CEG 8th December 2015 Orsett Hall Present: Dr Arhin (Chair) Aveley Medical Centre Dr Bansal Balfour Medical Centre Dr Bhat Sai Medical Centre Dr V Deveraja Sorrells Surgery Dr Kallil The Surgery, Orsett Dr N Raj Purfleet Care Centre Dr Raja The Surgery, Horndon on The Hill Dr Ramachandran Appledore Surgery Dr Sharma Neera Medical Centre Dr Spraggins Hassengate Medical Centre Dr Varghese Pear Tree Surgery Dr Abeyewardene Dell Medical Centre Dr Ahmed Hassengate Medical Centre Dr Ajayi St Clements Health Centre Dr Bellworthy Sancta Maria Medical Centre Dr Bhat Sai Medical Centre Dr Ukpaka Dilip Sabnis Medical Centre Dr Cheung Ash Tree Surgery Dr Gurjar Neera Medical Centre Dr Hamilton Derry Court Medical Centre Dr L Joseph The Grays Surgery Dr Kadim Prime Care Medical Centre Dr Lie Chadwell Medical Centre Dr K Masson Milton Road Surgery Dr M Roy Southend Road Surgery Dr Sosanya St Clements Health Centre Dr Yasin The Health Centre, South Ockendon Vision Statement: The Health and care experience of the people of Thurrock will be improved as a result of our working effectively together. Davinder Masson Milton Road Surgery Russell Vine Hassengate Medical Centre Katie Webb Derry Court Medical Practice June Mason The Health Centre, South Ockendon Samita Patel Sai Medical Centre Geemaa Diaat Sai Medical Centre Tim Elwell-Sutton Thurrock Council Ceri Armstrong Thurrock Council Mrs Ramachandran Appledore Surgery Steve McKenna Neera Medical Centre Lynn Heath Balfour Medical Centre Sam Marlton The Grays Surgery Sharron Carter Primecare Medical Centre Dawn Mainhood Peartree Surgery Les Sweetman NEL CSU In Attendance: Rahul Chaudhari Thurrock CCG Kelly Redston Thurrock CCG Vicky Kankam Thurrock CCG Gemma Curtis Thurrock CCG Ade Olarinde Thurrock CCG Joy Joses Thurrock CCG Jeanette Hucey Thurrock CCG Lesley Buckland Thurrock CCG Christine Celentano Thurrock CCG Alana Stokes Thurrock CCG Ria Walsh Thurrock CCG Urszula Pucilowska Thurrock CCG 1. Welcome & Apologies RA welcomed all to the meeting. There were no apologies to be noted. RA asked if there were any declarations of interest that were not already on the register. Vision Statement: The Health and care experience of the people of Thurrock will be improved as a result of our working effectively together. 2. Minutes of the meeting held on 10th November 2015 and Action Log Minutes of the previous meeting held on 13th October 2015 were reviewed and agreed as an accurate account. A question was asked in the previous month’s meeting regarding the amount CCG pays for out of hours service, AO updated the group that this information will be shared as soon as it is available. A question was asked regarding the times of the safeguarding training, RA informed safeguarding times have already been booked for 2016. RA informed that there was nothing to update regarding Coach House. 3. Consultation and Engagement on HWB Strategy RA introduced Tim Ellwell-Sutton from Thurrock Council’s Public Health. TE-S informed the group that his team were working on the Health and Wellbeing strategy and the current consultation to revise this. TE-S asked the group if they were aware of the HWB strategy and noted some were. TE-S informed that the HWB strategy was a three year strategy setting high level goals for the HWB system and that his team were working on refreshing these goals. TE-S noted that Ian Wake gave a presentation to HWB Board and as a result the HWB Board had an overall feeling that the current strategy could be improved and that it was advised that the current strategy is good but not currently adding value. TE-S advised that the HWB strategy is important as the population of Thurrock are living longer but not healthier lives, TE-S noted that most people aged 75+ have two or more long term conditions and that 70% of health and social care spend is spent on LTCs with 22% of Thurrock’s children and 32% of adults are obese. TE-S advised over 7,000 patients with diabetes are costing the NHS circa £20,000,000 and over 18,000 patients are pre-diabetic. It was also noted that a boy living in Tilbury today will die almost a decade earlier than a boy living in Orsett. TE-S advised that 9200 people in Thurrock do not know they have high blood pressure putting them at significantly increased risk of stroke and heart disease, it was noted that employment, housing, education and the environment have a significantly bigger impact on health than health or social care services TE-S informed the group that the new strategy will improve communication between professionals with ideas being fed into the HWB strategy rather that HWB driving their ideas down. TE-S noted that the HWB strategy needs to be driven by what is needed and what works for the population of Thurrock, coordinating and adding value to what is already in place. TE-S advised that there are 4 