nhs bolton clinical commissioning group …(sd) nhs salford ccg (cfo chair) alan dow (ad) nhs...

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NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: ………18……………… Date of Meeting: ……23rd September 2016……………………… TITLE OF REPORT:

GM Association of CCGs Minutes

AUTHOR:

GM Association of CCGs

PRESENTED BY:

Su Long, Chief Officer

PURPOSE OF PAPER: (Linking to Strategic Objectives)

To update the Board on the discussions held at the meetings on 19th July and 16th August 2016.

LINKS TO CORPORATE OBJECTIVES (tick relevant boxes):

Delivery of Year 1 Locality Plan. Joint collaborative working with Bolton FT and the Council.

Supporting people in their home and community.

Shared health care records across Bolton. Regulatory Requirement Standing Item √

RECOMMENDATION TO THE BOARD: (Please be clear if decision required, or for noting)

The Board is asked to note the Minutes.

COMMITTEES/GROUPS PREVIOUSLY CONSULTED:

GM Association of CCGs.

REVIEW OF CONFLICTS OF INTEREST:

Conflicts of interest are reviewed at every meeting.

VIEW OF THE PATIENTS, CARERS OR THE PUBLIC, AND THE EXTENT OF THEIR INVOLVEMENT:

Patient views are not specifically sought as part of this report.

OUTCOME OF EQUALITY IMPACT ASSESSMENT (EIA) AND ANY ASSOCIATED RISKS:

EIA and an assessment is not considered necessary for the report.

(Item 3) AD APPROVED AGG MINUTES OF 19.7.16

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GM ASSOCIATION OF CCGs: Association Governing Group (AGG) 19th July 2016 13:30 – 17:30

The Willows, AJ Bell Stadium

Attendance: Philip Burns (PB) NHS South Manchester CCG Mark Chidgey – for G

Mullins & Ranjit Gill NHS Stockport CCG

Steve Dixon (SD) NHS Salford CCG (CFO Chair) Alan Dow (AD) NHS Tameside & Glossop CCG Chris Duffy (arrived 14:12) (CD) NHS Heywood, Middleton & Rochdale CCG Nigel Guest (NG) NHS Trafford CCG Melissa Laskey (ML) NHS Bolton CCG (HoC Chair) Margaret O’Dwyer for

S North & K Patel (MoD) NHS Bury CCG

Hamish Stedman (HS) NHS Salford CCG (Chair) Mike Tate - for T

Anderson & T Dalton (MT) NHS Wigan Borough CCG

Martin Whiting (MW) NHS North Manchester CCG Ian Williamson arrived

13:50) (IWi) NHS Central Manchester CCG

Simon Wootton (SW) NHS Heywood, Middleton & Rochdale CCG Apologies: Steve Allinson (SA) NHS Tameside & Glossop CCG Trish Anderson (TA) NHS Wigan Borough CCG Wirin Bhatiani (WB) NHS Bolton CCG Tim Dalton (TD) NHS Wigan Borough CCG Michael Eeckelaers (ME) NHS Central Manchester CCG Ranjit Gill (RG) NHS Stockport CCG Denis Gizzi (DG) NHS Oldham CCG Anthony Hassall (AH) NHS Salford CG Warren Heppolette (WH) Health & Social Care Reform Caroline Kurzeja (CK) NHS South Manchester CCG

Gina Lawrence (GL) NHS Trafford CCG Su Long (SL) NHS Bolton CCG Gaynor Mullins (GMu) NHS Stockport CCG Stuart North (SN) NHS Bury CCG Kiran Patel (KP) NHS Bury CCG Jo Purcell (JP) NHS North Manchester CCG Ian Wilkinson (IW) NHS Oldham CCG In Attendance: Alison Bali (ABa) GM Association of CCGs (Minutes) Rob Bellingham (RB) Health & Social Care Reform Andrea Dayson (ADa) GM Association of CCGs Stephanie Pearson (SP) GM Association of CCGs Alison Schofield (AS) GM Association of CCGs Melissa Surgey (MS) GM Association of CCGs


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1.WELCOME & APOLOGIES FOR ABSENCE

The Chair welcomed members to the meeting and apologies were noted.

