The Annual General Meeting of the NHS Stockport Clinical Commissioning Group will be held at Edgeley Park, Stockport at 1.30pm on Wednesday 6 July 2016

Agenda item Report Action Indicative

Timings Lead

1 Welcome and Apologies Verbal

To receive and note

13.30 J Crombleholme

2 Approval of the draft Minutes of the meeting held on 30 September 2015

Attached To receive and approve

13:35 J Crombleholme

3. Reflections on 2015/16 and Looking Ahead

Presentation

To receive and note

13:40 R Gill

4. Financial Overview 2015/16 Presentation

To receive and note

14:00 M Chidgey

5. Governing Body Lay Member Appointments

Attached To approve 14.20 A Johnson

6. Proposed Changes to the Constitution

Attached To approve 14:20 R Gill

7. Governing Body Part Two Items

Attached

To note 14:25 J Crombleholme

8. Questions from the floor

Verbal To receive 14:30 J Crombleholme

9. Closing Words Verbal To receive 14:45 J Crombleholme

NHS Stockport Clinical Commissioning Group Council of Members

Annual General Meeting

A G E N D A

Chair: Ms J Crombleholme Enquiries to: Laura Latham 07827 239332 Laura.latham1@nhs.net

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NHS STOCKPORT CLINICAL COMMISSIONING GROUP

DRAFT MINUTES OF THE ANNUAL GENERAL MEETING

OF THE COUNCIL OF MEMBERS HELD AT EDGELEY PARK, STOCKPORT ON WEDNESDAY 30 SEPTEMBER 2015

PRESENT

Ms J Crombleholme Lay Member (Chair) Dr R Gill Mr J Owen

Accountable Officer, NHS Stockport CCG Manor Medical Practice

Dr S Rafique Haider Medical Centre Dr L Hardern Adswood Road Surgery Dr M Gallagher Alvanley Family Practice Dr J Higgins Dr P Allen

Brinnington Surgery Beech House Medical Practice

Dr A Firth Bracondale Medical Centre Dr A Bayes Bramhall Park Medical Centre Dr R Beardsall Bredbury Medical Centre Dr R Tomalin Cale Green Surgery Dr A Webster Caritas General Practice Partnership Dr S Woodsworth Chadsfield Medical Practice Dr Hastings Hulme Hall Medical Group Dr J Herd Eastholme Surgery Dr I Dickie Family Surgery Dr K Menom Dr H Lloyd

Gatley Medical Centre Cedar House Surgery

Dr S Rafique Haider Medical Centre Dr A Wright Heald Green Health Centre Dr P Owen Heald Green Health Centre Dr J Wynn Heaton Mersey Medical Practice Dr R Locke Heaton Moor Medical Centre Dr J Swarbrick Heaton Moor Medical Centre Dr H Procter Lowfield Surgery Dr B Murray Manor Medical Centre Dr J Needham Marple Bridge Surgery Dr J Taylor Marple Cottage Surgery Dr H Sutherland Marple Medical Practice Dr S Cole South Reddish Medical Centre Dr G Gupta South Reddish Medical Centre Dr A Deering Springfield Surgery Dr R Patel The Guywood Practice Dr A Ghafoor The Surgery Dr H Azmy The Surgery

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Dr D Goldspink Dr S Chatterjee

The Village Surgery Vernon Park Surgery

Dr A Ghafoor Woodley Health Centre Dr I Khan Dr A Choudry Dr N Lalloo

Woodley Health Centre Woodley Village Surgery Stockport Medical Group

IN ATTENDANCE

Mr M Chidgey NHS Stockport CCG Mrs L Latham NHS Stockport CCG Mrs J Ryley NHS Stockport CCG Mr J McInerney NHS Stockport CCG Mrs E Bamber NHS Stockport CCG Ms C Comley NHS Stockport CCG Ms E Abraham-Lee NHS Stockport CCG Mr P Scott NHS Stockport CCG Mrs J Ryley NHS Stockport CCG Ms G Edwards NHS Stockport CCG Mrs L Hayes NHS Stockport CCG Ms H Mossman NHS Stockport CCG Mr R Roberts NHS Stockport CCG Ms G Eggleston Caritas Ms T Johnstone Caritas Mr P Ansbro Ms R Franks Mr J Greenough

