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CKWCB/12/132 NHS Wakefield District WAKEFIELD ALLIANCE CLINICAL COMMISSIONING EXECUTIVE Minutes of the meeting held on 27 March 2012 Boardroom, White Rose House Present

Dr Phil Earnshaw Dr Adam Sheppard Dr Ann Carroll Dr Avijit Biswas Dr Ivan Hanney Dr Clive Harries Dr David Brown Stephen Bryan Dr Dinesh Nagi Sandra Greenwood Jan Power Elaine McHale Jo Webster Gill Galdins Julie Lawreniuk Sandra Cheseldine Rhod Mitchell

In Attendance

Adam Bassett Matt England

Ian Carr

Danny Alba

Phil Smedley

Cat de Jonge

Rosemary Davison Laura Elliott

Chair, Wakefield Alliance GP, Lupset Health Centre GP, Outwood Park Medical Centre GP, Pinfold Surgery GP, College Lane Surgery GP, Chapelthorpe Surgery GP, Kings Medical Centre Practice Manager, Stuart Road Surgery Consultant, Mid Yorkshire Hospitals NHS Trust Nurse Manager, Ferrybridge Medical Centre LINks Representative Wakefield Council Shadow Accountable Officer Chief Operating Officer, NHS Wakefield District (NHSWD) Chief Finance Officer Non Executive Director Non Executive Associate Corporate Risk Manager, NHSWD Head of Contracting and Commercial Strategy, Wakefield Alliance (Minutes 12/46 and 12/57) Head of Strategic Planning and Children’s Commissioning, NHSWD (Minute 12/47 only) Commissioning Programmes Manager, NHSWD (Minute 12/48 only) Head of Partnership Commissioning, NHSWD (Minute 12/50 only) Senior Commissioning Manager, NHSWD (Minute 12/51 only) Head of Continuing Care, NHSWD (Minute 12/52 only) Head of Quality, Wakefield Alliance, NHSWD (Minute 12/54 only)


Shaun Boffey

Senior Commissioning Manager, NHSWD (Minute 12/55 only) CSS Project Manager, NHS Calderdale, Kirklees and Wakefield District (Minute 12/56 only) Interim Managing Director, West Yorkshire Commissioning Support Services (Minute 12/56 only)

Rachel Spilsbury

Alison Hughes

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Apologies Apologies were received from Dr Paul Dewhirst, Sam Pratheepan, Dr Andrew Furber and Gill Wainwright

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Minutes of the meeting of the Wakefield Alliance Clinical Commissioning Executive Meeting held on 28 February 2012 It was RESOLVED that i)

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The minutes of the meeting of the Wakefield Alliance Clinical Commissioning Executive Meeting held on 28 February 2012 were agreed as a correct record.

Minutes of the meeting of the Wakefield Alliance Clinical Commissioning Executive Sub Group Meeting held on 13 March 2012 and decisions for ratification. The Clinical Commissioning Executive (CCE) was requested to ratify decisions made at a sub group meeting of the CCE which was held on 13 March 2012. This related to:          

2012/13 Financial Plan 2012/13 Budgets Wakefield Alliance Strategic Plan ReAblement Wakefield Integrated Community Services Enhance Support to care homes Carers breaks provision for 2012/13 Evolution of existing specialist palliative care provider role in admission avoidance and out of hours access Grant allocation to third sector Transfer of funding via a section 256 agreement to the Local Authority for Three Area Project (TAP) funding Well-being service15-19 years

The CCE ratified the decisions made by the sub group. However it was noted that the Well-being service15-19 years did not require ratification as a decision had previously been made on within Standing Financial Instructions by the Senior Management Team. In addition it was noted that 2


the sub group requested that the Carers breaks provision report be brought back to the CCE with clarification regarding the financial issues. It was RESOLVED that: i)

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the decisions made at the sub group of the Wakefield Alliance Clinical Commissioning Executive be ratified.

