January Camden Clinical Commissioning Group (CCG) Governing Body - Summary

The latest Camden CCG Governing Body public meeting was held on Wednesday 18 January (papers available here). Full minutes will be published within the March Governing Body papers, which will also be available on the CCG website. Please find a brief summary of the main items discussed below. 

  • The meeting opened by highlighting the positive work delivered throughout 2016, including recognition from the Prime Minister’s health policy team on our Child and Adolescent Mental Health Services. 
  • It was confirmed that the CCG met a challenging deadline to agree contracts with our five main hospital Trusts in December, running for the next two years. 
  • A paper was presented on recent patient and public engagement activity including around our Local Care Strategy1 and Sustainability and Transformation Plan. The importance of joint CCG and Council working to improve outcomes for people in Camden with disability was highlighted. 
  • Figures in the Quality and Safety report show UCLH is now achieving the two-week wait target for all cancers. A report on the Diabetes Integrated Practice Unit highlighted improvements needed around prescribing. 
  • North Central London (NCL) CCG commissioning arrangement proposals, including establishing a NCL CCG Joint Committee and shared management team, were considered by Governing Bodies across Sept–Dec 2016. Feedback has been captured in the Developing Commissioning Arrangements in NCL Key issues raised: sufficient focus on quality and patient engagement will continue to be discussed. 
  • A paper, Future CCG Operating Arrangements, reconfirmed theCCG’s current clinical leadership and membership model. The Governing Body agreed the following Local Care Strategy recommendations:
    • Ceasing the Strategic Board and creating an accountable Delivery Board
    • Creating an ‘engine room’, a contractual joint venture to drive the Strategy 
  • The Governing Body approved the creation of a mental health resilience network. Aligned with the end of a number of mental health pilot projects, the proposal identifies a range of effective services to be recommissioned, including employment support, peer mentoring, the Recovery College and a new Black and Minority Ethnic (BME) service. The resilience network approach will realise savings across both health and social care budgets. Providers will partner in the procurement process, to be led by the Council, including a vision of moving towards a single contract model within three years. 
  1. For more information about the Local Care Strategy, see http://www.camdenccg.nhs.uk/what-we-do/camden-local-care.htm
  2. For more information about the NCL STP, see: http://www.camdenccg.nhs.uk/news-articles/North-Central-London-Sustainability-and-Transformation-Plan-Update.htm 
  • The Governing Body was updated on Primary Care Delegated Co-commissioning. The Terms of Reference, approved by our Governing Body, sets out a Committee-in-Common approach for the five NCL CCGs. Member practices will be balloted on moving to locally delegated commissioning in February. 

Clinical representatives were asked to leave the room for the next two items. 

  • Governing Body approved the introduction a single locally commissioned service (LCS), or ‘universal offer’. The aim of the universal offer is to increase patient’s access to high-quality, proactive, coordinated and accessible care, and reduce variation in what and how the services are delivered. The universal offer will have a combination of activity and outcomes-driven payments, and a degree of growth has been built into the proposal. Timelines and the financial envelope were also approved by the Governing Body.
  • A business case was presented for procurement of an extended access service to make GP appointments available in Camden from 8am – 8pm, 7 days per week. The aim of extending access is to improve health outcomes, provide care closer to home and reduce the demand for hospital services. Governing Body endorsed the proposal, procurement route and proposed timeline.
     
  • A presentation of the performance report highlighted continued improvement at UCLH on cancer targets. Referral to Treatment (RTT) performance at both UCLH and Royal Free also continues to improve. Minor treatments in A&E have been decreasing against projections. It was also noted that UCLH, despite long wait lists, continue to perform well on the Friends and Family Test. The Chair recognised the CCG, Council and Trusts’ efforts in achieving these successes.
     
  • The North Central London (NCL) Integrated Urgent Care report was presented. As an NCL report, some figures are largely from other boroughs (e.g. London Ambulance Service call outs in care homes). NCL 111 (out of hours service) activity has been above forecast, with total monthly calls around 22,000. Staffing levels have been increased to meet demand during winter. An online NHS 111 ‘app’ is being piloted for six months within Camden (and other areas), funded by NHS England. The app will complement the existing NHS 111 telephone service and will mean immediate, accurate and personalised advice and medical information will be available from their smartphones, wherever they are, whatever the time of day, helping people to take control of their own health. 
     
  • The Governing Body noted a range of other CCG committee reports, discussed the 2017/19 Operating Plan and the CCG Business Plan status. All of these can be found in full in the meeting papers. 

To note, a list of Governing Body members and their positions is available within the online meeting papers. Enquiries on any of the above can be sent to camdencommunications@camdenccg.nhs.uk.