Body Meeting...آ  2020-04-08آ  NHS Halton CCG & NHS Warrington CCG Joint Meeting of the Governing Body

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  • NHS Halton CCG & NHS Warrington CCG Joint Meeting of the Governing Body Agenda – 8th April 2020

    NHS HALTON CCG AND NHS WARRINGTON CCG

    JOINT MEETING OF THE GOVERNING BODY TO BE HELD ON WEDNESDAY 8TH APRIL 2020 AT 2.20 P.M. – 3.50 P.M.

    VIRTUALLY VIA MICROSOFT TEAMS

    AGENDA

    Agenda Item No

    Timings (approx.)

    A 2:20 p.m. Apologies for Absence: Eileen O’Meara

    All

    B Declarations of Interest in Agenda Items A conflict of interest is defined as “a set of circumstances by which a reasonable person would consider that an individual’s ability to apply judgement or act, in the context of delivering, commissioning or assuring taxpayer funded health and care services is, or could be, impaired or influenced by another interest they hold”

    All

    C Chair's Remarks and Questions from the Public (members of the public have been asked to raise any questions in relation to today’s agenda in advance of the meeting)

    Chair Verbal

    D Minutes of the Joint HCCG and WCCG Governing Body Meeting held on 11th March 2020 (for approval)

    E Matters Arising

    F Clinical Chief Officer Report (to note and endorse)

    Andrew Davies Enclosure

    Quality & Patient Experience:

    033/20 Chief Nurse Report (to receive assurance)

    Michelle Creed Enclosure

    Corporate Business & Governance:

    034/20 Financial Report (including Corporate Performance Report)

    • Financial and Operational Performance Overview – Month 11

    • 2020/21 Financial Outlook (to note)

    Bryan Webb Enclosure

  • NHS Halton CCG & NHS Warrington CCG Joint Meeting of the Governing Body Agenda – 8th April 2020

    035/20 Any Other Business

    All

    036/20 Date and Time of Next Meeting: Wednesday 13th May 2020

  • Public Halton CCG and Warrington CCG Joint Governing Bodies Meeting

    Wednesday, 11 March 2020 4.00pm to 5.30pm Large Conference Room, The Gateway, Sankey Street, Warrington WA1 1SR

    Halton CCG Members in Attendance:

    Name Position Organisation

    Ruth Austen-Vincent Lay Member NHS Halton CCG

    David Cooper Chief Finance Officer NHS Halton and NHS Warrington CCG

    Dr David Wilson (present for Items A, B and 002/20 only)

    GP Member - Federation Representative NHS Halton CCG

    Gareth Hall Lay Member NHS Halton CCG & NHS Warrington CCG

    Dr Claire Forde (present for Items A, B and 002/20 only)

    General Practitioner Governing Body Member

    NHS Halton CCG

    Dr Julie Langton Secondary Care Doctor NHS Halton CCG & NHS Warrington CCG

    Leigh Thompson Chief Commissioner NHS Halton CCG

    Dr Andy Davies Chief Clinical Officer NHS Halton CCG and NHS Warrington CCG

    Warrington CCG Members in Attendance:

    Name Position Organisation

    Dr Ian Watson (IW) Chair NHS Warrington CCG

    Gareth Hall Lay Member (Chair) NHS Halton CCG & NHS Warrington CCG

    Dilys Quinlan Lay Member NHS Warrington CCG

    David Cooper Chief Finance Officer NHS Halton and NHS Warrington CCG

    Dr Julie Langton Secondary Care Doctor NHS Halton CCG & NHS Warrington CCG

    Dr Andy Davies Chief Clinical Officer NHS Halton CCG and NHS Warrington CCG

    Dr Lalit Sakhi (LS) General Practitioner Governing Body Member

    NHS Warrington CCG

    Dr Sangeetha Steevart (SS) General Practitioner Governing Body Member

    NHS Warrington CCG

    Dr Aparna Rao GP Governing Body Member NHS Warrington CCG

    Dr Golam Chowdhury GP Governing Body Member NHS Warrington CCG

    In Attendance:

    Name Position Organisation

    Stacy Evans Head of Quality and Safety (deputising for Michelle Creed)

    NHS Halton CCG

    Suzanne Barker Chief of Corporate Services NHS Halton CCG and NHS Warrington CCG

    Maria Austin Chief of Public Affairs and Engagement NHS Halton CCG and NHS Warrington CCG

    Louise Murtagh Senior Committee Administrator NHS Halton CCG

  • Colin Scales (present for Items A, B and 002/20 only)

    Chief Executive Bridgewater Community Healthcare NHS Foundation Trust.