areas of priority and informed the group that these are, prevention and early intervention, building strong and sustainable communities, strengthening the mental and emotional and finally health and social care transformation. TE-S noted that communities have and important part to play within the new HWB strategy. TE-S noted that the progression from his team so far was the development of a formal consultation process that has been distributed to hear views on the new strategy, and that highlighted goals are being viewed to be set so that his team can work backwards from there to achieve this. TE-S advised that accountably is crucial for the new strategy to be successful and professionals should be able to come to HWB board to address these issues where an important strategy will be put into practice to drive the agenda. TE-S informed the group that they had agreed on priority areas of Thurrock and started to develop an outcome framework. TE-S brought attention to the Millennium Development Goals and noted that in the year 2000 there was an international agreement to work on set goals with their strategy driving the agenda having professionals know how their work was contributing to these goals. TE-S informed that the MDG’s were a success and suggested something similar is done for HWB strategy and gave examples of set targets and the indicators which justified those targets. TE-S noted that these are pulmonary ideas and this is what the consultation period is trying to address. RV asked a question regarding the issue of patients not attending appointments they have Vision Statement: The Health and care experience of the people of Thurrock will be improved as a result of our working effectively together. booked. TE-S advised this could be issues universally not just for GP appointments. A question was asked regarding what the budget is for the new strategy. TE-S informed the group that there is no pool budget. RA asked how TE-S envisioned the new strategy to be enforced. TE-S advised that the HWB strategy cannot enforce what it does, but would like professionals to make a public commitment to help with having clear goals and holding people accountable. 4. Primary Care Update RC introduced himself to the group as the Head of Primary Care. RC informed members that Thurrock CCG had but in a bid in August to help support practices update their policies and pathways. RC advised that in October the CCG had successfully been awarded £100,000 from the Primary Care Development Fund and that part of the funding has been used to create a new Primary Care Team. The team will be the link between the CCG and practices, RC advised that he and his team are working with NHSE towards Primary Care issues. RC introduced GC (Tilbury), VK (South Ockendon and Grays), and KR (Stanford-le-Hope) as Primary Care Managers for the different localities in Thurrock, with one post still vacant. RC informed members that the Primary Care team will be carrying out practice visits. RC asked the group to ensure they take their practice pack in orange folders handed out to them at registration. A question was asked regarding the CCG working towards undertaking Thursday afternoons. RC informed that this is a national directive. AO noted that he understands frustration regarding the matter relating to the primary care contract but noted that this does sit with NHSE and the service is transferred from SEEDS. RV agreed that the CCG cannot prepare anything relating to Thursday afternoons, RV added he was working on trying to resolve this matter but not enough members signed up. AO noted that IC24 is the current out of hour’s provider. VK advised members that the team is aiming to be the Primary Care link between Thurrock CCG and Practices, to help with support and provide practices with the tools to apply for future AQP bids and to work with practices to meet individual CCG QIPP targets QP+ Incentives. VK also noted that the team will be helping to promote the use of e-referral, community pathway and monitoring systems, to work with Practices to resolve issues and if necessary liaise with service providers on their behalf. VK addressed that some areas will require the help of the team for example NELIE, CCG website sign up, PPG’s and the friends and family test, dementia registers and promoting the weekend health hubs. KR spoke about practice responsibilities and the expectations the team had for practices, KR noted that some of these responsibilities include, full commitment from each practice with a named practice lead that can agree and see through actions, practices to be open to information, CCGs feedback and examples of shared best practice across Thurrock, pro-active practice management of tasks and action and for practices clear and concise when providing information to the Practice concerns inbox.