Approval of Primary Care Networks in Nottingham North and East 1. Purpose The purpose of this report is to provide the Committee with an overview of how the proposed Primary Care Networks intend to address the concerns that have been raised about how they will meet the approval requirements, in order for the Committee to consider the applications presented to it. Four applications for Nottingham North and East have been submitted. A summary of applications is included in Appendix A, the Network Contract DES registration forms are provided in Appendix B and a map showing the proposed PCNs is provided at Appendix C for reference. 2. Introduction The proposed PCN configuration for Nottingham North and East was discussed by clinical and lay members of the Primary Care Commissioning Committee on the 23rd May. Two key concerns were identified for further consideration: the ability of other service providers to align themselves with PCN 3 and PCN 4 given the overlaps between their practice populations; the ability of PCN 3 to offer services in a way that makes geographical sense to their patients, in particular the patients registered with Daybrook Medical Practice. The locality team facilitated a meeting of the practices in PCN 2, 3 and 4 on 29th May; 11 out of the 12 practices were represented. The only practice not represented had provided comments via the LMC and the relevant PCN Clinical Director. As well as the LMC, NHS England and Local Partnerships were also represented at the meeting. 3. Alignment of Other Service Providers As the main provider of community services to the PCNs in Nottingham North and East, Local Partnerships have considered the current resources available within the locality and how they could be wrapped around the proposed PCNs. The proposals for PCN 1 and PCN 2 provide no particular issues. The proposals for PCN 3 and PCN 4 can only be readily accommodated if those PCNs undertake to ensure that there is an ongoing consistent approach to the commissioning of community services that are delivered in both PCNs. PCN 3 and PCN 4 practices have unanimously agreed that they will adopt a consistent approach to the commissioning of community services that are delivered in both PCNs and that this agreement will be written into the relevant network agreement schedules for submission by the 30th June. Page 1 4. Offer of Services in a Way That Makes Geographical Sense to Patients There was an extensive discussion around the options to amend the proposed alignment of practices to PCNs but no agreement could be reached to amend the original proposal. The position remains that Daybrook Medical Practice continues to be an integral a core member of the PCN3. the practices have established good working relationships and have similar practice populations; Daybrook Medical Practice and Plains View Surgery have commenced discussions that may impact on their partnership arrangements and their ability to be treated as two separate practices for the purposes of PCN alignment. PCN 3 and Daybrook Medical Practice recognised the concerns around the potential risk that registered patients may not to be able to access services at their nearest “hub” (provided by PCN 2 in Arnold) if PCN 3 hub services are located in Carlton. However, they feel that this risk is relatively small and can be managed: Key points for consideration are: the provision of multiple hubs has been discussed and agreed to meet all patient needs in PCN in particular hubs with parking facilities. a significant proportion of the practice’s population live within Nottingham City and already travel into the City to access public health services patients already travel to Carlton to access many services including mental health, ultrasound and podiatry services there is a direct bus route from Daybrook to all potential hub sites in Carlton for patients not readily able to travel, the GP practice provides services in house and will continue to do so In addition, PCN 3 have agreed that they would seek to enter into an agreement with PCN 2 for patients who are unable to travel to be able to access relevant hub services within Arnold and to have this written into the relevant network agreement schedules for submission by the 30th June. 5. PCN Population Numbers The population of PCN 4 is currently below the 30,000 threshold by 353 patients. Housing developments in the area mean that the PCN will reach the 30,000 threshold during 2019 / 20. The practices within PCN 4 have stated that if they are not supported to establish a PCN of their own at this point in time because of their population size, as soon as they reach a population of 30,000 they will apply to leave the PCN that they are in and resubmit an application to form