PRIMARY CARE CO-COMMISSIONING COMMITTEE Thursday 17 December 2015, 11.30am 12.30pm Robert Robinson Room, Scarsdale, Chesterfield, Derbyshire A G E N D A Item Enclosure Presenter 1. Welcome, introductions, and apologies Verbal Gary Apsley 2. Declaration of Interests Primary Care Co-Commissioning Committee Members to declare interest in items on the Agenda To receive and note any changes to the Register of Primary Care Co- Commissioning Committee Members interests 3. Minutes from the Primary Care Co- Commissioning Committee of 26 November 2015 To Approve Paper A Paper B Gary Apsley Gary Apsley 4. Matters arising from the Primary Care Co- Commissioning Committee of 26 November 2015 Action Log Paper B Paper C Gary Apsley 5. Complaints Verbal Judy Derricott 6. Primary Care Program Plan Paper D Jonathan Rycroft 7. Any Other Business All 8. Date, time and venue of the next meeting: Thursday 28 January 2016, in the Robert Robinson Room, Scarsdale, Chesterfield, Derbyshire at 11.30am Verbal Gary Apsley
North Derbyshire Clinical Commissioning Group Register of Interests Governing Body and Sub Committees December 2015 Governing Body Member Interests Mark Smith Spouse is an employee of Derbyshire Healthcare Services Foundation Trust Governor of Woodthorpe Community Primary School Sheffield. Ben Milton Partner at Darley Dale Medical Practice Director of Darley Private Healthcare Dr Smith and Partners are part of the Primary Research Network and are paid for engagement in their research projects Indigo Training is part of Darley Private Healthcare. Contract for service of Derbyshire Community Health Services NHS Foundation Trust. Darley Dale Medical Practice is a member of the North Derbyshire GP Federation Ian Gibbard No relevant interests David Collins Partner at Springs Health Centre, Clowne Spouse is a partner in Larwood Surgery Member via the practice in North Derbyshire GP Federation. Darran Green No relevant interests Jayne Stringfellow Governor Chesterfield Royal Hospital Foundation Trust Spouse is an employee of West Midlands Ambulance Service and trustee of Cross Roads Care East Midlands. Andrew Milroy Assistant Director of Adult Care, Derbyshire County Council Register of Interests Governing Body, CRG and Sub Committee December 2015
Bruce Braithwaite Director of Operations, Alliance Surgical PLC Director BD Braithwaite Ltd Director Veincare Ltd Clinical Lead and Deputy Clinical Chair of Circle NHS Treatment Centre, Nottingham. Debbie Austin School Governor Taxal and Fernilee Primary School, Whaley Bridge Spouse is Employee of DCHS, Interim Associate Director of Transformation Gary Apsley No relevant interests Beverley Smith No relevant interests Joanne Winfield No relevant interests Anne-Marie Spooner GP Partner at Hasland Medical Centre Hasland Medical Centre is a member of the North Derbyshire GP Federation. Isabella Stone No relevant interests Governing Body Assurance Committee Interests Mark Smith Spouse is an employee of Derbyshire Healthcare Services Foundation Trust Governor of Woodthorpe Community Primary School Sheffield. Ben Milton Partner at Darley Dale Medical Practice Director of Darley Private Healthcare Dr Smith and Partners are part of the Primary Research Network and are paid for engagement in their research projects Indigo Training is part of Darley Private Healthcare. Contract for service of Derbyshire Community Health Services NHS Foundation Trust. Darley Dale Medical Practice is a member of the North Derbyshire GP Register of Interests Governing Body, CRG and Sub Committee December 2015
Federation Ian Gibbard No relevant interests Darran Green No relevant interests Jayne Stringfellow Governor Chesterfield Royal Hospital Foundation Trust Spouse is an employee of West Midlands Ambulance Service and trustee of Cross Roads Care East Midlands. Gary Apsley No relevant interests Joanne Winfield No relevant interests Suzanne Pickering No relevant interests Isabella Stone No relevant interests Debbie Austin School Governor Taxal and Fernilee Primary School, Whaley Bridge Spouse is Employee of DCHS, Interim Associate Director of Transformation Anne-Marie Spooner GP Partner at Hasland Medical Centre Hasland Medical Centre is a member of the North Derbyshire GP Federation. Clinical Reference Group Interests Ian Hutchison Partner in Evelyn Medical Practice Sharon Dinham Work with Primary Care Research Network carrying out research projects with the GP Practice No Spouse with relevant interests Chris Harvey Partner in Stewart Medical Centre, Buxton Practice contract for provision of GP Services to Fenton Ward and Buxton MIU employed by DCHS Sessional GP (OOH) for Mastercall Ltd, Stockport Richard Butler GP Partner at Moss Valley Medical Practice and part of North Derbyshire GP Register of Interests Governing Body, CRG and Sub Committee December 2015
