pccc papers - 18...bie grobet assistant director for commissioning and development, nhs corby ccg dr...

Primary Care Commissioning

Committee

Tuesday 18 July 2017

15:00 – 17:00

Meeting Room 1,

Corby Enterprise Centre, London Road, Corby NN17 5EU

A G E N D A

Primary Care Commissioning Committee

Tuesday 18 July 2017 15:00 – 17:00

Meeting Room 1, Corby Enterprise Centre, London Road, Corby NN17 5EU

Time Agenda Item Action Presented by Enclosure

INTRODUCTORY ITEMS 15:00 1. Introductions and Apologies:

M Alexander, S Wright Note Tansi Harper Verbal

2. Declarations of Interest Note Tansi Harper Verbal

3. Minutes of meeting held on 16 May 2017

Approve Tansi Harper PC-17-31

4. Matters Arising and Action Log Note Tansi Harper PC-17-32

STANDING ITEMS 15:05 5. Risk Register Note Jay Dobson

PC-17-33

15:15 6. Finance Update

Note Jane Kettlewell PC-17-34

15:20 7. Service Development Note Caron Williams Verbal

15:30 8. Delegated Commissioning: • Work Programme Update

Note Julie Lemmy PC-17-35

15:40 9. NHS England Update Note Keiren Leigh PC-17-36

15:50 10. GP 5 Year Forward View

Note Caron Williams PC-17-37 To follow

DISCUSSION & APPROVAL

16:00 11. Terms of Reference Approve Tansi Harper PC-17-38

16:05 12. Payment for GP Child Protection Reports

Approve Tina Swain PC-17-39

16:15 13. Demand Management: • Clinical Peer Review

Approve Caron Williams PC-17-40

16:25 14. Leg Ulcer Management Approve Caron Williams PC-17-41

SUB-GROUP MEETING UPDATES 16:35 15. Primary Care Operational Group Draft

Minutes of meeting 23 May 2017 Note Julie Lemmy PC-17-42

16:40 16.

Workforce Group

Note Dr Sanjay Gadhia Verbal

16:50 17. PMS Group Note

Julie Lemmy Verbal

FOR INFORMATION 17:00 18. Register of Interests

Note Tansi Harper PC-17-43

DATE OF NEXT MEETING The next meeting will be held at 15:00 on Tuesday 19 September 2017 in Meeting Room 1, Corby Enterprise Centre.

This paper is being submitted to the Primary Care Commissioning Committee for amendment and/or approval as appropriate. It should not be regarded, or published, as CCG policy until formally agreed at the

Primary Care Commissioning Committee meeting.

NHS Corby Clinical Commissioning Group Primary Care Commissioning Committee

18 July 2017 Title: Minutes of previous meeting Number: PC-17-31

Author: Primary Care Commissioning Committee Contact No:

01536 560420

Executive Sponsor:

Caron Williams, Director of Commissioning and Strategy

Presented by: Tansi Harper, Lay Member for Patient and Public Engagement

Which Strategic Objectives does this paper address?

☐ 1. Prevention ☐ 5. Quality

☐ 2. Early Diagnosis ☐ 6. Engagement

☐ 3. Better Care ☐ 7. Sustainable

☐ 4. Commission 8. Accountable

Executive Summary

Minutes of the meeting held on 16 May 2017 for approval.

Recommendations

The Committee is asked to: • Approve the minutes of the meeting held on 16 May 2017

Committee Action Required

Approval/Decision ☐ For Review

☐ For Assurance ☐ For Update/Information

1

Minutes of the Primary Care Commissioning Committee Meeting

Tuesday 16 May 2017 at 09:00

Meeting Room 1, Corby Enterprise Centre, London Road, Priors Hall Corby NN17 5EU

Present Tansi Harper Lay Member NHS Corby CCG (Chair) Mike Alexander Chief Finance Officer, NHS Corby CCG Helen Storer Independent Lay Member, NHS Corby CCG Caron Williams Director of Commissioning & Strategy, NHS Corby CCG In Attendance Bie Grobet Assistant Director for Commissioning and Development, NHS Corby CCG Dr Sanjay Gadhia GP Governing Body Member, NHS Corby CCG Andrew Hammond Lay Member, NHS Corby CCG Dr Sebastian Hendricks Secondary Care Consultant Michelle Howells Project Manager, NHS Corby CCG Dr Jonathan Ireland Chair, Local Medical Council Lamont Montezu NHS E Central Midlands (Central) Sara Nye Executive Assistant, NHS Corby CCG Dr Miten Ruparelia Clinical Vice Leader, NHS Corby CCG Dr Nathan Spencer GP Governing Body Member, NHS Corby CCG Dr Joanne Watt Clinical Chair, NHS Corby CCG Sharon Wright Interim Quality Improvement manager, NHS Corby and NHS Nene CCGs Apologies Carole Dehghani Chief Executive, NHS Corby CCG Keiren Leigh GP and Pharmacy Contract Manager, NHS England Central Midlands (Central) Julie Lemmy Head of Primary Care, NHS Corby and NHS Nene CCGs

Minute No. Agenda Item PCCC17/18 001 Welcome and Introductions Mrs Harper welcomed members to the meeting.

PCCC17/18 002 Apologies for Absence Apologies were recorded as above.

PCCC17/18 003 Declarations of Interest Dr Ruparelia expressed Declarations of Interest.

PCCC17/18 004 Previous Minutes Following a minor amendment the minutes of the previous meeting held on 21 March 2017

were APPROVED as an accurate record of the meeting.

PCCC17/18 005 Action Log The matters arising and action log from meeting 21 March 2017 were considered by the

Committee. Further actions were noted and would be added to the log and circulated. Action: Mrs Nye

The Committee NOTED the Matters Arising and Action Log.

2

PCCC17/18 006 Finance Update Mr Alexander advised the Committee that due to it being M1 no figures for 2017/18 were

available but reported that for 2016/17 a breakeven position had been achieved.

The committee NOTED the update.

PCCC17/18 007 Quality Report

Mrs Wright gave a verbal update on the Quality Report. She informed the Committee that all Corby GPs were now green. A discussion was held around friends and family methodology, Mrs Harper stated that the paper had been seen at the Governing Body Committee and all were aware of the issues. Mrs Williams agreed the contractual set of rules. A further discussion took place around risk sharing group outcome and friend and family access. Dr Ruparelia stated that the national toolkit could not benchmark against others. It was agreed that Operational Group would support action planning at the Joint Quality Meeting. Action: Ms Grobet, Ms Lemmy and Mrs Wright The Committee NOTED the Quality Report Update.

PCCC17/18 008 Service Development Dr Ruparelia gave a verbal update on the Risk Stratification Group (RSG) meeting. He

informed the Committee that the RSG meeting was a joint meeting between NHS Corby and NHS Nene and was chaired by Alison Jamson. The Committee requested that the Terms of Reference and process should be reviewed in order to hold account issues accountability. The Committee NOTED the Service Development Update.

PCCC17/18 009 Delegated Commissioning- Work Programme Update Ms Grobet gave an update on Operational meeting. A discussion took place around AQP

and Finance Committee was not clear on the AQP and performance end point. Dr Ireland added that this was an important issue for Practices and some tensions were around contracts and renewals. Dr Ruparelia stated that it had to be managed from current and incoming provider. The Committee requested for a refresh of the decision making tree to ensure the committee were receiving the right papers in the most appropriate of timescales. Action: Mrs Williams and Mr Alexander The Committee NOTED the update on Delegated Commissioning Work Programme.

PCCC17/18 010 GP 5 Year Forward View GP Commissioning Achievement Scheme

Mrs Grobet presented the GP Commissioning Achievement Scheme and Hypertension Locally Commissioned Services to the Committee. The paper outlined the commissioning intentions for the Long Term Conditions Locally Commissioned Service for NHS Corby CCG. It also highlighted the population and clinical drive behind these services and how they might be implemented. Discussions were held around hypertension, Locally Commissioned Services and Risk Stratification. The Committee felt that the timings in the GP Commissioning Achievement Scheme report were not clear and it did not provide enough information around Risk Stratification. Mrs Harper asked for greater clarity on the paper and that it would be

3

deferred to the Council of Members and Finance Committee. Mr Alexander requested that it should not be called GP Commissioning Achievement scheme as it does not exist this financial year. The Committee NOTED the GP Commissioning Achievement Scheme.

PCCC17/18 011 NHS England Update Mr Montezu presented the NHS England Update. The update was based on improving

access to general practice- regional engagement workshops which aims to support CCGs and GPs to develop and roll out extended access to general practice service in line with the plans set out in NHS operational planning and contracting guidance 2017. NHS England has produced an inclusive NHS 111 service to help people with learning disability understand how and when to access the service and what to expect. Mr Montezu further stated that NHS England were looking to hold 4 regional events with Royal College of general practitioners peer support programme to discuss learning from RCGP peer support programme. 3Sixty Care Partnership clinical pharmacist was approved by NHS England national panel and was communicated to the Federation in April. The Committee NOTED the NHS England update.

PCCC17/18 012 Committee Effectiveness Mrs Harper presented the Committee Effectiveness Report to the meeting. The checklist

and report had been designed to help in assessing the effectiveness of each sub-committee of the Governing Body. The Committee agreed that the pro-forma was useful to use and summary was fair. The Committee NOTED the Committee Effectiveness update.

PCCC17/18 013 Sub-group Update: Operational Group

Workforce Group Quality & Risk Sharing Group PMS Group Finance Sub-group The Committee noted the Primary Care Operational Group meeting draft minutes of 25 April 2017. Discussions took place around the workshop and Dr Gadhia informed the Committee that there were major issues where Primary Care sat and this was being addressed by the chair of LWAB to rewrite the function of the group and re-launch at the forthcoming workshop on Thursday 18 May 2017. Dr Ruparelia suggested that the group should do an evaluation.

PCCC17/18 014 Register of Interests

The Committee NOTED the Register of Interests.

PCCC16/17 113 Date and Time of the next meeting The next meeting would be held at 15:00 on Tuesday 18 July 2017 in Meeting Room 1 at

Corby Enterprise Centre. Mrs Harper brought the meeting to a close at 11.10 a.m.




18 July 2017 Title: Action Log Number: PC-17-32

Author: Primary Care Commissioning Committee Contact No:

01536 560420

Executive Sponsor:








Executive Summary

Action Log from the meeting held on 16 May 2017.

