Summary of the Governing Body Public Meeting November 2016

The latest Camden CCG Governing Body public meeting ran on Wednesday 9 November (papers available here). Full minutes will be published within the January Governing Body papers, which will also be available on the CCG website. The following summarises the main items discussed: 

  • Dr Caz Sayer opened the meeting by highlighting a positive article in the New England Medical Journal recognising the frailty work being delivered in Camden, and thanked the Governing Body and staff for their efforts to deliver this excellent achievement. 
  • Dorothy Blundell confirmed early mobilisation work on the new integrated Musculoskeletal service is now underway following the contract award in October, and highlighted the new North Central London (NCL) integrated urgent care service was running well in its first month. A letter recently received from a member of the public praising their recent experience of care in Camden was also welcomed. 
  • Kathy Elliott presented a report on the CCG’s latest patient and public engagement activity, emphasising the need for meaningful communication with the public around significant ongoing changes to the NCL health and care landscape, including the NCL Sustainability and Transformation Plan (STP), Local Care Strategy and accountable care.  
  • Jo Wickens presented the Quality and Safety report. Governing Body welcomed confirmation that University College of London Hospital (UCLH) cancer waiting times are not linked to Camden residents experiencing clinical harm. In relation to the Annual Safeguarding Adults report, Richard Lewin, Camden Council, highlighted steps being taken to improve homecare staffing levels and care quality – including introducing the London Living Wage for homecare staff and working toward the Unison Ethical Care Charter standards. 
  • Dorothy Blundell presented a paper on London health and care devolution. Governing Body noted the progress being made at a London-wide level and were informed further information on outputs from the NCL Estates Pilot are expected after the NCL STP has been assured by NHS England. 
  • Dr Martin Abbas presented a proposed Camden Plan for People with Autism, including the formation of an Autism Partnership Board, which was approved by Governing Body. Saloni Thakrar provided patient feedback gathered on Camden autism care, which will be fed in to inform future work. The plan will look at the whole range of services that touch people with autism and how these can work better together, including preventative and early help measures. Reflecting financial challenges, the goal is to make the best possible use of these services. 
  • Updating on primary care commissioning, Dr Neel Gupta reiterated the recent decision taken by member practices that the CCG should not to move to fully delegated primary care commissioning, and confirmed that a paper will be available in January setting out the new NCL joint primary care commissioning committee terms of reference, including how this committee will align with the NCL STP Primary Care Board. 
  • Dr Catherine Kelly, Director of Informatics at UCL Partners, presented a paper on the NCL Digital Roadmap, which is a NHS England requirement for all STP footprints. The draft Roadmap covers a range of themes, including digital information access and enabling the population to digitally interact with the health and care system. Governing Body highlighted points regarding the scale of the ambition, historic challenges in driving forward digital change in NCL, the need for public engagement and funding. 
  • Presenting the performance report, Charlotte Mullins highlightedUCLH is now compliant on their two-week breast cancer target and expected to deliver their diagnostics target from December 2016. Four hour A&E wait targets remain a challenge locally and nationally. The CCG is in the process of putting in place an acute demand management scheme. Governing Body also discussed the NHS England Improvement and Assessment Framework, with plans for the clinical areas Camden was rated as requiring improvement being driven through under the Local Care Strategy. 
  • Providing a financial overview, Ian Boyle confirmed that the CCG is on track to deliver the cumulative annual surplus required by NHS England. We are still seeing a material level of over-performance reported on acute trust contacts and, while this is reducing, the CCG is looking at how this can be further brought down. 
  • Dr Matthew Clark and Susan Achmatowicz presented on CCG systems resilience work – including our investment in supporting A&E this winter and continuing work to support the process of discharging complex patients. The results of a joint review undertaken with ULCH on performance issues related to access standards were viewed, along with the remedial action plan signed up to by the Trust and CCG. 
  • Dr Lance Saker and Richard Lewin presented the joint commissioning annual report, with discussion focused – largely around mental health – on how to best raise awareness and understanding of services available, ensure robust patient engagement in service planning and join up plans across various health and care agendas. 
  • The Governing Body noted a range of other CCG committee reports, discussed the CCG risk register and the CCG Business Plan status, and approved the new NCL Conflicts of Interest policy. 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.