Primary Care Commissioning Committee Meeting held in public 18 May 2017, 9:30 am – 12.30pm Room 1, Jubilee House, Bloxwich Lane, Walsall, WS2 7JL Agenda Items Item No Assurance Decision Approval Information only 9.30 1.0 Introductions and apologies for absence* Carol Marston, Robert Freeman 9.35 2.0 Notification of any items of other business* 2.1 Declarations of interest* 9.40 3.0 Consent Agenda 9.40 3.1 To approve the Minutes of the Primary Care Item 3.1 Approval Commissioning Committee held on 20 April 2017. 9.45 3.2 IT Steering Group update Item 3.2 Information 9.45 3.3 Walsall Plan Item 3.3 Information 9.45 3.4 Public Health Transformation Fund Review Item 3.4 Information 9.45 3.5 Big Conversation Update ( full report available on Item 3.5 Information CCG internet ) 9.55 4.0 Report on Matters Arising – Action log Item 4.0 Discussion 10.00 4.1 Finance Report – TG Item 4.1 Information 10.05 4.2 QIPP Report Item 4.2 Information 4.3 - GB Medicines Management presentation Item 4.3 Information 4.4 - Medicines Management Business Case Item 4.4 Approval 10.10 5.0 PCOG Update Item 5.0 Information - Quality assurance update 10.20 6.0 Saturday Opening Evaluation Item 6.0 Information 10.25 7.0 Latent TB Screening Item 7.0 Information 10.35 8.0 Audit Response - DM Item 8.0 Information 10.40 9.0 Transformation funding bids - DM Item 9.0 Information 10.50 10.0 Risk Register Item 10.0 Information Any other business 10:55 11.0 11:00 12.0 Date of next meeting: 15 June 2017, 9.30am – Room 1, Jubilee House 11.00 13.0 Close *Monthly standing items on the agenda. QUORUM A minimum of 50% membership (8 members) which must include: The Chair or Vice Chair, one CCG Director, the Secondary care consultant or Director of Governance Quality and Safety. Date Page 2 of 2 Primary Care Commissioning Committee (Public Meeting) 20 April 2017 9.30am Jubilee House Notes Present Mike Abel (MA), Donna Macarthur (DM), Tony Gallagher (TG), John Duder (JD), Robert Freeman (RF), Carol Marston (CM), Carsten Lesshafft (CL), John Taylor (JT), Simon Brake (SB) In attendance Sara Hadley (SH), Sumaira Tabassum (ST), Bal Dhami (BD), Lee Dukes )LD), Alison Simmons (AS), David Johnson (DJ) 1/17 Apologies for Absence Yvonne Higgins, Dr Uzma Ahmad 2/17 Notification of any items of other business None 3/17 Declarations of Interest General awareness that some committee members have an interest in various GP practices. Declarations of Interest Declared by: 1. JD; patient at Lichfield Street practices and member of practice PRG 2. MA; indirect conflict of interest as his wife is a patient at The Limes practice. 4/17 Consent Agenda Minutes of the PCCC held on 30 March were agreed as a true record after amendment to remove that the group should focus on DNA’s from item 179/16 PPLG. The group discussed the use of abbreviations: Agreed to provide a standard glossary IT Steering Group update noted by committee. 5/17 Report on Matters Arising 180/16 Saturday Opening Evaluation – detailed report not yet received, CM to request for next Meeting: Open 176/16 Finance Report, QIPP to include Medicines Management and LCS – agenda item. 148/16 SL Handover – April 2017: Complete 148/16 Patient on Line (POL); Primary Care Facilitators worked extensively with practices; 2 months Data lag noted. Agreed proactive use of Communication was required in the form of utube, Videos, snapchat, with regular updates from CCG Chair. Communication Department to Page 1 of 3 Lead with regular updates added as a standard agenda item HD : Open 124/16 Primary Care Finance development session – date to be agreed as soon as possible : Open 77/16 NHSE update regarding Avoiding Unplanned Admissions (AUA) DES – progressing appeals. Report to committee with regular appeal and clawback updates : Open 6/17 QIPP Report GP Forward View Transformation Funding discussed. Proposed bids for funding are via Leadership Group against 3 elements - Access - Medicines Management - Delivery at scale Action : DM to bring to the May meeting for a decision Reported PCCC QIPP target is £3.6m with schemes identifies for £2.9m, £938,000 shortfall, plus additional £1.9m still to be allocated by Finance & Performance Committee. The group discussed potential QIPP areas. Agreed ideas/suggestions should be clinically driven. Reported Leadership Group focuses on Medicines Management QIPP with limited scope in LCS’s. Action: DM to present a report at May meeting quantifying where LCS savings can be made for Committee decision. 7/17 NHSE Update Update report presented to Committee, main points: Reported MOUs between CCG and NHSE are now all signed. GPFV West Midlands lead is Sarah Rutter for the Black Country and Birmingham and Solihull. DES service specifications will be sent out to practices by end of April for return by June. Refresh of Primary Medical Care policy book available in July. Tamiflu for residents of care homes, Agreed Tamiflu issue referred to Health Protection Forum. Action: SR to refer Tamiflu issue to Health Protection forum and report back to committee. 