Rural Locality GP Network Meeting, 2-5pm, Tuesday 13 June 2017, Bunbury Surgery, Bunbury Chair Steve Pomfret (Chair) APPROVED MINUTES
|
|
- Gary Hunt
- 5 years ago
- Views:
Transcription
1 Rural Locality Network Meeting, 2-5pm, Tuesday 13 June 2017, Bunbury Surgery, Bunbury Chair Steve Pomfret (Chair) APPROVED MINUTES Name Practice Name Practice Manager Name Jonathan Gregson Helbsy Brian Yorke Helen Black Bunbury Alan Courtenay Kylie Daniels Kelsall Apologies Louise Davies Malpas Lynn Suckley Andy Campbell Tarporley (Campbell) Sue Dewhirst Alistair Adey Tarporley (Adey) Samantha Jeffrey Steve Pomfret Princeway - Melissa Siddorn The Village Surgeries Kate Evans Practices not represented by a : In attendance Sarah Murray Head of Primary Care (WCCCG) Colin McGuffie Locality Project Manager Diane Taska Membership Support Officer (Minutes) Barbara Perry Meds Management (M&LCSU) - Agenda Item 3. Sarah Carberry Head of Unplanned Care (WCCCG) Agenda Item 4. James Hardy-Pickering Unplanned Care Team (WCCCG) Agenda Item 4. Claire Baker Primary Care Lead (WCCCG) Agenda Item 5. Laura Jones Primary Care Commissioning Support Manager (WCCCG) - Agenda Item 5. Tracy Palmer Practice Manager (Upton Surgery) Agenda Item 7. Sue Pratt Integrated Care Team Manager Rural Helen Cunningham Integrated Care Team Manager Rural Agenda No Action 1. Welcome & Apologies The Chair welcomed Rural Network members to the meeting. Declarations of Interest No new declarations of interest were raised. Code of Conduct Network members were reminded of the meeting s code of conduct. Minutes of Rural Network 1 Date: June 2017
2 Previous Minutes The minutes of the previous meeting (May 2017) were approved as an accurate record of the meeting. 2. Financial Update/CCG Update The CCG has identified 9.1m of savings for 17/18 but identified a potential gap of 2.6m. The CCG s focus will be around similar schemes to 16/17 IN 17/18 on meds management projects and referral management. The CCG is exploring incentive schemes that are being offered nationally, further details will be advised in due course. The Network raised the issue of CoCH still prescribing over the counter medications to patients upon discharge from secondary care. Action: Sarah Murray to feed through to the Strategic Medicines Managers Group that CoCH Consultants are still prescribing over the counter medications upon discharge and feedback to the September meeting. SM 3. Meds Management Update Barbara Perry, M&LCSU, updated the City Network around the current Meds Management work and the attached presentation was received: MM Barbara Perry City Network present It was noted the medicines optimisation QIPP Plan for 17/18 will focus on the Right Care pathways, Antimicrobial Resistance, Cost Effectiveness Switches, Policy Implementation and Repeat Prescribing. The Network noted that patients will be asked by the community pharmacist to check their meds inside bags before leaving the pharmacy to ensure that drugs wastage is limited (patients can give medications that are not required back to the pharmacist if they haven t yet left the pharmacy). Medicines Management A further update will be provided at the September Rural Network meeting. Minutes of Rural Network 2 Date: June 2017
3 4. Urgent Care Update The Rural Network welcomed Sarah Carberry, Head of Urgent Care along with James Hard-Pickering, West Cheshire CCG who provided an update on the current Urgent Care work and the following points were highlighted: Intermediate Care Review: The CCG is currently at a point where the clinical model of care (with various partners involved) is being reviewed with an aim to keeping the patient as close to their home as possible. The proposed model will be taken to Finance and Performance Committee shortly (both step up and step down care) for approval. The Network raised concerns around the level of resourcing of general practice and community services to meet the workload of the new models of care as they are developed. Primary Care Streaming: There is currently a national directive to provide a Primary Care Streaming facility in A&E. The Countess is looking at a revised more appropriate model in the long term. Clinical Assessment Unit: The Clinical Assessment Service recently implemented is a combined 5. Dressings Update The Chair introduced Claire Baker, Primary Care Lead and Laura Jones, WCCCG, to the meeting. The Network received an overview of the issues relating to the provision of dressings care in Ellesmere Port and Neston and the whole of West Cheshire. In Ellesmere Port the current waiting time for Doppler is at 14 months (this excludes urgents as these are seen within 2 weeks) CWP are not commissioned to provide dopplers. As an interim measure Practices in Ellesmere Port have agreed to go through their list of patients on the doppler waiting list and review whether they still require a doppler, if they do then the Clinician is asked to make the referral using the revised doppler form. Concerns have been expressed by both the City and Rural localities around the inequity of provision of dressings. The CCG holds data on what each practice does in terms of dressings, with the vast majority of practices in City and Rural providing basic dressings care. In Ellesmere Port all dressings are sent to the dressings clinic from simple suture removals to complex wound care. Claire Baker advised that following the Dressings Task and Finish group meeting on 25 th May, CWP agreed that dopplers already in the system for Ellesmere Port (around 50 patients) need to go back to practices for reassessment. If they are deemed as still requiring a Doppler, practices are requested to refer using an updated referral form as designed by CWP that can be shared with practices shortly. Patients who are deemed as still requiring a doppler will need to be referred on the new proforma, and owing to the additional capacity to be released within Extended Hours, will Minutes of Rural Network 3 Date: June 2017
