Governing Body meeting

862 Pages·2017·27.94 MB·English

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Governing Body meeting (held in public)
Thursday 30 March 2017
1.30pm – 4.00pm
Room GO4/G05
London Borough of Bexley Civic Offices
2 Watling Street Bexleyheath Kent DA6 7AT
AGENDA
Item Times Description Enc Sponsor Author
No
1 Standing Items
23/17 1.30 Welcome and Apologies for Absence Verbal SD

24/17 1.32 Declaration of Interest A SD

25/17 1.35 Chair’s Update Report Verbal SD

26/17 1.40 Minutes of the Governing Body meeting (held B SD
in public) dated 26 January 2017

27/17 1.42 Matters Arising/Action Notes C SD

28/17 1.45 Decision Log from Other Fora and Chair’s D SD
Actions

29/17 1.50 Update from Patient Council Verbal PC
2 Items for Decision
30/17 1.55 Healthy London Partnership (HLP) Update E TO TO
and Financial Support 2017/18 Onwards

31/17 2.00 Amendments to schedule of Matters F JW JW
Delegated to Officers

32/17 2.10 2017/18 Financial Plan and Detailed Budgets G JW JW

33/17 2.20 Revised Terms of Reference for H MB EA
Remuneration and Nominations Committee

34/17 2.25 South East London Treatment Access Policy I SV JO
2017/18

Excellent healthcare – locally delivered I n t e r im Chair: Dr Sid Deshmukh | Chief Clinical Officer: Dr Nikita Kanani
Item Times Description Enc Sponsor Author
No
35/17 2.30 Business cases for approval J SV
 Bexley CCG Ophthalmology Service (i) JO

 Reduce incident of Frequent Attenders (ii)

to A&E JO

 Paediatrics Rapid Response Services (iii) AR

36/17 2.35 Promoting self-care for medicines K MB CF

37/17 2.40 London health and care devolution L NK
Memorandum of Understanding

38/17 2.45 Primary Care Improvement Fund (PCIF) M SV LCB
2017-19 (To follow)

39/17 2.55 Questions From the Public - SD
(please see notes under Section 6)
3.00 BREAK FOR 5 MINUTES
3 Items for Discussion
40/17 Procurement plan 2017/18 N SV JO

41/17 3.05 2016/17 O
 Integrated Quality, Safety and Performance (i) MB ZHJ
Report March 2017
 Month 10 2017 (January) Finance Report (ii) JW JW
 Consolidated Contracts Report Month 9&10 (iii) SV JO

42/17 3.10  Primary Care Development Update P TO SS

43/17 3.15 London Borough of Bexley Learning Q SV GP
Disability Strategy

44/17 3.20 Joint Local Area Inspection of Special R MB JM
Educational Needs and Disability in Bexley

45/17 3.20 Annual Equality Report S MB AG

46/17 3.23 Board Assurance Framework T MB EA

47/17 3.25 2016-17 Bexley CCG staff Survey U MB LM

48/17 3.30 SEL Integrated Urgent Care Services V SV EB
4 Items for Information

Excellent healthcare – locally delivered I n t e r im Chair: Dr Sid Deshmukh | Chief Clinical Officer: Dr Nikita Kanani
Item Times Description Enc Sponsor Author
No
49/17 3.32 Use of CCG’s Seal W MB EA

50/17 3.34 Our Healthier South East London – X MB LM
programme update newsletter January 2017

51/17 3.36 Minutes from meeting of the Bexley Health Y MB LM
and Wellbeing Board on 24 January 2017

52/17 3.38 Integrated Commissioning Board meeting Z SD
held on since 6 December 2016

53/17 3.40 London Primary Care Joint Committees AA SD
meeting held 20 October & 15 December (i)
2016

Committee in Common meeting held on 29 (ii)
November 2016 (To follow)

(iii)
Primary Care Co-Commissioning Board
(To follow)
meeting held on 1 February 2017

