(public pack)agenda document for wigan borough clinical …€¦ · mike tate 111 - 120 receive 9.3...

WIGAN BOROUGH CLINICAL COMMISSIONING GROUP GOVERNING BODY - OPEN MEETING

Tuesday, 26 May 2015 1.30 pm

Wigan Borough CCG Boardroom - Wigan Life Centre

AGENDA

Agenda Item Time Presenter Pages/Verbal

Action Required

1. Chairman's Welcome 1.30 pm Tim Dalton

2. Apologies for Absence Tim Dalton Record

3. Declarations of Interest All Record

Individuals will declare any interest that they have, in relation to a decision to be made in the exercise of the commissioning functions of Wigan Borough Clinical Commissioning Group, in writing to the governing body, as soon as they are aware of it and in any event no later than 28 days after becoming aware.

4. Minutes of Previous Wigan Borough Clinical Commissioning Group Governing Body Meeting held on 28 April 2015

Tim Dalton 1 - 14 Approve

5. Actions/Decisions Log from Previous Wigan Borough Clinical Commissioning Group Governing Body Meeting

Tim Dalton 15 - 18 Approve

6. Questions from Members of the Public

7. Key Messages 1.40 pm

7.1 Chair's Key Messages Tim Dalton Verbal Report

Information

8. New Business Items 1.55 pm

8.1 Patient Engagement Briefing and Patient Forum Attendance

Frank Costello

19 - 26 Receive

8.2 Governing Body Assurance Framework

Julie

Southworth 27 - 44 Receive

8.3 Quality Safety & Safeguarding Briefing Paper Quarter 4 2014/15

Julie


8.4 CCG Constitution Changes Julie

Southworth 65 - 94 Approve

8.5 Themes and Lessons learnt from the NHS Investigations into matters relating to Jimmy Savile

Julie


9. Current Business Items

9.1 Association Governing Group meeting Summary Notes

Tim Dalton 103 - 110

Receive

9.2 Ambulance Contract Performance Update

Mike Tate 111 - 120

Receive

9.3 IAPT Provider Performance Mike Tate 121 - 128

Receive

10. Governing Body Committee Updates

10.1

Healthier Together Committee in Common Minutes 10.1a Healthier Together Decision Making and Timeline Update Attached for information.

Tim Dalton 129 - 144

Approve

10.2 Chairperson's Report - Audit Committee

Maurice Smith

No Meeting

10.3 Chairperson's Report - Clinical Governance Committee

Ashok Atrey 145 - 150

Approve

10.4 Chairperson's Report - Corporate Governance Committee

Tony Ellis No meeting

10.5 Chairperson's Report - Finance and Performance Committee

Mohan Kumar

To Follow

Approve

10.6 Chairperson's Report - Service Design and Implementation Committee

Peter Marwick

151 - 154

Approve

11. Locality Executive Updates

11.1 Atherleigh - April 2015 Deepak Trivedi

155 - 160

Receive

11.2 Patient Focus - April 2015 Mohan Kumar

161 - 166

Receive

11.3 Tyldesley Atherton Boothstown Astley - April 2015

Ashok Atrey 167 - 170

Receive

11.4 Wigan Central - April 2015 Tony Ellis 171 - 174

Receive

11.5 North Wigan - April 2015 Peter Marwick

175 - 178

Receive

11.6 United League Collaborative - April 2015

Sanjay Wahie

179 - 184

Receive

12. Any Other Business - To be accepted at the Chairman's discretion

13. Date and time of next meeting

Tuesday 23 June 2015 at 13.30 in Room 17, Wigan Life Centre

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OPEN MEETING (Unratified) Meeting of Wigan Borough Clinical Commissioning Group (WBCCG) Governing Body Held on Tuesday 28 April 2015 at 1.30pm in Meeting Room 17, Wigan Life Centre

Present: Dr Tim Dalton, Chair (TD) Trish Anderson, Chief Officer (TA) Frank Costello, Deputy Chair and Lay Member (FC) Julie Southworth, Director of Quality and Safety (JS) Mike Tate, Chief Finance Officer (MT) Dr Tony Ellis, Clinical Lead for Wigan Central (TE) Dr Mohan Kumar, Clinical Lead for Patient Focus (MK) Dr Pete Marwick, Clinical Lead for Wigan North (PM) Dr Ashok Atrey, Clinical Lead for TABA (AA) Dr Sanjay Wahie, Clinical Lead for United League Collaborative (SW) Dr Deepak Trivedi, Clinical Lead for Atherleigh (DT) Canon Maurice Smith, Lay Member (MS) Helen Meredith – Nurse Governing Body Member (HM) Dr Gary Cook, Secondary Care Consultant Governing Body Member (GC) In Attendance: Tim Collins, Assistant Director of Governance Angela Cullen, Executive Assistant to Chief Officer - Minute Taker Alexia Mitton, Head of Communications

