Download file - Northern England Strategic Clinical Networks

Northern Clinical Networks & Senate
Name of Group
North of England Cardiovascular Network Steering Group
Evolve Business Centre, Houghton-le-Spring
Peter Dixon, Senior Local Specialised Services, NHS England
Helen Douglas, Network Admin & Support Officer, NESCN
Alison Featherstone, Network Manager, NHS England
Kevin Fitzpatrick, Area Development Manager, BHF
Mikki Golodnitski, Senior Delivery Manager, North Yorkshire &
Humberside CSU
Sue Gordon, Consultant Public Health, PHE
Robin Mitchell, Clinical Director, NHS England
Peter Moore, Regional Head of Operations, Stroke Association
Douglas Muir, Consultant Interventional Cardiologist, South Tees
Rahul Nayar, Diabetes Lead, Sunderland
Gerry Stansby, Professor of Vascular Surgery, Newcastle
Liz Bailey, Business Manager, Newcastle
Tim Cassidy, Stroke Lead, Gateshead
Gert Gammelin, DDES CCG
Mark Hudson, Consultant Hepatologist, Newcastle
Roy McLachlan, Associate Director, NHS England
Nigel Rowell, GP Lead, South Tees
Dilys Waller, DDES CCG
Welcome & Apologies
RMi welcomed all to the meeting and apologies were noted. RMi
particularly welcomed RN and KF as new members. Introductions
were made.
Previous Minutes – 09/05/14
The minutes of the previous meeting were accepted as a true record.
Action Points from Previous Minutes
• Clinical Leadership Development Event
RMi discussed the recent event which was facilitated by Tony Woods.
It was reported that this was a good event and a follow up event is
planned. RMi encouraged all to attend if possible (flyer attached to
these minutes).
AF informed the meeting that she is in the process of arranging media
training as this was highlighted as a need following the leadership
development event. AF will circulate the details to those concerned
• Steering Group Membership - update
The group discussed membership and agreed that engagement with
provider trusts and CCGs needs to be increased. Members also felt
that clinical leads attended this meeting to represent their particular
clinical area and could not also represent their respective trust.
Enc 1
A series of one to one meetings are to be arranged between AF, RMi
and the Chief Executives of the network provider trusts. The aim of
these is to highlight the role of the networks in general and, more
specifically, projects which are ongoing. It is hoped that this will
encourage engagement, particularly with this group.
The existing membership list was discussed. Members are asked to
review this and to contact AF with any appropriate amendments.
2.1 Implantable Devices
The question has been asked as to whether the new NICE guidance
regarding implantable devices will lead to an increase in demand.
DM reported that implant centres across the network have been
following ESC guidelines which already include cases highlighted by
the new NICE guidance. However, improvements in case-finding
would lead to a need for increased capacity.
A scoping exercise looking at models and provision of service is
currently underway. Evaluation of this information should help to inform
whether further capacity is required and where this should be situated
geographically. NHS England is ensuring that implant centres are fully
compliant with the service specification.
Members discussed the issues and agreed that this should remain as
an agenda item.
Oversight Group update
The first meeting of the Oversight Group will take place on Friday 5
September 2014. This will be chaired by Mike Prentice, Medical
Director, CNTW Area Team. RMi will update this group in due course.
AF introduced the work plans and explained that some of these are in
draft form as they have not yet been ratified by the groups concerned.
The working document will be published on the individual group pages
on the NESCN website to ensure that only the most up to date version
is available.
• Cardiac
DM discussed the cardiac priorities including Primary PCI, FH services,
TLOC services and cardiac MR.
The group noted these priorities.
• Stroke
AF discussed the stroke work plan 2014 – 16. This includes equitable
access to rehabilitation and support, early intervention and
management and access to psychological support.
The group noted these priorities. Members also noted the national
priority to improve services which is mainly centred on models of
service delivery.
• Vascular
GS discussed the vascular priorities including improved access to
carotid endarterectomy, reduced AAA mortality by improving screening
rates, reducing hospital mortality following amputation and service
delivery models.
The group noted these priorities.
• Renal
AF discussed the renal priorities including earlier identification of
patients developing acute kidney injury and management of chronic
kidney disease, ensuring coordinated service and improving the patient
experience for those with chronic kidney disease. The National Clinical
Director for Renal Services, Dr Richard Fluck, is to attend the next
Renal Advisory Group meeting at Waterfront 4 on 9 September 2014,
The group noted these priorities.
• Diabetes
RN discussed the diabetes priorities including insulin pump therapy,
insulin safety, and diabetes management, reducing amputation by 50%
and improving education.
The group noted these priorities.
• Primary Care
AF discussed the priorities of the primary care group. This includes
work on atrial fibrillation and novel anticoagulants.
The group noted these priorities.
• Liver
AF discussed the liver priorities including management of abnormal
LFTs, developing pathways for viral hepatitis and decompensated
cirrhosis, improving the treatment for patients with acute alcohol related
hepatitis, improving access to intensive care for patients with liver
disease and developing end of life care.
The group noted these priorities.
SCN Priorities Moving Forward
Members discussed the work plans and in particular noted that some of
the priorities appeared on one work plan but were cross cutting and
involved other clinical areas.
Concern was expressed that network priorities could be priorities of
other organisation such as CCGs and that projects would be
duplicated. AF explained that the Network is collaborating with
organisations such as NECS and the AHSN to avoid this.
There was a group discussion about MR and radiology capacity in
general. It was noted that increases in demand for some services can
lead to delays for other specialties. AF informed the group that there is
a project underway which is looking at radiology services across the
Senate Update
RMi informed the group that the National Clinical Advisory Team has
been disbanded, and the task of independent scrutiny of
reconfiguration has been given to the Senate.
Network events
• Rehabilitation Event – 5 November 2014, Stadium of Light.
This is a cross cutting event looking at rehabilitation.
• Parity of Esteem Event – 15 October 2014, Stadium of Light.
This event will consider psychological distress in the physically ill
and physical ill health in the mentally ill. AF encouraged
members to attend.
• SCNs – 2 years on – AF asked members to note this event
which will take place in May 2015.
National SCN priorities update
The SCNs meet nationally approximately three times per year. The
next meeting is in September 2014. There was a national cardiac
meeting in July and the diabetes meeting will be in September.
Arrangements are underway for a stroke meeting for the Northern
region. Nothing has been organised yet for vascular or renal.
Risk Register and Clinical Governance Issues
An example of a risk register was tabled. Members discussed the use
of the risk register and what should be included and whether this was
an appropriate format for the steering group. The group suggested an
exemption report against the work plans may be more informative. AF
to discuss with SCN colleagues.
Any Other Business
There was no further business.
Date of next meeting
Members agreed to keep the next meeting as 7 November 2014, 10 –
12, Evolve Business Centre
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