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NHS KIRKLEES

Minutes of the Trust Board Meeting held on Wednesday 25 March 2009 at 9.15am in the Meeting Room 1 at Beckside Court, Batley Present: Rob Napier Mike Potts Rob Millington Mehboob Khan Tony Gerrard Valerie Aguirregoicoa Imran Patel Dr David Anderson Sarah Brackwell Bryan Machin Carol McKenna Sheila Dilks Dr Judith Hooper In attendance: Helena Corder Peter Flynn Sue Ellis David Thompson Helen Haythorne Pauline Kershaw Alison Fearnley Robert Flack Sue Smith

Chairman Chief Executive Non-executive Director Non-executive Director Non-executive Director Non-executive Director Non-executive Director Chair, Professional Executive Committee PEC Representative Executive Director of Finance Executive Director of Commissioning and Strategic Development Executive Director of Patient Care and Professions Executive Director of Public Health

Director of Corporate Services Director of Performance and Information Director of Human Resources and Organisational Development Observer/LINks Representative Acting Communications Manager Executive Assistant Corporate Governance Administrator Director of Provider Services (for Agenda items KPCT/09/54 and KPCT/09/56. Assistant Director of Quality and Clinical Governance (for Agenda Item KPCT/09/48).

There was one member of the public present. The Chairman opened the meeting by welcoming all those in attendance. Questions from the Public The Chairman gave members of the public an opportunity to raise any questions. David Thompson advised that the meeting had not been advertised in the Huddersfield Examiner. It was noted the PCT would enquire why this was the case.

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KPCT/09/41

Apologies for Absence Apologies for absence were received from Vanessa Stirum, Non-executive Director.

KPCT/09/42

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

KPCT/09/43

Minutes of the last meeting held on 25 February 2009 The minutes of the Trust Board meeting held on the Wednesday 25 February 2009 were AGREED as a true and accurate record.

KPCT/09/44

Matters Arising KPCT C/09/12.1

Appointment of Carbon Reduction Officer

Helena Corder advised that Clemmie Twiggs had been appointed to the post of Carbon Reduction Officer for 30 hours per week. Clemmie is a post-graduate student from Surrey and is due to commence her appointment on 6 April 2009. KPCT/09/31

Escalation Plan for the Health Visiting Service

Sarah Brackwell was pleased to advise that there had been progress in recruiting four additional Health Visitors to the service. Two are currently working in Staff Nurse Development posts and will commence full-time in September 2009 when they have qualified. Two are currently working part-time until they qualify in September when they will join the PCT full-time. In addition there had been a lot of interest in the Nursery Nurse posts which are currently being advertised. It was also recognised that all aspects of recruitment were being considered including seconding people to the Health Visiting course. The Board was encouraged by the progress being made. KPCT/09/25

Performance Report

A&E Performance at Mid Yorkshire Hospitals Trust Peter Flynn confirmed he had written to the SHA as agreed at the last meeting regarding not achieving the 98% target. To date he had not received a formal response. Page 2 of 20


Yorkshire Ambulance Service Following discussions at the last meeting it was noted that representatives from YAS had attended a recent Finance and Performance Committee meeting to look at the issues in more detail. It was recognised that there had been a marked improvement in performance and a target of 75% was hoped to be achieved by June 2009. In addition it was emphasised that there was more partnership working taking place. KPCT/09/45

Chief Executive and PEC Chair’s Report Mike Potts presented his report to the Board highlighting the following: •

Margaret Edwards, Chief Executive, Yorkshire and the Humber Strategic Health Authority (SHA) It was noted that Margaret Edwards had taken up a role as National Director of Productivity and Efficiency in a unit set up by David Nicholson, based in NHS London. Barbara Hakin, Chief Executive of East Midland SHA, will take on the role as Chief Executive of Yorkshire and the Humber SHA on an interim basis alongside her existing role, whilst a permanent replacement for Margaret is appointed. Rob Cooper, Deputy Chief Executive, Yorkshire and the Humber SHA, will act as ‘Managing Director’ during this period and will be responsible for all day to day operational issues, including the day to day management of all other staff.

NHS Confederation Mike confirmed that Steve Barnett had been appointed as NHS Confederation Chief Executive.

