MEETING OF THE NHS LINCOLNSHIRE CLINICAL COMMISSIONING GROUP’S (CCG) PUBLIC PRIMARY CARE COMMISSIONING COMMITTEE TO BE HELD ON WEDNESDAY 10th FEBRUARY 2021 AT 11.00 AM – 12.30 PM THE MEETING WILL BE HELD VIRTUALLY VIA MS TEAMS LIVE EVENT LINCOLNSHIRE CCG – PUBLIC PRIMARY CARE COMMISSIONING COMMITTEE Wednesday 10th February 2021 at 11.00 am – 12.30 pm The meeting will be held virtually via MS Teams Live Event A G E N D A Item Standing items Enc Action* Lead 1 Welcome, Introductions and Apologies: Mr Moore, G McSorley Standing Items 2 To note any **Declarations of Interest Pecuniary or Non-Pecuniary Interests 3 To approve the Minutes of the Public Primary Care Commissioning Enc G McSorley Committee Meeting Held on 11th November 2020 4 To consider Matters Arising not on the agenda G McSorley Quality (Safety, Effectiveness, Patient Experience and Performance 5 To receive an update in relation to Quality, Patient Experience and Enc Discuss M Fahy/ Effectiveness W Martin Developing Primary Care 6 To receive an update in relation to the Lakeside Practice, Stamford Verbal Discuss N Blake/ J Bunce 7 To receive the Stackyard Public Consultation and Engagement Report Enc Approve S Brewster Stackyard Transfer and Closure of the Woolsthorpe Branch 8 To receive an update in relation to the Learning Disabilities Health Checks Enc Note N Blake/ A Rix 9 To receive the Primary Care Access Programme Brief Enc Discuss A Foy 10 To receive an update from HealthWatch Verbal Note L Moulder 11 To receive an update in relation to Covid-19 – Primary Care including the Verbal Note SJ Mills/A Foy Primary Care Network Vaccinations Governance 12 To receive a Finance Update Enc Note E Frost 13 To receive and review the Public Primary Care Commissioning Committee Enc Discuss SJ Mills Risk Register 14 To escalate any issues/risks to the Board G McSorley Governance 15 To receive Any Other Business 16 Date and Time of Next Meeting – 10th March 2020 at 11.05 am via MS Teams Please send apologies to: Sarah Bates, Deputy Board Secretary via email at: [email protected] Papers are available on the CCG website at www.lincolnshireccg.nhs.uk *Decision/Discussion/Note Membership Name Position Dr Gerry McSorley Non-Executive Director (Chair) Sue Liburd Non-Executive Director Murray Macdonald Non-Executive Director Pete Moore Non-Executive Director John Turner Chief Executive Matt Gaunt/Nominated Deputy Director of Finance and Contracting Martin Fahy/Nominated Deputy Director of Nursing and Quality Sandra Williamson Chief Operating Officer – LE Locality Dr David Boldy Secondary Care Doctor GP Member TBC Adrian Audis NHSE/I Dr John Parkin Clinical Leader – Lincolnshire West Locality Councillor Sue Woolley Health and Wellbeing Board Representative Lyndy Moulder Senior HealthWatch Lincs Representative Wendy Martin Associate Director of Nursing – West Locality LMC – Dr Kieron Sharrock/Kate Pilton Observer **Definition of a Conflict of Interest Conflicts of interest can arise in many situations, environments and forms of commissioning, with an increased risk in primary care commissioning, out of hours commissioning and involvement with integrated care organisations, as clinical ccommissioners may here find themselves in a position of being at once commissioner and provider of primary medical services. Conflicts of interest can arise throughout the whole commissioning cycle from needs assessment, to procurement exercises, to contract monitoring. Interests can be captured in four different categories: Financial interests: This is where an individual may get direct financial benefits from the consequences of a commissioning decision. This could include being: A director, including a non-executive director, or senior employee in a private company or public limited company, partnership or other organisation which is doing, or which is likely, or possibly seeking to do, business with health or social care organisations; A shareholder (of more than [5%] of the issued shares), partner or owner of a private or not for profit company, business or consultancy which is doing, or which is likely, or possibly seeking to do, business with health or social care organisations. A consultant for a provider; In secondary employment (see paragraph 52-53) In receipt of a grant from a provider; In receipt of research funding, including grants that may be received by the individual or any organisation in which they have an interest or role; and Having a pension that is funded by a provider (where the value of this might be affected by the success or failure of the provider). Non-financial professional interests: This is where an individual may obtain a non-financial professional benefit from the consequences of a commissioning decision, such as increasing their professional reputation or status or promoting their professional career. This may include situations where the individual is: An advocate for a particular group of patients; A GP with special interests e.g., in dermatology, acupuncture etc. A member of a particular specialist professional