Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU
- Papers available here.
- Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/
1. Minutes of the Previous Meeting
2. Chairman’s report
3. Chief Executive’s Report
4. Publication of NHS England Mandate and NHS Improvement Remit
5. NHS England Funding & Resource 2018/19:Supporting “Next Steps for the NHS Five Year Forward View”
6. Update on draft contract for Accountable care Organisations (ACO)s
7. Proposals on delivering joint working between NHS England and NHS Improvement
8. Conditions for which over the counter items should not routinely be presented in primary care: findings for consultation and next steps
9. “Scene setter” on current trends in health inequalities
10. NHS England’s responsibilities for quality
11. NHS Performance and progress on implementation of Next Steps Inform
12. Consolidated Month 11 2017/18 Financial Report
13. Slavery and Human Trafficking Statement 2017/18
14. Emergency Preparedness, Resilience & Response (EPRR)
15. Report to the Board on the use of the NHS England Seal (September 2017-February 2018)
16. Reportsfrom Board Committees
i. Commissioning Committee
ii. Investment Committee
iii. Specialised Services Commissioning Committee
iv. Audit and Risk Assurance Committee
Highlights :
3. Chief Executive’s Report
3. Chief Executive’s Report
- Simon Stevens advised the Board that he had (today) received a letter from the Prime Minister outlining the timetable for the “long term sustainability plan” for the NHS she described at the Liaison Committee (27 March 2018). Following discussions with NHS England over April-June, priorities for a 5/10 year plan are expected to be published by summer 2018.
- The paper includes Frequently Asked Questions related to the draft ACO Contract developed during the public consultation around the draft contract including what it is, when it can be used, who can hold an ACO contract, why a procurement process, accountability, involvement of GPs, impact on social care, public health and the voluntary sector, implications for the “commissioner-provider” split, safeguards, and the difference between an ACO and ICS.
- (Further comment on the ACO contract in Simon Stevens’s evidence to the Health Select Committee 20 March 2018 see here.)
- The statutory framework means a merger between NHS England and NHS Improvement is not possible. The bodies are required to have separate Boards, Chief Executives/accounting officers and governance of our distinctive legal responsibilities. However the Boards have agreed to:
- Functional integration of NHS England and NHS Improvement regional teams, to be led in each case by a single Regional Director working for both organisations
- A move to seven regional teams as the basis for this new, integrated approach
- Increased integration and alignment of national programmes and activities
- The new model proposes seven regional teams: two in the North, two in the Midlands and East, South East and South West and London.
- Arrangements to start from September 2018.
- Results of the public consultation around over the counter (OTC) medicines which should not be routinely prescribed and the resulting guidance for CCGs. (Guidance available separately here.)
- It will be incumbent on the NHS that self care advice aligns with this guidance and to provide support for self care and signposting to pharmacies.
- An outline of NHS England’s functions relating to service quality, how these are put into action and available levers.
- The papers maps out functions around monitoring the quality of services, complaints and concerns, professional regulation and untoward Incidents
- Appendix A outlines an initial map of the functions and processes in place, and how this translates into actions to improve service quality. Appendix B outlines NHS England’s interactions with NHS Improvement, CQC, GMC and Parliamentary Health Services Ombudsman.
12. Consolidated Month 11 2017/18 Financial Report
- While the accounts indicate that the NHS will return a budget within required limits the report came with a rider regarding the lack of any system reserve for 2018/19.
- Discussion put forward a strong argument that greater efficiency savings result from close provider/commissioner working which is being promoted by the NHS England support team.
