/KPCT-09-45%20CE%20Report

NHS KIRKLEES

Chief Executive/PEC Chair’s Report to the Board 25 March 2009

Margaret Edwards, Chief Executive, Yorkshire and the Humber SHA Margaret has agreed to take up a role as National Director of Productivity and Efficiency in a unit set up by David Nicholson, based in NHS London. Barbara Hakin, Chief Executive of East Midlands SHA, will take on the role as Chief Executive of Yorkshire and the Humber SHA on an interim basis alongside her existing role, whilst a permanent replacement for Margaret is appointed. Rob Cooper, Deputy Chief Executive, Yorkshire and the Humber SHA, will act as ‘Managing Director’ during this period and will be responsible for all day to day operational issues, including the day to day management of all other staff. We wish Margaret well in her new role.

NHS Confederation Steve Barnett has been appointed to the role of NHS Confederation Chief Executive. Steve has been acting in the role since May 2008, having previously held the role of Director of NHS Employers and Deputy Chief Executive of the NHS Confederation. An announcement on the future of Steve’s substantive post as Director of NHS Employers will made in the following weeks. In the meantime, the joint acting director arrangements of Alastair Henderson and Sian Thomas will continue. We wish Steve all the best on his appointment.

Infant Mortality National Support Team The Department of Health Infant Mortality National Support Team (NST) visited Kirklees between 3 and 6 March 2009. This NST aims to help areas, with the highest burden of infant mortality in the routine and manual group, meet the infant mortality element of the health inequalities PSA target*.

The NST carried out a number of discussions with individual stakeholders, small group interviews and contact with the health partnerships through two larger, multi-agency plenary sessions. These were all used to understand the local context. They also helped the NST assess challenges to, and opportunities for, making progress in reducing inequalities in infant mortality. The NST formulated a report, based on their findings. The report outlines the key strengths of the Kirklees health partnerships and provides recommendations to improve delivery. Areas identified for priority action include: • • • • • •

Community Engagement Workforce Capacity and Training Immunisation Nutrition Safeguarding Children Teenage Pregnancy

A detailed report will be presented for full discussion at a future board meeting. *“Starting with children under one year, by 2010 to reduce by at least 10% the gap in mortality between the routine and manual group and the population as a whole”.

NHS Clinical Leaders Network – Yorkshire and the Humber We have been requested by the SHA, to nominate upto 12 applicants from our geographical patch, including clinicians from primary and secondary care, to join the new Clinical Leaders Network being set up in Yorkshire and the Humber area, to develop and support clinical leadership to deliver Healthy Ambitions and High Quality Care for All. The nominations forwarded from the NHS Kirklees patch are: Dr Andrew Jackson, Associate Medical Director, Mid Yorkshire Hospitals NHS Trust Dr David Currie, Consultant Chest Physician, Mid Yorkshire Hospitals NHS Trust Mr Philip Shaw, Director of Pharmacy, Mid Yorkshire NHS Trust Dr Anuj Handa, GP and Clinical Lead, NHS Kirklees Dr Farhad Kohi, GP and Clinical Lead, NHS Kirklees Dr Mark Freeman, Clinical Lead, NHS Kirklees Dr Frances Cole, GP and Clinical Lead, NHS Kirklees Dr Nisreen Booya, Medical Director, South West Yorkshire Mental Health Trust Dr Shirley Tabner, Clinical Lead, CASH, Kirklees Community Health Services Chris Creaghan, MSK Practitioner, Kirklees Community Health Services Louise Thornton, Clinical Lead, Community Matrons, Kirklees Community Health Services The following three nominations are across both Kirklees and Calderdale: Dr Ashwin Verma, Consultant Gastroenterologist and Clinical Director of Medicine, Calderdale and Huddersfield NHS Foundation Trust Dr Wasim Qayum, Specialist Trainee in Paediatrics, Calderdale and Huddersfield NHS Foundation Trust Heather McClelland, Consultant Nurse, Accident and Emergency, Calderdale and Huddersfield NHS Foundation Trust Use of the PCT Seal The use of the PCT seal was applied in respect of: •

The sale of Shepley Health Centre Board (Board minute KPCT/07/163) - the original purchaser withdrew from the sale due to failure to gain planning permission and the downturn in the market. The property was readvertised in January 2009 and four offers have been received. The best offer is now £250k from the original purchaser. The offer is unconditional and we will protect the PCT’s interest by means of a claw back clause.