Federation Upendra Bhatia GP Partner in Newbold Surgery Care UK and Derbyshire Health United (DHU) sessional duties. Chesterfield Health Provider by proxy through Newbold Surgery. Research lead for practice for PCRN Philip Cox Vice Chair DHU Rick Meredith Clinical Director of Derbyshire Community Health Service Interim Medical Director Derbyshire Community Health Service Danny Connor Podiatric Surgery and Community Podiatry Services Buxton Outpatients and Theatre Services DCHS NHS Trust Ifti Majid Executive Director of Operations with Derbyshire Healthcare Foundation Trust. Steve Gillam Interim Clinical Director of Derbyshire Community Health Services Beverley Smith No relevant interests Audit Committee Interests Ian Gibbard No relevant interests Gary Apsley No relevant interests Mark Smith Spouse is an employee of Derbyshire Healthcare Services Foundation Trust Governor of Woodthorpe Community Primary School Sheffield. Suzanne Pickering No relevant interests Martin Colclough No relevant interests Spouse is employed as a Deputy Director of Public Health England Register of Interests Governing Body, CRG and Sub Committee December 2015
Carl Twibey Partner is employed by Derbyshire Community Health Services NHS Trust Andrew Milroy Assistant Director of Adult Care, Derbyshire County Council Joanne Winfield No relevant interests Primary Care Co-Commissioning Committee Interests Ian Gibbard No relevant interests Gary Apsley No relevant interests Joanne Winfield No relevant interests Isabella Stone No relevant interests Andrew Milroy Assistant Director of Adult Care, Derbyshire County Council Mark Smith Spouse is an employee of Derbyshire Healthcare Services Foundation Trust Governor of Woodthorpe Community Primary School Sheffield. Jayne Stringfellow Governor Chesterfield Royal Hospital Foundation Trust Spouse is an employee of West Midlands Ambulance Service and trustee of Cross Roads Care East Midlands. Beverley Smith No relevant interests Ben Milton Partner at Darley Dale Medical Practice Director of Darley Private Healthcare Dr Smith and Partners are part of the Primary Research Network and are paid for engagement in their research projects Indigo Training is part of Darley Private Healthcare. Contract for service of Derbyshire Community Health Services NHS Foundation Trust. Darley Dale Medical Practice is a Register of Interests Governing Body, CRG and Sub Committee December 2015
member of the North Derbyshire GP Federation Debbie Austin School Governor Taxal and Fernilee Primary School, Whaley Bridge Spouse is Employee of DCHS, Interim Associate Director of Transformation Caroline Shearer Awaiting declaration Lisa Soultana Alexin Healthcare Ltd Non-Executive Director Johnathon Rycroft No relevant Interests Marie Scouse No relevant interests Elaine Michel Director in County Council with responsibility to advise all Derbyshire CCG s on Public Health Prescribing Sub Committee Interests Richard Clarey No relevant interests Sharon Dinham Nurse representative on ND CCG Clinical Reference Group Jean Richards No relevant interests Helen Gregory No relevant interests Jane Mellor No relevant interests Kate Needham Director/Secretary (10% Shareholder) of Hollowmoor Consultancy Ltd Maxine Orwin No relevant interests Dr Tim Parkin Owner/Partner in Blackwell Pharmacy, Gloves Lane, Blackwell Derbyshire Partner Limes Medical Centre, Blackwell, Blackwell Medical Centre, Village Surgery (Pinxton & South Normanton) Member of Hardwick CCG Prescribing Lead, Learning Disabilities Lead and Research Lead Kelly Monck No relevant interests Dr Elizabeth Riches Partner of GP Practice at Chatsworth Road Medical Centre GP Partner ND CCG Chatsworth Road Medical Centre is part of North Derbyshire GP Federation Register of Interests Governing Body, CRG and Sub Committee December 2015
