NORTH CENTRAL LONDON (‘NCL’) JOINT …

1 NORTH CENTRAL LONDON ( NCL ) JOINT commissioning commitee Minutes of the meeting held in public on Thursday 3rd August 2017 from 3pm - Seminar Room 2, Resource for LONDON , 356 Holloway Road, LONDON N7 6PA Present: Voting Members: Ms Sorrel Brookes (Chair) Governing Body Lay Member, Islington CCG Dr Mo Abedi Governing Body Chair, Enfield CCG Dr Peter Christian Governing Body Chair, Haringey CCG Ms Bernadette Conroy Governing Body Lay Member, Barnet CCG Ms Kathy Elliott Governing Body Lay Member, Camden CCG Mr Simon Goodwin NCL Chief Finance Officer Dr Neel Gupta Governing Body Chair Elect, Camden CCG Ms Catherine Herman Governing Body Vice Chair and Lay Member, Haringey CCG Ms Helen Pettersen NCL Accountable Officer Dr Jo Sauvage Governing Body Chair, Islington CCG Dr Barry Subel Clinical Vice Chair.

2 Barnet CCG Non-Voting Members: Cllr Janet Burgess Councillor, Islington Council Ms Sharon Grant Healthwatch Chair, Haringey Cllr Val Duschinsky Councillor, Barnet Council Dr Jeanette De Gruchy Director of Public Health, Haringey Council Cllr Richard Olszewski Councillor, Camden Council In Attendance: Mr Paul Sinden NCL Director of Performance and Acute commissioning Mr Andrew Spicer NCL Head of Governance and Risk Apologies: Cllr Jason Arthur Councillor, Haringey Council Cllr Alev Cazimoglu Councillor, Enfield LONDON Borough Council Ms Deborah Fowler Chair, Healthwatch Enfield Dr Debbie Frost Governing Body Chair, Barnet CCG Cllr Hugh Rayner Councillor, Barnet Council Ms Karen Trew Governing Body Vice Chair and Lay Member, Enfield CCG Minutes Mr David Triggs Board Secretary, Enfield CCG 1.

3 Introduction Welcome The Chair welcomed everyone to the meeting and invited introductions around the table. It was noted that this was the second meeting of the NCL JOINT commissioning Committee ( JCC ) under the new commissioning arrangements for NCL CCGs. Declarations of Interest These were noted as recorded in the papers subject to corrections to the interests of Simon Goodwin which were recorded incorrectly. Simon Goodwin confirmed the following interests: Chief Financial Officer for the 5 CCGs in NORTH CENTRAL LONDON (Barnet, Enfield, Haringey, Islington and Camden); Wife is a senior manager at East LONDON NHS Foundation Trust.

4 Declarations of Gifts and Hospitality There were no declarations of gifts or hospitality offered or received. Minutes of the Meeting on 6th July 2017 The minutes were approved as an accurate record. Action Log The following updates were given: Action 1: Committee Terms of Reference: These were on the agenda for this meeting. Action completed; Action 2: Acute commissioning Report (Whittington Health): Paul Sinden explained that the report included both acute and community contract baselines for Whittington Health.

5 Future papers would disaggregate information between acute commissioning and community services for the Trust; Action 3: Acute commissioning Report (Royal Free): The Acute commissioning report in the papers covered the issue of data quality for the August 2017 meeting. Action completed; Action 4: Transforming Care Programme: It was noted that an update on costings would be presented to the Committee in October 2017; Action 5: Transforming Care Programme: A risk relating to quality assurance of packages of care established in the community had been added to the risk register, and shared with CCGs for inclusion into local registers.

6 Action completed; Action 6: Transforming Care Programme: Updates on quality assurance process included in the Committee papers for August 2017. Action completed; Action 7: Committee Risk Register: The register had been updated for the operational risks identified at the July 2017 Committee. Further discussion would be undertaken as part of the seminar to be held in September 2017 with a focus on strategic risks. Questions from the Public There were no questions from the public. It was noted that the next formal Committee would be held on 5 October 2017 commencing at 3pm.

7 2 Governance Terms of Reference Update The Committee received and noted the updated terms of reference. Barnet CCG had approved the term of reference via Chair s action. Each of the other four CCG Governing Bodies had approved the terms of reference. It was noted that the main changes to the terms of reference included: Three independent clinicians to be appointed to the Committee with at least one being a nurse and one being a secondary care clinician; Recruitment of independent clinical members permitted using existing CCG Governing Body members; The nurse representative could be appointed from primary care as well as secondary care background; Two Healthwatch representatives rather than one; Clarity on voting and non-voting members.

8 Part two meetings to be kept to a minimum and minutes to be shared at the next Part One meeting. It was noted that recruitment of the independent chair and independent clinical members of the Committee was underway and expressions of interest had been received for all posts. The Committee discussed and noted the report. 3 Activity and Performance Acute commissioning Report The Committee considered a report that set out an overview of provider contracts for which management had been delegated to the JOINT commissioning Committee.

9 The report incorporated acute hospital contracts and the Integrated Urgent Care service (NHS 111 and GP out-of-hours) provided by LONDON CENTRAL and West (LCW) Unscheduled Care Collaborative. The intention was to also use this report in the future within CCG Governing Bodies and supporting Committee structures to prevent duplication of reporting. It was noted that the report would continue to evolve. The Director of Performance and Acute commissioning highlighted key areas of the report by exception. Cancer 62 day standard: The NORTH CENTRAL LONDON (NCL) trajectory had recently been refreshed, with the expectation that the standard would be achieved by September 2017.

10 There was an assumption within this that UCLH would not recover its position until March 2018. The NHS Constitution standard is that 93% receive treatment within 62-days of GP referral. The recovery trajectory for NCL was achieved in April and May 2017, but un-validated performance in June was at 73% against a trajectory of 76% (validation of pathways usually increases performance, so final June position expected to be close to trajectory). For June 2017 the Committee noted that: UCLH achieved its improvement trajectory; The main lag in performance accrued from Royal National Orthopaedic Hospital, commissioners are working with the Trust on its remedial action plan to recover performance; Analysis of waiting list trends indicates a risk of a backlog of work at Whittington Health.