EAST MIDLANDS OPERATIONAL OVERSIGHT GROUP (OOG) DRAFT MINUTES OF THE BOARD MEETING HELD ON MONDAY, 2 JULY 2012 FOSSE HOUSE BOARD ROOM, NHS LEICESTER CITY COUNTY & RUTLAND Present Catherine Griffiths (Chair), NHS Leicester City, Leicestershire County and Rutland Lee Bartholomew, Lay Member, East Midlands Specialised Commissioning Group David Black, NHS Derbyshire (also representing David Sharpe) Julia Cons, Lay Member, East Midlands Specialised Commissioning Group Tim Daniel, LLR/Public Health Chris Kenny, NHS Nottingham City & County, NHS Bassetlaw Philip Mould, NHS Lincolnshire Gill Scoular, NHS Milton Keynes and NHS Northamptonshire Vikki Taylor, NHS Leicestershire City, Leicestershire County and Rutland Paul Thefaut, Midlands and East Specialised Commissioning Group East Midlands In Attendance Apologies Register of interests and declaration of interests for items on the agenda Jon Currington, Midlands and East SCG East Midlands Peter Davies, Midlands and East SCG East Midlands David Giffard, Midlands and East Specialised SCG East Midlands Julia Grace, Midlands and East SCG East Midlands Judith Gregory, Midlands and East SCG East Midlands Deborah Johnson, Midlands and East SCG East Midlands Rob Lusuardi, Midlands and East SCG East Midlands Catherine O Connell, Midlands and East SCG Michelle Rippin, Midlands and East SCG East Midlands Christine Richardson, Midlands and East SCG Ruth Sargent, Midlands and East SCG East Midlands David Sharpe, NHS Derbyshire (represented by David Black) Tina Starling, Midlands and East SCG East of England None received 1
Minutes of the previous meeting held on 11 May 2012 Actions from the previous meeting held on 9 March 2012 2. Directors Report 3. Corporate Issues 3.1 National and Regional Delivery Plan 3.2 Team Workload, Prioritisation and Approach to Resourcing The minutes from the meeting held on 11 May 2012 were formally agreed and accepted. Jon Currington was in discussion with clinical staff at Milton Keynes to understand and resolve haemaglobinopathy service issues. A meeting had been arranged for 5 July to progress. All other actions had been completed. Milton Keynes Transfer - Transfer of full contract documentation for all acute and mental health contracts held on behalf of Milton Keynes PCT was well underway. It was agreed that it was the responsibility of SCG OOG members to feedback to CCGs as appropriate. A form of words had been suggested to invite CCGs to attend the OOG as an observer as members felt appropriate. The paper informed the OOG on the development of the Phase 3 Delivery Plan for the transition of specialised services into the NHSCB and the East Midlands Team responsibilities to support the regional delivery of national work streams. Performance of the Delivery Plan would be managed by the regional Senior Management Teams, monitored by the Midlands and East Cluster Executive Team and reported exceptionally to the OOG and SCG Board. Progress would also be reported to the Strategic Health Authority and the National SCG Transition Team as required. The Group received the Delivery Plan and noted the delivery requirements for the East Midlands local office. The report updated the Group on the EMSCG Prioritised Work programme. Outputs and benefits from the work programme are detailed within underlying documents. The Group received the Prioritised Work Programme. Jon Currington 4. Operational Performance 4.1 2011/12 Financial Plan Update The OOG were asked to receive month 1 financial plan update report for specialised expenditure. The Group noted the following key issues: The finalisation of outstanding contract issues within overall affordability restraints Assessment of underlying potential contract risks Resolution of outstanding boundary transfers (Bassetlaw and 2
Milton Keynes) Broadly balanced position at month 1, subject to contract queries. The Group approved the report. 4.2 Resource Distribution The report presented provided the Group with options and recommendations regarding allocation of resource in 2012/13 to support known system pressures and patient initiatives. Confirmation was required on the release of burns monies into the system in the first instance. Paul Thefaut Following confirmation of release of burns monies it was agreed to approve the following schemes: Scheme No.10 Arbiraterone Scheme No.17 Neonatal External Review at Lincoln Scheme No.24 Major Trauma It was noted that Scheme No.23 (TAVI) had already been approved. It was agreed that it was prudent to keep 2m in reserve at this stage and reconsider other potential schemes at the August OOG. Paul Thefaut 4.3 M&E SCG Performance Framework The report provided details on processes that had been developed to robustly manage provider contracts during 2012/13 and provide reporting consistency across the Midlands and East. The Group received the paper and endorsed the approach. 