(iv)
Minutes of Patient Council meetings held on

17 November 2016, 24 January 2017

Committees Executive Summaries for the

Governing Body to Note:

 Audit and Integrated Assurance
(v)
Committee 10 November 2016

 Executive Management Committee 5
(vi)
January 2017
(To follow)
 Finance Sub Committee (incorporating
(vii)
Financial Recovery Group) 13 December

2016, 10 January 2017
(viii)
 Medicines Management Sub-Committee

18 January, 8 February 2017

 Quality & Safety Sub-Committee (ix)
16 November 2016, 12 January 2017

54/17 3.45 Any Other Business SD
 2017/18 Governing Body Meetings

55/17 3.50 PUBLIC FORUM
Any member of the public who wishes to ask a question to be answered by
the Board at the meeting should send it in advance to
[email protected].

Excellent healthcare – locally delivered I n t e r im Chair: Dr Sid Deshmukh | Chief Clinical Officer: Dr Nikita Kanani
Item Times Description Enc Sponsor Author
No
Members of the public are reminded that queries relating to individual staff
or patients cannot be discussed. The Chair reserves the right not to
respond to queries relating to issues which are the subject of current
confidential discussions or legal action or any other matter at her discretion
without giving any reason.
5 Date of next meeting
56/17 4.00 Governing Body Meeting held in public
Thursday 25 May 2017, 1.30pm-3.30pm, London Borough of Bexley
Civic Offices 2 Watling Street Bexleyheath Kent DA6 7AT
CLOSURE OF THE PUBLIC MEETING
Dr Sid Deshmukh, Interim Chair
NHS Bexley Clinical Commissioning Group, Civic Offices, 2 Watling Street,
Bexleyheath, Kent DA6 7AT Tel: [phone]
Email: [email protected].
Membership:
Voting Members Non-voting Members
Dr Sid Deshmukh (Interim Chair) Michael Boyce
Dr Jhumur Moir Sarah Valentine
Dr Varun Bhalla Lionel Eastmond
Lisa Wilson
Tina Khanna
Dr Sonia Khanna Deshmukh
Dr Nikita Kanani
Theresa Osborne
Mary Currie
Dr Koteshwara Muralidhara
Keith Wood
Paul Cutler
Neil Ross

Quoracy: 50% of members = 7

Excellent healthcare – locally delivered I n t e r im Chair: Dr Sid Deshmukh | Chief Clinical Officer: Dr Nikita Kanani
Enc A
NHS Bexley CCG Governing Body Members' Declaration of Interest for 2016-17