    Professor Simon Constable (present for Items A, B and 002/20 only)

    Chief Executive Warrington and Halton Teaching Hospitals NHS Foundation Trust

    Apologies:

    Shahzad Tahir Lay Member NHS Halton CCG

    David Merrill Interim Chair NHS Halton CCG

    Kevin Goucher Governing Body Member NHS Warrington CCG

    Nick Atkin Lay Member NHS Warrington CCG

    Dr Latha Meda GP Member - Federation Representative Widnes Highfield Health Ltd

    Michelle Creed Chief Nurse NHS Halton CCG and NHS Warrington CCG

    Eileen O’Meara Director of Public Health Halton Borough Council

    Kath Parker Healthwatch Chair Healthwatch Halton

    Minutes:

    A. Welcome and Introductions

    Introductions were made and the Chair welcomed all present to the meeting. It was noted that the Warrington CCG Governing Body meeting was quorate. Halton CCG Governing Body was not quorate. Any decisions made by Halton CCG Governing Body members present would be recorded and an email would be sent following the meeting to those not present asking for their decision in respect of relevant agenda items. ACTION: Louise Murtagh to email Halton CCG Governing Body members following the meeting requesting a response to item 001/20 Outline Proposal for Mid Mersey Merger. Following Apologies and Declarations of Interest, report 002/20 was considered first followed by 001/20 and 003/20.

    B. Apologies

    Apologies were received from those listed above.

    C. Declarations of Interest

    The Chair reminded attendees of their obligation to declare any interest they may have on any issues arising at the meeting which might conflict with the business of the CCG. For the purposes of this meeting, a conflict of interest was defined as “a set of circumstances by which a reasonable person would consider that an individual’s ability to apply judgement or act, in the context of delivering, commissioning, or assuring taxpayer funded health and care services is, or could be, impaired or influenced by another interest they hold”. Declarations made by members of the Governing Body were listed in the respective CCGs’ Registers of Interests. The Registers were available on the CCGs’ websites. Dilys Quinlan highlighted that she was a Lay Member at NHS Wirral CCG and the Director of Healthwatch St Helens. Gareth Hall reported that he was a Lay Member at Health Education England and a

  • Board Member at MSV Housing.

    001/20 Outline Proposal for Mid Mersey Merger

    Members were reminded that Warrington CCG Governing Body was quorate and therefore could take a decision on the proposal. Votes would be recorded from Halton CCG Governing Body members however, the any decision would not be binding at this point. An email would be sent following the meeting to those not present asking for their decision. Dr Andy Davies presented a paper, prepared jointly with Professor Sarah O’Brien, Executive Director People Services/Clinical Accountable Officer, St Helens CCG. In this report, members were asked to provide approval to the Management Teams to explore the potential of merger to establish a single NHS strategic commissioner for the Mid-Mersey region. To start the process Governing Bodies were also asked to confirm the establishment of project support arrangements to oversee this work through the appointment of a Senior Responsible Officer (SRO) and required project infrastructure arrangements. Members discussed Halton specifically in that its population was split into two distinct areas of Runcorn and Widnes and considered the flows of patients in respect of hospital treatment. Discussions moved on to the proposed merger and how this would fit with providers in the area who were also considering merger options. Attendees agreed that exploring potential options and considerations would address a number of issues but that a very clear communications and engagement stakeholder plan was required to support all of this work. Warrington CCG Governing Body and Halton CCG Governing Body members present agreed the following:

    • Approved that the Management Teams explored the potential of merger to establish a single NHS strategic commissioner for the Mid-Mersey region.

    • Supported the establishment of project support arrangements to oversee this work through the appointment of a Senior Responsible Officer (SRO) and required project infrastructure arrangements.

    • Noted the requirements to receive further information in respect of this matter at a Governing Body Meeting to be held in April 2020 (most likely to be held on 8th April 2020)

    Approval by Shahzad Tahir, David Merrill, Dr Latha Meda, Michelle Creed and Eileen O’Meara would be sought in writing following the meeting.

    002/20 Intention to Progress an Acquisition of Bridgewater Community Healthcare NHS Foundation Trust by Warrington & Halton Teaching Hospitals NHS Foundation Trust

    Colin Scales (CS) and Professor Simon Constable (SC) attended the meeting to discuss the collaboration between Bridgewater Community Healthcare NHSFT and Warrington and Halton Teaching Hospitals NHSFT. Members were reminded that in August 2019, representatives attended a Joint Governing Body