4.4 Procurement Update ICD Procurement Project 4.5 East Midlands Cancer Drug Fund The report provided an update on the ICD Procurement Project to investigate opportunities within the supply base to reduce the cost of devices within the scope of the project. The Group received the report and noted the progress to date. The report provided an update on the monthly number of Cancer Drug Fund applications received. It was agreed that the CDF would be an agenda item on the Cancer Network Board. It was agreed that Chris Kenny would liaise with Judith Gregory to discuss. Judith Gregory was asked to provide a report detailing the financial implications of Abiraterone being routinely commissioned from October 2012. Chris Kenny Judith Gregory 5. Service Issues 2012/13 The Group received the update. 5.1 Neonatal The report provided an update on the work being undertaken with the 3
Lincoln neonatal unit at United Lincolnshire Hospitals. Good progress had been made on the Trust Action Plan and a followup meeting had been arranged to ensure improvements made were embedded into the organisation. It was noted that the clinical thresholds remain in place until after the external review The Group received the update. 5.2 Major Trauma Update The report provided an update on the progress in implementing Trauma Networks in accordance with the National Operating Framework and the requirements of the Midlands and East SHA Commissioning Framework. The following key issues were noted: A meeting was to take place on 13 July to discuss the activity and financial model for a revised NUH Business Case. The Business Case and Revised Transitional Plan to be reviewed at the August OOG. EMAS boundary flows would need to be aligned with other networks. Local trauma units would need to achieve Trauma Unit Status within the revised timetable and the transition plan. University Hospitals of Coventry and Warwickshire would be the designated Major Trauma Centre for Northamptonshire. A part-time project director had been appointed (Ruth Derrett) The Group received the update. 5.3 Children s Congenital Heart Review The report provided explored the possible impact in the East Midlands and nationally of a decision to retain services at the EM Congenital Heart Centre or for them to cease. The Group received the report and noted the potential impact of either decision. 5.4 Mental Health Service Issues The report provided and update on current progress and developments in the East Midlands Mental Health Commissioning Team. The Group received the report. 6. Governance 6.1 Risk Register The Group received the operational 2011/12 risk register and acknowledged the risks identified. The main risks identified were: Neonatal Services at Northampton General and United Lincoln Hospitals 4
Children s Cardiac Review NUH Contract Major Trauma Ivacaftor New drug for CF Abiraterone New drug for prostrate cancer Transition of services in and out of specialised portfolio It was agreed that red risks should be taken to PCT Boards for information. OOG members 7. Policies 7.1 NICE Guidance update The report submitted to the OOG provided an update on the development in NICE Guidelines relevant to specialised services. The Group received the update report and noted the financial impact. 7.2 Hyperbaric Oxygen Therapy Policy The Group approved and agreed to adopt the current regional collaborative policy for Hyperbaric Oxygen Therapy for use by the M&E SCG (East Midlands Office) on behalf of the regional PCTs. 8. Further Matters to note It was noted that the policy had also been approved by CPAG. 8.1 Midlands and East Joint Board Agenda The Group noted the agenda for the Midlands and East Joint Board. 8.2 Clinical Priorities Advisory Group Minutes 8.3 Mental Health and Learning Disability Board Minutes The Group received and accepted the minutes form the meeting held on 24 February 2012. The Group received and accepted the draft minutes from the meeting held in May 2012. 8.3 EMSCG Finance Committee Minutes 9. Any Other Business 9.1 Collaborative Policies The Group received and accepted the draft minutes from the meeting held in June 2012. It was agreed to provide a summary of work undertaken on a collaborative basis and forward to Louise Newcombe and Vikki Taylor. MQ Future approach to be discussed with Malcolm Qualie and Donna 5
Hakes. 10. Date, time and Venue of the next Meeting Friday, 31 August 10.00 a.m. in Fosse House Board Room 6