AGENDA ACTION

1. Chairman’s Welcome

The Chairman opened the meeting at 1.30pm formally welcoming all attendees and members of the public to the April meeting of the Wigan Borough Clinical Commissioning Group Governing Body meeting. 5 members of the public were present.

2. Apologies for Absence Record

No apologies for absence received.

3. Declarations of Interest Record

Other than the previously recorded declarations of interest there were no additional declarations of interest for any items on this agenda.

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The Chairman reminded Governing Body members that apart from the standing declarations of interest individuals must declare any interest that they have, in relation to a decision to be made in the exercise of the commissioning functions of Wigan Borough Clinical Commissioning Group (WBCCG) in writing to the Governing Body, as soon as they are aware of it and in any event no later than 28 days after becoming aware. Where an individual is unable to provide a declaration in writing, for example, if a conflict becomes apparent in the course of a meeting, they will make an oral declaration before witnesses, and provide a written declaration as soon as possible thereafter. The Chair reminded members to complete their annual declaration of interest form and return these to Tim Collins, Assistant Director of Governance, by the end of May 2015.

4. Minutes from the Previous Wigan Borough Clinical Commissioning Group Governing Body Meeting held on 24 March 2015

Approve

The minutes of the previous meeting were agreed as a true and accurate record, subsequently approved and signed by the Chair.

5. Actions/Decisions Log from Previous Wigan Borough Clinical Commissioning Group Governing Body Meetings

Approve

To be read in conjunction with the action log: 24.3.15, item 9.2 (2) – ongoing. MT is preparing an options report on the possible opportunity of commissioning a GM ambulance service under the GM Devolution deal. 24.3.15, item 9.2 (3) – ongoing. A robust scrutiny of the ambulance performance figures is being monitored via the Finance and Performance Committee.

6. Questions From Members of the Public

7777

There were no questions raised by members of the public.

7. Key Messages Receive

7.1

Chair’s Key Messages

• A joint Board development session with Wrightington, Wigan and Leigh NHS Foundation Trust was held on the 31st March to explore the vision for the acute sector. TD attended a Kings Fund event which may assist in developing the plan for

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7.2

the future of acute services.

• The CCG hosted an Equality and Diversity event on 22nd April. This was a challenging event, it highlighted considerable good work which now needs developing further. The CCG will now submit the return confirming delivery against the 9 statutory groups.

• A future priority for the Chair is a joint clinical development session with WWL looking at accident and emergency deflections.

• The Greater Manchester (GM) Devolution work is turning into a reality, the focus must be to ensure the collective GM work is on track.

• Performance Development Reviews (PDRs) have been conducted with Governing Body members and Senior Clinicians.

Chief Officer’s Key Messages TA verbally updated the Governing Body members on current key areas of work since the March meeting:

• The Annual Plan and final accounts have been signed and submitted ahead of the deadline.

• The CCG has successfully signed contracts with two major providers. The acute contract is close to sign off, details are currently being finalised as a result of significant discussions.

• The CCG has received full delegation of Primary Care Commissioning. The inaugural meeting of the Primary Care Commissioning Committee took place earlier today chaired by Dr Gary Cook.

• There are no items to note on national policy due to the impending general election.

• Three meetings took place during week commencing 20 April to discuss Greater Manchester Devolution to discuss the transition year. Four work streams have emerged:

1) Strategic Plan (Clinical & Financial Sustainability) which has

an estimated gap of £1.1bn. 2) Establishing Leadership, Governance & Accountability.

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3) Devolving Responsibilities and Resources. 4) Early Implementation Priorities.

The seven early implementation priorities have been identified as:

1) 7 day access to general practice. 2) Workforce policy alignment. 3) Public health campaign. 4) Academic Health Science System. 5) Heathier together decision. 6) Dementia pilot. 7) Mental health and work.