Declaration
Position Within NHS Other Interests Declared i.e. Item Change in declared
Name Interests Held Contract Value Last
Bexley CCG specific to an agenda item at a meeting interest
Updated
1. Partner in Belvedere Medical Practice 1. Contract Value
which holds NHS (PMS) contract Value - 4. £4,500 p.a. (my
Materiality 45% share of profit)
Attends various locality/clinical
2. Director of RSVS Ltd a non NHS company - 5. No profit share
meetings which could be
Varun North Bexley GP wife is also a Director
17/03/17 sponsored by drug companies
Bhalla Locality Lead 3. Bexley Healthcare Services Ltd (wife is also
where sandwiches/meal is
a director)
provided (from £5.00 to £30.00)
4. GPCC (Greenwich) Value - Nil so far
5. Shareholder, Bexley Heath Neighbourhood
Care
1. Director Quality for Health Ltd - company
Partner is a Director of
offering consultancy service in healthcare
Mary Governing Body 1. Materiality 50% Physiological Measurements
sector. 17/03/17
Currie Nurse Member ownership Ltd who deliver NHS clinical
2. Interim Director of Transformation, NHS
services.
Bromley CCG
Governing Body Lay 1. Director, Paul Cutler Consultancy Consultant / Advisor to a
Paul Member for Patient 2. Associate for the National Children's variety of local authorities
Nil 17/03/17
Cutler Participation and Bureau, Centre for Public Scrutiny, CAN- across England (None in SE
Involvement Invest, Participation Works London)
1. Wife (Dr Sonia Khanna-
1. Senior Partner Sidcup Medical Centre PMS Deshmukh) is member of NHS
Contract - Personal Interest - Materiality 50% Bexley CCG Board
2. Shareholder Bexley Health Limited 2. Potential conflict as personal
3. Shareholder Frognal Limited - Personal interest in Inspire Community
Frognal GP Locality Interest 1. 50% share. Trust re: - a) Wheelchair
Sid
Lead and Bexley CCG 4. Shareholder Blossoms Care Home Ltd - 4. 15% share 17/03/17 Service; b) Joint Equipment
Deshmukh
Chair Personal Interest 15%. 8. No profit share Store; c) Personal Health
5. Clinical Lead - Referral Management and Budget; d) Information and
Booking Service (RMBS) - Personal Interest Service Support for people with
6. Shareholder, Bexley Health Neighbourhood physical and sensory
Care impairment - No financial
interest.
Lionel Bexley Patient
None Nil 17/03/17 None declared
Eastmond Council Vice Chair
Declaration
Position Within NHS Other Interests Declared i.e. Item Change in declared
Name Interests Held Contract Value Last
Bexley CCG specific to an agenda item at a meeting interest
Updated
1. Sessional GP, Bellegrove Surgery

2. Council Member, National Association of
Attends various locality/clinical
Primary Care
Nikita NHS Bexley CCG meetings which could be
3. General Advisory Council member, The Nil 17/03/17
Kanani Chief Clinical Officer sponsored by drug companies
Kings Fund
where refreshments are
4. Husband is a director of Lewisham GP
provided (from £5.00 to £30.00)
Federation
1. Practice Manager, Slade Green Medical
Tina North Bexley Locality
Centre Nil 17/03/17 None declared
Khanna Representative
2. Board Administrator, Bexley Health Ltd
1. Husband, Dr Sid Deshmukh,
is Senior Partner at Sidcup
Medical Centre.
2. Husband (Dr Sid Deshmukh)
is Frognal GP Locality Lead on
Bexley CCG Governing Body.
3. Potential conflict as personal
1. Sessional GP at Sidcup Medical Centre interest in Inspire Community
2. Long-term Locum, Bean Village Surgery, Trust as Father, Mr Vinod
Dartford and Gravesham Khanna is CEO and contracts
3. GP Appraiser for South London services from Bexley CCG.
4. 15%
4. Shareholder, Blossoms Care Homes Ltd 4. Father is Director of
Sonia shareholding in
Frognal GP Locality 5. Inspire Community Trust - Father is the Blossoms Care Home Limited
Khanna- Blossoms Care 17/03/17
Representative Chief Executive 5. Husband & Father each hold
Deshmukh Homes Ltd
6. Clinical Lead, UUC Service for Bexley CCG a share in Blossoms Care Home
9. No profit share
7. Member, Bexley LMC Ltd.
8. Locum work for Thanet Road Surgery 6. Attends various
9. Shareholder, Bexley Health Neighbourhood locality/clinical meetings which
Care could be sponsored by drug
companies where refreshments
are provided (from £5.00 to
£30.00)
7. Involved in developing a
pathway for bladder problems
in SE London
Declaration
Position Within NHS Other Interests Declared i.e. Item Change in declared
Name Interests Held Contract Value Last
Bexley CCG specific to an agenda item at a meeting interest
Updated
1. GP Partner, Westwood Surgery
2. Shareholder, Bexley Health Ltd
Jhumur Clocktower Locality 3. Shareholder, Bexley Health Neighbourhood
Nil 17/03/17 None declared
Moir Lead Care
4. Clinical Lead, Diabetes
5. GP Appraiser, NHS England
1. Occasional consumption of
Pharma sponsored lunch at
departmental clinical lunch
Koteshwara Secondary Care Consultant Physician, London North West meetings (value: under £10)
Nil 17/03/17
Muralidhara Specialist Doctor Healthcare NHS Trust 2. Honorarium of £500 from Ely
Lilly for a presentation on GLP-1
analogues to GPs in Brent (due
29 March 2017)
Chief Financial
Theresa
Officer and Chief None Nil 17/03/17 None declared
Osborne
Operating Officer
Sarah Director of
None Nil 17/03/17 None declared
Valentine Commissioning
1. Practice Manager, Albion Surgery
Lisa Clocktower Locality
2. Co-opted Member, Bexley Health Nil 17/03/17 None declared
Wilson Representative
Neighbourhood Care
Keith Lay Member, Audit
None Nil 17/03/17 None declared
Wood and Governance
Neil Lay Member, Legal
None Nil 17/03/17 None declared
Ross and Procurement
Director of Quality,
Michael
Governance and None Nil 17/03/17 None declared
Boyce
Performance
ENCLOSURE: B

