NHS Stockport Clinical Commissioning Group Council Of .

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Chair:Enquiries to:Ms J CrombleholmeLaura Latham07827 239332Laura.latham1@nhs.netNHS Stockport Clinical Commissioning GroupCouncil of MembersAnnual General MeetingAGENDAThe Annual General Meeting of the NHS Stockport Clinical Commissioning Group will be held atBredbury Hall, Osbourne Street, Bredbury, SK6 2DH on Thursday 20 September 2018 at 3.30pmAgenda itemReportIndicativeTimingsLeadTo receive andnoteTo receive andapprove3.30pmJ Crombleholme3.35pmJ CrombleholmeAction1Welcome and Apologies2Approval of the draft Minutes ofthe meetings held on 19 July2017Attached3Proposed Changes to theConstitutionAttachedTo approve3.35pmJ Crombleholme4Appointments to the CCGGoverning BodyAttachedTo note andformally approvethe appointmentsproposed3.45pmJ Crombleholme5Governing Body Part Two ItemsAttachedTo note3.50pmNew Chair6Reflections on 2017/18 andLooking AheadPresentationTo receive andnote3.55pmN Dowd7Financial Overview 2017/18PresentationTo receive andnote4.10pmM Chidgey8Questions from the floorVerbalTo receive4.25pmNew Chair9Closing WordsVerbalTo receive5.00pmNew ChairVerbal001

Annual General MeetingWednesday 19th July 2017Stockport CountyPresentDr Anna GillottGPAdshall Road MPDr Lydia HardernGPAdswood Road SurgeryJaweeda IdooGPAlvanley PracticeSara MayerPractice MangerArchwood MPDr Graham ParkerGPArchwood MPDr Caroline HullGPBeech HousePaula TrowPractice ManagerBeech House MPDr Abdul GhafoorGPBents Lane MPRosemary HydePractice ManagerBracondale MPDr Javaid AliGPBramhall Health CentreDr Alex BayesGPBramhall Park MCDr Rob BeardsellGPBredbury MCPaula AnsbroPractice ManagerBrinnington SurgeryDr James HigginsGPBrinnington SurgeryDr Hazem LloydGPCedar HouseSarah GriffithsDeputy Practice ManagerChadsfield MPDr Melanie MatherGPChadsfield MPPaul StevensPractice ManagerCheadle Hulme HCDr Yousaf KhanGPqCheadle MPDr Tarriq ShahGPCheadle MPDr Kanwalprit GillGPDial House MCDr Jo HerdGPEastholme SurgeryTracey JohnstonePractice ManagerEllesmere SurgerySylvia O’BrienPractice ManagerGatley MC002

Dr Peter CarneGP/Locality ChairGatley MCLouise EllisAssistant Practice ManagerGatley MCOsian RichardsGatley MCDr Raina PatelGPThe Guywood PracticeDr Carmen MorrisGPHeald Green HCDr Penny OwenGPHeald Green HCHeather BobbittBusiness ManagerHeald Green HC 2Dr Rebecca LockeGPHeaton Moor MCIan StanyerPractice ManagerHeaton Moor MCSuzanne FlanageAssistant Practice ManagerHulme Hall MGJoanne RevellPractice ManagerHulme Hall MCSue CarrollChairHealthwatchCharlotte ClarkeCommunications and Engagement OfficerHealthwatchMartin DaveyBoard DirectorHealthwatchMaria KildunneChief OfficerHealthwatchMike LappinPatient RepresentativeHealthwatchDr Jeremy WynnGPHeaton Mersey MPDr John SwarbrickGPHeaton Moor MGDr Amy MillerGPHeaton Norris HCTricia BrooksPractice ManagerManor MPDr Martin LeahyGPManor MPDr Jane NeedhamGPMarple BridgeDr Andy JohnsonGPMarple Cottage SurgeryFraser CherryPractice ManagerMarple MPMichaela BuckChief ExecutiveMastercall HealthcareIrene HarrisVolunteerMental Health Carers Group SElaine Abraham-LeeBusiness ManagerNHS Stockport CCGAndrew CallaghanSenior PANHS Stockport CCGMark ChidgeyChief Finance OfficerNHS Stockport CCGCath ComleyBusiness ManagerNHS Stockport CCG003

