Governing Body meeting 24 May 2018
At our Governing Body meeting on 24 May we formally agreed our 2017-18 financial outturn of a £42.1m deficit and agreed our financial plan that will end 2018-19 at £35m deficit. We received the findings of a capacity and capability review by PricewaterhouseCoopers (PWC) and in summary, the report identifies:
- A history which demonstrates a lack of grip, action, financial forecasting, financial control and delivery;
- Failure to deliver reduction in demand required to offset planned growth in the system;
- Instability at leadership level impacting on delivery and causing uncertainty for staff;
- Lack of experienced leadership and capacity, resulting in insufficient grip, control and energy to drive improvement;
- Ineffectiveness of the Governing Body to ensure the CCG met its statutory duties;
- A reactive approach, rather than a focus on sustained improvement;
- Lack of direction at the STP Delivery Unit, leading to lack of focus on supporting CCG recovery;
- Breakdown in governance and control in relation to finance, of which NHS Continuing Healthcare is a clear example;
- Concerns regarding the breadth of capacity and capability to deliver plans in 2018-2019 within the current CCG configuration.
The Governing Body accepted the findings and recommendations which have now been included in a detailed Improvement and Delivery plan.
We also heard a presentation from our External Auditors who have issued statutory recommendations to the Secretary of State as follows:
- The CCG should, in response to the PwC report entitled ‘NHS Cambridgeshire & Peterborough CCG – Capability, capacity and independent review of financial position (March 2018)’, develop and formally agree a detailed improvement plan by 31 July 2018. The Improvement Plan should be formally ratified by NHS England.
- The CCG should report and monitor the implementation of the actions as a result of the response to the PwC report formally at each Governing Body meeting until all actions are complete.
- The CCG must develop and formally agree a robust medium term financial plan to return to normal NHS business rules in a timeframe agreed by NHS England.
It is clear that there are three stages required to provide sustainable improvement:
- Driving Immediate Improvement – delivering the recommendations from the PwC Report and requirements from NHS England;
- Meeting National Must Dos and CIAF Domains (Better Health, Better Care, Sustainability and Leadership);
- Transforming to an Integrated Care System.
I thought it was important to let you know the seriousness of the situation for the CCG and that our focus will be on delivering our Improvement and Delivery Plan, working alongside our partners and communicating regularly with you as important stakeholders in the system. Our Auditors have been clear that if, at any point this year we move off track, that we could be at risk of a formal Public Interest Report as we have seen in Northamptonshire.
I would like to assure you that the Governing Body and our executive team are determined to implement the Plan we have agreed. As ever, our focus will be on ensuring we are commissioning good quality care for the residents of Cambridgeshire and Peterborough within the resources available to us.
Dr Gary Howsam
Chair and Chief Clinical Officer
CCG member practices’ meeting – 19 June
A reminder that the next meeting is on Tuesday 19 June, to be held in the King's Suite at Woodgreen. Please RSVP to email@example.com if you have not already so we can order refreshments. The agenda will be available shortly.
Reminder: Significant Event Analysis (SEA)
As part of shared learning, we are studying the experiences of GPs where cancer was diagnosed following an emergency presentation. We would like to request the support of your Practice through completing a Significant Event Analysis (SEA).
Please see the attached letter and questionnaire for more information.
We would very much appreciate your support and participation in completion of this audit as the more engagement from practices we receive, the more value is added to the learning event which will be held later in the year.
Diabetes Week 2018
Monday 11 June to Sunday 17 June 2018
11-17 June is diabetes week. This is a good opportunity to talk to your patients who have diabetes and remind them of the free NHS courses on offer which will help them manage their condition. Following £1.5m Government investment last year there are now more Desmond, PDAC, and DAFNE courses available. Desmond is now also available to anyone with Type 2 diabetes who hasn’t attended before so please encourage your patients to attend.
NHS England and NHS Improvement
Please find attached a letter from Ian Dalton, Chief Executive, NHS Improvement and Simon Stevens, Chief Executive, NHS England about the steps they're taking to bring the two organisations closer together.
Please find attached a briefing about a procurement for community dental services in Suffolk, Cambridgeshire and Peterborough, Great Yarmouth and Waveney, and Norfolk.
If you have any queries about the content of this briefing, please email Julie Bradshaw, NHS England’s secondary care dental commissioning manager at firstname.lastname@example.org
Cambridgeshire & Peterborough Domestic Abuse and Sexual Violence Partnership
You may be aware that the FIFA world Cup is scheduled to take place in Russia from 14 June to 15 July 2018.
Cambridgeshire & Peterborough Domestic Abuse and Sexual Violence Partnership (CPDASVP) are linking with colleagues in Public Health to raise awareness of domestic abuse during the World Cup which starts on 14 June. Whilst alcohol is not a reason or excuse for domestic abuse, there is evidence that domestic abuse incidents increase during large sporting events and alcohol is often involved in the incidents.
There are two posters available (see attached images - DA Football poster Lose and DA Football poster Win). if you would like to display these to raise awareness free hard copies can be ordered from Amanda Warburton at Cambridgeshire & Peterborough Domestic Abuse and Sexual Violence Partnership.
Modern slavery / human trafficking
Are your eyes open to human trafficking? Would you recognise human trafficking if you saw it? Well you’re not alone if you wouldn’t. There are 30 million slaves worldwide today, more than at any other time in history. Men, women and children around the world are forced to work for very little money, sometimes without pay at all, and the number of those living at risk is growing. Please see attached for further information:
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