for the configuration of Local Health Resilience Partnerships will be developed to include consideration of patient flows for trauma networks and clinical networks. There remain several issues where the national position needs to be clarified in relation to: - Accountability and employment of “NHS Commissioning Board Lead Director” for Local Health Resilience Partnership. - Resourcing of that role and support staff. - Role of the DPH is planning and response, including resourcing and co-chairing of the Local Health Resilience Partnership. The Board will be kept up-to-date on how this work develops.

Mike Potts Chief Executive


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