Matters arising from the minutes of the meeting of the Wakefield Alliance Clinical Commissioning Executive held on 28 February 2012 and the Sub Group meeting held on 13 March 2012 Adam Bassett updated the Clinical Commissioning Executive (CCE) on progress of the actions discussed at the meeting on 28 February 2012. The following matters arising were also discussed: 12/29

Adult Community Nursing

It was noted that an update on the Mid Yorkshire Hospitals NHS Trust plans for the District Nursing Service would be provided at the April meeting of the CCE. 12/06e

Shadow Accountable Officers Report ÂŁ100m to improve services

Jo Webster advised that further information would be brought to the CCE once the detail of the proposed schemes had been fully worked up. 11/172

Wakefield College Wellbeing Service

It was noted that a decision template on this matter was included on the agenda and that this matter had been agreed by the Senior Management Team. 12/42

Declarations of Interest Dr Earnshaw reminded members of the requirement to declare any interests which related to any items on the agenda. This could either be undertaken at this point or when the matter was considered on the agenda. No interests were declared.

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Shadow Accountable Officer Report Jo Webster introduced this report, noting the following: a)

Wakefield Alliance Strategic Plan

Jo Webster advised that following the sub group meeting on 13 March 2012 the Strategic Plan had been forwarded to the NHS Calderdale, Kirklees and Wakefield District Cluster on the deadline date of 14 March 2012. A final version of the plan was available to Clinical Commissioning Executive 3


(CCE) members and member practices upon request. The executive summary will be sent to all Practice Managers and lead GPs. b)

Local Distributed Clinical Leadership

The CCE was advised that to share learning and to take forward the Wakefield Alliance’s planning and thinking an engagement event is planned for 3 May 2012. c)

Memorandum of Understanding (MoU)

The CCE was advised that a draft document had now been shared with the Local Medical Committee and had been sent to member practices in advance of the quarterly meeting on 20 March 2012 where it was tabled for discussion. It was reported that feedback had been positive and constructive comments had been received. It was noted that the document would again be shared with member practices and final changes would be made by a sub group of the Practice Support Unit Programme Board. The MoU would then be presented to the April CCE meeting for approval. d)

Care Quality Commission – Warning Notice to the Mid Yorkshire Hospitals NHS Trust

The CCE was advised that the Care Quality Commission (CQC) had issued a formal warning to the Mid Yorkshire Hospitals NHS Trust (MYHT) following visits by inspectors to Dewsbury District Hospital. It was reported that the CQC is demanding urgent improvements to staffing levels and arrangements at the hospital. The MYHT had been given until the end of March to complete remedial actions when the CQC would return. The action plan would also be presented to the MYHT Executive Contract Board on 29 March 2012. Jo Webster advised that she would update the CCE following the MYHT Executive Contract Board. Dr Earnshaw highlighted that he would expect the Wakefield Alliance to be informed by the Trust regarding CQC visits. e)

Adult Community Nursing (ACN) Fairshares

It was highlighted that a further report would be brought to the April CCE regarding this matter. f)

Leadership Roles in Clinical Commissioning Groups (CCGs)

It was reported that the local Cluster process for the interim designation of Clinical Commissioning Group (CCG) top teams had now been completed. For Wakefield Alliance this meant the appointment on a slotting in basis of Dr Philip Earnshaw as Chair and Jo Webster as Accountable Officer. The Chief Finance Officer post was now being advertised. 4


It was further highlighted that Wakefield Alliance would shortly be invited to identify individuals that it would like to sponsor into the process who had an interest in applying for one of the three leadership roles. Further guidance on this process was awaited. Attached to the report was a letter of explanation from Dame Barbara Hakin and a diagram outlining the process. g)

Authorisation Update

It was reported that the SHA had commenced a process to begin assessing the readiness of CCGs for authorisation. A self assessment template for the Wakefield Alliance had been completed and submitted to the SHA in support of making a application as part of the first wave in July 2012. This was supported by the CCE. It was RESOLVED that

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i)

the contents of the report be noted;

ii)

the intention to proceed to authorisation in the first wave be supported.

Finance Report Month 11 Julie Lawreniuk introduced a report which presented the financial position both for NHS Wakefield District and for Wakefield Alliance Clinical Commissioning Group. It was reported that NHS Wakefield District was on target to achieve each of its key financial performance indicators. For NHS Wakefield District the Clinical Commissioning Executive (CCE) was advised that the position at the end of January was showing an under spend position of £633K and a year end forecast of break even after achievement of a planned surplus of £3.1m. The Clinical Commissioning Executive was advised that support of £14m had been made to the Mid Yorkshire Hospitals NHS Trust and this was shown within the report. Appendix 6 of the report detailed the financial position of the Wakefield Alliance by practice. It was RESOLVED that i)

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the financial position as at month 11 be noted.