4 be seen by this service, relieving pressure from the in-hours dressings provision from CWP. All new referrals for a doppler should be referred on the new proforma. The Rural Network raised issued with nurse capacity in the Extended Hours Service currently not providing complex dressings. Action: SM to liaise with the Extended Hours Service to identify nurse capacity to enable complex dressing service to continue/resume (in the short term) and feed back to the July meeting. SM The Rural Network noted the update around Dressings. 6. Primary Care Cheshire Update (including ACO developments) The Rural Network noted a recent workshop has been held to develop a Target Operating Model (TOM). Rural Clusters are coming together on the next Rolling Half Day to develop and align Clusters in preparation for an Accountable Care Organisation (ACO) next April. It was noted that Primary Care Cheshire (PCC) will need to develop systems that enable practices to reflect their population and locality. The Network noted PCC will be interviewing shortly for the post of Programme Director and PCC s AGM is on 27 June Holiday Inn, E Port. 7. Future Agenda Items Brio Leisure MacMillan support agreed July agenda 8. Any Other Business The Care Hub Tracey Palmer, Practice Manager Upton Surgery, provided an update on the Care Hub. It was noted The Care Hub formerly known as The Directory of Services has been funded by practices and is tailored to each practice on a local/individual basis. The information held on the database contains third sector information (no NHS information) such as Brio Leisure, Age UK etc. It was noted locally each service will have to update the information in order for it to be live and current, if the Provider fails to do this the service will drop off the data base. The Network noted the update on the Care Hub. Accenda: It was noted that Bunbury Surgery has resumed using the Accenda system. The Network asked if the CCG has identified outcomes to justify using the system and it was noted the intention is to share outcomes (by the CCG) later in the summer. Minutes of Rural Network 4 Date: June 2017
5 Next Meeting: Overall feedback from the Rural Network around Accenda was negative mainly due to issues around delayed appointments. The 3 main areas of concern are: A lack of resources in the Choice Team CoCH and CWP not coming together to make the system effective Consultants reluctant to triage the referrals A more detailed review of the performance of the Accenda system will be provided at the July Network. Tuesday 12 September Barbour Institute, Tattendhall, pm E Port & City Network Minutes May 2017 attached separately to the as too large to embed. Minutes of Rural Network 5 Date: June 2017
6 Key: Red Overdue Amber On-going Outstanding Actions NB: Actions will be taken off the table upon completion Green Completed Blue For future / On agenda Date Initiated Action By Whom Due Date 11 April 2017 SJ to meet with CWaC re: Turning Point and feed back to the June meeting. SJ July 2017 June 2017 Sarah Murray to feed through to the Strategic Medicines Managers Group that CoCH Consultants are still prescribing over the counter medications upon discharge and feedback to the September meeting. SM September 2017 June 2017 SM to liaise with the Extended Hours Service to identify nurse capacity to enable complex dressing service to continue/resume (in the short term) and feed back to the July meeting. SM July 2017 Minutes of Rural Network 6 Date: June 2017
7 Minutes of Rural Network 7 Date: June 2017
8 Minutes of Rural Network 8 Date: June 2017
9 Rural Locality Network Meeting, 2-5pm, Tuesday 11 July 2017, Barbour Institute, Tattenhall Chair Andy Campbell (Chair) APPROVED Name Practice Name Practice Manager Name Jonathan Gregson Helsby Brian Yorke Helen Black Bunbury Alan Courtenay Kylie Daniels Kelsall Julie Johnson Louise Davies Malpas Lynn Suckley Andy Campbell Tarporley (Campbell) Sue Dewhirst Alistair Adey Tarporley (Adey) Samantha Jeffrey Steve Pomfret Princeway Paul Smith Melissa Siddorn The Village Surgeries Kate Evans Practices not represented by a : N/A In attendance Sarah Murray Head of Primary Care (WCCCG) Colin McGuffie Locality Project Manager Diane Taska Membership Support Officer (Minutes) Matthew Adams Project Manager CAMHS (WCCCG) Agenda Item 4. Amanda Ridge Head of Planned Care (WCCCG) Agenda Item 5. Agenda No Action 1. Welcome & Apologies The Chair welcomed Rural Network members to the meeting and in particular Dr Jian Hor, Reg, Bunbury. Apologies were received from Steve Pomfrett and Louise Davies. Declarations of Interest No new declarations of interest were raised. Code of Conduct Network members were reminded of the meeting s code of conduct. Previous Minutes The minutes of the previous meeting (June 2017) were approved as an accurate record of the meeting. The Network noted there are currently 2 nurses that have the competencies to undertake complex dressings in the Extended Hours service with a 3 rd nurse currently being trained. A further update will be provided in due course. Minutes of Rural Network 1