• The 5 Year Plans of all 12 CCG’s are to be revisited and updated to ensure they are fit for the GM Devolution agenda. TA will participate in this group.

FC added that Wigan being at the forefront of the discussions will ensure that the resident’s interests are protected and enhanced by such changes. FC congratulated the CCG in having the courage to invite service users and recipients to the Equality and Diversity event to provide honest feedback on the services they receive. AA highlighted that the seven priorities of the GM Devolution are not aligned to the CCG’s plans and asked if there would be additional funding to support this. TA explained that the Clinical & Financial Sustainability group will encompass the seven early implementation plans and that pump priming will be requested as topics progress, TA added that priorities may not be different but starting points may differ. Maggie Skilling (MSk), WWL Governor, sought clarity on the resolution of signing the acute contract. MT explained that, to date, the contract has not been signed. Both parties are however much closer to signing and are hopeful that this will be signed by the end of this week. Sir Ian McCartney (IMC), Healthwatch Wigan, asked a technical question in relation to the governance arrangements for the appointment of the GM Mayor who will resume responsibility of the healthcare budget.

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TA explained that accountabilities remain unchanged at present and that parties are working together to look at spend as a whole. There will be an interim Mayor in post but no decision made until the end of May 2015. IMC asked if the CCG are required to contribute to the administration costs and if it was correct that the CCG has spent £14m to date. TA confirmed that the CCG have not contributed at present. Resolved:

1. The Governing Body received and noted the updates. 2. TA to circulate the slides from the Health & Social Care

Reform Leadership Assembly to members of the Governing Body for information.

3. A detailed report on progress of GM Devolution to be brought to a future meeting.

TA

TA

8. New Business Items

8.1 Governing Body Forward Plan 2015/16 A copy of the draft plan was shared with Governing Body members as a guide to the timetable of work for the forthcoming year. TA noted that the Greater Manchester Devolution needed to be added to the plan. Resolved:

1. The Governing Body received the plan. 2. JS to add GM Devolution to the plan.

Approve

JS

8.2 Prime Ministers Challenge Fund John Marshall, Associate Director Strategy & Collaboration, presented the item. The report provides the Governing Body with an update following the successful application by Wigan’s three GP Federations to Wave 2 of the Prime Minister’s Challenge Fund (PMCF). The PMCF is designed to support local areas explore new ways of delivering greater access to GP services between 8am to 8pm on weekdays and improved access on weekends. The title of the Wigan bid was ‘Further’ Extending Access to GP Services over 7 days in Wigan’.

Receive

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The CCG supported the initial bid document development on behalf of the GP Federations which was submitted for consideration to NHSE on 16th January 2015. Notification of the successful bid outcome was received on 26th March 2015 with the total funding made available being £2,510,554. The primary aim will be to further extend access to GP services over 7 days for 320,000 patients in Wigan. All three Wigan GP Federations have agreed to work in an alliance partnership to provide the new service from 1 July 2015. The new service will offer access between 8.00am to 8.00pm Monday to Friday and 10.00am to 4.00pm on a Saturday and Sunday. This will provide an additional 75,000 appointments over the nine month operational period. In addition it is anticipated that up to an additional 20% of patients will be referred to Pharmacies who provide the Minor Ailments service following an initial telephone triage/assessment. As part of the overall financial model the CCG has agreed to contribute £800,000 (Better Care Fund) to the service budget line subject to successful completion of due diligence. The CCG will be developing its own business case for funding of the service based on evaluation of the initial pilot for April 2016 and beyond. The pilot deliverable outcomes are currently being refined but are expected to focus on areas such as:

a) Patient Perception of Access to GP Services. b) A&E Attendances. c) Extended hours sessions (Enhanced Service). d) GP Out of Hours (OOH) attendances. e) In hours demand on General Practice. f) Walk in Centre attendances.

A further period of due diligence will be undertaken by NHS England before the funding is released. This includes the requirement of the GP Federations to submit a Business Justification for the PMCF Challenge Fund bid by 28 April 2015. The three Wigan GP Federations are actively recruiting an external Programme Director and supporting the team. The CCG will participate in a ‘Shadow Contract Board’ chaired by NHS England to ensure we are sighted on progress and the ensure alignment with our overall strategic plans.

