EAST MIDLANDS OPERATIONAL OVERSIGHT GROUP (OOG) MINUTES OF THE BOARD MEETING HELD ON FRIDAY 9 MARCH 2012

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EAST MIDLANDS OPERATIONAL OVERSIGHT GROUP (OOG) MINUTES OF THE BOARD MEETING HELD ON FRIDAY 9 MARCH 2012 FOSSE HOUSE BOARD ROOM, NHS LEICESTER CITY COUNTY & RUTLAND Item Discussion Action by Present

1 EAST MIDLANDS OPERATIONAL OVERSIGHT GROUP (OOG) MINUTES OF THE BOARD MEETING HELD ON FRIDAY 9 MARCH 2012 FOSSE HOUSE BOARD ROOM, NHS LEICESTER CITY COUNTY & RUTLAND Item Discussion Action by Present Martin McShane (Chair), NHS Lincolnshire Jade Ackers, NHS Milton Keynes and NHS Northamptonshire Lee Bartholomew, Lay Member, Specialised Commissioning Tim Daniel, NHS Leicester City, Leicestershire County and Rutland Jane French, NHS Leicestershire City, Leicestershire County and Rutland Chris Kenny, NHS Nottingham City & County, NHS Bassetlaw Jonathan Rycroft, NHS Derbyshire, Midlands and East Specialised Commissioning Donna Hakes, Midlands and East Specialised Commissioning In Attendance Apologies Register of interests and declaration of interests for items on the agenda Jon Currington, Midlands and East Specialised Commissioning Peter Davies, Midlands and East Specialised Commissioning Rob Lusuardi, Midlands and East Specialised Commissioning Malcolm Qualie, Midlands and East Specialised Commissioning Ruth Sargent, Midlands and East Specialised Commissioning Catherine Griffiths (Chair) Julia Cons, Lay Member, Specialised Commissioning Felicity Cox, NHS Milton Keynes and NHS Northamptonshire (represented by Jade Ackers) David Sharpe, NHS Derbyshire (represented by Jonathan Rycroft) Vikki Taylor, NHS Leicestershire City, Leicestershire County and Rutland (represented by Jane French) None received 1

2 Minutes of the previous meeting held on 27 January 2012 The minutes from the meeting held on 27 January 2012 were formally agreed and accepted. Actions from the previous meeting held on 27 January 2012 A summary version of the guide giving information about the future of specialised service commissioning had been produced. To be distributed to group members. All actions had been actioned and resolved. 2. Directors Report 3. Corporate Issues 3.1 OOG Terms of Reference 3.2 EMSCG Staff Survey Clinical Reference s It was noted that these were the national reference groups which included representatives from public health, clinicians and commissioners from specialities. 3 services were to be agreed and signed off by 28 March It was agreed that list of group 3 services would be distributed to group members for information. It was agreed that a briefing note should be sent to PCT Chief Executives with regard to 3 services detailing the approximate budget implications, scale of risk and how these could be managed by CSS. The Establishment Agreement had been formally agreed and recirculated. PCT members were asked to ensure that the Establishment Agreement had been taken through their respective Boards. It was agreed that the quorum of the OOG would be three cluster representatives. PCTs can agree delegated voting rights to a nominated representative with prior agreement by the Chair and notification to the Secretariat of the Committee. PCT members were tasked with inviting Clinical Commissioning representatives to observe future OOG meetings. References to East of England within the Terms of Reference were to be amended to read. The Report provided the with results from the EMSCG Staff Survey from September 2011 January Results were generally positive or neutral, however there was a slight negative movement in staff satisfaction. A drive towards increasing the number of comments was to be made. It was noted that a further staff survey was to be undertaken across the Midlands and East Sector this would not replace the local EMSCG staff survey. Organisational development planning was underway across Midlands and East SCG in order to support staff in transition. The received the survey. Malcolm Qualie members members 4. Operational Performance 2