Brinnington Surgery South Reddish Medical Centre NHS Stockport CCG

Ms G Mullins Ms M Davenport Mrs K Richardson

NHS Stockport CCG Heaton Mersey Medical Practice NHS Stockport CCG

Mr I Barker Public Ms D Roman Public Cllr J Pantall Stockport Metropolitan Borough Council Dr V Mehta NHS Stockport CCG Dr C Briggs NHS Stockport CCG Ms H Thornton Mastercall Healthcare Mr G Jones NHS Stockport CCG Mr C Smith Mr T Patterson

Chadsfield Medical Practice Crossroads Care

Ms C Small Cedar House Surgery Ms J Edwards Asdhall Road Surgery Ms Z Snape Ms C Chesters Ms J Hancock Ms D Howick

Cheadle Medical Centre Cheadle Medical Centre Cheadle Medical Centre Eden Mansions Nursing Home

Mr I Stanyer Heaton Moor Medical Centre Ms A Barnes Stockport NHS Foundation Trust Ms H Platt Public Mr A Khaliq Muslim Welfare Centre Mr S Beiker Pennine Care NHS Foundation Trust L Jenkins Stockport NHS Foundation Trust

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S Williams Stockport MIND Mr Moghal Mr D O’Malley

Public Viaduct Health

Ms T Brookes Manor Medical Practice Ms A Waters Ms L Bennett Ms A Fermil Ms P Trow Ms J Wright Mrs S Fitzgerald Mr M Longbottom

Park View Medical Practice Heaton Norris Health Centre The Guywood Family Practice Beech House Medical Practice Lowfield Surgery NHS Stockport CCG NHS Stockport CCG

APOLOGIES

Dr P Carne Gatley Medical Centre Dr D Kendall NHS Stockport CCG Mr T Ryley NHS Stockport CCG

1 WELCOME, INTRODUCTIONS AND APOLOGIES J Crombleholme welcomed the Member Representatives, practice and CCG staff, and members of the public to the meeting. Apologies were noted from P Carne, D Kendall and T Ryley. It was agreed that the order of business be rearranged to take Item 5 – Proposed Amendments to the Constitution immediately after Item 3 – Reflections on 2014/15 and Looking Ahead. She noted that in line with the requirements of the CCG’s Constitution, the meeting was quorate. 2 APPROVAL OF THE DRAFT MINUTES OF THE MEETING HELD ON 24 SEPTEMBER 2014 The minutes of the meeting held on 24 September 2014 were approved as a correct record. It was noted that the Member Representatives had received the NHS Stockport Clinical Commissioning Group’s Annual Report and Annual Accounts 2014/15. 3 REFLECTIONS ON 2014/15 AND LOOKING AHEAD R Gill provided an overview of the CCG’s operation during the 2014/15 year and highlighted in particular the areas of success. He noted that the achievements included both those which had impacted directly on member practices and the public and other less visible but equally important measures. He noted that the introduction of the Better Care Fund had supported the CCG and Local Authority’s continued collaborative working. This had been further underpinned in 2014/15 by the commencement of the Stockport Together Programme which aimed to transform the model of care across Stockport with additional support following a successful bid to be part of the national Vanguard Programme. He highlighted the focus on prevention and proactive care as part of the wider system transformation and the CCG’s Joint Commissioning at Level 2 with NHS England.

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Members were informed of the success of the Healthier Together consultation within Stockport and the recent decision of the Committees in Common to award specialist hospital status to NHS Stockport Foundation Trust. In terms of hospital performance, R Gill highlighted the challenge in 2014/15 to meet required performance targets relating to waiting times in the emergency department and the collaborative work which had continued into the current year to manage activity within this area. He noted the positive clinical developments in one year cancer survival rates within Stockport and the continued work to improve end of life care.

R Gill highlighted the existing extended opening hours of GP practices in Stockport and the increased access to psychological therapies through work with Pennine Care NHS Foundation Trust. The development of information technology in 2014/15 was highlighted to the meeting, in particular the number of patients in Stockport who could access their medical records online in real time. He noted that the opportunities behind electronic health records would continue to be a focus in 2015/16 as part of continued collaborative work across the health and care sectors in Stockport. The Health and Care Finder App was also noted to be a successful initiative which had been undertaken in 2014/15 for both patients and general practitioners.

In looking forward, those in attendance at the meeting were informed of the recent developments as part of Greater Manchester Devolution which would be implemented in shadow form from 1 October 2015. He noted that Devolution would pave the way for whole system transformation across the public sector in Manchester through a collaborative partnership. He highlighted the importance of the clinical and non-clinical benefits which Devolution could bring, in particular much needed improvements to life expectancy for those living in Manchester. Stockport Together was highlighted as a programme consistent with the aspirations of Devolution and in particular the focus around community based patient care with general practice and primary care at its heart.

