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Enclosure A NORCOM

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					                                                                                          Enclosure A

                                                    NORCOM
        North Derbyshire, South Yorkshire and Bassetlaw Commissioning Consortium

                              Minutes of the Commissioner Only Meeting
                                         held on Friday, 14 August 2009
                                          Don Valley House, Sheffield
Present:

        Annette Laban – Chair                                        NHS Doncaster
        Steve Wainwright                                             NHS Barnsley
        Simon Kirk                                                   NHS Sheffield
        Louise Newcombe                                              NHS Bassetlaw
        Nigel Parkes                                                 NHS Rotherham

In Attendance:

        Cathy Edwards                                                Yorkshire & the Humber SCG
        Pia Clinton-Tarestad                                         Yorkshire & the Humber SCG
        Frances Carey                                                Yorkshire & the Humber SCG


1       APOLOGIES                                                                                           Action

        Jan Sobieraj                                                 NHS Sheffield
        Ailsa Claire                                                 NHS Barnsley
        Andy Buck                                                    NHS Rotherham
        Tim Fowler                                                   NHS North East Lincolnshire

2       MINUTES OF THE MEETING HELD ON 10 JULY 2009

        The minutes were accepted as a true and accurate record.

3       MATTERS ARISING

        (a)    Establishment Agreement

               Cathy Edwards reported that the work to finalise an establishment
               agreement for NORCOM was still underway. Cathy was seeking to
               maintain alignment with the agreements for the other two sub-                               Cathy
               regional collaboratives and was therefore awaiting further discussions                    Edwards
               in those areas. Once completed, the establishment agreement would
               include a list of the services covered by NORCOM. The intention was
               to present the revised establishment agreement to the September
               meeting.

               Annette Laban queried whether the SCG currently held a risk register.
               Cathy advised that it did not, but would need to do so.

        (b)    Cochlear Implant Service

               Cathy Edwards fed back that there was concern from Sheffield                            Pia Clinton-
               Teaching Hospitals that not all issues had been considered in the                          Tarestad
               decision not to explore additional potential providers of cochlear
               implantation services, when the matter was discussed at SCG.

               One of the issues raised was the potential capacity constraints in

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               Nottingham, and East Midlands SCG had expressed an interest in
               exploring additional providers. It was agreed that this would be
               explored, with a view to Sheffield Teaching Hospitals potentially
               working with the established provider, if the capacity were deemed
               necessary.

        (c)    Morbid Obesity Procurement

               Pia Clinton-Tarestad fed back that contract discussion had begun                Pia Clinton-
               with Derby and were due to begin with Doncaster and Bassetlaw                      Tarestad
               Hospital early in September, with a view to the expanded morbid
               obesity surgery services starting later in September.

               Pia advised that there would be a need to divert referrals from
               Sheffield Teaching Hospitals initially, with a view to moving towards a
               more free choice model early next year.

               Louise Newcombe advised that East Midlands SCG were currently                   Pia Clinton-
               considering tendering for all obesity activity, with a view to reducing            Tarestad
               the number of providers. It was agreed that Pia would liaise with East
               Midlands to understand their capacity/demand assumptions.

4       CHILD HEALTH SERVICES REVIEW

        (a)    Neonates Intensive Care

               It was confirmed that the Chief Executives briefing meeting had been
               planned for 23rd September to receive formal feedback on the draft
               confidential report.

               Following discussions between Cathy Edwards, Andy Buck, network
               representatives and the authors of the report it had been agreed that
               further consideration be given to the confidentiality issues.

               Andy Buck would be discussing this particular issue with the lead
               officer for the national confidential enquiries in to children’s services
               eg. CESDI and CMACH to understand the relevant governance and
               confidentiality framework.

               It was noted that the draft TNS data for 2006-2008 was showing
               improvement across the network.

               It was agreed that Andy Buck should provide a further general update
               letter on all the issues, to PCTs.

5       MANAGEMENT BUDGET SUMMARY STATEMENT

        Frances Carey tabled a final budget summary statement, which set out the
        costs of the NORCOM and network management costs and SCG
        management costs over the next five years.

        This was noted.

6       INDEPENDENT SECTOR – CONTRACT MANAGEMENT

        (a)    PHG

               Cathy Edwards reported that the contract continued to underperform.
               With regards to the ending of the contract, Cathy confirmed that it
               was now accepted that the additional capacity for surgical activity at
               Barlborough would not be required beyond the life of the current
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               contract. The use of the facility for other services would be handled
               via a competitive tendering process.

7       PROCUREMENT

        (a)    Cytology Laboratory Services

               Cathy reported that this procurement was still proceeding in
               accordance with the agreed timetable.

10      ANY OTHER BUSINESS

        Swine Flu

        Steve Wainwright highlighted that there would be benefits in applying a
        consistent contractual approach when agreeing swine flu plans with
        providers. He agreed to take this forward with contracting colleagues.

11      DATE AND TIME OF NEXT MEETING

        Friday, 11 September 2009 in Room 4, RED Centre, Doncaster




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