20 November 2015

NHS ENgland Board meeting 20 November 2015 - highlights

NHS England Board meeting 20 November 2015
Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU 


Agenda
·         Item 3 Chief Executives Report (verbal)
·         Item 4 Strengthening Patient and Public Participation in the work of NHS England
·         Item 5 Urgent & Emergency Care Review
·         Item 6 Transforming Care for People with LD and/or Autism
·         Item 7 NHS Performance Report
o   Item 7a – Performance report Annex B includes Portfolio of priorities and programmes
·         Item 8 Consolidated Month 6 Finance Report
·         Item 9 Update on Equalities and Health Inequalities
·         Reports from Board Committees
o   Item 10i Audit & Risk Assurance Committee
o   Item 10ii Commissioning Committee
o   Item 10iii Investment Committee
o   Item 10iv Specialised Commissioning Committee (verbal report)

Highlights for the CSU:



4 Strengthening Patient and Public Participation in the work of NHS England
·         Publication of an over-arching NHS England policy for the public and for NHS England staff, to show why participation matters, and to outline NHS England responsibilities, principles and approach. The policy is based on the work of a task and finish group known as Patient and Public Participation Oversight Group and is primarily a resource for NHS England staff.
·         Detailed and bespoke frameworks for participation in areas for which NHS England has responsibility (primary care, specialised services, health in justice, health services for the armed forces, and some public health services)  will be published by the end of March 2016 to supplement the overall arrangements
·         A recommended patient and public participation 10 point action plan (and timescales) is presented.
·         The paper includes the following in full:
o   NHS England Patient and Public Participation Policy (including Ladder of Engagement & participation and Engagement Cycle.)
o   NHS England Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning


5 Urgent & Emergency Care Review
·         Overview of progress of the work of the UEC review including
o   Establishment of 24 establishment of urgent and emergency care networks,
o   A route map that outlines high-level expectations and timescales is included in the paper.
o   New commissioning standards for integrated urgent care ‘front door’ (published on 15 October 2015) which will be enhanced and revised on an annual basis based on consensus.
o    Additional guidance on procurement, a new payment model, financial modelling and metrics will be published.
o   Eight urgent and emergency care (UEC) vanguards
o   “Urgent and emergency care: a potential new payment model” will be tested in 4 vanguard sites
·         Stocktake of UEC services planned for January 2016.
·         Question relating to digital services required to fulfil plans – stress joining up of existing digital technologies and progress on CRS.

6 Transforming Care for People with LD and/or Autism
·         A national plan for building community services and closing inpatient services for people with a learning disability and/or autism (https://www.england.nhs.uk/wp-content/uploads/2015/10/ld-nat-imp-plan-oct15.pdf)  (summarised in App A of paper) and service model  https://www.england.nhs.uk/wp-content/uploads/2015/10/service-model-291015.pdf published 30 October.
·         As a result of the plan it is expected that 35% - 50% of inpatient provision will be closing nationally with alternative care provided in the community.
·         Work is being affected through 49 transforming care partnerships (commissioning collaborations of CCGs, NHS England’s specialised commissioners and local authorities).
·         A new financial framework will underpin delivery of the new care model.
·         Metrics to be used to assess progress: Quality of life, Quality of care, and level of community care.

7 NHS Performance Report
·         Referral to Treatment (RTT) Waiting Times
o   Refreshed recording and reporting guidance has been published (October 2015) which consolidates and simplifies the existing guidance on the recording of RTT data and related advice.
·         Delayed Transfer of Care
o   NHS England has published a refresh of the Monthly Delayed Transfer of Care

·         Red risks include:
o   Risk 11 Commissioning support services –“ We are working on a range of risk mitigations, including how to enable Commissioning Support Units to become more autonomous, so that they can compete more effectively in future.” (Risk level unchanged this month)

9 Update on Equalities and Health Inequalities
·         In July 2015  the Equality and Health Inequalities Programme Board approved a refined set of priority deliverables around  Equality, Health inequalities and  Internal Capability.
·         Examples of activity include finance, workforce (NHS Workforce Race Equality Standard ; WRES) , cancer treatment, care for people with learning Disabilities, primary care (through Prime Minister’s Challenge Fund), publication of the Accessible Information Standard, specialised care, health and justice,

AOB – Agenda and minutes of NHS England private meetings are to be published after a 12 month embargo.

  • Next NHS England Board meeting will be on 17 December 2015