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Agenda Item 05 Enclosure KPCT/10/66


NHS Kirklees Board


Chief Executive/PEC Chair’s Report

FOI Exemption Category


Lead Director:

Mike Potts Chief Executive


Mike Potts, Chief Executive David Anderson, PEC Chair

Key Points to Note:

This report updates Trust Board on current pertinent issues.

Budget Implications:

The PCT will work at all times to ensure ‘Best Value’ in the commissioning and delivery of services.

Risk Assessment:

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

Healthcare Benefits

The PCT 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 Implications

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

Legal Implications

The PCT acts at all times to be compliant with existing legislation

Sub Group/Committee:



Trust Board are asked to RECEIVE and NOTE the content of this report.

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Chief Executive/PEC Chair’s Report to the Board 31 March 2010

Yorkshire Ambulance Service Nick Varey will be stepping down as Chair of YAS on 30 June 2010. Nick will have served as a non-executive member of NHS Boards of one type or another, for over 22 years, although not continuously, and feels the Trust needs a fresh pair of hands to steer YAS through the process leading to the achievement of NHS Foundation Trust status. The Appointments Commission will be advertising the post of YAS Chair and appointing Nick’s successor in due course. Use of PCT Seal Since the last Board meeting, the PCT seal has been used on the following documents:    

Deed of Termination relating to the step in agreement relating to Bradley Business Park. Counterpart lease relating to Unit 3a, First Floor, Beckside Court, Batley Deed of Surrender relating to Unit 3a, First Floor, Beckside Court, Batley Agreement relating to Unit 3a, First Floor, Beckside Court, Batley

Dr Anderson/Dr Bhuyan Dr Anderson and Dr Bhuyan’s practices are joining in partnership with effect from 1 April 2010. Dr Bhuyan is single handed and is based at Fartown Health Centre which is next door to the Grange Group Practice. The new partnership will use both premises. Dr Balasunderam It was with great sadness that we report the recent death of Dr Balasunderam. Dr Balasunderam retired as senior partner of the Ravensthorpe Health Centre practice in October 2008, but continued to work as a locum at the practice on an ad hoc basis and was also an active LMC member. He was held in the highest regard by colleagues, practice staff, patients and staff at the PCT. Dr Balasunderam will be greatly missed by his many friends and colleagues and by the community with whom he worked. Draft Rolling Board Programme 2010/11 The rolling Board programme for 2010/11 has been drafted and is attached to this report for Board agreement.

Release of the Kirklees predictive Risk Model Improving quality of care by bringing care closer to home whilst reducing preventable hospital admissions, is a very topical subject. NHS Kirklees has commissioned a Predictive Risk Programme from Bupa Health Dialog (BHD) and over the last 3 months BHD have used pseudonymous GP patient data to build a Kirklees Predictive Risk Model. Almost half the GP practices in Kirklees have signed up to the program and Data Quality checks have been completed to confirm that the model will be robust. Wave 1 data is in the process of being analysed and will be available to the PCT and practices soon. GP training has commenced and been well subscribed. Wave 2 GPs will sign up before the end of April and will receive their information in early June. On 4 May BHD will present some key PCT wide findings contained within the model to SMT, Long Term Conditions/PSI Board and HIT leads. Further work will continue with GP practices, PBC teams, provider services and HITs, to ensure that the anticipated benefits of the program are realised. Further information is available from Anthea Mould, Program Manager, Predictive Risk,, or Murray Forrest, Long Term Conditions Development Facilitator, on 01484 464240. Kirklees Council Changes to the senior management structures at the Council have resulted in some specific changes in the lead roles of EMG colleagues which will come into place over the next few weeks and months. Details of the changes have been circulated to PCT staff. Primary Schools for the Future – Consultation on a proposal to establish a new primary school at Whitechapel Road, Cleckheaton and proposals affecting Moorend CE(C) School and St Luke’s CE(VC) First School It is proposed to bring together Moorend CE© First School and St Luke’s CE(VC) First School to create an “all through” primary school which would educate pupils aged 5 to 11. The new primary school would ultimately be situated on the Whitechapel Road site from September 2014 following the remodeling of the Whitechapel Middle School buildings, but initially the school would use the existing Moorend and St Luke’s school sites and buildings. As both schools are Church of England schools, the council are working closely with the Diocese of Wakefield. If you wish to complete a form regarding these proposals, this may be accessed at or a paper copy is available from the Chief Executive’s office at Broad Lea House. Forms are to be completed by 2 April 2010. QUEST The Sports Development and Physical Activity Development teams within the Culture and Leisure Department recently went through their QUEST continuous improvement two day external assessment.

