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St Helens CCG Primary Care Commissioning Committee Meeting

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St Helens CCG Primary Care Commissioning Committee Meeting St Helens CCG Primary Care Commissioning Committee Meeting Part I Date: Wednesday, 18th March 2020 Time: 09:00am Venue: Pilkington Suite (Conference Room A), St Helens Chamber, Salisbury Street (off Chalon Way), St Helens, WA10 1FY Part I of this meeting will be held in public Mission Statement: ‘Making a difference – right care, right place, right time’ NHS St Helens Clinical Commissioning Group fully support and abide by the pledges set out within the NHS Constitution and we work to ensure we portray the values and behaviours expected of all NHS organisations. Page 1 of 84 Handling Conflicts of Interest during meetings A guide for Chairs and attendees At any meeting where the subject matter leads a participant to believe that there could be a conflict of interest, this interest must be declared at the earliest convenient point in the meeting. This relates to their personal circumstances or anyone that they are aware of at the meeting. 1. Declarations of interests must be clearly identified within the minutes of the meeting, including any need to withdraw and reasons for not doing so. 2. As a rule, those with pecuniary interests should withdraw from the meeting and those with non-pecuniary interests could be allowed to stay, depending upon the circumstances. The Chair will determine whether there could be a matter of bias (any unfair regard with favour, or disfavour) in the matter. Members allowed to stay in the meeting may not be allowed to vote on the subject matter. 3. The Chair of the meeting must take a decision as to the need for the member of the meeting to withdraw or not from the proceedings. Where this may involve the Chair, the Deputy Chair/Vice Chair will take the decision. 4. If the Chair of a meeting is the person to whom the declaration of interests relates, the chair should vacate the seat and the meeting for that item. If there is no Deputy/Vice Chair present at the meeting, the meeting must first elect a chair from within their number by a show of hands. 5. Members of meetings who are employed by the NHS are subject to the existing NHS Codes of Conduct. Page 2 of 84 NHS ST HELENS CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE PART I (PUBLIC MEETING) WEDNESDAY, 18th March 2020 AT 09.00 AM Pilkington Suite (Conference Room A), St Helens Chamber, Salisbury Street, St Helens, WA10 1FY Apologies for absence: Declarations of Interest: Item Time Agenda Item Purpose Presented by PC 20.03.01 09:00 Welcome and Apologies N/A Chair PC 20.03.02 Conflicts of Interest To Note Chair PC 20.03.03 Minutes of the last meeting held on 09:05 nd To Approve Chair Page 4 22 January 2020 and Action log PC 20.03.04 09:15 Matters Arising To Note Chair PC 20.03.05 CONTRACT OVERSIGHT & MANAGEMENT FUNCTIONS Director; 1. Commissioning, 09:20 Primary Care Strategy To Approve Page 10 Primary Care and Transformation Director; 2. Commissioning, 09:35 Draft Quality Dashboard process To Approve Page 24 Primary Care and Transformation Senior Contracts 3. 09:45 Contracts Visits Update To Approve Manager, Primary Page 30 Care 4. Primary Care Network Clinical Research For 09:55 Primary Care Lead Page 36 Update Information 5. Primary Care Network DES Contract Assistant Director 10:05 To Note Page 48 Update Primary Care PC 20.03.06 COMMISSIONING & PROCUREMENT OF PRIMARY MEDICAL SERVICES 1. 10:15 Primary Care Risk Register To Approve Primary Care Lead Page 54 PC 20.03.07 PRIMARY CARE FINANCE 1. Chief Finance 10.35 Finance Report To Approve Page 70 Officer PC 20.03.08 ANY OTHER BUSINESS 1. 10:45 Any other business To Note Chair 2. 10:55 Key Issues for the Governing Body To Approve Chair Date and time of next meeting: Wednesday,20th May 2020 at 9.00 am in Victoria View Room, Mansion House, Victoria Park, City Road, St Helens, WA10 2UE Page 3 of 84 1 NHS St Helens CCG Primary Care Commissioning Committee Part I (Public Meeting) Meeting held on Wednesday, 22nd January 2020 at 9.30 am Bericote Suite, St Helens Chamber Members Present Initials Role Geoffrey Appleton GA Chair Sarah O’Brien SOB Clinical Accountable Officer Dr Hilary Flett HF GP Governing Body Member Dr Mick O’Connor MO Independent GP Karen Leverett KL Assistant Director; Primary Care Julie Ashurst JA Director of Commissioning, Primary Care & Transformation Dr Mike Ejuoneatse ME GP Governing Body Member Tony Foy TF Lay Member, Audit, Governance and Finance Mark Weights MW Lay Member, Patient and Public Engagement Karen Edwardson KE Deputy Chief Nurse (on behalf of the Chief Nurse) In Attendance Clare O’Toole CO Primary Care Lead Adam Vinyard AV Senior Finance Manager Minute-taker Cathy Edge CE PA to the Chair Agenda Action Item PC200101 INTRODUCTION & WELCOME The Chair welcomed the attendees to the meeting, welcoming Dr Mick O’Connor as the Independent