Martin Shepherd No relevant interests Guillermo Sierra Area Manager for Lloyds Pharmacy and a CCA rep for Derbyshire LPC Dr Lorraine Wooster Partner to be at Stubley MC Stubley Medical Centre is part of North Derbyshire GP Federation Dr Carolyn Emslie Practice member of ND CCG Partner at Springs HC Clowne Springs HC is part of North Derbyshire GP Federation Dr Diane Fitzsimons Director of Darley Private Healthcare Partner at Darley Dale Medical Centre Darley Dale Medical Practice is a member of the North Derbyshire GP Federation Denise Shaw No relevant interests Senior Leadership Team Interests Nicola Longson No relevant interests No spouse with interests Kate Needham Director/Secretary (10% Shareholder) of Hollowmoor Consultancy Ltd Adam Sutherst No relevant interests Marie Scouse No relevant interests Martin Colclough No relevant interests Spouse is employed as a Deputy Director of Public Health England Aaron Gillott Treasurer and Committee member of Derbyshire Alcohol Advice Service Laura Joy No relevant interests Simon Harris Non-remuneration Director at The South Wolds Academy Governor at Willow Brook Primary School Paramedic for St Johns Ambulance Service Paramedic for EMAS Register of Interests Governing Body, CRG and Sub Committee December 2015
21 st Century Planned Delivery Group Interests Tracy Allen Chief Executive of DCHS Partner is Director of Transformation and Clinical Programmes at Hardwick CCG Andy Gregory Chief Officer of Hardwick CCG Partner works at Derbyshire Community Health Services Gavin Boyle Chesterfield Royal Hospital Chief Executive Chair of EMLA Tom Diamond Awaiting Declaration Andrew Milroy Assistant Director of Adult Care, Derbyshire County Council Ben Milton Partner at Darley Dale Medical Practice Director of Darley Private Healthcare Dr Smith and Partners are part of the Primary Research Network and are paid for engagement in their research projects Indigo Training is part of Darley Private Healthcare. Contracted for Derbyshire Community Health Services NHS Trust Darley Dale Medical Practice is a member of the North Derbyshire GP Federation Simon Roberts Director of Greenwood and Roberts Consulting Ltd Steve Lloyd Hardwick CCG Chair GP Member of Commissioning Delivery Group, Quality Committee and Remuneration Committee Wildman Medical Services Ltd Sessional Clinical Lead for Derbyshire Health United and East Midlands Ambulance Service Steve Trenchard No relevant interests Judith Douglas EMAS Director of Nursing and Quality Company Secretary for Douglas Installation Services Limited Lesley Thompson Director Beyond Consultants Ltd Previously Deputy Chair and Senior Register of Interests Governing Body, CRG and Sub Committee December 2015
Independent Director DHCFT Owner Beyond Consultants Associate to Shared Services Architects Faculty member of EMLA Register of Interests Governing Body, CRG and Sub Committee December 2015
North Derbyshire CCG Primary Care Co-Commissioning Committee 17 December 2015 Paper B NORTH DERBYSHIRE CCG PRIMARY CARE COMMISSIONING COMMITTEE Robert Robinson Room, Scarsdale Thursday 26 November 2015 PUBLIC SESSION MINUTES Present Gary Apsley, Chair Lay Member (Patient and Public Engagement) Isabella Stone Lay Member (Patient and Public Engagement) Ian Gibbard Lay Member (Audit) Debbie Austin GP, High Peak & Dales Locality Darran Green Interim Chief Finance Officer Jayne Stringfellow Chief Nurse & Quality Officer Mark Smith Interim Chief Officer Judy Derricott Head of Clinical Quality Hannah Belcher Contracts Manager, NHS England Jonathan Rycroft NHS England Sean King LMC Representative Carolin Shearer HealthWatch Representative In attendance Apologies Andrew Milroy Assistant Director (Adult Care Services), DCC Ben Milton GP, Chair and Clinical Lead Minute Taker Rosalind Combes PA to Chief Nurse and Quality Officer Opening of Business/Standing Items PCC084.15 Welcome and Introductions The Chair welcomed Primary Care Co-Commissioning Committee Members and guests to the meeting, and introductions were made. PCC085.15 Apologies for Absence Apologies had been received ahead of the meeting from Mr Milroy and Dr Milton. North Derbyshire CCG Primary Care Co-Commissioning Committee Minutes 26 November 2015 1