10 An updated Extended Hours service timetable is now attached below for your information (page 6). 2. Financial Update/ CCG Update The Rural Network noted the CCG s financial position. The deficit of 11.7m remains unchanged with a 900k QIPP gap. The outstanding QIPP gap carries significant risk if the current schemes do not fulfill their potential. The Repeat Prescribing project should realise more savings than planned and NHS England are more assured than in recent times about the CCG s Financial Recovery Plan. It was noted the CCG will shortly be writing to community pharmacies to advise them of the savings made to date through the Repeat Prescribing scheme and thank them for their support. Sarah updated the group that the Extended Hours provision at Tarporley Hospital on Sunday would continue though there would no longer be an Out of Hours service. It is anticipated that the capacity available within the Extended Hours service would be able to cater for patient demand to see a. 3. Primary Care Cheshire Update (Including ACO/ACS developments) The Network noted a strategic body has been formed with terms of reference and a Governing Body to make decisions for the 4 CCGs that will sit below it (West Cheshire, South & Vale and East Cheshire). Brian Yorke, Primary Care Cheshire (PCC), provided the attached update to the Network: PCC ACO update.docx The Rural Network also noted that PCC has recently appointed a Programme Director, working 3 days a week and it is hoped this person will attend (part) of future Network meetings to update on PCC s work. 4. Engaging s in CAMHS Transformation Matthew Adam, Transformational Lead, West Cheshire CCG, was welcomed to the meeting with an update on the CAMHS mental health transformation in line with current legislation and the following presentation was provided: Presentation a.pptx The Network noted overall the transformation of mental health in CAMHS is about early detection and prevention and an increased access to mental health support by multi agency services. The Network noted currently the CCG is working with the local Minutes of Rural Network 2
11 Authority (evidence based work) with schools. Schools are in some instances inappropriately referring children through the Behavior Pathway to the and the CCG is aware of this and addressing issues with schools. Practice nurses have met with local schools and fed back that pupils sometimes do not know their school nurse and therefore there is a gap in offering these children support. It was noted the attached presentation contains links to resources that s might chose to use to support referrals through in to the system. 5. Planned Care Update Amanda Ridge, Head of Planned Care provided an update on Planned Care and the attached Accenda data was provided: Copy of Accenda dashboard.xlsx The original anticipated outcomes of implementing the Accenda system included: reducing admin workload in primary care enabling them to take on additional admin responsibilities, thus freeing up clinician time supporting demand management in secondary care, ensuring only appropriate referrals are progressed through into secondary care ensuring that patients are sent to the most appropriate specialty providing timely information/insight about the referrals that are being made, providing additional transparency it also supports the NHSE directive for CoCH to be paper light by 2018 The issues around the Accenda backlog were raised and it was noted that the initial guidance provided by Accenda recommended 4 members of staff to man the Choice Team and the associated workload which has proved to be incorrect. Other CCGs using the Accenda system have had the production of letters outsourced to a bureau for printing, this will be implemented by CWP for West Cheshire from September. The Network noted patients with an urgent referral appear at the top of the list so there is no delay. Some practices have taken referrals back in-practice which has also helped reduce the backlog in the interim period, practices were thanked for this. An evaluation of the Accenda referral system will be carried out Minutes of Rural Network 3
12 between August and October after which outcomes will be shared with practices. The Rural Network asked if Accenda is reducing referrals. The CCG is working with CoCH to address the number of Specialties that are triaging referrals. Currently there are 1200 referrals outstanding (from 20 June 2017), it is anticipating this will be cleared by the end of summer The dashboard shared with practices on a regular basis from the CCG provides a trends tab which will provide practices with information around trends and themes that are emerging. The Network highlighted that in the outcome column on the Accenda system the terminology booked is misleading as the patient isn t actually booked at that point but referred through to the acute trust for allocating an appointment. Action: HB to provide AR with examples of patients appointments sitting in the outcome column as booked but who have not yet received an appointment. HB/AR Next Steps: The final specialties will be live on the Accenda system by the end of July and an evaluation will be carried out throughout August, September and October. Outcomes will be shared with the Networks in due course. Health Optimisation: It was noted a working group including senior colleagues from the CCG, CoCH, CWP and PH has now agreed a pre-operative health optimisation pathway which enables patients to be referred in to weight management and other programmes before surgery to provide these patients with the best possible outcomes from surgery. All principles have been acknowledged around patients health before surgery (ie: high bmi/smoking and excessive alcohol consumption) in designing the pathway now attached for information: July Networks Health optimisation pr A communication strategy is planned from 1 September 2017 in order to engage patients and stakeholders and ensure the whole of the health economy has a consistent approach before it is implemented as a pathway from November Network members highlighted the potential for patients to come back to primary care to ask for letters so as they are excused (a get out clause) from the policy if they are over- Minutes of Rural Network 4