2. DECLARATION OF INTEREST

No Declarations of Interest were noted.

3. MINUTES OF THE LAST MEETING & REVIEW OF ACTION LOG 05.07.16

The Minutes of the last meeting were accepted as an accurate record of the previous meeting and all actions noted as completed/agenda items.

4. DEVOLUTION UPDATE

Two documents were tabled for information:- o GM STP – ‘Key Documentation Supporting the 30 June Submission’ o ‘Brief for SPT Submission’ (presentation)

Provides an update on progress, evidence and background data.

Noted interviews have taken place for Chief Operating Officer, Investment & Finance & Quality and announcement is expected in the near future.

The remaining 2 posts, Strategy & System Development and Population Health/Commissioning will be interviewed in September.

Comments

It was understood that the 44 STPs had been grouped into cohorts.

GM Devolution was predicated on the premise of improving health of GM population.

AGG need to consider a clear vision for GM in 5 years’ time, noting most significant impact will originate from theme 1- Public Health to drive this.

Early Years Strategy prioritised through SPB needs to be recognised in locality plans.

ACTION: RB to send the 2 documents electronically

5. TRANSFORMATION FUND INDEPENDENT EVALUATION, TFOG RECOMMENDATIONS & NEXT STEPS

Feedback from First Wave submissions

SPBE decisions

Stockport

Process – it seemed at the time it took quite a while to take a decision but on reflection only 3 months and probably because we were moving from Vanguard to transformation.

The proposers were not included in the assessment so felt consultant heavy process.

Activity & finance difficult but positive process – challenged and gaps so the process to sharpen our case and position – tested whether we have a single view and plan.

Our proposal was understood so was reassuring.

SPBE felt strange and not sure of each role in the room.

Communications of decisions and having it streamlined would be helpful. Salford

Finance and Activity – if you are not fully aligned that will be first hurdle, time consuming.


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Positive support from Delloittes and New Economy teams on technicalities and form filling.

Lessons learnt – were we ambitious enough.

Pressed to do detailed milestones and deliverables – being asked for the detail which will form part of the investment agreement

Process – quite lengthy, first wave need to learn and share the process to support and improve the process for others.

Tameside & Glossop

New and complicated process - Not gone through whole process – learning on both sides. Manchester

Transformation Fund process did not easily fit with the Manchester submissions as in phasing – first Single Hospital Service not a locality plan.

Investment agreement – detailed milestones still needs more work. Part 2 to be submitted in September. Offered and interim amount of money to support this process.

Process lengthy & complex.

Requires very detailed business case and 3:1 difficult to demonstrate which a similar issues across all submission and accepted as not being a set in stone criteria.

COMMENTS

Evaluator comments are helpful for others

Investment support - potential for setting precedent for setting different criteria.

Return on investment – too hard milestone consultants recognised that.

Manchester 2nd submission – need to understand what documentation is required and understand the rules of the game.

Some core documentation that is required for submission is a judgemental call.

Need a core checklist – will take that back to the team.

Core support of 10 days available all that had accessed agreed this was vital to the process.

TFOG – our representatives reported that not all comments about the proposals had been reflected in the final report.

Clarity on core data set that needs to be submitted

ACTION:

Development of core documentation guidance/check list for submissions - RB

Ensure localities are receiving appropriate support from Deloittes/New Economy – RB

Feedback that some comments were not included in the final report – RB

6. GMCA 2ND CONSULTATION ON PROPOSED DEVOLUTION POWERS

GMCA consultation on proposed powers a number of areas under consideration:- o Fire and Rescue Services o Waste Disposal o Education, skills and Employment Support o Transport o Planning o Overview and Scrutiny o Equalities o Overview & scrutiny committees

Need members to consider even though not directly linked to health


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ACTION:

AD to send a brief - all members to send comments

7. DEVOLUTION LEAD UPDATES

SRO Locality Plans - No update Governance - No update

SRO Workforce - No update Primary Care

Primary Care Strategy will be a public facing document through SPB and full strategy – for professional groups to allow us to facilitate engagement.