North Derbyshire CCG Primary Care Co-Commissioning Committee 17 December 2015 Paper B No further apologies were received. PCC086.15 Declarations of Interests Dr King stated as follows: Deputy Secretary Derby and Derbyshire LMCs. Locum GP - up to now working at 2 of the High Peak Practices intermittently. Deputy GP for the Out of Hours Service DHU. GP Specialist Adviser for CQC (inspections out of County only). Occasional GP adviser for North Derbyshire GP Federation Board. Shortly to take up contract with HSCIC providing Clinical Assurance for their articles on NHS Choices. Share holder/director of Elmpharm Ltd. Operating company of Burlington Road community Pharmacy in Buxton. Ex-partner (left 1/4/15) Elmwood Medical Centre, 7 Burlington Road, Buxton. Spouse: My wife works as Nurse Consultant to EMIS software supplier based in Leeds. There were no further specific Declarations. There were no changes to the Register of Interests. It was noted that the confidential session of the Primary Care Co- Commissioning Committee had considered an item on practice infrastructure funding on which Dr Milton had a conflict of interests; the matter had been considered during the confidential rather than public session as it involved commercially sensitive information. Dr Milton had no input to the recommendations made. It was confirmed in the interests of complete transparency that Dr Milton s absence from the meeting arose from diary commitments. PCC087.15 Minutes of the NDCCG Primary Care Commissioning Committee Public Session of 22 October 2015 and action log Mrs Derricott reported that an email had been received from Helen Foster, the Practice Manager at Oakhill Medical Practice, raising two points concerning the minutes of the previous meeting (quoted below): 1. The Sub Group the Practice Manager was on did NOT discuss the Care Home Specification which is the spec we objected to. North Derbyshire CCG Primary Care Co-Commissioning Committee Minutes 26 November 2015 2
North Derbyshire CCG Primary Care Co-Commissioning Committee 17 December 2015 Paper B 2. Dronfield has 2 representatives on the PCDG but they do not routinely involve the other practices and did not feedback about any contract discussions. I think it has since been recognised that people were not aware they were representing their locality at this group and changes have been made but at the time, we were not advised of these contact discussion nor asked for our input. The Committee was reminded that the discussion at that point in the previous meeting had concerned LMC representation and the way in which practices were engaged. It was noted that the CCG had already begun work on practice locality engagement, of which practices were aware, and that the matter had been raised at the most recent CCG Membership event. The minutes were otherwise agreed as an accurate record. The action log was considered. PCCC044.15 Primary Care Branch Closure Miss Belcher advised that the practice had not yet identified a possible alternative site in Grindleford, and brief consideration was given to identifying a deadline if nothing had been received early in 2016. Mrs Derricott reported that a meeting with Dr Goodwin was to take place on 16 December, and invited Miss Belcher to attend; it was noted that Dr King would be present to represent the LMC. Discussion/Information Items PCC088.15 Incident Panel Report Ms Stone observed that there was no paper or item number on the document itself, and it was noted that owing to a compositing error the cover sheet followed rather than preceded the report. Mrs Derricott led the group through the key points of the report. It was confirmed that these incidents would in future be addressed through the Quality Report to the Governing Body Assurance Committee and that the Incident Panel Report had been presented for future assurance. Dr Shearer advised that HealthWatch had received positive comments about the flu vaccination scheme. Mrs Derricott indicated that contact had been made with HealthWatch and that the CCG would in future receive a monthly report which would be included in the Quality Dashboard. North Derbyshire CCG Primary Care Co-Commissioning Committee Minutes 26 November 2015 3