Infant Mortality National Support Team The Department of Health Infant Mortality National Support Team (NST) visited Kirklees between 3 and 6 March 2009. The NST aims to help areas, with the highest burden of infant mortality in the routine and manual group, meet the infant mortality element of the health inequalities PSA target.

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NHS Clinical Leaders Network – Yorkshire and the Humber The SHA has requested that the PCT nominate up to 12 applicants from our patch, including clinicians from primary and secondary care, to join the new Clinical Leaders Network being set up in Yorkshire and the Humber, to develop and support clinical leadership to deliver Healthy Ambitions and High Quality Care for All. The Board NOTED the nominations forwarded from the NHS Kirklees patch.

Use of the PCT Seal The Board NOTED that the use of the PCT seal was applied in respect of the following:

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The sale of Shepley Health Centre (Board minute KPCT/07/163).

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Lease 2 Greenhead Road.

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Service provider collateral agreement for the PFI.

Water Fluoridation The Board received a copy of a letter that had been sent to Yorkshire and the Humber SHA following the decision made by the Board on 28 January 2009.

New Vision for Practice Based Commissioning A renewed vision for Practice Based Commissioning (PBC) and how it relates to World Class Commissioning (WCC), has been unveiled at a special event on 4 March 2009, hosted by the King’s Fund and the Department of Health: “Clinical Commissioning: our vision for PBC”.

Staff Opinion Survey The results of the Staff Opinion Survey should be forwarded to the PCT before the end of March 2009 and will be forwarded to the Board as soon as possible.

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Delivering Healthy Ambitions – Implementing the Next Stage Review in Yorkshire and the Humber A document titled ‘Delivering Healthy Ambitions’ was published on 5 March 2009, following the outcome of first stage of the NHS Next Stage Review. It describes how the clinical pathway recommendations are being hard wired into everyday NHS work at a local, sub-regional and regional level.

Comprehensive Area Assessment (CAA) The framework document for CAA has now been published and sets out how the six independent inspectorates; the Audit Commission, Care Quality Commission, HM Inspectorates of Constabulary, Prisons and Probation and Ofsted, will work together to deliver the new assessment system.

Saving Carbon Improving Health David Nicholson has launched the NHS Carbon Reduction Strategy for England. Saving Carbon, Improving Health has been produced by the National NHS Sustainable Development Unit for the NHS. The Unit was set up in April 2008 by the office of SHAs to take forward sustainable development in the NHS.

Summary of PCT Collaborative Work Programmes A summary of PCT Collaborative Programmes for 2009/10 was circulated to the Board for information. This has been produced to allow colleagues to understand the range and content of collaborative worksteams. The brochure will be updated and distributed quarterly.

The Protection of Children in England: A Progress Report. Following the case of Baby P, Lord Laming was commissioned to provide an urgent report on the progress being made across the country to implement effective arrangements for safeguarding children. The document and its recommendations are aimed at making sure that good practice becomes standard practice in every service.

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Local Area Agreement Refresh The LAA had been refreshed to identify baselines and agreed targets for a number of indicators that were not possible to identify earlier when the LAA was first agreed in June 2008. The Board reviewed the LAA Refresh document and Dr Hooper highlighted the key changes. The Board AGREED to ENDORSE the LAA Refresh document.

West Yorkshire Urgent Care Contract Mike Potts advised the Board that the process for mobilising the urgent care contact had nearly been completed and will go live from 1 April 2009.

High Performing Organisations As one of a group of 15 high performing PCTs identified following the World Class Commissioning Assessment process, NHS Kirklees is contributing to a piece of work on how high performing organisations can help build confidence in PCTs ability to be strong commissioners and to spread good practice. This work will be submitted to the Department of Health for consideration.

Kirklees Commissioning College (KCC) Dr Anderson advised the Board that the KCC had met at Dewsbury Town Hall for a second time which was again well attended. The KCC had agreed to extend the time of when the college meets to fit more work in. He confirmed that work on a dedicated intranet site for GPs was also progressing.

Mid Yorkshire Hospitals Service Reconfiguration Proposals Mike advised that there was still work to be undertaken in terms of engaging with politicians before final proposals could be brought to the Board for approval. Mike reassured the Board the proposals were still in line with those previously reported and that a report would be brought to the next meeting.

