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Page 1: NATIONAL INSTITUTE FOR HEALTH AND CARE … · National Institute for Health and Care Excellence ... Sir Andrew Dillon Chief ... Assessment Service to the NHS Litigation

National Institute for Health and Care Excellence 1 of 7 Confirmed inutes of the last meeting – 17 July 2013

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE

Public Board Meeting held on

Wednesday 17th July 2013 at Stepping Hill Hospital, Poplar Grove, Stockport, Cheshire, SK2 7JE

These notes are a summary record of the main points discussed at the meeting and the decisions made. They are not intended to provide a verbatim record of the

Board’s discussion. The agenda and the full documents considered are available in

accordance with the NICE Publication Scheme. Present Professor David Haslam Chair Professor David Hunter Non-Executive Director Professor Rona McCandlish Non-Executive Director Mr Andy McKeon Non-Executive Director Ms Linda Seymour Non-Executive Director Mr Jonathan Tross Non-Executive Director Executive Directors Sir Andrew Dillon Chief Executive Professor Gillian Leng Health and Social Care Director and Deputy Chief Executive Mr Ben Bennett Business Planning and Resources Director Professor Carole Longson Centre for Health Technology Evaluation Director Directors in attendance Professor Mike Kelly Centre for Public Health Director Ms Jane Gizbert Communications Director Ms Alexia Tonnel Evidence Resources Director Professor Mark Baker Centre for Clinical Practice Director In attendance Ms Lorraine Taylor Board Secretary 13/036 APOLOGIES FOR ABSENCE

1. Apologies were received from Dr Maggie Helliwell. 13/037 CONFLICTS OF INTEREST

2. None.

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National Institute for Health and Care Excellence 2 of 7 Confirmed minutes of the last meeting

13/038 MINUTES OF THE LAST MEETING

3. The minutes of the meeting held on the 22 May 2013 were agreed as a correct

record.

13/039 MATTERS ARISING

4. Sir Andrew Dillon reported that further amendments to the standard text sections of the template for the NICE Framework Agreement, which are applicable to all arms lengths bodies, were being made. The Department of Health (DH) hoped to provide a proposed final version of the agreement in time for the next Board meeting.

5. Sir Andrew Dillon informed the Board that progress reports for each centers guidance review activities would, in the future, be included in the reports received from relevant directors.

6. Professor Gillian Leng reported the actions points from the Field team annual report were in hand and Professor Carole Longson reported that the action for the interim methods of Highly Specialised Technologies (HST) programme had been completed.

7. Jane Gizbert informed the Board that a summary of the NICE reputation survey

results would be presented to them at their September meeting, with the opportunity for further discussion at the October meeting.

13/040 CHIEF EXECUTIVE’S REPORT

8. Sir Andrew Dillon presented his report, noting the performance of the main

programmes to the end of June 2013 and the summary of NICE’s financial position for the same period. Sir Andrew Dillon noted a correction to the first sentence in paragraph 4 of the paper which should read ‘£15.8m’ rather than ‘£14.3m’. He also highlighted progress against the business objectives, the extracted notable sections from each of the directors reports presented in paragraph 7; and the recent publication of a research governance policy presented in paragraphs 8 to 11.

9. Ms Linda Seymour requested clarification on the difference between the social care engagement plan and the field team engagement strategy. Sir Andrew explained the social care engagement plan was a sub-set of the field team engagement strategy.

10. Professor David Hunter requested an update on the delayed Health economics

and return on investment Local Government Public Health briefing. Professor Mike Kelly explained the publication had now been approved by the committee and was due to be published soon.

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National Institute for Health and Care Excellence 3 of 7 Confirmed minutes of the last meeting

11. Professor David Haslam requested an update on the Public Health England

(PHE) advice to the public health nursing workforce. Professor Mike Kelly

explained there are numerous references to the role of nurses in NICE’s public

health guidance and these had been collated and mapped against the outcome frameworks for inclusion in the PHE report.

12. Jonathan Tross suggested that the metrics in the balanced score card, a

process used by the DH to monitor performance should also be reported to the Board. Sir Andrew Dillon explained that most of the metrics appear in his report or those of the Directors. However, he agreed that it would be appropriate for the balanced score card to be presented to the Board at the November and May meetings.

