Minutes of the meeting of the NHS Nottingham City CCG People s Council Present Brian Burdus Maxine Davis (Chair) Lisa Del Buono Rob Gardiner Jasmin Howell (Vice-chair) Amdani Juma Mohan Khera Rebecca Peirce (Vice-chair) Ursula Holdsworth In Attendance Lucy Branson Lewis Etoria Tracie Baker Owen Anthony Thursday 15 October 2015 18:30 20:30 Park Inn, Mansfield Road, Nottingham, NG5 2BT Associate Director of Corporate Development Head of Engagement & Communications Engagement Co-ordinator Engagement and Inclusion Officer Cumulative Record of Members Attendance from April 2015 Name Possible Actual Name Possible Actual Maxine Davis 5 4 Angela Kandola 5 3 Jasmin Howell 5 5 Lisa Del Buono 5 2 Rebecca Peirce 5 5 Paul Watts 5 2 Rob Gardiner 5 4 Ursula Holdsworth 5 5 Amdani Juma 5 3 Kinsi Clarke 5 2 Mohan Khera 5 3 1. Welcome and Apologies for Absence Maxine welcomed everyone to the meeting; introductions were made to Brian Burdus and Lewis Etoria for those who had not met them previously. Apologies were received from Angela Kandola, Paul Watts, and Kinsi Clarke. Page 1 of 5
2. Declarations of Interest There were no declarations of interest. 3. Agreement of how any real or perceived conflicts of interest are required to be managed No conflicts of interest were identified. 4. Minutes of the People s Council meeting held on 18 June 2015 The minutes were agreed as an accurate record subject to amendments being made and agreed to items six and ten. These amendments will be written by Jasmin Howell for item 6 and Lucy Branson for item 10 then submitted to People s Council members for approval. LB JH 5. Action Log The action log was reviewed. A discussion was held on what form a summary of topics from items raised at Governing Body would take. As a member of the Governing Body Maxine Davis agreed to identify matters that should be brought to the attention of the People s Council and provide a summary at the following meeting. She advised the People s Council that the minutes from Governing Body meetings are available on line for anybody interested in more detail. MD 6. Feedback from Chair/Vice Chair Jasmin Howell brought it to the attention of the People s Council that the work of the Care Homes Vanguard project had been presented to the Quality Improvement Committee. The report on engagement carried out so far reflected some of the recommendations made by the People s Council, but not all. Lucy Branson asked people to note that staff changes in the Care Homes Vanguard team may have led to some engagement proposals being omitted from the report to the Quality Improvement Committee. She also clarified that responsibility for reporting back on engagement brief sits with the Engagement, Communications and Equality team of the Clinical Commissioning Group. 7. Review and Development of Approach to Engagement Following on from the presentation in September of an overview of the People s Council Work Programme, Lewis Etoria provided a report and action plan which gave a clear indication of how the CCG proposes to deliver meaningful engagement over the next three years. The paper made six proposals to develop the way the CCG engages with the public. Briefly these are: Page 2 of 5
The introduction of grant funding for engagement by voluntary and community sector organisations. Support for City Patient Participation Groups (PPGs), including proposals to provide funding for membership of the National Association of Patient Participation (NAPP). A re-launch of the Nottingham City Voices Network, to allow people who are unable to attend engagement events to contribute their views to the CCGs proposals. Increased use of social media to support engagement. Refresh of the CCG s engagement framework to reflect a new approach to engagement, including changes in how the CCG works with the voluntary and community sector. Refresh of the CCG s Engagement Toolkit to provide clear guidance and support for commissioners within the CCG. The discussion of the paper that followed focussed mainly on the proposal relating to the introduction of grant funding for engagement by voluntary and community sector organisations. The idea of a single provider organisation being funded to create and maintain an engagement providers network was discussed in detail. A number of members of the People s Council declared that they represented voluntary sector organisations that would be affected by the proposals and as such they had a potential conflict of interest in discussing the proposed grant funding model. Lucy Branson clarified that as the advice of the People s Council was being sought on the model being proposed, rather than specific decisions on funding, there was no conflict. Members of the People s Council were positive about the proposal to actively source engagement work from the voluntary sector. Voluntary and community sector organisations have direct contact with many of the groups that the CCG is seeking to engage with but a number of members felt that the idea of a single provider to deliver and monitor this had significant flaws. Questions were raised as to how the work would be evaluated. Lewis confirmed that the model would be