Meeting in Public of the Mid Essex, North East Essex & NHS England
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Meeting in Public of the Mid Essex, North East Essex & NHS England Primary Care Commissioning Committee Wednesday, 11 January 2017, 3.00 pm – 4.30 pm Aspen House, Stephenson Road, Severalls Business Park Colchester CO4 9QR Part I AGENDA Item Title Lead/Author Action Page No. No 1. Welcome, Introductions and apologies Chair To note - 2. Register of Interests Chair To note 1 – 6 3. Questions from the Public Chair To note Verbal 4. Minutes of previous meeting held on 16 Chair To note 7 – 12 November 2016 and Action Log 5. Matters Arising Chair To note Verbal Joint Issues 6. Period 8 Finance Report for North East NHS To note 13 – 21 Essex CCG and Mid Essex CCG England 7. IT and Premises Update NHS To note 22 – 23 England 8. Primary Care Strategy – GP 5 Year P Green / Verbal - Forward View submissions M Crass 9. DES and LES Update NHS Verbal - England / CCGs 10. Guidance Note for GP Practices serving NHS To note 24 - 39 Atypical Populations England North East Essex CCG Operational Issues 11. Proposed merger of Abbey Field Medical A Cowie / For 40 – 44 Centre and the Hawthorn Surgery P Green decision 12. Exercise of Emergency Powers NHS To 45 – 47 England / P endorse Green Mid Essex CCG Operational Issues None Business Issues 13. Any Other Business, including: i) Frequency of future meetings Chair For Verbal ii) Cover sheet for reports decision 48 – 49 14. Date, Time and Venue of next meeting Chair To note 1 Feb 2017 or 1 March 2017 Register of interests – Primary Care Commissioning Committee Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest Director of Melanie Primary Care & NIL N/A N/A N/A N/A None required Crass Resilience, MECCG Director of Viv Corporate NIL N/A N/A N/A N/A None required Barnes Services, MECCG PPE Lay Anne- Member, Marie MECCG NIL N/A N/A N/A N/A None required Garrigan Director of Pam Transformation NIL N/A N/A N/A N/A None required Green & Strategy, NEECCG 1 Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest Chair, Care UK (Health Indirect Son is IT Lead Ongoing Usual confidentiality NEECCG and social care at this company requirements will apply provider) SHEL (non-profit- Direct Director / Chair Ongoing making subsidiary GS to not be involved in of Essex LMC any decisions, or supporting failing discussions leading up Gary practices) to decisions, relating to Sweeney any services which are or may be provided by SHEL Essex LMC (local Direct Member Ongoing Confidentiality require- representative ments to be noted in committee for respect of Part II NHS GPs) business. 2 Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest Locality Simon Director, NHS Evans- England (East) NIL N/A N/A N/A N/A None required Evans Head of Alison Commissioning, NIL N/A N/A N/A N/A None required Cowie NHS England (East) Contract David Manager, NHS NIL N/A N/A N/A N/A None required Barter England (East) Contract Jackie Manager, NHS NIL N/A N/A N/A N/A None required Bidgood England (East) 3 Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest Office of the Independent Lay member Alan Police and Crime Joint Audit Usual confidentiality (commercial), Direct 01/03/15 31/03/19 Hubbard Commissioner for Committee requirements will apply MECCG Essex member Agreed with line manager to declare an RLE Health interest and withdraw Management from the process in Interim Primary Solutions Limited, event of being privy to Robert Care provider of advice Direct Owner / Director 18/4/12 Ongoing any decision-making Evans Commissioning and support to processes and/or Lead, MECCG healthcare financial authorisations organisations. involving RLE Health Management Solutions Limited Non-voting member of Chair and PCCC; will withdraw Caroline elected GP Danbury Medical Indirect Salaried GP 1/9/15 Ongoing from proceedings if Dollery member, Centre issues relevant to own MECCG practice are discussed. 