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

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It was RESOLVEDPaper ANHS Leicester City Board Meeting12 May 2011- to note the movements in the 2011-12 financial plan.- to approve the 2011-12 budgets as identified inAppendix 1.- to note the Public Health Strategic Initiativescontained in Appendix 2.- to approve the 2011-12 capital funding requirementsas submitted to the SHA, detailed in Appendix 3.LCB/11/59Vitamin D Deficiency – An Overview for Leicester CityMs Deb Watson, Director of Public Health and HealthImprovement and Mr Ivan Browne, Consultant in Public Healthprovided a paper outlining the key national and local issuescurrently impacting on the prevalence and treatment of vitaminD deficiency in Leicester City (as attached in Minute book –Appendix number LCB/04/11/D).Vitamin D is important for general health and bone health and asignificant proportion of the UK population is now believed tohave low Vitamin D status. The DH advises that most adultsshould get enough Vitamin D by exposure to sunlight. Howeverthe sun-safe message is having an adverse impact. Peoplewith darker skin are more prevalent to deficiency.There are problems in the supply of licensed Vitamin Dpreparations and patients can wait months to have theirprescription filled. The limited supply is used for ‘specials’ madeup to a required strength for individual patients which isexpensive and also takes stock away from general prescription.Only two licensed products can be used in the UK. Othervitamin D products exist in the EU but are not available to theUK as they obtained their licences prior to the formation of theEU. Companies are reluctant to produce Vitamin Dsupplements as it is not commercially lucrative. Ms Clarke wasreassured that the LMSG are taking steps to find a local solutionto this issue. Mr Sanders noted that there is not an existingmechanism for the LMSG to bulk buy medicines and theconsortia may be able to take that forward.Mr Wilson felt that this was a matter for the Department ofHealth to address. Mr Browne advised that representation isbeing made but a local solution is also being pursued.4
Paper ANHS Leicester City Board Meeting12 May 2011Mr Suleman felt that alongside the matter of patients being ableto easily access Vitamin D supplements patients needed help tomanage their symptoms and pain.Ms Watson reported that the Local Authority guidance toschools about sun-safe and sun-smart exposure will berevisited. The publicity needs to be in place soon as thesummer is approaching. Mr Suleman said it was important thatdifferent groups received appropriate messages about how tomaximise their Vitamin D intake. For the Islamic faith coveringup is a requirement. He also felt that the publicity should use arange of avenues such as community radio.It was RESOLVED- to note the report.GOVERNANCE AND PERFORMANCELCB/11/60 Finance Report – Month 11Ms Patsy Roseblade, Director of Finance presented a reportdetailing the financial performance of the organisation for theperiod ending 28 February 2011 and complements theinformation in the Performance Dashboard paper (as attached inMinute book – Appendix number LCB/04/11/E).Ms Roseblade reported a forecast to achieve all of the statutoryfinancial targets and that the Better Payment Policy Codeachieved all four targets at year end. She also reported on fulluse of the remaining capital resources.Ms Roseblade advised that the £237k under-spend in month 11on non-acute commissioning in paragraph 11 of the report isback dated money based on new price reduction recentlynegotiated and will be carried forward into new contract.Ms Roseblade reported that the infrastructure costs for thetransition of the Family Health Services moving to the NHSShared Business Service will be funded by the SHA.Mr Sanders advised that the movements in prescribing costs isa national issue and work is being done locally to trawl throughthe expenditure and understand the reason for the movement.The GP consortia are also keen to understand the reasons.Ms Patel noted the under-spend on mental health and learningdisabilities in the non-acute commissioning budget and wantedassurance that the service level is being maintained. MsRoseblade gave assurance that was the case and the under-5
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