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North Midlands

Birch House

Southwell Road West

Rainworth

Nottinghamshire

NG21 0HJ

Sent via email 2nd September 2016

Vicky Bailey Nottingham West CCG/Rushcliffe CCG Albert Street Stapleford Nottingham NG9 8DB Address Dear Vicky, Re: CCG Assurance Process 2016/17 Thank you for your attendance and contribution at the first quarterly review meeting which as you are aware is a new requirement in the 2016/17 CCG improvement and assurance framework (IAF). I would also like to thank you for sharing your presentation which helped us focus discussions on the key achievements and challenges for your CCG over the last quarter. An action tracker is enclosed which I hope accurately reflects key points and the actions agreed during the discussion. There will be opportunity to discuss progress against the actions in future monthly assurance and quarterly review meetings. The 2016/17 CCG IAF is an evolving process and at this point it is unclear how the outcome of the quarterly review meetings will inform CCG assurance ratings. We will however keep you informed of further developments with the CCG IAF as they become available. We also expect NHS England to share the baseline results in relation to the 6 clinical priority areas in coming months which will inform future discussions as part of the assurance process.

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The quarter one review meetings were arranged at relatively short notice and we appreciate the CCGs flexibility in accommodating these. We will be in touch shortly to arrange the quarterly review meetings for the remainder of the year. We expect that these will be in October, January and April and wherever possible we would look to extend an existing monthly assurance meeting to accommodate these. Thank you for a productive discussion at the first quarterly review meeting and we look forward to working with you on the agreed improvement areas in the coming period. In the meantime if you have any queries arising from this process please do raise directly with me or your locality director. Yours sincerely

Oliver Newbould Locality Director NHS England

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ASSURANCE MEETING ACTION TRACKER

Nottingham West & Rushcliffe CCGs

11th August 2016

Easthorpe House, Ruddington

CCG Attendees: Vicky Bailey (VB), Jonathan Bemrose (JB), Rob Taylor (RT) NHSE Attendees: Oliver Newbould (ON), Simon Frampton, Cheryl Sherratt (CS),

ACTION TRACKER New actions from meeting date: Day Month Year

No: Risk / Issue: Responsible Name: Due by date:

Better Health, Better Care and other quality indicators:

CCG are trying to get underneath certain issues with the IAF dataset, for example

Rushcliffe know there is an issue with the data for 1st episodes of psychosis starting

treatment. However they are aware that in Mental Health and Learning Difficulties

there is more work to do to understand if there is a service provision issue or a

statistical issue with the representation of the data.

CCG to review all CCG IAF indicators, understand variation and address any

required improvements. This will be reviewed formally at the next meeting.

ED & Cancer performance was discussed at length, and CCG acknowledged they

need to adopt a different approach to system management verses the current

organisation management they have been previously used to. It was agreed there is

a need to raise specific issues (e.g. NUH workforce, Rotas & minors performance)

more formally than has been previously.

CCGs agreed that they need to work better together to hold the providers to account

where performance issues occur.

RT

VB

VB

CCG

All ASAP

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Sustainability

The CCGs need to ensure that the STP and NUH/SFHFT merger FBC are aligned.

CCGs to also ensure that STP is fully reflected in 2017/18 and 2018/19

commissioning intentions, operational plans and contracts.

JB

Q2

Finance and Activity

CCG agreed they will need additional QIPP schemes to enable them to hit their

control totals, these will need to start delivering in year and continue into 17/18.

(both CCGs are currently ~£1.5M short for the year, but have ~£1M in place already)

Vicky formally raised that Rushcliffe CCG have the same population as Newark &

Sherwood CCG but ~£20M per year less funding.

JB

Q2

Leadership

STP work is on going on how to effectively integrate the current planning areas of

mid and south Nottinghamshire together for the STP, NHSE expressed that the STP

plan has to be a cohesive plan, but containing the detail on how this will be

delivered, the current plan was assessed as being very light on detail. Local

variations are acceptable (and in some cases unavoidable) as long as there are valid

reasons detailed for these.

VB

Ongoing with STP