Recommendations

The Committee is asked to: • To note the Action Log from the meeting of the 16 May 2017


☐ Approval/Decision ☐ For Review

For Assurance ☐ For Update/Information

Completed On Track Overdue No further action

Action Log Primary Care Commissioning Committee (PCCC) Updated 30 May 2017

Action Number

Subject Action Lead Status Timescale RAG

16 May 2017 PC-29 Quality Report Operational Group to support action planning at Joint

Quality Meeting regarding friends and family methodology. BG/JL/SW Completed. Discussed at

Operational meeting. F&F response rate improvement continue to be monitored through the dashboard.

18 July

PC-30 Delegated Commissioning – work programme update

A decision tree to be compiled for committees especially around contracts and renewals.

CW/MA 18 July

21 March 2017 PC-28 Finance Update A proposal for the budget underspend to be drawn up by

Mr Alexander, Dr Ruparelia and Mrs Williams. MA/MR/CW 16.05.2017 – C Williams

had met with M Alexander and Dr Ruparelia and updated no allowances business as usual. Audit piece to be completed. Not communicated to practices how the loop is closed.

16 May

15 November 2016 PC-24 School Nurses

Optometry Look into issues around the inability of school nurses to make referrals regarding problems identified with vision. Bring back update to PCCC.

MR On-going 13.12.16 – K Leigh had passed on

21 March

Action Number

Subject Action Lead Status Timescale RAG

17.01.17 – K Leigh updated regional piece of work. Will forward outcomes to Dr Ruparelia. 16.05.17 – L Montezu and Dr M Ruparelia had met. Dialogue ongoing

05 May 2016 PC-04 PCCC Terms of

Reference CW to look at an external GP to attend as required. JL to formalise agreement with Milton Keynes.

CW JL

16.08.2016. Confirmation is awaited 15.11.2016. JL to formalise agreement 13.12.2016 JL liaising with Chair at Milton Keynes 17.01.2017 JL awaiting confirmation 16.05.2017 – B Grobet to take back to Operational Group

16 May




18 July 2017 Title: Primary Care Commissioning Risk Register Number: PC-17-33

Author: Jay Dobson, Interim Corporate Services & Governance Manager

Contact No:

01536 560420

Executive Sponsor:

Caron Williams, Director of Commissioning & Strategy

Presented by: Caron Williams, Director of Commissioning & Strategy


☐ 1. Prevention 5. Quality


☐ 3. Better Care 7. Sustainable

4. Commission 8. Accountable

Executive Summary

The risk register details the risks identified for Primary Care Commissioning. Each risk has been reviewed and updated to reflect any changes and progress on actions. Risks removed since last update: There have been no risks removed since the last update. Risks added since last update PC11 – Resiliance fund PC12 – AQP & LCS

Recommendations

The Committee is asked to: • Review and note the changes to the updated risk register being presented to the Committee



For Assurance ☐ For Update/Information

1 2 3 4 5 6 7 8 9 10 11 14 15Ref Risk Title Risk definition Inherent

risk scoreL x I

Current L x I

Last MonthL x I

Trend Executive Lead Operational Lead Update date Current Mitigation/ Actions Delivery Date

Target scoreL x S

PC3 Same Day Access (SDA) access options

Increased use of urgent care facilities for same day access primary care needs

4 x 3 = 12 4 x 3 = 12 12 Caron Williams, Director of Commissioning and Strategy

Bie Grobet, Assistant Director of Commissioning

Mar-17 Identify any unspent money for SDA investments as part of the gateway process. SDA Specification written and overall funding envelopes agreed as part of the Federation /Super Practice gateway process, SDA model discussed at CoM meeting and with Federation ansd Super Practice

Option appraisal per SDA delivery written in specification.

Nov-17 3 x 3 = 9

PC4 Federation developments including Lakeside and 3 Sixty

Complex new model of care - rapidly emerging Policies - lots of stakeholders, diversity and views on delivery.



Mar-17 Development of new models of care with Federations and super practice. Both organisations attending CCG Governing Body Meeting in August 2016.

Control: Gateway Assurance process agreed and in place for Federations. Gateway 1 completed, Gateway 2 completed Jan 2017. Draft Specifications comments received and reviewed. Clinical reference group developed across Corby and Nene.

Action: Operational Group to be established to take the actions further. CW and BG engaged in the gateway process.

Mar-18 3 x 3 = 9

PC5 Risk of lack of a robust and effective plan to recruit and retain GPs

• Retirement of existing GPs from member practices • Inability to recruit new GPs to the area.• Lack of University teaching school in the County• People do not want to live in the CountyEffect:• Insufficent GP provision to meet patient need• Increased pressure on A&E and other services• Poor Patient Experience



Mar-17 Controls:• Dedicated lead appointed (Dr Sanjay Gadhia)• LETC Primary Care Workforce Sub Group established as a sub-group of the Primary Care Commissioning Committee• Workforce update added as standing agenda item of the Primary Care Commissioning Committee

Actions: • Develop Primary Care at Scale under the five year forward view by 2018 as part of the Federations/ Super Practice gateway process, Primary Care Operational group looking at submitting a resilience fund bid across all 5 practices, SDA model will start to address the shortfall of GP appointments through the development of MCP offers in the Federation and Super Practice

Mar-18 3 x 3 = 9

PRIMARY CARE COMMISSIONING COMMITTEE RISK REGISTER

Ref Risk Title Risk definition Inherent risk score

L x I

Current L x I

Last MonthL x I


Target scoreL x S

PC6 Delegated functions - Practice list size reviews

Risk of inaccurate list sizes causing financial impact for the CCG and member practices. Quarterly reviews should be undertaken for the list sizes, however there is currently a lack of process around this.

4 x 4 = 16 4 x 4 = 16 16 New risk Caron Williams, Director of Commissioning and Strategy

Keiren Leigh, Assistant Contracts Manager, NHSE

Mar-17 Action: to escalate lack of process to NHSE, as this was previously undertaken nationally on behalf of the CCG. NHSE have confirmed the current process as detailed in the policy booklet NHSE. We have also obtained the Capita National SLA which appears to cover list size reviews. KL to check the detail with Capita. Feedback at next PCCC in April 17 to get the matter resolved.

Dec-16 3 x 3 =9

PC7 QOF Risk relating to the lack of access to the national CQRS reporting system in relation to QOF.


Julie Lemmy, Head of Primary Care

Mar-17 Control: National training being undertaken by the Primary Care Team. National reporting still being provided by NHSE due to lack of access for the CCG due to system set up.

Action: the CCG will work with NHSE CQRS Lead to obtain the data and then develop local policy to undertake QOF validation reviews. However in the mean time the CCG must await further guidance on the national outcomes on this.December 2016 - early indications suggest that CCGs will not have access to the system to September 2017 .

Apr-17 3 x 3 =9

PC8 National Service provision

Risk of national services potentially due to cease in March 2017 for:- contracts for clinical waste- interpreter and translation services- SBS services via Capita for finance


Julie Lemmy, Head of Primary Care

Mar-17 Control: Current provision in place however lack of clarity around when this service will cease

Action: CCG must escalate to NHSE as these contracts are nationally agreed and to understand the impact on the CCGs for this. There may be a cost pressure for the CCG in relation to these services post March 2017 and also lack of service provider post March 2017. Data and national allocations required for the CCG from NHSE. Nov 2016 - awaiting NHSE update on procurement/access to services post March 2017.December 2016 - NHSE have confirmed that the services will continue to be provided post March 2017 as they are still waiting for confirmation nationally from the NHSE. Pearl Translation provider has gone into liquidation from 1 March 2017, alternative provider list has bee circulated to practices by the Head of Primary Care. NHSE have agreed a Memorandum of Understanding in place with Language Line to provide an interim sevice in the medium term. Corby CCG to seek assurance that NHSE will pick up the invoices for interim service providers.

Jul-17 3 x 5=15

Ref Risk Title Risk definition Inherent risk score

L x I

Current L x I

Last MonthL x I


Target scoreL x S

PC9 Financial Risk - Late Claims

Risk of financial impact on the CCG for any late claims or anything linked to SFE (linked to core contract) by Practices.


Jane Kettlewell, Deputy Chief Finance Officer

Mar-17 Control: NHSE have provided assurance that they will honour late claims, however lack of end date for this.

Action: Confirm with all practices that all claims have been submitted

Dec-16 4 x 1 = 4

PC10 Premises Risk of financial impact of lack of completed 3 yearly rent reviews for member practices. The CCG are aware that NHSE are behind on rent reviews, those practices who have not had their rent reviewed have been identified


Julie Lemmy, Deputy Director of Primary Care

Mar-17 Control: CCG working with NHSE to resolve, however resource issue at NHSE to complete this.

Action: 1. District Valuer (DV) to carry out district rent review asap2. Back dated cost pressure and current cost pressure expected however amount unknown currently3. November 2016 - meeting scheduled with NHSE Lead in December 2016 to discuss estates issues, update to be provided in January 2017. 4. December 2016 - no rent reviews have been completed, regular updates will be provided by NHSE estate team. 5. Resource has now been identified from NHSE6. One rent review is outstanding for NHS Corby7. Rent review has been scheduled for April 17

May-17 3 x 2 = 6

PC11 Resilience Fund Risk of their being no new schemes for 2017/18 due to the 2016/17 schemes being carried over to the current year. There has been a 50% cut and NHSE were proposing a contingency pot of money for any urgent schemes



Jun-17 Control: CCG working with NHSE area team and the LMC to monitor practices

Action: Practice visits, quality monitoring via Risk Sharing & Ops group.

Apr-18 3 x 3 = 9

PC12 AQP & LCS Risk of challenge to the CCGs as legacy contracts have not been retendered and possible distabilsation of existing providers. Conflict of interest of GPs working in the CCGs which could lead to a challenge from the external market.



Jun-17 Control: Application of the conflict of interest policy to manage potential challenges.Action: Full review of all services to be undertaken jointly with Nene CCG by 1 April 2018.Finance Committee and Operational Group to manage the associated risks of any challenges.