The Board RECEIVED and NOTED the contents of the Chief Executive’s and PEC Chair’s Report. Page 6 of 20


KPCT/09/46

Finance Report Bryan Machin presented the Finance report which updated the Board on the PCT’s forecast financial performance for 2008/09 and associated risks. He advised the Board that the PCT was on target to meet its control total and advised that the PCT was forecasting a financial surplus of £2.8m. It was recognised that as the year end approached the risk of not achieving this had reduced. Bryan highlighted the significant Budget variances from those reported previously. These included: •

Leeds SLA – increased expenditure of £0.2m (full year forecast £1.2m under spend). This is mainly due to increased activity on critical care expenditure.

Prescribing – increased expenditure of £0.2m (full year forecast £0.1m under spend). Increases in activity have resulted in an increased expenditure forecast.

Investment Scheme – reduced expenditure of £0.4m full year forecast £7.0m under spend). A final review of planned expenditure on these schemes has resulted in this reduced forecast.

Other budgets increased expenditure of £0.4m. These include: -

a reduction in budget due to the transfer of an additional £250k into the strategic investment fund. This transfer reflects the allowable £250k variance from the PCT’s control total and increases the PCT’s strategic reserve balance to £17m.

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An increase of £243k on specialised commissioning expenditure, in the main due to increases at Leeds NHS Trust in renal activity.

The Board noted the risks that need to be considered where expenditure might change from that currently forecast: Specialised Commissioning There is a significant overtrade this year on budgets for services commissioned on the PCT’s behalf by the Specialised Commissioning Group (SCG). The PCT is basing its forecast on month eight information available from the SCG but these are principally high cost services and a small change in activity can have significant financial impacts.

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Continuing Care A significant over spend on current budgets is currently forecast, and there is a risk that this may increase further Prescribing Month on month spend remains volatile. Non NHS out of area treatments Current overtrades have been used to forecast the full year position, but there is a possibility that increased expenditure may have been over estimated. It was noted that capital expenditure had reduced. This is due to slippages in the Holme Valley Memorial Hospital Scheme. This will result in the PCT under spending against its capital resource limit by £1.2m. The Board NOTED that the PCT is on target to achieve a surplus of £2.8m for 2008/09 and meet its control total of £17.7m (i.e. planned surplus of £2.8m and £14.9m remaining in the SHA Strategic Reserve). KPCT/09/47

Performance Report Peter Flynn presented the Performance report to the Board. It was noted that the report highlighted NHS Kirklees’ performance against the key national and local priority performance indicators. Peter highlighted the main areas of risk noted within the report which had been previously scrutinised by the Finance and Performance Committee. These included: •

Yorkshire Ambulance Service (YAS) It was highlighted that YAS are aiming to meet a target of 75% for Category A (calls under 8 minutes) in Kirklees by June 2009. It is anticipated that the 75% target would be achieved across the patch by September 2009. It was AGREED that Peter would clarify this position. David Thompson enquired if work had been undertaken to scrutinise variation in localities in more detail in terms of YAS performance. It was acknowledged that the Finance and Performance Committee had looked at this in more detail and that information would filter through in due course.

Commissioning of early intervention in psychosis services It was recognised that this target would now be achieved. This was due to a change in the target definition, now focussing on new cases identified. Page 8 of 20


Total Time in A&E Peter confirmed he had written to the SHA as agreed at the last meeting regarding not achieving the 98% target. It was noted that performance had improved and MYHT are now achieving the 98% target but this needs to be sustained. •

Chlamydia Screening It was recognised that this target had still not yet been achieved as improvements from the action plan had not yet been realised.

MRSA The PCT is at risk of breaching this target in 2008/09 if the number of MRSA cases increases.

