PRIMARY CARE CO-COMMISSIONING JOINT COMMITTEE MEETING IN PUBLIC Tuesday 7 November 2017, 1.30pm Boardroom, Francis Crick House

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1 PRIMARY CARE CO-COMMISSIONING JOINT COMMITTEE MEETING IN PUBLIC Tuesday 7 November 2017, 1.30pm Boardroom, Francis Crick House Present: In Attendance: Paul Bevan (PBe) Lay Member Governance, Nene CCG (Chair) Charlotte Fry, Deputy Accountable Officer and Director of Primary Care, Nene CCG Kieren Leigh (KL) NHS England Dr Darin Seiger (DS) GP Chair, Nene CCG Dr Matthew Davies (MD), Medical Director, Nene CCG Julie Lemmy (JL) Deputy Director of Primary Care, Nene CCG Dr Jonathan Ireland (JI), LMC Hayley Mann (HM) Primary Care Support Officer, Nene CCG Sharon Wright (SW), Quality Improvement Manager Primary Care, Nene CCG Lucy Wightman, Director of Public Health, Public Health, NCC 1. Introduction and Apologies Apologies were received from John Wardell (JW), Accountable Officer, Nene CCG, Dr Judith Reeder (JR) RCGP Ambassador - GPFV Northamptonshire, Dr Naomi Caldwell (NC) Clinical Executive Director, Nene CCG, Stuart Rees, Chief Finance Officer Nene CCG, Bethan George (BG), Primary Care, Nene CCG Due notice of the meeting had been given in line with the Terms of Reference and the meeting was quorate. 2. Declarations of Interest There were no declarations of interest relating to items on the Agenda made by those present. 3. Minutes of the Previous Meeting PPCCJC The Minutes of the meeting held on 5 September 2017 were agreed as an accurate record. 4. Action Log PPCCJC Risk Register This review had taken place therefore this action is complete. 76 Fully Delegated Responsibilities CF confirmed that the meeting with NHS England had taken place and an update would be given at agenda item 8. Therefore this action is complete.

2 75 NHS England Update KL confirmed that NHSE had contacted Richard Jarvis in regards to the winter plan, therefore this action is complete. 74 NHS England Update Initial plans had been put in place for NHSE to meet with the STP Wellbeing Programme leads. This action is therefore Amber and further updates would be required at the next meeting. 73 Primary Care Quality Report It was confirmed that the inconsistencies related to the amount of reports NCC said they had received from GPs compared to the number of reports practices had recorded as being sent. Sean Carter will be obtaining full report data from practices to send to NCC to review. PBe confirmed that this will need to be followed up to ensure the reports are sent to NCC. 72 Safeguarding Payments MD confirmed that from the CCGs point of view no further action is required from this Committee and a resolution should be continue to be sought using legal action. Therefore this action is complete. 69 Primary Care Quality Report KL confirmed that access had been granted to 4 staff members for NHS Corby CCG access. No access can be given to NHS Nene CCG as at this point in time as Nene CCG does not have delegated responsibility. Action complete. 68 GP Forward View MD stated that the action was incorrect and should be read codes to Snowmed and not Systm1 to snowmed. Initial training had been provided by the LMC and further digital webexes are available as well as local resource. Action complete. 5. NHS England Update PPCCJC KL took the paper as read. The following areas were discussed: GP Resilience Programme KL confirmed that a paper in regards to the proposals for the resilience programme regarding locality approach is being presented to the Executive Team. KL confirmed he would update the Committee on the feedback of this paper. Premises Funding The Committee discussed whether a further update was required in regards to population growth. KL confirmed that the NHS England local team had begun to attend meetings with the NCC, Practices and the CCG to gain a view of population growth. Pharmacy Integration Fund The Committee discussed the Pharmacy Integration Fund and PBe queried whether any pilots of that programme had been set up in Northamptonshire. KL confirmed that the projections of project start dates had not been met and he was due to attend an event on Thursday which he hoped would give a proposed timescale of projects. LW queried whether there were any plans in place to communicate the rollout of these programmes to patients to make them aware of other professionals available for their health care needs. KL did not have this information but would take this question to the event on Thursday.

