CCG Minutes - NHS Cumbria

Interim CCG Executive21 June 2012has identified that, assuming the proposed asset transfer progresses, thelogical successor as Trustee would be CPFT. Therefore, the Committeehas provided approval in principle, subject to a number of caveats, fordiscussions to commence to transfer the funds to the CPFT charitablefund. Fundamental to this approach is to ensure that funds are to beapplied in line with the donor’s wishes.Therefore, as a result of this approach then it is proposed NOT to establisha charitable fund for the CCG as the governance arrangements for theNHS Cumbria Charitable Fund in future would provide a vehicle toeffectively manage any CCG funds appropriately in a cost effective way.However, should the position change then the feasibility of establishing aCCG fund will be considered.The CCG Executive noted the report.ITEM 11 – PALLIATIVE CARE BUSINESS CASE92/12Ray Beale-Pratt joined the meeting and outlined the paper previouslycirculated.The business case seeks support for the creation of 4 specialist palliativecare beds within the Copeland Unit. The service is costed at £388k and beoperated by the CPFT, funded partly by reduced PbR payments to NCUHTand partly by additional monies which the CCG / Locality will need toprovide. Estimated split of reduced PbR / new funding is approximately50/50, dependant on admission pathways and casemix.Historically, provision of palliative care in the west of the county has beenfragmented, across a number of providers, which had led to a lack ofcohesion. The business case provides a short term solution, to this longterm issue, and will allow an opportunity for a more community orientatedmodel to be delivered through community facilities and specialist nursesworking within the Copeland Unit. The locality will have responsibility offunding in years 2 and 3, however initially funding may be required untilsavings are known and released for re-investment. It is anticipated that theservice will be fully functional by October 2012.Charles Welbourn confirmed that funds to support the business case in theshort term are available.The CCG Executive approved the business case, on the basis that in thelong term, palliative care funding would be reviewed county wide, which inturn would address evident in-equalities across the localities.93/12 AGENDA ITEM 12 – AUTHORISATION PROGRAMME UPDATEAnthony Gardner updated the group regarding a recent meeting with JanLedward from NHS NoE, who had been supportive of our progress to date.Dr Peter Weaving updated the group on key developments including:- 8 -