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.

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ITEM 6

Primary Care Commissioning Committee

The table below shows the 8 Networks across 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 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 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

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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

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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 with the winding up of that Member (save for the sole purpose of a solvent voluntary reconstruction or amalgamation); h) where a Member has an application to appoint an administrator made or a notice of intention to appoint an administrator filed or an administrator is appointed in respect of it or all or any part of its assets; i) where a Member has a liquidator, trustee in bankruptcy, judicial custodian, compulsory manager, receiver, administrative receiver or similar officer (in each case, whether out of court or otherwise) appointed over all or any part of its assets; j) where a Member takes any steps in connection with proposing an individual or company voluntary arrangement or an individual or company voluntary arrangement is passed in relation to it, or it commences negotiations with all or any of its creditors with a view to rescheduling any of its debts; k) where a Member has any steps taken by a secured lender to obtain possession of the property on which it has security or otherwise to enforce its security; ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population

l) where a Member has any distress, execution or sequestration or other such process levied or enforced on any of its assets which is not discharged within 30 calendar days of it being levied; m) where a Member substantially or materially ceases to operate, is dissolved, or is de-authorised; n) where a Member is clinically and/or financially unsustainable as a result of any clinical or financial intervention or sanction by the regulator responsible for that Member or the Secretary of State and which has a material adverse effect on the carrying out of that Member’s obligations under this Agreement; or o) where a trust special administrator is appointed over a Member under the National Health Service Act 2006 or a future analogous event occurs.]

ITEM 6 Network Contract Directed Enhanced Service – Network Agreement Schedules for local population

SCHEDULE 7

ARRANGEMENTS WITH ORGANISATIONS OUTSIDE THE NETWORK

[Insert details of any other arrangements between Member(s) of the Network and organisations outside the Network that may be relevant to this Agreement] ITEM 6

Network Contract DES Registration Form

This registration form sets out the information required by the commissioner for any GP practices within primary care networks signing-up to the Network Contract Directed Enhanced Service.

The completed form is to be returned to [insert name] by [insert method of sending] to be received no later than 15 May 2019.

PCN members and ODS code Network Member Practices ODS code Practice’s registered list size (as at 1 January 2019)

PCN list size

Name of Clinical Director Name Job Title Practice/organisation Contact Email Address

Details for PCN’s nominated payee Name of single nominated practice or provider (‘nominated payee’):

Name of bank account (if different to Account number Sort code above)

ITEM 6

Map of Network Area

ITEM 6

OFFICIAL

Appendix A: Initial Network Agreement

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ITEM 6

Fylde Coast primary care networks and clinical directors

The NHS Long Term Plan signalled significant additional investment in primary and community services and the development of new primary care networks based on neighbouring GP practices working together and typically covering 30-50,000 people.

Local GP practices have agreed to work together in eight primary care networks which are shown on the map below.

Each network has identified a clinical director to provide leadership for its strategic plans and work with members to improve the quality and effectiveness of network services.

The , Fylde and Wyre network clinical directors are:

 Central Neighbourhood: Dr Susan Green, Newton Drive Health Centre and Dr Jill Murray, Newton Drive Health Centre  Central West Neighbourhood: Dr Cruz Augustine, Adelaide Street Surgery and Dr Leanne Rudnick, St Pauls Medical Centre  North Neighbourhood: Dr Eric Bonsell, Glenroyd Medical Centre  Blackpool South Neighbourhood: Dr Dan Bennett, Highfield Surgery  Fleetwood Neighbourhood: Dr Mark Spencer, Mount View Practice  Neighbourhood: Dr Ruth Mason, Fernbank Surgery and Dr Anna Butler-Reid, Ansdell Medical Centre  Wyre Integrated Neighbourhood: Dr Vellore Chandrasekar, Beechwood  Wyre and Fylde Rural Extended Neighbourhood: Dr John Miles, Garstang Medical Practice