4 Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest East of England Strategic Clinical Chair and Network for Caroline elected GP Usual confidentiality Mental Health, Direct Clinical Director 1/4/12 Ongoing Dollery member, requirements will apply Learning MECCG Disability and Neurology Managing Carol Director, NIL N/A N/A N/A N/A None required Anderson MECCG Elizabeth Direct GP Partner 1/8/03 Ongoing Non-voting member of Courtauld PCCC; will withdraw Surgery (incorp. from proceedings if Anna Clinical Lead, North Chelmsford issues relevant to own Davey MECCG Health Centre) practice are discussed Coggeshall Direct Long term 31/3/16 Ongoing As above Surgery locum 5 Name Current Declared Interest Type of Interest Is the Nature of Date of Interest Action taken to position (s) interest Interest mitigate risk (Name of the held i.e. direct or organisation and Governing nature of indirect Body member; business) ? Committee From To member; Member practice; CCG Financial Financial - employee or - Interest other Professional Non Non Personal Interest Financial Interest Anna Clinical Lead, Edgemead Davey MECCG Medical Services Ltd (Limited Company for Direct Director 31/3/16 Ongoing As above receipt of income generated from above roles only) Phil Assistant Head Cherry of Finance, NHS England NIL N/A N/A N/A N/A None required 6 Mid Essex CCG & North East Essex CCG & NHS England Primary Care Commissioning Committee Meeting Date: 16 November 2016 Time: 3.00pm to 4.30pm Location: Wren House, Hedgerows Business Park, Colchester Road, Chelmsford Members: Name Initials Role Alison Cowie AC Head of Commissioning, NHS England (East) Mat Thorpe MT Head of Finance, NHS England (East) Anne-Marie Garrigan AMG PPI Lay Member, Mid Essex CCG (Chair) Melanie Crass MC Director of Primary Care & Resilience, Mid Essex CCG Viv Barnes VB Director of Corporate Service, Mid Essex CCG Gary Sweeney GS Chair, North East Essex CCG Pam Green PG Director of Transformation & Strategy, North East Essex CCG In attendance: Phil Cherry PC Assistant Head of Finance, NHS England (East) Robert Evans RE Primary Care Commissioning Lead, Mid Essex CCG Mike Bailey MB GP Board member & Clinical Lead, Mid Essex CCG Anna Davey AD Clinical Lead, Mid Essex CCG Item Agenda Item Actions No 1 Welcome and Introductions Members were welcomed to the meeting and introductions provided. 2 Apologies for absence Apologies for absence were noted from Simon Evans-Evans, NHS England, Carol Anderson, Mid Essex CCG and Dr Brian Balmer, Essex Local Medical Committee. 3 Declarations of interest Members reviewed the Register of Interests for the Committee and confirmed there were no changes to the declared interests. A nil declaration was confirmed by Phil Cherry. Declarations declared by members of the Primary Care Commissioning Committee are listed in Mid and North East Essex CCG’s Registers of Interests. The Register is available via the secretary to the governing body of each CCG. Declarations of interest from sub committees N/A. Declarations of interest from today’s meeting 7 AD declared an interest in relation to the Beaulieu Park item as a member of the GP practice that holds the APMS contract for the nearby North Chelmsford Healthcare Centre. It was agreed that she would vacate the meeting when this item was discussed. 4 Questions from the Public Ms Maureen Hennessy, a member of the public, raised a number of queries about the Beaulieu Park development in relation to why the timelines were so short, whether the development process would satisfy procurement legislation, and whether there was still an opportunity to influence the design of the proposed healthcare facility. AC advised that the first two of these points would be addressed when this item was presented to the Committee. Commenting on the third of the above queries, MC advised that there were clearly defined requirements for the design of health buildings including the room sizes and the overall size of the building in relation to local population size. All new build designs were now very generic which meant that they could be multi- purpose in their use. Ms Hennessy asked whether the developer would pay for the build if the development fell under a section 106 agreement, in response to which MT advised that this was dependent upon the size of the development.