TCB and PEC minutes

TRANSFORMATIONAL COMMISSIONING BOARD

Summary of the meeting held 28 October 2010

• Presentation given on the Joint Strategic Needs Assessment/Public Health Annual Report 2010.
• Update given on the Inpatient Beds Reconfiguration and TCB agreed to the direction of travel.
• Update given on the work of the CVD Board.
• East Lancashire Child & Adolescent Health Service provision update given.  A single clinical pathway to be developed to ensure appropriate referrals and a single service specification was also to be developed Lancashire-wide with a single service provider.
• Intermediate Children’s Services/Paediatric Very High Intensity Users – update given on the work being undertaken to ensure unnecessary paediatric admissions and families accessing the right services.
• Unscheduled Care – work progressing, estates issues and financial model being developed.
• Progress of Review Ratio for Clinical Haematology – agreement with the clinical model; the pathway and governance pathway had been agreed.  Work to be undertaken on the new to follow up ratios.  Business case being worked on.
• Presentation given on the service model options for delivery of a community based DVT service.
• Integrated musculoskeletal service redesign – confirmation received that there was agreement across the health economy for the vertically integrated service.  Financial model to be developed.
• Community based clinical radiological service for Blackburn LIFT agreed.
• Glaucoma IOP Referral Refinement Scheme to reduce secondary care referrals by 50%.  LES to cover the provision of a referral refinement service for patients with suspected Ocular Hypertension.
• Pathology reconfiguration – group established to develop recommendations, at the request of the Strategic Health Authority.
• Blackburn LIFT Pharmacy Specification approved.

PROFESSIONAL EXECUTIVE COMMITTEE

Summary of the meeting held 1 November 2010

• Presentation given on Foundation and GP Specialty Training by Kathryn Davies, Postgraduate Education Development Manager on work undertaken since 2005 to date.
• Adult Safeguarding presentation given by Susan Crorken, Head of Safeguarding to inform members of their responsibility to safeguarding adults and how to access the service.
• The Do Not Attempt CPR Policy was approved following amendments to the Information Sharing Agreement.
• Corporate Performance Report for September presented for information.
• Exception Reporting Framework was approved.
• NHS Performers List Update and action plan presented for information and noting.
• Quality Assurance Report for September presented for information.
• Summary given on the Transformational Commissioning Board meeting held 30 September 2010.
• NICE Guidance for August and September 2010 presented for information.
• Minutes presented for information and noting from – Pennine Lancashire NICE Group held 2 September 2010; Medicines Management Board held 19 August and 16 September 2010; Contractor Services Panel held 19 August 2010 and GP Appraisal Steering Group held 2 September 2010.
• Review of PMS Contracts was agreed.
• Concern re cost of CQC registrations for GDPs was raised.