Jane CrombleholmeLay ChairNHS Stockport CCGFran DaviesService Reform FacilitatorNHS Stockport CCGGale EdwardsBusiness ManagerNHS Stockport CCGDr Ranjit GillChief Clinical OfficerNHS Stockport CCGJohn GreenoughLay MemberNHS Stockport CCGLouise HayesHead of Communications andEngagementNHS Stockport CCGDiane JonesDirector of Service ReformNHS Stockport CCGDr Deborah KendallSecondary Care ConsultantNHS Stockport CCGLaura LathamAssociate Director Corporate Governanceand Organisational EffectivenessNHS Stockport CCGJackie McKinleyBusiness ManagerNHS Stockport CCGKaren MoranHead of Service ReformNHS Stockport CCGChristine MorganLay MemberNHS Stockport CCGRoger RobertsDirector of GP DevelopmentNHS Stockport CCGAnita RolfeExecutive NurseNHS Stockport CCGTim RyleyDirector of Planning and CorporateNHS Stockport CCGGordon SmithPatient Panel MemberNHS Stockport CCGSandra WalkerQuality LeadNHS Stockport CCGDr Karen McEwanGPPark View Medical PracticLynzi ShepardStaff GovernorPennine Care NHS FTJ CooksonPublicJ GibsonPublicHelena PlattPublicRonnie ChicivantRNIBJo StevensPractice ManagerThe Reddish FPJenny BaevaPractice ManagerThe Reddish FPRhona FranksPractice ManagerSouth Reddish MCDr Ameer AldabbaghGPSpringfield SurgeryDr Arash AfsharGPStockport MPDr Jessica CollinsGPStockport MPDr Alex EatonGPStockport MP/Viaduct004

Dr Misbah HamidGPStockport MPDr Naomi LallooGPStockport MPJohn BantallStockport MBCCllr. Tom McGeeChair of the Health & Wellbeing BoardStockport MBCCollin McAbePersonliastion and Prevention ManagerStockport MindShirley WilliamsChairpersonStockport MindAnn BarnesChief ExecutiveStockport NHS FTLes JenkinsLead Governor – Marple & Stepping HillStockport NHS FTRev DiannStockport User Friendly ForumScott FowlerStockport User Friendly ForumBart SpohschieciczStockport User Friendly ForumJoyce BoothStroke AssociationPaul EdgertonStroke AssociationRay GarnerStroke AssociationNick ClarkeStroke InformationJulie RyleyHead of Business DevelopmentViaductDr Daniel GoldspinkGPThe Village SurgeryDr A ChoudryGPWoodley Village SurgerySally LomaxPractice ManagerWoodley Village SurgeryMEETING GOVERNANCE1. Welcome and IntroductionsJ Crombleholme welcomed the Member Representatives, practice and CCG staff, andmembers of the public to the meeting. She explained that the meeting had been moved to Julyto allow for more timely consideration of the CCG’s activities and outputs from 2017/18,including the Annual Report and Accounts.She noted that in line with the requirements of the CCG’s Constitution, the meeting wasquorate.2. Approval of the Minutes of the Meeting 6 July 2017The minutes of the meeting held on 6 July 2017 were agreed as a correct record.3. Reflections on 2017/18 and Looking Ahead005

R Gill provided an overview of the CCG’s operation during the 2016/17 year and highlighted inparticular the areas of success. These included: National leader in flu vaccination uptakeHigh cancer survival ratesReduced number of non-elective admissionsGPs and community services using one single electronic records systemHigh patient satisfaction for GP services in StockportThe vision for the system was highlighted in particular the focus on delivering integratedservices and patient care outside acute hospital settings to keep patients well within thecommunity. The focus on GP leadership as being central to the delivery of new models of carewas noted. He commented on health inequalities in Stockport and the importance of ensuringthat healthy life expectancy and prevention continued to be a focus of attention.In commenting on the year ahead, R Gill noted that priorities included:1.2.3.4. 16.4m investment in out of hospital servicesCreation of a single health and care team around an individual and their familySupport a health and care model built around the neighbourhoodsCreation of capacity and capability in primary, community and mental health care.He noted the importance of the continued focus on financial sustainability and asserting the roleof the Commissioner across the system.Resolved: That the presentation be noted.4. Financial Overview 2017/18M Chidgey provided an overview of the CCG’s financial position during the 2016/17 year. Hehighlighted the financial challenges which had faced the organisation during the year and thefactors which underpinned the CCG’s accounts.The CCG had received a clean audit opinion in year and had achieved key indicators aroundmaintaining its admin costs within the required financial limits and paying more than 95% ofinvoices within 30 days.He noted that the organisation had achieved the delivery of its planned surplus of 1% and noteddelivery against the required Cost Improvement Plans (CIP) Investment in mental health washighlighted as having been a priority in year and a further priority for the forthcoming year.Financial improvement successes were noted in prescribing, non-NHS contracts and avoidedgrowth in acute activity.To conclude the Council of Members was informed that priorities for the 2017/18 year includedfull CIP delivery by the CCG, focus on continued to develop and embed the new models of carewith a particular focus on neighbourhoods. M Chidgey noted that the NHS nationally wasexperiencing an increasingly challenging financial climate.Resolved: That the presentation be noted.5. Proposed Changes to the ConstitutionR Gill provided an overview of the proposed changes to the CCG’s Constitution.Resolved: That the Council of Members:006