8/17 Medicines Management Update Report presented to the committee, Tax Regulation IFR35 no longer applies following Medicines Management SLA revisions. Reported this is Consistent with other CCGs. Pharmacy Hours It was proposed current vacancies are frozen, noted this may impact on QIPP savings. The opportunity to explore new staffing models such as Pharmacy Technicians was discussed. Action : ST Options paper to June PCCC Pharmacy Incentive Scheme Business cases presented. Agreed practices already at the top 10% should be rewarded for maintaining this position. Decision: Both business cases approved by the committee. Page 2 of 3 9/17 PCOG Update Update report presented to committee, main points; Agreed PCCC minutes and any development sessions are shared with PCOG. The contracting variation log will sit with PCOG and forwarded to Committee for information. The dashboard has been further developed with new data and score. Sharing of dashboard to be discussed with LMC / GP localities. 50 Walsall practices have now received a CQC inspection; 34 are rated as good, 9 as requiring improvement, 5 as inadequate and 2 rated outstanding. Risk register reviewed and updated; three risks removed and one relating to Primary Care Level 3 Safeguarding figures added. 10/17 Fire Services Fire Service presentation discussed. Agreed to raise awareness of the community services offered through the Communication Department. Action: Communications to raise awareness: HD 11/17 HealthWatch Update Update presented to committee. Reported HealthWatch alerted to cancellations of operations at the Manor Hospital; and reasons given unacceptable and HealthWatch referred to the Health and Scrutiny Panel for further investigation. Reported Walsall HealthWatch now looking at joint public meetings with Wolverhampton HealthWatch. Also talking to other HealthWatch including Dudley. 12/17 Risk Register Audit Report recommendation to add the risk register or a version of to the public part of the meeting. Development work regarding confidential items required before it can sit within the public meeting. Action: review risk register :DM 183/16 Any Other Business The Chair suggested the meeting be recorded in future this was agreed by the members of the committee. 184/16 Date of next meeting PCCC Public meeting – 18 May 2017 9.30, Room 1, Jubilee House Page 3 of 3 In Confidence Not for Publication or Dissemination Delete if paper is for public dissemination PRIMARY CARE COMMITTEE Date of committee meeting: 18/05/2017 Agenda Item No:3.2 TITLE OF REPORT IT Steering Group Report PURPOSE OF REPORT: Report IT Exceptions and Risks EXECUTIVE SUMMARY: IT Exception Report Nine exceptions reported – four relating to projects in delivery and four operational. Risks in summary: Four operational risks identified, two RAG rated amber and two rated red. RECOMMENDATION TO THE COMMITTEE: COMMITTEE ACTION Assurance REQUIRED: REPORT WRITTEN BY: Graham Westgate, Interim Strategic IT Lead REPORT PRESENTED BY: Tony Gallagher REPORT SIGNED OFF BY: CONSENT AGENDA Indicate if appropriate for the consent agenda PREVIOUS COMMITTEES Nil There is a requirement for all members to read the papers prior to the meeting. The presenter must not go through the paper in detail. The presentation should go through 1 the executive summary and include any amendments/additional information which was not available at the time of writing the report or if there has been any discussion or challenge prior to the meeting. The CCG Corporate Objectives. Please indicate which Corporate Objectives this report supports Involve patients and public in decision making Ensure value for money Commission high quality services Promote good health and sound treatment of ill health Ensure strong leadership and good governance Work in partnership Positive general duties - Equality Act 2010 The CCG is committed to fulfilling its duty under the Equality Act 2010 and to ensure its commissioned services are non-discriminatory. This report is intended to support delivery of our duty to have a continuing positive impact on equality and diversity The CCG will work with providers, communities of interest and service users to ensure that any issues relating to equality of service within this report have been identified and addressed Please indicate if there have been any equality of service issues identified in this Yes report No All papers are subject to the Freedom of Information Act. All papers marked as ‘in confidence, not for publication or dissemination’ are sent securely to named individuals and they cannot be distributed further without the written permission of the Chair. Exemption 41, Information provided in confidence, applies. 2 Exceptions Title Cause Consequences Actions Due Date 1 Universal capabilities Time lag of the national system Unable to verify the actual Escalated to NHS Digital.