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29th May 2013

Date: Wednesday 29th May 2013

Time: 1.00pm - 3.30pm. Members of the public are invited to join the Governing Body Members in taking light refreshments from 12.30pm

Location: Bridestone Suite, Congleton Town Hall, High Street, Congleton, Cheshire, CW12 1BN

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Map of car parking sites near Congleton Town Hall

Following the completion of the Governing Body meeting, members of the public are also invited to attend an informal meeting with the Governing Body members where there will be an opportunity to raise questions or concerns. Members of the public need not have attended the Governing Body meeting beforehand and are welcome to attend just for this session.

If you wish to raise a concern, ask questions or feedback your comments about individual items contained in the Agenda and supporting papers of Governing Body meeting please contact:

Matthew Cunningham

Corporate Services Manager


Telephone: 01625 663339

Raising a question/concern - note: Members of the public wishing to ask a question at the Governing Body meeting should provide at least three clear working days notice in writing to the Corporate Services Manager and should include the question and any supporting information with that notice. This will provide the opportunity to undertake, where necessary, any background research so as to enable the most informed answer to be given. It is not a requirement to give notice of the intention to make use of public speaking provision. However, as a matter of courtesy, a minimum period of 24 hours' notice is encouraged.

Agenda 29th May 2013

Please click on the links below to access the individual papers for the board meeting:

Link to Agenda front sheet only

Link to Agenda and full supporting papers pack

No Item


1.1 Welcome and opening remarks from the Chair

1.2 Public Speaking Time

A total period of 10 minutes is allocated for members of the public to raise a question /make a statement(s) that has been submitted in advance or which woul dlike to be raised on the day time permitting.

Individual members of the public may speak for up to 5 minutes, but the Chair will decide how the period of time allocated for public speaking will be apportioned, where there are a number of speakers.

1.3 Apologies for absence

1.4 Declarations of any interests relevant to the agenda items

1.5 Minutes of previous meeting held in public (20th March 2013)

Link to minutes of the previous meeting held in public

1.6 Chief Officer Briefing

Link to briefing


2.1 Safeguarding Children and Adults at Risk Annual Report 2013

Summary of item 2.1: This report provides a summary of the first Safeguarding Children's and Adults at Risk Annual report to the Governing Body since the authorisation of the Clinical Commissioning Group. Its purpose is to highlight to the Governing Body progress to date on meeting the statutory responsibilities related to safeguarding Children and Adults.

Link to cover paper

2.2 Auditors for the Clinical Commissioning Group

Summary of item 2.2: The aim of this report is to introduce the Governing Body to the newly appointed external auditors to the Clinical Commissioning Group and to outline their role as auditors. This will include an overview of their approach to the 2013/14 audit, code of practice and statutory regulation in addition to the responsibilities of the Governing Body.

Link to cover paper

2.3 Clinical Commissioning Group Financial Plan

Summary of item 2.3: This report provides an overview to the Governing Body of how the Clinical Commissioning Group intends to spend its money on behalf of its patients and service users for the next financial year (April 2013 to March 2014)

Link to cover paper

2.4 Clinical Commissioning Group Annual Plan Programmes for 2013/14

Summary of item 2.4: This report provides the Governing Body with the Programme Initiation Documents for the three key programmes of work as identified in the 2013/14 CCG Annual Plan. The Programme Initiation Documents have been produced to provide assurance to the Governing Body on context, plan of work, resources and milestones to deliver each programme.