(a) Approves the amended Constitution and recommended it to NHS England for finalconsideration and approval.6. Governing Body Part 2 ItemsJ Crombleholme confirmed that there had been no Part 2 meetings held during the 2016/2017year.7 Closing WordsJ Crombleholme expressed thanks on behalf of the CCG to those who had attended the AnnualGeneral Meeting. She noted the significant and complex transformation work underway inStockport and the importance of ensuring that the focus of all those working across the systemremained on improving the quality of life and outcomes of the patients and public of Stockport.007

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2018 Proposed ConstitutionChangesNHS Stockport Clinical Commissioning Group will allowpeople to access health services that empower them tolive healthier, longer and more independent lives.NHS Stockport Clinical Commissioning Group7th FloorRegent HouseHeaton LaneStockportSK4 1BS009Tel: 0161 426 9900 Fax: 0161 426 5999Text Relay: 18001 0161 426 9900Website: www.stockportccg.org1

Executive SummaryWhat decisions do you require of the Council of Members?The Council of Members is asked to review and approve the proposed changes tothe CCG’s Constitution.Please detail the key points of this reportThe CCG’s Constitution requires continued updating to ensure it fully reflects theoperational requirements of the CCG’s legal and statutory responsibilities.The proposed changes relate to: The number of General Practice Members of the CCG following a numberof practice mergers. Changes to the CCG’s Leadership Structure and Scheme of Delegation toinclude the role of Chief Executive Accountable Officer and GP ClinicalGoverning Body Chair. Amendments to the functions delegated to the CCG’s Committees coveringQuality, Strategy, Planning and Commissioning and Performance andDelivery.Minor formatting and technical changes including clarification that NHSCommissioning Board’s successor body and references in the document relate toNHS England.What are the likely impacts and/or implications?Subject to the approval of the Council of Members, the CCG will need to submit anapplication for a Constitutional Change to NHS England.How does this link to the Annual Business Plan?The CCG’s Constitution supports the legal basis of its functions.What are the potential conflicts of interest?None.Where has this report been previously discussed?Changes relating to existing General Practices were approved by the Primary CareCommissioning Committee and the changes to the CCG’s Leadership Structureconsidered by Remuneration Committee and the Governing Body.Presented by: ChairMeeting Date: 20 September 2018Agenda item: 30102

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Proposed changes to the Constitution of September 20181.0Background1.1NHS England permits CCGs to amend their Constitutions at any point in theyear to fit with business need. The only exception to this is if changes areproposed to the boundaries of a CCG for which a summer application mustbe submitted.1.2This report outlines the proposed changes discussed by the Governing Bodyand those arising from its decisions and also from changes in statutoryguidance which have been considered over the recent months.1.3NHS England has recently (7 September 2018) published a revised modelConstitution for CCG’s. Adoption is not mandatory but CCGs are encouragedon the basis of national learning and direction of travel in terms of futureintegration to consider the impact on their local Constitution and makeamendments at a suitable point in time. For Stockport, given the proximity ofpublication of the model to the AGM, it has not been possible to make anychanges at the current time. The work will be undertaken during the year.2.0Detailed changes2.1General Practice Membership ChangesDue to changes to the number of Practices which occurred during the2017/18 year the number of CCG Member Practices (as show in Appendix B)of the revised Constitution has been amended.2.2CCG Leadership StructureFollowing the resignation of the Lay Chair, Jane Crombleholme, the CCGconsidered it appropriate to review its current leadership arrangements. Thisreview was undertaken in late Spring / Summer of 2018 and took into accountthe CCG’s plans for further development of its integrated commissioningapproach with Stockport Council following the Greater ManchesterCommissioning Review.To meet the requirements of the Health and Social Care Act in terms of theleadership of the CCG, the revised model which is reflected in theConstitution is that of GP Lay Clinical Chair and Chief Executive (AccountableOfficer.) The roles and responsibilities of both roles have been included withinthe Constitution along with some proposed amendments in the Scheme ofDelegation to reflect this change. The post of Chief Operating Officer hasbeen removed from the Constitution and the membership of the GoverningBody altered accordingly.2.3CCG CommitteesThe CCG keeps the operation and effectiveness of its Committees underconstant review and in light of the continued focus on performance anddelivery amendments to the Committee structure have been included withinthe revised Constitution.0124

