Agenda and minutes

(Special Meeting), Health Overview & Scrutiny Panel - Monday, 2nd September, 2019 2.00 pm

Venue: The Council Chamber, Moorlands House, Stockwell Street, Leek. View directions

Contact: Sally Hampton - Member & Community Support Officer  Tel: 01538 395429 Email:

No. Item


Notification of Substitute Members, if any.


Councillor Hoptroff substituted for Councillor Price.


Declaration of Interests:

·         Disclosable Pecuniary Interests

·         Other Interests


Agenda No.

Member Declaring Interest

Nature of Interest





Item 4 - North Staffordshire Clinical Commissioning Group (Annual NHS England Assessment)



Cllr Redfern

Other – Employed by University Hospitals of North Midlands.

Cllr Jones

Other – Employed by the West Midlands Ambulance Service.

Cllr Riley

Other – A family member is employed by the NHS.



North Staffordshire Clinical Commissioning Group (Annual NHS England Assessment) - Marcus Warnes , Accountable Officer. pdf icon PDF 495 KB


At the request of the Panel, Marcus Warnes – Accountable Officer, North Staffordshire Clinical Commissioning Group, was in attendance in response to the recent Annual NHS England Assessment.


The Officer highlighted the key points within the report and explained to the Panel that CCGs were assessed against four categories defined as Better Health, Better Care, Sustainability and Leadership across the Integrated Care System. Each CCG then received an overall assessment that placed their performance in one of four categories: outstanding, good, requires improvement, or inadequate.


In the 2018/2019 annual assessment, five of the six CCGs in Staffordshire and Stoke-on-Trent had been given an overall rating of Inadequate with only East Staffordshire CCG rated as good.


The key area of concern for the CCGs rated as inadequate related to the continued financial challenges they had faced during 2018/19. There had been a significant deterioration in the financial position for North Staffordshire CCG and Stoke-on-Trent CCG and the underlying deficit across Staffordshire and Stoke-on-Trent had exceeded £100million.


Some of the financial difficulties had arisen due to over performance of acute contracts and costly out of area placements for mental health patients.   The CCG prioritised patient safety and would not compromise this at the expense of financial challenges; however, this still needed to be addressed, not just as individual CCGs but by working together across the local healthy economy.


As commissioners, the CCG had a clear understanding of how it needed to address its financial issues and worked closely with providers and an Intelligent Fixed Payment system that had been introduced.


The CCGs would now continue to develop high impact improvement plans for each of the areas identified and would consider interim measures to provide assurance that improvements were taking place.


NHS England had recognised that the CCGs in Staffordshire and Stoke-on-Trent had made significant achievements in the last 12 months such as:-


·         Improved Accident and Emergency, especially at the University Hospitals of North Midlands (UHNM), which was now one of the most improved in the country.

·         Delayed Transfers of Care (DTOCs) had dramatically reduced. DTOCs related to patients who didn’t need to be in hospital but were in a bed because the support they needed to live at home was not available. Month-on-month they have declined by over 40 per cent across Staffordshire and Stoke-on-Trent.

·         UHNM was now one of the highest achieving trusts for cancer targets, which had resulted in Staffordshire receiving additional funding through the West Midlands Cancer Alliance.

·         Investment in mental health services had been increased and now met the national standard across Staffordshire and Stoke-on-Trent.

·         All Staffordshire and Stoke-on-Trent GP practices were now members of a Primary Care Network which meant they would collaboratively work at scale and were looking to offer more and better services to patients.


Discussion took place around how the CCG planned to get back into financial balance and the use of formal powers of direction being a last resort. Members raised their concerns in relation to the lack of capacity in the area  ...  view the full minutes text for item 51.