Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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Paper A LLR PCT Cluster Board meeting 14 June 2012 It had previously been reported that no formal notification of the capital allocation for the Cluster had been received and this is still the case. However, proposed capital plans have been produced for both PCTs. These plans will need to be reviewed once funding is confirmed, but revenue resources can always be converted in year to capital, if deemed appropriate, to ensure that work can be completed. Ms Bishop suggested that the Cluster Board agree today on the capital plan in order to mitigate any delay should formal notification be approved. Mrs Ellis asked about prioritising the capital new build items. Mrs Bishop confirmed that the capital for the Loughborough Walk-in Centre would either be from the capital allocation or from transformation funds. Ms Bishop said that more needed to be understood in relation to the City Intermediate Care reprovision. Ms Bishop asked if there was no capital allocation would Leicester City still continue with this. Dr Freeman (who had just joined the meeting) confirmed that they would. It was RESOLVED - to note the on-going update of our revenue resource limits and the monthly monitoring that will start in June to highlight in year financial flexibilities that may arise during the year to offset the national “top slice”; - to note the updated financial plans at receiving organisation level are now based on an updated apportionment basis for the two NHSLCR CCGs; - to approve the detailed revenue budgets by receiving organisation as identified in Appendices 2 and 3 and; - to approve the proposed capital plans as identified in Appendix 4 that should start as soon as capital resource is confirmed. CB/12/150 Board Assurance Framework 2012-2013 Mrs Daljit K. Bains, Associate Director of Corporate Governance presented an update report on the Board Assurance Framework 2012- 2013 (as attached in Minute Book – Appendix Number CB/05/10/O). Mrs Bains said that this report contains updates in respect of controls, assurances on controls, gaps in controls and/or assurances and update in relation to the actions across the corporate risk register since the last report to the Board. Mrs Bains said that there is further work to be undertaken over the coming months to ensure that the organisations can be held to account. Mr Finan noted the new risk 2.16 (CCGs failing to agree and take ownership of contractual risks and actions identified resulting in lack of 20
Paper A LLR PCT Cluster Board meeting 14 June 2012 assurance to the SHA regarding the handover of contracts and delivering the Cluster implementation plan) and said that this needs to be actioned before authorisation. Ms Taylor agreed and said that as part of authorisation, CCGs would agree which contracts they ‘owned and managed’. Ms Brigden asked about risk 2.15 (approximately 80% of voluntary sector contracts and Local Authority contracts are not assigned to CCGs due to lack of identified contract ownership resulting in financial risk to the Cluster e.g. money being paid out without formal contracts in place, no assurance regarding activity etc.). Ms Taylor said that although it is 80% of voluntary sector and Local Authority contracts this is still a small percentage of the total contract portfolio. Mr Wilson said that he understood that there was a national directive that said that 1.5% of the total budget should be within voluntary sector contracts. Ms Bishop said she would confirm this. Action: Ms Bishop Ms Watson said that they were in the process of establishing an integrated commissioning board between the CCGs and Leicester City Council. Mr Hackwood said that we should not force the voluntary sector into contracts. Ms Taylor said that this is about regularising the current position. Mr Mell asked about risk 4.1(inability to manage provider performance against the updated health goals and identified health inequalities) and said he was surprised it was still rated as orange. Mrs Bains said that it would be discussed at the next Performance TMT. Mrs Ellis said that recent actions meant that everything possible was being done in this area. Mrs Rowbotham noted that the Assurance Framework was likely to be managed in the future by the CCGs. Mrs Bains noted that the risk NHS 111 was still to be completed but will go to the next Audit Committee for review. It was RESOLVED - to receive the updated Assurance Framework 2012– 2013 CB/12/151 Documents signed under Seal 2011-2012 for NHS Leicester City and NHS Leicestershire County and Rutland Mrs Daljit K. Bains, Associate Director of Corporate Governance presented a report on Documents signed under Seal 2011-2012 for 21
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Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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