Report to the Merton Clinical Commissioning Group Governing Body

Transcription

1 Report to the Merton Clinical Commissioning Group Governing Body Date of Meeting: Thursday 18 th July 2013 No: 11.1 ATTACHMENT 21 Title of Document: Approved Minutes of Other Groups Rationale: To update the CCG Governing Body on the areas of responsibility covered by the following Committees. Summary: Date of Meeting Attachment No Better Healthcare Closer to Home Programme Board Recommendation: That the Governing Body is asked to note the attached Minutes. Date, author details: As per details on each attachment.

2 Approved BHCH Programme Board MINUTES Meeting: Venue: Better Healthcare Closer to Home Programme Board MR3, Wimbledon Bridge House Date/Time: 21 st March 2013 Attendees: Name Job Title Peter Derrick (Chair) Non Executive SMPCT Andrew Grimes BHCH Project Manager NHSSWL Karen McKinley Chief Finance Officer MCCG Andy Bradley Finance Consultant SMPCT Gabby Walters Programme Manager, Nelson Decant and ESTH Wallington Project Susan Howson BHCH Project Manager SMPCT Dr Martyn Wake Joint PEC Chair SMPCT Eleanor Brown CO MCCG Dr Brendan Hudson Sutton CCG Chair SCCG David Buckland Development Manager SWL HP Charlotte Joll Programme Director for Better Services, Better Value NHSSWL Organisation Simon Williams Director of Community and Housing LBM Yvonne Hylton Business Support Officer SMPCT (for Minutes) Apologies: Name Job Title Organisation Dr Adi Cooper Strategic Director, Adult Social Services LBS Jan Underhill Health and Social Care Integrated Lead LBS Sarah Wright Deputy Divisional Director SMCS Val Day Director of Public Health (Interim) SMPCT Tim Wilkinson Project Director, St Helier Development ESH Nicola Theron General Manager SWL HP Geoff Price Chief Finance Officer Sutton CCG

3 1. Welcome and introductions, declarations of interest The Chair welcomed all attendees to the meeting and advised a change to the. It was agreed to allow the 8.2 Nelson LCC Highlight Report to be moved to the top of the agenda to allow SGH and DB to attend another meeting. The minutes have been reported in line with the. There were no declarations of interest. 2. Minutes of the BHCH Programme Board Meeting 7 th February 2013 The minutes of the meeting held on 7 th February were approved with the following change:- Under 6 stopped to be replaced with paused in relation to the St Heliers Future project and Phase 1 ESH. 4. Better Services Better Value/Future of St Helier site programmes (CJ) The Chair welcomed Charlotte Joll, BSBV Programme Director to the meeting. CJ introduced and talked through a tabled presentation to update the Board on the progress made to date which included:- - Clinical recommendations - Recent progress - BSBV messages on moving care closer to home - Impact on travel and transport for the public - Next steps A copy of the Presentation presented is attached to the minutes. 5. BHCH Programme Board Future Arrangements (EB) EB introduced a paper recommending Sutton and Merton BHCH Programme Board cease from and Merton CCG continue with a BHCH Merton Programme Board to oversee the development of Merton Local Care Centres and performance manage the emerging Merton Out of Hospital (OOH) Strategy. The Merton BHCH PB will report to the Merton CCG Board and a Project Team will be contracted to implement the programme. EB advised discussion had taken place with Sutton CCG who agreed the proposal. BH added that the Sutton CCG will continue development of a Sutton OOH service via BSBV and local workstreams. Comments SW supported the recommendation, on the basis that it underpinned the development of both the Nelson and Mitcham LCCs. In responding PD said that there would be an appraisal of the Mitcham Business Case which would inform the decision making. SW expressed some concerns about how the Mitcham LCC was lagging so far behind the others and asked what could be done. One issue was the need for clarity over the local authority position in terms of site use, and SW agreed to come YH SW