ACTION: AD

13. Andy McKeon requested an update on the delayed contraceptive service programme guidance. Mike Kelly informed the Board the DH was currently considering the guidance.

14. Professor Rona McCandlish asked if the delays to the digital strategy programme were related to staff shortages. Ms Alexia Tonnel explained that the delay to the digital distribution and access to NICE products and services was because of the need to test the proposed intellectual property rights associated with third parties distributing NICE guidance. It is expected that this syndication project will launch in the near future.

15. The Board received the Chief Executive’s report.

13/041 FINANCE REPORT

16. Ben Bennett reported the financial position as at 30 June 2013. He noted the projected underspend and brought the attention of the Board to the fact that the Chancellor had commenced a spending review for 2015/16 and that a 10% reduction in administration budgets (from which NICE is funded) was expected. Ben Bennett also commented that some of the forecast underspend would be used to fund the start-up costs of the new HST programme activities.

17. Jonathan Tross asked whether some or all of the underspend could be used to fund additional activity on a non-recurrent basis and Andy McKeon suggested that the Audit and Risk Committee undertake a forecast underspend review. Ben Bennett reported the NICE Senior Management Team were currently reviewing and identifying worthwhile project to make use of the forecast underspend and highlighted the need for NICE to set aside reserves for several financial uncertainties outlined in paragraph 15 of the report. He also reminded the Board of the need to prepare for a 7-10% funding reduction and that proposed efficiency saving were going to be presented to the Board at their August meeting.

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National Institute for Health and Care Excellence 4 of 7 Confirmed minutes of the last meeting

18. A member of the public asked whether NICE International charged for its activities and why the annual audited accounts were not included in the Finance report given it was the Annual General Meeting. They also enquired if it was possible for NICE to carry reserves from one financial year to the next. Sir Andrew Dillon explained that NICE International does charge for its work and Ben Bennett explained that the annual audited accounts are presented and would be considered in the next Board paper. He confirmed it is not possible for NICE to carry reserves from one financial year to the next.

19. The Board received the report. 13/042 ANNUAL REPORT AND ACCOUNTS 2012/13

20. Ben Bennett introduced the paper and noted that the annual report and

accounts for 2012/13, which includes a summary of the activity undertaken during the 2012/13 financial year, had been approved by the Audit and Risk Committee.

21. Ms Linda Seymour commented that the report provides a good overview of NICE activities and thanked staff for their work over the last year.

22. The Board approved the report. 13/043 ANNUAL WORKFORCE REPORT 2012/13

23. Ben Bennett introduced the paper, noting that the staff survey results will be

presented to the Board at the August meeting and that the equalities report will be presented at the September meeting. He also highlighted that the Human Resources Committee had taken on responsibility for clinical revalidation oversight and the committee has consequently been renamed as the Human Resources and Clinical Revalidation Committee. A summary of NICE recruitment and staff turnover figures, the transfer of National Clinical Assessment Service to the NHS Litigation Authority and NICE’s change in status to a non-departmental public body were also highlighted.

24. Ms Linda Seymour thanked Mercy Jeyasingham and Jenny Griffiths for their contribution to the Human Resources Committee and outlined that Professor Rona McCandlish had joined the Human Resources and Clinical Revalidation Committee. She also enquired about whether NICE used exit interviews to help better understand its staff turnover. Ben Bennett confirmed that exit interviews were used, though departing staff did not always want to hold one. It was agreed it would be useful to explore whether other mechanisms could be introduced to increase the exit interview response rate.

ACTION: BB

25. Professor Gillian Leng highlighted the social care briefing sessions and reported that these had been well received by staff.

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National Institute for Health and Care Excellence 5 of 7 Confirmed minutes of the last meeting

26. Professor Carole Longson commented on the bank staff arrangements suggesting it would be useful to consider extending the recruitment of bank staff to include project and programme manager posts. Ben Bennett provided the Board with an update on the recruitment of two apprentice staff. The Board agreed it would be useful to explore the feasibility of recruiting project and programme bank staff.