Budget and Contracting Update Julie Lawreniuk introduced a report which advised that budgets had been approved by the Clinical Commissioning Executive (CCE) at its sub group meeting on 13 March 2012 and had been formally approved at the NHS Calderdale, Kirklees and Wakefield District Board at its meeting that morning. 5


The report provided an update to CCE members on risks and mitigating actions for the 2012/13 financial plan. It was reported that creating a stable financial environment was important to ensure that cost pressures and expenditure variation did not compromise the delivery of objectives and achievement of value for money. The main areas of financial variability and therefore risk were outlined within the report. It was reported that a contingency reserve of ÂŁ3.0m (0.5%) had been included within the plan to further mitigate these risks. Julie Lawreniuk also distributed a further report which provided budgetary information of the three PCTs within the NHS Calderdale, Kirklees and Wakefield District Cluster. She also provided CCE members with a detailed breakdown of the current financial issues affecting the Mid Yorkshire Hospitals NHS Trust. It was noted that during 2012/13 the impact of QIPP schemes would be removed from budgets where schemes have been agreed by the Senior Management Team, this was in order to reduce the financial risk around holding negative budgets. It was RESOLVED that i)

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the budget and contracting update and associated risks be noted.

Performance Report Matt England introduced a report which provided a summary of current performance issues, including referral to treatment (RTT), Accident and Emergency (A&E) and eliminating mixed sex accommodation (EMSA). The report also provided a focus on two key performance indicators relating to stroke care. The second part of the report provided an exception report of indicators with performance issues. Attached as appendix A to the report was a full suite of performance indicators. The report advised that there are two key performance indicators (KPIs) which related to stroke care at the Mid Yorkshire Hospitals NHS Trust (MYHT): 

Patients who have spent more than 90% of their stay in hospital on a stroke unit: Target >80%



Percentage of Transient Ischaemic Attack (TIA) patients scanned and treated within 24 hours (non admitted): Target > 60%

It was acknowledged that historically MYHT had struggled to achieve these KPIs. The Trust had developed a business case designed to address the 6


poor performance in these areas and provide a Hyper Acute Stroke Unit. It was noted that stroke and TIA performance had been added to the Mid Yorkshire Contract Management Group as a standing item and was also monitored on a monthly basis by the Executive Contract Board and Quality Board. The Finance and Performance Group would also continue to monitor and discuss these areas as part of a suite of other KPIs and would provide regular reports to the CCE. The report also outlined detailed performance information relating to the following areas:     

Healthcare Associated Infections Eliminating Mixed Sex Accommodation 18 Week Referral to Treatment A&E Waiting Time Standards TIA

It was noted that Matt England would be writing to Steven Eames, on Dr Earnshaw’s behalf to invite him to Board to discuss performance issues at MYHT. It was further agreed that if CCE members had any further issues they would like further clarification on they should email Matt England. It was RESOLVED that i) 12/47

the content of the performance report be acknowledged.

0-19 Public Health, Early Intervention and Family Support Service; Health Visitor and Family Nurse Practitioner (FNP) investment and development plan YEAR TWO. Ian Carr introduced a report which outlined a proposal for the second year of investment (2012/13) of a four year plan aimed at increasing the number of Health Visitors in post to the capacity as required by the Department of Health (DH) and recommended in the Health Visitor implementation plan 2011-2015. The request, from Jo Webster, was for additional funding for year two of the scheme at an amount of £400,000. It was noted that year one funding had realised a cost saving of at least 50% of the initial funding as the funding resource was only released on recruitment of the intended posts. The request for further investment was to achieve the required capacity of an additional 33.1 whole time equivalent (WTE) health visitors by 2015. The second year of investment would provide a further 8 WTE health visitors. The CCE was advised that there was a high risk that the target of 106.2 WTE may not be achieved by 2015 due to the fact that there were insufficient students undertaking health visiting training. Commissioners and providers were exploring recruitment and training models and working

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closely with Huddersfield and Leeds University and provider human resource departments. It was noted that under Standing Financial Instructions ratification of approval of this scheme by the CCE would be required by the Chief Executive and Director of Finance of the PCT Cluster. It was RESOLVED that: i)

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funding for the second year of a four year investment plan be approved, subject to ratification by the Chief Executive and Director of Finance of the PCT Cluster.