13 weight or smoke, so, the message coming from secondary care must be consistent and aligned to what primary care are telling patients. The CCG is meeting Public Health and Brio Leisure to ensure there is enough capacity and availability within their services eg: the Weight Management programme, should the volume of their work increase. However, Brio Leisure doesn t have a weight management programme in a rural setting as they there aren t the Local Authority run venues for them to use, Amanda Ridge will pick this up with Brio when she meets with them, for feedback at the September Network. Action: AR to link in with Brio around the lack of provision of a rural weight management programme etc. Updated Procedures of Limited Clinical Priority Any Questions: The Network noted the summary from the updated policy, Procedures of Limited Clinical Priority, included in the papers. Additionally, it was noted that Intrauterine Insemination (IUI) is available to all couples (same sex also) and patients seeking varicose vein operations will be referred on to a 6 month self-management (compression) programme. It was noted an individual funding request can still be submitted to the CCG if there is a special case for consideration. Headache Pathway/Neurology: The Rural Network noted the Headache pathway and neurology papers included with the agenda. This pathway will also go to the Rolling Half Day in December. There are now generic neuro nurses at Fountains that s can refer into for ie: MS and Parkinson s along with a neuro advice line, (number included in the papers). The Consultant Advice Line (CAL) number for s to use is Find out more about the CAL by clicking here: INNS (Integrated Neurology Nurse Specialists) Minutes of Rural Network 5
14 6. Future Agenda Items Brio Leisure MacMillan Cancer Update Agreed September 7. Any Other Business Next Meeting: The Rural Network noted the Nursing Home LES is progressing and an update will be provided to the September Network meeting. PMS developments: Monies from PMS practices will be recycled to all practices in due course. No further business was raised. Tuesday 12th September Barbour Institute, Tattenhall, pm E Port & City Network Minutes June2017 attached separately to the as too large to embed. Minutes of Rural Network 6
15 Overview of Extended Hours services available from the different locations w/c 14 th August 2017 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 1829 Building Countess of Chester Health Park Ellesmere Port Hospital Tarporley War Memorial Hospital Helsby Health Centre Nurse Counselling Nurse* Wellbeing 18:30 20:00 18:30 20:00 tbc Neston Surgery 18:30 21:00 tbc Laurel Bank Surgery, Malpas 18:30 20:00 tbc Nurse* Wellbeing 18:30 20:00 tbc Nurse Counselling Nurse Wellbeing 18:30 20:00 Nurse tbc tbc Nurse Wellbeing Nurse 18:30 20:00 Counselling tbc 18:30 21:00 Nurse tbc tbc tbc Nurse 18:30 20:30 from tbc Nurse* Nurse* Wellbeing 18:30 20:00 tbc 09:00 14:00 Nurse (09:00-18:00) Wellbeing (09:00 13:00) 09:00 14:00 Nurse (09:00-18:00) Wellbeing (09:00 12:00) 09:00 14:00 Nurse (1 session /month) 09:00 12:00 09:00 14:00 Nurse (09:00-18:00) (09:00 11:30) from Counselling 09:00 14:00 Nurse (09:00-18:00) (09:00 11:30) from Wellbeing 09:00 14:00 Minutes of Rural Network 7
16 Note: Counselling and Wellbeing Co-ordinator sessions are arranged by the service themselves from their patient lists. All other appointments can be booked through Single Point of Access (SPA) team: Opening hours 08:00 20:00; seven days a week Tel: Option 3 These services are also available through EMIS Cross-Organisational Appointment facility (more nursing sessions to be available via EMIS over next few weeks). * shows regular session that may not be delivered this particular week. This could be due to annual leave or if service seeking to confirm availability of clinician Red font indicates service to be delivered and are to be finalised Minutes of Rural Network 8
17 Outstanding Actions Key: Red Overdue Amber On-going NB: Actions will be taken off the table upon completion Green Completed Blue For future / On agenda Date Initiated Action By Whom Due Date 11 April 2017 SJ to meet with CWaC re: Turning Point and feed back to the June meeting. SJ October agenda COMPLETE June 2017 Sarah Murray to feed through to the Strategic Medicines Managers Group that CoCH Consultants are still prescribing over the counter medications upon discharge and feedback to the September meeting. SM September 2017 June 2017 SM to liaise with the Extended Hours Service to identify nurse capacity to enable complex dressing service to continue/resume (in the short term) and feed back to the July meeting. SM Further feedback to the September 2017 meeting July 2017 HB to provide AR with examples of patients appointments sitting in the outcome column of the Accenda system as booked but who have not yet received an appointment. HB COMPLETE Actioned by AR and Carl Jones July 2017 AR to link in with Brio Leisure around the lack of provision of a rural weight management programme etc. (AR has linked in with Health Box who do provide weight management and other facilities in the rural area which will compliment Brio Leisure services.) AR Feedback to the September 2017 Network meeting Minutes of Rural Network 9
18 Minutes of Rural Network 10
19 Minutes of Rural Network 11
Rural Locality Network Meeting 2-5pm on Tuesday 8 March 2016 at Cheshire View, Chester Chair Louise Davies (Vice Chair) APPROVED MINUTES
Rural Locality Network Meeting 2-5pm on Tuesday 8 March 2016 at Cheshire View, Chester Chair Louise Davies (Vice Chair) APPROVED MINUTES Attendants: (see the embedded attendance list at the end of this
More informationSKM_C364e pdf
DRAFT PRIMARY CARE OPERATIONAL GROUP MINUTES 2pm on Thursday, 21 st September 2017 Rooms A&B, 1829 Building, Chester. Attendance: SKM_C364e1709271 0440.pdf Agenda 0917-01 Welcome and Apologies Speaker
More informationRegister of Interests
