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July 31st Sponsor Board Minutes & Actions
Burfoot Court Room, Counting House, Guys Hospital, London
Attendees
Name
Role
Organisation
Nicola Kingston (NK) interim dep. For
Will Nicholson
Citizens Representative
Citizens’ Board
Peter Hewitt (PH)
Chief Executive
GST Charity
Ron Kerr (RK) (Chair)
Chief Executive
GSTT
John Moxham (JM)
Director of Clinical Strategy
KHP
Andrew Eyres (AE)
Chief Officer
Lambeth CCG
Adrian McLachlan (AML) (co-Chair)
General Practice Lead
Lambeth CCG
Jenny Law (JL)
LMC Chair
Lambeth LMC
Ruth Wallis (RW)
Director of Public Health
LB Southwark
Mark Kewley (MK)
Director or Strategy & Design
SLIC
Liz McAndrew (LM)
Programme Director
SLIC
Christian Fenn (CF)
Project Manager
SLIC
Andrew Bland (AB)
Chief Officer
Southwark CCG
Tamsin Hooton (TH)
Director, Service Redesign
Southwark CCG
Jonty Heaversedge (JH)
Clinical Lead for Integration
Southwark CCG
Jim Crook (JC)
Interim Strategic Director Children & Adult
Services
LB Southwark
Alvin Kinch (AK)
Citizens Representative
Citizens’ Board
Vanda Clarke (VC)
Interim Programme Director
SLIC
Dr Tyrrell Evans (TE)
Co-Chair, Provider Model Group
Lambeth & Southwark
Emerging Leaders Programme
Chief Executive
KCH
Tim Smart (TS)
Dr Ingrid Wolfe (IW)
Miranda Jenkins (MJ)
Matthew Doyle (MDy) (agenda item 5)
Director, Evelina London Child Health
Programme
Head of Strategic Development, Evelina
London Child Health Programme
GSTT
GSTT
Interim Communications Lead
SLIC
Name
Role
Organisation
Robert Lechler (RL)
Executive Director
KHP
Kathy McAdam-Freud (KMF)
LMC Co-Chair
Southwark LMC
Elizabeth Rylance-Watson (ERW)
Citizen Representative
Citizens’ Board
Helen Charlesworth-May (HCM)
Director of Integrated Commissioning
LB Lambeth
Apologies
1
Matthew Patrick (MP)
Chief Executive
SLaM
Merav Dover (MD)
Chief Officer
SLIC
Olufemi Osonuga (OO)
General Practice Lead
Southwark CCG
Claire Lloyd (CL)
LMC Co-Chair
Southwark LMC
Actions
No.
1
2
Title
Citizen’s
Engagement
IT
3
Communications
Description
Create a standing agenda item in every Sponsor
Board where we cover citizen’s engagement
Invite Scott Sommerville and Cormac Breen to
present at the next Sponsor Board the latest
developments in respect to taking forward the
system enabler work on IT
Key messages and Q&A to be finalised and issued
to the Sponsor Board
Owner
SLIC Team
Completion
th
Sept 25 Sponsor Board
SLIC Team
Sept 25 Sponsor Board
SLIC Team
Sept 25 Sponsor Board
th
th
Minutes
1. Introduction
1.1. The Chair welcomed Board members and gave apologies.
1.2. The Board reviewed the June Sponsor Board minutes, agreeing they were an accurate
reflection of the meeting, and noted the June Sponsor Board action updates.
2. Matters Arising
2.1. The Board welcomed Dr Tyrrell Evans (co-chair of the Provider Model Group), Jim Crooks
(Interim Strategic Director of Children's and Adults Services) and Jonty Heaversedge (Chair
of NHS Southwark Clinical Commissioning Group) as new members of the Sponsor Board.
2.2. Feedback from the Lambeth Health & Wellbeing Board on 9 July was provided in respect to
the issues around engagement with the Citizen’s Board and the language used by SLIC. The
Board acknowledged the omission of engagement on the July agenda due to Board
members being on leave, however it was agreed that this should be a regular agenda item
and we would come back to this in September.
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2.3. The Board discussed SLIC governance and accountability, and it was acknowledged that SLIC
had evolved from its original role and purpose. The Board was asked to note the reference
in the Chief Officers report, welcoming the consideration that was being given to
governance and accountability, and that as a core team, SLIC were ready and willing to
support the SLIC partnership as directed by the Sponsor Board.
2.4. The Board acknowledged that, despite the significant complexity in bringing together the
partner organisations, the ambitious collective vision presents a unique opportunity for
long-lasting and system-wide change.
3. Evelina London Child Health Programme
3.1. Dr Ingrid Wolfe presented on the Evelina London Child Health Programme to the Sponsor
Board and a number of discussion points arose.
3.2. The Board noted that, while the Evelina work is currently focussed on primary care and
acute settings, these are considered as starting points to tackle issues across a much
broader scope.
