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Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

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Paper A<strong>NHS</strong> <strong>Leicester</strong> City <strong>Board</strong> <strong>Meeting</strong>12 May 2011apportionment and Ms Roseblade confirmed that <strong>the</strong> split is infact 37% for <strong>NHS</strong>LC and 63% for NSLCR.Mr Suleman asked how <strong>the</strong> increased funding to <strong>the</strong> Drug PoolTreatment allocation would be monitored. Ms Rosebladeassured that <strong>the</strong> funding has a whole set <strong>of</strong> requirementsattached to it and <strong>the</strong>re is a robust structure <strong>of</strong> monitoring.Mr Sanders advised that <strong>the</strong> running costs aligned to <strong>the</strong> GPconsortium would soon need to be reported on. A piece <strong>of</strong> workfor <strong>the</strong> Executive Team is to understand <strong>the</strong> functions that canbe directly aligned to <strong>the</strong> Consortium.Dr Freeman made <strong>the</strong> <strong>Board</strong> aware <strong>of</strong> <strong>the</strong> demand managementchallenge coming from <strong>the</strong> right care initiative and clinicalvariation which is a substantial and significant challenge with ahigh risk <strong>of</strong> non-achievement. Everything will be done tosuccessfully deliver but it will be challenging.Mr Wilson noted in Appendix 2 <strong>the</strong> optimum provision is toprovide 15% to 20% <strong>of</strong> dependent alcohol users access toalcohol treatment and intervention services. However <strong>the</strong> Citycommitment appeared to be lower and he asked if funding fromelsewhere could be channelled such as Chlamydia funds. MsWatson advised that <strong>the</strong> tender to <strong>the</strong> City Council is to provide18% <strong>of</strong> dependents with access to alcohol treatment services.Alcohol is a big issue for <strong>the</strong> city and intervention needs to behappening earlier. Ms Watson was happy to re-look at o<strong>the</strong>rareas <strong>of</strong> funding but Ms Griffiths warned that care must be takenthat <strong>Leicester</strong> City does not become an outlier for Chlamydiatesting and treatment.Mr Finan asked about <strong>the</strong> planned capital expenditure <strong>of</strong> £13m.Mr Sanders assured that business cases have or will bedeveloped for all <strong>of</strong> <strong>the</strong> schemes. The Belgrave and DeMontfortschemes were approved some time ago by <strong>the</strong> <strong>Board</strong> and MrSanders undertook to send Mr Finan some information as itpredated Mr Finan joining <strong>the</strong> <strong>Board</strong>. Capital will only be spentwhere required and in 2010/11 capital was returned as capitalworks were secured for a lower than expected cost.Ms Clarke noted that some <strong>of</strong> <strong>the</strong> childhood obesityprogrammes are being independently evaluated and asked if MsWatson had a view on <strong>the</strong> future <strong>of</strong> those services. Ms Watsonfelt that <strong>the</strong>re would not be a significant change <strong>of</strong> direction butwould seek to include multi-faceted aspects such as <strong>the</strong> widerfamily members and identify elements that have worked best toembed in future service specifications. This will be helpful whenre-commissioning <strong>the</strong> service.3

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