Governing Body Register of Interests Name Title Declaration information Date Dr Huw Charles-Jones Chair GP Principal, Lache Health Centre, Hawthorn Road, Chester, CH4 8HX. Sessional GP Western Cheshire
More informationMinutes of the Chester City Locality GP Network Meeting 9am 12pm on Thursday 13th March 2014 in Rooms A&B in the 1829 Building
Minutes of the Chester City Locality GP Network Meeting 9am 12pm on Thursday 13th March 2014 in Rooms A&B in the 1829 Building Present: Dr Claire Westmoreland (Chair), Dr Dave Nicholson, Dr Suzanne MacDonald,
More informationWest Cheshire Children s Trust Executive
West Cheshire Children s Trust Executive Action Note of meeting held on Monday 24 th March 2014 (Room G1, CWaC HQ Building, Chester) In attendance: Stephen Moore (Chair) Sarah Blaylock CWaC Policy Manager
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT Date of Governing Body Meeting: Title of Report: Key Messages: Finance, Performance and Commissioning Committee Report At the end of September 2017 we have reported an inyear deficit
More informationNeston Medical Centre
Neston Medical Centre Patient Newsletter No 2 - September 2017 This newsletter has been produced by the Patient Participation Group (PPG) for the Neston Medical Centre (NMC). We are a group of patients
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Finance, Performance and Commissioning Committee Report 3. Key Messages: At the end of March 2017 the clinical commissioning
More informationStrategic overview: NHS system
Strategic overview: NHS system Dr Keith Ridge, Chief Pharmaceutical Officer 1 November 2016 A collaborative approach Five Year Forward View Oct 2014 NHS planning guidance, Dec 2015: Every health and care
More informationQUALITY IMPROVEMENT COMMITTEE
: 2016-002.a QUALITY IMPROVEMENT COMMITTEE Minutes of the meeting held on 11 th February 2016, Conference Room D, 1829 Building Present: Faulkner, Sarah (SF) (Chair) Lay Member, NHS West Cheshire CCG Cavanagh,
More informationCheshire & Merseyside Sustainability and Transformation Plan. People and Services Fit for the Future
Cheshire & Merseyside Sustainability and Transformation Plan People and Services Fit for the Future 2 The Challenge for the NHS As a nation we are fortunate to have a National Health Service that is free
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: 3. Key Messages: The paper discussed by the Governing Body on 17 th November 2016 was included as an agenda item for discussion
More informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
More informationPrimary Care Commissioning Committee
Primary Care Commissioning Committee 1. Date of Meeting: 19 th October, 2017 2. Title of Report: Primary Care Commissioning Report 3. Key Messages: The Primary Care Operational Group met in September and
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Primary Care Comissioning Committee Report. 3. Key Messages: The Clinical Commissioning Group is required to invest 3 per head
More informationDeclaration of Interest Register Governing Body
Declaration of Interest Register Governing Body Name Title Declaration information Date Declared Sarah Faulkner Governing Body Nurse Member Director of Quality, North West Ambulance Service NHS Trust Chris
More informationNHS West Cheshire Clinical Commissioning Group Annual Report 2016/17 Page 1
2016 17 Annual Report 2016/17 Page 1 NHS WEST CHESHIRE CLINICAL COMMISSIONING GROUP 2016/17 ANNUAL REPORT CONTENTS SECTION TITLE Page Number 1. PERFORMANCE REPORT 1.1 Purpose and activities of the organisation
More informationNHS Bradford Districts CCG Commissioning Intentions 2016/17
NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for
More informationBedfordshire, Luton and Milton Keynes. Sustainability and Transformation Plan. Central Brief: February 2018
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan Central Brief: February 2018 Issue date: February 2018 News Transforming care closer to home Our ambition is to build high quality,
More informationCCG authorisation: the role of medicines management
May 2012 The NHS medicines bill for 2010 was 12.9 billion, of which secondary care costs accounted for 32%. Prescribing inflation in 2010 ran at 4.8% and it is estimated that around 14% of total CCG budgets
More informationSouth Powys Cluster Plan
South Powys Cluster Plan 2016-17 The Cluster Network Development Domain with the Quality & Outcomes Framework supports medical practices to work collaboratively to: Understand local health needs and priorities
More informationEllesmere Port and Neston GP Network
Ellesmere Port and Neston GP Network 8.30am on Thursday 6 th November 2014 at Ellesmere Port Civic Hall, Civic Way, Ellesmere Port, CH65 0AZ Attendants: Attendance.pdf In attendance Andy McAlavey Alison
More informationMinutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016
Minutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016 Chair: Dr Andrew Murray Present: CC Cynthia Cardozo Chief Finance Officer CChi Dr Carrie Chill GP
More informationREPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 26 th January 2106 Agenda No: 5 Attachment: 04 Title of Document: Clinical Chair and Chief Officer Report Report Author: Adam
More informationTRUST BOARD TB(16) 44. Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals
TRUST BOARD TB(16) 44 Title: Action: Meeting: Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals FOR NOTING Date of meeting Purpose: The purpose
More informationWelcome. PPG Conference North and South Norfolk CCGs June 14 th 2018
Welcome PPG Conference North and South Norfolk CCGs June 14 th 2018 Housekeeping Packed Agenda! Quick feedback on the national patient participation conference Primary care general update and importance
More informationEllesmere Port GP Locality Network Meeting am Thursday 03 December 2015, Civic Hall, Ellesmere Port Chair: Chris Ritchieson
