Primary Care Commissioning Committee

ITEM 6 Primary Care Commissioning Committee Report Details Meeting Date 4th June 2019 Report Title Network DES Registration Process Presenter Louise Andrews Prepared By Louise Andrews Report Requirements Noting Future Committee Discussion Date Clinical Commissioning Committee N/A Quality, Improvement and Engagement Committee N/A Finance and Performance Committee N/A Audit Committee N/A Primary Care Commissioning Committee N/A Recommend to CCG Governing Body – Part I or Part II N/A Internal Assurance Process (indicate if not applicable) Clinical Lead N/A Senior Lead Manager Michelle Ashton Finance Manager John Gaskins Has a Quality Impact Assessment N/A been completed? Has an Equality Impact and Risk N/A Assessment been completed? If not, please explain why. Patient and Public Engagement completed N/A Financial Implications N/A Are there any associated risks? N/A If so, are the risks on the Risk Register? If yes, please include the risk descriptor and current risk score. Report Authorised by Executive Peter Tinson Lead 1 ITEM 6 Primary Care Commissioning Committee Network DES Registration Process Introduction The Network Contract Directed Enhanced Service began on 1st April 2019 the requirements on GP practices will apply from 1st July 2019. The focus of the Network Contract DES in 2019/20 is to support the establishment of Primary Care Networks and the recruitment of new workforce. Registration Requirements In order to participate in the Network Contract DES all networks must complete a registration form by 15th May 2019 with the details of the Network member practices and their list sizes as at 1st January 2019. They are also required to list the name of the Clinical Director/s and the bank account details of where the funding is to be provided. (see appendix 1) Timetable of Events Up to April 2019 Primary Care Networks prepare to meet network registration Complete requirements By 15th May All networks must submit registration information to their CCG Complete 2019 By 31st May Completion of Schedule 1 (see attached) and confirmation by 2019 CCGs that all patients are covered by a PCN and that there is 100% geographical coverage. Reports to go to NHS England. Early June 2019 NHS England jointly work with CCGs and LMCs to resolve any No Issues to issues. date By 30th June Each practice to sign up either via CQRS (if available) and if 2019 not formally in writing via a participation agreement. July 2019 Practices receive £1.70 per patient for joining a network. 1st July 2019 Network Contract DES goes live across 100% of the Country and national entitlements under the 2019/20 Network Contract start: Year 1 of the additional workforce reimbursement scheme, including 100% of the salary of a social prescriber and 70% of the salary of a Pharmacist. Funding to cover the network Clinical Director’s time (59p per patient) Ongoing £1.50 per head from CCG ring fenced allocation. 2 ITEM 6 Primary Care Commissioning Committee The table below shows the 8 Networks across the Fylde Coast and the practices within each network along with their practice list size. A map is attached at Appendix 2. Fylde Coast GP Practices List Size @ Jan 2019 PCN List Size Neighbourhoods Garstang Medical Practice 18417 Wyre and Fylde Great Eccleston Health Centre 7453 Rural Extended Over Wyre Medical Centre 11233 57118 Neighbourhood Kirkham Health Centre 9121 Ash Tree House 10894 Broadway Medical Centre 10376 Fleetwood The Mount View Practice 11884 28394 Neighbourhood Fleetwood Surgery 6134 Poplar House Surgery 7311 Ansdell Medical Centre 8971 Lytham, Ansdell Holland House Surgery 11026 & St Anne's Parcliffe Medical Centre 52465 Neighbourhood (Formerly Clifton MP/Park MP) 19050 Fernbank Surgery 10720 The Old Links Surgery 1952 The Thornton Practice 12541 The Village Practice 8848 Lockwood GP Surgery 7212 Wyre Integrated Queensway Medical Centre 9175 60486 Neighbourhood Beechwood Surgery 2351 Cleveleys Group Practice 11911 The Crescent Surgery 8440 Waterloo Medical Centre 11984 Marton Medical Practice 9159 Central Layton Medical Centre 7271 53410 Neighbourhood Bloomfield Medical Centre 12883 Newton Drive Health Centre 9856 The Surgery Dinmore Avenue 2257 Elizabeth Street Surgery 5117 Central West Adelaide Street Surgery 11529 34078 Neighbourhood South King Street Medical Centre 6033 St Pauls Medical Centre 11479 North Glenroyd Medical Centre 15686 28889 Neighbourhood North Shore Surgery 13203 3 ITEM 6 Primary Care Commissioning Committee Highfield Surgery 13360 South Arnold Medical Centre 4803 37301 Neighbourhood Stonyhill Medical Practice 13004 Abbeydale Medoical Centre 6105 Recommendations The Primary Care Commissioning Committee is asked to note the contents of the report. Louise Andrews Primary Care Commissioning Manager 4 ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 1 NETWORK SPECIFICS NAME OF NETWORK 1. The name of our network is [insert] NETWORK AREA 2. The geographical area covered by our Network is [insert]. NOMINATED PAYEE 3. The name and address of the entity that the Core Network Practices nominate to receive funding under the Network Contract DES from the commissioner is [insert]. CLINICAL DIRECTOR 4. The Clinical Director of our Network is [insert]. 