Minutes:
(1) The chairman asked the accountable officers from each of the clinical commissioning groups to give an update. The updates will be circulated to members of the Board
(2) Paul Carter suggested having a performance dashboard for “what good looks like”. The indicators should be reviewed against the outcomes listed in the Health and Wellbeing Strategy.
(3) West Kent CCG
Ian Ayres reported that:
· Performance in West Kent is on track at the end of month one.
· Activity at Maidstone and Tunbridge Wells hospitals is running slightly below plan and finances for the CCG as a whole are at budgeted levels.
· Urgent care performance is the key cause of concern with delays to admissions from A&E failing to meet the four-hour target. This continues a trend seen through the winter and, although overall activity had not increased, patients needing admission were sicker than normal and required longer stays in hospital. Performance has improved over the four weeks and the trust is currently meeting the four-hour target.
· Discharges from hospital to home or into care have continued to be challenging. All agencies have been working together to ensure patients are able to leave hospital and receive rapid and appropriate re-ablement services.
(4) Dartford, Gravesham and Swanley CCG
Patricia Davies said that:
· The eight clinical commissioning groups have agreed to take the lead on contracts as follows:
o DGS are the lead commissioners for Darent Valley Hospital, the North Kent health economy contract with KCHT, Fawkham Manor and London;
o Swale CCG are the lead commissioners for SECAmb, 111 and host the North Kent Quality Team;
o Both DGS and Swale CCGs hold contracts with KMPT, MTW, EKHUFT, MFT;
o Swale CCG holds a contract with MCH;
o West Kent CCG provides the lead commissioning role for KMPT, MTW;
o Ashford and Canterbury CCGS provide the lead commissioning role for EKHUFT
o Medway CCTG provide the lead commissioning role for MFT, MCH and hosts the Safeguarding team for all eight CCGs in Kent and Medway.
· Darent Valley Hospital achieved all of the NHS constitutional targets for 2012/13. For month one the A&E figures were at 93% and in May 2013 was in excess of 97%. It is anticipated that the trust will achieve the quarter one gateway performance of 95% or above.
· Achieving targets relating to cancer treatments remains challenging and work is continuing with the trust to resolve issues.
· Single point of access went live at end of April for both Swale and DGS CCGs and feedback from GPs on the first three weeks of operation had been very positive.
· Medway Foundation Trust had been identified as requiring a review and support following the Francis report. A report on the findings of the review is imminent.
· North Kent CCGs have developed a joint steering group with KCC to monitor Section 75 agreements and jointly agree the commissioning plans for re-ablement and social care funds locally and are looking at opportunities for joint commissioning, streamlining processes and joint working.
(5) East Kent CCGs
Simon Perks said that:
· Performance for month one was broadly on track.
· Performance in outpatients in EKHUFT in cancer and children’s services is being reviewed.
· Spend is at budgeted levels.
· Work is underway to build greater sustainability into the orthopaedic waiting list position.
· Waits in A&E had exceeded four hours but are now on target.
· There is now a focus on the effective discharge of patients.
(6) RESOLVED that a review of performance against the priorities set out in the HWB Strategy be included as a standing item on agendas for the Health and Wellbeing Board.