Apr-18 3 x 3 = 9

Catastrophic 5

5 10 15 20 25

Serious 4

4 8 12 16 20

Moderate 3

3 6 9 12 15

Minor 2

2 4 6 8 10

Insignificant 1

1 2 3 4 5

Rare Unlikely Possible Likely Almost certain

1 2 3 4 5

Low Risk Moderate Risk High Risk Extreme risk

(1-3) (4-6) (8-12)(15 – 25)

Level Descriptor Financial Service Delivery

Health & Safety

Reputational

1 Insignificant Less than £100k A slight adjustment to service

First aid treatment.

No Effects on reputation

2 Minor £100k - £250k Service quality impaired

Medical treatment required.

Slight reputation damage arising

3 Moderate £250k - £500k Significant reduction expected.

Serious injuries Uncomfortable for Organisation

4 Serious £500k - £1m Service quality cannot be maintained

Excessive injuries.

Reputation damage Key Stakeholders

5 Catastrophic Above £1m Potential closure of the CCG

Death Reputation damage is irrecoverable

Level Descriptor Description

1 Rare The event may occur only in exceptional circumstances – within 1 – 3 years

2 Unlikely The event could occur at some time – within 12 months

3 Possible The event should occur at some time – within 6 months

4 Likely The event will probably occur in most circumstances – within a month

5 Almost Certain The event is expected to occur – within a week

RISK RATING MATRIX

IMPACT

Likelihood Chart

LIKELIHOOD

KEY:

Impact Chart




18 July 2017 Title: Finance Update Number: PC-17-34

Author: Jane Kettlewell, Interim Chief Finance Officer Contact No:

01536 560425

Executive Sponsor:

Mike Alexander, Chief Finance Officer

Presented by: Jane Kettlewell, Interim Chief Finance Officer




☐ 3. Better Care 7. Sustainable


Executive Summary

The 2017/18 allocation for Delegated Primary Care is £9.898m a 10.9% increase on last year. The detailed budget is shown as Appendix 1. At month 3 the CCG is reporting a forecast to budget for delegated funds.

Recommendations

The Committee is asked to: • Note the budget



☐ For Assurance For Update/Information

Appendix 1

CORBY CCG Delegated Budgets 2016/17 Outturn 2017/18 Budget £'000 £'000 Allocation 8,921,000 9,898,000 1% Set aside -89,660 -98,980 Dispensing Drs 45,000 45,000 Add back set aside

98,980

8,876,340 9,943,000

GMS Contract 6,071,726 6,660,028 Global Sum 5,835,893 6,424,214 MPIG 10,706 8,030 PMS Transition Payments 185,392 148,313 Use of GMS/PMS 39,735 79,471

Premises 892,288 907,792 Actual rent 165,000 165,000 Notional rent 499,957 514,956 Rates 211,065 211,065 trade ref 10,523 10,849 Water Rates 5,743 5,922

Enhanced Services 496,716 298,021 Learning Dis 19,066 23,011 DSQS 4,953 5,107 Minor Surg 126,700 130,628 Extended Hrs 135,089 139,275 Unplanned Admissions 210,908 0

QOF 964,249 993,825 Aspiration 663,845 695,678 Achievement 300,404 298,147

PCO 110,560 97,259 Drs Retainer Scheme 0 5,125 Seniority 110,560 92,134

Dispensing Fees 169,955 317,968 Prof fees -Disp 149,536 297,172 Prof fees - Presc 22,368 22,805 Presc/Disp charges collected -1,949 -2,009

Central Contracts 170,846 569,127

Clin Waste 25,131 25,910 Mat Leave 0 28,339 Occy Health 2,199 2,267 Sickness 2,119 2,185 Sterile Equip 15,344 8,251 Susp Drs 6,164 5,825 Translation 19,889 20,506 Leg Ulcer Clinic

65,000

Other 100,000 410,844 Sub Total 98,980 Set aside 1%

98,980

Total 8,876,340 9,943,000




18 July 2017 Title: Delegated Commissioning Plan - Primary Care

Operations Group Work Plan Number: PC-17-35

Author: Julie Lemmy, Deputy Director of Primary Care & Bie Grobet, Assistant Director of Commissioning Development

Contact No:

01604 651334

Executive Sponsor:


Presented by: Julie Lemmy, Deputy Director of Primary Care & Bie Grobet, Assistant Director of Commissioning Development





☐ 4. Commission

8. Accountable

Executive Summary

To note the primary care operations group work plan for 2017/18 - regular updates will be provided via the minutes/action notes which are presented to the Committee. The Primary Care Ops group was cancelled in June, so the plan will be reviewed and an update provided for the next Committee meeting.

Recommendations

The Committee is asked to: • Note the primary care work plan and timeline. Updates will be provided via the primary care

operations group actions notes.




High Level Milestones and Plan

1 AQP Services (Countywide) Back ground on service

1.1 Aural Toilet AQPCountywide service - we have 5 providers in the county delivering

this service.

Need to agree commissioning intention between the CCGs. Meeting

to be set up by CCGs to agree next steps during July 2017 - agreed

draft policy and this now requires an EQIA and engagement with

stakeholders.

01/04/2017 31/07/2017

Bie Grobert/Sanjay

Gadhia

Julie Lemmy/Az Ali

1.2 Vasectomy AQP

Countywide service - we have 4 providers in the county delivering

this service. Review complete- next review due 2019 n/a n/a Tim O'Donovan

1.3 Basal Cell Carcinoma (BCC) AQP


this service.

Contracted via NHS Std Contract 2017/19 - services commissioned

for 12 months with a 3 months notice period.

Countywide Dermatology Review - being led by NGH - update to be

provided to the CCGs required by end of May 2017.

Jamie John to be invited to the next Primary Care Ops Group to

provide an update on the colloborative work as this service needs to

be reviewed.

July - Community Dermatology has gone live

01/04/2017 31/07/2017Jamie John/Sanjay

Gadhia/Az Ali

1.4 Minor Surgery AQP


this service.



Countywide Dermatology Review - being led by NGH - update to be

provided to the CCGs required by end of May 2017

Jamie John to be invited to the next Primary Care Ops Group to

provide an update on the colloborative work as this service needs to

be reviewed.

The Ops group meeting was cancelled in June and will now meet in

July - an update will be provided at the next meeting.

01/04/2017 31/07/2017Jamie John/Sanjay

Gadhia

1.5 Opthalmology AQP

Countywide service - we have 1 provider. in the county delivering

this service.



Opthalmology Surgery- Single provider - review being undertaken,

options paper being produced for review and approval by June 2017.

S Barnes to provide the primary care ops group with an update for

the next meeting.

An update will provided at next months meeting as waiting outcome

of discussions with the Planned care team

01/04/2017 31/07/2017

Sarah

Barnes/Sanjay

Gadhia

1.6 Carpel Tunnel AQP

Countywide service - we have 1 provider. in the county delivering

this service.



Countywide Review for Tender 2017 - pilot being introduced May

2017 need to review with view to tender for new provider April

2018.

The wider clinical review to be undertaken during May and feedback

to be provided to the Primary Care Ops Gorup.


01/04/2017 01/04/2018

Matt

Spilsbury/Sanjay

Gadhia

2 LCS (list based services)

2.1 ECG

All practices in Corby are signed up to this service. Any changes

would need to be agreed via the LMC/Nene as these are delivered in

most practices in the county.

List based service - previous review deemed list based service. The

OPS group along with cliniciancs from both CCGs need to review and

agree do we continue to commission at practice level. Review to be

completed by June 2017.



All practices provide this service in the county, financial value is very

high. List based service, inlcuded in the portfolio for 17/18 need to

revew as part of commissioning intentions in September 2017.

Joint working required between the CCGs/LMC to agree review of

this service. Discussions to take place during May 2017.



01/04/2017 30/09/2017Julie Lemmy/Sanjay

Gadhia

2.2 Near Patient Testing






Review NPT drugs - clinical review being undertaken in April/May -

outcome to be taken to the Primary Care committee in June 2017.

Giles Owen leading the review with clinical reps from both CCGs and

the LMC - an update to be provided at the next ops meeting.



01/04/2017 31/07/2017Bie Grobert/Giles

Owen

2.3 Neo-Natal






All practices provide this service in the county financial value is very

low. List based service, inlcuded in the portfolio for 17/18 need to

revew as part of commissioning intentions in September 2017.





01/04/2017 30/09/2017Julie Lemmy/Sanjay

Gadhia

2.4 LUTS

This is a Corby only service commissioned back in 2012/13. A review

needs to take place as this was linked to the wider work in Urology,

the planned care leads need take this forward and complete the

review. The service is open to patients in Corby, Kettering and

Wellingborough and activity for Nene is cross charged to the the

CCG.

One local provider accredited- Review needs to be carried out and

included in the commissioning intentions review in September 2017.



01/04/2017 30/06/2017Bie Grobert/Sanjay

Gadhia

2.5 Warfarin




List based service - previous review deemed list based service. The

OPS group along with cliniciancs from both CCGs need to review and

agree do we continue to commission at practice level. Review to be

completed by June 2017.



All practices provide this service (provided by practices in both CCGS)

financial value is high. List based service, inlcuded in the portfolio for

17/18 need to revew as part of commissioning intentions in

September 2017.





01/04/2017 30/09/2017

Bie Grobert/Sanjay

Gadhia

Julie Lemmy/Az Ali

2.6 Pro-active Care

This was a countywide service but Nene have decommissoned this at

practice level and incorportated into the CCT scheme. The service

was included in the LCS portfolio for 2017/18 whilst a decision by the

CCG is made to continue to commission at practice level/Fed level

etc.



4 practices signed up to this service financial value is high (Studfall

not signed up). List based service, inlcuded in the portfolio for 17/18

need to revew as part of commissioning intentions in September

2017.

Bie to produce a briefing paper on proposed changes for the Ops

group to review ahead of the next meeting in May 2017 .




Gadhia

2.7 DVTTo reduce the number of low risk DVT based on national evidence.

This is a Corby only service commissioned back in 2012/13.

4 practices provide this service (Studfall Partnership not signed up).

Review activity and outcomes and included in the commissioning

intentions review in September 2017.

Dave Cole to review activity/evidence assumptions for this service

and make recommendation to the Primary Care Ops Group by June

2017.




Gadhia

2.8 Primary Care Development Scheme

The scheme orginates from the old access funding given to PCTs and

this was developed to create a baseline of number of contacts within

General Practice. Capitation payment.



Review activity and outcomes and included in the commissioning

intentions review in September 2017.