PCC089.15 North Derbyshire CCG Primary Care Co-Commissioning Committee 17 December 2015 Paper B Meningo Outbreak Mrs Derricott presented the report and led discussions, outlining the event and subsequent actions. Some contractual issues had been discovered around immunisations for school-aged children when local GPs had been asked to mop up children not captured in the mass vaccination scheme. Consideration was given to the question of practices responsibilities on the basis that the contract for vaccinations had been awarded to DCHS rather than primary care. Dr King cautioned against directing criticism at primary care in this instance and it was noted that, although primary care providers were not to be blamed for raising valid points about contractual responsibilities, in the circumstances it may have been appropriate to provide the mop-up vaccinations and address the question of remuneration under individual service payments once the affected patients had been immunised. The question of remuneration under individual service payments was ongoing. Communication problems had been apparent throughout the process; it had emerged early on that Public Health England (PHE) had not had the correct contact details for the CCG, and there had been delays in PHE s communication with practices. Mrs Stringfellow explained that the incident had tested a communications cascade not used since the last reorganisation of the NHS. Mr Apsley sought confirmation that every child had been immunised; Mrs Derricott advised that every child had been offered an immunisation, though the CCG had no right to enforce immunisation if it was declined by the child s parents. It was noted that one of the practices in the affected area had opened on a Saturday morning to ensure that patients could receive immunisations. PCC090.15 Primary Care Program Plan/Derbyshire and Nottinghamshire Co-Commissioning Development Programme Update Report It was noted that the items listed as 7 and 8 on the agenda should be taken together, and that item 8 should have preceded item 7. Mr Rycroft presented the papers and confirmed that the key points were contained in the Executive Summary. PCC091.15 Any Other Business No further business was transacted. North Derbyshire CCG Primary Care Co-Commissioning Committee Minutes 26 November 2015 4
PCC092.15 North Derbyshire CCG Primary Care Co-Commissioning Committee 17 December 2015 Paper B Date and Time of Next Meeting: Thursday 17 December 2015 in the Robert Robinson Room, Scarsdale, Chesterfield, Derbyshire at 11:00am. Signed by:. (Chairman) Dated: North Derbyshire CCG Primary Care Co-Commissioning Committee Minutes 26 November 2015 5
Primary Care Hub Derbyshire and Nottinghamshire Date of meeting: Title: EXECUTIVE SUMMARY SHEET 1 CCG Primary Care Commissioning Committee 30/11/15 Agenda Item: 6, Paper D Derbyshire and Nottinghamshire co-commissioning development programme update report End November 2015 Presented by: Written by: Jonathan Rycroft Jonathan Rycroft Purpose of paper: All 10 Clinical Commissioning Groups (CCGs) in Derbyshire and Nottinghamshire were successfully approved to take full delegation of primary medical services commissioning on 1 April 2015. All 10 CCGs are supported in commissioning primary medical services by the NHS England primary care hub. Mansfield and Ashfield CCG are the lead CCG for this arrangement. A co-commissioning leads group (CCLs), which reports to Accountable Officers (AOs), was established early in 2015 to ensure effective working arrangements were in place between CCGs and the Primary Care Hub from 1 April 2015. This group continues to meet monthly to further refine working arrangements and to plan for 2016/17. The purpose of this paper is to update on progress delivering the co-commissioning development work programme. Key Issues and Recommendations: Considerable development was undertaken in the lead up to April 2015 to ensure that effective working arrangements were in place at the point of delegation. Feedback from CCGs and the Primary Care Hub team indicate that these arrangements are working well and relationships are good. The focus of this programme plan is on the interface and working arrangements between CCGs and the Primary Care Hub. It should be recognised that there is also considerable further work within CCGs to support co-commissioning. This current overall programme is split into 4 main areas of work: A. 2015/16 arrangements for GP co-commissioning B. Developments to support 2016/17 GP co-commissioning C. Developments to support pharmacy, optometry and dentistry co-commissioning D. Primary Care Hub arrangements for 2016/17 Further detail of the activities within the programme together with a progress update as of the end of November is enclosed.
