CCG Minutes - NHS Cumbria

Interim CCG Executive21 June 201289/12AGENDA ITEM 8 – QUALITYCaroline Rea gave a verbal update of key issues:UHMBFT – CQUIN scheme negotiations have been concluded and linkwith clinical teams and improvement areas. Stretch targets will be agreedin June.NCUHT – Mortality rates (as per Dr Foster report) will be discussed at nextweek’s meeting, along with issues regarding strategic leadership andpatient feedback.Internal quality evidence systems identified problem’s which have beenaddressed and shows that processes put in place recently are working.Communication between ourselves and our provider’s needs to becontinually improved.Issues have been raised with both trusts regarding urology and oncologyservices, along with RTT rates. Issues have also been noted with regardsto turnaround time for some biopsies, which is also being addressed.CPFT – a new format to the meetings has been agreed, this will includesenior clinical members. Separate meetings will be held for children andadult services. Dr Jim Hacking provides clinical input into mental healthmatters. It is hoped that an additional GP lead can be identified to provideinput on community services.90/12AGENDA ITEM 9 – CONSTITUTIONAnthony Gardner gave an update on the ‘condensed’ draft of theConstitution which had been circulated.Feedback from the earlier meetings and the elected GP session indicatedthat the Constitution using the NCB template was not as clear as it neededto be on a range of issues, such as: the responsibilities of localities, theCCG executive and the Governing Body; how these elements fittedtogether; clarity on the rights and responsibilities of member practices andthe benefits or added value to the practices of being in the CCG; and therole of the LMC. In light of the feedback, a more digestible version of theConstitution has been produced. This was circulated to localities andfeedback provided at the informal CCG earlier in June from those localitieswho were able to attend the session. Importantly, this digestible versionseeks to assure member practices that we are not starting from scratch asthey may be in other CCGs; that this is formalising what we are doing atthe moment and addressing additional formal requirements such as theneed for a Governing Body. So this is evolution not revolution andrepresents a codification of ‘common law’.The NCB have recently clarified their stance on constitutional agreementand the authorisation process. The expectation is that we have aconstitution for submission of evidence on 2nd July. But it is not mandatory- 4 -