Request to the Clinical Commissioning Executive to support the approach and business case for the implementation of a new intermediate care delivery model for the inpatients service at HMP Wakefield augmented by a telemedicine solution. Danny Alba introduced a report which advised that a new delivery model for the Inpatients Service at HMP Wakefield would realise a number of key benefits, with the most important being the introduction of intermediate care augmented by telemedicine, thereby reducing current reliance on hospital secondary care for high security prisoners and the high costs this currently incurred. Attached as appendix 1 to the report was a business case for this proposal. The tender for a new inpatients service, for which Jo Webster was seeking support, was anticipated to commence from the second week in April. The value of the contract to let was a maximum of £400k /£1,200k for a three year contract. The telemedicine proposals would be deployed from the end of June 2012 and is to be funded by the Regional Investment Fund at a cost of £59k. Outlined within the report were a number of key risks, contracting issues and project milestones. Jo Webster advised the CCE that under Standing Financial Instructions approval of these proposals would be required from the NHS Calderdale, Kirklees and Wakefield District Board. It was RESOLVED that i)

the approach and business case for the implementation of the new delivery model for the Inpatients Service at HMP Wakefield which would introduce intermediate care augmented by telemedicine provision at HMP Wakefield there reducing current reliance on hospital secondary care, be supported;

ii)

the proposals be recommended to the NHS Calderdale, Kirklees and Wakefield District Board for approval.

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Proposed Extension of COPD End of Life Hospice Pilot Business Case Lisa Chandler presented a business case, on behalf of Jo Webster, to request additional funding for a 12 month extension of the pilot period of the COPD end of life project in two local hospices. The purpose of the extension was to refine the model of service delivery and to obtain further information regarding a reduction in the use of unplanned care. The Clinical Commissioning Executive was advised that in 2010/11 the PCT funded a COPD end of life project with two local hospices. The aim of this was to address inequalities through a half day a week COPD disease specific group. To date the service had demonstrated statistically significant improvement in patient outcome measures. The report advised that changes were proposed to the organisation of the service in order to improve attendance by patients. It was suggested that the service would run over 8 months and would be suspended during winter when bad weather affected the health and attendance of patients. It was anticipated that these changes would see a reductions of places on the scheme to 60 per year and also a reduction in cost. There was currently no tariff based payment which could be used. For this reason the costings were for a block contract. In 2010/11 the cost of the programme was £50k and the costs for continuing the service over 8 months would be £27,970. It was RESOLVED that

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i)

the amendments made to the organisation for the service be approved;

ii)

the additional funding to continue the pilot for a further 12 months be approved.

Carers Breaks Provision (Recurrent) Elaine McHale left the meeting during consideration of this item. Phil Smedley introduced a report, on behalf of Jo Webster, which advised that a joint fund of £400k, provided equally between health and social care, had been proposed specifically to increase the availability of breaks for carers of adults for 2012/13 by the Joint Strategic Commissioning Board (JSCB). It was proposed that the additional funding would be used to increase the availability of existing schemes through existing Wakefield Council contractual arrangements providing 450 Mytime grants and a 100% increase in Shared Lives to approximately 7000 nights per annum. This would be governed through the JSCB.

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The CCE were advised that JSCB had determined that the commissioning of these proposals were dependent on a recurrent budget being identified. The CCE agreed to the funding on a non recurrent basis, but noted that this could be examined further in six months time. It was RESOLVED that

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i)

a non recurrent budget for the provision of carers breaks in partnership with Wakefield Council be approved;

ii)

consideration be given in six months time to funding this proposal on a recurrent basis.

