Agenda Item 2
Midlands & East Specialised Commissioning Group
Minutes of the joint Midlands & East Board Meeting held at 9.30am on 27 January
2012 at East Midlands offices
Present: Catherine Griffiths, Chair (Midlands & East SCG)
Felicity Cox (Northants & Milton Keynes)
Beverley Flowers (NHS Hertfordshire)
Leigh Griffin (West Mercia)
Stephen Jones (Arden, Cov & Worc)
Denise McLellan (Birmingham & Solihull)
Angela McNab (Beds & Luton)
Martin McShane (Lincolnshire & Derbyshire)
Andrew Morgan (Norfolk & Waveney)
Sue Price (Staffordshire)
Jason Skinner (South Essex)
Vikki Taylor (LLR)
Paul Watson (Suffolk)
In Lee Bartholomew (Lay Member)
attendance: Kate Caston (Department of Health)
Moira Dumma (NHS Midlands & East SHA)
Stephanie Newman (South of England SCG & National Transition Team
Catherine O’Connell (Midlands & East SCG)
Donna Hakes (Midlands & East SCG)
Markella Konisti (Midlands & East SCG)
Christine Richardson (Midlands & East SCG)
Steve Washbourne (Midlands & East SCG)
Veronica Watson (Midlands & East SCG)
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1 Welcome and Apologies for absence
1.1 Apologies were received from Eamonn Kealey.
1.2 The previous Chairs of the East of England, East Midlands and West Midlands SCGs
had agreed that the East Midlands Chair would be formally appointed as the Midlands
& East SCG Chair. The East of England and West Midlands members of the SCG
would be appointed as the Vice-Chairs of the committee.
2 Declarations of Interests
2.1 There were no conflicting interests declared.
3 Chief Operating Officer’s (COO) Report
3.1 The Chief Operating Officer introduced the COO Report and highlighted the following:
(a) Midlands & East Integrated Plan: A draft integrated plan was in development
drawing on existing SCT strategic plans. An early iteration of the plan would
be circulated to key stakeholders for comment in February, with a revised
version received at the next Midlands & East SCG Board in March;
Action: Christine Richardson
(b) Offender Personality Disorder Implementation Plan: SCGs would be working
jointly with the National Offender Management Service to implement the
National Offender Personality Disorder strategy. The East Midlands
commissioning team would be undertaking this piece of work on behalf of the
Midlands & East SCG. Regular progress reports would be provided to the
Midlands & East SCG Board at its meetings.
(c) Midlands & East Commissioning Framework QIPP and Reform Milestones:
The Midlands & East Specialised Commissioning Team would be reviewing
PCT cluster integrated plans to ensure the major trauma milestones as
highlighted in the COO Report be incorporated. SCG plans for the three
localities would be reviewed accordingly to reflect progress status.
3.2 Resolved: that
(a) The Midlands & East Integrated plan be circulated for comment and
agreement at the March M&E SCG Board meeting; and
(b) Updates on the Offender Personality Disorder Implementation Plan and
the M&E Commissioning Framework milestones be noted.
4 National Transition Update
4.1 Moira Dumma (M&E SHA), Kate Caston (DH) and Stephanie Newman (DH) provided
an oral update on progress with the national transition programme.
The following were highlighted:
(a) The M&E SCG Board should be mindful of entering into agreements or
agreeing policies that might fetter the National Commissioning Board future
plans or operations;
(b) Therefore the local decision making process should be clear and exercised
with caution during transition;
(c) An update on transition highlighted planning for phase 2 of convergence . A
summary of the national transition plan would be circulated to members of this
committee for information;
Action: Kate Caston
(d) PCTs’ role during transition would be to ensure delivery through business
planning and performance management.
(e) TOG is developing a prioritisation framework which will be made available as
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part of the role of the Transition Operating Group (TOG). This is being
considered at the TOG’s next meeting on 27 February.
(f) The Board noted the national transition team should consider the resources
required for change management and ensure this is available as it would not
lie within PCT budgets.
(g) Any further comments on on national transition issues should be provided to
the M&E SCG COO prior to the meeting on 27 February, who would relay to
the national team for consideration.
4.2 Resolved: that the national transition update be noted.
5 Midlands & East Governance Arrangements
The Chief Operating Officer introduced the following:
(a) Draft Midlands & East SCG Establishment Agreement;
(b) Draft Operational Oversight Groups Terms of Reference;
(c) Draft Board Report Template; and
(d) Board Annual Cycle of Business
5.1 Establishment Agreement
The Chief Operating Officer introduced the proposed draft Establishment Agreement
for the Midlands & East SCG. The Board thoroughly discussed the content of the
proposed Establishment Agreement and asked that the following amendments be
(a) Paragraph 4.6 to read “…The deputy shall be a PCT Board Director…”;
(b) Paragraph 5.5.1 to read “…unless at least one third of the whole number…”
(previously two thirds);
(c) Paragraph 5.6.9 to read “An absent representative may vote by proxy voting.