7 day access – national direction of travel to be published soon needs to compare to the GM model will use CO as forum for testing and then report to the AGG.

Small working group looking at the standards to review and refresh. COMMENTS

7 day access funding – Joanne Newton linked into this work on our behalf.

Proposal for 2016-17 GM affected by short fall of funding.

RB to discuss Ros Rougton to understand implications for GM.

Will need to make the case for national funding. LD / Mental Health

Moving to implementation of the new care models.

Dementia United steering group.

Suicide prevention and Crises concordant all linked. COMMENTS

Strategy for GM - Handling crises more intelligently through A&E

Work programmes at early stages.

Adult social care reform – making strong links to HOCs for integration.

Need to avoid duplication through clear governance. IM&T

Datawell set date for a future meeting Capital & Estates

Signed off MOU. Medicines Optimisation

Standing request for an AGG lead

Discussion on reporting/governance – previously suggested report through AGG

Need for clinical input.

Request Andrew White to provide an update at a future meeting. GM Shared Services - No update


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Research & Innovation - No update Contracting & Pricing

Presentation by Simon Worthington re: different contracting arrangements in Bolton.

Presentation also shared with CSG 0 opportunity for shared learning for considering different contract options next year.

Urgent & Emergency Care

Taskforce set up - How we assure ourselves, GM and the wider system.

How we respond as a system so we manage within GM rather than national intervention.

SL leading on assurance – performance meeting with NHSE.

Next OMT will report on the progress following the ‘lock in’ session.

Manchester Single Hospital Service

H&WBB Friday re the formal FT merger.

Merger CMFT and UHSM is huge undertaking which will probably occur over a 5 year period.

NMGH will then need to be aligned.

Will implement single commissioning board – for discussion later this week

Stabilisation at PAT critical over next 3-4 months. HT & Standardising Acute Hospital Care (Theme 3):

Theme 3 steering group meeting last week – AH and SL – went well but no specific feedback

Theme 3 CCG paper JCB received and approved.

Keen to understand implications and timescales

Discussion at JCB to link all locality plans with theme 3.

Brainstorm at Monday’s workshop to link to theme 2-3 – discussion re; children.

ML - SCN leading children groups based on quality identifying areas of concern

HoC lead for HT for each sector. Devolution Meetings: OMT

Review of financial position across providers/CCGs/LAs - Pressures with pharmacy with new changes re; funding.

New model of care – need to understand that and sighted in each locality. Strategic Partnership Board

MOU Sport England – By end of today have draft and share with AGG virtually. Going to SPB next week. ‘Beat the Street’ healthy activity initiative.

Joint Commissioning Board

Friday afternoon not good idea. Motion to move the meeting date to ensure KP can co-chair Implementation Working Group

Meeting this week Reform Board - Meeting cancelled Transformation Fund Oversight Group (TFOG)

Discussed under item 5.


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ACTION: Primary Care

RB to discuss primary care 7 day access funding with Ros Roughton Urgent Care

ML to send further details when available MOU Sport England

To be circulated for agreement via email

8. AOB

8.1 Independent Chair of the GM Cancer System Board

Chris Duffy read out the email received from Adrian Hackney with request that AGG approve HS nomination for the newly established Cancer System Board or suggest alternative.

All agreed given background makes sense.

Noted that HS has accepted a non-Executive Director role at SRFT - Provider Federation Board will be sought opinion.

Cancer Board – NG to progress nomination through next Cancer Board. 8.2 HT Joint Committee

North Derbyshire plans would it be useful to know if their plans impact on us.

HT providing services for patients that come into GM but very few GM patients using services outside of GM unless highly specialised.

Theme 3 if we propose changes then duties will apply around consultation and involvement.

8.3 Assurance Meeting

Piece of work looking at composition of H&WBBs.

Paper gone to AGMA for approval.

