Enclosure Kiv MARKET MANAGEMENT & PROCUREMENT COMMITTEE THURSDAY 31 MARCH 2016 MINUTES PRESENT Dr Ellen Wright M (EW) - Chair Leceia Gordon-Mackenzie (LG) Diane Jones (DJ) Jillian Prescott () Mike Procter (MP) Jim Wintour (JW) Via telephone link GP Clinical Commissioner Chair, Greenwich Healthwatch Director of Integrated Governance Senior Procurement and Delivery Manager Associate Director, Delivery (Interim) Governing Body Lay Member IN ATTENDANCE Jan Matthews (JM) Elena Lepore (EL) Primary Care Manager Business Support Officer APOLOGIES Ian Fisher Dr Krishna Subbarayan (KS) Chief Finance Officer (Interim) GP Clinical Commissioner 1. APOLOGIES ACTION Dr Krishna Subbarayan and Ian Fisher had sent their apologies and although Jim Wintour was unable to be present he participated via telephone link for the entire meeting. 2. WELCOME AND INTRODUCTIONS Dr Wright reminded delegates that the last meeting took place as long ago as October last year and it would be timely for everyone to reiterate the purpose of their presence at the MM&P Committee meeting so that the Terms of Reference can be appropriately revised. It was agreed that all those present and the Director of Commissioning (not present) played a relevant part in committee, as well as two GPs. ACTION: Revise the Terms of Reference.
3. CONFLICTS OF INTEREST a. To note declared interests EW declared her conflict of interest with the MSK procurement topic on the meeting s agenda. Also, a conflict with the GP access item on the agenda, although she is not a GP partner. Mike Procter stated the MSK procurement presents conflicts of interests in terms of the way Greenwich operates in the future. b. To add new interests None added. 4. MINUTES AND MATTERS ARISING a. Review Minutes of the Meeting which took place 29 October 2015 The minutes were agreed as an accurate record of the meeting. b. Matters Arising All actions from the previous meeting have been carried out with the exception of inviting Ward Hadaway to one of the MM&P Committee meetings. Further to this, it was agreed that a training session be organised for relevant GPs from the Networks and members of the committee to which Ward Hadaway would be invited to speak about the new EU procurement regulations. ACTION: to obtain a quote from WH for carrying this out. ACTION: Subject to WH s costs, organise a training session on the new NHS procurement regulations and conflicts of interest. Diane Jones asked that an Action Log Tracker be kept for these committee meetings. ACTION: Admin Admin 5. 111 PROCUREMENT The committee was reminded that SEL SCU is currently running a 111 procurement across the six CCGs. Dr Krishna Subbarayan leads on this with Dr Jaisun Vivehanandaraj. Andrew Coombe, Jillian Prescott and Simon Shenton Tan also attend meetings as evaluators to ensure governance. Jeremy Burden and Claire Goodey from the SCU joined the meeting to explain the procurement in more detail and answer any questions. JB stated that OHSEL s IM&T group is overseeing this project because of the 2
implications raised around the cross-over of patient information. GPs are on site to give advice rather than having patients referred to other GPs. GPs contractual obligations have not yet been discussed with NHSE. The element of GPs out-of-hours services, with 111 front ending it, will also be discussed. Similar comments have been made by other CCGs. It is recognised that South East London is different from other parts of the country. More patient engagement around the 111 service will take place in the future. The length of calls depends on their nature. The duration of calls is part of the data capture set. Approval of the draft specification could not be given because of the absence of KS and JV. Their opinion will be sought and sent to SEL SCU before the Programme Board Meeting taking place 5 April ACTION: to co-ordinate. 6. TERMINATION OF PREGNANCY SERVICE A decision was taken 18 months ago to re-commission ToPS and the contracts with BPAS and Mary Stopes International were extended until March 2016 to allow time for patient engagement. The project has not progressed beyond this point due to staffing and resource issues. Re-commissioning ToPS via AQPs will: reduce waiting times and provide more access for patients reduce the cost of the service and drive quality and innovation invite new entrance to the market release a saving of 76k in 2016/17 Savings would come from both efficiencies from the providers and fewer terminations because of Public Heath s message on prevention. James Wintour stated he was happy with this proposal. 7. GREENWICH HOME CARE SUPPORT Simon Shenton-Tan and Jonathan Horn (from RBG) joined the meeting to give an update on progress and answer questions. Greenwich is currently piloting the concept of integrated Continuing Health 3