The changes include: 2.4Removal of the Finance and Performance CommitteeChanges to the functions delegated to the Quality Committee.Creation of a Strategy, Commissioning and Planning Committee whichwill provide assurance to Governing Body on the development andresourcing of the CCG’s Plans.Creation of a Performance and Delivery Committee which will provideassurance to Governing Body on the delivery of the CCG’s plans witha focus on actions being taken achieve performance measures derperformance to Governing Body.Technical AmendmentsThere are a small number of consistency and textual changes which havebeen highlighted for approval. These include clarifying that the references tothe NHS Commissioning Board throughout the document have beensuperseded by the establishment of NHS England.3.0Actions required of the Council of Members3.1The Council of Members is asked to approve the following recommendation:(a) That the amended Constitution be agreed and recommended to NHSEngland for final consideration and approval.4.0 Background Information1. Draft Constitution (September 2018) and signposting sheet of detailedamendments available via the CCG’s website at this ning-body-meetings/0135

2018 Governing BodyAppointmentsNHS Stockport Clinical Commissioning Group will allowpeople to access health services that empower them tolive healthier, longer and more independent lives.NHS Stockport Clinical Commissioning Group7th FloorRegent HouseHeaton LaneStockportSK4 1BS014Tel: 0161 426 9900 Fax: 0161 426 5999Text Relay: 18001 0161 426 9900Website: www.stockportccg.org1

Executive SummaryWhat decisions do you require of the Council of Members?The Council of Members is asked to review and approve as outlined below theappointments to the CCG’s Governing Body.Please detail the key points of this reportNational NHS England and the CCG’s Constitution place differing requirements onthe recruitment and formal appointment processes for the CCG’s Governing Bodyroles.This report seeks confirmation of appointment of the Council of Members for anumber of appointments for which recruitment activity took place over Spring /Summer 2018. It also confirms the change in portfolio for one of the CCG’s LayMembers.What are the likely impacts and/or implications?Subject to the approval of the Council of Members, the CCG will need to submit anapplication for a Constitutional Change to NHS England in which the revised roleswill be included.How does this link to the Annual Business Plan?The CCG’s Constitution supports the legal basis of its functions.What are the potential conflicts of interest?None.Where has this report been previously discussed?Changes to the CCG’s leadership structure were considered by the GoverningBody and remuneration for roles along with job description and role profilesincludedClinical Executive Sponsor:Presented by: ChairMeeting Date: 20 September 2018Agenda item: 40152

Appointments to the CCG Governing Body1.0Background1.1As a result of changes to the CCG’s leadership structure and previous postholders moving into new roles, a number of positions on the Governing Bodywere recruited to during the Spring and Summer 2018 period.1.2This report outlines the roles and the appointees or nominated candidateswere approval of the Council of Members is required.2.0Appointments2.1Leadership Structure Changes2.1.1Following the resignation of the Lay Chair, the CCG reviewed its LeadershipStructure to include the creation of two new roles, Chief ExecutiveAccountable Officer and GP Clinical Governing Body Chair. Chief Executive Accountable Officer – Governing Body appointed NoreenDowd to the post of interim Accountable Officer until April 2019 to align withthe CCG’s plans to integrate health and care with the Council and appoint asingle Accountable Officer for both health and care by 1 April 2019. Theappointment was confirmed by NHS England. GP Clinical Governing Body Chair – Following advertisement of the roleduring Summer 2018, Dr Cath Briggs applied for the position and receivedthe required support of 2 CCG GP Member Practices. She was interviewedby a panel including representatives of General Practice in Stockport,GMHSCP, a Chair of a neighbouring CCG and Executive Member ofStockport Council.The unanimous recommendation of the Panel to the Council ofMembers was to appoint Dr Briggs to the post of GP Clinical GoverningBody Chair.The Panel noted in particular her strong focus on patients and delivery of highquality services, breadth of general practice experience and consistent ideasand approach to clinical commissioning. She demonstrated a collaborativestyle, focus on partnership working and strong relationships with the GPCommunity in Stockport.2.2Medical Director AppointmentFollowing the resignation of the Director of Quality and Provider Managementinterim arrangements to provide clinical leadership in a newly created role ofMedical Director were put in place. The role went out to advertisement inearly Summer and Dr Simon Woodworth applied for the role and received therequired support of 2 CCG GP Member Practices. He was interviewed by apanel including representatives of General Practice in Stockport, a laymember of the Governing Body and the Chief Operating Officer.0163