Primary Care Hub Derbyshire and Nottinghamshire Overall there is positive progress against the programme plan. Key risks include: Primary Care Hub arrangements for 2016/17. CCG AO s have confirmed support for the continuation of the Primary Care Hub arrangement for 2016/17 which is extremely positive. Mansfield and Ashfield CCG are working with NHS England, on behalf of all CCGs, to explore potential options to strengthen the hub arrangement so it can better support CCGs deliver against the transformation agenda whilst also providing a secure career path for staff. NHS England central policy could limit the options available. Overall capacity within the system to support an increasingly demanding primary care agenda including transformation, quality improvement, responding to vulnerable and / or challenged contractors, national initiatives (e.g. GP-Infrastructure Fund, clinical pharmacist scheme) and the increasing complexity that co-commissioning introduced. In mitigation resource constraints have been highlighted as part of the AO s consideration of 2016/17 arrangements. Retention of key staff in the Primary Care Hub is challenging with continued uncertainty about future co-commissioning arrangements compounded by an unsustainable workload. In mitigation, immediate actions have been taken to replace a key member of the team who is leaving for a role in a CCG, and there has been reasonable interest in the post. Potential delegation of pharmacy, optometry and dental commissioning for 2016/17. In mitigation our current understanding of policy indicates that there will be opportunity for greater CCG influence of pharmacy commissioning for 2016/17, but not for dental or optometry. Further guidance is expected after November although at the time of writing nothing had been received. Vikki Taylor, NHS England North Midlands Locality Director, is the Midlands and East Regional lead for co-commissioning, and is an active member of the national development group. We are using this relationship to seek information and influence policy where possible. The programme plan continues to be refined as further developments are identified from our experience of implementing working arrangements. Action required by CCGs: Receive the co-commissioning development programme plan. Note progress against the co-commissioning development programme plan. Note the key risks highlighted.
