CCG Minutes - NHS Cumbria

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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 -
Interim CCG Executive21 June 2012Confirmation of panel day has been received. The date proposed, 4 thSeptember, is a Tuesday. Jen Lawson is liaising with organisers to changethis, in order that GP’s can be included on the panel. It had also beenhoped that a ‘mock’ panel day would be organised but this is unlikely,however a preparation session will be taking place, when the group willhave the opportunity to work through the detail.360 Survey results will be sent to NHS NoE next week. We’ll get a factualsummary of the report.Dr Peter Weaving and Caroline Rea have both applied to be AuthorisationAssessor’s. This would enable a better understanding of the process.Progress is ongoing with regards to key documents and work areasincluding OD plan, Draft Health and Wellbeing Strategy, Comms andEngagement Plan, key financial documents, governance tools and the CSSprogramme (documentation, outcomes and work programme).Slippage area’s have been identified:• Transition plan for safeguarding – is being worked through but notcomplete at this stage, due to changing national guidance. Abriefing document is being prepared, which will be followed by ahalf day workshop. Dr Neela Shabde is working with VernonWatson to ensure delivery.• Review of key documents is under way, but technical problemshave been experienced. It is hoped that feedback on all documentswill completed week commencing 25 June.• Membership engagement – core actions have been agreed butfurther liaison with localities is needed regarding consistency.Submission of evidence for Wave 1 CCG’s is due on the 2 July. Work isongoing to ensure collation of evidence and signposting of documents, ineach of the 6 domain’s, is ready.94/12 AGENDA ITEM 13 – CSS PROGRAMME UPDATECaroline Rea updated the group on paper previously distributed whichsummarises progress to date with regards to CCG requirements and theformation of Cumbria and Lancashire Support Services (CLaSS). The draftSpecification document was also distributed.Three significant pieces of work will be developed in the coming months toensure the CCG has an effective working relationship with its CSS partnerfrom April 2013:• Development of CCG requirements and the CSS proposition formeeting those requirements, resulting in an Agreed SLA• Transition to the new CSS organisation (systems, services andstaff) to ensure continuity during transition- 9 -
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CCG Minutes - NHS Cumbria

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