Ellesmere Port GP Locality Network Meeting 8.30 11.30am Thursday 03 December 2015, Civic Hall, Ellesmere Port Chair: Chris Ritchieson Unapproved Draft Attendees: David Thorburn Nigel Wood Simon Powell
More informationNorthumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary
Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies
More informationPerformance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director
Sutton CCG Clinical Commissioning Group Governing Body Date Thursday, 06 September 2018 Document Title Lead Director (Name and Role) Clinical Sponsor (Name and Role) Performance and Quality Report Sean
More informationIn this edition we will showcase the work of the development of a model for GP- Paediatric Hubs
Focusing on the principle of home first and designing the Perfect Locality from the lens of the community Issue 7 June 2017 Welcome to the seventh issue of Our Future Wellbeing, a regular update on the
More informationCommunity Pharmacy in 2016/17 and beyond
Community Pharmacy in 2016/17 and beyond Stakeholder briefing sessions 1 CONTENTS Contents This presentation describes our vision for community pharmacy, and outlines proposals for achieving that vision,
More informationImproving General Practice for the People of West Cheshire
Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general
More informationAppendix 1: Croydon Clinical Commissioning Group Risk Register and Board Assurance Framework - 9th April 2013
Appendix 1: Croydon Clinical Register and Board Assurance Framework - 9th April 2013 Principal to Delivery Key Assurance on we have in in our are 1. To achieve financial sustainability in three years (2013-2014
More informationMEDICINES STANDARD B3: WORKING WITH THE PHARMACEUTICAL INDUSTRY
MEDICINES STANDARD B3: WORKING WITH THE PHARMACEUTICAL INDUSTRY NHS employees and contractors link with the pharmaceutical industry in a number of ways, as a source of information, through the receipt
More informationClinical Pharmacists in General Practice March 2018
Clinical Pharmacists in General Practice March 2018 1. Background Following a successful national pilot programme, the General Practice Forward View committed over 100million to support an extra 1,500
More informationPRIMARY CARE COMMISSIONING COMMITTEE
PRIMARY CARE COMMISSIONING COMMITTEE 1. Date of Meeting: 2. Title of Report: Western Avenue Medical Centre Personal Medical Services (PMS) Reinvestment Report 3. Key Messages: The Personal Medical Services
More informationCluster Network Action Plan Neath Cluster. Abertawe Bro Morgannwg University Health Board Neath Cluster Action Plan
Cluster Network Action Plan 2016-17 Neath Cluster 1 Introduction The Neath Cluster Network includes a cluster of 8 GP practices, seven of the practices are engaged in GP training. The cluster network estate
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Chief Executive Officer s Business Report 3. Key Messages: This report provides an overview of important clinical commissioning
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More information5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?
Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title
More informationBristol CCG Urgent Care Working Group
Bristol CCG Urgent Care Working Group Terms of Reference Author(s): Lead Clinician (if appropriate): In consultation with: Ratified by: Issue/Ratification date: Review date: Jo Whitehead -Commissioning
More informationMERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE. Purpose of Report: For Note
Date of Meeting: 23 rd March 2017 MERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE Agenda No: 7 Attachment: 6 Title of Document: Primary Care Strategy Update Purpose of Report:
More informationDelegated Commissioning Updated following latest NHS England Guidance
Delegated Commissioning Updated following latest NHS England Guidance 13th August 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England (Direct
More informationUpdate on NHS Central London CCG QIPP schemes
Update on NHS Central London CCG QIPP schemes NHS Central London CCG has identified circa 11m for QIPP during 2013/14. Commissioning Intentions approved by the governing body included transformational
More informationAnnex 3 Cluster Network Action Plan South Ceredigion and Teifi Valley Cluster Plan
Annex 3 Network Action Plan 06-7 South Ceredigion and Teifi Valley Plan The Network Development Domain supports GP Practices to work to collaborate to: Understand local needs and priorities. Develop an
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationUrgent Treatment Centres Principles and Standards
Urgent Treatment Centres Principles and Standards July 2017 NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning
More informationTrust Board Meeting 05 May 2016
Trust Board Meeting 05 May 2016 Title of the paper: Sustainability and Transformation Plan (STP) Update Agenda item: 15/37 Lead Executive: Trust objective: Purpose: Link to Board Assurance Framework (BAF)
More informationLincolnshire County Council Officers: Professor Derek Ward (Director of Public Health) and Sally Savage (Chief Commissioning Officer)
Agenda Item 5 1 LINCOLNSHIRE HEALTH AND WELLBEING BOARD PRESENT: COUNCILLOR MRS S WOOLLEY (CHAIRMAN) Lincolnshire County Council: Councillors C N Worth (Executive Councillor Culture and Emergency Services),
More informationFINANCE PERFORMANCE AND COMMISSIONING COMMITTEE Meeting held on 10 th December 2015, 2.00pm Conference Room A, 1829 Building
AGENDA ITEM: 2015-097.a PRESENT: FINANCE PERFORMANCE AND COMMISSIONING COMMITTEE Meeting held on 10 th December 2015, 2.00pm Conference Room A, 1829 Building Hannah, Chris (CH) (Chair) Lay Member, NHS