RB will find out where paper up to in the system. 8.4 Outgoing Chair – Hamish Stedman

As this was the last meeting that HS will chair the AGG, members thanked him for his enormous contribution to the formation and development of the AGG.

ACTION: 8.3 Assurance – Review of H&WBB

RB to provide further update at a future meeting

NEXT MEETING

DATE: 2nd August 2016

TIME: 13:30 – 17:30

VENUE: The Willows, AJ Bell Stadium

FINAL AGG MINUTES OF 16.8.16

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GM ASSOCIATION OF CCGs: Association Governing Group (AGG) 16th August 2016

13:30 – 17:30 The Willows, AJ Bell Stadium

Attendance:

Wirin Bhatiani

(WB)

NHS Bolton CCG

Philip Burns (PB) NHS South Manchester CCG Tim Dalton (TD) NHS Wigan Borough CCG arrived at 14:00 Steve Dixon (SD) NHS Salford CCG (CFO Chair) Alan Dow (AD) NHS Tameside & Glossop CCG Chris Duffy (CD) NHS Heywood, Middleton & Rochdale CCG Michael Eeckelaers (ME) NHS Central Manchester CCG arrived at

14:00 Ranjit Gill (RG) NHS Stockport CCG Denis Gizzi (DG) NHS Oldham CCG Nigel Guest (NG) NHS Trafford CCG Anthony Hassall (AH) NHS Salford CG Gina Lawrence (GL) NHS Trafford CCG Melissa Laskey (ML) NHS Bolton CCG Su Long (SL) NHS Bolton CCG Gaynor Mullins (GMu) NHS Stockport CCG Stuart North (SN) NHS Bury CCG left at 16:30 Kiran Patel (Chair) (KP) NHS Bury CCG Simon Wootton (SW) NHS Heywood, Middleton & Rochdale CCG Tom Tasker (TT) NHS Salford CCG Mike Tate – on behalf

of T Anderson (MT) NHS Wigan Borough CCG

Apologies: Trish Anderson (TA) NHS Wigan Borough CCG Warren Heppolette (WH) Health & Social Care Reform Caroline Kurzeja (CK) NHS South Manchester CCG Jo Purcell (JP) NHS North Manchester CCG Ian Wilkinson (IW) NHS Oldham CCG Ian Williamson (IWi) NHS Central Manchester CCG Martin Whiting (MW) NHS North Manchester CCG

In Attendance: Alison Bali (ABa) GM Association of CCGs (Minutes) Rob Bellingham (RB) Health & Social Care Reform Andrea Dayson (ADa) GM Association of CCGs

Eric Applewhite Alison Schofield (AS) GM Association of CCGs Hazel Summers (For ADASS) Melissa Surgey (MS) GM Association of CCGs

1.WELCOME & APOLOGIES FOR ABSENCE

• KP welcomed members to his first meeting as AGG Chair • Noted ME and PB attending for Manchester CCGs. • KP advised that he is keen to visit with each CCG – AD to coordinate • KP advised that discussions had taken place regarding the MD Role and it was agreed that

SN and AH will support and share the MD role in the interim period prior to appointing to the role. KP will report back to AGG in a few weeks on how to take this forward.

• KP has meetings with Sir Howard Bernstein, & Jon Rouse in the near future and will provide feedback following each meeting.


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ACTION: • AD to liaise with PA’s to arrange visits with CCGs & KP

2. DECLARATION OF INTEREST

• None reported.

3. MINUTES OF THE LAST MEETING 19.07.16 & ACTION LOG

• The minutes of the last meeting were accepted as an accurate record of the last meeting.

Review of Actions

• All actions noted as completed/agenda items and the following noted:- • Primary Care:-

o Telecon with Ros Roughton and finance leads; a letter form Jon Rouse is to be issued to describe what is in / out of scope.

o Primary Care Access - national specification not yet signed off. • Liz Treacy undertaking an assurance review of the H&WBBs. It has been through due

process at the Local Authority and agreed would need to be sighted by AGG. • Transformation Fund Independent Evaluation, TFOG Recommendations & Next Steps –

see item 4

4. Devolution Update

• Development of core documentation guidance/check list for submissions – guidance on

TFOG process has been issued to the system but is not a checklist of what should / should not be included within submissions. The H&SCP team did not want to dictate what should be included in support of submissions.

