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 1 February 2017, 3.30 pm – 4.30 pm * Wren House, Springfields Business Park, Colchester Road, Chelmsford CM2 5PF Part I AGENDA Item Title Lead/Author Action Page No. No 1. Welcome, Introductions and apologies Chair To note Verbal 2. Register of Interests Chair To note 1 – 2 3. Questions from the Public Chair To note Verbal 4. Minutes of previous meeting held on 11 Chair To note 3 - 9 January 2017 and Action Log 5. Matters Arising, including: Chair To note Verbal • Response to representations from Mr P M Crass To note Verbal Osman on behalf of Action for Family Carers Joint Issues 6. Period 9 Finance Report for North East M Thorpe To note 10 - 18 Essex CCG and Mid Essex CCG 7. Delegated Primary Care Commissioning – P Green / To note Verbal progress update M Crass 8, IT and Premises Update NHS To note 19 - 20 England North East Essex CCG Operational Issues None Mid Essex CCG Operational Issues None Business Issues 10. Any Other Business, including: i) Cover sheet for reports Chair For 21 - 22 decision 11. Date, Time and Venue of next meeting Chair To note • 3.00 pm on 1 March 2017 Aspen House, Stephenson Road, Severalls Business Park, Colchester CO4 9QR * Please note later start time than originally advertised MID ESSEX CCG, NORTH EAST ESSEX CCG AND NHS ENGLAND PRIMARY CARE COMMISSIONING COMMITTEE REGISTER OF INTERESTS (as at 25 January 2017) A declared interest will remain on the register for at least six months after the interest has expired. Declared Interest Is the interest First Type of Interest Surname Current Position (Name of the organisation direct or Nature of Interest Date of Interest Actions taken to mitigate risk Name Declared and nature of business) indirect? From To Interest Interest Financial Non-Financial Professional Professional Non-Financial Non-Financial Personal Interest Interest Personal Non-Financial Carol Anderson Managing Director Health Education England x Direct Leadership Courses 07/12/16 Ongoing I will declare my interest if at any time issues relevant to the organisation are discussed so that appropriate arrangements can be implemented Vivienne Barnes Director of Corporate Services Nil N/A N/A David Barter Contract Manager, NHS England Nil N/A N/A (East) Jackie Bidgood Contract Manager, NHS England Nil N/A N/A (East) Phil Cherry Finance Manager Nil N/A N/A Alison Cowie Head of Commissioning, NHS Nil N/A N/A England (East) Melanie Crass Director of Primary Care and Nil N/A N/A Resilience Anna Davey Coggeshall Surgery - Partner Coggeshall Surgery Provider of GMS x Direct Partner in Practice providing 09/01/17 Ongoing Agreed with line manager that I will not be involved in any Services and GMS services discussion, decision making, procurement or financial authorisation involving the Coggeshall Surgery or Edgemead Medical Services Ltd GP Clinical Lead at Mid Essex CCG x Direct GP Clinical Lead 01/09/16 01/09/17 Agreed with line manager that I will not be involved in any discussion, decision making, procurement or financial authorisation involving the Coggeshall Surgery or Edgemead Medical Services Ltd Edgemead Medical Services Ltd x Direct Director 01/04/16 Ongoing Agreed with line manager that I will not be involved in any discussion, decision making, procurement or financial authorisation involving the Coggeshall Surgery or Edgemead Medical Services Ltd Caroline Dollery Chair of MECCG & Elected GP Danbury Medical Centre x Direct Salaried GP 01/09/15 Ongoing I will declare my interest if at any time issues relevant to the organisation are discussed so that appropriate arrangements can be implemented East of England Strategic Clinical x Direct Clinical Director 01/04/12 Ongoing I will declare my interest if at any time issues relevant to the Network for Mental Health, Learning organisation are discussed so that appropriate arrangements Disability and Neurology can be implemented Eastern Region Collaborations for x Direct Non-Executive Director 01/07/15 Ongoing I will declare my interest if at any time issues relevant to the Leadership in Applied Health Research organisation are discussed so that appropriate arrangements & Care can be implemented Health Education England x Direct Leadership Courses 07/12/16 Ongoing I will declare my interest if at any time issues relevant to the organisation are discussed so that appropriate arrangements can be implemented 1 Declared Interest Is the interest First Type of Interest Surname Current Position (Name of the organisation direct or Nature of Interest Date of Interest Actions taken to mitigate risk Name Declared and nature of business) indirect? Robert Evans Interim Primary Care RLE Health Management Solutions x Direct Owner and Director 18/04/12 Ongoing Agreed