Bie to produce a briefing paper on proposed changes for the Ops

group to review ahead of the next meeting in May 2017




Gadhia

3 Delegated PMS to GMS transition

3.1 Choose and Book (C&B)

Release of PMS Premium (this funding is ringfenced) and was used

for year 1 funding by both CCGs. Corby CCG £0.50p

contracted via standalong NHS Standard Contract - all practices

signed up for 17/18

Review 2020/21 Year 3 investment to be agreed Summer 2017.

The reinvestment options for year 3 will need to be considered by

the group in early summer to influence the year 3 premium release

funding for Corby.

01/04/2016 31/03/2017PMS Task and

Finish Group

3.2 Spirometry

Release of PMS Premium (this funding is ringfenced) and was used

for year 1 funding by both CCGs. Corby CCG £0.50p

contracted via standalong NHS Standard Contract - all practices

signed up for 17/18

Review 2020/21 Year 3 investment to be agreed Summer 2017.



funding for Corby.

01/04/2016 31/03/2017PMS Task and

Finish Group

Finish

Locally Commissioned Services and AQP Review

ID Task Name StartReview taskSep-17Responsible

Person

Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17Status

RED:

CONCERN/I

Sep-18Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19

3.3 24 Hour Ambulatory Blood Pressure Monitoring (24ABPM)

Nene CCG used its PMS premium in Year 1 to fund this service and

Corby included in the Practice Delivery Scheme to align and ensure

consistency of access for patients.

Review 2020/21 Year 3 investment to be agreed Summer 2017



funding for Corby.

01/04/2016 31/03/2017PMS Task and

Finish Group

3.4 Year 3 PMS Premium investment for 2018/19



funding for Corby.

To be agreed by the task and finish group and sign off by GB during

the latter part of 2017 for implementation from April 2018.01/07/2017 31/03/2018

PMS Task and

Finish Group

3.5 Leg Ulcer ClinicService being Procured for Corby only patients. Procurement

commenced April 2017.

Bie to provide the ops group details as when available.

Yearly review - review in September in line with commissioning

intentions.

Contracting vehicle TBA

01/04/2017 30/09/2017Bie Grobet/Sanjay

Gadhia

4 Sign off

4.1 Primary Care Commissioning CommitteeThe minutes from the Primary Care Ops group and updated plan to

be submitted to the committee for information.

Admin Team to include approved minutes to the committee agenda

and cirulate with other papers.01/04/2017 31/03/2018

Chile/Sara Admin

team

5 Engagement

5.1 Council of MembersBie/Sanjay to ensure the engagement of member practices via COMs

on any decisions on the above services. All services changes to be agreed by Corby Council Of Members. 01/04/2017 31/03/2017

Bie Grobet/Julie

Lemmy/Sanjay

5.2 Provider engagement n/aThe CCG needs to include providers at the design stage of services or

reivew of services.01/04/2017 31/03/2018

Bie Grobet/Sanjay

Gadhia

6 Procurement Process

6.1 Ros to complete n/aProcuremnt team to produce timeline and provide advice and

guidance where applicable on the above services.01/04/2017 31/03/2018 Ros Clarke

7 Reprovision

Corby CCG

Clinical Lead: Sanjay Ghadia/Miten Ruparelia

Management Lead Bie Grobert Status

Nene CCG RED: CONCERN/INABILITY TO COMPLETE ACTION

Clinical Lead: Az Ali AMBER: IN PROGRESS

Management Lead Julie Lemmy/Amanda Swingler GREEN: ACTION COMPLETE

Procurement Lead

Ros Clarke

Finance

Jane Ketterwell

NHSE

Keiren Leigh/Lamont Montezu

Quality

Sharon Wright

Practice Manager Lead

Kay Taylor Great Oakley Surgery




18 July 2017 Title: NHS England Update Number: PC-17-36

Author: Keiren Leigh, GP and Pharmacy Contract Manager NHS E Central Midlands (Central)

Contact No:

01138248919

Executive Sponsor:

Roz Lindridge, Locality Director, NHSE Cental Midlands

Presented by: Keiren Leigh, GP and Pharmacy Contract Manager NHS E Central Midlands (Central)





4. Commission ☐ 8. Accountable

Executive Summary

General Updates Community Pharmacy Assurance Framework

To ensure that patients and members of the public receive safe, effective and high quality pharmaceutical services, NHS England uses the Community Pharmacy Assurance Framework (CPAF). To start this year’s CPAF process, all pharmacy contractors will be invited to complete a short screening questionnaire by the NHSBSA to ensure compliance in June/July. The invitation will be sent out shortly.

See attached letter for details

Appendix 2 CPAF-Letter-2017.pd

Team Update

There are two new members joining the team in Northamptonshire. Nina Mills, Primary Care Support Manager and Salim Issak, Assistant Contract. Both will be in post on a part-time basis from w/c 3rd July 2017, and will transition to full-time shortly afterwards.

Lamont Montezu continues as Support Contract manager and Keiren Leigh continues as the Contract Manager covering Northamptonshire and Leicestershire.

The team will start picking up rent reviews immediately and will oversee the transition of broader

premises work and Pharmacy management back to the local Northamptonshire based team.

General Practice Forward View

GPFV Team To support delivery of the GP Forward View, NHS England Midlands & East have commissioned North of England Commissioning Support (NECS) to carry out a 2 year programme of work covering the respective DCOs. For the Central Midlands DCO, the areas of focus are: • Extended access

• Workforce

• Resilience

Each of the three work streams has a lead member of staff, helping to provide assurance to STP/CCG plans and, more importantly, support where required. The same three members of staff are working with each of the three localities, these are: • North locality – Simon Parkes

• Central locality – Phillip Stimpson

• South locality – Heather Thornton

As well as leading on a specific work streams, staff cover the other work streams at a locality level linking with key personnel where required. Staff have met with all STP leads to better understand their plans and identify where support would be of benefit. Developments within each work stream are taking place, feeding the overarching GPFV steering group and regional team. Clinical Pharmacist

Work is still ongoing with the successful Wave 1 pilots (3Sixty Care Partnership). Colleagues from NHSE (Central Midlands) are currently engaged with the national delivery project team to finalise arrangements and work with 3Sixty Care Partnership to commence recruitment of the clinical pharmacists. Some of the issues that are holding this up are in relation to the creation of a Directed Enhanced Service and clinical system support for key performance indicators. The Wave 2 applications process went live in May. There are two local bids (PML Doc Med and General Practice Alliance) that are being considered by the Regional team and we are expecting confirmation of the outcome of these very soon. It is planned that Wave 3 will commence shortly with a deadline of the 15th September. Bids are to be submitted in the normal way via the portal. It is advised that applications are received as early as possible. This will give the local team to make preliminary checks and recommendations for improvement before the full cut off.

Recommendations

The Committee is asked to: • Note the update




OFFICIAL

Health and high quality care for all, now and for future generations

Gateway ref: 06856

Community Pharmacy Contractors

Primary Care Policy &

Contracts Medical Directorate

NHS England Skipton House

80 London Road London

SE1 6LH

7 June 2017 Dear Pharmacy Contractor,

Community Pharmacy Assurance Framework (CPAF) – arrangements for 2017/18

To ensure that patients and members of the public receive safe, effective and high quality pharmaceutical services, NHS England has processes in place to monitor compliance by pharmacy contractors, who are included in one of NHS England’s pharmaceutical lists, with the terms of service set out in the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (the 2013 regulations).

One of these processes is the use of the Community Pharmacy Assurance Framework (CPAF) to be conducted in two parts.

Part One: All pharmacy contractors to be invited to complete a short screening questionnaire consisting of ten questions to assure themselves and NHS England that they are compliant with the terms of service.

Part Two: The data collected from this questionnaire along with other information held by NHS England to be used to shortlist pharmacies to be considered for a contract monitoring visit. Only these pharmacies are asked to complete a full CPAF questionnaire.

This approach means that the majority of contractors do not need to complete the full CPAF questionnaire. However, both PSNC and NHS England recommend that all pharmacy contractors make use of the full CPAF questionnaire to assure themselves that they are compliant with the terms of service.

Pharmacies will be asked to complete the screening questionnaire during June/July 2017 to align with the usual compliance timeframes and to avoid pressure points.

The NHS Business Services Authority (BSA) will carry out the administration of both the screening questionnaire and the full CPAF at a national level on our behalf and this is facilitated through a secure on-line mechanism to allow pharmacy contractors to complete their returns.

OFFICIAL

Health and high quality care for all, now and for future generations

You will have four weeks to complete the screening questionnaire which will be available from Monday 12 June 2017 with a closure date of Sunday 9 July 2017. The questionnaire should only take around 20 minutes to complete and you will receive information and instructions on how to access and complete the questionnaire from the BSA in advance of the availability date.

Once you have submitted the completed questionnaire you will have the facility to save, print or access your responses for further reference.

The BSA will contact you on Monday 12 June with instructions on how to access and complete the CPAF questionnaire. If you do not receive this information by Tuesday 13 June 2017 or you have any queries please contact [email protected] or 0191 2035050.

Thank you in advance for your cooperation with this exercise.

Yours faithfully

Deborah Jaines Director Primary Care Policy and Contracts

mailto:[email protected]

This paper is being submitted to the Primary Care Commissioning Committee for amendment and/or approval

as appropriate. It should not be regarded, or published, as CCG policy until formally agreed at the Primary Care Commissioning Committee meeting.


18 July 2017 Title: Primary Care Commissioning Committee Terms

of Reference Number: PC-17-38

Author: Jay Dobson, Interim Corporate Services and Governance Manager

Contact No:

01536 560420

Executive Sponsor:








Executive Summary

The attached Terms of Reference are presented to the Committee for approval. The Terms of Reference (TOR) for the Committee have been reviewed and the following amendments have been made:

• Change of Corby CCG logo • Meeting frequency changed to bi-monthly

Recommendations

The Committee is asked to: • Approve the amendments to the Terms of Reference and recommend these for ratification by

the Governing Body




Primary Care Commissioning Committee (PCCC) Terms of Reference

Introduction

1. Simon Stevens, the Chief Executive of NHS England, announced on 1 May 2014 that NHS England was inviting CCGs to expand their role in primary care commissioning and to submit expressions of interest setting out the CCG’s preference for how it would like to exercise expanded primary medical care commissioning functions. One option available was that NHS England would delegate the exercise of certain specified primary care commissioning functions to a CCG.