body (although routine GP membership of the RCGP, British Medical Association (BMA) or a medical defence organisation would not usually by itself amount to an interest which needed to be declared); An advisor for the Care Quality Commission (CQC) or the National Institute for Health and Care Excellence (NICE); A medical researcher. GPs and practice managers sitting on the governing body or committees of the CCG should declare details of their roles and responsibilities held within member practices of the CCG. Non-financial personal interests: This is where an individual may benefit personally in ways which are not directly linked to their professional career and do not give rise to a direct financial benefit. This could include, for example, where the individual is: A voluntary sector champion for a provider; A volunteer for a provider; A member of a voluntary sector board or has any other position of authority in or connection with a voluntary sector organisation; A member of a political party; Suffering from a particular condition requiring individually funded treatment; A financial advisor. Indirect interests: This is where an individual has a close association with an individual who has a financial interest, a non-financial professional interest or a non-financial personal interest in a commissioning decision (as those categories are described above). This should include: Spouse/partner Close relative e.g., parent, [grandparent], child, [grandchild] or sibling; Close friend; Business partner. Whether an interest held by another person gives rise to a conflict of interests will depend upon the nature of the relationship between that person and the individual, and the role of the individual within the CCG. Attachment A Minutes of the Primary Care Commissioning Committee held in Public on Wednesday 11th November 2020 at 11.05 am – 12.30 pm MS Teams Present: Dr Gerry McSorley Chair – Non-Executive Director Dr David Boldy Secondary Care Doctor Mr Martin Fahy Director of Nursing and Quality Mr Matt Gaunt Director of Finance and Contracting Ms Sue Liburd Non-Executive Director Mr Murray Macdonald Non-Executive Director Mr Pete Moore Non-Executive Director Dr John Parkin Clinical Leader - Lincolnshire West Locality Mr John Turner Chief Executive – Agenda Item 7 Mrs Sandra Williamson Chief Operating Officer – Lincolnshire East Locality In Attendance: Ms Sarah Bates Deputy Board Secretary Mr Adrian Audis Commissioning Manager – NHSE/I Mr Nick Blake Head of Transformation and Delivery - Agenda Item 7 Mrs Jacqui Bunce Programme Director Strategic Estates – Agenda Item 7 Mrs Emma Frost Assistant Director of Finance (Management Accounting) Ms Wendy Martin Associate Director of Nursing and Quality – West Locality Mrs Kate Pilton LMC Chief Operating Officer (Observer) Mr Andy Rix Chief Operating Officer – South Locality Mrs Sarah Starbuck Head of Transformation and Delivery – Agenda Item 8 20/071 Mrs Alaina Foy Delivery Director Apologies: Ms Sarah-Jane Mills Chief Operating Officer – Lincolnshire West Locality Ms Lyndy Moulder HW Lincs Sarah Southall Deputy Chief Nurse Councillor Sue Woolley Chair - Health and Wellbeing Board Dr McSorley welcomed members to the meeting and advised that he is a Non-Executive Director and Chair of the Committee. Dr McSorley added that the CCG is very appreciative of the amount of public interest that has been generated in relation to the St Mary’s Lakeside Practice agenda item. It was noted that there is both public interest and public concern in relation to this item. Dr McSorley stated that all formal Public Primary Care Commissioning Committee meetings of the NHS Lincolnshire Clinical Commissioning Group are held in public and that the Committee usually meets on a bi- monthly basis to enable the members to make collective decisions on the review, planning and procurement of primary care services in the CCG and this is done under delegated authority from NHS England. Dr McSorley advised that these are not public meetings in the normal sense but they are meetings held in public. Usually these meetings would be held on a face to face basis/in person but in light of the Covid-19 pandemic they are for the time being taking place via Microsoft Teams as a live event. It was noted that members of the public have the ability to post any questions they wish to submit either through the Question and Answer facility, or alternatively a proforma is included within the meeting papers pack and on the website. Page 1 of 9 Dr McSorley added that any questions that are submitted to the Committee Secretary, Ms Bates these would be acknowledged and responded to after the meeting. Dr McSorley advised that given the considerable public interest in relation to agenda item 7 the St Mary’s Lakeside Practice Stamford this item would be brought forward and taken after the routine meeting business has been transacted. Dr McSorley added that he would provide a further update at the original specified agenda time for those members of the public joining the meeting at that time.