NHS England Board meeting 24 May 2018
Board Papers available here.
Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/
NHS England / NHS Improvement Board meeting in Common, 24 May 2018
Papers available here
NHS England Board meeting 24 May 2018
Board Papers available here.
Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/
Agenda
1. Minutes of the Previous Meeting
2. Chairman’s report
3. Chief Executive’s Report
4. Maternity Transformation Programme Update
5. Mental health programme update
6. Increasing the impact of Academic Health Science networks
7. Developing Health Inequalities update
8. NHS Performance and progress on implementation of next steps
9. Consolidated 2017/18 year end financial report
10. Decision of the High Court in favour of NHS England on the judicial review challenge to whole population payments
11. Reports from Board Committees
i. Commissioning Committee
ii. Investment Committee
iii. Specialised Services Commissioning Committee
12. AOB
Highlights
4. Maternity Transformation Programme Update
- The programme is implementing the National Maternity Review: Better Births.
- Clear focus on place based planning, with 44 Local Maternity Systems (LMS) bringing commissioners and providers together with other stakeholders and service users. Each LMS has developed, and is implementing, proposals to deliver Better Births locally around reducing mortality, implementation of “Saving Babies’ lives care bundle”, incident investigation and personalisation of maternity services.
- Initially seven pilot LMS sites were selected to deliver Better Births at pace, who are also trialling Community Hubs, Continuity of care (eg named midwives), Personal Maternity Care Budgets (PMCBs), Electronic Maternity Records, specialised perinatal mental health teams, and Maternity Support workers
- All STPs have local maternity system plans in place
- Issues include strategic commissioning of neonatal ICU beds in relation to maternity units.
- 2018/19 Planning Guidance includes the requirement that all CCGs meet the Mental Health Investment Standard which underpins delivery of local services, tailored to individual communities, for every stage of life and for an increasingly wide range of conditions.
- Budget for specialised commissioning mental health services is being devolved to providers with the aim of reducing out of area placements.
- Over the next 5 years AHSNs will be delivering:
- Local programmes: Tailored quality improvement programmes or innovations that are designed to meet specific local needs identified by STPs and other key local stakeholders.
- National programmes: National spread of ‘proven’ AHSN-backed innovations:
- PINCER: a pharmacist-led information technology intervention for reducing clinically important errors in general practice prescribing,
- Atrial Fibrillation (AF) programme
- Transfer of Care Around Medicines (TCAM)
- Serenity Integrated Mentoring (SIM): integrates mental health care and policing,
- ESCAPE-Pain: is a NICE-approved programme providing group rehabilitation for chronic joint pain
- PReCePT: reduce the risk of cerebral palsy in babies born to mothers who go into pre-term labour
- Emergency laparotomy programme: reduce risk-adjusted mortality and LOS for people undergoing emergency laparotomy.
- The AHSNs are developing a common performance framework with agreed standard definitions and data capture methods and common methods of implementation – including improvement and transformation approaches, service offers, access and platforms which have been collectively identified as being the most successful.
- Actions outlined in the NHS England’s interim Health Inequality Action Plan will undertake to narrow health inequalities in the short-term, ie in 2018-19 and 2019-20.
- A longer-term perspective on narrowing health inequalities will be included in the forthcoming NHS Plan.
- Six new CCGs will be [have been] formed from existing CCGs. The new and (former) CCGs are:
- Birmingham and Solihull CCG (Solihull CCG, Birmingham Cross City CCG and Birmingham South Central CCG)
- Bristol, North Somerset and South Gloucestershire CCG (Bristol CCG, North Somerset CCG, and South Gloucestershire CCG)
- Buckinghamshire CCG (Aylesbury Vale CCG and Chiltern CCG)
- Berkshire West CCG (South Reading CCG, North & West Reading CCG, Newbury & District CCG and Wokingham CCG)
- East Berkshire CCG (Windsor, Ascot & Maidenhead CCG, Bracknell & Ascot CCG, Slough CCG)
- Leeds CCG (Leeds North CCG, Leeds South & East CCG, and Leeds West CCG).
- Discussion included Decommissioning in specialised services:
- 4. The Committee received an update on a proposal to undertake work on decommissioning within specialised commissioning, which is designed to ensure that NHS resources are more effectively focused on clinical interventions of proven value, by reducing ineffective care and unwarranted variations in care. Published evidence suggests that success will rely on a multi-agency approach which, in the context of specialised interventions, will include amongst others: clinical leaders, NICE and the National Institute for Health Research.
- 5. The Committee noted the framework for developing this work and asked for it to be aligned to the wider Value Interventions Programme within NHS England. Further governance will be coordinated between SSCC and Commissioning Committee
NHS England / NHS Improvement Board meeting in Common, 24 May 2018
Papers available here
Agenda
- Next steps on aligning the work of NHS England and NHS Improvement
- Operational planning refresh for 2018/19
- Next steps on development of Integrated Care Systems
- Key proposals
- Creation of 7 integrated regions each with a regional Director with functions devolved from London.
- Work in key areas will be joined up at the highest level to develop a “one NHS approach” delivered on behalf of both organisations.
- There will be changes in the structure of NHS Improvement to strengthen the Improvement function
- Creation of three national director roles (NHS Medical Director. NHS Nursing Director/Chief Nursing Officer for England, Chief Financial Officer) plus other national directors.
- A new NHS Executive Group co-chaired by the two CEOs, membership will comprise all national directors and regional directors from the two organisations.
- An NHS Assembly will be created drawn from all stakeholders to discuss and oversee progress on NHS Five Year Forward View and hel co design proposed NHS 10 year Plan.
- “The net effect of these changes is that the two organisations will increasingly be working in a combined way on a shared set of system priorities, covering most key functions and capabilities.”
- Key issues arising for consideration by the Boards of NHS England and NHS Improvement.
- Six key criterion for success:
- Financial balance
- Litigation for significant risks (sense checking SIP and QIPP plans)
- Plausible activity growth
- Operational capacity planning
- Alignment of commissioner/provider plans wrt costs/outcome
- Investment in key priority areas
- Update on:
- How shadow ICSs have learned from and continued the work of the new care models programme (the ‘vanguards’);
- First wave of shadow ICSs
- Plans to support ICSs in 2018/19;
- The next wave of ‘shadow’ ICSs