2. In accordance with its statutory powers under section 13Z of the National Health

Service Act 2006 (as amended), NHS England has delegated the exercise of the functions specified in Schedule 2 to these Terms of Reference to Corby CCG. The delegation is set out in Schedule1.

3. The CCG has established the Corby CCG Primary Care Commissioning

Committee (“Committee”). The Committee will function as a corporate decision- making body for the management of the delegated functions and the exercise of the delegated powers.

4. It is a committee comprising representatives of the CCG and with a standing invitation

to the following organisations:

• NHS England; • Local Authority (County and Borough); • HealthWatch; • LMC representing its members.

Statutory Framework

5. NHS England has delegated to the CCG authority to exercise the primary care

commissioning functions set out in Schedule 2 in accordance with section 13Z of the NHS Act.

6. Arrangements made under section 13Z may be on such terms and conditions

(including terms as to payment) as may be agreed between the Governing Body and the CCG.

7. Arrangements made under section 13Z do not affect the liability of NHS England

for the exercise of any of its functions. However, the CCG acknowledges that in exercising its functions (including those delegated to it), it must comply with the statutory duties set out in Chapter A2 of the NHS Act and including:

a) Management of conflicts of interest (section 14O);

b) Duty to promote the NHS Constitution (section 14P);

c) Duty to exercise its functions effectively, efficiently and economically (section

14Q);

d) Duty as to improvement in quality of services (section 14R);

e) Duty in relation to quality of primary medical services (section 14S);

f) Duties as to reducing inequalities (section 14T);

g) Duty to promote the involvement of each patient (section 14U);

h) Duty as to patient choice (section 14V);

i) Duty as to promoting integration (section 14Z1);

j) Public involvement and consultation (section 14Z2).

8. The CCG will also need to specifically, in respect of the delegated functions from NHS England, exercise those set out below:

• Duty to have regard to impact on services in certain areas (section 13O);

• Duty as respects variation in provision of health services (section 13P).

9. The Committee is established as a committee of the CCG in accordance with

the CCG’s constitution.

10. The members acknowledge that the Committee is subject to any directions made by NHS England or by the Secretary of State.

Role of the Committee

11. The Committee has been established in accordance with the above statutory

provisions to enable the members to make collective decisions on the review, planning and procurement of primary care services in Corby CCG, under delegated authority from NHS England.

12. In performing its role the Committee will exercise its management of the

functions in accordance with the agreement entered into between NHS England and Corby CCG, which will sit alongside the delegation and terms of reference.

13. The functions of the Committee are undertaken in the context of a desire to

promote increased co-commissioning to increase quality, efficiency, productivity and value for money and to remove administrative barriers.

14. The role of the Committee shall be to carry out the functions relating

to the commissioning of primary medical services under section 83 of the NHS Act.

15. This includes the following:

1. GMS, PMS and APMS contracts (including the design of PMS and APMS

contracts, monitoring of contracts, taking contractual action such as issuing breach/remedial notices, and removing a contract);

2. Newly designed enhanced services (“Local Enhanced Services” and “Directed

Enhanced Services”);

3. Design of local incentive schemes as an alternative to the Quality Outcomes Framework (QOF);

4. Decision making on whether to establish new GP practices in an area;

5. Approving practice mergers; and

6. Making decisions on ‘discretionary’ payment

16. The CCG will also carry out the following activities

a) To plan, including needs assessment, primary medical care services in Corby CCG;

b) To undertake reviews of primary medical care services in Corby CCG;

c) To co-ordinate a common approach to the commissioning of primary care services generally;

d) To manage the budget for commissioning of primary medical care services in Corby

CCG

Geographical Coverage

17. The Committee will comprise the Corby CCG Practices boundary.

Membership

18. The Committee shall consist of:

Members with voting rights

• Chair (Lay Member)

• Deputy Chair (Lay Member)

• Chief Executive

• Chief Finance Officer/Deputy Chief Finance Officer

• Director of Commissioning & Strategy

The following will have the right to attend as non-voting attendees (without voting rights):

• Two GP Governing Body Members

• Clinical Leader

• Lay member for Governance

• CCG Quality Team representative

• Local Authority representative

• HealthWatch representative

• NHS England representative

• LMC representative

• External GP (external to the CCG but with the required Governing Body level experience)

19. The Committee may call additional experts to attend meetings on an ad hoc

basis to inform discussions.

20. The Chair of the Committee shall be the appointed Lay Member for Patient and Public Engagement.

21. The Deputy Chair of the Committee shall be the appointed Lay Member

Meetings and Voting

22. The Committee will operate in accordance with the CCG’s Standing Orders. The

Secretary to the Committee will be responsible for giving notice of meetings. This will be accompanied by an agenda and supporting papers and sent to each member representative no later than 7 days before the date of the meeting. When the Chair of the Committee deems it necessary in light of the urgent circumstances to call a meeting at short notice, the notice period shall be such as s/he shall specify.

23. Each member of the Committee shall have one vote. The Committee shall reach

decisions by a simple majority of members present, but with the Chair having a second and deciding vote, if necessary. However, the aim of the Committee will be to achieve consensus decision- making wherever possible.

Quorum

24. In order for meetings of the Committee to be quorate, there must be present at least 3

voting members (see paragraph 18 above), including the Chair or Deputy Chair, and two executives. Where a management representative is unable to attend a meeting, a suitably qualified and duly nominated deputy may attend in their absence and form part of the quorum. This must be notified to the Chair of the Committee in advance of the meeting.

25. A decision put to a vote at a meeting of the Committee shall be determined by

simple majority of the voting members present. In the case of no decision, the Chair (or Deputy Chair) of the Committee shall have a second and casting vote. Where a voting member has nominated a suitably qualified deputy, they will be entitled to vote.

Management of Conflicts of Interest

26. A key responsibility of the Governing Body is to ensure that the CCG complies with

its legal and Constitutional obligation to manage conflicts of interest. These obligations are set out in section 14O (4) of the National Health Act 2006 and section 8 of the CCG’s Constitution and our Conflicts of Interest Policy. Conflicts of Interests arising during the course of this committee will be managed in accordance with the CCG’s Conflicts of Interest Policy, which shall be reviewed in line with guidance as required from NHS England.

Frequency of meetings

27. The frequency of the meetings will be bi-monthly.

28. Members are required to state for the record any interest relating to any matter

to be considered at each meeting, in accordance with the CCG’s Conflict of Interest policy. Recommendations relating to the management of all conflicts of interest will be received from the Conflicts of Interest Guardian at the start of each meeting. Such recommendations are to be approved by the Committee and such recommendations and approvals shall be recorded in the meeting minutes.

29. Meetings of the Committee shall:

a) be held in public, subject to the application of 28(b);

b) the Committee may resolve to exclude the public from a meeting that is open

to the public (whether during the whole or part of the proceedings) whenever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons stated in the resolution and arising from the nature of that business or of the proceedings or for any other reason permitted by the Public Bodies (Admission to Meetings) Act 1960 as amended or succeeded from time to time.

30. Members of the Committee have a collective responsibility for the operation of

the Committee. They will participate in discussion, review evidence and provide objective expert input to the best of their knowledge and ability, and endeavour to reach a collective view.

31. The Committee may delegate tasks to such individuals, sub-committees or

individual members as it shall see fit, provided that any such delegations are consistent with the parties’ relevant governance arrangements, are recorded in a scheme of delegation, are governed by terms of reference as appropriate and reflect appropriate arrangements for the management of conflicts of interest.

32. Members and non-voting attendees of the Committee shall respect

confidentiality requirements and principles as outlined in the Data Protection Act 1998.

33. The Committee will present its minutes to the Area Team of NHS England

and the Governing Body of Corby CCG for information, including the minutes of any sub-committees to which responsibilities are delegated.

34. The CCG will also comply with any reporting requirements set out

in its constitution.

35. It is envisaged that these Terms of Reference will be reviewed from time to time, reflecting experience of the Committee in fulfilling its functions. NHS England may also issue revised model terms of reference from time to time.

Accountability of the Committee

36. The Committee is a committee of the Governing Body.

37. The work and effectiveness of the Committee shall be subject to regular monitoring by

the Audit and Risk Committee, which shall undertake at least one formal review annually of the effectiveness of the Committee as part of its assurance function.

Procurement of Agreed Services

38. The CCG will make procurement decisions as relevant to the exercise of its

delegated authority and in accordance with the detailed arrangements regarding procurement set out in the delegation agreement.

Decisions and Reporting

39. The Committee will make decisions within the bounds of its remit as per the CCGs Schedule of Reservation and Scheme of Delegation.

40. The decisions of the Committee shall be binding on NHS England and Corby CCG.

41. The Committee will produce an executive summary report which will be presented

to the Local Area Team of NHS England and the Governing Body of Corby CCG bi-monthly for information.

Revised date: June 2017




18 July 2017 Title: Payment for GP Child Protection Reports Number: PC-17-39

Author: Alison Jamson, Deputy Director of Quality, NHS Corby CCG and NHS Nene CCG

Contact No:

01604 651100

Executive Sponsor:


Presented by: Tina Swain, Head of Nursing & Safeguarding, NHS Corby CCG and NHS Nene CCG






Executive Summary

Since the dissolution of the PCT there has been a disagreement between NHSE and NCC about who should be responsible for payment for the production of Child Protection conference reports provided by GPs. The CCG has been clear that this is not their responsibility. This report summarises this position. There has been an ongoing debate since the dissolution of PCTs regarding payment for GPs to complete child protection reports with CCGs, NCC and NHSE all stating that they have no budget for this. There is no change in the NHS England position that was detailed by Dr David Geddes in his correspondence back in December 2014. Susan Warburton, NHS England Head of Safeguarding, updated Regional Safeguarding Leads recently the following messages; Susan is aware that there continue to be questions raised about payments for GPs completing reports and attending safeguarding meetings. This was reviewed in some depth a couple of years ago with a letter being sent out nationally in December 2014. There is no change in the NHS England position and nationally continue to advise that: . This work does not form part of the standard contract . GPs can charge for this work if they so wish . If payment is required then this should be sought from Local Authorities/CCG Commissioners I understand that a follow up correspondence from Dr Geddes's office is planned.