QUEST is the recognised industry standard and Kirklees have now been through six assessments, although on this occasion the process has been refined to test at a strategic level, in particular assessing the contribution made to corporate and national priorities. The assessor rigorously examines 10 management areas and scores accordingly. Staff, partners, customers are all consulted within the process. The assessor has confirmed Kirklees score at 97% which is an increase of 1% and retains the team’s position as the best in Great Britain. We would like to congratulate the team on their remarkable achievement. Report of the Independent Inquiry into the Colin Norris Incidents at Leeds Teaching Hospitals NHS Trust in 2002 The report is attached for information, looking at any potential implications for the PCT. Revalidation: the way ahead The General Medical Council launched a consultation, “Revalidation: the way ahead”, on Monday 1 March 2010 which will end on Friday 4 June 2010. This is a vital step towards introducing revalidation for all practicing doctors in the UK. Revalidation is designed to improve the quality and safety of patient care by helping to ensure that all licensed doctors in the UK are competent and fit to practice. It will be a new process by which doctors will demonstrate to the GMC, normally every 5 years, that they remain up-todate and have the knowledge and skills they need to meet the standards required. A wide range of organisations have been invited to take part in this consultation. More information about the consultation and the consultation document, may be accessed on You can comment on the proposals online on, or alternatively respond by email to, or in writing to Revalidation Consultation, GMC, 350 Euston Road, London NW1 3JN. Audit Commission Briefing: Healthy Balance The Audit Commission has published its briefing “Healthy Balance: A Review of Public Health Performance and Spending”. Tackling health inequalities has been a major theme for the current Government. This year it is estimated that £21 billion of NHS funds has been allocated on the basis of health inequalities. Despite the health of the nation improving overall, health inequalities have proved a stubborn area to address. The briefing highlights some of the variation in success among different localities, particularly for teenage pregnancies. One area has achieved a 38% drop and a similar area has experienced a 14% increase. The “Oneplace” website shows that more local action is needed in tackling health issues, with 21 areas receiving red flags. Despite the sums of money allocated, it is not always clear how much has been spent on improving health inequalities and what the impact has been. It is hard to see an obvious link between spending and improvement, or get any clear view of value for money. The briefing also raises the question of whether ring-fenced budgets would make a difference and result in greater improvements. They could help in judging the

impact of spend and make it less likely for funds to be diverted elsewhere, but it is not clear what would be ring-fenced and what the impact would be. If you would like to comment on the briefing, you may do so by emailing NHS Confederation: Rising to the Challenge: Health Priorities for the Government and the NHS The above publication has been published and sets out the major priorities which are seen as facing the NHS in England and what it is thought NHS leaders can do now to help develop the system and enhance patient care and what a new Government will need to do post election to facilitate this and create the necessary conditions for progress. The full report can be accessed from The Big Opportunity – Prevention: never more important than now The report from the Regional Director of Public Health has been published this month. The last report was published in 2004 and during the last five years, the report states there has been some excellent progress. However, there is more work to do and now it is even more urgent. According to the 2009 Health Profile, published by the Association of Public Health Observatories, the health of people in Yorkshire and the Humber has improved, but remains worse than the England average as a whole. Life expectancy and early deaths from cancer, heart disease and stroke have improved, but again they are worse than the England averages. The report focuses on action, not just analysis and recommendations are evidence based and intended to support local commissioners and communities. A copy of the report is available via the Chief Executive’s Office at Broad Lea House, Tel 01484 464016. Local Area Agreement 2008 – 2011 The Local Area Agreement has been refreshed but there are no substantial changes that will affect the NHS. A copy of the revised document is available via the Chief Executive’s Office at Broad Lea House, Tel 01484 464016.

Mike Potts Chief Executive

David Anderson PEC Chair

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