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									                                                               RESOURCES COMMITTEE




    MINUTES OF THE MEETING OF THE RESOURCES
                   COMMITTEE
  HELD ON WEDNESDAY 21 MARCH 2012 AT 10.30 A.M.
     MEETING ROOM 1, LONSDALE UNIT, PENRITH

PRESENT: Peter Nuttall                 Non Executive Director (Chair) (PN)
         Allan Buckley                 Non Executive Director (AB)
         Bob McCulloch                 Non Executive Director (BM)
         Mary Dowling                  Non Executive Director (MD)
         Charles Welbourn              Acting Director of Finance (CW)
         Ros Fallon                    Programme Director (RF)
         Julie Emmerson                Executive Assistant (for Minutes) (JE)

  1 APOLOGIES FOR ABSENCE                                                          ACTION
     No apologies for absence were received
  2 MINUTES OF THE PREVIOUS MEETING
     The minutes of the previous meeting held on 15 February 2012 were
     approved as a true record with no amendments

  3 MATTERS ARISING
     IT Strategy – CW informed the Committee he was expecting to bring a
     summary of the IT Strategy to this meeting; however there have been
     performance issues around the production of the report and this will now
     be brought to the next meeting of the Resources Committee. MD
     questioned if there were any risks associated with these issues and CW
     gave assurances there were no potential risks.

     Quality – MD informed the Committee that work is currently been
     undertaken on reviewing the Standards of Quality and she is proposing
     the Standards for Quality Group is wound up. MD has drafted a letter
     which she will bring to the Board for discussion and agreement, setting out
     new measures for the responsibilities for standards of quality. CW asked if
     the new measures would cover quality in a primary care setting. MD
     confirmed this would be the case. In-depth discussion took place around
                                                             RESOURCES COMMITTEE


  disbanding Committees and Groups prior to the close of PCT business in
  March 2013. Assurances were given and MD noted that the Standards
  and Quality Committee were no longer bringing anything new to the table
  and the new arrangements will underpin the standards and quality issues
  and work. RF offered further assurances that the arrangements with both
  the CCG and NHS North West are robust.

  Future Meetings – the Committee requested a schedule of meetings for JE/CW
  the rest of the year and agreed the third Wednesday of every month
  should be committed. The schedule is attached to these minutes.

4 BUDGET 2012/13

  CW talked the Committee through the budget report noting that the budget
  is based on the output from the Integrated Strategic and Operational Plan
  and reflects the contracts already signed and negotiated by the CCG. RF
  confirmed that the activity budget is set based on the current level of
  services.

  CW is asking the Resource Committee to agree how the budget is
  committed for the coming financial year.

  Discussions took place regarding the non-recurring resources of £17m;
  PN questioned if the budget came with any significant risk attached to it,
  CW informed the Committee the only risk area is the non-recurring costs.

  CW presented appendix 4 of the budget report which sets out the
  benchmarking of where we are now and where we plan to head in the
  future.

  BM asked how the GPs are understanding the control of these huge
  budgets, both CW & RF offered assurances via the systems which are in
  place and the clinical care pathways, noting that localities will be held to
  account for the delivery against activity and clinical pathways.

  A small discussion took place around the acquisition and the bid from
  Northumbria, CW informed the Committee he was confident that the offer
  on the table from Northumbria is a good bid.

  Demand management savings are set at £3.3m, CW said these targets
  are set realistically.

  MD informed the Committee she would like to see more information on
  CQUIN targets.

  Action: CQUIN contracts to be brought to the Resource Committee in CW
  May.
                                                           RESOURCES COMMITTEE




  CW gave some background to the capital planning for the coming year.

  PN gave a brief summary of the discussions that had taken place
  informing the Committee he was reassured that this was a bottom up
  budget which the CCG had already signed. PN that those involved in the
  work behind creating the budget. It was noted that a close eye needed to
  be kept on the cost improvements and the non recurring costs.

  The Committee AGREED and supported the budget for 2012/13.

5 PERFORMANCE UPDATE

  RF informed the Committee of the new arrangements going forward into
  the new financial year and the changes in the relationships between the
  Cluster, CCG and SHA going forward. It was felt further discussions
  needed to take place away from the Resources Committee regarding
  information presented to the PCT Board in its final trading year.

  Queries were voiced around performance management and regular
  meetings, RF offered assurances that the National Commissioning Board
  will performance review monthly with the CCG, but until such time as
  these relationships are formalised regular weekly performance meetings
  will continue.

  Discussions regarding the current performance took place. It was noted
  that North Cumbria are set to deliver 5 out of 6 indicators with the issue
  still being around RTT. Morecambe Bay has issues around both A&E and
  stroke. RF informed the Committee there is a meeting tomorrow
  (Thursday 22 March 2012) where a clinical strategy will be pulled together
  for stroke and since the changes have been implemented in A&E
  performance has improved. There are still issues around mixed sex
  accommodation and a strategy is now in place and there is more
  confidence this issue will be concluded.

  MD wondered if we should be asking out chair to meet with the chair at
  Morecambe Bay to back up the performance work currently ongoing. RF
  informed the Committee that there is an expectation for the chairman to be
  present at the end of year review in may.

  The Committee NOTED the update and the current areas of concern.

6 LIFT UPDATE
  CW noted he had shared this paper with colleagues in the Lift Company,
  and the paper will go to the SHA for information. It was noted that in
                                                             RESOURCES COMMITTEE


  around 15 months time there should be a completed and fully operational
  facility in Cleator Moor.

  CW also brought to the attention of the Committee the approval of the
  Grange project leaving only one legacy scheme to be completed that
  being the facility at Stanwix in Carlisle.

  Also of note was the opening of the new health facility in Sedbergh.
  The Committee NOTED the update.
7 FINANCE UPDATE
  CW asked the Committee to concentrate on the second of the two papers
  noting the position at the end of month 11 is very much the same as that
  reported on in month 10. Most year end settlements have now been
  agreed with the big contracts, however, the prescribing contracts seem to
  be a little volatile.

  CW offered assurance that the PCT is on target to deliver financial
  balance.

  Action: Draft final accounts to be brought to the next meeting.                CW

  The Committee NOTED the report and commented they were very happy
  with the financial assurance offered.
8 APPROACH TO PROVISIONS
  The provisions made are agreed with both the auditors and the SHA; they
  will be taken to the audit committee and will form part of the accounts.

  A provision has been made for a Voluntary Severance scheme, the
  auditors have assisted in the development of the scheme and a
  contingency of £1m is available for transitional costs, this has been
  approved at RemCom.

  The Committee APPROVED the approach to provisions as set out in the
  paper.

9 ANY OTHER BUSINESS
  It was noted for future meetings hard copies of all papers will be posted to
  the members.

  Future meetings will take place on the third Wednesday of every month.
                                                           RESOURCES COMMITTEE


10 TIME, DATE AND VENUE OF NEXT MEETING

  10.30am, Wednesday 18 April 2012, Tenterfield, Kendal.

								
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