4 back with this clarity. 6. Finance Update (Andy Bradley) AB tabled and introduced two papers to highlight the financial risks facing the CCGs, on the basis that the Nelson scheme is approved and achieves financial closure in 2012/13 (Stage 2 Business Case going to NHSL CIC today ) The following areas were raised:- - Whilst the Jubilee Centre is operational some services and rental agreements have yet to be agreed; - The Nelson scheme is now being implemented and rental agreements and possible commissioning savings must be delivered to ensure affordability; - The development of the Mitcham business case if it is to proceed. In reference to the papers the financial risks associated with both the Steady State situation and the Implementation phase were highlighted. In the past the PCT had successfully bid for capital funding to support the implementation phase, but going forward the arrangements for capital funding bids was not yet agreed presenting a risk to the CCG during this period. Comments were invited and received as follows: b) In relation to Provider services transferring to Local Care Centres, AG reiterated that it is the responsibility of the CCG to manage the closure of sites that are no longer required once the LCC opens and to advise Prop Co of closures in a timely fashion to avoid the CCG incurring double running costs. - AG referred to the Mitcham scheme. The PCT had agreed to underwrite certain costs incurred by LiftCo should the development not proceed In the event that the scheme does not go ahead this would result in a potential additional cost pressure for the CCG. - Jubilee Health Centre (JHC) has generated a cost pressure for the PCT in relation to unallocated space, which will transfer to the CCG from Areas for review include negotiating an uplift in GP/Provider rentals; negotiations with RMH as services transfer out of ESH to JHC and the diagnostic suite void. - Recommendations for CCGs to mitigate the Confirm ability to recover estates costs (Procurement strategy required); - Minimise Project Management costs (whilst maintaining momentum) until outcome of bid for funding is know; - Any agreement to proceed with Mitcham scheme should be done with full knowledge of 13/14 cost implications, in terms of both underwritten costs and the likelihood of capital bids being successful/ able to be used to offset

5 such costs; - Testing the ability to achieve commissioning savings to offset any potential shortfall in rental income; - CCGs to note that until LiftCo costs, provider rental agreements, commissioning savings and capital funding arrangements are confirmed the risks will remain. AG to update and re-issue a final BHCH Financial Risk Statement and circulate to the Programme Board with the minutes. 7 BHCH Risk Log and definitions Noted. 8. BHCH Programme LCC Project updates: AG 8.1 Jubilee Health Centre Highlight Report (BH) The Highlight report was noted by the Programme Board. AG provided an update on Fire and Water Management advising that the PCT are continuing to work with the Landlord to resolve the issues. - Fire evacuation procedures have been shared and accepted by all Providers and AG offered to take Members of the Programme Board through a Fire Drill to demonstrate fit for purpose; - Water management issues will be resolved through the main contract and relate to new equipment i.e. eco flush cisterns which have impacted on the water flow. In response BH said that he was content but disappointed that the issues had not been resolved. Referring to the Sutton OSC BH advised that the meeting had been very challenging and he was particularly pleased that ESH services had been reinstated adding that JHC is an important flagship development for Sutton CCG. GW advised that the Trust s decision to withdraw services had been based on fire and water risk assessments received from the PCT, adding that ESH were very pleased to be back. 8.2 Nelson LCC Highlight Report SGH reported that the Nelson Stage 2 Business Case would be reviewed by the Capital Investment Committee (CIC) today ( ), which subject to approval would allow for completion of the Nelson Car Park on SGH confirmed that she would confirm the decision to the CCG and Programme Board when known. The news was welcomed by the Board and PB thanked the Project Management team in bringing the NLCC to this position. Proposal to fix the Interest Rate SGH tabled a paper with a proposal to fix the interest rate to move to financial closure on accepting the associated risks and this was supported by the Programme Board. SGH advised that arrangements had been made with all parties concerned, including Ann Radmore (SWL CEO) and Jill Robinson (SWL DoF). PD advised that Merton CCG and SWL Cluster Finance Committees had approved

6 the proposal. MW joined the meeting and declared an interest as a Partner of the Church Lane Practice. SGH responded to a question regarding the car park planning permission advising that discussions were taken place with the GPs. EB added that a sensible solution was being proposed and was hopeful that a successful conclusion would be reached. SGH and DB left the meeting. 8.3 Mitcham LCC Update In NT s absence no update was received. 9. Any Other Business Formal closure of the Sutton and Merton PCT BHCH Programme Board was noted.