• Support from Deloittes/New Economy – Core offer of support has been made available (also through PWC) with variable uptake. However, if any locality feels they have not received sufficient support to contact RB direct.

• Feedback from AGG TFOG reps that comments were not included in the final report – It has been agreed that a review process is to be carried out on the first wave of submissions. RB is happy to take specific comments noting that the assessment process is under review

Comments/questions:

• TFOG reps did not see great deal of difference to what went to SPBE • Noted cause for concern for the NE as sector there has to be consistency in terms of

measurement and if there are inconsistencies based on external factors this affects a standard process

• August SPB is a single agenda item focusing on Pennine Acute as requested by the Chair • Suggestion made that this is turned into an SPBE but accept that we need to have this

discussion in the public domain. • RB will take back invitation to attend AGG to JR. • JR will give priority to performance, delivery and quality with an equal focus to that of

Transformation. • SPBE focus will be on quality, performance and finance

ACTION: • Transformation Fund Submissions – any locality requiring consultancy support to

contact RB direct.


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• Open invitation to JR to attend the AGG • KP to meet with JR when back form leave

5. JCB: Future Agenda Items

RB to use the AGG to support JCB planning this will ensure that the AGG forward plan is populated with JCB items as appropriate:-

• Draft agenda for 2.9.16 was tabled • AH chaired the last JCBE noted there was a presentation from NICE regarding quality

standards suggestion to invite to AGG • KP met has met with Steven Pleasant as Co- chair of the JCB a meeting to be set up with SP,

KP and Jon Rouse – opportunity to review – important session • Primary Care Strategy already supported through AGG on the next JCB but a more simplified

version which can be circulated • Specialised Commissioning; discussing the direction of travel, make sure NW Specialised

Commissioning team are supportive • GL & RB meeting with Andy Bibby to discuss further arrangements then take through the JCB • Need to be clear on the risks of specialised commissioning being fully devolved and

understand the 17-18 detail of finances, or assurances around fair share allocation. Need to be sure we push back if necessary otherwise would be huge financial risk.

• Specialised Commissioning workshop tomorrow – highlighted financial risks. • GL confirmed very high risk no decisions will be made without AGG support • Joint commissioning updates to acknowledge work being progressed by MS and others at

JCBE. Importantly building strong links with Health and Social Care system.

6. Adult Social Care Reform

Hazel Summers from ADASS attended and gave a presentation on Adult Social Care reform which has been sighted at SPB. This paper/presentation has been to the HoCs who were supportive in principles and agreed a need for closer working relationships in the future to ensure an integrated approach to commissioning and development of the LCOs. Also been discussed at the SPBE and the SPB with support.

Using a co- production approach engaging stakeholders across health and care in Greater Manchester the following eight business areas have been reviewed identifying key issues and improvement opportunities:

• Moving to an asset based based model that draws on the whole range of personal, family and community resources to maximise independence and resilience;

• Investing in primary, secondary and tertiary prevention to reduce the need for acute interventions and long term treatment;

• Redefining the deal with the citizens so that contacts with services become self service and enable people to organise their own care and support, and ensure that assessments are common, trusted and portable across Greater Manchester;

• Designing and commissioning a new model of care at home in partnership with service users, providers and investors;

• Focusing residential and nursing care on those who can really benefit from it and creating centres of excellence in care that maximise independence and reduce the call for hospital admission;

• Supporting Carers by creating a Greater Manchester offer to provide consistent advice and


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support to local and condition based career organisations and integrating all funding and support to Carers;

• Working with employers, educational institutions and professional organisations to strengthen the recruitment, retention, skills and stability of the social care workforce;

• Transforming services for people with learning disabilities to provide access to inclusive local services for people with complex needs.