Peter advised that the Healthcare Commission had now published information on their methodology on scoring for 2008/09. It was noted that the PCT was only likely to achieve a score of ‘fair’ due to the current position on YAS and A&E performance. It was noted that there was a downward trend in achieving the breast screening targets. It was highlighted that the extended age range for screening had not come into practice yet. Peter AGREED to provide more clarity concerning breast screening targets. The Board RECEIVED and NOTED the Performance Report. KPCT/09/48

Standards for Better Health 2009 Declaration The Chairman welcomed Sue Smith to the meeting to present the Standards for Better Health 2009 Declaration. Sue explained the report provided information to support the Board’s statement of compliance with the Standards for Better Health. It was emphasised that standard leads, the Quality and Clinical Governance Team and appropriate sub groups had collated and quality assured evidence against each standard. In addition it was recognised that commissioner, provider and independent contractor sections on Performance Accelerator (PA) were almost fully populated. It was noted that assessment had indicated that the PCT was complaint with all the standards. In addition the PCT had received feedback from all third party commentary which had all been positive.

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It was recognised that the organisation had worked hard to collate all the evidence and that excellent progress had been made this year on achieving compliance with the Standards for Better Health. It was noted that Internal Audit were reviewing the evidence and the process and that the outcome of this work would be reported to a future meeting. It was recognised that any outstanding issues were being addressed but overall excellent progress had been made this year with the overall process. The Board NOTED the contents of the report and DECLARED the PCT fully complaint with all the standards and RECOMMENDED declarations reflect that. KPCT/09/49

2009/10 Budget Approval Bryan Machin introduced the 2009/10 Budget Approval report to the Board. It was recognised that two reports were being presented for approval by the Board; one proposing the 2009/10 revenue budgets and a second outlining the 2009/10 Capital Plan. Revenue Budgets Bryan gave background the report on the 2009/10 revenue budgets and explained that the report sets out the detail on proposed 2009/10 revenue budgets. It was noted that the PCT’s opening revenue resource limit for 2009/10 was £617,328m. Bryan explained the budget setting process and the Board noted a detailed list of all 2009/10 revenue budgets. It was recognised an audit trail of the budget construction would be published following Board approval of the budget. The Board APPROVED the 2009/10 budgets totalling £617,328m. 2009/10 Capital Plan Bryan explained the capital plan is based on the latest information from the Yorkshire and Humber NHS (SHA) on available capital resource. It was noted that the PCT has £9.7m of capital resource available in 2009/10 based on the following: •

Operational Capital £1.1m Page 10 of 20


• • •

Strategic Capital £3.3m Central Capital £4.1m Capital Receipts £1.2m

Attention was drawn to the following schemes which would be utilised by the available capital resources: • • • • • • • •

Community hospitals £2.9m New Headquarters £2.2m Holme Valley Memorial Hospital Ward upgrade £1.1m GP Training Scheme £1.2m Information Technology £0.4m Kirklees Community Healthcare Services £0.2m Minor Schemes £1.1m Estates Strategy £0.7m

The Board NOTED and APPROVED the 2009/10 Capital Plan. KPCT/09/50

Medium Term Financial Plan The Board received an updated Medium Term Financial Plan (MTFP) since the World Class Commissioning submission for the years 2009/10 to 2012/13. Bryan Machin provided background to the MTFP and highlighted the significant changes to the PCT WCC financial plan for 2009/10 and the associated risks. It was recognised a full audit trail of changes had been maintained and was scrutinised by the Finance and Performance Committee on 18 March 2009 with a full analysis of the plan as it currently stands. It was recognised that the current plan for 2009/10 has a recurrent over commitment of £3.3m matched by non-recurrent resources. The plan for 2010/11 still returns the PCT to recurrent balance that year but it was acknowledged that the investment plan is very “front loaded”. Therefore there is little money available for discretionary investment in 2010/11 and there will be little or no growth money available after 2010/11. It was recognised that with main secondary care contracts not currently signed there was a significant risk of further recurrent commitments. However it was acknowledged that the current risk was manageable and provides the basis for a balanced revenue budget to be approved by the Board for 2009/10. It was recognised that the impact of the introduction of HRG4 as the contracting currency for 2009/10 needed to be further understood by the Board. It was AGREED Bryan would provide some simple examples at the next meeting. Page 11 of 20


It was recognised that any Business Cases put forward for approval would be robustly challenged to ensure they demonstrate they are invest to save schemes. Finally the Board reviewed a summary of the MTFP and APPROVED the revisions since the approval of the WCC Strategy, and APPROVED the 2009/10 resource utilisation plan as the basis for approving a balanced revenue budget for next year. KPCT/09/51