launched as a pilot, with independent evaluation factored in. Members of the People s Council felt it was important to consider the political picture within the voluntary and community sector in Nottingham but it was acknowledged that the complexity of the sector meant that a solution that would please every organisation was not possible. Members of the People s Council felt that the most important thing for the CCG to achieve was a transparent process where all parties could see and understand how decisions were made. Questions were raised as to whether the single provider would be directly awarded or whether a competitive tender process would be followed, if the CCG chose to implement the model in this way. Lewis Etoria explained that no decision had been taken as to what the final proposal would be. The final model and the method for implementing it would be Page 3 of 5
dependent on feedback received from the People s Council, and other feedback from the voluntary and community sector. This includes a presentation given at Nottingham Community and Voluntary Services (NCVS) Annual Meeting and a planned presentation to the shadow Health and Wellbeing Board. Due to the limited time available to discuss the proposed model it was suggested that interested parties form a sub group to explore the proposal in detail. Maxine Davis, Lisa Del Buono and Amdani Juma expressed an interest in taking part. Lisa Del Buono asked that the sub group meet during the day. The sub group was asked to provide feedback on the principles expressed in the document and not the specifics in order to avoid potential conflicts of interest. The People s Council also discussed the proposal to relaunch the Nottingham City Voices network, which is a network of members who have registered to become involved with decisions about health services. There was a degree of confusion as to the difference between the Nottingham City Voices network run by the CCG and the City Voices panel run by Nottingham City Council. Tracie Baker identified the role and scope of City Voices Council programme and explained how this differed from the Nottingham City Voices network run by the CCG. MD LDB AJ 8. 2015/16 Engagement Plan Tracie Baker gave an overview of engagement work carried out by the CCG since the engagement plan was brought to the People s Council in May. She reported on progress following engagement on a number of projects, including: Mental health commissioning, Crisis Concordat work, termination of pregnancy services, podiatry services, and the integration of services for children and young people with acute and additional needs. Maxine Davis thanked Tracie Baker for the update. The People s Council then discussed what information could usefully be provided in further feedback reports. It was agreed that future updates would focus on the approach taken to engage and how well the targeted communities had been reached. 9. Integration of services for children and young people with acute and additional needs/emergency admissions for young people. This item was covered under agenda item number eight. 10. Community Health Updates- Feedback Report No items had been raised as community health updates during the past quarter so no feedback report was produced. 11. Community Health Updates There were no updates. Page 4 of 5
12. Items for escalation to the Governing Body No items were identified. 13. Any Other Business Maxine Davis drew the attention of People s Council members to the fact that the October meeting will be the last one attended by Rebecca Peirce. Maxine explained that Rebecca had been a member of the People s Council since it was formed in 2013 and that before that she had been an integral part of the work to set the council up. Maxine thanked Rebecca for the contribution that she made to the work of the CCG, her support in the chairing and planning of meetings and wished her success in her new endeavours. Rebecca thanked everyone for their support over the time that she had been a part of the People s Council and noted that it had made significant progress in supporting the engagement undertaken by the CCG. She looked forward to the implementation of the proposals made by Lewis Etoria and thought that they would make a positive impact on the engagement carried out by the CCG. Rob Gardiner and Ursula Holdsworth asked whether a new lay representative of the CCG would be attending People s Council. Lucy Branson explained that as the CCG had recently resumed responsibility for the commissioning of primary care services the role of Lay Representatives was being reviewed and that there might not be the resource available to have three lay members attending People s Council. Lewis Etoria informed members of the People s Council that part of the proposals made to develop the CCG s approach to engagement included a review of the People s Council to enhance its effectiveness as a representative body for the people of the City. 14. Evaluation of Meeting The meeting finished at 8.30 and was felt to be productive. Date of Next Meeting Thursday 19 November 2015 6.30 8.30pm New Art Exchange, Gregory Boulevard, Hyson Green, NG7 6BE Page 5 of 5