COMMENTS

• Tim Bryan, Bolton Council – presented at HoCs it was agreed that a HoC would align with each pillar and a HoC and an LA lead are to sit on each group.

• Each locality needs a discussion on how to progress – in Health & Social Care settings. • Although an asset based approach will be a mix of local and GM level as appropriate • Discharge process – principles at GM level but for local determination. • High level strategic document being very clear can we standardise in some areas for GM and

LA spend. Across GM cross benefit analysis has started on supporting people at home • Case for change is ambitious – huge agenda need to identify priorities such as nursing and

residential care home – unified rates. • Stabilise social care workforce –need to be transformational in order to stabilise the workforce • GL – offered Chief Nurses time at Trafford – possibly HMR – due to ongoing issues • IT platform – true integration – primary care through Datawell and GM Connect. • If all care homes were set up with secure email discharges could be sent electronically and it

is estimated that this would only require a small investment. • All supportive agreed a good piece of work which AGG supports and would like to be involved

will supply names to support work.

ACTION: • Clinical support to be identified through AGG • GL to offer Chief Nurse capacity

7. Stay Well This Winter Campaign

• CFOs agreed to decline the request for a GM Campaign for 2016 • There is no additional money in the system and the campaign would duplicate what is

happening and is too late • Generally supportive of wider comms but it is too late to do it this year • Request was seeking additional funding, choose well will stay in place as usual

ACTION: • Request for additional funding refused at this time

8. Dementia United

• Product developed through an outlined commissioning approach – Business Case • Update to JCB on 2.9.16 • Update been through HOCs, CFOs and dementia leads • Map of variation in the deployment of dementia services across England with a GM

commitment to address that variation • Any comments welcome by the end of the week to AH.


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COMMENTS

• Support direction of travel demonstrates clearer engagement throughout the development • Pledges – support worker – need to ensure no confusion by having another layer of workers –

avoid duplication • Needs to be able to deal with all the issues rather than have a duplicity of workers • Generally all supportive by AGG • Gap analysis is next step and need to consider the financial implications but should pay for

itself through avoidable admissions. • We should be all committed to reducing variation – whether at GM or local level – this needs

further agreement • Make sure we describe the standards that we are happy to deliver but in conjunction with an

understanding of the financial implications.

AGG: • Supportive of the direction of travel

9. GM Connect – Data Sharing & Consent

Eric Applewhite provided a summary of the current position of GM-Connect including; the proposed governance structure for GM-Connect, opportunities for quick wins, ongoing foundational initiatives for the programme, barriers to the programme and future progression. As a programme that will engage with a wide range of public sector partners, it is important that the work of GM-Connect can feed into and align with the Health Domain more broadly and AGG stakeholders specifically.

• GM Connect is an organisation across GM whose role is to broker information exchange with

a the wider remit across Health & Social Care • By 2020 there will be an estimated £2bn funding gap • If H&SC leaders have a more improved data sharing systems this would support would

closing the gap to some extent. • Intended to be a trust brand to enable comfortable data sharing, making it a federated model

for data sharing. • GM Connect investments made in scaffolding/foundation platforms – e.g. investing in GM info

governance function then proceed to implement on behalf of partners. • Executive Steering Board chaired by the Mayor • Keen to get right reps for health – 15 or so members on the steering board looking for AGG

guidance on this. • Leadership team – meet more frequently – offer for reps from AGG. • Quick wins – proving value throughout the process – 24 month pathway to demonstrate value

and identify priorities, assessing every 6 months. • Standardised architect schema –procurement of light technology, capability based on

federation borrowing data • On-line information sharing gateway portal – common place for info sharing agreements • There are a 1000 licences available, need to attend the training • GM connect would like endorsement from members. • Working well – GP engagement helping with this. • Victims and offenders – other work steam • EA of IM&T Steering group with Stuart north.

