Date: / 8 February 2016
Time: / 4.00pm
Venue: / Evolve, Houghton le Spring
AGENDA
1. / INTRODUCTION / Lead / Enclosure
1.1 / Welcome and Apologies / RM
1.2 / Declaration of Interest / ALL
1.3 / Minutes of the previous meeting (11.11.15) / ALL / Enc 1
1.4 / Matters Arising
1.4.1 / Network Update / AF
1.4.2 / Telemetry- NEAS update / AF
2. / AGENDA ITEMS
2.1 / CCG Forum Update / RM/GS/AF
2.2 / Clinical Leads Event Update / RM / Enc 2
2.3 / Vascular Services Review / PD
2.4 / Stroke Report Update / AF
FOR INFORMATION
2.9
3. / STANDING ITEMS
3.1 / Performance Report / LW / Table
3.2 / Work Plan RAG Tracker / ALL / Table
3.3 / Any Other Business / ALL
3.4 / Meeting Dates 2016
Wednesday 11 May 2016 (9.00 – 11.00am)
Monday 12 September 2016 (4.00 – 5.30pm
Wednesday 9 November 2016 (9.00 – 11.00am)
Evolve Business Centre, Houghton le Spring / ALL
4. / MEETING CLOSE
Enc 1
Name of Group: / North of England Cardiovascular Steering GroupDate: / 11 November 2015
Time: / 9.00am
Venue: / Evolve Business Centre, Houghton-le-Spring
Present:
In Attendance / John Bourke, Clinical Lead, NESCN
Peter Dixon, Senior Service Specialist, NHS England
Alison Featherstone, Network Manager, NESCN
Kevin Fitzpatrick, ADM BHF
Robin Mitchell, Clinical Director, NESCN
Peter Moore, Regional Director, Stroke Association
Dougie Muir, Clinical Lead, NESCN
Rahul Nayar, Diabetes Lead, NESCN
Susanna Young, Network Admin Support, NESCN / JB
PD
AF
KF
RM
PM
DM
RN
SY
Apologies: / Ahmed Fuat, Primary Care Cardiology, CDDFT
Mikki Golodnitski, Senior Deputy Manager, Hambleton, Richmondshire & Whitby CCG
Sue Gordon, Public Health England
Stuart Huntley, Stroke Clinical Lead, NESCN
Stephen Kardasz, Renal Clinical Lead, NESCN
Angela Kennedy, Psychology Lead, NESCN
Nigel Rowell, Primary Care Lead, NESCN
Gerard Stansby, Vascular Clinical Lead, NESCN / AF
MG
SG
SH
SK
AK
NR
GS
1. / INTRODUCTION / ACTION
1.1 / Welcome and Apologies
RM welcomed everyone to the meeting and introductions were made. Apologies were noted as above.
The group noted that they were not quorate.
1.2 / Declaration of Interest
There were no declarations of interest.
1.3 / Minutes of the previous meeting
The previous minutes were confirmed as a correct record of the meeting.
1.4 / Matters Arising
1.4.1 / Network Update
AF provided an update on the current network review. The network staff are still affected by change, further updates on the Smith Review are expected soon. AF informed the group that the network is currently working with approx. 40% staff vacancy. Short term recruitment to vacant posts can be done but only until March 2016,the recruitment process is time consuming therefore the network has taken the decision not to recruit to vacant posts at the moment.
AF recognised that there is a risk that Network business and engagement may be impacted due to the resource issues.
A positive note is that to date most of the network staff are committed to stay, this has not been the case for other colleagues nationally who have significantly less staff.
AF informed the group that the NCD posts are being reviewed and that some of the posts will not continue from March 2016.
Jim Mackey (Northumbria Trust) has been appointed to NHS Improvement, a new organisation, as their Chief Executive.
1.4.2 / Terms of Reference – Sign Off
The terms of reference have been amended following discussions at the last meeting and the group agreed to sign these off.
1.4.3 / Addressing the Emotional Needs of People with a Physical Condition
AK has made contact with the Clinical leads.
2. / AGENDA ITEMS
2.1 / Comms
The networks do not currently have communication personnel. A piece of work is being undertaken with a communications company who currently work with the AHSN and Research Network to scope the Networks needs with the aim of improving our communications.