R Gill acknowledged the importance of future system sustainability and as a key part of this, 7 day access to primary care, linked in a coordinated system with acute and community services. He noted that the aim in Stockport was to build the 7 day model based around population need with a focus on proactive and preventative work.

In response to the presentation a question was raised regarding the opportunities for GPs to work more closely with health visitors as part of the new model of care. R Gill replied to explain that there had previously been some access issues between GPs and Health Visitors which it was hoped as part of the community based teams and collaborative working would be overcome. He noted that it was important that the way services for children were organised in Stockport should be reviewed and the future structural arrangements based on meeting the needs of patients and professionals working with children and their families.

Resolved: That the presentation be noted.

4 FINANCIAL OVERVIEW 2014/15

G Jones provided an overview of the CCG’s financial position during the 2014/15 year. He highlighted the financial challenges which had faced the organisation during the year and the factors which underpinned the CCG’s accounts. The CCG had received a clean audit opinion in year and had achieved the 3 key targets of delivering a 1% planned surplus, maintaining its admin costs within the required financial limits and paying more than 95% of invoices within 30 days.

The meeting was informed of the CCG’s funding level for 2014/15 and the gap between the monies received and the appropriate funding at the targeted level. G Jones highlighted the key areas of spend within the year and the importance of trying to reduce the spend on acute services which would be

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supported by the Stockport Together system transformation work. The financial spend on prescribing was highlighted and noted to be a key feature of the GP Development scheme investments.

The pressures within health budgets were discussed and the investments in 2014/15 highlighted. In looking forward, G Jones noted the continued challenge of reducing the gap between funding and growth in demand leading to increase spend and explained that if the system was not transformed, by 2020 there would be a £30m gap in funding annually. He noted that Greater Manchester Devolution provided opportunities for regional system and funding transformation and that work was on-going to understand the implications.

In response to the presentation a number of questions were raised as follows:

Did the CCG plan to increase the commissioning spend on mental health services? G Mullins responded to explain that the CCG’s collaborative work around integrated care did include mental health and that work in the 2014/15 year had been prioritised around Child and Adolescent Mental Health, dementia and Rapid Access Services. Further work would be done to target and prioritise spend in mental health within the areas of greatest need whilst managing demand.

Why does Stockport CCG receive a lower funding allocation per head of the population than other CCGs within Greater Manchester? CCGs are allocated funding on the basis of a funding formula which takes into account various factors such age and deprivation. G Jones explained that the funding formula used by the Department of Health has been reviewed and now includes a greater emphasis on the numbers of older people in an area, as well as deprivation. Stockport is acknowledged to be below its target allocation by about £16M. However, CCGs are moved towards their target allocations over time. . He explained that the matter was raised regularly with the Department of Health and it was hoped there would be greater funding equalisation in the 2016/17 financial year. The potential impact of Greater Manchester Devolution was also noted.

In response to a question about the return of the target surplus to the CCG, G Jones noted that it was correct that the surplus would be returned in the following financial year.

Clarification was sought regarding why prescribing and out of hours costs had been collated as part of the pie chart presented. G Jones noted that the individual figures would be reported as part of an appendix to the minutes of the meeting. Similarly, the figures relating to acute spend would be separated down by provider and appended to the minutes.

Why did the CCG report prescribing spend as items? G Jones noted that various measures for calculating the cost on prescribing spend could be used but that individual items provided an understanding of the scale of prescriptions that had been issued. A comment was made that it was important that patients understood the financial impact of items which had been prescribed in particular the importance of clinically completing a course of medication and minimising any wastage.

Resolved: That the presentation be noted.

5 PROPOSED CHANGES TO THE CONSITITUION R Gill provided an overview of the changes to the CCG’s Constitution which had been presented to Members. He noted that the focus of the proposals was to increase the efficiency and effectiveness of the CCG’s Governance processes and Committees. The proposed changes to Locality Committees were highlighted, in particular the desire to strengthen the clinical voice and ability to influence of GPs within localities.

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The proposed changes to create a Quality Committee and refresh the QIPP Committee to take a more defined role in relation to Finance and Performance were noted. Member’s attention was drawn to the proposed changes which related to the appointment of an Executive Nurse to the CCG’s Governing Body, It was explained that the role would strengthen the CCG’s ability to discharge its statutory functions relating to safeguarding and that of GPs to work to protect the most vulnerable within society. Those who had not cast their practice votes were invited to do so. Resolved: That the Constitutional Amendments be agreed and the application for a Constitutional Change be made to NHS England for approval.

