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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