Agenda item: 26/17

Minutes of the Governing Body meeting
held in public
Thursday, 26 January 2017, 1.30pm – 4.00 pm
Rooms G04/G05 London Borough of Bexley Civic Offices
Bexleyheath Kent DA6 7AT

PRESENT:
Dr Nikita Kanani (NK) Chair
Sarah Blow (SB) Chief Officer
Dr Jhumur Moir (JM) GP Locality Lead, Clocktower
Tina Khanna (TK) Locality Representative, North Bexley
Theresa Osborne (TO) Chief Financial Officer
Lisa Wilson (LW) Locality Representative, Clocktower
Keith Wood (KW) Lay Member Governance
Neil Ross (NR) Lay Member
Mary Currie (MC) Nurse Member
Dr Koteshwara Muralidhara(KM) Secondary Care Specialist
Paul Cutler (PC) Lay Member PPI
Sarah Valentine (SV) Director of Commissioning
Lionel Eastmond (LE) Vice Chair of Bexley Patient Council
Clare Fernee (CF)
(representing Anne Douse) Assistant Director of Medicines Management

IN ATTENDANCE:
Mary Stoneham (MS) Board Secretary
Elinam Attipoe (AE) Corporate Governance Risk Manager

APOLOGIES:
Apologies received from Dr Varun Bhalla (VB), GP Locality Lead, North Bexley, Dr
Sid Deshmukh (SD), GP Locality Lead, Frognal, Dr Jhumur Moir (JM) GP Lead
Clocktower, Dr Sonia Khanna-Deshmukh (SDK) Locality Representative, Frognal
and Anne Douse (AD) Director of Quality, Performance and Business Services
(Interim)

Item No
STANDING ITEMS
01/17 WELCOME AND APOLOGIES FOR ABSENCE
01.17.1 NK welcomed everyone to the Governing Body meeting in public.
Apologies noted.

NK reminded the meeting that this was a meeting held in public and
there were two agenda slots for questions. Agenda item 10/17 was an
opportunity for the public to ask questions on issues relating to the first
part of the agenda and agenda item 21/17 was an opportunity to ask
general health related questions.
1

Chair: Dr Nikita Kanani | Chief Officer: Sarah Blow
NK stated that all meeting papers should be read prior to the meeting
and presenters would provide updates on the reports but not the report
detail.

02/17 DECLARATIONS OF INTEREST
02.17.1 There were no declarations of interest.

03/17 CHAIR’S UPDATE REPORT
03.17.1 NK introduced Neil Ross, the new Governing Body Lay Member, and
welcomed him to the meeting. He is a London barrister who works in
prosecution and defence and has experience in dealing with fraud and
corruption in healthcare.