IM&T Procurement (Intradoc) Cat de Jonge introduced a report which advised that following sanction by the Clinical Commissioning Executive a survey had been undertaken with member practices about the future of the Intradoc247 system. It was reported that the survey had underlined variation in usage of the system and generally where a practice had an intranet site uptake was lower. The survey results had also highlighted dependence and use of the PCTs intranet site. A collation of the survey results was attached as appendix A. A draft specification was attached at appendix B and a project plan was attached at appendix C. It was highlighted that the specification would be passed to member practices for their comments. The CCE noted that the proposal was for a one year term in the first instance. Jo Webster advised that she would discuss with Matt England seeking approval from NHS North of England for a longer contract (three years). The CCE agreed to move forward on the basis of the contract being a maximum of three years and a minimum of one. It was RESOLVED that

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i)

the draft specification be approved;

ii)

it be agreed to move forward to a tender of an intranet site for the Wakefield Alliance;

iii)

approval be sought from NHS North of England for a three year contract.

Continuing Care / Continuing Healthcare Update 2011/12 (Quarter 3) Rosemary Davison introduced a report which provided an outline understanding of continuing care and continuing care commissioning within NHS Wakefield District. The report contained a brief overview of the activity and expenditure on continuing care and funded nursing care for 2011/12 to date. 10


The report also provided an outline of the current key issues as follows;    

the development of a care co-ordination function; the growth in contested cases the review of internal operation processes the development of a continuing care contracting and procurement operational policy

Rosemary Davison noted that the Department of Health, following discussion with the Parliamentary and Health Service Ombudsman, had recently announced that they would be introducing cut off dates for retrospective contested cases back to 2004. She advised that this would potentially increase the work of her team in the short term. The Clinical Commissioning Executive (CCE) was asked whether it wished to receive further quarterly updates. It was agreed that these updates would in future be considered by the Finance and Performance Group, highlighting specific issues or problems affecting continuing care. Furthermore it was agreed that the CCE would receive an annual report on continuing care. It was RESOLVED that

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i)

the contents of the report be acknowledged and noted;

ii)

quarterly updates be presented to the Finance and Performance Group and an annual report be provided to the Clinical Commissioning Executive.

Mid Yorkshire Health and Social Care Partnership Programme Jo Webster introduced a report which provided the Clinical Commissioning Executive with an update on the development of the revised governance arrangements and structures to support the Mid Yorkshire Health and Social Care Programme. Jo Webster advised that governance arrangements and structures were being revised in order to better meet the requirements of both recovery and transformation across the Mid Yorkshire health and social care economy. It was noted that the key change was the clearer distinction between the recovery and transformation elements and development of new workstreams, each of which would be monitored within new programme management arrangements. As part of this work the Mid Yorkshire Health Economy Foundation Trust Programme Board had been renamed as the Mid Yorkshire Health and Social Care Partnership Programme. It was RESOLVED that i)

the report be noted.

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Policy for the Accreditation of Practitioners with a Special Interest (PwSI) Laura Elliott introduced the Policy for the Accreditation of Practitioners with a Special Interest. She advised that the policy described the process of accreditation of an individual to assure patients and commissioners that practitioners operated within a coherent and quality assured clinical pathway and that they maintained the highest level of clinical governance. Following a review of this policy at the Cluster Governance Committee it was agreed that the following areas required further exploration: 

Clarification of the triangulation of the accreditation process with the PwSI’s appraisal process

Agreement of whether this policy should be exercised via a panel in each PCT area or by one panel covering the entire Cluster

Agreement of the policy review date, addition of author and making the policy dissemination routes more explicit

It was noted that Clinical Commissioning Groups had delegated responsibility for the monitoring of the implementation of this policy. It was RESOLVED that

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i)

the next steps identified be noted;

ii)

the delegated responsibility for the monitoring of the implementation of this policy by individual Clinical Commissioning Execurive’s be noted.

