NHS Chief Executives minutes: November 2020

Attendees and apologies

NHS Board Chief Executives

• John Burns                        NHS Ayrshire and Arran
• Ralph Roberts                   NHS Borders (Vice Chair of CEs Group)
• Jeff Ace                             NHS Dumfries and Galloway
• Carol Potter                       NHS Fife, Interim Chief Executive
• Cathie Cowan                    NHS Forth Valley
• Caroline Hiscox                 NHS Grampian
• Jane Grant                        NHS Greater Glasgow and Clyde
• David Park                        NHS Highland
• Heather Knox                    NHS Lanarkshire, Interim Chief Executive
• Calum Campbell                NHS Lothian
• Michael Dickson                NHS Orkney and Shetland
• Grant Archibald                  NHS Tayside
• Gordon Jamieson              NHS Western Isles
• Jann Gardner                    Golden Jubilee Foundation
• Robbie Pearson                 Healthcare Improvement Scotland
• Angiolina Foster                NHS 24
• Stewart Irvine                    NHS Education for Scotland
• Colin Sinclair                     NHS National Services Scotland
• Angela Leitch                    Public Health Scotland
• Pauline Howie                   Scottish Ambulance Service (Chair of the CEs Group)
• Gary Jenkins                     State Hospital

Scottish Government

• John Connaghan               Interim Chief Executive NHS Scotland
• Gillian Russell                    Director of Health Workforce
• Sean Neill                          Interim Director of Health Workforce
• Richard McCallum             Interim Director of Health Finance
• Donna Bell                        Director of Mental Health and Social Care
• Fiona McQueen                 Chief Nursing Officer
• Christine McLaughlin          Director of Health Planning and Strategy
• Aidan Grisewood               Director of Primary Care
• Michael Kellet                    Interim Director of Population Health
• Linda Pollock                     Interim Director of Healthcare Quality and Improvement
• Dave Caesar                     Deputy Chief Medical Officer
• Alison Strath                      Chief Pharmaceutical Officer
• Andrew Fleming                 Head of NHS Board Sponsorship
• Laurie Whyte                     Office of the Chief Executive
• Sarah Hildersley                Office of the Chief Executive
• Hannah Mackay                Office of the Chief Executive

In Attendance

• Tracey Gillies                     Co-Chair of MDs/NHS Lothian MD
• Alex McMahon                   Chair of SEND/Lothian DoN
• Susan Goldsmith               Chair of Directors of Finance/NHS Lothian DoF
• Colin Briggs                       Chair of Directors of Planning/NHS Lothian
• Theresa Shearer                CEO of ENABLE Scotland & the Piper Group
• Hitesh Tailor                      Scottish Clinical Leadership Fellow         
• Alan Mackenzie                 Scottish Clinical Leadership Fellow
• Yvonne Summers              Head of Operational Planning and Performance
• Tony Anthony                    Operational Planning Manager
• Jane Hamilton                   Head of Business Management and EU Withdrawal
• Victoria Bowman               Interim Deputy Director Health and Social Care Pay, Practise and Engagement
• Nicola Gordon                   Executive Support
• Roz Barclay                       Executive Support

Apologies

• Pam Dudek                       NHS Highland
• Richard Foggo                   Covid Director
• Jill Young                          NHS Louisa Jordan and Director of Testing Programme
• John Harden                      Deputy National Clinical Director
• Heather Campbell              Interim Deputy Director Primary Care
• David Williams                   Director of Delivery, Health and Social Care Integration
•  

Items and actions

Agenda

Welcome, Introductions and Apologies for Absence    

Minutes of the Previous Meeting – 09 September 2020 NHSCE/20/21/03

Matters Arising

Feedback from Chief Executives Private Meeting (Pauline Howie)

Forward Planning (Michael Kellet)

Integrated Planned Care Programme (underpinned by the CfSD) (Jann Gardner)

Contact Tracing    (Angela Leitch/Colin Sinclair)

Any Other Business

Date and Time of Next Meetings: 

• Chief Executives Covid-19 Teleconference – Friday 20 November 2020
• Chief Executives Business Meeting - Wednesday 13 January 2021 

NHSCE/20/21/04 – An Update from SAH

Minutes

Welcome, Apologies for Absence and Attendees

John Connaghan, Interim Chief Executive NHS Scotland welcomed everyone to the meeting.  A list of attendees and apologies for absence are provided at Annex A. 

Minutes of the Previous Meeting – 09 September 2020 – NHSCE/20/21/03

The minutes of the meeting held on 09 September 2020 were approved. 

