LEICESTER CITY PRIMARY CARE TRUST - NHS

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Paper YNHS Leicester City Board Meeting24 September 2009- to agree the recommendation regarding the withdrawal ofdeferred incomePS/09/66 To Receive LCCHS Budget Report for 09/10GOVERNANCEMrs Roseblade informed the Board that the Leicester City PCT AnnualOperating Planning process had been completed with the final paperbeing approved by the PCT Board on 26 March 2009. Leicester CityCommunity Health Service (LCCHS) agreed the baseline Service LevelAgreement (SLA) at the end of February with NHS LC but with severalitems listed on the finance schedule as ‘To Be Confirmed’. As at 19 thMay 2009 only 3 non-recurrent items remain unconfirmed.It was explained that NHS Leicestershire County and Rutland (NHSLCR) are acting as an Associate Commissioner to NHS LC; thiseffectively means all negotiations take place with NHS LC who act onbehalf of NHS LCR. The NHS LCR contract covers Children’sServices, Travelling Families and TB Services with a total value of£5.7m. This does not, at this stage, include any development fundingalthough it is likely that NHS LCR will support Respite Care in 2009/10It is expected that the contract with LCR Community Services will bediscussed and signed over the coming weeks.Settlement details were relayed to members of the Board. LCCHShave not been requested to submit any business cases for newdevelopments for 2009/10. Instead the commissioning arm of the PCTwill invite tenders when specifications have been completed. Thetiming and services to be tendered are currently unconfirmed however,from other documentation available LCCHS can anticipate being invitedto tender for an extension to intermediate care services and diabetesservices. Inflation and budget setting exercises were also discussed.Mrs Roseblade clarified the current position of LCCHS regardingestates/buildings issues and responsibilities within the City. This is anarea that needs to be addressed within the transforming communityservices plan.IT WAS RESOLVED:- to note the SLA settlement- to note the level of inflation, CQUIN requirement and budgetsetting methodologyPS/09/67To Receive a Report on the Quality Schedule and Commissioningfor Quality and Innovation (CQUIN) Schedule for 2009/10Paul Miller described the Quality Schedule and Commissioning forQuality and Innovation (CQUIN) Schedule which has been agreed as6
Paper YNHS Leicester City Board Meeting24 September 2009part of the 2009/10 contract between Leicester City Community HealthService and NHS Leicester City.In the Quality Schedule for 2009/10 LCCHS has made an undertakingto meet a range of nationally agreed priorities and standards. Thereare twenty eight key performance indicators and LCCHS will berequired to provide evidence of its performance against these indicatorsthrough routine meetings with and regular reports to thecommissioners.Although CQUINs are not mandatory for community providers until2010/11 the Strategic Health Authority has asked primary care trusts inthe East Midlands to develop CQUINs with all providers this year. For2009/10, eight CQUIN indicators have been agreed by LCCHS.Achievement of the performance targets set out in the CQUIN schedulewill attract a payment of £180,000 which will be paid by instalmentssubject to evidence of compliance with the key performance indicatorsagreed.The Quality Schedule and CQUIN schedule have been the subject ofextensive negotiation between LCCHS and the PCT’s commissioners.Combined, they present LCCHS with a framework of challenging butachievable quality targets for 2009/10. LCCHS will apply robustarrangements for managing its progress and for ensuring that itsperformance withstands external scrutiny. There is good evidence thatLCCHS is well-placed to meet all the key performance indicatorscontained in the Quality Schedule and that through its performance itwill be able to fully secure the £180,000 attached to the CQUIN.IT WAS RESOLVED:- to note the report- to request a mid-year progress report in October 2009PS/09/68To Receive a Report on the Workforce ProfileMr Kam Kotecha provided the Board with an overview of the workforceprofile and monitoring information for the period April 2008 to March2009, allowing the year to date position to be viewed against the SHAtarget.A detailed appendix of tables and charts was discussed by members ofthe Board. Topics covered included ethnicity, disability, gender, age,sexual orientation, sickness absence, recruitment, grievance anddisciplinary procedures, training and education etc.Areas for action were highlighted as follows:-- Plans are underway for positive action to address underrepresentationof the workforce in terms of ethnicity, to include7
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