Absence is defined as being absent at the time of the vote. Voting intentions
should be notified to the Chair three days in advance of the meeting.”;
(d) Paragraph 8.1.6 to read “…with other key stakeholders, the M&ESCG will
give…” (removal of “wherever possible”)
(e) Paragraph 9.4 – bullet 3 to add “In year changes may be required and
members will need to agree how these will be managed”;
(f) Paragraph 9.7 to read “…Any changes to any services…”;
(g) Paragraph 10.1 to read “…and from which provider(s) having consulted widely
and in accordance with statutory requirements and agreed procurement
(h) Paragraph 10.3 to read “The Members acknowledge and agree that there will
be occasions where services may not be available in the UK and agree that
the SCG may, where necessary, commission services outside the UK. Any
commissioning of services will be in accordance with agreed processes.”;
(i) Paragraph 12.3 to read “The M&ESCG will ensure sufficient engagement with
the CCGs and direction of travel during the transition period”;
Members were asked to receive and agree the Establishment Agreement at their
PCT Boards subject to the above amendments being incorporated. The
Establishment Agreement would be amended and circulated to members. Electronic
confirmation and a copy of their minutes should be provided for record keeping and
Action: All/Markella Konisti
It was asked that the option of Video or Tele-conferencing be explored due to the
widespread geographical locations of members.
Future proposed dates would also be reviewed and circulated to members in
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alignment to the National Chief Executives’ meetings where possible.
Action: Markella Konisti
5.2 Operational Oversight Groups (OOG) Terms of Reference:
The Chief Operating Officer introduced the draft Terms of Reference for the
Operational Oversight Groups being established by the M&ESCG PCT Members.
Members provided a number of comments.
5.3 Board Report Template:
Resolved: that the Board Report Template be agreed.
5.4 Annual Cycle of Business:
The Chief Operating Officer introduced a draft annual cycle of business as a
guideline to the Board’s future meetings. It was noted that Commissioning Intentions
would be received in September/October and would be reflected on the cycle.
Action: Markella Konisti
5.5 Resolved: that
(a) PCT members agree to receive the Establishment Agreement - subject to
above amendments - at their next available PCT Board meeting for final
(b) The Operational Oversight Groups Terms of Reference be revised and
received at the first meeting of each OOG for discussion and agreement.
A copy would be received at the next Board meeting for endorsement;
(c) The Board Report Template and Annual Cycle of Business be agreed.
6 Finance and Performance Report – Month 8
6.1 The Director of Finance introduced the Month 8 report outlining finance and
performance issues relating to all three localities, forecast outturns, exception
reporting on issues and proposed content for future performance reports.
Resolved: that the Finance and Performance Report for Month 8 be noted.
7 Quality and Clinical Effectiveness
7.1 The Director of Quality, Clinical Effectiveness and Safety outlined the proposed future
content of the Quality Performance report. Reporting would include:
(a) QIPP and CQUIN performance
(b) Quality Dashboard
(c) Cancer Drug Fund
(d) Exceptional service and clinical issues
(e) Serious Incidents and infection control issues
A national Quality Assurance Framework would be published from April 2012. The
Midlands & East SCG would be actively involved in its development working with
colleagues to implement locally.
The Board noted the importance of systematic reporting of quality issues, in
particularly the importance of tracking trends in Serious Incidence.
Resolved: that the Quality and Clinical Effectiveness report be noted.
8 Overview of Financial and Business Planning 2012-13
8.1 Financial Assumptions:
The Director of Finance introduced a paper that described the financial assumptions
that underpin the business planning process in each of the three SCG regions. The
paper demonstrated that all three were adopting broadly similar assumptions. The
paper also updated the Board on the annual financial process across the three
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Specialised Commissioning Teams (SCT).
Resolved: that the process adopted under paragraph 3 of the paper be
endorsed to ensure SCTs agree funding allocations for 2012/13 with constituent
PCTs by end of February 2012. An updated paper would be received at the
March Board meeting.
8.2 CQUIN 2012-13: The Director of Quality, Clinical Effectiveness and Safety introduced
an update on the development of CQUIN for 2012/13. It was noted there would be
nationally mandated CQUIN schemes contributing to 20% of the overall CQUIN
Resolved: that the report on the development of CQUIN 2012-13 and the value
of CQUIN funds available for each SCT be noted.
9 Any Other Business
9.1 There was no other business considered.
Head of Governance and Board
30 January 2012
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