2.2 / Data/Intelligence
Previously circulated for comments however the leads asked for the report to be sent separately as this may get missed when attached with minutes. AF asked for any comments on content and format to be forward to
It was reported that the data within this report is restricted and will be circulated with the minutes however the group were informed that they were not for wide dissemination. / AF/SY
2.3 / Work Plan Report / Enc 2
The network has developed a RAG tracker in relation to the work plan to track progress at each meeting. (Attached). The group agreed the RAG tracker format. It was noted that only red sections will be discussed in any detail at meetings. It was requested that the word for the colour be added to the colour box. / SY
2.4 / Prevention and Awareness Update / Enc 3
AF presented the update on prevention and awareness which was shared with the group in advance of the meeting. The group discussed mixed messages that the public receive with regards to diets/foods and what is good and what is not.
2.5 / Resilience and Future-proofing Stroke Services for the North East and Cumbria / Enc 4
This report has been sent out to all CCGs and providers. The Group discussed the content this included discussions regarding any implications for the ambulance service. AF informed the Group that it will also be presented at the CCG Forum in December.
Discussions were held regarding the possibility of having an informal Peer Review process for cardiovascular as it has worked well for cancer.
2.6 / Primary PCI Pathway / Enc 5
DM presented the report which was shared with the group in advance of the meeting.
Discussions were held relating to telemetry and the group agreed that the pathway should not be changed. AF confirmed that NEAS supported the need for new machines to have telemetry however the Network are not sure if this has been confirmed as the case.
RM to contact NEAS to get clarification on the discussions held today. / RM
2.7 / FH Update / Enc 6
The FH update report was shared with the group in advance of the meeting.
FOR INFORMATION
2.10 / Clinical Leads Event – 9 December 2015 / Enc 7
RM noted that information for this event has been sent out however the uptake has not been good. An updated programme will be sent out with the minutes.
DM suggested that future events be held in an evening and attendance may be greater. / SY
3. / STANDING ITEMS
3.1 / Any Other Business
Vascular Centres
PD provided an update on Vascular Centres. North Cumbria have had confirmation of their extension to the SLA with Dumfries and Galloway. Two Vascular Society surgeons have been nominated to undertake the review of Centres in the North East. . Timescales have not been agreed yet but no later than early 2016.
National CVD SCN meeting. AF attended on 22 October. There was some discussion about the format of that meeting with a suggestion that future meetings may have combined generic items in the morning with breakout sessions in the afternoon.
3.2 / Next Meeting
8 February 2015, 4pm, Evolve Business Centre
4. / MEETING CLOSE
RM brought the meeting to a close.
Enc 2
Clinical Leads Update Meeting
Report from event held on 9 December 2015
Introduction
The purpose of the event was to provide Network clinical leads with an opportunity to look at:
- The Clinical Networks role within the NHS landscape.
- Update on “cross cutting” themes identified in October 2014.
- Addressing the work plan needs for 2016 and beyond.
- Networking opportunities to share new information and knowledge.
The event was aimed at a mixture of delegates who all have a clinical leadership role within the four clinical networks. The event was chaired by Dr Robin Mitchell, Clinical Director and Roy McLachlan, Associate Director and was well attended with an audience of 42 delegates. See Appendix 1 for the programme and Appendix for delegate list.
Presentations
The speaker’s presentations were thought-provoking and generated a good deal of interest and yielded lively discussion from the floor. Questions raised included
- How are Network GP Leads connecting up with CCG GP Domain Leads and do Network Leads know their commissioners? One suggestion from the floor was to read the NHS England Commissioning Intentions
- How does NICE Guidance inform commissioning intentions? One suggestion was for secondary care to implement NICE guidance and monitor through assurance routes. The CCG Forum may be a forum to consider regional issues.
There was further discussion around
- New models of care and how CCGs are starting to work on whole health economies with CCGs clustering with providers to develop ways of working.
- Vanguards.
- Measuring what we do – Do we measure our strength by the number of people we bring together across different services and organisations? Is there a framework that we can use? Suggestions from the floor included a short questionnaire about value.
- Communications – The Network is currently working with the Communication Lead from the Academic Health Science Network for North East and North Cumbria to review and clarify the Network’s key messages, define target audiences and look for opportunities to increase engagement with agreed stakeholders using a range of communications activities. Ideas included regular communications with support officers and managers and website alerts.