6. GOVERING BODY PART TWO ITEMS J Crombleholme highlighted the items which the CCG’s Governing Body had considered in Part 2 private session during the 2014/15 year. She noted the importance of maintaining openness and transparency in the operation of the CCG’s governance and continually working to limit as far as possible the items not considered in public. Resolved: That the items considered by the Governing Body in Part 2 during the 2014/15 financial year be noted. 7. QUESTIONS FROM THE FLOOR J Crombleholme invited questions from the Member Representatives, the CCG and practice staff, and the members of the public present. The following questions were raised:

1. What work was underway to reduce attendances at Accident and Emergency and how were those individuals who did attend unnecessarily advised of an alternative course of action? C Briggs responded to explain that this area continued to be a key focus of the Stockport Together work and discussions were being progressed around a primary care model at the hospital front end which would triage patients ensuring that only those acute emergencies ended up in the emergency department.

2. Why were GP’s trying to refer patients to the Surgical Assessment Unit often told to direct patients to the Accident and Emergency Department? C Briggs responded to explain that the Systems Resilience Group was looking at better ways of managing patient flow and a 90 day action plan which would conclude at the end of October 2015 was in place. Planning was underway to re-establish a GP Assessment Unit.

3. What were the timescales for the prioritisation of future investments to be made in the area of adult mental health? G Mullins explained that the Stockport Together Programme would cover the next 3 – 5 years, the Business Case for which would be finalised at the end of 2015.

4. The view of the CCG was sought regarding the NHS 111 triage service. CB acknowledged that it was a non-clinical triage process which had been implemented successfully in other areas. She noted that the service would need to embed before a view could be reached.

5. Views were sought about the challenge in redesigning community based primary care services around the needs of the population balanced with patient choice and convenience. V Mehta responded to explain that out of hours provision would continue to be available within Stockport

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through Mastercall and that discussions were taking place about how 7 day access to primary care could best be implemented within Stockport. He noted that it was important that access was at the heart of a system focussed around prevention and proactive care.

6. How can variation in general practice be best achieved to ensure the needs of local populations are met yet areas like referrals are standardised? V Mehta responded to explain that good general practice provided for patient choice within the provision of quality service. It was noted that some areas of variation did need to be addressed in areas such as GP skill mixes to ensure clinical practice could be shared and conditions managed within a practice or across a particular group of practices. Equity of support services available to GP’s was also noted as being integral to high quality general practice and integrated care would support this aspiration. V Mehta concluded by highlighting the high quality of general practice across Stockport which should be celebrated.

7. How was the work of Stockport Together being focussed around prevention? V Owen Smith responded to explain that a number of public campaigns including Hypertension and the Stockport String had been carried out to try and encourage the population to be empowered in taking control of their own health. The evaluation of the hypertension campaign had not yet been completed.

8. What proactive work was being undertaken by the CCG to influence the potential financial benefits of Greater Manchester Devolution? G Jones replied to explain that despite Devolution, the CCG’s financial allocation from the Department of Health would not be affected. He noted that Devolution may provide a greater systems view of finances across the region and freedoms to move monies across the system. He noted the CCG was taking an active part in those conversations.

9. How was the CCG working to overcome the challenges of pooled budgets? G Jones highlighted the decision of the Governing Body in July to increase monies pooled between the Council and the CCG and the work which was underway to progress the plans. He noted that the approach had to be taken across systems not managed through organisational silos and acknowledged the complexities of reaching agreements when all partners were under considerable financial pressures.

A Firth on behalf of the CCG Membership expressed this thanks to the Governing Body and the wider CCG for the work which had been undertaken in the 2014/15 year despite continued financial and system wide challenges.

8. CLOSING REMARKS J Crombleholme expressed thanks on behalf of the CCG to those who had attended the Annual General Meeting. She noted that continued challenges faced by the CCG and the opportunities provided by the local collaborative system wide work of Stockport Together which was currently underway and Greater Manchester Devolution. She stressed the strength of partnership which had been developed across Stockport and the importance of this continuing. As a lay member of the Governing Body representing the Stockport population, J Crombleholme expressed thanks on their behalf to the CCG and its member practices, acknowledging the tremendous hard work and commitment undertaken by those working within general practice. (The meeting concluded at 2.49pm)

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NHS Stockport Clinical Commissioning Group 7th Floor Regent House Heaton Lane Stockport SK4 1BS

Lay Member Reappointments

NHS Stockport Clinical Commissioning Group will allow

people to access health services that empower them to live healthier, longer and more independent lives.