Matters Arising

Jane Hamilton, Head of Business Management and EU Withdrawal, provided an update on EU Exit which Government Officials have been working on since summer.  A letter would issue to Chief Executives shortly providing an overview of the work that is underway and next steps. 

Officials are aware of an FoI request from the BBC in relation to Boards’ EU exit planning.  Chief Executives were asked to share a copy of their published response with SG colleagues to assist with planning.  Pauline Howie, Chair of the Chief Executives Group raised that it would be helpful for any lessons learned to be shared. 

Action: NHS Boards to share published responses to FoI request from the BBC with SG colleagues to assist planning – send to jane.hamilton@gov.scot. 

John Connaghan suggested it would be useful for EU exit to be included on the agenda within the next month at either the next NHS Chief Executives Business meeting or one of the fortnightly Chief Executives meetings.

Action: SG Secretariat to schedule EU Exit on a meeting agenda within the next month

John Connaghan provided the key headlines from the recent NHS Pulse Survey, which included:

Initial findings suggested that over 83,000 staff responded;
Positive feedback around local wellbeing support; and 
A high percentage of feedback suggests that staff are happy with the way the Covid response has been dealt with so far.

John Connaghan updated that Caroline Lamb, Director of Digital Reform/Test and Protect, was leading on the scheduling and delivery of the Covid Vaccine and suggested that Caroline provided an update at a future meeting. 

Action:  Secretariat to include Covid Vaccine update on a future agenda

John Burns, NHS Ayrshire and Arran, provided an update on the Redesigning Urgent Care Programme, sharing that the first few days of the roll out had gone well.  Early indication showed a positive patient experience and early learning was emerging.  Sir Lewis Ritchie was undertaking a review of the programme.  An update on the Redesigning Urgent Care Programme should be provided at a future meeting.

Action:  SG Secretariat to include Urgent Care Redesign update on a future agenda

Feedback from Chief Executives Private Meeting – 10 November 2020 

Pauline Howie provided feedback on topics discussed at the Chief Executives Private Meeting which included:

• capital investment and infrastructure
• covid vaccination 
• forensic mental health 

Forward Planning 

Christine McLaughlin provided an update on forward planning.  A presentation, Re-mobilise, Recover, Re-design: The Framework for NHS Scotland (RMP#3), was shared during the meeting.  The update included:

• planning for 2021/22: underpinning principles
• planning Assumptions 2021/2020: living with covid
• planning Assumptions 2021/2020: service delivery
• care Programmes – overview
• proposed timescales for RMP#3

Christine welcomed feedback from Chief Executives on the proposed timescales.

In discussion, the following points were raised:

•  planning assumptions should include finance
•  this was a real opportunity to start planning for the next 3-5 years as well as the immediate plan for the next year
• Pauline Howie commented that the markers for 3-5 years should be essential (eg workforce and finance), not desirable and would be keen to have a discussion with John Connaghan and colleagues in relation to this
• in order to ensure an effective and meaningful system, the whole health and social care landscape should be revisited in 2021, with Clinical colleagues in the lead, working with Directors of Planning and other SG colleagues.  Reform is already underway due to Covid 19 and has provided a good starting point for reform  

John Connaghan indicated that he planned to issue a letter to Chief Executives relating to bed capacity.  Part of the ask would be for Boards to re examine previous Covid forecasts, now taking into account winter forecasts for the months January, February and March . 

Action: John Connaghan to issue a letter to Chief Executives in relation to bed capacity for the months of January, February and March

 Integrated Planned Care Programme (underpinned by the CfSD) 

Jann Gardner, Golden Jubilee Foundation talked colleagues through the paper which had been circulated in advance of the meeting, setting out the plan for the newly established National Centre for Sustainable Development (CfSD) and the role it should play in underpinning the Care Programmes and the 3R’s reform aspirations.  In discussion, the following points were made:

•  there was no change in the accountability process
•  thoughts were that Performance should be managed by Scottish Government 
•  there should be a stock take in March to review the position

Contact Tracing

Colin Sinclair provided an update on Contact Tracing following this having been discussed at Chief Executives private meeting.  Further work was required to finalise a paper which would now be discussed further at the next private Chief Executives meeting as well as the upcoming Test and Protect meeting.  

Action: Colin Sinclair to prepare a paper on Contact Tracing for the Private Chief Executives meeting

 Any Other Business

No other items of business were raised.

Date and Time of Next Meeting

• Chief Executives Covid-19 Teleconference – Friday 20 November 2020 – 12:00-13:00
• Chief Executives Business Meeting - Wednesday 13 January 2021 - 13:00

Office of the Chief Executive NHS Scotland
12 November 2020