Comments


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• Need to tackle current legislation which is being summarised this will takes us a step forward. • Engaging with NHS digital – trying to do the right things externally and offer single GM voice • The whole system of information exchange could take18 months to develop so looking within

the system for other capabilities. • EA advised he is currently exploring partners using existing systems present in the system. • One of the early initiatives is early years as its health, education and social care. • Areas where you want to share data but have found difficulty please inform EA

Need to have coherence of the all the various IM&T groups.

ACTION: • AGG membership on the GM Connect Governance Groups

10. Update on access to national Digital Transformation Funding

The paper provided describes the approach to access resource from Department of Health.

• Draft letter to Department of Health and Health Minister regarding allocation of a substantial national resource in excess of £50m. A new conversation suggests this is now at £10m

• High level of digital maturity – current offer to providers to invite bids; should treat as GM but appears Stockport and Salford allowed access to separate funding – all needs clarifying

• All agreed a data sharing platform is required bringing all localities to state of readiness – how we are going to do that when there is less money available

• Concern vanguards are given priority and that funding is directed to providers in some cases • Department of Health capital focus is on hospitals and need to seize opportunity to link in to

upgrade CCG and Primary Care. SN we are moving to have a deal with the current contracts • IT leads – involves CCG, provider, LA reps agreed the process to go through IM&T Enabler

Group (includes clinicians) – providers and CCG then up to FEG for financial considerations and then will cascade down to CFOs, providers and LA

• When Letter when finalised will be circulated to members • Priorities – impact on localities – unclear on agreements - Datawell Workshop has been

scheduled in September which is open to all interested parties. Encourage reps from each CCG to attend

• Need to also understand the potential opportunity for the AHSN to an integrated record for research purposes – beneficial if achieved with same investment

ACTION: • SN to share finalised letter • Datawell workshop to ensure AGG attendance for clarification of role and function

11. Joint Commissioning Update

MS updated o the work being sponsored through the JCBEG:- • Paper builds on some work MS has been supporting, draft criteria to test decisions on what

can potentially sit within the remit of the JCB. • Draft template that has been developed with decisions that meet the criteria. • SL suggested reviewing the governance, whether JCB is a joint committee but only if

necessary. Any potential decisions must go through appropriate governance. • Final short list won’t go to JCB on 2.9.16 – for more discussion rather than decision.


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• Since this paper was circulated expected responses from across the system but received no engagement from LA. 2 responses from PSR. Paper will look health dominated at the JCB.

• Needs linking to social care paper – e.g. care homes. What sorts of decisions do we want to make and by when.

• Previous item on Adult Social Care useful but they do not work in the same strategic way as health so will be an evolutionary process

ACTION: • All comments to MS by next Tuesday


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SRO Workforce • Discussion on A&E workforce – consultants and middle grades. Proposal from HT that we

should recruit across GM for A&E Consultants to work within the GM system. Need to attract workforce into GM but difficulty in describing employment terms and conditions

• Need to develop new generic workforce and negotiate HR, employment laws and pensions. • Discussion on nursing training options and pilot of nursing associates. • Key workforce gaps appearing – NHS E to share details of gaps. • Letter from Andrew Foster to encourage all localities to develop workforce plans • Retention is an important issue.

Primary Care

• PCAG – keenness at PCAG to engage with AGG and also JR keen to get in front of primary care colleagues.

• A provisional date of 5th October (all day) for next Primary Care Summit to be a co-production between AGG, PCAG and H&SCP. Planning thoughts will be shared.

• Quarterly joint AGG and PCAG proposal. • Review PCAG membership – is an open door for AGG members to attend. Need to formalise

and ensure consistent AGG members attend • Workshop PCAG and AGG – details to be worked through. • We need to develop a way of speaking with GM joint commissioning and provider voice.

Medicines Optimisation - Philip Burns volunteered all agreed.

No other business was discussed.

NEXT MEETING DATE: 06/09/2016 TIME: 13:30 – 17:30 VENUE: The Willows, AJ Bell Stadium

13. Devolution Lead Updates

ACTION: • Review how updates are provider – KP / AD • PB Medicines Optimisation Lead – all agreed • ? to add Education to the list – AGGE

16. AOB

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