Resources Committee Minutes Monday 13 December :00hrs 17:00hrs Fusion Room, Francis Crick House, Moulton Park

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1 Resources Committee Minutes Monday 13 December :00hrs 17:00hrs Fusion Room, Francis Crick House, Moulton Park Present: Richard Aveling (RAv), Non-Executive Director (Chair) Paul Bevan (PB), Non-Executive Director Alistair Blane (AB), Director of Operations and Policy Susan Hills (SH), Non-Executive Director Jane Meggitt (JM), Director of Communications and Human Capital Kathryn Moody (KM), Director of Finance John Parkes (JP), Chief Executive William Pope (WP), NHSN Chair Diana Wright (DW), Non-Executive Director In Attendance: Marion Pirsztuk, Business Manager (Minute Taker) 1. Apologies Apologies were received from Richard Alsop, Director of Strategy and System Management. 2. Declarations of Interest There were no declarations of interest. 3. Minutes of Meeting - 22 October 2010 NHSN-RC The minutes of the meeting held on 22 October 2010 were approved and signed by the Chair as an accurate record of the meeting. Action Plan: The Committee noted the contents of the Action Plan. NHSN-RC It was noted that the code checking exercise was not included in the action plan. KM advised the Committee that this piece of work was being completed. PB enquired on the timeframe for the Willowbrook project. AB reported that legal advice was being sought and that the appointments of architects and town planners were taking place with Corby Borough Council. It was expected that the project would be delivered in the timeframe set out. SH asked if Commissioning Intentions had been produced for Primary Care. It was not clear whether anything had been developed. Action: RAv to follow up on Commissioning Intentions for Primary Care with Richard Alsop. AB gave an update on Norarch and confirmed that a letter had been circulated to all care homes. Resources Committee Minutes dated 13 December 2010 Page 1 of 5

2 4. Matters Arising from the minutes not covered elsewhere on the agenda There were no matters arising not covered elsewhere on the agenda. Items for Approval 5. Schedule of Items Requiring Approval NHSN-RC KM reported that there were no areas of concern and items had now been removed further to the request from the last meeting. RAv noted that all payments with a value over 25k were now published on the internet. The Standing Financial Instructions (SFIs) would need to be reviewed to ensure that they reflect this publication. ACTION: KM The schedule was approved. 6. Committee Terms of Reference NHSN-RC RAv presented the latest version and there were no fundamental areas of concern. The revised Terms of Reference for the Committee were approved. FRG Terms of Reference NHSN-RC DW requested that further information was provided on certain points in the operating guidance. SH raised concern over the apparent lack of guarantee around quality of service and patient safety. As the FRG would be making some implicit commissioning decisions and was working closely with GPs, the Committee agreed that it should also report regularly to NHSN Trust Board to ensure appropriate assurance and governance was maintained. Action: KM to bring back revised FRG Terms of Reference to the next meeting. Standing Items 7. Human Resources and Organisational Development: 7.1 HR and OD Update Verbal JM tabled a supporting paper and highlighted the trends in workforce information, WTE and head count. An administration review would be presented to the Executive Management Team which would cover how service levels could be maintained with a reduced workforce. Organisational change and future developments were also discussed together with options for Round II management cost reductions. It was noted that the Interim Chief Executive for NGH would be leading on the QIPPS back office functions review. The Staff Survey closed on 10 December A provisional final response rate had been estimated at 57.5% (68% for commissioning) compared with a 55% Picker Trust PCT average. Final response rates would be available week commencing 3 January Resources Committee Minutes dated 13 December 2010 Page 2 of 5

