Agenda item

The Panel are to receive the following presentations from the Cambridgeshire and Peterborough Clinical Commissioning Group (CCG):

(a)   Cambridgeshire and Peterborough Clinical Commissioning Group Performance Report

  A representative will be in attendance from the CCG to present the organisation’s performance report.

(b)  Clinical Service Provision at Hinchingbrooke Health Care Trust (HHCT)

  Dr Melanie Clements, Medical Director at HHCT will be in attendance to present the paper.

Tracy Dowling presented the Clinical Commissioning Group (CCG) Performance Report to the Panel. Members noted that the governance of the CCG altered in January 2016 when Dr Modha stepped down from the role of Accountable Officer and steps have been taken to strengthen the governance arrangements. Tracey Dowling has been appointed as the Accountable Officer (known as Chief Officer) and Doctor Howsam is now the Chief Clinical Officer and the Chair of the Governing Body.

The CCG have had a difficult year as a result of the collapse of the UnitingCare contract. In addition some performance targets have not been met.

A number of organisational changes have been made to assist the financial position of the CCG as the group have an underlying deficit position. The main cause of the deficit is the amount and cost of work currently undertaken by the hospitals. Despite the financial position standards are being met. NHS England are working closely with the CCG to turnaround the financial position.

Members noted that the sustainability and transformation plan (STP) is in development which focuses on improving the clinical outcomes for patients but also addressing the system wide financial deficit over the next 5 years. The first draft of the STP was submitted to NHS England on 30th June and the next draft is due to be submitted on 22nd October. Mr David Astley has been appointed as the Independent Chair for the Cambridgeshire and Peterborough STP. Tracey Dowling has offered to return to the Panel and discuss the STP in more detail once it has been finalised.

The CCG has stated that it wants patients to be taken care of at home as opposed to being taken care of in hospital as there is evidence to suggest that being in a hospital bed has a negative impact on rehabilitation. The current delivery of rehabilitation for patients who have had stroke is currently not best practice so different models of care and rehabilitation for stroke patients are being considered.

The Panel were informed that the CCG is undertaking public engagement on how to make the minor injury and outpatient services in East Cambridgeshire and Fenland more sustainable and improve integration with other health care providers.

Tracey Dowling informed Members that regarding the Older People’s and Adult Community Services (OPACS) the CCG is confident that the model of care in place remains the best solution for patients.

In respect to Non-Emergency Patient Transport Services (NEPTS) Members were informed that the service is not yet functioning at the standard expected but ‘teething problems’ are being addressed.

Following a question it was confirmed that QIPP means Quality, Innovation, Productivity and Prevention.

In response to a question regarding the NEPTS, Members were informed that GPs are referring patients to the service and the information is being advertised on the CCG’s website. The East of England Ambulance Service then checks the eligibility of patients.

After a question about the management of Hinchingbrooke Hospital, Tracy Dowling stated that Hinchingbrooke is under good management and the CCG works closely with the management of Hinchingbrooke as both parties want what is best for patients. She informed Members that the staff at Hinchingbrooke delivers good clinical care every day.

In response to a question Ms Dowling explained that the CCG was declared inadequate by the CQC due to the financial position of the CCG. Part of the problem is that the CCG pay £200m per year for medicines that patients never use.