A representative from NHS Tees Valley Clinical
Commissioning Group will be in attendance to provide further information on the initial scoping work and plans
regarding key engagement sessions to begin the collaborative conversation
around end of life care.
The Chair invited Katie McLeod, Head of Commissioning and Strategy at
the CCG. The Head of Commissioning advised that she supported the adult 18-64
age range postfolio which covered acute, community
services and those with long-term conditions, cancer services and end of life
At the last meeting held in December 2020, the Panel heard from Craig
Blair and the information provided by the Head of Commissioning was to build on
this information and focus on the future of the programme and to provide
The Head of Commissioning restated the aim, which was to:
To make the last
stage of people’s lives as good as possible by aligning systems and processes
so that everyone works together confidently, honestly and consistently to help
that patient and the people important to them.
The Panel were advised that the Tees valley CCG is one of the four sites
nationally to be identified as a commissioning exemplar site.
It was explained that exemplar sites were selected by NHS England to
support the national overarching agenda of:
of a clear commissioning model, supported by national levers and incentives to
commission, contract and fund the best Palliative and End of life Care for
and seamless care across providers and organisations
The Panel learnt that NHS England would support the local sites and
this support would focus on plans to
address national drivers, alongside development of an environment which supports co design and implementation
of a Palliative and End of Life Strategy by 2022.
As part of the opportunity and NHS support, Tees Valley CCG have an
opportunity to build this vision and in return, the Tees Valley CCG will test
out new models, work with service specification ideas and work in collaboration
to meet the aims of the agenda.
The time scale is set from January 2021- March 2022, in this time the
CCG hope to carry out meaningful engagement processes and develop our vision
and work through detailed actions of where we are now and where we want to be.
Since December 2020, the following progress has taken place:
England have issued a Memorandum of Understanding to the CCG for review and
feedback by early January
in place to sign the Memorandum of Understanding by mid – end January and funds
will be transferred to the CCG thereafter (expectation is that funding is spent
on programme management, events, clinical consultation time etc
and it not to be used for delivery of services)
are in the process of developing a job description to recruit to the project
support role which was identified in their bid.
team part of national project groups to drive the agenda forward and provide
meaningful feedback into the commissioning and finance modules of the
to form part of and be instrumental in the development of a team that support
across the country.
areas previously undertook a self- assessment against the national Ambitions
Framework Plans in place to revisit this across all stakeholders to support
wider engagement and assessment of ‘where we are now’, and
engagement plan in development to use the learning from this self assessment to begin a programme of engagement and
ultimately co design of a future vision for PEoLC.
The current climate with Covid does put pressure on
the services and we are working with external organisations to look at how we
get the best out of engagement.
A panel member queried about the coordination of services and what was
meant by this. In response the Head of Commissioning outlined that there were a
host of services which may be involved in the patients end of life journey e.g.
inpatient support to the voluntary service. The CCG want to ensure they create
a collaborative and co-design approach so that patients feel their care is
seamless and do not feel like they have to repeat their story. The CCG are
working on the personalisation agenda and embedding this across end of life
care, to produce a personal approach and ensure we get this right at the
Another panel member questioned about data sharing within organisations
and how developed the peer support network was. In terms of data sharing, the
Head of Commissioning outlined that there was a lot of work being undertaken in
terms of digital and data transformation. There was work ongoing in transferring data from one
organization to another and the CCG will work on the best practice that is
already out there nationally and locally.
In terms of peer support, the networks were new and came out as a result
of the exemplar site. However we will work with the four sites and share
experiences. We will ensure we look at what we have locally e.g healthwatch. The
Head of Commissioning advised that we need to work together and produce a
co-designed model to ensure we have the best palliative and end of life care
David Smith, Chief Executive of Teesside Hospice was also in attendance
and spoke at length regarding the fragile state of the voluntary / community
palliative care is in e.g he outlined at present
there was no lead Palliative Care Consultant at James Cook University Hospital.
He also discussed the sustainability of hospices and how, if the CCG see
this as a priority, would need to be included (as discussed at the previous
meeting) in the aim of the programme.
As previously discussed, the Chair advised that the panel would welcome
an update on the work in 6 months -time and thanked the officers for their
That the information be noted
That the panel receive an update from
the CCG in 6 months- time regarding progress of the programme.