Care in the community with the Royal Borough of Greenwich s home care tender. There are two key benefits for procuring this service: i. this is a sector arrangement which has been successful ii. it avoids call outs from many different agencies Palliative care patients can be moved into a more appropriate environment. It was confirmed that London Care and Eleanor do provide nursing care within their services. The service is for a three year contract, with the potential to extend to seven years. The Committee agreed the recommendations for the Greenwich Home Support contract award. 8. GP ACCESS CENTRES Simon Hall joined the meeting to lead on the discussion about GP Access Centres to replace the current Walk In Centres in Thamesmead and Woolwich (just the walk in element of these practices). The proposal is to commission two GP access hubs to serve the GP registered population of Greenwich on Saturday afternoons and Sunday mornings and afternoons. As the service is for Greenwich CCG GP registered patients only, it is proposed that these GP access hubs be commissioned from the Greenwich GP Local Care Networks and would therefore share patients records through the Vision 360 system. The cost of establishing these services is approximately 250,000 each, which is below EU procurement rules. The concept is to commission the most capable provider without going through the procurement route. Benefits include: The Networks would hold the contract (there are already contracts within Networks) and sub-contracting is not likely to happen Information will be posted into patients records immediately. JW stated one of the advantages of this proposal is that it will promote integration between the Walk In Centres and GPs rather than going out to a corporate tender. 9. COMMUNITY PHARMACY MEDICINES OPTIMISATION SERVICE 4
(CMOS) The CMOS paper was written by Rena Amin and Jin On and signed off by Suzanne Warnett and Dr Nayan Patel. JW suggested, and it was agreed, that a new paper be written by Suzanne Warnett and signed off by an independent pharmacist because of the difficult position the CCG could be in if otherwise. JW further stated the paper should include contract variation, timetable and patient engagement. JW and EW will be sent the new paper by Friday 8 April to review. ACTION: DJ to co-ordinate between SW, JW and EW. DJ, SW, JW, EW 10. MSK PROCUREMENT (Dr Ellen Wright left the room at this point of the meeting due to her conflict of interest in this subject.) Greenwich CCG has, since 2013, been looking for ways to improve the MSK care pathway for patients and reduce the amount of duplication tests and treatments. The CCG QIPP Programme Delivery & Monitoring Group approved the Business Case to go to procurement for a Prime Contractor with a service go live date of mid October 2016 with an annual budget of between 13m and 13.5m. The Committee was asked to approve the Prime Contractor procurement and to oversee the procurement on behalf of the Governing Body by the receipt of regular progress reports throughout the procurement process. Leceia Gordon Mackenzie is keen for a robust patient engagement programme to be involved in this as it is important to have the right patient giving the right input. DJ stated the ideal would be to have an MSK forum but this does not exist. Efforts were made unsuccessfully to get GPs involved. It was suggested and agreed that the proposal be put to one of the Patient Reference Groups. LGM said she would send to Diane Jones details of one such group whose chair is also a patient. ACTION: LGM to send PRG details to DJ. LGM JW stated patient involvement is an important factor and he is happy that 5
patients will be on the tender evaluation panel. JW further stated Dr Iynga Vanniasegaram may be willing to take part in the evaluation process, if not Dr Vanniasegaram, then Maggie Buckell. 15. END OF LIFE PROCUREMENT (Dr Ellen Wright returned to the meeting room.) MP stated GCCG now must go forward in getting a firm contract for this service. Four options were proposed. Option 4 (Encourage partnership with other hospice provider) could be part of Option 1 (Full procurement of a single integrated service) or part of Option 2 (Full procurement of two separate specifications inpatient beds and community co-ordination). Legal opinion rules out option 3 (Repeat the single tender action). JW supports Option 2 and it was agreed that this be progressed. He suggested that Bexley CCG is informed of this decision. ACTION: Inform Bexley CCG. It could be that as a result of this action the provider, Greenwich & Bexley Community Hospice, may have to close and JW asked that a press statement be prepared and kept on record stating the procurement is only going out to tender at this point in time and that the Hospice is not about to close, should there be an adverse public reaction. ACTION: DJ to ask to Helen Eldrige about preparing a press release about GCCG s End of Life tender. DJ 16. PROCUREMENT CALENDAR It was agreed that there should be an engagement plan that sits behind each procurement piece of work on the calendar. ACTION: Revise the procurement calendar to include an engagement plan for each piece of procurement work. To ensure the public is aware of new procurements, it was agreed that in future project leads present them at public meetings, rather than inviting members of the public to a meeting determined by GCCG. ACTION: Ensure there is a clear plan whereby public engagement takes 6
place on all new schemes. 17. ANY OTHER BUSINESS None. 15. DATE OF NEXT MEETING The next meeting will take place Thursday 28 April, from 10:00 to 12:00 at the Woolwich Centre. 7