Designated Nurses and Named GPs are fully aware of the issue and are able provide you with local support to find an acceptable resolution given that GPs do have to comply with their statutory safeguarding duties and each practice is required within the contract to have an identified safeguarding lead that will support the Practice in delivering statutory duties. At the current time local areas need to create their own arrangements to ensure that statutory safeguarding responsibilities are delivered.

Recommendations

The Committee is asked to: • Support the position of the CCG not paying GPs to produce child protection




Payment for GP Child Protection Reports

Context There has been an ongoing debate since the dissolution of PCTs regarding payment for GPs to complete child protection reports with CCGs, NCC and NHSE all stating that they have no budget for this. There is no change in the NHS England position that was detailed by Dr David Geddes in his correspondence back in December 2014. Susan Warburton, NHS England Head of Safeguarding, updated Regional Safeguarding Leads recently with the following message: Susan is aware that there continue to be questions raised about payments for GPs completing reports and attending safeguarding meetings. This was reviewed in some depth a couple of years ago with a letter being sent out nationally in December 2014. There is no change in the NHS England position and nationally continue to advise that: . This work does not form part of the standard contract . GPs can charge for this work if they so wish . If payment is required then this should be sought from Local Authorities/CCG Commissioners I understand that a follow up correspondence from Dr Geddes's office is planned. Designated Nurses and Named GPs are fully aware of the issue and are able provide you with local support to find an acceptable resolution given that GPs do have to comply with their statutory safeguarding duties and each practice is required within the contract to have an identified safeguarding lead that will support the Practice in delivering statutory duties. At the current time local areas need to create their own arrangements to ensure that statutory safeguarding responsibilities are delivered. Local Position Previously payment for reports was from NCC, who decided to cease payments for reports without consultation or informing GPs of this position. GPs continue to invoice NCC for this service. The CCG has never had a budget for these reports and has tried to broker a solution between the LMC and NCC. Whilst wanting to be supportive of member practices the CCG is not in a position to fund this. To mitigate the possibility that this will impact on the provision of these reports, the CCG named GP has being working with practices to make the process as easy and efficient as possible to complete but maintain that this is a statutory requirement for the practices to undertake. The NCSB regularly monitors the adequate provision of reports to Child case conferences. Recommendation The Committee are asked to support the position of the CCG not paying GPs to produce child protection reports.




18 July 2017 Title: Demand Management: Clinical Peer Review

Locally Commissioned Service Number: PC-17- 40

Author: Bie Grobet, Assistant Director of Commissioning Development

Contact No:

01536 560420

Executive Sponsor:

Caron Williams, Director of Strategy and Commissioning

Presented by: Caron Williams, Director of Strategy and Commissioning


☐ 1. Prevention 5. Quality


3. Better Care ☐ 7. Sustainable


Executive Summary

As part of NHS England strategy to appropriately manage the increased demand on elective care services there has been publication of a document called “Elective Care High Impact Interventions: Clinical Peer Review” (May 2017). This document describes the variation in referral patterns to secondary care for management of conditions. NHS Corby CCG has encouraged peer review over the last 3 years via its GP Achievement Scheme. The benefits both for referral management and clinical education have been noted over this time. Delivering clinical peer review in General Practice is now a requirement from NHS England and NHS Corby CCG is committed to support practices to continue to deliver this as part of GP practice. Clinical peer review sees GPs reviewing each other’s new referrals to provide constructive feedback in a safe learning environment and ensures that patients are seen and treated in the right place, at the right time, by the right health care professional in a timely fashion. Establishing this process seeks to create sustainable changes in referral behaviour through knowledge sharing, education & training. Overall Payment will be £1 per practice registered population as at 1st April 2017. Payment will be in 3 stages:

• Initial payment 30 September 2017 – 40p per registered population

• Interim Payment 31 December 2017 – 40p per registered population

• Final payment 30 April 2018 – 20p per registered population

Bi-monthly submission of referral numbers and summary of meeting discussion including any learning or changes in practice (see standardised reporting Appendix 1)will be required to be submitted by practices. The interim payment will depend on the bi-monthly submission of a Peer Review report (appendix 1) within agreed time frames. An outcomes audit report will need to be submitted by March 2018 to summarise outcome of the peer review process and highlight any learning reported over the length of the Locally Commissoned Service. The interim and payment will be moderated ahead of PCCC and submitted for approval/decision at the November 2017 and March 2018 PCCC meetings.

Recommendations

The Committee is asked to: • Approve the Demand Management: Clinical Peer Review Locally Commisioned Service

and subsequent payment schedule.




1

Demand Management

Clinical Peer Review

Local Commissioned Service

1. Introduction

As part of NHS England strategy to appropriately manage the increased demand on elective care services there has been publication of a document called “Elective Care High Impact Interventions: Clinical Peer Review” (May 2017). This document describes the variation in referral patterns to secondary care for management of conditions. Although most referrals are appropriate, there are many that could have been managed differently in Primary/ Community Care without requiring Secondary Care referral.

2. Clinical Peer Review

Clinical peer review sees GPs reviewing each other’s new referrals to provide constructive feedback in a safe learning environment and ensures that patients are seen and treated in the right place, at the right time, by the right health care professional in a timely fashion.

Establishing this process seeks to create sustainable changes in referral behaviour through knowledge sharing, education & training

NHS Corby CCG has encouraged peer review over the last 3 years via its GP Achievement Scheme. The benefits both for referral management and clinical education have been noted over this time.

Delivering clinical peer review in General Practice is now a requirement from NHS England and NHS Corby CCG is committed to support practices to continue to deliver this as part of GP practice.

3. Prospective Peer Review

Prospective models (review before referral) deliver real-time qualitative benefits in referral quality, experience for patients and optimising patient pathways.

Delivering prospective internal peer review offers the opportunity for learning across peers, reducing variation and will ensure that all options are explored so that patients get access to the optimum care pathway. Where there is a Primary Care/Community based service available for the treatment of the condition, this should be considered in the first instance.

Prospective peer review should not be established as an approval process and the referring GP retains responsibility for the patient and makes the final decision.

There are many models of peer review which have demonstrated positive outcomes. The model utilised by the practice will be dependent on the clinical structure and working of the practice.

2

Example 1

Meeting based

All referrals for elective care are reviewed as part of a clinical meeting in the practice. Referrals will then be deemed as appropriate for elective referral onwards or an alternative pathway will be suggested.

The frequency of meetings would be determined by practices to allow sufficient time to review referrals without inappropriate delay in processing them.

The CCG will provide elective referral variation data per practice (already discussed as part of the practice visits) to inform the peer review discussions. The CCG will expect practices to review the top 5 specialities with the biggest variation (Elective care referral variation year to date compared to last year).

A minimum of a monthly retrospective review of Elective care referral data will be expected from practices to review any variation within the practice alongside a peer review discussion to explore alternative care pathways.

Example 2

Clinical lead Review

All referrals for elective care are reviewed by the designated clinical leads in the practice or across a group of practices, if practices agree to work in a ‘hubbed’ model. The practice or group of practices would have selected individuals who would review the referrals and either process as appropriate or suggest alternatives.

A minimum of a monthly retrospective review of Elective care referral data will be expected from practices to review any variation within the practice alongside a peer review discussion led by the designated clinician for the speciality to explore alternative care pathways.

Sign up

Practices may choose to implement an appropriate method for prospective clinical peer review, different from the examples above, however the method should be declared at the time of sign up to the LCS to ensure compliance with the National mandated definition of Peer Review and the terms of the LCS.

4. Exclusions

• Emergency referral (Hot clinics, On-call). • 2 week wait referrals • Antenatal referrals • Termination of pregnancy

3

• All community based service referrals (e.g. Children, Young People and Families Referral Management Centre, Therapies (Physiotherapy, Occupational Therapy), Podiatry and Mental Health services)

5. Payment

Overall Payment will be £1 per practice registered population as at 1st April 2017

Payment will be in 3 stages:

• Initial payment 30 September 2017 – 40p per registered population • Interim Payment 31 December 2017 – 40p per registered population • Final payment 30 April 2018 – 20p per registered population

6. Requirements to be submitted by practices for payments to be released

6.1 Practices will be required to initially sign up to the LCS stating the current practice population and indicate a choice of peer review process. Sign up will require the submission of a brief outline of the chosen method for prospective review. The submission will be reviewed by NHS Corby CCG ensuring suitability and compliance to the National definition of Peer Review.

6.2 Baseline audit of areas of variation will be submitted by NHS Corby CCG at start of the LCS.

6.3 Bi-monthly submission of referral numbers and summary of meeting including any learning or changes in practice (see standardised reporting Appendix 1). The interim payment will depend on the bi-monthly submission of appendix 1 within agreed time frames.

6.4 Outcome audit at the end of March 2018, reporting on changes such as:

• reduced variation in elective referrals to outpatient services • Increased likelihood of GPs referring when necessary • Increased utilisation of services closer to home • Increased likelihood of GPs sending referrals to the most appropriate setting • Stabilisation of growth in elective referrals • Learning points from Peer Review discussions

Practices shall not be held at a disadvantage due to size and are encouraged to work in a ‘Hubbed’ or ‘Buddy up’ manner to promote standardisation of referrals.

7. Outcome Measures

• Reduction in variation of elective referrals – outlying practices within elective care referral areas will be required to justify this state.

• Increased utilisation of services closer to home – where a quality community service exists, the community service should be considered the preferred referral option

• Enhancing the Primary Care offer for elective pathways

4

• Shared peer learning • Improved patient care by optimisation of care pathways • Stabilisation of growth in elective referrals to secondary care providers

Appendix 1 : Standardised Reporting on Clinical Peer Review

Clinical Peer Review Meeting (Name of the practice)

(Bi-monthly Period reported on)

1. Number of referrals retrospectively reviewed per specialty:

2. Elective referrals onwards per specialty:

3. If applicable, rationale why more elective referrals are generated than the number of referrals peer reviewed:

4. Alternative referrals made (Care closer to Home, Primary Care, Community services):

5. Summary of learning points:

5

Appendix 2- Submission of evidence schedule

Evidence required Deadline date Payment date Clinical Peer review report August 2017

6 September 2017 -

Clinical Peer review report Sept-Oct 2017

8 November 2017 31 December 2017

Clinical Peer review report Nov-Dec 2017

6 January 2018 -

Clinical Peer review report Jan-Feb 2018

8 March 2018 -

Clinical Peer review outcome report 2017/18

8 March 2018 30 April 2018

Submissions to be reported to: [email protected] and [email protected]






18 July 2017 Title: Leg Ulcer Management Locally Commissioned

Service Number: PC-17- 41

Author: Bie Grobet, Assistant Director of Commissioning Development

Contact No:

01536 560420

Executive Sponsor:

Caron Williams, Director of Strategy and Commissioning

Presented by: Caron Williams, Director of Strategy and Commissioning






Executive Summary

The Leg Ulcer Clinic procurement took place in between April and May 2017, no successful bids were received. NHS Corby Executive Team have agreed to a Locally Commissioned Leg Ulcer management interim payment to the 5 practices, whilst reprocurement of the service takes place. Practices will be paid £0.79p per registered practice population to manage the Leg Ulcer patients for 2017/18. The funding reflects the tender contract value as outlined in the procurement process and has been set aside within core NHS Corby CCG funding.

