9 February 2017

NHS England Board meeting, 9 February 2017


Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU

Video available here.

Agenda

Item 2 – the minutes of the meeting held on 15 December
Item 3 – Chairman’s Report (no supporting papers)
Item 4 – Chief Executive’s Report (no supporting papers)
Item 5 – Conflicts of interest in the NHS
Item 6 – NHS Rightcare and the shift to value-based healthcare
Item 7 – NHS England Corporate and NHS Performance Report
Item 8 – Consolidated Month 9 2016/17 Financial Report
Item 9i – Report from the Commissioning Committee
Item 9ii – Report from the Investment Committee
Item 9iii – Report from the ARAC

Highlights :


4: Chief Executive's report

  • Simon Stephens reinforced the following points:
    • It not permissible for a GP practice to charge NHS patients for appointments.
    • CCGs cannot change the national contrac relating to QOF.
  • The Five year Forward View delivery plan for 2018/19 - 2019/20 will be published at the end of March. It is not a bidding paper but an examination of realistic deliverables to 2020.
  • "STPs are here to stay" The delivery plan will include 
    • the formal appointment process for STP leads
    • STPs will take resources from across the system to beef up its process
    • decision rights to facilitate reconfiguration changes to statutory organisations to support its work


5: Conflict of Interests in the NHS
  • Updated Guidance around Conflict of Interest is published in the board paper and on the NHS England website here. The aim is to simplify the process and increase transparency. 
  • The updated guidance is applicable to CCGs, NHS Trusts, NHS FTs and NHS England and is recommended to those under contract to the NHS.
  • A suite of tools and supporting materials are under development.
  • The principles of this guidance will be included in a revised version of the statutory guidance for CCGs. Until this guidance comes into force existing guidance issued under these powers continues to apply, and is accessible at: https://www.england.nhs.uk/commissioning/pc-co-comms/coi/
  • The Guidance runs in parallel with work by ABPI on Disclosure UK, an initiative to deliver a searchable database that shows payments and benefits in kind made by the pharmaceutical industry to doctors, nurses and other health professionals and organisations in the UK.
  • This guidance comes into force 1 June 2017 and there will be a series of webex session to support staff. See https://www.england.nhs.uk/ourwork/coi/

6: NHS RightCare
  • The NHS RightCare programme has been embedded into the work of NHS England.
  • The board heard presentations from Professor Sir Muir Gray (for NHS RightCare) and Professor Tim Briggs (for Getting it Right First Time) describing their ongoing work. 
  • The Get it Right First Time (GIRFT)programme stems from a national review of adult elective orthopaedic services, where robust data highlighted significant variation in outcomes across the NHS. The variation has been reduced through local action and peer to peer challenge. The programme is expanding and will in future collect data regarding 30 specialties across England, and work with clinicians and Royal Colleges to deliver change with respect to quality, harm reduction and thus result in savings. The data will be used to populate a Model Hospital Dashboard as recommended by the Carter Review. There was discussion about whether this portal will be made public.
  • The Board paper 
    • Explains the fundamentals of increasing value, reducing unwarranted variation and delivering better population healthcare through the “triple values” comprising allocative value, technical value and personalised value.
    • Details how NHS RightCare is addressing the challenges related to better value;
    • Updates on NHS RightCare’s accelerated roll out to all local health economies in England, including where it is aligning with Getting It Right First Time; and
    • Introduces NHS RightCare’s work to highlight Co-ordinated Reallocation of Care (CROC), again aligning with Getting It Right First Time (GIRFT).
7: NHS England Corporate and NHS Performance Report
  • The Board received assurance around recovery from the issues resulting from the services by Capita regarding primary care. Full recovery was expected by end of March 2017 with ongoing issues relating to the Performers list.
Date of Next NHS England Board meeting: 30 March 2017