3 The Committee discussed the integration between the Pharmacy Integration Fund and the Pharmaceutical Needs Assessment (PNA) and that links would be required to be made between the LMC, LPC, Public Health and NHS England to ensure a joined up approach. 6. PMS Reinvestment PPCCJC Conflicts of interest were noted for DS, MD and JI as practising GPs. However, as this was a public meeting they would not be asked to leave the room. JL took the paper as read and asked the Committee to approve the recommendation of the funding streams for year three as detailed within the paper. DS queried whether the funding stream for the diabetes audit would be recurrent. CF confirmed that the funding would be recurrent but the programme of work attached to it for year three may change in future years. The Committee approved the recommendations made by the task and finish group. 7. Near Patient Testing Review PPCCJC Conflicts of interest were noted for DS, MD and JI as practising GPs. However, as this was a public meeting they would not be asked to leave the room. JL took the paper as read and confirmed that the task and finish group are recommending the removal of 16 drugs as listed within the paper. CF stated that the removal of these drugs was not a cost saving exercise and was merely to ensure that the correct drugs were included in the Near Patient Testing scheme. JI explained that a review of cost per drug vs cost per patient could not be completed at this time due to the inconsistent data received. However, a review would be undertaken once the next batch of submissions was received and the results of that review would be brought back to the Committee. JI stated the importance of this review to ensure no practice was being advantaged/disadvantaged under the current payment mechanism. DS asked how, following Committee approval, this message would be circulated to practices. The Committee agreed that the communication should be a joint approach between the CCG and LMC. ACTION: JL/LMC The Committee approved the recommendations made by the task and finish group. 8. General Practice Forward View (GPFV) PPCCJC CF took the paper as read and confirmed that the assurance visits with NHS England are ongoing. An interim submission of the GPFV was due this week with the final to be submitted next week.

4 Expressions of Interest has been circulated for; Extended Access and a good response received so far, Workforce Modelling and the Application for International Recruitment was submitted on Friday. A GPFV meeting had taken place this morning with a deep dive session taking place on workforce. The Workforce Committee meetings are working well across the county and it was confirmed that all health care professionals were included. Positive messages had been received from NHS England and the CCG continue to gain support from the NHS England GPFV Team. JI made the Committee aware of a presentation held by Sharon Firmin (SF) in regards to Lantern Software. This software is a clinical rota system which would help practices with their rotas for clinical staff sessions. This presentation had been very well received and SF plans to roll out further presentations. JI confirmed that this had worked well in other areas. BG and SF are to work with the federations to promote this programme. The Committee discussed the Primary Case Estates challenges and it was confirmed that a group is being established to include all health and social care sectors to ensure all elements of health and social care were discussed at preliminary meetings with planners. All members agreed that moving forward there needs to be a joined up approach when discussing primary care estates to ensure all resources across health and social care were considered. The Committee discussed the best way forward to communicate the GPFV plans to member practices. It was agreed that CF, BG, JL and the Commissioning and Membership Engagement Executives (CMEEs) would discuss this further to plan how to communicate the full pack to practices. ACTION: CF/JL/BG The Committee noted the progress made within the GPFV plans. 9. Fully Delegated Responsibilities CF confirmed that the application for fully delegated commissioning had been submitted and NHS England had acknowledged receipt of this. DS and CF will be meeting to go through the slide pack and following this the vote would be issued to members practices within a deadline of two weeks. The outcome of this vote would then be issued to NHS England ahead of the decision being made. Items for Information 10. Risk Register (Agenda Item 11) PPCCJC It was confirmed that the Workforce risk would be reviewed following feedback from NHS England. Any Other Business

5 The Chair moved to request the Committee pass a resolution to move into private session to consider private items of business (in line with the Public Bodies (Admission to Meetings) Act 1960) and the Committee agreed. There being no further business the meeting closed at 2.40pm