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The Governing Body congratulated the CCG on the successful application. GC referred to the external research company commissioned to undertake street surveys, item 2.3 (page 1 refers). JM confirmed that the CCG had utilised a company named ‘One Vision’ to conduct work within the borough and the findings will be fed back into the design. FC noted that this translates to approximately 2000 appointments per week and that this should be brought to the attention of the public. The importance for alignment was noted and the correlation with OOH Services during the evaluation stage. SW congratulated the three GP Federations and asked if there was a risk of variability. JM explained that the proposal is for nine sites across the borough with 8am to 8pm access and 10am to 4pm at weekends, the GP Federations will now consider the footprint and needs. Any variability will be uncertain until the work unfolds. TA added that this was a great opportunity for Primary Care to receive £2.4m of funding from NHS England for a trial period for the borough. DT asked when we could expect the A+E Deflection Policy to start, adding that the workforce may be an issue this would need addressing as a matter of priority. TD explained that this is under discussion with the Trust for the 1 May 2015. There will be GP’s in casualty initially then working towards 24 hours 7 days per week. TD highlighted that deflection does not necessarily mean to a GP this could be to a number of services i.e. Pharmacies. TD highlighted the need to work collectively to develop the primary care workforce in making Wigan an attractive place to work. MS asked for caution to be taken with language when referring to access to GP services and access to primary care. SW added that it may be useful to find out which of the nine hubs have been most beneficial to patients.

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TE explained the difficulty with medical staffing and administration staff not wishing to take on a contract to work longer hours. MSk asked if there would be a communication plan. JM confirmed that NHS England will be producing a communication plan. TD noted the positive support and welcomed a new style of service. TD highlighted the real risks posed and the need to ensure outputs of the pathway deliver evidence to make an informed decision to continue. Resolved:

1. The Governing Body received the item.

8.3 Primary Care Co-commissioning Delegation Agreement As presented to the January 2015 Governing Body meeting, the CCG submitted an application to NHS England for the full delegation of primary care co-commissioning. NHS England approved this application. To formalise this, NHS England circulated a delegation agreement for CCGs to sign within a challenging timeframe. The CCG returned this document within the required deadline. However, as with a number of other CCGs, our CCG has informed NHS England that our signing up to the agreement is provisional on how local rules are applied within the agreement. This is set out in a side letter to the agreement, dated 31st March 2015 (document 2 refers). A copy of the signed delegation agreement, the side letter and a confirmation letter from NHS England of receipt of the delegation agreement were circulated for the Governing Body to receive. The inaugural meeting of the Primary Care Commissioning Committee was held this morning and CG confirmed that an update report will be prepared for a future governing body meeting. Resolved:

1. The Governing Body received the item. 2. GC to provide an update report on the newly formed

Primary Care Commissioning Committee to a future Governing Body meeting.

Receive

GC

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9. Current Business Items

9.1 Association Governing Group (AGG) Summary Notes The summary notes of the meeting held on the 7th April 2015 were shared for the Governing Body to receive. IMC suggested that a table of the current committees and groups would be helpful to for information. Resolved:

1. The Governing Body received the summary notes. 2. A table of the current committees/groups and how they

interlink to be drawn up and shared with IMC.

Receive

JS

9.2 Corporate Report (Month 12) MT presented the report which is designed to give the Governing Body a regular monthly update on how the CCG is performing against its local priorities and is primarily unchanged from last month. The report also details CCG performance against the Everyone Counts Planning Guidance Indicators and the CCG Outcomes Indicator Set. Outcomes Ambitions: Headline Indicators Many of the indicators used to measure Outcomes Ambitions are only published on an annual basis; often with a time-lag. As such, it is not yet possible to assess performance against six of the ten indicators; these are shown as white (None). Of the remaining four indicators, two are rated Red and 2 are rated Amber. The indicators rated Red are IAPT Access Rate and Avoidable Emergency Admissions Composite Measure. The Q2 IAPT rate of 2.31% is below the target of 3.75%. NHS England is reviewing IAPT closely and new standards will be introduced in 2015/16. The indicators rated as Amber are the Friends & Family (F&F) A&E score and Inpatient score. Both of which are below target at Q3. However, February F&F A&E score of 73.19 is above target.

