Governing Body Update – November 2019

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At November’s Governing Body, the Board watched a video of a local mum and her son sharing their positive experience of Walsall Wheelchair Services. Over the last year, Walsall Wheelchair Services have transformed their service offer, providing personalised care and support to local service users. This transformation, supported by Rebecca Johnson in the CCG Commissioning Team, has allowed wheelchair users and their families to have more choice and control over the care they receive.

Overall, this story highlighted the importance of shared-decision making and recognising the individual needs of the people we serve. Personalised care is one of the five major, practical changes to the NHS that will take place over the next five years and the Board is delighted that this agenda is having an impact locally.

Rachel Barber, Lay Member for Patient and Public Involvement, introduced the Public Update Report highlighting feedback and insights that were received during September and October. In her update, Rachel called upon GP members to encourage their patient groups to attend an upcoming Patient Participation Group (PPG) Chairs Meeting and to support their GP colleagues to do the same. As part of the update, the Board also received the latest Healthwatch Walsall Intelligence Report, collating the experiences of local people accessing health and care services. A mixture of positive and negative experiences was shared in the report, with the majority relating to GP and hospital services. The intelligence report will be shared with the relevant committees to understand the insights in more detail and to take action where necessary.

In my update to the Board, I congratulated Paul Maubach on his appointment to the role of Accountable Officer of the Black Country and West Birmingham CCGs. The future of the four CCGs has been a key feature of discussions recently, and I thanked our staff, GP members and the public who had taken the time to share their views with us during the CCG Listening Exercise. The CCGs Transition Board will now review the findings and will make recommendations to Governing Bodies in January 2020.

I was also pleased to share that Primary Care Networks will now have representation on the Walsall Together Programme Board, strengthening the voice of GPs in integrating health and care services in Walsall.

In the Accountable Officer update, Paul highlighted how EU Exit planning would roll-over into the New Year. Paul also mentioned the important transition change for local CCGs and in particular, the need to understand the role and benefits of commissioning organisations in an Integrated Care System (ICS). Board members have a session on the 4 December to discuss ICS development, and Paul encouraged attendance.

The development of our local NHS Long Term Plan continues across the Black Country and West Birmingham. In other system news, Paul reported that NHS England and Improvement had two areas of focus for the STP – delivery of urgent and emergency care (UEC) understanding the variations in performance across our four Trusts, and developing a shared staff bank to reduce the spend on agency staff.

Paul ended his update on the successful integration of 999 and 111 services in the West Midlands. The new service will see fewer patients being sent ambulances and lead to a reduction in the number of patients asked to attend A&E. Instead, the new model will support more patients being cared for in the most appropriate place for their needs.

Chief Nurse, Sarah Shingler, updated the Board on the on-going monitoring of quality and safety and, performance for services commissioned by Walsall CCG. A new integrated assurance report and dashboard has been developed to provide Board members with a high-level overview of CCG operational and clinical performance information, so that they can clearly see what areas are doing well and where key areas of risk/concern are, and most importantly emerging issues. Members noted the future need of this report aligning to system working, both at a Walsall Together and STP level.

Sarah went on to update members on its statutory responsibilities for children and adult safeguarding, highlighting to members what plans were in place to ensure all designated statutory posts at the CCG are recruited to. This update was followed with a paper on the Safer Walsall Partnership, Community Safety Plan of which the CCG is the lead partner for working with partners to achieve a reduction in serious and organised crime in Walsall.

In a finance update, Matthew Hartland reported that the CCG is forecast to achieve a surplus on its revenue resource limit for 19/20, meeting its revised control total set by NHS England. However, risks to this position were discussed, in particular, forecast overspend for prescribing. In other updates, the STP estates strategy has been rated as ‘Strong’ and estate investment in the proposed development at St John’s Medical Centre has been approved.

Following a Board development session on implementing the new model constitution (introduced by NHS England in August 2018), GP members shared their feedback on how conflicts will be managed. Members agreed to establish a working group to review the proposed changes with the Local Medical Committee (LMC). The CCG Accountable Officer, Chair and Lay Member for Patient and Public Involvement will then review the feedback and agree on next steps for implementation.

Lastly, the Board received updates from the CCG’s two commissioning committees – Policy and Commissioning and Primary Care Commissioning. You can read these updates on the CCG’s website along with the items mentioned above.

Dr Anand Rischie
Chair, Walsall Clinical Commissioning Group