2011/12 Choose and Book Annual Briefing Paper Shaun Boffey introduced a 2011/12 Choose and Book (CAB) annual briefing paper. He advised that this had previously been considered by Planned Care Clinical Commissioning Unit and its purpose was to provide an overview of the national and local context of CAB within NHS Wakefield District. The paper highlighted the progress made to date with regard to performance, future developments and summarised the key challenges to fully realising the benefits to the CAB system with actions required to mitigate these risks. The briefing report provided details of proposed future developments relating to the following areas:   

Optimising Electronic referrals Project Community Services Choose and Book Strategy

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The NHS Wakefield District Choose and Book Commissioning Strategy 2011 – 2013 was attached as appendix 1 to the report. The Clinical Commissioning Executive was advised that NHS Wakefield District had shown improvement in utilisation throughout the past three years and was currently performing higher than national and regional averages, it still remained below the national target of 90%. It was reported that although the 90% target remained challenging there was still further work to be undertaken to support referring clinicians and in reducing slot issues at the Mid Yorkshire Hospitals NHS Trust. Following a discussion, it was agreed that Dr Harries would become the Clinical Commissioning Executive’s clinical lead for CAB. It was RESOLVED that

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i)

the progress made in 2011/12 be acknowledged;

ii)

the actions and future developments planned for 2012/13 be approved;

iii)

the Choose and Book Strategy be approved;

iv)

Dr Harries be confirmed as the Clinical Lead for Choose and Book.

Commissioning Support Service Update Alison Hughes and Rachel Spilsbury attended the meeting to introduce a report which provided the Clinical Commissioning Executive with an update on the assurance process and the progress which had been made on establishing West Yorkshire Commissioning Support Services (CSS). It was highlighted that Alison Hughes had recently been appointed as the Interim Managing Director for West Yorkshire CSS. The report advised that as part of the assurance process for commissioning support the CSS was required to pass through three checkpoints as follows:   

Checkpoint 1 Prospectus – December 2011 Checkpoint 2 Outline Business Plan – March 2012 Checkpoint 3 Full Business Plan – August 2012

It was reported that West Yorkshire CSS had passed through Checkpoint 1 and was currently working towards Checkpoint 2. Attached to the report was a letter from Jo Webster to Ann Ballarini, Director of Commissioning and Service Development regarding a draft memorandum of understanding for the provision of local commissioning support services. The memorandum of understanding set out an agreement in shadow form for delivery of commissioning support services recognising that 2012/13 was a transitional period. 13


It was RESOLVED that

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i)

the progress for the development of Commissioning Support Services be noted;

ii)

approval and signature of the Memorandum of Understanding be noted and supported.

Development of Clinical Commissioning Group Information Management & Technology (IM&T) Strategy Matt England introduced a report which set out the rationale for developing a IM&T strategy for the Wakefield Alliance Clinical Commissioning Group and for the creation of an IM&T steering group to oversee the development of the strategy, implementation and integration with other commissioning work streams. It was proposed that a steering group be convened to develop the Strategy and outline how to integrate developments within the commissioning and service redesign process. It was RESOLVED that

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i)

the setting up of an IM&T steering group be supported;

ii)

the development of a clinical commissioning group strategy on IM&T be supported;

iii)

It be agreed that a draft strategy document be received for consideration in May 2012.

Minutes of the Audit and Governance Committee meeting held on 9 February 2012 Sandra Cheseldine presented these minutes to the Clinical Commissioning Executive. It was RESOLVED that i)

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Minutes of the Audit and Governance Committee meeting held on February 2012 be noted.

Minutes of the Finance and Performance Group meeting held on 9 February 2012 Rhod Mitchell presented these minutes to the Clinical Commissioning Executive. It was RESOLVED that i)

the minutes of the Finance and Performance Group meeting held on 9 February 2012 be noted. 14


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Minutes of the Finance and Performance Group meeting held on 13 March 2012 Rhod Mitchell presented these minutes to the Clinical Commissioning Executive. It was RESOLVED that i)

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the minutes of the Finance and Performance Group meeting held on 13 March 2012 be noted.

Minutes of the Quality Group meeting held on 9 February 2012 During consideration of this item it was noted that there had been a request for the minutes of the NHS Calderdale, Kirklees and Wakefield District Board to be presented at the Clinical Commissioning Executive (CCE). Sandra Cheseldine noted that there had been a request made at the NHS Calderdale, Kirklees and Wakefield District Board meeting for CCE minutes to focus strongly on QIPP. Dr Earnshaw requested that further clarification be provided to Jo Webster and himself on this. It was RESOLVED that: i)

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the minutes of the Quality Group meeting held on 9 February 2012 be noted.