Programme Co-commissioning development in Derbyshire and Nottinghamshire Lead Jonathan Rycroft Version 4 Last updated 30/11/2015 Programme start date 13/01/2015 Programme end date 31/03/2016 Reference Actions Lead Dependencie Start date Work programme A - 2015/16 arrangements for GP co-commissioning Governance/Reporting Establish 6 weekly meetings with Mansfield and Ashfield (M&A) Accountable Officer (AO) JR 01/07/2015 30/07/2015 n/a Complete Provide quarterly report to CCG AOs and Primary Care Co-Commissioning Committees (PCCC) JR/HB 01/07/2015 30/07/2015 n/a Complete 2nd iteration of reports due mid November. 6 monthly review with each CCG JR 01/10/2015 30/10/2015 n/a Behind schedule Lead CCG to secure feedback from other CCGs to inform 2016/17 memorandum of understanding (MOU). Establish Primary Care Strategic Advisory Group (PC SAG) bi monthly JR 14/05/2015 n/a Complete Proposal to integrate into co-commissioning leads End date Duration Status Notes 30/03/2015 06/04/2015 13/04/2015 20/04/2015 27/04/2015 04/05/2015 11/05/2015 18/05/2015 25/05/2015 01/06/2015 08/06/2015 15/06/2015 22/06/2015 29/06/2015 06/07/2015 13/07/2015 20/07/2015 27/07/2015 03/08/2015 10/08/2015 17/08/2015 24/08/2015 31/08/2015 07/09/2015 14/09/2015 21/09/2015 28/09/2015 05/10/2015 12/10/2015 19/10/2015 26/10/2015 02/11/2015 09/11/2015 16/11/2015 23/11/2015 30/11/2015 07/12/2015 14/12/2015 21/12/2015 28/12/2015 04/01/2016 11/01/2016 18/01/2016 25/01/2016 01/02/2016 08/02/2016 15/02/2016 22/02/2016 29/02/2016 07/03/2016 14/03/2016 21/03/2016 28/03/2016 04/04/2016 11/04/2016 Co-commissioning leads group (CCLs) Diary monthly meetings for 2015/16 JR 16/04/2015 01/05/2015 Complete Define work programme A JR/MPr 01/04/2015 16/04/2015 Complete Define work programme B (see below) JR/MPr 01/07/2015 30/10/2015 On track Define work programme C (see below) JR/MPr tbc tbc Define work programme D (see below) JR/MPr 01/04/2015 31/12/2015 On track Formalising co-commissioning arrangement Seek AOs approval for M&A to be the lead CCG AS 11/05/2015 11/05/2015 Complete Produce first draft of Memorandum of Understanting (MOU) JR 11/05/2015 22/05/2015 Complete Review / refine MOU MPr 25/05/2015 30/06/2015 Complete M&A AO to review and feedback AS 01/07/2015 15/07/2015 Complete Refine based on M&A feedback JR 15/07/2015 30/07/2015 Complete Share with CCG AOs for review / sign off AS 01/08/2015 31/08/2015 Complete MOU to CCG PCCCs CCG COs 01/09/2015 31/10/2015 Complete Shared 31/7/15. CCGs to confir PC Hub to attend PCCC as invited JR 01/04/2015 31/03/2016 Complete CCG / NHS England approvals protocol agreed JR/COs 25/05/2015 31/08/2015 Complete CCG / NHS England contract signature protocol agreed JR/COs 25/05/2015 31/08/2015 Complete Agreed at co-commissioning leads. Will be tested through implementation. Commissioning plans / priorities CCG to submit return to centre in line with delegation agreement CCL 31/05/2015 12/06/2015 Complete PC Hub to draft commissioning plan JR 01/04/2015 31/05/2015 Complete Head of Primary Care (HOPC) to meet with each CCG to identify their 15/16 priorities JR 01/06/2015 30/07/2015 Complete Review resource requirement to deliver 15/16 CCG priorities JR/CCL 01/08/2015 30/08/2015 Complete Highlight risks to individual CCGs AOs, M&A CCG AO and NHS England Locality Director JR 01/09/2015 30/09/2015 Complete Resource risks highlighted in PC Hub options for 2016/17 Resolve delivery risks with CCG COs JR 01/10/2015 30/10/2015 Behind schedule As above. Task and Finish - Quality and Performance Assurance / Improvement CCGs to manage incidents CCG QLs 01/04/2015 Complete NHS England to manage complaints NHS E / DB 01/04/2015 Complete Quality leads group to meet monthly JR 01/06/2015 01/06/2015 Complete PC Hub to summarise and share 2014/15 process to inform CCGs JR 01/05/2015 31/05/2015 Complete CCGs to integrate risk assessment process CCG QLs 01/06/2015 30/09/2015 Complete PC Hub / CCGs to implement quality and performance information sharing mechanisms