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PCCC Agenda and Papers July 2019

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PCCC Agenda and Papers July 2019 Meeting of the NHS Eastern Cheshire Primary Care Commissioning Committee Meeting to be held In Public Wednesday 10th July 2019 15:00-17:00 Boardroom 2, New Alderley House, Macclesfield, SK10 3BL A G E N D A Delivery & Time Agenda item Speaker Decision 15:00 1. PRELIMINARY BUSINESS 1.1 Welcome & Introductions Chair Verbal 1.2 Apologies for absence and quorum check Chair Verbal 1.3 Declaration of any interests relevant to the Chair Verbal agenda items 1.4 Minutes and action log from the previous meeting Chair Papers attached – 8 May 2019 For approval 15:10 2. STANDING ITEMS 2.1 Public Speaking Time Chair Verbal 2.2 Primary Care Risks Chair Papers attached For information 15:20 3. ITEMS FOR DECISION 3.1 Practice Boundary Change Request – Chelford Sally Papers to follow Surgery Williams For decision 3.2 Practice Boundary Change Request – Alderley Sally Papers to follow Edge Medical Practice Williams For decision 3.3 Practice Merger Request – Knutsford GP Sally Papers to follow practices Williams For decision 16:00 4. ITEMS FOR DISCUSSION 4.1 ECCCG Primary Care Report Dean Grice Papers attached For information 4.2 Primary Care Finance Update Niall O’Gara Presentation For information 4.3 Local GP Service Specification Update Report Dean Grice Papers attached For information 4.4 Post-CQC Inspection Engagement Report Dean Grice Papers attached For information 4.5 Update on the Primary Care Committee Annual Dean Grice Verbal Report For information 4.6 Working Together Across Cheshire update Neil Evans Verbal For information 4.7 Development of a Primary Care Committee in Chair Verbal Common For information PTO Delivery & Time Agenda item Speaker Decision 16:50 5. AOB 5.1 Any Other Business Chair Verbal - Rescheduling of future meeting dates 5.2 Future Meeting Dates: Wed 11/09/2019 15:00-17:00 – Board Room 1 Wed 13/11/2019 15:00-17:00 – Board Room 1 17:00 6. CLOSE OF MEETING Version 2 – 03/07/2019 MEETING OF THE NHS EASTERN CHESHIRE CCG PRIMARY CARE COMMISSIONING COMMITTEE Minutes of Meeting in Public (Unconfirmed) Wednesday 8 May 2019 15:00-17:00 Boardroom 2, New Alderley House VOTING MEMBERS Gill Boston (Chair) (GB) ECCCG Lay Member, Patient and Public Involvement Jane Stephens (JaS) ECCCG Lay Member, Patient and Public Involvement Alex Mitchell (AM) Chief Finance Officer, Deputy Accountable Officer, ECCCG Apologies Neil Evans (NE) Commissioning Director, ECCCG NON-VOTING MEMBERS Laura Beresford (LB) GP Peer Group Representative – Bollington, Disley, Poynton GP Peer Group Representative – Joanne Morton (JM) Chelford, Handforth, Alderley Edge, Wilmslow Dr Victoria Buckley (VB) GP Peer Group Representative – Congleton & Holmes Chapel Apologies Dr Jennifer Lawn (JL) GP Peer Group Representative – Knutsford Apologies Dr Daniel Harle (DH) GP Peer Group Representative – Macclesfield OTHER ATTENDEES Dean Grice (DG) ECCCG Primary Care Commissioning Manager From Dr Mike Clark (MC) Executive GP, Governing Body member during item 2.2 Deputy Head of Medicines Management, ECCCG, South presenting Janet Kenyon (JK) Cheshire CCG & Vale Royal CCG item 4.4 presenting Niall O’Gara (NOG) Head of Finance, ECCCG item 4.3 from Carla Sutton (CS) Senior Contract Manager, NHS England during item 2.2 Katie Mills (KM) Primary Care Quality Manager William Greenwood Chief Executive Cheshire Local Medical Committee Apologies Louise Barry Healthwatch - Cllr Liz Wardlaw Cheshire East Council - Dr Julie Sin (JuS) Public Health, Cheshire East Council - Hazel Burgess Note Taker – ECCCG Members of the Public Jacquie Grinham HealthVoice QUORACY REQUIREMENTS A quorum shall be three voting members, one of which being a Lay Member and one of which being a CCG Executive. Although not voting members, to facilitate the involvement of General Practice Representation in the discussion, if no General Practice Representatives are available to attend a meeting the chair may consider the rescheduling of the meeting. MEETING NARRATIVE AND OUTCOMES UNCONFIRMED 1 Preliminary Business 1.1 Welcome & Introductions The Chair welcomed the group. 1.2 Apologies for Absence & Quorum check Apologies for absence were received as noted above. Three voting members were present and the Chair confirmed the meeting was quorate. 1.3 Declarations of interest Laura Beresford updated her declaration of interest, indicating that following the 1.3.1 merger of the Bollington, Disley and Poynton Practices, their staff were now employees of The Middlewood Partnership. Individual GP Practice Nature of Conflict of Interest (if applicable) Laura Beresford Middlewood Employee of member practice Partnership Joanne Morton Handforth Health Employee of member practice Centre Dr Mike Clark High Street Surgery Partner of member practice All the practice representatives above declared an indirect financial interest in agenda items: 3.1 Local GP Service Specification – 2019-20 3.2 GP Retainer Scheme Application 3.3 Extended Access Service Provision Requirements 2019-20 The Chair noted the declarations and confirmed that the representatives listed above did not need to leave the meeting for these items but should refrain from lobbying for their area/practice. There was independent representation at the meeting and no further mitigating action was deemed necessary. 