3 The HR team was awaiting feedback regarding the personal future work being undertaken across the organisation. The deadline for this was December and would be included as part of the Quarter 3 reporting. 8. Estates Looking forward, emphasis would centre on: New absence tool for Business Managers (real time) Internal Payroll Audit findings Quarter 3 report (including trend information) JM invited any questions or comments on her tabled paper via telephone or 8.1 Estates and Primary Care Estates update NHSN-RC Sustainability Action Plan The latest progress report showed updates on priority sections of the plan including reduced use of photocopying paper, installation of half hour energy meters to monitor usage, replacement boilers in FCH, and Smarter Driving lessons to reduce fuel consumption. The Updated Sustainable Development Action Plan 2010/11 was reviewed and approved. Primary Care Premises Update Key points in the report included an update on the revised site for the development of the Brackley Community Hospital, a progress report on the new Healthcare Centre at the Isebrook Hospital site which is on target, and decisions taken at FRG on the allocation of capital investment funds for the replacement of Queensway Medical Centre in Wellingborough. TCS - Asset Ownership Department of Health guidance on the future ownership of PCT Estate was still awaited. Lack of clarity remains a risk to the timely conclusion of the TCS programme. Estate Rationalisation A summary report was provided on Estate Rationalisation which included disposal of surplus properties, development schemes including Willowbrook Hospital, Corby and sustainability initiatives. The financial summary showed a potential benefit to NHSN of 3.1 million and potential capital receipts of 2.7m by financial year end 2012/13. The Committee asked if the financial summary could be reviewed in conjunction with the Finance Directorate to ensure clarity over capital, revenue and cost avoidance figures. ACTION: This updated summary is to be included in the next report. AB 8. Finance: 8.1 Finance Report Month 8 Verbal KM tabled the Month 8 position, noting that the commissioning budgets were still the main area of concern, showing a forecast overspend of 34.9m, although a few areas (notably Primary Care) had improved their forecast outturn position. KM explained that during the month a close review of the budget and actual position had taken place, and a number of issues had been firmed up. She also reported that a review of reserves had been undertaken, and a view taken on the likelihood of them being employed to the end of the year, particularly in relation to those where no business case had yet been produced. Resources Committee Minutes dated 13 December 2010 Page 3 of 5

4 Following this review, it was reported that a range of actions had been identified to help towards the financial recovery plan. On this basis, the financial recovery plan requirement of 10,554k has been reduced through management action to 5,002k although a higher figure would be sought to provide a margin of safety. KM also updated the Committee on the negotiations taking place with the in-county acute trusts regarding contract caps/block arrangements. She reported that NGH had made an offer and work was being undertaken to validate this, with a view to an agreement being made before Christmas. AB explained that if an agreement could not be reached, then other actions would need to be taken, such as the issuing of contract penalties and coding challenges. DW asked if the trusts believed that the PCT would take these actions if an agreement was not reached, and AB confirmed that they did. The position with KGH was less clear, with an early offer of 145m being made by the trust. This was rejected as it was noted that this value was higher than the forecast outturn being projected by the trust. Discussions are continuing, although it is thought that the agreement of a cap with KGH is less likely, and that contract challenges would need to be invoked. The Committee agreed that KM/AB should pursue contract caps with the two in county acute trusts, but that if agreement could not be reached before Christmas, contractual challenges would need to be lodged. The committee further expressed support to KM/AB in discussing caps or tariff reductions with out of county acute providers and private sector suppliers, but noted that in order to achieve the financial control total, significant discounts would need to be achieved against current forecast outturns. ACTION: JP/KM/AB 9. SHA Submission Report NHSN-RC SH asked how the organisation received assurance around the success of individual schemes. JP confirmed that QIPPs would not solely focus on monetary issues, in addition considering quality and savings. Plans for 2010/15 would change continually as further SHA submissions are made between now and 31 March The Committee would be kept updated. JP proposed that a Board to Board meeting should be arranged in January with Nene Commissioning to cover future decisions in the delivery of services. ACTION: JP Items for Discussion 10. Update on Contract Negotiations NHSN-RC AB reported that the TCS agenda was running in parallel with contract negotiations and was on track and going well. The Committee formally noted the report. Items for Information and Minutes 11. Minutes for information only: 11.1 Co-operation and Competition Panel (CCP) NHSN-RC dated 14 October 2010 Resources Committee Minutes dated 13 December 2010 Page 4 of 5

5 11.2 Extraordinary Co-operation and Competition Panel (CCP) NHSN-RC dated 15 November Financial Recovery Group (FRG) NHSN-RC dated 9 November 2010 SH noted the comment that there is no mechanism for any complaints regarding provider services lodged with Primary Care to be made known to NHSN and requested to be informed if there was an intention to address this matter. ACTION: AB Any other Business 11 Any Other Business None Date of the next meeting 12 Date of the next meeting The next meeting will be held on Monday 21 February 2011, 14:30 hrs to 17:00 hrs, in the Board Room, Francis Crick House, Moulton Park. Signed: (Chair) Dated : Resources Committee Minutes dated 13 December 2010 Page 5 of 5

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