JR/CCG QLs 01/06/2015 30/09/2015 Complete Needs review as part of PC Hub development for 2016/17 PC Hub to produce monthly quality and performance assurance reports JR 30/04/2015 30/04/2015 Complete CCGs producing reports, informed by PC Hub intelligence CCGs to integrate reporting within their governance processes CCG QLs 01/06/2015 30/07/2015 Complete Task and Finish - Local service planning PC Hub to draft local service planning process CL 01/05/2015 30/06/2015 Complete Process to be tested on 'live' CCG issue JR/CL/RF-R 01/06/2015 30/08/2015 Behind schedule CCGs adopting own local planning processes. Further work not necessary at this time. Refine process to be shared with co-commissioning leads JR/CL 01/09/2015 30/09/2015 Behind schedule CCGs adopting own local planning processes. Further work not necessary at this time. Task and Finish - Financial arrangements Budget Setting - detailed level JL/SJS 01/04/2015 13/07/2015 Complete Month End Timetable JL 13/07/2015 26/07/2015 Complete Primary Care Reporting JL 13/07/2015 26/07/2015 Complete Contract Inflationary Uplists JL 01/04/2015 13/07/2015 Complete Premises Stocktake - Community Health Partnerships (CHP) / NHS Property Services (NHS PS) / District VJL/SJS 13/07/2015 31/08/2015 Behind schedule Underway with additional identified resource CCG Training Programme for Primary Care JL 01/09/2015 30/09/2015 Complete Task and Finish - GP Premises T&F group first meeting RP 24/04/2015 24/04/2015 Complete Draft recommendation for governance of premise applications with CCLs 01/05/2015 30/05/2015 Complete Agree recommendation for governance of premise applications with AOs RP 01/07/2015 30/07/2015 Complete Implement governance for premise applications and GP-Infrastructure Fund (GP-IF) administration RP 01/08/2015 30/09/2015 Complete Screening group dates in diary for October/November. Agree recommendation for section 106 with Aos 01/05/2015 30/05/2015 Behind schedule Process in place. To be reviewed by CCLs - date tbc. Agree recommendation for governance of section 106 applications with AOs RP 01/07/2015 30/07/2015 Behind schedule As above Implement new section 106 process RP 01/08/2015 30/09/2015 Behind schedule As above Work programme B - Developments for 2016/17 GP co-commissioning Review commissioning functions JR 01/07/2015 30/08/2015 Complete Agree functions to be integrated into CCG CCLs 01/09/2015 30/09/2015 Behind schedule Evolved during 2015/16. To be formalised in 2016/17 SLA/MOU to be in place 31/3/16. Define further work / transition plan CCLs 01/10/2015 30/10/2015 Behind schedule As above Agree with CCG AOs CCLs 01/11/2015 30/11/2015 Behind schedule As above Deliver transition plan CCLs 01/12/2015 31/03/2016 As above Work programme C - Developments for 2016/17 Pharmacy, Optometry and Dental (POD) co-commissioning Understand co-commissioning policy environment for 16/17 CCLS 01/04/2015 31/08/2015 Complete Informal policy detail received. Invite CCGs to confirm delegation preferance for POD commissioning JR/PH 01/09/2015 30/09/2015 Behind schedule Central guidance not expected until November / December Plan forward programme 01/10/2015 31/12/2015 Behind schedule As above Deliver forward programme 01/01/2016 31/03/2016 Work programme D - Developing Primary Care Hub arrangements for 2016/17 PC Hub participating in national Human Resources (HR) workstream JR 01/04/2015 31/03/2016 Complete Understand co-commissioning policy environment for 16/17 CCLs 01/04/2015 31/08/2015 Complete Informal policy detail received. Invite CCGs to confirm preferred staffing arrangements for 16/17 JR/PH 01/09/2015 30/09/2015 Complete CCG AO's confirmed continuation of PC Hub for 2016/17. Define PC Hub in response to CCG intentions JR/AS/ON 01/10/2015 31/12/2015 Behind schedule Further work by CCG / NHS England region / central to explore options to strengthen CCG hosting. Manage change in line with HR policy JR/CCGs 01/01/2016 31/03/2016 Not started Date TBC when clarity is received on policy