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Executive Summary

What decisions do you require of the Council of members? The Council of Members is asked to approve the re-appointment of Jane Crombleholme as the Lay Member for Patient and Public Participation and John Greenough as the Lay Member for Audit, Remuneration and Conflicts of Interest. Please detail the key points of this report The Clinical Commissioning Group was formally designated from 1 April 2013. As part of the membership of the Governing Body, two Lay Members were appointed at this time for a period of three years. Jane Crombleholme was appointed as the Lay Member for Patient and Public Participation and John Greenough was appointed as the Lay Member for Audit, Remuneration and Conflicts of Interest. Both have served the Governing Body and the CCG with dedication, commitment and strong leadership during the last 3 years. This report seeks the formal approval of the Council of Members, following the ratification of both appointments via the CCG’s Locality Meetings. What are the likely impacts and/or implications? The CCG Governing Body must include the required lay representation as laid down in the NHS (CCG) Regulations 2012. How does this link to the Annual Business Plan? Good governance underpins the operation of the CCG and provides transparency of approach and decision making. What are the potential conflicts of interest? The Lay Member for Patient and Public Participation has been proposed for re-appointment. She will therefore not preside over the consideration of the item as part of the Annual General Meeting. Where has this report been previously discussed? The agenda items have previously been discussed by the CCG’s Locality Committee Meetings. Clinical Executive Sponsor: R Gill

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Presented by: R Gill Meeting Date: 6 July 2016 Agenda item: 5

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1.0 Background and Context The Clinical Commissioning Group was formally designated from 1 April 2013. As part of the membership of the Governing Body, two Lay Members were appointed at this time for a period of three years. Jane Crombleholme was appointed as the Lay Member for Patient and Public Participation and John Greenough was appointed as the Lay Member for Audit, Remuneration and Conflicts of Interest. Both have served the Governing Body and the CCG with dedication, commitment and strong leadership during the last 3 years. 2.0 Reappointment Process Regulation 13 of the NHS (CCG) Regulations 2012 allows the CCG to reappoint existing Lay Members of its Governing Body provided the local requirements of the CCG’s Constitution are met. The formal power to appoint Lay Members to the CCG’s Governing Body rests with the Council of Members. Prior to the end of their term of office both individuals indicated a wish to continue in their roles. To ensure continuity of appointments without the requirement for an additional meeting of the Council of Members to consider only this item, a letter was distributed to Member Practices on 25 January outlining the process which would be followed through the Locality Council meetings structure in February and March 2016 and provide an opportunity for any questions to be raised at an early stage. Each Locality Council formally voted on the recommendations to endorse both re-appointments in response to the communication issued. 3.0 Decisions Required Following endorsement of the Locality Council Meetings, the Council of Members is asked to:

1. Approve the re-appointment of Jane Crombleholme as the Lay Member for Patient and Public Participation for a period not exceeding 3 years from the date of appointment 1 April 2016.

2. Approve the re-appointment of John Greenough as the Lay Member for Audit, Remuneration and Conflicts of Interest for a period not exceeding 3 years from the date of appointment 1 April 2016.

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2016 Proposed Constitution Changes

NHS Stockport Clinical Commissioning Group will allow

people to access health services that empower them to live healthier, longer and more independent lives.

Tel: 0161 426 9900 Fax: 0161 426 5999 Text Relay: 18001 + 0161 426 9900 Website: www.stockportccg.org

NHS Stockport Clinical Commissioning Group 7th Floor Regent House Heaton Lane Stockport SK4 1BS

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Executive Summary

What decisions do you require of the Council of Members? The Council of Members is asked to review and approve the proposed changes to the CCG’s Constitution. Please detail the key points of this report The CCG’s Constitution requires continued updating to ensure it fully reflects the operational requirements of the CCG’s legal and statutory responsibilities. The proposed changes relate to the development and approval of governance structures relating to Integrated Commissioning (through the Health and Care Integrated Commissioning Board), the approval of Level 3 Delegated Commissioning Arrangements for Primary Medical Services and the requirements arising from the reviewed NHS England statutory guidance for CCGs on Managing Conflicts of Interest. What are the likely impacts and/or implications? Subject to the approval of the Council of Members, the CCG will need to submit an application for a Constitutional Change to NHS England. How does this link to the Annual Business Plan? The CCG’s Constitution supports the legal basis of its functions. What are the potential conflicts of interest? None. Where has this report been previously discussed? The proposals in this report relating to the Health and Care Integrated Commissioning Board and Primary Care Commissioning were previously discussed by the Governing Body in March 2016 Clinical Executive Sponsor: Dr R Gill Presented by: Dr R Gill Meeting Date: 6 July 2016 Agenda item: 7