ACTION: BB

27. Andy McKeon commented that the sickness absence comparisons presented in the report were not the most appropriate and suggested alternative comparisons would be useful. He also enquired whether contract staff accrued employment rights. Sir Andrew Dillon provided clarification on the employment rights of contractors and noted that existing contract staff had been offered permanent contracts with NICE.

28. A member of the public asked about the introduction of the equality and diversity e-learning training package and whether this mechanism would be sufficient to challenge inherent views and practices. Ben Bennett responded that in addition to the e-learning training package NICE embeds principles of equality and diversity throughout all aspects of its work programmes.

29. Another member of the public commented on the inefficiency of restricting

recruitment processes to specific groups. Sir Andrew Dillon provided an explanation of the Department of Health’s recruitment requirements and requirements.

30. The Board approved the report. 13/044 INTERIM GUIDELINE SURVEILLANCE PROCESS 2013 31. Professor Mark Baker introduced the paper providing an overview of the main

elements and stages of the proposed interim guidelines surveillance process and methods. The interim process will replace the methods described in the current ‘NICE Guidelines Manual 2012’. He also highlighted that the guidelines team had worked closely with the Evidence Resources team to ensure synergy between the various products produced by the teams and terms used to describe the various processes had been altered to help avoid confusion. Details on the recruitment of the two standing committee chairs were also provided.

32. Professor Gill Leng commented there was some overlap between the proposed options presented in paragraph 28. Professor Carole Longson suggested it would be useful to clarify the difference between the static list option and the last option in paragraph 28. Professor Mark Baker described the various options and agreed to amend the text presented in this paragraph.

ACTION: MB

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National Institute for Health and Care Excellence 6 of 7 Confirmed minutes of the last meeting

33. A member of the public asked for clarification on which options would be used for the review and update of existing NICE guidance. Professor Mark Baker described the processes that would be used.

34. Sir Andrew asked Mark Baker to provide a brief rationale for the introduction of the interim process and queried if additional staffing resources would be required to support its implementation. Mark Baker explained that if the existing review and update processes were retained an additional 6 staff would be required and therefore the revised process is more efficient and would ensure the optimal maintenance of guideline currency.

35. The Board received the report. 13/045 FRANCIS REPORT

36. Sir Andrew Dillon provided a brief summary of the key findings and

recommendations from ‘The Mid-Staffordshire NHS Foundation Trust Inquiry’ report. He also noted that Robert Francis will be attending the August Board strategy meeting to provide a presentation on his report and its implications for NICE’s work, particularly its quality standards programme.

37. Andrew Dillon updated the Board on the current Care Quality Commission consultation exercise and reported a copy of the NICE response would be circulated to the Board.

ACTION: AD

38. The Board received the update.

13/046-51 DIRECTORS’ REPORT FOR INFORMATION

39. Linda Seymour enquired and Professor Carole Longson described how NICE is taking forward the findings from the most recent Citizens Council report. She also reported that the positive feedback from the Board’s discussion at the July meeting had been provided to the Citizens Council and the report had been published on the NICE website.

40. Professor David Haslam requested clarification on the Implementation Strategy

Group presented in the Health and Social Care director’s report. Professor Gillian Leng clarified the group role and agreed to provide further details in her next director’s report.

ACTION: GL

41. The Board received the reports.

42. Rona McCandlish asked for the non-executive profiles to be updated on the NICE website

ACTION: JG

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National Institute for Health and Care Excellence 7 of 7 Confirmed minutes of the last meeting

13/052 COMMITTEE MINUTES

43. The Board approved the Audit and Risk Committee minutes for the 13 June 2013 meeting.

44. Jonathan Tross reported a useful summary of risk register for the social care work programme had been presented by Jane Silvester at the June Audit and Risk Committee meeting.

13/035 ANY OTHER BUSINESS 45. None.

NEXT MEETING 46. The next public meeting of the Board will be held at 1.45pm held on Wednesday

18 September 2013 at the Conference Room, Chichester College, Westgate Fields, Chichester, West Sussex PO19 1SB.