Link to cover paper

2.4.1 Caring Together Programme Initiation Document

Link to Programme Initiation Document

2.4.2 Mental Health and Alcohol Programme Initiation Document

Link to Programme Initiation Document

2.4.3 Quality Improvement Programme Initiation Document

Link to Programme Initiation Document


3.1 Finance and Performance Report

No report for this meeting

3.2 Sub Committee Minutes for information

3.2.1 Governance and Audit Committee

Link to cover paper

3.2.2 Remuneration Committee

No report for this meeting

3.2.3 Clinical Quality & Performance Committee

Link to cover paper

3.3 Advisory Committees – summary notes for information

3.3.1 ECCCG Locality Management Meeting

Link to cover paper

3.3.2 Clinical Forum

Link to cover paper

3.3.3 Eastern Cheshire Community HealthVoice

Link to cover paper

3.3.4 Eastern Cheshire Partnership Board

Link to cover paper



3.30pm - Informal Question and Answer session

Date and Time of next Governing Body Meeting:
Wednesday 31st July 2013 1.00 - 3.00pm
Venue to be confirmed


Informal Question and Answer Session

Following on from the Governing Body meeting held in public, there was an opportunity for members of the public to ask any questions at our informal question and answer session.

The questions from members of the public are illustrated in bold and responses from the CCG are in normal text:

1) People going to Accident and Emergency if they think they need treatment are supposed to be seen within four hours.  Why not include a target time to be seen in the outpatients department?

In 2000/2002 when the NHS started going through transofrmation and was seeking to measure whether or not it was providing a good service, work was done to look at what must frustrated the public. Top of the list was how long people waited in Accident and Emergency (A&E) departments (sometimes up to 12 hours), and how long they had to wait for operations (e.g. 2 years for a hip operation).  A set of standards was introduced including a maximum four hour wait to be seen in A&E, and 18 weeks from referral to treatment. These "targets" have now been set in the NHS Constitution as rights for patients, along with, as an example the right to have a diagnostic test within 6 weeks, or a test for cancer within 2 weeks. The maximum wait time to be seen in an outpatient clinic was not one of the items set and therefore not included as a right under the constitution. The new responsibilities for commissioners and providers to seek feedback from patients on their experiences of care ay influence if waiting time targets for outpatients are introduced in the future.

 2) Access to transport is a major issue, particularly in Knutsford. Can there be a review of the Patient Transfer Service (PTS) performance figures to see if this has had an impact?

There is a challenge to members of the public generally in accessing quality public transport services but the Patient Transport Service is available for assisted tranpsort to healthcare to those who meet the nationally agreed criteria. Twelve months ago the contract for a new standard of service for all Patient Transfer Services was put out to tender actoss the whole of the North West. This was done with the aim of raising the standards and expectation of standards, particularly around responsiveness, for example how close the actual time of pick up was set to the time set; this is especially important for patients going for chemotherapy or dialysis, for example. The tender process was completed in March and North West Ambulance Service (NWAS) won the contract in every area (Cheshire, Merseyside, Lancashire, Cumbria) except Greater Manchester where it went to Arriva. The new contract for PTS tsrtaed on 1st April 2013, and the CCG awaits with interest the first quarter performance statistics to see how NWAS is delivering on the requirements.

3) It has been rumoured that Government is considering introducing a penalty of some sort for patients who attend their GP surgery more than a certain number of times per year. This might reduce the numbers going to their doctor which would mean an easier life for the GP but would it save any money?

The CCG is not aware of any formal statements behind the rumour. However, there is a move to ensure GP's consider alternative ways of engaging with patients other than during the 10 minute face-to-face appointments which are the most expensive element of the GP-patient relationship. Increased contact with Multi Disciplinary Teams and the District Nurses can be beneficial and reduce the need for admission to hospital and visits to Accident and Emergency (A&E)

4) How much influence does the CCG have on rehabilitation services? What is available to people?

Rehabilitation services are commissioned by the CCG as part of wider care for patients, rather than a separate entity. There is a variety of terms - "intermediate care", "rehabilitation", reablment" and a variety of approaches needed for patients depending on their situation and the condition they are recovering from. Intermediate care and rehabilitiation need not be provided in a hospital. "Reablement" is delivered through social care, to get people back to where they were before their illness. The ethos of the "Caring Together" programme is to support patients in their home, or provide services as close to their home as possible. The services need to be put around the patients, in a multidisciplinary approach, rather than the patient being looked after by one organisation or being "on a clinical pathway". Doing it this way will be better for the patieitn and there will be a more effiecnt and effective use of social services.