World Class Commissioning Plans Carol McKenna introduced the report on the World Class Commissioning Plans and explained that the following plans had been revised as agreed at the last meeting. In addition it was recognised that arrangements had been made to ensure there had been Non-executive Director input into these plans during March. •

The 5 Year Strategic Plan It was recognised that this had been refreshed and needed to be submitted to the SHA by 31 March 2009. The Board was given an opportunity to make any final amendments. A number of minor amendments were suggested and it was agreed any further amendments needed to be submitted to Carol within the next 24 hours.

Organisational Development Plan Sue Ellis provided an overview of the OD plan. It was acknowledged it would be challenging to meet the expected scores for the next year. It was recognised that the Senior Management team would review these. In addition it was AGREED to attach the Equality Impact Assessment which had been undertaken to the back of the OD plan as an appendix to the plan.

Operating Plan It was recognised that the OP had been submitted to the SHA on 17 March. It was noted that the timescale for submitting the OP clashed with the submission of the other WCC documents and that it would have been more beneficial to submit plans at the same time. It was noted that this would be fed back to the SHA.

The Board AGREED to APPROVE: • • •

The refreshed 5 Year Strategic Plan The refreshed Organisation Development Plan and; The 2009/10 Operating Plan Page 12 of 20


KPCT/09/52

Revised Code of Business Conduct and Commercial Sponsorship Helena Corder presented the revised Code of Business Conduct and Commercial Sponsorship report to the Board. She explained that the Code had been reviewed in light of a number of key policy changes that impact on this Code of Conduct. It was noted that the Audit Committee had reviewed the Code at its meeting on 13 March and recommended that the Board approved the Code subject to a few minor changes which had been undertaken by Helena. It was recognised that there had been no new entries to the register of gifts during the last 18 months. Helena reminded the Board to declare any items and she provided examples of what should be declared. In addition it was noted that the register should be reported to the Audit Committee at regular intervals. The Board APPROVED the Revised Code of Business Conduct and Commercial Sponsorship.

KPCT/09/53

Investors in People Standard The Board received an update on the organisational progress made towards meeting the Investors in People Standard. Sue Ellis introduced the report and highlighted the progress achieved against the IIP Standard and explained the next steps. It was noted that the majority of actions identified in the original action plan were now complete and these were shared with the Board. Following discussion the Board AGREED that the organisation should pursue assessment in July 2009. The Board RECEIVED and NOTED the Investors in People Standard report.

KPCT/09/54

Transforming Community Services – Kirklees Community Healthcare Services: Memorandum of Understanding and Scheme of Delegation Rob Napier welcomed Robert Flack, Director of Provider Services, to the meeting to contribute to the discussion. Helena Corder introduced the Transforming Community Services – Kirklees Community Healthcare Services report to the Board and explained the background to the preparations which had been undertaken in respect of the separation between the PCT’s commissioning and providing functions.

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Helena explained that a project group led by Bryan Machin was currently carrying out a self assessment against the Business Readiness checklist. It was noted that assessment against the Business Readiness checklist needed to be completed and implemented by 1 October 2009. It was recognised therefore that a robust process needed to be agreed regarding how this would be achieved. It was acknowledged that the PCT is waiting for a report from KPMG concerning how this could be taken forward. The Board acknowledged that there would be a process of staff engagement across the Trust concerning this next phase. It was emphasised that one of the key actions required is that there is an agreed memorandum of understanding and scheme of delegation in place that clearly sets out the relationships between the PCT Board and its provider Kirklees Community Healthcare Services (KCHS) and Chair and Chief Executive of the PCT and the Chair and Managing Director of KCHS. It was noted that in developing these documents some minor changes had been made to the PCT’s Standing Orders to reflect the changed relationship between the PCT and its provider arm, which were presented to the Board for approval. The Board reviewed the Memorandum of Understanding between NHS Kirklees and KCHS and revised Standing Orders, Reservation and Delegation of Powers for the PCT. It was highlighted for future reference that it would have been useful if the changes to the Standing Orders had been highlighted in bold. In view of the creation of KCHS it was PROPOSED that Robert Flack’s designation is changed from, Director of Provider Services, to Managing Director of KCHS. This was AGREED by the Board. Rob Napier advised that the Remuneration and Terms of Service Committee (RATS) had met earlier to discuss the appointment of an independent Chair and two independent members of KCHS. It was noted it had been agreed by the RATS Committee that these appointments would be undertaken by the Appointments Commission during spring and that in the interim Vanessa Stirum and Rob Millington would continue with their current roles on KCHS Board. It was recognised that in the short-term any conflicts of interest would be appropriately managed. A discussion ensued regarding the appropriateness of this and the risks to the PCT, particularly in respect of the arrangements of the sub-committees ie Finance and Performance Committee which has an entirely commissioning agenda. In view of this it was AGREED to undertake a risk Page 14 of 20