All presentations are available on our website
Workshops
The purpose of the workshops was to provide delegates with an update from the cross-cutting work of the Network and was divided into two sessions. In the first session, participants attended Public and Patient Involvement and End of Life. During the second session, participants attended Prevention/Awareness/Early Diagnosis and Person Centred Care/Shared Decision Making. Actions from the workshops
Public and Patient Involvement - Children and young people are a particular group where more work needs to be done. Further discussions will take place at Child Health Clinical Advisory Group on 21 April 2016.
End of Life - Deciding Right app is available on the Google Play of Apple app store with version 2 in the final stages. Diseases other than cancer having the same quality of access to palliative and end of life care will be taken back to the Palliative and End of Life Care Group on 10 December 2015.
Prevention/Awareness/Early Diagnosis- NESCN will review the joint work programme developed with Public Health England North East to ensure that all Networks are reflected in the plan. The work plan is available on the NESCN website and will be shared with each of the network groups.
The conversations on the day identified a need to understand the different levels of interventions that health care professionals can offer. These can range from an early brief conversation to plant the seed with patients to make lifestyle changes, to a more detailed intervention to help them recover from illness or improve their condition. We touched on offering information or support to access lifestyle interventions, through to actively delivering the interventions. Clinical Leaders can also play an important part in influencing others to ensure that prevention is seen as everybody’s business. NESCN will explore the possibility of developing a quick reference guide to different levels of intervention that may be appropriate at the various stages of the healthcare pathway.
Person Centred Care/Shared Decision Making-the project leads are currently
shaping a project proposal to support practical implementation and leadership in shared decision making – the conversations from the tables at this event will inform the proposal and further views will be sought from the group in coming weeks.
Evaluation of the Event
A total of 42 people attended the event and 20 evaluation forms were completed, this being 48% of the delegates. 17 of the 20 evaluations forms that delegates returned reviewed the event as interesting and 16 useful professionally. 16 of delegates were satisfied with the content, 17 with speakers and 19 with the overall organisation.
All comments and scorings received from the evaluation forms will be reviewed aiming to continue with what works well and improve in identified weak areas.
Next Steps:
A follow on meeting was suggested and two topics were proposed
- Our role in transformational change
- 7 day working for elective services
- How do we become more efficient?
Finally, our appreciation goes to the presenters and all those who participated in the workshops and making the event a success.
Clinical Leads Update Meeting
Wednesday 9 December 2015 9.00am – 13.30pm
Durham County Cricket Club, Riverside, Chester Le Street, DH3 3QR
Agenda
9.00 / Registration and refreshment9.15 / Background to the day / Dr Robin Mitchell
Clinical Director
NECN
9.20 / Clinical Networks – The future? / Roy McLachlan
Associate Director
NECN
9.30 / Commissioning
Specialised Commissioning
Questions and Answers / Anne Greenley
Head of Clinical Quality
North of England Commissioning Support
Kaeti Seth
Senior Supplier Manager
NHS England
10.00 / Transformational change – an NHS England Perspective
- Including Vanguards
Assistant Director: Clinical Strategy
NHS England – Cumbria and the North East
10.30 / Break for coffee
11.00 / Facilitated workshop – Updates from the Cross-Cutting work of the Networks / Alison Featherstone
Suzanne Thompson
Clinical Network Managers
NECN
First session
11.00 / Table 1
Public and Patient Involvement
Michelle Wren, Network Delivery Facilitator, NECN
Sam Harrison, Senior Communications and Engagement Manager NHS North of England Commissioning Support Unit
Network Facilitator – Barbara Convery / Table 2
End of Life
Adrienne Moffett, Network Delivery Team Manager, NECN
Dr Kathryn Mannix, Consultant in Palliative Care Medicine, NECN Lead for End of Life
Network Facilitator – Anne Richardson
Second session
11.30 / Table 1
Prevention/Awareness/Early Diagnosis
Jo Phillipson, Network Delivery Team Manager, NECN