Recommendations

The Committee is asked to: • Approve the proposed Leg Ulcer Management Locally Commissioned Service for

2017/18.




1

Leg Ulcer Management

Locally Commissioned Service

1. Background

Current best practice and national guidelines recommend the use of high compression therapy for patients who have leg ulceration due to venous disease. It is recognised that the treatment of this group of patients requires a specialist level of knowledge and skill and can be time consuming. Under this locally commissioned service, GP practices will be offered payment to assist with the treatment of patients who have venous leg ulceration which is suitable for high compression therapy.

2. Leg Ulcer prevalence

It is estimated that 1-2% of the general population in the UK will develop a leg ulcer at some point in their lives. The risk of developing leg ulcers rises with increasing age as the condition is often complicated by co-morbidities associated with arterial and venous disease, such as vascular calcification or varicose veins. Venous ulceration is the most common type of leg ulceration with 60 to 80% of leg ulcerations having a venous component. A recent audit of Corby practices suggest combined they treat around 250 leg ulcerations each year.

3. Requirements from practices Practices will be required to complete a quarterly Leg Ulcer Management report:

• Number of patients on the leg ulcer management caseload • Number of new patients for this quarter • Number of patients discharged as healed • Number of patients referred on for specialist advice

4. Payments

The suggested funding of the locally commissioned service is as follows: £0.79p per registered patient population as of 1 April 2017 as a single payment. The funding reflects the tender contract value as outlined in the procurement process and has been set aside within core NHS Corby CCG funding.

2

Appendix 1: Quarterly Leg Ulcer Management Report

Leg Ulcer Management Report Practice name:

Quarter: Q1-Q2-Q3-Q4 (please circle)

1. Number of patients on the Leg Ulcer Management caseload

2. Number of new referral this quarter

3. Number of patients healed this quarter

• Within 12 weeks of onset:

• Within 18 weeks of onset:

• 18 week+:

4. Number of patients referred on for specialist advice this quarter

1

Minutes of the Primary Care Operational Group Meeting

Tuesday 23 May 2017 at 1400 in Meeting Room 2, Corby Enterprise Centre, London Road, Priors Hall Corby NN17 5EU

Present Julie Lemmy Deputy Director of Primary Care (Chair) Chileshe Dalton-Ruark Support Officer Michelle Howells Project Manager Lamont Montezu Support Contracts Manager, NHS England Dr Miten Ruparelia Clinical Vice Chair Dr Nathan Spencer GP Governing Body Member Kay Taylor Practice Manager, Great Oakley Apologies Dr Sanjay Gadhia GP Governing Body Member Bie Grobet Assistant Director of Commissioning Development Kieren Leigh Assistant Contract Manager, NHS England Sharon Wright Quality Improvement Manager

Minute No: Item 01 Welcome and Introductions Ms Lemmy welcomed members to the Primary Care Operational Group.

02 Apologies for absence Apologies were received from Dr Sanjay Gadhia, Bie Grobet, Kieren Leigh and Sharon Wright.

03 Declaration of Interests Declarations of interests were raised by Dr Ruparelia and Ms Taylor.

04 Minutes of the meeting held on 25 April 2017 The minutes of the Primary Care Operational Group meeting held on the 25 April 2017 were

presented and APPROVED as a true and accurate recording of proceedings.

05 Delegated Responsibilities Premises:

Ms Lemmy gave an update on delegated responsibilities. Ms Lemmy informed the group that there will be an Estate Support across both NHS Corby and Nene CCG to address outstanding issues around Premises. She stated that piece of work needs to be done around rent review.

Action: Ms Lemmy to give an update around premises review at next meeting.

ETTF

Ms Lemmy gave an update on ETTF. She informed the group that there had been a bid for NHS Corby CCG which was currently on the portal, had been put forward for further funding to support the OBC and Mr Alexander was drafting the new project initiation document (PID).

Ms Lemmy stated there would be an estate plan which will match with the operational service plan. She further added that she had met with Corby Borough Council to discuss how the CCG would be delivering services to support the proposed new development for the West Sustainable Urban Extension (SUE). She informed them that there were 2 options of delivering the services; getting funding per dwelling or getting a piece of land. She informed Corby Borough Council around the development of a countywide estates proposal and there is a need to have an Estate Strategy plan to describe what the CCG does and align it to the Sustainability

2

Transformation Plan.

Action: Share information around Submitted ETTF bid with the Team

Contractual Changes

Ms Lemmy informed the group that there had been no formal requests for any changes to the contracts.

06 Counrtywide Community AQP Contracts and Locally Commissioned Services Ms Howells informed the group about the Countywide Community AQP Contracts and Locally

Commissioned Services. She stated that a meeting had been held to go through NHS Corby CCG’s AQP and LCS Review. There had been a number of historical AQPs rolled over from last year. Clinical Leads for NHS Corby CCG were keen to discuss the current AQP. The process was looking at the value for money and clinical needs for each area. The impact on other services includes pathway changes and a number of procedures carried out in each area.

Ms Howells further added that a clinical review had been carried out to see what would happen when money was withdrawn and the impact it would have on different services.

Dr Ruparelia stated that the report needed clarification around conflicts and there was no involvement of his actions from the previous meeting. Dr Ruparelia informed the group that assumptions were not evidence based conclusion and would require this in order to comment on the proposals. Dr Spencer further added that an impact assessment on individual Practices and option appraisal was needed.

Ms Lemmy requested for an update on PAC/ LCS and a discussion should place around stopping any services. She stated that there was need to engage and formal consultation is required if the proposal was to cease services in line with statutory duties. Work was needed to be done around options appraisal, get advice from Procurement and must adopt the appropriate governance process for both CCGs..

Dr Ruparelia suggested that the AQP report update needed updating and should be done within the existing governance structure so that the CCG does not face challenges. The group agreed that everybody needs to be consulted around AQP and LCS update report so that the right audience was targeted.

Ms Lemmy gave an update on countywide Dermatology review. A strategic KGH contact meeting had been held around dermatology and it was made clear that KGH would not be able to take part in some of the STP programmes with NGH.

Action: Ms Lemmy to provide an update on dermatology at next meeting.

A discussion took place around PAC and PCDS and the group was informed by Ms Lemmy that an update would be given at the next meeting. The group was given an update on the GP Forward view plan. Both the CCGs had agreed to have a joint review meeting on how to embed the GP Forward view.

Ms Howells informed the group that Leg Ulcer procurement had ended and the it was agreed that Ms Grobet should provide an update at the next meeting.

3

Action: Ms Grobet to provide an update on Leg Ulcer Clinic.

07 GP Resilience Update Mr Montezu updated the group on the GP resilience fund. He stated that NHS England had no

new schemes for 2017/18 due to the 2016/17 schemes being carried over to the current year. Discussion took place around funding and the team was informed that there had been a 50% cut and NHSE were proposing a contingency pot of money for any urgent schemes.

08 Quality Dashboard and Practice Visit Ms Lemmy gave an update on the Quality Dashboard and Practice Visits. The group was

informed that Mr Youdale gave a presentation at the Council of Members on patient survey. A discussion was held around data from Practices and that there had been a discrepancy from one Practice. The group agreed that there needs to be a triangulation of data and a practice visit should be carried out to discuss the recent survey results with the outlying practice. Ms Lemmy discussed the issue of stopping services currently not funded under the core GMS contract and the group agreed that the PMS task and finish group should review. Ms Lemmy advised that the Task and Finish group will meet late summer to discuss year 3 findings.

09 Finance Update There was no finance update provided at the meeting. Ms Lemmy informed the team that a

discussion will be held with Ms Kettlewell on how the finance information should be reported with the Primary Care Operational group should be the same report that is presented at the Governing Body Committee.

Action: Ms Lemmy to have a discussion with Ms Kettlewell on how finance should be reported at the operational group.

10 Risk Register Ms Lemmy informed the group that risks around resilience fund, AQP and LCS should go onto

the risk register.

11 Date of Next Meeting The next Primary Care Operational Group meeting would be held at 14.00 on 29 June 2017 in

Meeting Room 2, Corby Enterprise Centre London Road, Priors Hall Corby NN17 5EU. Ms Lemmy brought the meeting to a close at 15.45.




18 July 2017 Title: Register of Interests Number: PC-17-43

Author: Jay Dobson, Interim Corporate Services and Governance Manager

Contact No:

01536 560420

Executive Sponsor:


Presented by: Tansi Harper, Lay Member Patient and Public Engagement






Executive Summary

Register of Interests for NHS Corby CCG Primary Care Commissioning Committee.

