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Nhs Durham Dales, Easington and Sedgefield (Ddes) Ccg and North Durham Ccg Primary Care Commissioning Committees in Common

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Nhs Durham Dales, Easington and Sedgefield (Ddes) Ccg and North Durham Ccg Primary Care Commissioning Committees in Common Official Durham Dales, Easington and Sedgefield Clinical Commissioning Group North Durham Clinical Commissioning Group NHS DURHAM DALES, EASINGTON AND SEDGEFIELD (DDES) CCG AND NORTH DURHAM CCG PRIMARY CARE COMMISSIONING COMMITTEES IN COMMON Tuesday 21 January 2020 13:15 – 14:30 Lanchester Community Centre, Newbiggin Lane, Lanchester, Durham, DH7 0NT CONFIRMED MINUTES DDES CCG Primary Care Commissioning Committee Present: Andrew Atkin (AA) Lay Member Nicola Bailey (NB) Chief Officer Sarah Burns (SB) Director of Commissioning Strategy and Delivery Dr Stewart Findlay (SF) Chief Officer Gill Findley (GF) Director of Nursing and Quality Amanda Healy (AH) Director of Public Health, Durham County Council Feisal Jassat (FJ) Lay Member, Patient and Public Involvement (Chair) Mark Pickering (MPi) Chief Finance Officer Dr Jonathan Smith (JS) Clinical Chair North Durham CCG Primary Care Commissioning Committee: Present: Andrew Atkin (AA) Lay Member Nicola Bailey (NB) Chief Officer Sarah Burns (SB) Director of Commissioning Strategy and Delivery Joseph Chandy (JC) Director of Commissioning Strategy and Delivery Dr Ian Davidson (ID) Medical Director Dr Stewart Findlay (SF) Chief Officer Gill Findley (GF) Director of Nursing and Quality Richard Henderson (RH) Chief Finance Officer Feisal Jassat (FJ) Lay Member, Patient and Public Involvement (Chair) Dr David Smart (DSm) Clinical Chair In attendance: Denise Alexander (DA) Engagement and Signposting Lead, 1 Official Healthwatch County Durham Joseph Chandy (JC) Director of Commissioning Strategy and Delivery (in attendance for DDES CCG) Dr Christine Hearmon (CH) Practice Partner, Skerne Medical Group (in attendance for Item PCCCiC/20/07) Helen Letts (HL) Finance Manager, Skerne Medical Group (in attendance for Item PCCCiC/20/07) David Logan (DL) Healthwatch County Durham representative Dr John Nicholls (JN) Primary Care Network Clinical Director (in attendance for Item PCCCiC/20/11) Dr Neil O’Brien (NO’B) Accountable Officer, DDES CCG and North Durham CCG Sue Parr (SP) Executive Assistant, North Durham CCG (minutes) David Steel (DSt) Primary Care Business Manager, NHS England/ NHS Improvement DDES CCG Primary Care Commissioning Committee Apologies: Mike Brierley (MB) Director of Commissioning Strategy and Delivery Dr Rushi Mudalagiri (RM) GP Clinical Lead North Durham CCG Primary Care Commissioning Committee: Apologies: Mike Brierley (MB) Director of Commissioning Strategy and Delivery Dr Pat Wright (PW) GP Clinical Lead Representative Items Action PCCCiC/20/01 Apologies for absence Apologies were received as recorded above. PCCCiC/20/02 Declarations of conflicts of interest The Chair reminded members of the Committees of their obligation to declare any interest they might have on any issues arising at the meeting, which might conflict the business of Durham Dales, Easington and Sedgefield (DDES) CCG and / or North Durham CCG. Declarations made by members of the Committees are listed in the CCGs’ Registers of Interests. The Registers are available either via the secretary to the Primary Care Commissioning Committees or the CCG websites at the following links: https://www.durhamdaleseasingtonsedgefieldccg.nhs.uk/documents/dec larations-conflict-interest 2 Official http://www.northdurhamccg.nhs.uk/governancecommittees/declarations- of-conflict-of-interest/ The following interests were noted or declared with regard to the items on the agenda: PCCCiC/20/07 Skerne Medical Group – Application to Close Fishburn Surgery General practitioner members and providers of primary care services in Durham Dales, Easington and Sedgefield and North Durham had a non- financial professional interest in this item. The members were - Joseph Chandy, Director of Commissioning Strategy and Delivery, DDES CCG and North Durham CCG - Dr Ian Davidson, Medical Director, North Durham CCG (not in attendance) - Rushi Mudalagiri, GP Clinical Lead – Easington (not in attendance) - Dr David Smart, Clinical Chair, North Durham CCG - Dr Jonathan Smith, Clinical Chair, DDES CCG - Dr Patrick Wright, (not in attendance) It had been agreed prior to the meeting that the conflicted members could receive the report and could take part in the discussion but should not be involved with any decision making. PCCCiC/20/08 Combined Primary Care Quality Report Any members as general practitioners and providers of primary care services in Durham Dales, Easington and Sedgefield and North Durham had a non-financial professional interest in this item. The members were: - Joseph Chandy, Director of Commissioning Strategy and Delivery, DDES CCG and North Durham CCG - Dr Ian Davidson, Medical Director, North Durham CCG (not in attendance) - Rushi Mudalagiri, GP Clinical Lead – Easington (not in attendance) - Dr David Smart, Clinical Chair, North Durham CCG - Dr Jonathan Smith, Clinical Chair, DDES CCG - Dr Patrick Wright, (not in attendance) It had been agreed prior to the meeting that the conflicted members could receive the report and could attend the meeting because there was no financial information included in the paper that could influence or benefit any conflicted member. PCCCiC/20/10 Primary Care and Primary Care Network Development Update The paper was for discussion only and no decisions were required. 