Highlights by Anne Gray, Knowledge Officer Arden & GEM CSU
Video will be available here: https://www.youtube.com/playlist?list=PL6IQwMACXkj0U7BzZm4AxeykK5OgnS2sl
Agenda
Agenda
- Item 1: Board meeting agenda
- Item 2: Minutes of meeting held on 25 February 2016
- Item 3: Chief Executive’s Report
- Item 4: NHS England business plan 2016-17
- Item 5: Transforming Maternity Services – implementing the national maternity review
- Item 6: NHS England Corporate and NHS Performance report
- Item 7: NHS England Finance Report
- Item 8: [Greater Manchester Health and Social Care Devolution] The Journey So far (paper from Sir Howard Bernstein)
- Item 8b: Greater Manchester Health and Social Care Devolution [Internal Delegation arrangements]
- Item 9: Managing Conflicts of Interest
- Item 10: Delegation of Primary Medical Services Functions
- Item 11: Emergency Preparedness Resilience and Response
- Item 12a: Commissioning Committee Report to the Board
- Item 12b: Investment Committee Report to Board
- Item 12c: ARAC Report to the Board
Item 4: NHS England business plan 2016-17 (also available here: https://www.england.nhs.uk/wp-content/uploads/2016/03/bus-plan-16.pdf )
The ten corporate priorities are broadly consistent with those laid out in the 2015/16 business
Plan, structured around three themes, aligned with the Five Year Forward View:
- Improving Health – closing the health and wellbeing gap
- Transforming Care – closing the care and quality gap
- Controlling costs and enabling change – closing the finance and efficiency gap
This paper sets the vision for maternity services in England as described by the National Maternity Review, and proposes a high level approach to implementation.
It is proposed that all work within NHS England is brought together into an aligned and coordinated Maternity Transformation Programme. The programme would be overseen by a single Implementation Board, which would report to the NHS Five Year Forward View Board.
It is likely that the programme will include the following workstreams:
- Supporting local transformation including launching an “early adopter” programme;
- Safety;
- Choice and personalisation;
- Perinatal mental health;
- Transforming the workforce;
- Data – development of a standard set of indicators to facilitate benchmarking;
- Technology and information sharing; (Development of a digital portal is to be developed by NIB)
- Payment system - reforming the maternity tariff.
This paper sets out proposed changes to NHS England’s internal delegation arrangements, which will enable the Greater Manchester Health and Social Care devolution programme to go live on 1 April 2016.
Item 9: Managing Conflicts of Interest
a. CCGs revised statutory guidance
From April 2016 NHS England will be consulting on revised statutory guidance to CCGs around conflict of interests. The revised guidance is based on the guidance developed to support the delegation of primary care commissioning to CCGs and incorporates findings from findings of an audit of conflicts of interest management in ten co-commissioning arrangements.
Core proposals (subject to consultation) are:
Core proposals (subject to consultation) are:
- All CCGs have a minimum of three lay members on the Governing Body,
- A conflicts of interest guardian in all CCGs to be undertaken by CCG audit chairs
- All CCGs will include an annual audit of conflicts of interest management within their internal audit plans and to publish the audit findings within their annual endof-year governance statement
- Strengthen the provisions around the management of gifts and hospitality.
- Strengthen the provisions around decision-making when a member of the group is conflicted.
- CCGs will be required to have a robust process for managing breaches within their conflict of interest policy and to publish any breaches on the CCG’s website
- All CCG staff and the staff of their member practices are to complete mandatory online conflicts of interest training, which will be provided by NHS England.
CCGs will be required to review their processes in line with the guidance and strengthen them, where required, by the end of November 2016
b. A cross NHS task and finish group, chaired by Sir Malcolm Grant will be established to develop a full set of rules that can be adopted right across the healthcare system. This will include:
Rationalising medicines optimisation arrangements.
NHS England is rationalising the approach to medicines evaluation through the creation of four regional medicines optimisation committees. These committees will work together and ensure medicines evaluation will be done once only and the output shared across the NHS and help support medicines optimisation more generally. This means that local medicines formulary committees will be far less involved in processes that the pharmaceutical industry may seek to influence.
It is expected these principles will be in place by April and the committees operational later in the year.
Item 10: Delegation of Primary Medical Services Functions
At 1 April 2016 114 CCGs will have full delegation of primary medical care service. At the current pace of change, it is expected that nearly all CCGs will have taken on delegated arrangements by 2017/18.
Appendix 2 details the delegated functions.
Date of Next NHS England Board meeting: 26th May 2016