The agent has confirmed that this represents a good offer in the current climate.

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Lease 2 Greenhead Road - this is a 12 year lease with options to break without penalty at year 3, 6 and 9 at a rent of £9,300 pa. The accommodation is to be used for access screening clinics by Public Health and by Local Care Direct to provide the safe haven service to replace Moldgreen.

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Service providers collateral agreement for the PFI - this is an administrative document that allows the PCT to step in and take over the Facilities Management service contract if Project Co default. It has been necessary to re issue this document due to a change in the Facilities Management service provider.

Water Fluoridation Attached is a copy of the letter that has been sent to the Yorkshire and the Humber Strategic Health Authority following the decision made by the Board on 28 January 2009.

New Vision for Practice Based Commissioning A renewed vision for Practice Based Commissioning (PBC) and how it relates to World Class Commissioning, has been unveiled at a special event on 4 March 2009, hosted by the King’s Fund and the Department of Health. “Clinical commissioning: our vision for practicebased commissioning” describes how clinicians and health service manager can combine their expertise to bring about improvements in local health by investing in better quality, better value, and better designed health services. It outlines the principles to achieve this and introduces a greater level of rigour into the system through a series of clear entitlements underlining the support practice based commissioners can expect to receive. The vision has been developed in collaboration with a broad range of clinicians, PCTs and SHAs. The vision may be accessed at www.dh.gsi.gov.uk/pbc.

The PBC Improvement Team, which has been established to support the development of PBC, is visiting Yorkshire and the Humber. As part of their visit they will come to Kirklees on Tuesday 24 March 2009, and we will share with them the work that we are doing locally to strengthen and develop PBC. Staff Opinion Survey The results of the Staff Opinion Survey should be forwarded to us before the end of March 2009 and will be forwarded to the Board as soon as possible.

Delivering Healthy Ambitions – Implementing the Next Stage Review in Yorkshire and the Humber Healthy Ambitions is the report of the NHS Yorkshire and Humber Next Stage Review - also known as the ‘Darzi review’. Published last year this report sets out a clinical vision for the NHS in our region for the next decade.

At the time we committed to publishing a detailed delivery document outlining how we would make this clinical vision a reality for patients and the public in our region. This document, titled ‘Delivering Healthy Ambitions’, is published on 5 March 2009.

Over 150 clinicians were involved in the eight clinical pathway groups (CPGs) that developed the wide ranging recommendations in Healthy Ambitions to improve health and healthcare in Y&H. This delivery document has been co-produced with our local primary care trusts and has benefitted from strong clinical input and advice.

Delivering Healthy Ambitions describes how the clinical pathway recommendations are being hard wired into everyday NHS work at a local, sub-regional and regional level. It explains how every member of NHS staff has a role to play in delivering the best health and healthcare for people in our region. Importantly it also described the enabling work that is taking place and the governance arrangements put in place to ensure these recommendations become reality.

The new report is available on the Healthy Ambitions website www.healthyambitions.co.uk with supporting resources, including a presentation pack and a frequently asked questions document.

Comprehensive Area Assessment (CAA) The framework document for CAA has now been published and sets out how the six independent inspectorates; the Audit Commission, Care Quality Commission, HM Inspectorates of Constabulary, Prisons and Probation and Ofsted, will work together to deliver the new assessment system. In addition to the final framework, the responses to the last consultation exercise have also been published with an evaluation of the trialling programme, a report on public accessibility and an equality impact assessment.

View the framework and associated documents.