GP Committee member to his first meeting. APOLOGIES Apologies were received from: Angela Delea, Associate Director; Corporate Governance Iain Stoddart, Chief Finance Officer (Adam Vinyard, Senior Finance Manager presented the Finance Report) James Catania, Secondary Care Consultant Lisa Ellis, Chief Nurse (Karen Edwardson attended on behalf of the Chief Nurse) Nicola Cartwright, Assistant Director, Medicines Management The Chair declared the meeting quorate. PC200102 DECLARATIONS OF INTEREST The Chair reminded Committee members of their obligation to declare any interest they may have on any issues arising at committee meetings which might conflict with the business of the CCG. All declarations are listed in the CCG’s Register of Interests; which is available on the CCG website at the following link: http://www.sthelensccg.nhs.uk/Library/public_info/St%20Helens%20CCG%20 Page 4 of 84 2 Register%20of%20Declaration%20of%20Interest%2031%2003%2017.pdf There were no declarations of interest. PC200103 MINUTES OF THE PREVIOUS MEETING th The minutes of the previous meeting held on Wednesday, 20 November 2019 were agreed as a true and accurate reflection of the meeting. NHS St Helens CCG Primary Care Commissioning Committee: • Ratified the minutes of the previous meeting PC200104 MATTERS ARISING PC191106 Commissioning & Procurement Of Primary Medical Services Primary Care Risk Register - Primary Care Network Matix was included on the February Part II meeting agenda and the action was closed. PC191107 Primary Care Finance - the Finance report included the savings made through investments, for example, Out of Hours, and the action was closed. Hilary Flett arrived at the meeting. There were no further matters arising. PC200105 CONTRACT OVERSIGHT & MANAGEMENT FUNCTIONS Primary Medical Care Service Reviews There was nothing further to report at present on the service reviews. PC200106 COMMISSIONING & PROCUREMENT OF PRIMARY MEDICAL SERVICES Primary Care Risk Register The Primary Care Lead presented the Primary Care Risk Register. The purpose of the report was to provide an update to the Primary Care Commissioning Committee on the current Primary Care Risk Register, including recommended levels of assurance as at start of Quarter 4 (January 2020). The Primary Care Corporate Risk Register was presented to the Primary Care Commissioning Committee to provide assurance regarding the effective monitoring and management of Primary Care related risks. The Primary Care Lead noted the 4 current Primary Care Risks with 2 new risks. The new risks identified were:- • Risk 119PCC relating to the Primary Care Networks being unable to deliver key work programmes due to their maturity and development of the Network. • Risk 120 PCC relating to the proposed merger for Lime Grove and Haydock Medical Centre Page 5 of 84 3 It was reported that all other risk scores have remained static for the month of January 2020. With regard to the Haydock and Lime Grove merger, she reported that Dr Breach continues to work through the process for merger with a full engagement procedure planned. With regard to the Primary Care Network workforce, she reported that two of the Networks have appointed clinical pharmacists. She also reminded the Committee of the £50K available to develop more GP trainers in St Helens which the Team will continue to promote. The Clinical Accountable Officer suggested that the GP Practices that engaged with the Edge Hill University Medical School may be interested in the training. The Head of Primary Care informed the Committee of a ‘first five years’ group that identifies and supports GPs in the first 5 years training and attracts funding. The GP Governing Body Members reported that there are similar schemes already running in St Helens and proposed a ‘last 5 years’ scheme to support practices to future proof their practices when GPs are reaching retirement age. The Committee agreed that the GP pensions were also an issue. The Independent GP confirmed that similar issues were apparent in Halton, including workloads leading to GPs seeking retirement. The Clinical Accountable Officer highlighted the opportunity for GP Practices in St Helens to ‘court’ the new trainees from Edge Hill University Medical School to encourage them to stay in St Helens. The Committee discussed the importance of flexible working for many doctors in the current climate and the need to change public expectation of appointments. The Primary Care Lead reported that the team will continue to progress the work streams as outlined in the 5 year framework for GP Contract reform and continue to review and monitor the risks. NHS St Helens CCG Primary Care Commissioning Committee: • Approved the report PC200107 PRIMARY CARE FINANCE The Senior Finance Manager presented the Finance Report. The purpose of the report was to inform the Committee of the full year forecast outturn based on information at December 2019.
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