3.3. The need for an overarching child health strategy was also discussed and in addition it was
agreed that the Evelina London Child Health Programme team would come back to a future
Sponsor Board to present again.
4. System Enablers
4.1. The Board received an update from Adrian McLachlan on the work within the Integrated
Commissioning Group, noting the current work to deliver a new outcomes-based
commissioning framework by April 2015. A draft of the commissioning intentions is
expected by September 2014.
4.2. The Board noted key activities including the development of a fully-resourced
commissioning work plan to clarify detail around accountability and capacity within partner
organisations, and a ‘commissioning for outcomes’ masterclass, (in conjunction with the
Finance and Payment Group). The purpose of the masterclass is to increase understanding
of contracting methods that might be used to incentivise integrated care and improved
outcomes, and with a broad focus around alliance/federated contracting forms.
4.3. The Board highlighted the need for a second masterclass for Citizens Board members and
lay people, and it was confirmed that plans are in place to deliver a parallel session.
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4.4. The Board received an update from Tamsin Hooton on the work within the Finance and
Payment Group (FPG) to develop outcomes-based contracting from April 2015. The Board
noted that a mapping exercise is underway to support an outcomes-based contracting
approach, which following a steer from the ICG, will focus on the LTC and >75 population
group. The exercise is expected to be completed by mid-September.
4.5. Confirmation was sought on the progress around the integration of IT systems, specifically
towards a potential shared/single patient record. This was acknowledged as a crucial
element to an integrated care system, and it was agreed that Scott Somerville and Cormac
Breen should be invited to the next Sponsor Board to provide an opportunity to discuss this
in greater detail.
4.6. It was suggested that current technologies and media should be better utilised to
encourage and raise awareness around wellbeing among citizens and patients.
4.7. The Board were reminded of the submission that went into the GST Charity in May that
outlined the intention to co-produce an integrated information strategy in order to enable
the real-time sharing of information between all parties, and supporting shared records
that citizens and their carers can use to manage their health and care needs.
4.8. The Board received an update on the work within the Provider Model Group, reflecting
that, a number of lessons will be taken from the first workshop and incorporated into the
planning for the remaining three workshops.
4.9. The next meeting of the Provider Model Group will take place on 13th August, during which
key delivery objectives and approach for the remaining workshops will be discussed. Follow
up communication from the first workshop will not be issued until after the 13th August
meeting as agreed with the Provider Model Group chairs.
4.10. The Board members were asked to feed back on the draft ‘System Enablers Principles
Sponsor Board update’ template, designed to track progress against the principles agreed at
the May Sponsor Board. The Board was also asked to consider, and promote where
possible, the increased interaction and engagement among the FPG membership, which
contains both commissioners and providers and offers a unique opportunity to align all
three workstreams.
4.11. The Board acknowledged Tamsin Hooton’s last Sponsor Board, and noted the need to
discuss chairship options for the FPG.
5. Communications Update
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5.1. The Board received an update from Andrew Eyres and noted a number of key points,
including the need to strengthen our engagement with patients, the absence of any
mechanism to capture feedback and intelligence, and the need to ensure there is
communications capacity within the SLIC core team.
5.2. It was acknowledged that a number of detailed comments have been received in relation to
the key messages and Q&A and these will be addressed and responded to as part of the
iteration process. It was also noted that the key messages and Q&A will not be published as
a single document, but will be issued as a ‘pick and mix’ resource for all to use,
acknowledging that each organisation will want to tailor content to their
audience/requirement.
5.3. The Board noted the next steps to refine the core brief, and finalise the key messages and
Q&A, pending review of previously received feedback, and to seek sign off at the
Communications Group. It was also noted that a citizen representative should be
confirmed for the Communications Group.
6. Code of Practice
6.1. Vanda Clarke set the context that the Sponsor Board need to agree an approach in respect
to sharing the papers we produce for the monthly Sponsor Board meetings. As yet we do
not have an approach to determine which papers can be shared and the purpose of this
agenda item was to set out a proposed code of practice.
6.2. The overarching aim of this proposed code of practice is to ensure we give clear guidance to
Sponsor Board members and we take a consistent and open approach to sharing the papers
from the Sponsor Board.
6.3. The Board agreed with the scope and approach of the code of practice and were also
content with the roles and responsibilities and the six-month review period.
6.4. The Board noted that if any paper is not assigned to ‘Category 1’ for distribution, the
reasoning should be explicitly referenced within the document, itself. The Board also
acknowledged potential issues with restricted distribution prior to Board meetings, citing
the potential need to share material with delegates, or discuss material content with other
stakeholders.
7. Sponsor Board Awayday
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7.1. The Board noted that there have been difficulties in securing a date for both September
and October and that we are now looking for a date in November. The Chair noted that
until we have agreed a date for the awayday, it would be difficult to determine the exact
content for the agenda.
8. AOB:
8.1. No items were raised.
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