with line manager that in the extremely unlikely Commissioning Lead Limited, provider of advice and support situation that any decision-making processes and/or financial to healthcare organisations. authorisations would involved RLE Health Management Solutions Limited, I would declare my interest and withdraw from the process. Simon Evans-Evans Locality Director, NHS England Nil N/A N/A (East) Anne Marie Garrigan Lay Board Member (PPE) Latchingdon Primary School x Chair of Governors / Governor Sep-96 date School is not a provider of any health services Pre-school Learning Alliance x Area Manager for Childrens' Jul-12 date Children Centres I manage are based in Rayleigh, Rochford Centre and Wickford White Brick Renovation Company x Direct Secretary of the Company 18/11/2013 Ongoing The company is currently not trading. In the unlikely event that Limited a conflict of interest arises, I will declare my interest and withdraw from any discussions or decision-making processes relevant to the company Pam Green Director of Transformation and Nil Strategy, NEECCG Gary Sweeney Chair, NEECCG Care UK (Health and social care x Indirect Son is IT Lead at this company Ongoing Ongoing Usual confidentiality requirements will apply provider) Mat Thorpe Head of Finance, NHS England Nil N/A N/A 2 Mid Essex CCG, North East Essex CCG & NHS England Primary Care Commissioning Committee Part I Meeting Date: 11 January 2017 Time: 3.00pm to 4.30pm Location: Aspen House, Stephenson Road, Severalls Business Park, Colchester Members: Name Initials Role Anne-Marie Garrigan AMG PPE Lay Member, Mid Essex CCG (Chair) Mat Thorpe MT Head of Finance, NHS England Melanie Crass MC Director of Primary Care & Resilience, Mid Essex CCG Pam Green PG Director of Transformation & Strategy, North East Essex CCG Dr Max Hickman MH Clinical Vice-Chair, North East Essex CCG (attending on behalf of Dr Gary Sweeney) Phil Cherry PC Finance Manager, NHS England Simon Evans Evans SE Locality Director, NHS England In attendance: Sara O’Connor SO Head of Corporate Governance (attending on behalf of Viv Barnes) Paul Osman PO Trustee, Action for Family Carers Apologies: Dr Caroline Dollery CD Chair of Mid Essex CCG Dr Gary Sweeney GS Chair of North East Essex CCG Carol Anderson CA Managing Director, Mid Essex CCG Viv Barnes VB Director of Corporate Service, Mid Essex CCG Dr Anna Davey AD Clinical Lead, Mid Essex CCG Dr Tom Nutt TN Chief Executive, Healthwatch Essex Robert Evans RE Primary Care Commissioning Lead, Mid Essex CCG Item No Agenda Item Actions 1 Welcome, Introductions and Apologies Members were welcomed to the meeting and introductions provided. AMG also welcomed Mr Paul Osman, Trustee of Action for Family Carers, to the meeting. AMG advised that Mr Osman was also a member of MECCG’s Patient Reference Group which contributed greatly to the work of the CCG. Apologies were noted as detailed above. 2 Register of interests Members reviewed the Register of Interests for the Committee and confirmed there were no changes to the declared interests. Declarations declared by members of the Primary Care Commissioning Committee (PCCC) are listed in Mid and North East 3 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 MH advised that he was a GP in Colchester and had interests in GP Provider Choice Ltd, an interest in a Pharmacy based at his GP practice and an interest in Colchester Catalyst Charity, but was of the view that none of these would create a conflict of interest in relation to the agenda items due to be discussed at the meeting. 3 Questions from the Public Mr Paul Osman from Action for Family Carers (AfFC) read out a short statement asking when MECCG would commission GPs in its area to identify and support carers. In particular he asked if MECCG could require all GPs in Mid Essex to adopt a Carer Identification and Support protocol putting a duty on all practice staff to identify carers at the earliest possible time by input of the correct carer code into the computer system and signposting them to support organisations, such as Social Services and AfFC. MC advised that although there was currently no enforceable requirement on GPs to do this, Mid Essex CCG (MECCG) had already tried to implement this on an informal basis. MECCG’s proposed move to fully delegated commissioning would not change the position. However, MECCG had a Carers Strategy and had implemented social prescribing. Mr Osman advised that AfFC had recently had its funding cut by 5% but had also been tasked to identify 5% more carers. SE suggested that a poster should be displayed in practices asking carers to identify themselves to the GP and ask that their record be updated to reflect this. Display screens within practices could also be used for this purpose.