Richmond Clinical Commissioning Group Medical Director, Governing Body GPs and Clinical Leads Report Meeting Title: Governing Body in Public Date: 21 st January 2014 Agenda Item: 8 Attachment: D Purpose: For information and discussion Authors: Dr Harriet Bradley Dr Kate Moore Dr Graham Lewis Dr Branko Momic Dr Catherine Millington-Sanders Dr Nicola Bignell Presented by: Dr Harriet Bradley Further Information contact: Harriet.bradley@nhs.net Dr Harriet Bradley Lead Area: Medical Director Attending Executive, Governing Body and Membership meetings. Attending CAG and SIRG. Working on bid for funding to set up an Education Providers Network within Richmond to focus on enabling GP Surgeries to be in a position to provide community placements for student nurses and to agree a standardised training package for HCAs Discussions held with key stateholders including local GP Surgeries, HRCH, Middlesex and Imperial University. Deadline for bid on 22.1.14 and should know if funding received by early March. Hope to set up working group next month so will be writing to surgeries soon regarding opportunities to join working group. Marked improvement noted in Significant Event reporting from HRCH. Following feedback regarding inadequacies of some reports, the standard has measurably improved. Letter sent to HRCH management from SIRG outlining this. Working with NHSE regarding concerns regarding practitioners working within Richmond. Responsibility now lies with NHSE but acting as liaison for any intel received from community. Clinical lead for substance misuse (Contracted via Public Health). Currently working on finalised spec for service. Tender process due to start in February. Continue working on Education Providers Bid. Should funding be received will move towards implementation of service. Dr Kate Moore Lead Areas: Primary Care, IT, health Intelligence, Enhanced Services, CAG chair, Several meetings Nov/Dec to discuss community services and HRCH including Page 1 of 5
meeting with inetrested GP s and Jo Silcox ( Project manager), meeting with HRCH medical director, meeting with PPG chairs CAG 5/11/13 and 3/12/13 Exec Team 26/11/13, 10/11/13 Governance Working group Exec team away day 12/11/13 QIPP 19/11/13, GB meeting 19/11/13 HIG 21/11/13 IG group 21/11/13 Community Ward Workshop 11/12/13 Data meeting with public health Working to resolve issues around community provider Data packs for QP and ongoing data for clinical networks Support for governance review Ongoing work with Paul Gibson around GP IT and capital allocations Continue work on community provider which is priority Push on QIPP for last quarter CAG ( refine scheduling and finalise TOR) Implementation plan for out of hospital strategy Ongoing support for work on Data Packs Dr Graham Lewis Lead Areas: Urgent care, maternity, engagement : Urgent Care Committee monthly Health and Wellbeing Board : Working with Kingston and West Middlesex Trusts and other CCG commissioners to mange A+E activity and the performance of 111. Linked with GP colleagues to feedback the rise in child attendances with respiratory infections noted before Christmas at Kingston. Local performance has been of a high standard over and around the bank holiday period and to date Approval of the Better Care Closer to Home strategy, a key strategy for the CCG Met with Judy Mace to look at children s urgent care needs : Continued close monitoring of local A+E performance and 111 Provide clinical input to areas of the CCG involved with urgent care Page 2 of 5
Dr Branko Momic Lead Areas: Clinical Lead NHS 111 : Regular monthly Clinical Governance Group meetings with Richmond and Kingston commissioning managers, clinical lead from Kingston, CSU managers and Harmoni service providers. Clinical leads, CSU managers and Harmoni clinical leads continued with regular monthly end-to -end audit. We invited Consultant Dan Harris to attend one of the audits when we were focusing on referrals from NHS 111 to A&E Kingston, then we have representatives from East Berkshire OOH provider to evaluate our NHS 111- East Berkshire pathway. Once-monthly meetings of Kingston Urgent Care Working Group (formally known as Kingston Urgent care Board) as a GP representative for Richmond CCG.The emphasis of the last 2 meeting was to ensure readiness of all the stakeholders regarding Winter Pressure initiative. Pan-London NHS 111 CGG meeting with the London view on issues regarding NHS 111. Meeting in November regarding developments and ideas for future commissioning of NHS 111 (with Anna Webster, commissioning manager for NHS 111 Clinical Lead NHS 111 As a part of the role as a GP Board member at CCG, I participated as a clinical lead and attended 2 meetings for a tendering process for procurement of Patient Transport for Richmond CG. Dr Catherine Millington-Sanders Lead Areas: End of life care, organisational development, out of hospital, long term conditions, care homes NOV: Care Home Pilot Meeting End of Life Care Pilot meetings Governance Working Group Meeting with Dementia Clinical Lead Clinical Advisory Group meeting Exec Team meeting Exec Team Away day Strategic Partnership Group meeting Out of Hospital Programme Board CCG Community Ward Manager Interviews Organisational Development Interfaith Meeting End of Life Care Alliance Workshop Page 3 of 5
Community Ward meetings Exec Team MDT meetings Membership Group Care Home Ops Meeting + YHC Contract Monitoring CCG Team Meetings & 1:1s DEC: Out of Hospital Strategy Initiative Prioritisation Workshop Risk Stratification Meeting HRCH Meetings Organisational Development Richmond Health, Housing & Adult Services O&S Committee Community Ward Workshop Care Home IG Meeting Princess Alice Hospice Pilot Meetings Out of Hospital Strategy Programme Board Governing Body Seminar Team Meetings & 1:1s Governing Body core business meetings Organisational Development Elderly Frail focus on Care Homes, Falls & Bone Health, Out of Hospital Strategy Cancer strategy development, Pop up shop, GP Cancer Profiles & 2WW, Clinical decision tools, Acute commissioning End of Life Care enabling patients to die in the place of their choosing, have a Good Death supported by initiatives such as Cordinate My Care (CMC), Difficult Conversations, Bereavement service, funding people at End of Life. Community Ward proactively identifying patients with LTC, reduce hospital admissions, run in partnership with LBRuT & HRCH, brings together key health & social care professionals, Multi Disciplinary Teams (MDT) Further developing services detailed above Integrated Partnership Group for Elderly/Frail developments Dr Nicola Bignell Lead Areas: Engagement, Commissioning, Planned Care, HRCH, Kingston Hospital Trust (KHT), Children CAG, Executive meetings, RCAS evening meetings, Planned care meeting, RCEG meeting, intranet meetings, GB seminar Several meetings Nov/Dec to discuss community services and HRCH including meeting with GPs and Ros Ranson, MD for HRCH Page 4 of 5
HRCH community nursing model RCAS and Richmond clinical effectiveness group Intranet launches individual practices Local DOS work Intranet launches to continue Local DOS to reach a near completion stage, but always a work in progress To extend RCAS as a commissioning tool community nursing model incorporating into Better care closer to home, working with primary care and HRCH to bring geriatrics into the community Page 5 of 5