03.17.2 SB was congratulated on her appointment as the Accountable Officer
for five CCGs across south west London. NK thanked SB for her huge
contribution to the improvement in patient services in Bexley. SB has
led NHS Bexley for four and a half years and is incredibly proud of
what has been achieved in those years and is confident Bexley will
continue from strength to strength. Following discussion at the GB
private meeting, subject to interview, the preferred interim
arrangement, is for NK to step-down from the chair role and to become
the Clinical Chief Officer and SD to step up from Clinical Vice Chair to
Clinical Chair whilst the CCG review options and agree a permanent
solution for Bexley. NK would be supported by TO as Chief Operating
Officer and directors. AD was thanked for her support as Interim
Quality, Governance and Performance. Michael Boyce, current
Deputy Director of Primary Care Development, PMO and Financial
Information has been appointed to the permanent post of Director of
Quality, Governance and Performance.

03.17.3 NK and SB attended the January Bexley Health & Wellbeing Board to
discuss the Great Weight Debate and integrated care. Signed off
minutes of the meeting will be included on the CCG March meeting
agenda.

03.17.4 During January the CCG has been supporting ‘do something good for
you’ campaign which encouraged local people to be a little healthier by
making changes to what people eat, by drinking more water and being
more psychically active.

03.17.5 The medicines management team and engagement team are busy
raising awareness about wasted medications in Bexley. The total cost
across the NHS for unused medications nationally is £300 million every
year. In Bexley the total for medications thrown away in 2016 is
estimated at £517,244. Discussions are on-going with patients, GPs,
pharmacists and hospitals to address this issue and make an impact in
reducing the amount of unused medication waste.
2

Chair: Dr Nikita Kanani | Chief Officer: Sarah Blow
03.17.6 The CCG held a Health Fair at Bexley College on 25 January 2017
with over 300 students of various ages from Bexley and Dartford
attending. Students had the opportunity to engage with a range of
service providers such as Cruse, the bereavement service, Kent
Association for the Blind, Oxleas mental health services, London
Borough of Bexley health promotion and apprenticeships, police, fire,
the CCG, Healthy London Partnerships, GPs, London Ambulance
Service, Healthwatch, BVSC, Mind Bexley, Nexus, Family Matters and
more. The day was a huge success.

03.17.7 The CGG has supported the ‘stay well this winter’ national campaign
by Public Health England which has been widely promoted via national
and local media with important messages such as:
1. Remember to get the flu jab if in an eligible group
2. Seek advice from a local pharmacist at the first sign of a
winter illness
3. Collect prescription medicines before the pharmacy or GP
practice closes for Christmas
4. Keep warm
5. Look out for other people
The CCG has also been helping local people to use appropriate health
services, depending on the illness or injury that they have, by
promoting NHS 111 and Health Help Now. Encouraging people to use
their pharmacist or GP, and when they have an urgent but non-life
threatening illness, to use one of Bexley’s two urgent care centres.
All of these will help to ensure that emergency departments are kept
free for people that really need them.

03.17.7 From Monday 27 February 2017 the CCG will move to their new
offices at Bexley Council Civic Centre and phone numbers and email
addresses will remain the same.

04/17 MINUTES OF THE GOVERNING BODY MEETING (HELD IN
04.17.1 PUBLIC) DATED 24 NOVEMBER 2016
Minutes of the Governing Body meeting (held in public) dated 24
November 2016 were agreed.

05/17 MATTERS ARISING/ACTION NOTES
05.17.1 Actions completed.

06/17 DECISION FROM OTHER FORA
06.17.1 The following decisions were made since the Governing Body (public)
meeting held on 24 November 2016:

06.17.2 APPROVED the award of a contract to MIND in Bexley for the
provision of Talking therapy (IAPT) services from 1 April 2017 to 31
March 2020 with an option to extend the contract for up to a period of a
3

Chair: Dr Nikita Kanani | Chief Officer: Sarah Blow