3 /12 Finance and Performance Report The OOG were asked to receive month 9 financial and performance report for specialised expenditure. The year to date position for specialised expenditure was 2.46m underspend. This reflected the transaction of outstanding issues with DFT, UHL and NUH. The month 9 forecast indicated a full year underperformance of between 2.8m to 3.6m, which incorporates an outstanding adjustment ( 800k) for the impact of marginal rates at NUH. Discussions with individual PCT around year end management were taking place. The approved the report. 4.2 TAVI The report submitted to the provided briefing paper on TAVI challenges. It was agreed that the SCG should negotiate with out of area providers to deliver TAVI for 19k. The financial risk would be managed within the SCG budget. The supported the paper. 4.3 Monthly Update Cancer Drug Fund 4.4 Cancer Drugs Fund Annual Report The report updated the on the monthly number of Cancer Drug Fund applications received. The received the update. The received the final version of the Cancer Drugs Fund Annual Report Planning 2012/ Financial Plan The report submitted to the OOG provided an update on the planning assumptions discussed and agreed at the OOG on 27 January for specialised service expenditure for the for 2012/13. the plan represented the position post matrix and tariff movements. The approach to budget setting was based on: Forecast outturn (adjusted for non-recurrent items) stated broadly as break even Growth and QIPP assumptions (broadly zero) Specific contract issues requiring resource CQUIN uplift (1% on baseline, 2.5% on any residual growth) Matrix, Tariff and er Impact of Major Trauma Business Case (top up only) The OOG approved the financial plan at 671m. However, it was agreed that Derbyshire needed to verify their position with their Cluster Director of Finance and would provide feedback to the SCG if there were any issues. 3

4 The noted that the impact of the UHL counting and coding issues had been reflected in the plan for renal services. The were also asked to note that the major trauma top-up payments were not included in the financial plan as the expectation was that PCTs had made provision for this. EMSCG will contact PCTs to vire the monies across from April Meetings would continue to take place individually with PCT finance teams to discuss the detail behind the financial plans. It was noted that the NHSCB expectation was that plans and contracts would reflect the minimum take. The approved the paper. 5.2 Major Trauma Update The report submitted to the OOG provided an update on the transfer of leadership responsibility for the development of trauma services in the to the EMSC OOG and the Trauma Network. A draft assurance process has been produced for specialised commissioners to satisfy the OOG that NUH is able to commence provision of major trauma services as from 1 April An interim internal assurance visit was to take place on 21 March NHS Midlands and East may require the trauma network proposals to be fully implemented by March The Major Trauma Network had based their implementation plan over three years as it was felt that there was not capacity at NUH to fully implement the plan by March It was an option that the plan could be adapted by utilising major trauma services outside the. Changes to the existed plan would require additional project management support and additional dedicated commissioner support. to discuss with Catherine O Connell, Chief Operating Officer, Midlands and East SCG. The OOG noted that the major trauma top-up payments were not included in the financial planning assumptions. The OOG received the report. 5.3 Contracting Arrangements 2012/13 The report submitted to the OOG provided an update on the progress of the 2012/13 contracting process and provided an update to the 2012/13 CQUIN paper presented at the January OOG. It was noted all contracts, including out of area and mental health, were expected to be signed by 31 March The received the update and noted the progress made. 6. Governance 6.1 Risk Register The received the operational 2011/12 risk register and acknowledged the risks identified. 4

5 It was noted the risk for CQ5 Radiotherapy was 12 and therefore amber not red. Haemaglobinopathy services at Milton Keynes had been identified as a new risk. Jon Currington was in discussion with the National Peer Review Team to quantify. Jon Currington 7. Policies 7.1 NICE Guidance update The report submitted to the OOG provided an update on the development in NICE Guidelines relevant to specialised services. The received the update report. 7.2 Policy for the use of Nebulised Treatments in Cystic Fibrosis 7.3 Functional Electrical Stimulation (FES) 7.4 List of Policies reaching Review Date The OOG were asked to approve the criteria for the use of nebulised treatments in cystic fibrosis. The approved the policy. The OOG were asked to approve the FES policy for implementation from 1 April The approved the policy. Due to national developments within specialised services he OOG were asked to extend the review dates of the policies listed. The approved that the review dates be extended. 9. Further Matters to note 9.1 Clinical Priorities Advisory (CPAG) minutes 9.2 Mental Health and Learning Disability Board Minutes The OOG received and accepted the ratified minutes from the meeting held in December The OOG received and accepted the draft minutes from the meeting held in January EMSCG Finance Committee Minutes The OOG received and accepted the draft minutes from the meeting held in January Date, time and Venue of the next Meeting Friday, 27 April at a.m. in Fosse House Board Room 5

NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 14. Date of Meeting: 12 th April 2019 TITLE OF REPORT:

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