3 Official However, it was acknowledged that members of the Committees were partners of practices which were part of a Primary Care Network and therefore that must be documented and managed accordingly during the discussion. The members were: - Ian Davidson, Medical Director, North Durham CCG (not in attendance) - Joseph Chandy, Director of Commissioning Strategy and Delivery, DDES CCG and North Durham CCG - Rushi Mudalagiri, GP Clinical Lead – Easington (not in attendance) - Jonathan Smith, Clinical Chair, DDES CCG The following members also had personal conflict due to their previous roles in general practice. - David Smart, Clinical Chair, North Durham CCG - Patrick Wright, GP Clinical Lead, North Durham CCG (not in attendance) It had been agreed prior to the meeting that the conflicted members could receive the report and could attend the meeting because there was no financial information included in the paper that could influence or benefit any conflicted members. PCCCiC/20/11 Derwentside Primary Care Network Update As an owner of a medical practice within the Derwentside area, Dr Ian Davidson declared a non-financial professional interest in this item. As this item was for information only it was agreed that he could remain in the meeting. PCCCiC/20/03 Identification of any other business One item of other business was identified: Outcome of the discussion with regard to Application for merger of St Andrew’s Medical Practice and Oxford Road Medical Practice (FJ) PCCCiC/20/04 Minutes from the Primary Care Commissioning Committees in Common held on 19 November 2019 The minutes were agreed as a correct record of the meeting. PCCCiC/20/05 Matters arising from the Primary Care Commissioning Committees in Common held on 19 November 2019 There were no matters arising. PCCCiC/20/06 Action Log There were no outstanding actions. 4 Official ITEMS FOR DECISION PCCCiC/20/7 Skerne Medical Group – Application to Close Fishburn Surgery Director of Commissioning Strategy and Delivery, DDES CCG and North Durham CCG - Joseph Chandy In attendance to present the report Primary Care Assistant Contract Manager, NHS England and Improvement - Jennifer Long General practitioner members and providers of primary care services in Durham Dales, Easington and Sedgefield and North Durham had a non- financial professional interest in this item. Those members present were - Joseph Chandy, Director of Commissioning Strategy and Delivery, DDES CCG and North Durham CCG - Dr David Smart, Clinical Chair, North Durham CCG - Dr Jonathan Smith, Clinical Chair, DDES CCG It was noted that the conflicted members had received the report and could take part in the discussion but should not be involved with any decision making. The purpose of the report was to provide information to enable NHS Durham Dales, Easington and Sedgefield (DDES) Clinical Commissioning Group’s (CCG) Primary Care Commissioning Committee to consider an application from Skerne Medical Group to close their branch surgery located in Fishburn Village. In the absence of Jennifer Long, JC advised that in December 2018 Skerne Medical Group submitted an application to permanently close two of their branch surgeries located in Trimdon Village and Fishburn Village. The application had been considered by the DDES CCG Primary Care Commissioning Committee. The closure of the Trimdon Village surgery had been approved, however the proposal to close Fishburn surgery had been rejected on the basis that the letter sent to patients as part of the engagement process had not specified that the Fishburn Village surgery was being considered for closure. The Committee therefore requested that the practice undertake a review so that it would fully understand its long term future premises needs. In October 2019 the practice submitted a further application to close its Fishburn Village surgery. The practice had stated the main reason for the application was due to GP recruitment and retention issues and to ensure the sustainability of the practice. The practice had undertaken patient and stakeholder engagement which 5 Official had focused on five options with regard to their premises: 1. extend Harbinson House, Sedgefield and retain and extend Trimdon Colliery surgery, 2. extend Harbinson House, Sedgefield and build a larger new
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