Recommendations

The Committee is asked to: • Note the updated register of interests




NHS Corby Clinical Commissioning Group Register of Interests

Updated 30 June 2017

Name Current position(s) held

in the CCG i.e. Governing Body member; Committee member; Member practice, CCG employee; other

Declared Interest (Name of organisation and nature of business)

Nature of Interest Nature of Interest

Date of Interest Action taken to mitigate risk

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GOVERNING BODY MEMBERS Carole Dehghani

Chief Executive None to declare N/A N/A N/A N/A

Mike Alexander Chief Finance Officer Director and Trustee Launde Abbey Trust Director and Trustee Leicester Diocese Board of Finance Trustee Leicester City of Sanctuary

Direct

Direct

Direct

Current

Current

Current

Will declare the interest and manage in line with appropriate policy

Caron Williams Director of Commissioning & Strategy

None to declare N/A N/A N/A N/A






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Dr Miten Ruparelia

Clinical Vice Chair Partner at Woodsend Medical Centre, including Wollaston and Bozeat Surgeries. Work across both Practices Practice is a Member of 3Sixty Care Ltd Federation Shareholder Lakeside + Ltd Honorary contract holder at Kettering General Hospital Working with ECIP on day per week

Direct

Direct

Direct

Direct

Direct

Current

Current

Current

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with






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The Practice holds an enhanced contract with a provider from whom the CCG commissions services

Direct

Current

appropriate policy Will declare the interest and manage in line with appropriate policy

Dr Joanne Watt Clinical Chair Partner at Great Oakley Medical Centre Independent contractor to the Department of Sexual Health at NHFT Husband is a Consultant at KGH

Direct

Direct

Direct

Current

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy






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From To

Practice is a Member of 3Sixty Care Ltd Federation

Direct Current Will declare the interest and manage in line with appropriate policy

Dr Nathan Spencer

GP Governing Body Member

Partner at Great Oakley Medical Centre Practice is a Member of 3Sixty Care Ltd Federation

Direct

Direct

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy

Dr Sanjay Gadhia

GP Governing Body Member

Partner at Lakeside Surgery Director of Gadhia Healthcare Ltd Shareholder Lakeside + Ltd

Direct

Direct

Direct

Current

Current

Current







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Honorary contract holder at Kettering General Hospital Occasional presenting at education meetings/session by Pharmaceutical Companies Locum shift at Urgent Care Centre Wife employed as physiotherapist at Nuffield Hospital

Direct

Direct

Direct

Indirect

Current

Current

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy

Dr Sebastian Hendricks

Secondary Care Consultant

Owner and Director at FixEar Ltd, wife is also a Director

Direct

Current







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Consultant at Royal Free London NHS FT and University College London Hospitals NHS FT Thomson Screening Children’s Hearing Screening Service Fellow of the Royal College of Physicians (London) Fellow of the Royal College of Paediatric & Child Health Member for the British Association of Audiovestibular Physicians

Direct

Direct

Direct

Direct

Direct

Current

Current

Current

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy






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Member of the British Society of Audiology Member of the International Association of Physicians in Audiology Member of Doctors for the NHS Member of the British Medical Association

Direct

Direct

Direct

Direct

Current

Current

Current

Current


Andrew Hammond

Lay Member for Governance (Audit Chair)

Director of Instructus Director of CQM Training and Consulting, Director Springboard Consultancy – provide some training to the NHS

Direct

Current







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From To

Wife registered podiatrist undertaking work privately in Northampton

Direct

Direct

Current

Current


Tansi Harper Lay Member for Patient Participation Engagement

Chair of Northamptonshire STP Non-Executive Director Richmond Fellowship Board STP Board Chair

Direct

Direct

Direct

Current

Current

Current







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From To

Pauleen Pratt Registered Nurse Member

Sole trader, offer consultancy to healthcare providers Non-Executive Director Freebridge Housing West Norfolk

Direct

Direct

Current

Current


Helen Storer Independent Lay Member

Employed as Integrated Health & Social Care Manager, Nottingham City Care Partnership Registered Dietitian, Member of the British Dietetic Association

Direct

Direct

Current

Current







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Practice Delivery Leads (PDLs) Dr Satish Kumar Practice Delivery Lead Shareholder in Lakeside +

Partner in Studfall Partnership LMC Member Practice holds shares in 3sixty Care Ltd Holds shares in private limited company – No business with the CCG. No conflict identified with CCG activities Ongoing research projects done by the practice. None likely to conflict with CCG activities. LMC member GP appraiser

Direct

Direct

Direct

Direct

Direct

Current

Current

Current

Current

Current

Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy Will declare the interest and manage in line with appropriate policy






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Spouse is partner at the Studfall Partnership. Spouse is director of private limited company. No business with the CCG. No conflict identified with CCG activities. Spouse is partner at practice holding shares in 3 Sixty Care Limited. Spouse can be associated with ongoing research projects done by the practice. None likely to conflict with CCG activities.

Direct

Direct

Direct

Direct

Current

Current

Current

Current







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Dr Lipi Pradhan Practice Delivery Lead Shareholder in Lakeside + Ltd Practice is a member of GP Federation 3sixty Care Ltd

Direct

Direct

Current

Current


Dr Roman Sumira

Practice Delivery Lead Shareholder in Lakeside + Ltd Practice is a member of GP Federation 3sixty Care Ltd Shareholder with GSK and Astra Zeneca Shareholder with BT Shareholder with Lakeside + Ltd

Direct

Direct

Direct

Direct

Direct

Current

Current

Current

Current

Current







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Practice is a member of GP Federation 3Sixty Ltd

Direct

Current Will declare the interest and manage in line with appropriate policy

Dr Emily Winters

Practice Delivery Lead GP at Woodsend Medical Centre


Dr Tony Penney Practice Delivery Lead GP Partner and Chief Operations Officer, Lakeside Healthcare

Non-Executive Director Clinical Systems Group

Chief Clinical Information Officer, ArdenGEM CSU

Direct

Direct

Direct

Current

Current

Current







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Vanessa Hurling Deputy Practice Delivery Lead

None to declare N/A N/A N/A N/A N/A N/A

Nicki Adams Deputy Practice Delivery Lead

Managing Partner, Woodsend Medical Centre

Director of 3Sixty

√ √

N/A N/A Direct

Direct

Current

Current


Dr Shalini Singh Deputy Practice Delivery Lead

Partner Lakeside Surgery

Non-Executive within Lakeside Healthcare

√

√

Direct

Direct

Current

Current







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Kay Taylor Deputy Practice Delivery Lead

Practice Manager Great Oakley

N/A N/A N/A N/A N/A N/A

Anna Lewis Deputy Practice Delivery Lead

Practice Manager Studfall Medical Centre

N/A N/A N/A N/A N/A N/A

Other including staff, Governing Body member attendees and Committee attendees Jane Kettlewell Interim Deputy Chief

Finance Officer

Employed by ArdenGEM Commissioning Support Unit


Bie Grobet Assistant Director of Commissioning Development

Reviewer for West Midlands Quality Review Service


Debbie Stanley Planned Care Commissioning Manager

Secondment to NHFT until July 2017


David Cole Head of Programme Management Office


Emma Follis Corporate Services & Governance Manager







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Lucy Douglas-Green

Deputy Director of Public Health & Well-Being

Husband is a Director at University Hospitals of Leicester


Sarah Newall Communications Lead, Arch Communications


Ric Barnard Member of PPEA Committee

Board Member of Healthwatch Northamptonshire Chair of Lakeside Practice Patient Participation Group Chair of Corby Practice Patient Participation Group

Direct

Direct

Direct

Current

Current

Current


Julie Ashby-Ellis Designated Nurse for Safeguarding children and looked after children – Nene and Corby CCGs







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Darren McGregor

Deputy Head of Urgent Care NHS 111 Clinical Lead – Nene and Corby CCGs


Richard Jarvis Urgent Care Planning and EPRR Manager – Nene and Corby CCGs

Director of Raypat Property Limited

Direct Current

Kristian Nicol Quality Improvement Manager – Nene and Corby CCGs

Spouse of Advance Nurse Practitioner Intermediate Care Team NHFT Husband of Advanced Nurse Practitioner ICT NHFT


Anne Holland Business Analyst – Nene and Corby CCGs


Cath Ratcliffe Quality Improvement Manager – Nene and Corby CCGs


Julie Lemmy Head of Primary Care – Nene and Corby CCGs







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Georgette Fitzgerald

Designated Nurse Adult Safeguarding – Nene and Corby CCGs


Arti Chauhan Medicines Optimisation Pharmacist – Nene and Corby CCGs


Chris Murphy Senior Acute Contracts Manager – Nene and Corby CCGs


Helen Seddon Prescribing Advisor to Corby CCG

Medicines Management Consultant at Weavers Medical Centre and Huntingdon CCG


Matthew Spilsbury

Head of Performance – Nene and Corby CCGs


Helen Adams Children and Maternity Commissioning Manager – Nene and Corby CCGs


David Knight Senior Quality Improvement Manager – Nene and Corby CCGs







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Lisa Riddaway Commissioning Manager, Integrated Commissioning Team – Nene and Corby CCGs


Sarah Salter Head of Non Acute Contracts – Nene and Corby CCGs


Emma Clarke Senior Quality Improvement Manager – Nene and Corby CCGs


Catherine O’Rourke

Deputy to the Director – Integrated Commissioning – Nene and Corby CCGs


Sian Heale Children and Young People’s Commissioning Manager – Nene and Corby CCGs


Sharon Wright Interim Quality Improvement Manager – Nene and Corby CCGs







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Richard Bailey Deputy to the Director of Integrated Commissioning – Nene and Corby CCGs


Sue Freeman Commissioning Manager Learning Disabilities – Nene and Corby CCGs


Andrea Contini Resilience Officer – Nene and Corby CCGs


Neil Boughton Head of Non-Clinical Contracting and Procurement – Nene and Corby CCGs


Marianne Price Care Home Pharmacist – Nene and Corby CCGs


Linda Dunkley Commissioning Lead, Planned Care – Nene and Corby CCGs


Denise Rickaby Senior Contracts Manager - Nene and Corby CCGs







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Arshad Nana Head of Business Intelligence - Nene and Corby CCGs


Mark Darlow Deputy Director of Contracting and Procurement - Nene and Corby CCGs


Anne Maher Specialist Interface Pharmacist- Nene and Corby CCGs


Giles Owen Deputy Director of Prescribing and Medicines Management - Nene and Corby CCGs


Kate Longthorne

Patient Safety Lead - Nene and Corby CCGs







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Dr James Findlay

Clinical Pathway Lead - Nene and Corby CCGs

25% ownership of Rushden Medical Centre building Clinical Pathways Advisor for DXS International PLC Council member of the National Association of Primary Care

Direct

Direct

Direct

Current

Current

Current


Alison Jamson Deputy Director of Quality, NHS Corby and Nene CCGs


Gabriella O’Keefe

Senior Quality Improvement Manager NHS Corby and Nene CCGs ( Staff)


Jay Dobson Interim Corporate Services & Governance Manager


pccc papers - 18...bie grobet assistant director for commissioning and development, nhs corby ccg dr...

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