STOCKPORT PRIMARY CARE TRUST

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					                     STOCKPORT PRIMARY CARE TRUST

                   MINUTES OF THE BOARD MEETING
          HELD AT REGENT HOUSE, HEATON LANE, STOCKPORT
                      THURSDAY 28TH MAY 2009

                                    PRESENT

       Mr M Greenwood          Chair
       Ms J Crombleholme       Non Executive Member
       Mr A Durrant            Non Executive Member
       Mr G Hayward            Non Executive Member
       Mrs R Mirza             Non Executive Member
       Dr R Gill               PEC Nomination - Stockport SMC Chair and GP
       Mrs S Parker            PEC Nomination - Clinical Governance Lead
       Ms A Phillips           Director of Finance & Estates
       Mr R Popplewell         Chief Executive
       Dr S J Watkins          Director of Public Health

                                 IN ATTENDANCE

       Mrs N Baker             Director of Practice Based Commissioning
       Mr S Cowley             Head of Modernisation, SMBC
       Mrs G Frame             Director of Provider Services
       Ms S Gaskell            Designated Nurse, Safeguarding Children (item 123/09)
       Mr H Gray               Director of Information Management & Technology
       Mr M Lappin             Stockport Patient & Public Involvement Forum
       Mrs J Marshall          Director of Human Resources and Organisational
                               Development
       Mrs G Mullins           Director of Primary Care & Partnerships

                                  APOLOGIES

       Mr T Dafter             Director of Adult Social Services, SMBC
       Dr D Dawson             Professional Executive Committee Chair
       Mr D Hill               Non Executive Member
       Mr P Foster             Non Executive Member

111/09 DECLARATION OF INTERESTS

The chairman invited members of the committee to declare their interests, referring
to the standing register of interests for members held by the Corporate Services
Manager, and also highlighted each agenda item calling for members to declare
specific interests.

Agenda Item                    Board Member      Declaration
St Thomas’s: Update on         Dr Gill           Possible tenant      at   St
Progress                                         Thomas’s
No other declarations pertaining to specific items on the agenda were received.

112/09 MINUTES OF THE MEETING HELD ON 30TH APRIL 2009

It was agreed that the minutes of the meeting held on 30th April 2009 be accepted
as a correct record.

113/09 MATTERS AND ACTIONS ARISING FROM THE MINUTES

91/09 Making It Better
M Greenwood reported that discussions are continuing on this point.

The paper detailed those actions still viewed as being outstanding. Responsible
officers were asked to advise of completed actions so that they can be removed
from the log. The following actions were noted as being completed, in progress or
superseded and are therefore to be removed:

020902, 030903, 030906, 040901, 040902, 040903, 040904

114/09 CHAIRS REPORT

M Greenwood highlighted that Mr Graham Wallis has been appointed as NHS
Stockport’s Interim Chief Executive Officer whilst R Popplewell is on his 3 to 6
month secondment to Hampshire PCT. G Wallis begins his appointment of the 15 th
June 2009 working four days a week and will hold all the delegated powers passed
to the Chief Executive Officer through the organisation’s governance framework.

The Board noted the contents of the verbal report.

115/09 CHIEF EXECUTIVES REPORT

R Popplewell introduced the report drawing particular attention to the following:

Association of Greater Manchester PCTs commissioning of Oesophago-Gastric
Cancer Services
The report presented outlined the reasoning behind the requirement for the
commissioning of this service to be taken as a level 3 decision.

This recommendation has the support of the Greater Manchester Chief Executive
Officers. PCT Board’s are now being asked to confirm support for the intensions of
the process and delegate authority to the Chief Executive to make this level 3
decision.

M Greenwood raised concerns regarding the financial implications of this
procurement. R Popplewell responded by noting that that the implications will not
be known until the procurement process is undertaken. A Phillips advised that if
there are significant financial implications then further discussions will be
necessary and additional checks and balances may need to be added to the
process.

The Board confirmed support for the intentions of the process and delegated
authority to the Chief Executive Officer to vote on the level 3 decision subject to
the advice and caveats noted above being duly considered and acted upon should
the outcome of the vote result in significant financial implications for the PCT.