Clinical Commissioning Units Update It was RESOLVED that i)

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the Clinical Commissioning Units Update be noted.

Senior Management Team Decisions for Ratification Two items were presented to the Clinical Commissioning Executive following decision by the Senior Management Team as follows: a) Post Exacerbation Review for those with COPD Locally Enhanced Service This item sought support for the continuation of the Post Exacerbation Review for those with COPD Locally Enhanced Service. The proposal was had been supported at the Long Term Conditions Clinical Commissioning Unit on 9th February 2012. Estimated costs in the business case were between £42, 224 – £59,625 which were based on predicted levels of activity modelled using the National Strategy Impact Assessment findings. A budget of £50,000 for 2012/13 for this Locally Enhanced Service was requested. 15


The decision made at the Senior Management Team was to approve this proposal. b)

Development investment onto Wakefield District Wellbeing Consortium

Sandra Cheseldine declared an interest in this item through her involvement with the Citizens Advice Bureau. The Senior Management Team had provided approval for a non recurrent grant of £45k to the Wellbeing Consortium to ensure its continued growth and to remain sustainable for the local voluntary sector across the Wakefield district. The decision had been taken in line within Directors approval limits and was presented to the Clinical Commissioning Executive for information. It was RESOLVED that i)

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the decisions made at the Senior Management Team meeting regarding the above schemes be noted and ratified.

Clinical Commissioning Executive decisions for inclusion in the legacy document The Clinical Commissioning Executive agreed that the following items relating the transfer of monies to Wakefield Council should be included within the Legacy Document, together with the future intentions of these schemes:      

ReAblement – Wakefield Integrated Community Services Enhanced Support to Care Homes Carers Breaks Provision for 2012/13 Transfer of Funding via a Section 256 Agreement to the Local Authority for Three Area Project (TAP) Wakefield Wellbeing Service Post Exacerbation Review for those with COPD Locally Enhanced Service

It was RESOLVED that i)

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items relating to the transfer of monies to Wakefield Council be included within the Legacy Document.

Items for Referral to the Cluster Board It was agreed that the following items be referred to the Board of NHS Calderdale, Kirklees and Wakefield District. 

Care Quality Commission Warning Notice to the Mid Yorkshire Hospitals NHS Trust. 16


0-19 Public Health, Early Intervention and Family Support Service; Health Visitor and Family Nurse Practitioner (FNP) investment and development plan YEAR TWO.

Request to support the approach and business case for the implementation of a new intermediate care delivery model for the inpatients service at HMP Wakefield augmented by a telemedicine solution.

IM&T Procurement (Intradoc). This was in regard to a conflict of interest of GPs on the Wakefield Alliance Board and the potential benefit for practices.

It was RESOLVED that i)

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the above items be referred to the Board of NHS Calderdale, Kirklees and Wakefield District.

Any Other Business West Yorkshire Research & Innovation Support Unit It was agreed that a report on a West Yorkshire Research & Innovation Support Unit be considered by the Clinical Commissioning Executive (CCE). The report advised that the West Yorkshire Research and Innovation Unit (WYRIU) would work on behalf of all clinical commissioning groups across West Yorkshire acting as the strategic development and delivery arm for all associated research and innovation programmes of work as well as the link between CCGs, research networks and universities and other NHS / social care organisations. It was reported that the Wakefield Alliance Clinical Commissioning Group (CCG) had been contacted for a response to the three questions posed to all CCGs across West Yorkshire: 

Is the Wakefield Alliance ‘in principle’ in agreement with the development of a West Yorkshire Research and Innovation Unit?

Can the Wakefield Alliance offer a representative to act as a key contact to liaise with over the unit?

Would the Wakefield Alliance like to express an interest in hosting the unit?

The CCE agreed that it was not prepared at this stage to agree to any funding, but that Lee Beresford would be asked to draft a response and any comments should be forwarded through to him. It was RESOLVED that 17


i) 12/67

Comments for the response be forwarded to Lee Beresford.

Date and Time of Next Meeting 1.00 pm, Tuesday 24 April 2012, Ash Grove Medical Centre.

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