assessment of each sub-committee’s arrangements and to manage agenda’s accordingly in the interim. The Board CONSIDERED and APPROVED the Memorandum of Understanding between NHS Kirklees and KCHS and the revised Standing Orders, Reservation and Delegation of Powers for the PCT. KPCT/09/55

Joint Protocol for the transfer of Care under the Community Care (Delayed Discharge) Act 2003 Carol McKenna presented the Joint Protocol for the Transfer of Care under the Community Care (Delayed Discharge) Act 2003 report to the Board. She gave background to the protocol and explained it is a health and social care agreement between NHS Kirklees, NHS Calderdale, Calderdale and Huddersfield NHS Foundation Trust, Calderdale Council and Kirklees Council. The protocol provides guidance, detail and support for staff dealing with the small number of patients experiencing difficulty in moving through the pathway to discharge. It was acknowledged that there was a clear escalation process in place. It was suggested that the protocol is Equality Impact Assessed and this was acknowledged. The Board APPROVED the Joint Protocol for the Transfer or Care.

KPCT/09/56

Kirklees Community Health Care Services Robert Flack introduced the Kirklees Community Healthcare Services update report to the Board. Robert provided an overview of performance for KCHS. It was highlighted that KCHS is performing in nearly all areas, with some risks around smoking services. It was recognised that a series of road shows had been put in place for early April to give colleagues the opportunity to get to grips with the transforming community services guidance, get an overview of the strategic vision for KCHS and have an early, and brief look at organisation form. Robert provided an update regarding the action which had been taken following the Health Visitor report in the Huddersfield Examiner. It was recognised that many colleagues expressed their shock and upset that someone had done this. It was recognised that work continued on a detailed escalation plan to ensure that the areas of greatest need are robustly covered. The Board noted that KCHS are now forecasting a surplus of £250K for 2008/09. Page 15 of 20


It was noted that contract negotiations with the PCT are ongoing, and on target for end of March sign off. It was recognised that future performance reports would change in line with the new contract with the PCT. The Board RECEIVED and NOTED the Kirklees Community Health Care Services update report. KPCT/09/57

Progress report on Contract Signoff 2009/10 Carol McKenna provided a verbal update on progress being made towards signing the PCT’s main secondary care contracts. Carol confirmed contracts with South West Yorkshire Mental Health Trust and Kirklees Community Healthcare Services had been agreed. In addition agreement had been reached with Mid Yorkshire Hospitals NHS Trust last week to sign up to the agreed contract by 31 March. It was noted discussions were still ongoing in terms of reaching and agreement with YAS, Leeds Teaching Hospitals Trust and Calderdale and Huddersfield NHS Foundation Trust. It was noted that the Board would be kept informed of any significant issues.

KPCT/09/58

Every Disabled Child Matters PCT Charter The Board received an update on the Every Disabled Child Matters PCT Charter for information. It was highlighted that the PCT is not fully compliant will all aspects of the Charter at present but aims to do so by December 2009. The Board RECEIVED and NOTED the report and attached Action Plan.

KPCT/09/59

Deprivation of Liberty Safeguards update The Board received an update on the position in relation to the Mental Capacity Act – Deprivation of Liberty Safeguards for information. Sheila Dilks introduced the report and gave background to the detail. It was highlighted that the PCT would be able to meet the requirements of the Act by 1 April 2009.