Overview & Scrutiny Review
At the request of the Board the response to the Health Scrutiny Review is
presented in this paper.

The Board noted the contents of the report.

116/09 PEC CHAIRS REPORT

No business.

117/09 ST THOMAS’S: UPDATE ON PROGRESS

A Phillips introduced the report which provided the Board with an update on the
progress made and the next stage workstreams on the St Thomas’s Community
Hospital Concept.

A Phillips reminded the Board of the need for the design specification to be fully
defined before the planning application is submitted as this will determine the
guaranteed maximum price of this stage of the development. The contractor can
then only increase the costs of the development if the requirements outlined in the
specification are increased.

If the contractor develops the project in line with the specification and under the
guaranteed maximum cost then the savings are shared with the contractor in an
effort to promote value for money.

M Greenwood requested assurance that the lessons learned from the Woodley
and Heald Green developments are factored into the discussions regarding this
development, particularly in relation to the allocation of space to ensure it is fully
and appropriately utilised.

R Gill highlighted that the allocation of space for GPs should ensure efficiency but
also provide the flexibility to expand to meet changing service delivery
requirements. The experience over the last few years is for more services to be
provided in primary care, and this will continue and will require high quality
appropriate accommodation.

In response to a query from R Mirza regarding the relocation of the services
currently housed at Kingsgate, A Phillips noted that there will be a gradual move
over to the new site. In relation to the new Early Intervention Service the plan is to
leave the service at Kingsgate for 12 months to allow for consideration to be given
to the volume of activity undertaken and therefore the amount and type of space
required at St Thomas’s. M Greenwood added that the interior can be altered
once the projected activity has been determined for all of the services moving into
the development.

A Phillips reported that a letter has been sent to all GP Practices moving to St
Thomas’s to start the process of confirming their re-location into the new
development.

Subject to due consideration being given to the allocation of space in line with the
discussions above the Board approved the submission of the planning application,
the FBC submission dates and the fee proposals and contractual arrangements
with the named company.

118/09 OPERATIONAL PERFORMANCE APRIL 2009

A Phillips introduced the report noting the absence of any financial data due to it
being month 1 of a new financial year. It was noted that this is normal but does
mean analysis of the performance data is difficult.

The following acronyms were explained:

CPU = Contracting and Performance Unit
HR = Human Resources
JC = Joint Commissioning
PCC = Primary Care Commissioning
PH = Public Health
SMC = Stockport Managed Care

It was highlighted that the indicator relating to the staff survey needs to be updated
to reflect the recent Staff Survey results.

In regard to vital sign VSC02 R Gill noted that there is no data included in the
report. A Phillips agreed to look into this.

The Board noted the contents of the report.

119/09 PROVIDER SERVICES: TERMS OF REFERENCE AND STATEMENT
OF ACCOUNTABILITY

G Frame presented the report noting that point 7 in the statement of accountability
should feature before point 6. This change will be made in the final version.

She further noted that the membership of the Provider Committee may alter as
discussions are currently taking place regarding the large number of people in
attendance.
S Parker requested that point 4, paragraph 4 of the executive summary be
amended to state that “Escalate to PEC (clinical) and Audit Committee (non-clinical
and clinical) any significant risks or issues of concern that have the potential to
impact on the business of the Provider Unit”.

Subject to the above points being included in the final version the Board approved
the Provider Committee Terms of Reference and Statement of Accountability.

120/09 PROVIDER PERFORMANCE REPORT

G Frame presented the report making reference to the absence of any financial
data due to it being month 1 of a new financial year.

The Board noted the contents of the report.

121/09 PEC KEY MESSAGES, AGENDA AND MINUTES

S Parker introduced the report drawing particular attention to the issues the PEC
wish to raise to the Board for information and consideration.

J Crombleholme noted that the agenda item “Key Messages to Board” should be
added to all committee agendas as evidence of good governance and to facilitate
effective reporting.

Although not included in the executive summary, S Parker noted the good
progress made in relation to the developing CAMHs strategy.

Discussion then moved to consider the current influenza situation. S Watkins
advised the Board that the current outbreak of Swine Flu, although Level 5 of 6 in
terms of spread, is currently a relatively mild influenza virus, being no more serious
globally than a normal seasonal flu.