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NHS Constitution: Headline Indicators Virtually all of the NHS Constitution indicators are performing better than standard. The exceptions are the three ambulance indicators; 8 Minute Ambulance Response time for Red 1 incidents, 8 Minute Ambulance Response time for Red 2 incidents and the 19 minute ambulance response time. Two of the indicators are rated as Red they are the 8 Minute Ambulance Response times for Red 1 and Red 2 incidents, both remain below the standard of 75%.The February performance for Red1 calls is 67.54%. Performance for Red2 calls is slightly lower with a February result of 66.22%. The February 19 Minute Ambulance Response times performance for all Red calls is below the standard of 95% at 91.38% and is rated Amber. Acute Activity: Headline Indicators The CCG has developed stretching activity plans, which reflect initiatives to prevent or divert activity from acute trusts. Of the eleven activity indicators none have achieved year-to-date plan at February. Three of the indicators have achieved plan in the latest quarter: Ordinary Admissions, Other Referrals and A&E Attendances at WWL. Eight of the indicators are rated as Amber (within 5% of plan): Daycase Admissions, Total Admissions, Non-Elective Admissions, First Outpatient Attendances Following a GP Referral, All First Outpatient Attendances, Subsequent Outpatient Attendances, GP Refs and Total Refs. Better Care: Headline Indicators The headline metrics used to measure performance against of the Better Care Fund initiative are comprised of both health and social care indicators. With the exception of the local pick metric (Readmissions) all indicators measure performance at local authority (LA) level. It is not yet possible to assess performance against the Care Home Admissions, Reablement and Avoidable Admissions indicators.

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The indicator rated Red ; Delayed Transfer Days was above plan in February with the year-to-date figure also remaining above plan. The number of Readmissions is above plan in January. The year- to-date position also remains above plan and is rated Amber (within 5% of plan). Emerging Challenges

• On-going contract negotiations with WWL FT and the consequences of potential arbitration.

• The impact of the election next month.

• Continuing pressure on the acute sector which may result in significant contract over trading in 2015/16.

• Implementing QIPP projects to meet the in-year QIPP gap of £7.1m and developing the programme for 2016/17.

• Resourcing and managing the co-commissioning of Primary Care with NHS England.

• Mitigating any potential financial shortfall in delivering co – commissioning.

• Demographic pressures on continuing Health care.

• Any future delegation of Specialised Commissioning.

• Implementing the five year forward view.

• Community care providers developing enough capacity to receive patients and services deflected from Acute Hospital care.

• The emerging GM devolution agenda.

• Finding alternatives for the CSU functions, particularly information technology.

MT confirmed that the Finance and Performance Committee sat yesterday (performance only meeting). The committee focussed upon five specific areas not achieving plan:

• IAPT Access Rate.

• Ambulance Response Times.

• Ambulance Handover Times.

• Care Programme Approach (CPA).

• Delayed Transfers of Care. TE noted the IAPT referral rates and confirmed that individuals are being offered joint therapy sessions with a wait of approximately 5 weeks. If individuals opt for a one to one therapy session the wait increases to worst case 16 weeks. MT agreed to take the IAPT Referral Rates back to the provider via the contracting meeting.

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Clarity was sought over the target of 18 weeks to treatment. MT agreed to check if the 18 week target was up to commencement or cessation of treatment. A full report will be prepared for the next Governing Body meeting to provide assurance of access times. MT confirmed that Accident + Emergency (A+E) and Walk in Centre (WiC) waits had performed well against the 4 hour target during February and March and providers are to be congratulated. The Governing Body echoed MT’s previous comment and commended the work of providers and the System Resilience Group (SRG). AA noted that more attendances had taken place in March 2015 than December 2014 (page 159 refers). MT suggested that a more accurate comparison would be a month on month comparison. Resolved:

1. The Governing Body received the report. 2. MT to take the IAPT Referral Rates back to the provider

via the contracting meeting. 3. MT to prepare a full report for the next Governing Body

meeting to provide assurance of IAPT access times.

MT

MT

10. Governing Body Committee Updates Approve

10.1 Healthier Together Committee in Common The shared minutes of the Healthier Together Committee in Common held on the 18 March 2015 were circulated to Governing Body members for information. FC confirmed the aspiration to ensure 7 day provision by the end of the year and that the CCG should keep a watching brief. FC added that useful debates had taken place with the Deanery and the Education Board around the recruitment and retention of GPs and the development of Associates. Resolved:

1. The Governing Body received the minutes.

Receive

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10.2/ 10.6

Chairpersons’ reports for March 2015 were circulated as below: 10.2 Chairperson’s Report: Audit Committee, noted for approval at the May meeting. 10.3 Chairperson’s Report: Clinical Governance Committee. Summary Hospital-Level Mortality Rate (SHMI) continues to be a concern and until the data is released there is no confirmation of a reduction in SHMI rates. This is to be raised at the next Exec to Exec meeting with WWLFT. 10.4 Chairperson’s Report: Corporate Governance Committee. 10.5 Chairperson’s Report: Finance and Performance Committee. 10.6 Chairperson’s Report: Service Design and Implementation Committee. Resolved:

1. The Governing Body approved the above listed reports. 2. Summary Hospital-Level Mortality Rate (SHMI) to be

raised at the next Exec to Exec meeting with WWLFT.