1.4 Minutes and action log from the previous meeting 1.4.1 The Minutes from the meeting of the NHS Eastern Cheshire CCG Primary Care Commissioning Committee (PCC) held on 13 March 2019 were agreed as an accurate record. 1.4.2 Action Log: 1901-1 – although DG has checked, there remains a question over whether meeting details are being sent to PPG Chairs as well as HealthVoice. DG will check again, it may be that emails are being sent blind copied to both distribution lists at once, and as the distribution lists are not visible to the receivers, this may lead to the assumption from people on both groups that the email is going to only one of the two. 1903-1 and 1903-2 – To be closed on this log and added to the Primary Care Operational Group Log. 1903-3 – Data had showed some opportunities to increase utilisation and this action is to work with Vernova. Work will be on-going until August but this action will be closed on the log, as it will be concluded as part of Action 1903-4. PCC Minutes 8.5.19 Page 2 of 11 UNCONFIRMED 1903-4 – due September. 1903-5 – On the agenda – complete. 1903-6 – due September. 2 Standing Items 2.1 Public Speaking Time No items had been notified in advance and there were no requests to speak. 2.2 Primary Care Risks This standing item had been missed from the agenda in an oversight; DG gave an update on the three risks. Primary Care premises – risk remains active with some practices/areas needing expansion space going forward. There will be more focus on this during the summer as part of the updated Primary Care strategy document being produced. Annandale Medical Practice Lease – The building has now been sold to a new Landlord. Discussions are taking place between the practice and the new landlord. The CCG and NHS England have yet to see a draft of the new lease, if it is agreed, the GP practice can remain in the building while the wider Knutsford Build project is taken forward. The Committee agreed the risk score could be reduced from 12 to 6. [Dr Mike Clark joined the meeting] Primary Care Workforce – A recently published Nuffield Report (https://www.nuffieldtrust.org.uk/news-item/is-the-number-of-gps-falling-across- the-uk) revealed that nationally primary care workforce numbers are reducing. In the North West the picture is less negative: primary care workforce numbers are static, however they are not increasing to meet the increasing demand for services and therefore the risk is increasing. The risk is scored at 12: GB asked what mitigating actions the CCG could take and whether a Deep Dive of the risk would be helpful. NE commented that the CCG is reliant on other organisations to deliver the risk. Notional ICPs are being asked to develop a strategy. KM is working on a nursing strategy from recruitment to retention to feed into the full workforce strategy being developed for Cheshire East ICP. Funding streams and timely availability are issues: currently funding is not confirmed for a course set to start in Cheshire in September. [Carla Sutton arrived] GB repeated that action needs to be taken to demonstrate the CCG is working to mitigate the risk. NE reported that he understood a report had recently been taken to the Cheshire East Partnership Board. Type ID Detail Who/when Action 1905-1 Invite lead Cheshire East Place Lead for Workforce, DG Rachael Charlton, to attend the next meeting to present an update on workforce planning for the Cheshire East Place 3 Items for Decision 3.1 Local GP Service Specification 2019-20 PCC Minutes 8.5.19 Page 3 of 11 UNCONFIRMED The specification brought to the last meeting has been discussed with the LMC and had been circulated to the membership for their feedback. The Committee noted a summary of the changes made and that work is being done on finalising a section on ADHD. 3.1.1 It was queried how monitoring information will be reviewed, and it was requested that when it comes to committee, it be made clear what is part of the national contract requirements, and what is part of the local contract. DG gave assurance that anything in the local specification has to be above and beyond what is provided in the national contract. A check is made annually to ensure there is no duplication with any elements of the new the national contract. Review visits have recently taken place with all practices and a dashboard with Red/Amber/Green assurance ratings specific to the local GP Service Specification has been created.
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