He advised the Board that although attention from the media has lessoned recently
people still need to remain vigilant as there is a distinct possibility that the virus will
resurface over the winter period.

Antivirals are currently being distributed to any suspected cases for containment
purposes but if the situation did worsen then the policy for the distribution of these
antivirals would need to be reviewed in line with advice which would be sort from
the Department of Health.

The Board noted the contents of the report.

122/09 PHARMACY APPLICATION

G Mullins introduced the report which presented the recommendations of the
pharmacy contract group to refuse an application from Lloyds Pharmacy to minor
relocate over 500m from Bredbury to Woodley.
The Board endorsed the recommendation of the pharmacy contract application
group to refuse the application.

123/09 SAFEGUARDING CHILDREN ANNUAL REPORT

G Frame and S Gaskell presented the paper which provided the Board with an
update on the service developments in relation to Safeguarding Children and
provided assurance to the Board that NHS Stockport is fulfilling its statutory
responsibilities in relation to Safeguarding Children.

Key achievements in the service were noted as follows:

- There are no outstanding actions from the health related Serious Case
  Reviews.

- Safer recruitment procedures are in place particularly in relation to CRB checks
  for new starters, repeat CRB checks after 3 years and the implementation of
  necessary policy in respect of investigating allegations against professionals.

- The Safeguarding Children Microsite has been developed over the last year
  and contains all required documentation required by practitioners for their
  safeguarding work.

The following issues were highlighted:

- Service Capacity, particularly the increase in domestic abuse incidents referred
  to the Safeguarding Team, an increase in required attendance at Initial Case
  Conferences and the number of cases on the Child Additional Support System.
  G Frame added that a recent benchmarking exercise has identified that Health
  Visitor caseloads in Stockport are higher than the national average.

- Stockport Local Safeguarding Children’s Board will be looking to appoint an
  independent Chair in line with national guidance. It was noted that the PCT
  contribution to the LSCB will need to be increased.

G Hayward suggested that the diagram detailing the safeguarding system across
the Stockport’s health economy be expanded to detail the whole system relating to
safeguarding (e.g. not just health).

In response to a query from M Lappin regarding how NHS Stockport receives
assurance from providers that the relevant policies, strategies, training and
supervision are in place, S Gaskell responded by noting that there is a
requirement for all providers to regularly the procedures they have in place. An
audit was recently undertaken in February 2009 and an action plan is being
monitored by the LSCB.
She further noted that providers are regularly inspected and, following Lord
Laming’s recommendations, this scrutiny is due to increase further.

The Board noted the contents of the report and requested that they receive
regular assurance in order to ensure they meet and exceed the statutory
requirements.

124/09 COMPLAINTS ANNUAL REPORT

R Popplewell presented the report which provided members with information about
the PCT and Family Health Services complaints received by the PCT between 1 st
April 2008 and 31st March 2009.

Particular attention was drawn to the change in the complaints process from the 1st
April 2009 whereby the PCT is now able to directly investigate complaints about
independent practitioners.

R Popplewell noted the increase in complaints relating to access to services,
particularly treatment room services. G Mullins responded that a review is
underway to consider the provision of this service with the aim of ensuring equity
across the system.

The Board noted the contents of the report.

125/09 AUDIT COMMITTEE MEETING

G Hayward introduced the report drawing particular attention to the following
points:

- International Financial Reporting Standards
- IT Disaster Recovery
- Greater Manchester Surgical Centre activity

M Greenwood requested that in future the full minutes be attached to the
executive summary.

126/09 FORMAL SIGNING OF THE 2008-09 AUDITED ACCOUNTS

A Phillips presented the report taking the Board through the process as agreed
with External Audit.

The Board delegated authority to the PCT Audit Committee to approve the 08-09
accounts and delegated authority to G Jones, Deputy Director of Finance, to sign
the 08-09 accounts on behalf of the Director of Finance.

127/09 ANY OTHER BUSINESS

No business
128/09 DATE OF NEXT MEETING

The next meeting of the Board will take place on the 28th May 2009 to be held in
the Boardroom, Regent House, Heaton Lane, Stockport, SK4 1BS.

17:00 Meeting closed.

				
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