5. The Clinical Director was appointed by the process set out below. 6. [insert process of appointment] MEETINGS AND DECISION-MAKING Meetings of Core Network Practices 7. [Insert ways in which meetings can be held, attendance and quorum requirements and how decisions are made. Also include agreed provisions that provide assurance that those attending meetings and making decisions are able to bind the Members that they represent Meetings of Network Members 8. [Insert ways in which meetings can be held, attendance and quorum requirements and how decisions are made] ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 2 ADDITIONAL TERMS PRINCIPLES 1. [Not used] OR [We will [insert]]. CLINICAL DIRECTOR 2. [Not used] OR [The Clinical Director will [insert]]. INFORMATION SHARING AND CONFIDENTIALITY 3. [Not used] OR [We will [insert]]. INTELLECTUAL PROPERTY 4. [Not used] OR [We will [insert]]. JOINING THE NETWORK 5. [Not used] OR [We will [insert]]. LEAVING THE NETWORK 6. [Not used] OR [We will [insert]]. VARIATION PROCEDURE 7. [Not used] OR [We will [insert]]. EXPIRY OR TERMINATION 8. [Not used] OR [We will [insert]]. EVENTS OUTSIDE OUR CONTROL 9. [Not used] OR [We will [insert]]. DISPUTE RESOLUTION 10. [Not used] OR [We will [insert]]. ADDITIONAL RIGHTS AND OBLIGATIONS 11. [Not used] OR [insert]. ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 3 ACTIVITIES [Describe ways in which the relevant Members will deliver the requirements of the Network Contract DES or any other activities as agreed by Members e.g. through use of a table as below] ACCESS REQUIREMENTS Core Network Practices Members that are not Core Network Practices Requirement Practice Practice Practice Practice X Y [A] [B] [C] [D] ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 4 FINANCIAL ARRANGEMENTS [insert details of how the payments will be received by the nominated Member and how payments will operate across the Members bearing in mind that: Core Network Practices are responsible for agreeing the way the financial arrangements under the Network Contract DES; and Other Members need to agree any other financial arrangements to which they are a party.] ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 5 WORKFORCE [insert details of how workforce will be employed and utilised and arrangements for employment liabilities bearing in mind that: Core Network Practices are responsible for agreeing arrangements relating to the workforce employed under the Network Contract DES; and Other Members will agree any other workforce arrangements to which they are a party.] ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population SCHEDULE 6 INSOLVENCY EVENTS 1. The following events are to be considered events of insolvency referred to in Clause 75. References to “Member” below are, where a Member is a Core Network Practice, references to the legal entity that makes up that Core Network Practice which is the “Contractor” as defined in that Core Network Practice’s primary medical care contract: [Insert a list of insolvency events for the purpose of Clause 75. A suggested list is contained below which can be amended a) where a Member is, or is deemed for the purposes of any law to be, unable to pay its debts or insolvent; b) where a Member admits its inability to pay its debts as they fall due; c) the value of a Member’s assets being less than its liabilities (taking into account contingent and prospective liabilities); d) where, by reason of actual or anticipated financial difficulties, a Member commences negotiations with creditors generally with a view to rescheduling any of its indebtedness; e) where a Member suspends, or threatens to suspend, payment of its debts (whether principal or interest) or is deemed to be unable to pay its debts within the meaning of Section 123(1) of the Insolvency Act 1986; f) where a moratorium is declared in respect of any of a Member's indebtedness; g) where a Member calls a meeting, gives a notice, passes a resolution or files a petition, or an order is made, in connection

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