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The Board RECEIVED and NOTED the update and SUPPORTED the implementation of the Mental Capacity Act and Deprivation of Liberty Safeguards. KPCT/09/60

Minutes of the Professional Executive Committee The Board RECEIVED and NOTED the minutes of the PEC meeting held on 11 February 2009.

KPCT/09/61

Minutes of the Audit Committee The Board RECEIVED and NOTED the minutes of the Audit Committee held on 16 January 2009

KPCT/09/62

Minutes of the Governance Committee The Board RECEIVED and NOTED the minutes of the Governance Committee held on 27 January 2009.

KPCT/09/63

Minutes of the Finance and Performance Committee The Board RECEIVED and NOTED the minutes of the Finance and Performance Committee held on 21 January 2009.

KPCT/09/64

Minutes of Kirklees Community Healthcare Services Board The Board RECEIVED and NOTED the minutes of the Kirklees Community Healthcare Services Board held on 29 January 2009.

KPCT/09/65

Minutes of the Communications and Public Relations Committee The Board RECEIVED and NOTED the minutes of the Communications and Public Relations Committee held on 14 January 2009. It was highlighted that there were some informal comments on page three of the Minutes, third bullet point down under item CPR/07/09, which needed removing.

KPCT/09/66

Minutes of the Estates Strategy Committee The Board RECEIVED and NOTED the minutes of the Estates Strategy Committee held on 2 October 2008.

KPCT/09/67

Minutes of the Yorkshire and the Humber Specialised Commissioning Group (North) The Board RECEIVED and NOTED the minutes of the Yorkshire and the Humber Specialised Commissioning Group (North) held on 7 January 2009. Page 17 of 20


KPCT/09/68

Minutes of the Yorkshire and the Humber Specialised Commissioning Group The Board RECEIVED and NOTED the minutes of the Yorkshire and the Humber Specialised Commissioning Group held on 16 January and 20 February 2009.

KPCT/09/69

Any Other Business KPCT/09/69.1

Estates Shared Service

Bryan Machin advised that it had been proposed to create a shared service for Estates. Therefore it was likely there would be a transfer of employment from Wakefield to Kirklees. KPCT/09/69.2

Appointment of Assistant Director of Finance

It was noted that Alex Wilson had been appointed as the new Assistant Director of Finance for the PCT to replace Julie Lawreniuk. KPCT/09/69.3

Joseph Rowntree Reform Trust

Peter Flynn advised that Joseph Rowntree Reform Trust had published a report of their perceived failings of public-sector IT in Britain. It criticised Government initiatives including the National Programme for IT (NPfIT). NPfIT programmes such as the Summary Care Record (SCR), Electronic Prescription Service (EPS), Picture Archiving and Communications System (PACS) and Choose and Book were given amber status, meaning the authors believed them to have significant problems. The Secondary Uses Services (SUS) and Detailed Care Record were assigned red, meaning the report would recommend them for closure or redesign. The Department of Health have rejected these findings, quoting: “It is simply wrong to claim that the Summary Care Record and other aspects of the National Programme for IT are unlawful. This report is full of basic errors and below the standards usually expected for a Rowntree report. Neither patient consent nor confidentiality are being overridden. The aim of the National Programme for IT is to provide information to doctors and nurses which will save lives and improve the quality of care. Central to it is patient consent and the right of patients to opt out.” KPCT/09/96.4

Use of the Seal

Helena Corder requested the Board’s permission to fix the seal of approval for a Deed of Novation in respect of the PCT’s agreement with Kirklees Council and Voluntary Action Kirklees.

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The Board AGREED to delegate authority to Bryan Machin and Helena Corder to fix the seal of approval. KPCT/09/70

Date and time of the next meeting It was AGREED that the next meeting of the NHS Kirklees Board would take place between 9.15am and 1.00pm on Wednesday 27 May 2009 in the Board Room at St Luke’s House, Huddersfield.

Questions from the Public It was noted there were no members of the public still remaining in attendance. This concluded the content of the public Board meeting therefore the Chairman declared the meeting closed and approximately 1.00pm.

Chairman’s Signature: ………………………………….

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Date: ………………


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