The unanimous recommendation of the Panel to the Council ofMembers was to appoint Dr Woodworth to the post of Medical Director.The Panel noted in particular breath of clinical and board level experience,strong focus on partnership and stakeholder working, including with theCCGs GP Members. He demonstrated experience of strategic leadership andfocus on ensuring high quality service delivery across General Practice inStockport.2.3Lay Member AppointmentsFollowing the resignation of the Lay Chair of the CCG, J Crombleholme whoalso held the portfolio of Patient and Public Participation recruitmentcommenced to appoint a replacement lay member of the CCG.Based on existing expertise and experience of patient and publicinvolvement, it is proposed to the Council of Members that: Christine Morgan assume the lay member portfolio of patient andpublic involvementFollowing a recruitment process, Peter Riley was appointed to the GoverningBody as the Lay Member for Primary Care Commissioning, assuming theportfolio from Christine Morgan. He has breath of experience across themanufacturing industry throughout his career, was a business owner and hasa strong interest in primary care and general practice.The Council of Members is asked to note the appointment of Peter Rileyas Lay Member for Primary Care and the change in portfolio forChristine Morgan as Lay Member for Public and Patient Involvement.2.4Following the resignation of Vicci Owen Smith as the CCG’s Director of PublicHealth, Stockport Council nominated Jennifer Connolly, Public HealthConsultant to fulfill the role and sit on the CCG’s Governing Body.The Council of Members is asked to note this change.3. 0RecommendationsThat the Council of Members: Appoint Dr Briggs to the post of GP Clinical Governing Body Chair Appoint Dr Woodworth to the post of Medical Director. Note the appointment of Peter Riley as Lay Member for Primary Care. Note the change in portfolio for Christine Morgan as Lay Member forPublic and Patient Involvement. Note that Jennifer Connolly will fulfill the role requirements of theDirector of Public Health as nominated by Stockport Council.0174

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Governing Body PartTwo Agenda Items 2017- 2018NHS Stockport Clinical Commissioning Group will allowpeople to access health services that empower them tolive healthier, longer and more independent lives.NHS Stockport Clinical Commissioning Group4th FloorStopford HouseStockportSK1 3XE019Website: www.stockportccg.org

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Executive SummaryWhat decisions do you require of the Council of members?The Council of Members is asked to note the contents of this update.Please detail the key points of this reportThe Governing Body holds all its meetings in public to enable the open andtransparent transaction of its business.There are a small number of occasions when to transact business in public would notbe in the CCG’s organisational or the public’s best interest at the time a matterrequires discussion.The CCG’s Constitution requires a report to be made at the Annual General Meetinglisting all of the items of business which have been conducted during the GoverningBody’s Part Two (closed) meetings.The Governing Body held the following Part 2 Meetings during the 2017/18 year toconsider the following matters: 27 April 2017 – Investigatory Matter12 July 2017 – Planning and Corporate Restructure and Financial Matter31 January 2018 – Viaduct HealthWhat are the likely impacts and/or implications?There are no direct implications arising from this report. It is hoped it demonstratesthat the CCG provides a proportionate approach to the balance of conductingbusiness in public and in private.How does this link to the Annual Business Plan?Good governance underpins the operation of the CCG and provides transparency ofapproach and decision making.What are the potential conflicts of interest?There are no conflicts of interest.Where has this report been previously discussed?N/AExecutive Sponsor: N DowdPresented by: Chair0213

Meeting Date: 20 September 2018Agenda item: 50224

Dr Ranjit Gill . Chief Clinical Officer . NHS Stockport CCG . John Greenough . Lay Member . NHS Stockport CCG . Louise Hayes . Head of Communications and Engagement NHS Stockport CCG . Diane Jones . Director of Service Reform . NHS Stockport CCG . Dr Deborah Kendall .

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