Saving Carbon, Improving Health David Nicholson has launched the NHS Carbon Reduction Strategy for England. Saving Carbon, Improving Health has been produced by the national NHS Sustainable Development Unit for the NHS. The Unit was set up in April 2008 by the office of SHAs to take forward sustainable development in the NHS. The strategy is an important document that is based on an extensive consultation with the NHS in 2008 and highlights key actions to be taken for the NHS to reduce its carbon footprint. The NHS produces 18 million tonnes of CO², which is a quarter of all public sector emissions. The UK Government has set a target to reduce carbon by at least 80% by 2050.

The size and scale of the NHS contribution means that halting the growth in emissions and starting to reduce them will be a huge challenge.

Every NHS organisation should sign up to the NHS Good Corporate Citizenship Assessment Model and produce Board approved Sustainable Development Management Plans, including their approach to reduction.

Every organisation should also start reporting on sustainable development and carbon reductions in their annual reports, including a measure of carbon emissions. Initially, this will be based on ERIC (Estates Records and Information Collection) data. However, over time, this will need to include other measures of direct and indirect carbon emissions. This will be based on the 10% reduction target by 2015, established by this strategy.

This document, along with extended chapters, the resource pack and additional information to support the strategy, can be accessed at www.sdu.nhs.uk.

Summary of Collaborative Work Programmes The PCT Chief Executives have sponsored a number of collaborative programmes to support the development of world class commissioning competencies and achievement of Healthy Ambitions across Yorkshire and Humber. Since the launch of the Collaborative in January 2008, each PCT has undertaken an initial assessment of its WCC capabilities and gaps and, as a result, the collaborative programme has been ratified as being of key relevance to support PCTs on their local work by shaping and developing solutions to address local needs. It is recognised that there are other Collaborations within the region, funded and supported by the PCTs and together these work programmes address key issues and competencies facing commissioners.

A summary of the collaborative programmes for 2009/10 (copy of which is attached to this report) has been produced to allow colleagues to understand the range and content of collaborative workstreams. The brochure will be updated and distributed quarterly.

Feedback on any aspect of the document is welcomed via Jane Rutter, Head of Projects, Yorkshire and Humber PCT Collaborative, 01924 351619, or jane.rutter@kirklees.nhs.uk.

The Protection of Children in England: A Progress Report Following the case of Baby P, Lord Laming was commissioned to provide an urgent report on the progress being made across the country to implement effective arrangements for safeguarding children. The kernel of the task was to evaluate the good practice that has been developed since the publication of the report of the Independent Statutory Inquiry following the death of Victoria Climbié to identify the barriers that are now preventing good practice becoming standard practice and recommend actions to be taken to make systematic improvements in safeguarding children across the country.

This document and its recommendations are aimed at making sure that good practice becomes standard practice in every service. This includes recommendations on improving the inspection of safeguarding services and the quality of Serious Case Reviews as well as recommendations on improving the help and support children receive when they are at risk of harm.

A copy of the report is available from the Chief Executive’s office via Pauline Kershaw, Executive Assistant, 01484 466013 or pauline.kershaw@kirklees.nhs.uk.

LAA Refresh The Council and its partners agreed the Kirklees LAA in June 2008. At that point it was not possible to identify baselines or agree targets for a number of indicators. The purpose of the LAA Refresh is to fill these gaps using new baselines identified since June 2008 and to negotiate targets for these indicators.

The attached LAA Refresh document includes: • 10 mandatory education attainment indicators • 35 indicators agreed in June 08 as priorities by both Government and Kirklees. These indicators are marked with a ‘ ’ and include the targets negotiated with Government Office.

• 18 additional indicators to meet our own local priorities, with targets agreed by the Kirklees Partnership. There is one change to these indicators since the June sign off.

‘NI 138 - Satisfaction of people over 65 with both home and neighbourhood’ has been replaced with ‘NI 130 – Social Care clients receiving Self Directed Support per 100,000 population’. The baseline for ‘NI 138’, measured through the Place Survey is 83.1%. It is therefore recommended that ‘NI 130’ should be included as a priority for improvement instead of ‘NI 138’.

Mike Potts Chief Executive

David Anderson PEC Chair

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