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Proposed changes to the Constitution of July 2016

1.0 Background 1.1 NHS England permits CCGs to amend their Constitutions at any point in the

year to fit with business need. The only exception to this is if changes are proposed to the boundaries of a CCG for which a summer application must be submitted.

1.2 This report outlines the proposed changes discussed by the Governing Body

and those arising from its decisions and also from changes in statutory guidance which have been considered over the recent months.

2.0 Detailed changes 2.1 Health and Care Integrated Commissioning Board

The Health and Care Integrated Commissioning Board (HCICB) has been established as part of the Section 75 Agreement between the CCG and Stockport Metropolitan Borough Council. The HCICB will be accountable and responsible on behalf of both Commissioners for the deployment and management of the pooled budget and the commissioning of services from the pool. The Constitution has been amended to recognise the Board as part of the CCG’s Governance arrangements.

2.2 Primary Care Commissioning Committee

The CCG assumed full delegated commissioning responsibilities for primary medical services on 1 April 2016, previously being a joint commissioner. The Constitution has been amended to reflect the further delegation to the CCG and amend the role of the relevant Committee accordingly.

2.3 Governing Body Membership

NHS England consulted in March and April 2016 on the content of revised statutory guidance on managing conflicts of interest. The high level outcomes were published in May and full guidance published on 28 June 2016. The guidance recommends that the Governing Body include a minimum of 3 Lay Members on their Governing Body. The Constitution has been amended to reflect an increase in the overall membership of the Governing Body to 15 and include a third Lay Member for Primary Care Commissioning. There are also a small number of minor technical amendments relating to the management of Conflicts of Interest.

2.4 Technical Amendments

There are a small number of consistency and textual changes which have been highlighted for approval.

3.0 Actions required of the Council of Members 3.1 The Council of Members is asked to approve the following recommendation:

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(a) That the amended Constitution be agreed and recommended to NHS England for final consideration and approval.

4.0 Background Information

1. Draft Constitution (July 2016) and signposting sheet of detailed amendments link:

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NHS Stockport Clinical Commissioning Group 7th Floor Regent House Heaton Lane Stockport SK4 1BS

Governing Body Part Two Agenda Items 2015-2016

NHS Stockport Clinical Commissioning Group will allow

people to access health services that empower them to live healthier, longer and more independent lives.

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Executive Summary

What decisions do you require of the Council of members? The Council of Members is asked to note the contents of this update. Please detail the key points of this report The Governing Body holds all its meetings in public to enable the open and transparent transaction of its business. There are a small number of occasions when to transact business in public would not be in the CCG’s organisational or the public’s best interest at the time a matter requires discussion. The CCG’s Constitution requires a report to be made at the Annual General Meeting listing all of the items of business which have been conducted during the Governing Body’s Part Two (closed) meetings. The Governing Body held the Following Part 2 meetings in 2015/16 to consider the following matters: 10 June 2015

• Report on Older People’s Contract Charging

• Commissioning Support Unit

8 July 2015 • Report on Older People’s Contract Charging

9 September 2015

• Stockport CCG Draft Recovery Plan

11 November 2015

• Provision of North West Non-Emergency Patient Transport Services

9 December 2015

• Briefing on the Contract for Home Oxygen Service with Air Liquide

9 March 2016 • Safeguarding Report

30 March 2016 • Wet AMD

What are the likely impacts and/or implications? There are no direct implications arising from this report. It is hoped it demonstrates that the CCG provides a proportionate approach to the balance of conducting business in public and in private. How does this link to the Annual Business Plan?

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Good governance underpins the operation of the CCG and provides transparency of approach and decision making. What are the potential conflicts of interest? There are no conflicts of interest. Where has this report been previously discussed? The agenda items have previously been discussed by the Governing Body. Clinical Executive Sponsor: R Gill Presented by: J Crombleholme Meeting Date: 6 July 2016 Agenda item: 7

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