More informationDRAFT Minutes of the Trafford Clinical Commissioning Group Governing Body Part 1 Held on Tuesday 5 September, 2017, 9.30 am at Crossgate House
PRESENT: DRAFT Minutes of the Trafford Clinical Commissioning Group Governing Body Part 1 Held on Tuesday 5 September, 2017, 9.30 am at Crossgate House Dr K Clark (KC) Dr L Clarke (LC) M Colledge (MC)
More informationYour Care, Your Future
Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts
More informationBUSINESS CONTINUITY PLANNING
BUSINESS CONTINUITY PLANNING May 2015 1 Version Version 1 Ratified By Date Ratified April 2013 Author(s) Responsible Committee / Officers Senior Management Team Date Issue April 2013 Review Date April
More informationReview of Local Enhanced Services
Review of Local Enhanced Services 1. Background and context 1.1 CCGs are required to prepare for the phasing out of LESs by April 2014 by reviewing the existing LES portfolio and developing commissioning
More informationMilton Keynes CCG Strategic Plan
Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three
More informationCroydon Clinical Commissioning Group Clinical Leadership Meeting Minutes
Attachment 16 Appendix 1 Date: 13 July 2012 Time: 13 30 15 30 Location: Room 11.4, Leon House Present: Dev Malhotra, GP Board Member Bobby Abbot, GP Dipti Gandhi, Clinical Leader Brian Okumu, GP Clinical
More informationOUTLINE PROPOSAL BUSINESS CASE
OUTLINE PROPOSAL BUSINESS CASE Name of proposer: Dr. David Keith Murray, General Practitioner, Leeds Student Medical Practice, 4, Blenheim Court, Blenheim Walk, LEEDS LS2 9AE Date: 20 Aug 2014 Title of
More informationUpdate Report to Clinical Members. Quarter 3; what have we done so far
Update Report to Clinical Members Quarter 3; what have we done so far Introduction: Dr Charlotte Canniff, Clinical Chair Following our Council of Members meeting in October we heard and recognised a clear
More informationOperational Plan 2017/19. December 2016
Operational Plan 2017/19 December 2016 Section Contents SECTION PAGE NUMBER 1. Supporting the delivery of our Sustainability and Transformation Plan 1 2. How we are supporting the Cheshire and Wirral Local
More informationNHS Somerset CCG OFFICIAL. Overview of site and work
NHS Somerset CCG Overview of site and work NHS Somerset CCG comprises 400 GPs (310 whole time equivalents) based in 72 practices and has responsibility for commissioning services for a dispersed rural
More informationWOLVERHAMPTON CCG. Governing Body Meeting 8 April 2014
WOLVERHAMPTON CCG Governing Body Meeting ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Commissioning Committee Summary Dr Kamran Ahmed Title of Report: Update from the Commissioning Committee
More informationPPI Forum Minutes of Meeting
PPI Forum Minutes of Meeting Meeting held on 28 April 2016 Venue: The Pierre Simonet Building, North Latham Road, Swindon The Chairman opened the meeting at 12:30 In attendance Present: Name Initial Job
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationA meeting of NHS Bromley CCG Governing Body 25 May 2017
South East London Sector A meeting of NHS Bromley CCG Governing Body 25 May 2017 ENCLOSURE 4 SOUTH EAST LONDON 111 AND GP OUT OF HOURS MEMORANDUM OF UNDERSTANDING SUMMARY: The NHS England Commissioning
More informationIpsos MORI survey results 2018
Ipsos MORI survey results 2018 1. Introduction Since 2014 an annual survey has been run by Ipsos MORI, on behalf of NHS England, to enable stakeholders to feedback on their local CCG. Each CCG selects
More informationWolverhampton CCG Commissioning Intentions
Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child
More informationTERMS OF REFERENCE. Transformation and Sustainability Committee. One per month (Second Thursday) GP Board Member (Quality) Director of Commissioning
TERMS OF REFERENCE Committee: Frequency Of Meetings: Committee Chair: Membership: Attendance: Lead Officer: Secretary: Transformation and Sustainability Committee One per month (Second Thursday) GP Board
More informationImproving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex
Improving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex The case for change AKI is recognised as a major public health and patient safety concern nationally and
More informationDirector of Acute & Primary Care Commissioning, BaNES CCG. Assistant Director of Nursing and Quality, BaNES CCG
Primary Care Commissioning Committee Held in Public Meeting Thursday 6 July 2017 2pm-4pm Boardroom, Kempthorne House, St Martins Hopsital, Bath, BA2 5RP Minutes Members of the Committee Suzannah Power
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationSouth Gloucestershire Clinical Commissioning Group Improving the Patient Experience Forum Meeting
South Gloucestershire Clinical Commissioning Group Improving the Patient Experience Forum Meeting Date: 8 th February 2017 Time: 10am-12:30pm Location: The Batch, Warmley, Bristol MINUTES IPEF members
More informationAny Qualified Provider: your questions answered
Any Qualified Provider: your questions answered September 8, 2011 These answers cover a range of questions about the detail of Any Qualified Provider on integrated care, competition and procurement, liability
More information2015/16 Annual General Meeting
2015/16 Annual General Meeting Welcome Dr Hari Pathmanathan tweet #ENHCCGAGM follow us @enhertsccg Financially Healthy? 2015/16 Finance Report Alan Pond Chief Finance Officer Statutory financial duties
More informationGOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 5.2
GOVERNING BODY MEETING in Public 27 September 2017 Paper Title Report Author Neil Evans Turnaround Director Referral Management s Contributors John Griffiths Date report submitted 20 September 2017 Dean
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationRebecca Stephens, Chair welcomed everyone to the first public meeting of the Primary Care Commissioning Committee.