Julie Owens, Public Health Lead for early diagnosis of cancer, NECN
Network Facilitator – Claire Braid / Table 2
Person Centred Care/Shared Decision Making
Lou Wilson, Network Delivery Team Manager, NECN
Dr Angela Kennedy, Consultant Psychologist, NECN Lead for Psychological Therapies
Network Facilitator – Elaine Stephenson
12.00 / Pause and Coffee
Feedback from tables / Network Facilitators
12.20 / Overview of Vanguard / Andrew Cratchley
North East Urgent and Emergency Care Network
Vanguard Programme Director
12.50 / How do we measure and communicate our work? / Roy McLachlan
Associate Director, NECN
Kirsty Taylor, Communications Director, Academic Health Science Network for North East and North Cumbria
13.20 / Next steps/close / Dr Robin Mitchell
Clinical Director, NECN
Roy McLachlan
Associate Director, NECN
13.30 / Lunch and close
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Appendix 2
Delegate List
Surname / First Name / Job Title / OrganisationBraid / Claire / Network Delivery Team Lead / Northern England Clinical Network /
Branson / Tony / Medical Director / North of England Cancer Network /
Cairns / Andrew / Consultant Perinatal Psychiatrist / NTW NHS FT /
Clark / Ben / Assistant Director: Clinical Strategy / NHS England – Cumbria and the North East /
Convery / Barbara / Macmillan Patient Experience Project Manager / Northern England Clinical Network /
Cratchley / Andrew / Vanguard Programme Director / North East Urgent and Emergency Care Network /
Dalhuijsen / Johannes / Primary Care Lead Mental Health/Dementia / Northern England Clinical Network /
Elliott / Katie / GP Clinical Lead for Cancer / Northern England Clinical Network /
Featherstone / Alison / Clinical Network Manager CVD and Cancer / Northern England Clinical Network /
Greenley / Anne / Head of Clinical Quality / North of England Commissioning Support /
Harrison / Sam / Senior Communications and Engagement Manager / NHS North of England Commissioning Support Unit /
Holt / Anne / Head of Midwifery / CDDFT /
Hosie / Gareth / Consultant Paediatric Surgeon / Newcastle Hospitals /
Hudson / Mark / Consultant Hepatologist and Gastroenterologist / Freeman Hospital /
Jackson / Ralph / Consultant Radiologist / Newcastle Hospitals /
Jones / Kath / Network delivery Team Lead / Northern England Clinical Network /
Kardasz / Steven / Renal Surgery Consultant / South Tees Hospital /
Kennedy / Angela / Consultant Psychologist / Northern England Clinical Network Lead for Psychological Therapies /
Killen / Jeremy / Consultant Physician / Gateshead Health NHS FT /
Lawson / Geoff / Consultant Paediatrician / City Hospitals Sunderland /
Long / Sue / Network Educational Lead / Northern England Clinical Network /
Mannix / Kathryn / Consultant Psychologist / Northern England Clinical Network Lead for Psychological Therapies /
McGurk / Vicci / Network Delivery Team Lead / Northern England Clinical Network /
McLachlan / Roy / Associate Director / Northern England Clinical Network /
Mitchell / Robin / Clinical Director / Northern England Clinical Network /
Moffett / Adrienne / Network Delivery Team Manager / Northern England Clinical Network /
Nayar / Rahul / Consultant in Endocrinology/Diabetologist / City Hospitals Sunderland /
Newman / David / Network Delivery Lead / Northern England Clinical Network /
Owens / Julie / Public Health Lead for early diagnosis of cancer / Northern England Clinical Network /
Phillipson / Jo / Network Delivery Team Manager / Northern England Clinical Network /
Richardson / Anne / Network Delivery Facilitator / Northern England Clinical Network /
Rowell / Nigel / Primary Care Lead CVD / Northern England Clinical Network /
Seth / Kaeti / Senior Supplier Manager / NHS England /
Stansby / Gerry / Professor Vascular Surgery / NUTH /
Stephenson / Elaine / Network Delivery Lead / Northern England Clinical Network /
Suresh Babu / Kannan / Consultant Psychiatrist Crisis Team and Associate Clinical Director / TEWV /
Tacchi / Mary-Jane / Consultant Psychiatrist / Northumberland, Tyne and Wear NHS Trust /
Tasker / Chris / GP Cancer Lead/CCG Lead / Newcastle North and East CCG /
Taylor / Kirsty / Communications Director / Academic Health Science Network for North East and North Cumbria /
Thompson / Suzanne / Clinical Network Manager MHDNC and M & CH / Northern England Clinical Network /
Wade / Deborah / Infant Feeding Coordinator / Northumbria Healthcare FT /
Williamson / Steven / Consultant Cancer Pharmacist / NHS England /
Wilson / Lou / Network Delivery Team Manager / Northern England Clinical Network /
Wren / Michelle / Network Delivery Facilitator / Northern England Clinical Network /
1