their own PCN. In order to ensure good working relationships and to avoid the disruption of practices leaving a PCN soon after it has formed it would be beneficial not to reject the PCN 4 proposal on the grounds of population size. 6. The Greater Nottingham Primary Care Co-Commissioning Committee is asked: to APPROVE the registration requirements for PCNs 1 and 2 to CONSIDER the additional assurances provided by PCNs 3 and 4 and APPROVE whether the registration requirements for PCNs 3 and 4 have been met Page 2 Appendix A: PCN summary Criteria Network Contract Size – Formation of PCN DES Registration between PCNs cannot structures Form completed 30,000 result in a must make in line with and practice(s) No geographical guidance (ODS 50,000 being left out PCNs can only cross practice sense to codes, network patients or not upper tier local can be patients and list size, single (NHS contiguous authority areas in excluded for practice receiving Digital, 01 Geographical contiguity – practice with other exceptional from a commissioned Accountable clinical PCN funding, ACD) Jan 2019) boundaries must overlap or be adjacent patients circumstances PCN services director Nottingham North & East CCG PCN 1 Yes 36,715 Hucknall, Bestwood Village, Linby, Complete Complete – all practices Complete Yes Dr Adam Connor, Hucknall Papplewick within Nottinghamshire Whyburn Medical County Council Practice PCN 2 Arnold Yes 33,778 Arnold, Calverton Complete Complete – all practices Complete Yes Dr Kate Evans, & Calverton within Nottinghamshire Stenhouse Medical County Council Centre PCN 3 Carlton Yes 40,969 Carlton, Daybrook, Mapperley, Burton Complete Complete – all practices Complete No Dr Umar Ahmad, & Villages Joyce, Lowdham within Nottinghamshire Plains View Surgery County Council PCN 4 Yes 29,647 Carlton, Netherfield, Bakersfield, Colwick, Not Complete – all practices Complete No Ian Campbell, Gedling, Woodthorpe, Lambley, Burton contiguous within Nottinghamshire Park House Medical Joyce, Lowdham, Woodborough, County Council Centre Epperstone, Gunthorpe, Gonalston, Bleasby, Thurgarton, Oxton, Hoveringham, Caythorpe, Mapperley Page 3 Appendix B: Network Contract registration forms Nottingham North and East PCN 1 (Hucknall) PCN 2 (Arnold and Calverton) PCN 3 (Carlton and Villages) PCN 4 Page 4 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 Fiona Callaghan, Locality Director South Nottinghamshire by email: [email protected] to be received no later than 15 May 2019. PCN members and ODS code Practice’s registered list size Network Member Practices ODS code (as at 1 January 2019) Oakenhall Medical Practice Bolsover Street Huknall C84095 7,267 Nottingham NG15 7UA Om Surgery 112 Watnall Road Hucknall Y00026 2,137 Nottingham NG15 7JP Torkard Hill Medical Centre Farleys Lane Hucknall C84053 15,422 Nottingham NG15 6DY Whyburn Medical Practice Curtis Street Hucknall Awaiting new code 11,889 Nottingham NG15 7JE PCN list size 36,715 as at 1st January 2019 Name of Clinical Director Name Job Title Practice/organisation Contact Email Address Dr Adam Connor PCN 1 Hucknall Whyburn Medical Curtis Street Clinical Director Practice Hucknall Nottingham NG15 7JE Page 5 OFFICIAL Details for PCN’s nominated payee Name of single nominated practice or provider (‘nominated payee’): PRIMARY INTEGRATED COMMUNITY SERVICES LIMITED Unit H4 Ash Tree Court Nottingham Business Park Nottingham NG8 6PY Name of bank account (if different to above) Account number Sort code PICS Nottingham North & East 10917450 161418 Page 6 Page 7 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 Fiona Callaghan, Locality Director South Nottinghamshire by email: [email protected] to be received no later than 15 May 2019 PCN members and ODS code Practice’s registered list size Network Member Practices ODS code (as at 1 January 2019) Calverton Practice 2A St Wilfrid’s Square Calverton C84047 9,701 Nottingham NG14 6FP Highcroft Surgery High Street Arnold C84055 11,978 Nottingham NG5 7BQ Stenhouse Medical Centre 66 Furlong Street Arnold C84026 12,099 Nottingham NG5 7BP PCN list size 33,778 as at 1st January 2019 Name of Clinical Director Name Job Title Practice/organisation Contact Email Address Dr Kate Evans PCN 2 Arnold and Stenhouse Medical 66 Furlong Street Calverton Clinical Centre Arnold Director Nottingham NG5 7BP Email: [email protected] Page 8 OFFICIAL Details for PCN’s nominated payee Name of single nominated practice or provider (‘nominated payee’): PRIMARY INTEGRATED COMMUNITY SERVICES LIMITED Unit H4 Ash Tree Court Nottingham Business Park Nottingham NG8 6PY Name of bank account (if different to above) Account number Sort code PICS Nottingham North & East 10917450 161418 Page 9 Page 10 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.