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PCJMG Minutes 12.12.13

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Primary Care Contractor Organisation and Community Health (and Care) Partnerships PRIMARY CARE JOINT MANAGEMENT GROUP Note of meeting held at 1pm on Thursday 12 December 2013 in the Boardroom, St Roque, Astley Ainslie Hospital. Present: Dr Nigel Williams, Ass. Medical Director (depute Chair) Tim Montgomery, Edinburgh CHP Steve Faulkner, PCCO Dr Hamish Reid, Midlothian CHP Jane Houston, Partnership Dr Pete Shishodia, GP Sub-Committee Mark Hunter, PCCO Finance Dr Sian Tucker, LUCS Dr James McCallum, West Lothian CHCP Dr Jon Turvill, East Lothian CHP Stephen McBurney, Community Pharmacy Kevin Wallace, Area Ophthalmic Committee (deputising for Sandra McNaughton) David White, Edinburgh CHP Lizzie McGeechan, PCCO Alison McNeillage, PCCO In attendance: Lee Doyle (notes) Apologies: Marion Christie, Lynda Cowie, Dr Ian McKay, Sandra McNaughton, Robert Packham, David Small. Introduction and Welcome 72. Minute of Meeting on 14 November 2013 72.1 The draft minute of the meeting on the 14 November 2013 was approved as an accurate record. 72.2 Review of progress on specific ongoing actions: 416 National Community Pharmacy Contract – deferred until January. 72 Flu Immunisation of House Bound Patients – 20 practices have taken up the LES with 528 hard to reach patients being identified to the Community Vaccination Team. 127 Care Homes – ‘Complex Frail Elderly in the Community’ draft paper will be taken to the Enhanced Services Review Group meeting on 17/12/13 (Dr Nigel Williams). 64 Edinburgh CHP proposal for standardising/agreeing funding for practices offering services to care homes to the PCJMG for comment – on agenda. Completed 35 Extended Immunisation Programme – Child Immunisation programme going well. Dr Lorna Willocks will update PCJMG next year. Funding allocation for vaccines has been received from Scottish Government. 36 Domiciliary Phlebotomy – David Small has written to each CH(C)P with the financial split by practice asking that final decisions on the model to be implemented in each CHP/LHP area are notified to him as soon as possible. Mark Hunter and Steve Faulkner will continue to work on the LES specification and monitoring arrangements. PCJMG 12.12.13 1 73. Polypharmacy 73.1 Stephen McBurney spoke to the paper ‘Polypharmacy 2014/15 Project Proposal’ outlining the work undertaken through 2012/13 and 2013/14 to deliver the actions set out in CEL 36 (2012). 73.2 Members noted the evaluation of outcomes from the 2012/13 polypharmacy project in Lothian and that feedback from GPs has been generally positive. Members agreed that this is a high quality project that has clear patient safety and clinical care benefits. PCJMG supported the continuation of the project into 2014/15 providing the funding source is identified. SB indicated he would update the Prescribing Forum on this basis. 73.3 Funding: members suggested topslicing the CH(C)P prescribing budget, subject to CH(C)P General Managers agreement, noting that funding is effectively cost neutral. 74. Edinburgh Infrastructure Plan 74.1 David White presented a paper on ‘Population Growth and Primary Care Premises in Edinburgh’ detailing recommended actions to adjust the existing primary care infrastructure to the needs of the steadily growing Edinburgh population and outlining work already undertaken to address the issue. The paper also summarised GP feedback from the 5 locality meetings. 74.2 Members commented: • Paper records take up space and should be stored securely off site or scanned. DW acknowledged this advising it will be considered at second level detail • It should be fed back to Scottish Government that there is no incentive for GPs/Health Boards to build new practice premises. • Engage in discussions with Edinburgh Council regarding premises. • No mention of LUCS in the paper however this will be added in the second phase. 75. Murrayfield Medical Practice Payment for Medical Cover of Ferryfield House and Corstorphine Hospital 75.1 Members supported the recommendation that Murrayfield Medical Practice be paid a rate of £212 per four hour session for 9.5 sessions per week to provide primary medical services to Ferryfield House and Corstorphine Hospital, backdated to 1 April 2013 and ending on 31 March 2014. David White confirmed that the £212 per 4 hour session rate has been agreed as a standard payment for the delivery of GP support to hospitals. 76. Deferred Agenda Items 76.1 Due to time constraints, the following agenda items were deferred until the next PCJMG meeting to be held on 9 January 2014: • Enhanced Service Programme 2014/15 • Protecting Vulnerable Groups (PVG) Retrospective Checking PCJMG 12.12.13 2 • PCCO Risk Register • Contractor Core Group Minutes: GMS Core Group 08.10.13 and Pharmacy Core Group 25.09.13 • NHS Circulars 77. AOCB / Exception Reports - none 78. Date of Next Meeting 78.1 The next PCJMG meeting will take place on Thursday 9 January 2014, 1pm – 3pm, Administration Block, Astley Ainslie Hospital. 78.2 Agenda items and papers to be submitted no later than Friday 27 December 2013. PCJMG 12.12.13 3 PCJMG ONGOING ACTIONS AND UPDATE Topic Ref Action Update from meeting on 12.12.13 Lead(s) Date National Pharmacy 416 Paper on national pharmacy contract Deferred until January meeting MH 09.01.14 Contract Flu Immunisation 72 Duncan McCormick has put paper to CMT. MH 20 practices have taken up the LES with 528 SF Ongoing of House Bound meeting with DMcC as there is nothing in Financial patients being identified to the Community Patients Plan for next year. Vaccination Team. Care Homes 127 • Initial work should concentrate around frail elderly An advanced draft paper will be taken to the NW Ongoing patients in the community and reviewing the Enhanced Services Review Group meeting current Care Homes Anticipatory Care enhanced next week by Dr Nigel Williams. service, taking account of emergent intermediate care / step down models. Extended 35 / Mark Hunter to provide update on financial position – Child Immunisation programme going well. Lorna MH ongoing Immunisation 48 budget held by Public Health Willocks will update PCJMG next year. Funding for Programme vaccines has been received from SG Domiciliary 36 Progress Update David Small has written to each CH(C)P with the CH(C)P GMs ongoing Phlebotomy financial split by practice. Mark Hunter and Steve Faulkner will work on the ES specification and monitoring arrangements. Prescription for 60 Verbal update at December meeting and paper to the Deferred until January meeting SMcN 09.01.14 Excellence January meeting. GP Practice List 65 draft paper on impact of open but full patient list for To a future meeting AMcN ongoing Open but Full December PCJMG meeting. COMPLETED ACTIONS REPORTED AT MEETING ON 14.11.13 Topic Ref Action Completed Care Homes 64 Edinburgh CHP will bring their proposal for standardising/agreeing funding for On agenda practices offering services to care homes to the PCJMG for comment. PCJMG 12.12.13 4 .
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