Approve

JS

11. Locality Executive Updates Receive

11.1-11.6

Locality Executive updates were circulated for March 2015: 11.1 Atherleigh 11.2 Patient Focus 11.3 Tyldesley Atherton Boothstown Astley 11.4 Wigan Central 11.5 North Wigan 11.6 United League Collaborative Resolved:

1. The Governing Body received the above listed reports.

12. Any Other Business – accepted at the Chairman’s discretion

There were no items of any other business raised. The meeting closed at 2.55pm.

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14. Date and time of next meeting

Tuesday 26th May 2015, 13.30pm in Room 17, Wigan Life Centre. Other dates to note: WBCCG AGM 1 July 2015 13:00 – 16:30 DW Stadium WWL Board to Board Meeting 25 June 2015 13:00 – 17:00 Wigan Investment Centre

Signed LLLLLLLLLLLLLLLLL Date: LLL26.5.15LLL. Dr Tim Dalton, Chair

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ACTIONS FROM THE WIGAN BOROUGH CLINICAL COMMISSIONING GROUP GOVERNING BODY OPEN MEETINGS 2015

w:corporate office:corporate office:wbccg:board:board meetings:2014:master action log – open meeting KEY: RED-Incomplete, AMBER-In progress, GREEN-complete

Meeting Date

Agenda Item

Agreed actions from meeting Action By Deadline Update

24.2.15 9.3 Ambulance Contract Performance Update

2. A broader review of the urgent care system to be undertaken with the outcome reported to the Governing Body in the spring.

MT

May 2015

24.2.15 9.5 Wigan Adult Safeguarding Board (WSAB) Report 2011-2014

2. Feedback to be given to the WSAB around emphasis being placed on incident prevention.

3. An outline of Safeguarding responsibilities to be brought to a future Governing Body meeting.

TA/JS

TA/JS

June 2015

June 2015

To be added to the forward plan.


24.3.15 8.4 GM Devolution Memorandum of Understanding (MOU)

2. A report to be brought to the June meeting setting out how the CCG and local partners will meet the locality requirements of the MoU.

TD/TA

June 2015

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24.3.15 9.2 Corporate Report (Month 11)

2. MT to investigate the possible opportunity of commissioning a GM ambulance service under the GM Devolution deal.

MT

April 2015

24.3.15 10.3 Chairpersons’ report February 2015 – Clinical Governance Committee

2. A response to the Primary Care IT System/Telephone outage to be chased up.

JS

Ongoing

28.4.15 7.2 Chief Officer Key Messages

2. TA to circulate the slides from the Health & Social Care Reform Leadership Assembly to members of the Governing Body for information.

3. A detailed report on progress of GM Devolution to be brought to a future meeting.

TA

TA

ASAP

Ongoing


28.4.15 8.1 Governing Body Forward Plan 2015-16

2. JS to add GM Devolution to the plan.

JS

Ongoing


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28.4.15 8.3 Primary Care Co-commissioning Delegation Agreement

2. GC to provide an update report on the newly formed Primary Care Commissioning Committee to a future Governing Body meeting.

GC

Ongoing


28.4.15 9.1 Association Governing Group (AGG) Summary Notes

2. A table of the current committees/groups and how they interlink to be drawn up and shared with IMC.

JS

Ongoing

28.4.15 9.2 Corporate Report (Month 12)

2. MT to take the IAPT Referral Rates back to the provider via the contracting meeting.

3. MT to prepare a full report for the next

Governing Body meeting to provide assurance of IAPT access times.

MT

MT

Ongoing

May 2015


28.4.15 10.3 Chairperson’s Report: Clinical Governance Committee

1. Summary Hospital-Level Mortality Rate (SHMI) to be raised at the next Exec to Exec meeting with WWLFT.

JS

May 2015

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