Minutes of the NHS England and Cambridgeshire & Peterborough Clinical Commissioning Group Primary Care Commissioning Committee meeting held on Tuesday 25 April 2017 in the Cedar Room, Lockton House, Clarendon
More informationPrimary Care Co Commissioning Committee Minutes of Meeting held in Public on Wednesday 22 nd June
Primary Care Co Commissioning Committee Minutes of Meeting held in Public on Wednesday 22 nd June 2016 14.00-16.00 Boardroom, SRCCG Offices, Town Hall, Scarborough Chair: Andy Hudson Present Greg Black
More informationIn Attendance: Arlene Sheppard (AMS) Note Taker WNCCG Sarah Haverson (SHv) Commissioning Support Officer WNCCG
Agenda Item: 17.62 DRAFT Minutes of West Norfolk Primary Care Commissioning Committee Part One (Quorate) Held on 26th May 2017 2pm Education Room, Town Hall, Saturday Market Place, Kings Lynn PE30 5DQ
More informationPerformance and Delivery/ Chief Nurse
Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief
More informationTransforming Primary Care
Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth
More informationOxfordshire Primary Care Commissioning Committee
Oxfordshire Clinical Commissioning Group Oxfordshire Primary Care Commissioning Committee Date of Meeting: 6 March 2018 Paper No: 6 Title of Paper: Prescribing Incentive Scheme 2018-19 Proposal Paper is
More informationNHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 12. Date of Meeting: 23 rd March 2018 TITLE OF REPORT:
NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 12 Date of Meeting: 23 rd March 2018 TITLE OF REPORT: AUTHOR: PRESENTED BY: PURPOSE OF PAPER: (Linking to Strategic Objectives)
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationGreater Manchester Health and Social Care Strategic Partnership Board
Greater Manchester Health and Social Care Strategic Partnership Board 7 Date: 13 October 2017 Subject: Report of: Greater Manchester Model for Urgent Primary Care Dr Tracey Vell, Associate Lead for Primary
More informationThis paper explains the way in which part of the system is changing to become clearer and more accessible, beginning with NHS 111.
Unscheduled care in Haringey 1. Introduction There have been many changes to urgent, unscheduled and unplanned care over recent years. To begin with Casualty departments became Accident and Emergency departments,
More informationAnnual Report Summary 2016/17
Annual Report Summary 2016/17 Making sure you get the healthcare you need Annual Report summary 2016/17 Introduction by our Clinical Chair and Chief Executive Officer Dr Chris Ritchieson Clinical Chair
More informationAgenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome:
TRUST BOARD Date of Meeting: Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: For noting For information For decision Title of Report: Update on Clinical Strategy Aims: To brief Trust Board
More informationCoordinated cancer care: better for patients, more efficient. Background
the voice of NHS leadership briefing June 2010 Issue 203 Coordinated cancer care: Key points There are two million people with cancer in the UK. It is suggested that by 2030 there will be over four million
More informationST. JAMES S MEDICAL PRACTICE MALTHOUSE DRIVE DUDLEY, DY1 2BY dy
ST. JAMES S MEDICAL PRACTICE MALTHOUSE DRIVE DUDLEY, DY1 2BY dy Telephone: 01384 252729 01384 255808 Fax: 01384 242109 DR.NICHOLAS WHITE MBChB DRCOG BIRMINGHAM 1982 DR. BIPAN K JALOTA MbbChir DRCOG MRCGP
More informationApplication Pack: Applicants for Transformation Manager
Application Pack: Applicants for Transformation Manager Contents 1.0 Information about NHS Eastern Cheshire Clinical Commissioning Group and the Eastern Cheshire Healthcare Economy 2.0 Job Description
More informationCambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition
Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting 16 th November 2017 2. Title of Report: 3. Key Messages: BUPA ceased to be the registered provider of Crawfords Walk Nursing Home in October. The
More informationWestminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 21 February 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationSt Helens CCG Financial Recovery Consultation
Background Who are we? St Helens CCG Financial Recovery Consultation St Helens Clinical Commissioning Group (CCG) is the local NHS organisation responsible for planning, organising and buying NHS funded
More informationThree Year GP Network Action Plan North Powys GP Network
Three Year GP Network Action Plan 2017-2020 North Powys GP Network Introduction In the context of local management arrangements within Powys Teaching Health Board, the GP Cluster Network Development Domain
More informationNovember NHS Rushcliffe CCG Assurance Framework
November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015
More informationNorth Central London Medicines Optimisation Network. Terms of Reference. North Central London Medicines Optimisation Network 1 of 8
North Central London Medicines Optimisation Network Medicines Optimisation Committee Terms of Reference North Central London Medicines Optimisation Network 1 of 8 Document control Date Version Amendments
More informationMinutes of the PATIENT COUNCIL meeting held on Wednesday 23 June 2015 at 06.15pm in room AG11, Barnsley College, Church Street, Barnsley
Putting Barnsley People First Minutes of the PATIENT COUNCIL meeting held on Wednesday 23 June 2015 at 06.15pm in room AG11, Barnsley College, Church Street, Barnsley PRESENT: Chris Millington (in the
More information