HARINGEY LOCAL MEDICAL COMMITTEE MEETING To be held from 1.00 pm to 3.30 pm on Friday 4 October 2013 at The Muswell Hill Methodist Church, 28 Pages Lane, N10 1PP Sandwich lunch available from 12.30 PART ONE LMC members only AGENDA 1.0 Welcome and apo logies 1.00 – 1.05 2.0 Declarations of interest 1.05 – 1.05 2.1 Members to declare any conflicts of interest in connection with any items on the agenda or in the light of subsequent debate 3.0 Minutes and matters arising: 1. 05 –1. 15 3.1 Minutes from Haringey LMC Part one meeting on 7 June 2013 (pages 3-9) 3.1.1 Inappropriate transfer of work (minute 5.1 refers) 4.0 Members reports of meetings attended 1. 15 – 1. 25 4.1 Dr Julie Sharman/Greg Cairns to feedback from Joint Chairs Meeting with NHS England 25 September 2013 4.2 Dr Constantinos Stavrianakis to feedback from Medicines Management Committee meeting on 20 March 2013 4.3 Members reports of other meetings attended 5.0 Local issues 1. 25 – 1.4 0 5.1 CCG update 5.1.1 To co-opt Sherry Tang as new Chair in non-voting capacity 5.2 EMIS web and Docman 5.3 PMS issues 5.4 Sessional GP issues – to raise any sessional GP issues 5.5 North Middlesex Hospital issues – to raise any issues (also see item 5.0 in Part 2) 5.6 Whittington Hospital – to raise any issues 6.0 LETB update 1.4 0 – 1.5 0 To receive an update 7.0 Part 2 agenda – to discuss the part 2 agenda 1.5 0 - 2. 05 8.0 Items to R eceive 2. 05 – 2. 20 8.1 Process for responding to GP queries (pages 1 0 – 12) 8.2 Division of responsibilities (pages 13 – 14) The professional voice of general practice in Haringey Londonwide LMCs is the brand name of Londonwide Local Medical Committees Limited Registered and office address: Tavistock House North, Tavistock Square, London WC1H 9HX. T. 020 7387 2034/7418 F. 020 7383 7442 E. [email protected] www.lmc.org.uk Registered in England No. 6391298. Londonwide Local Medical Committees Limited is registered as a Company Limited by Guarantee Chief Executive: Dr Michelle Drage 1 8.3 Practice Manager Representative following Lesley Mayo’s retirement 8.4 GPC News 20 September 2013 This can be accessed via the following link: http://www.lmc.org.uk/visageimages/newsletters/GPC/News%202%20-%20September%202013.pdf 8.5 To receive a list of the forthcoming LEAD events http://www.lmc.org.uk/visageimages/Events/annual%20calendar%201314%20(updated%20August%202013).pdf 9.0 Date of the next Meeting 6 December 2013, Rooms 4 & 5 Hornsey Central 10.0 Any Other Business 2.2 0 - 2.30 2 Draft minutes of the Haringey Local Medical Committee Part One meeting held from 1.00 to 2.30 pm on 7 June 2013 in Group Rooms 4 and 5, Hornsey Central, 151 Park Road, London N8 8JD CONFIDENTIAL Present: Dr Abida Ansari Dr Gino Amato Dr Christiana Aride Dr Mohssen Dabirikhah Dr Sue Dickie Dr Mohamed Jurangpathy Dr Sarah Larkin Dr Martin Lindsay Mrs Marion Lombardelli Mrs Lesley Mayo Dr Kanagaratnam Nagarajah Dr Helen Pelendrides Dr Dineshwar Prasad Dr Imtiaz Sardar Dr Costi Stavrianakis Dr Ana Stuttard Professor Darshan Suri Visitors: Mr Gerald Alexander, LPC Londonwide LMCs: Mrs Jane Betts, Director of Primary Care Strategy Dr Tony Grewal, Medical Director/LMC Secretary Miss Nicola Rice, Senior Committee Liaison Executive Item Action Organisation/ no. person responsible 1.0 Welcome and apologies for absence: Apologies for absence were received from Dr Devrim Beyzade, Dr Neil Manttan and Dr Eleanor Scott. 2.0 Declarations of interest There were no new declarations of interest. 3.0 Minutes and matters arising: 3.1 Minutes of Haringey LMC Part one meeting on 5 April 2013 The minutes of the LMC Part 1 meeting on 5 April 2013 were agreed as a correct record. 3.1.1 North Middlesex Hospital prescriptions (minute 3.1.1 refers) It was noted that a response had not been received from Professor Okolo. NR Miss Rice undertook to follow this up. 1 3 3.1.2 Whittington Hospital access to patient records trial (minute 4.1 refers) The email from Mr Chris Giles setting out an update with regard to the Whittington Hospital access to patients’ records trial was received. Mrs Mayo advised that she had been invited to attend Whittington Health to see what the GP portal looked like in relation to the integrated electronic patient record system which Whittington Health was currently implementing. Mrs Mayo reported that it could be beneficial. In response to her query as to whether a patient would need to give consent in order that GPs could look at the records on the Whittington Health system, Dr Lindsay confirmed that consent would need to be obtained by Whittington Health as the data controllers. Dr Grewal noted that the position in relation to data extraction and consent was changing and that LLMCs was preparing a summary of the many sets of guidance and principles around data sharing. 3.1.3 CQC access to patient records (minute 4.3 refers) It was noted that the GPC had confirmed that CQC had the legal right to see patient records. 4.0 Members rep orts of meetings attended: 4.1 Meeting with Dr Fiona Wright and Cllr Bernice Vanier on 23 April 2013 Dr Lindsay reported that his meeting with Dr Wright and Cllr Vanier had gone well. Cllr Vanier confirmed that the LMC would be involved when appropriate. Dr Pelendrides reminded the LMC that she was vice-Chair of the Health and Wellbeing Board and noted that there were 4 CCG members on the Health and Wellbeing Board. Dr Pelendrides assured the LMC that these members would highlight those issues which needed to be considered by the LMC. 4.2 Feedback from the North Central London Joint Formulary Committee on 25 April 2013 The notes of the meeting provided by Dr Tathagata Sadhu, an Enfield LMC member who represented the five NCL LMCs on the Committee were received. Dr Stavrianakis noted that he also attended this meeting in his capacity as a member of Haringey CCG’s Medicines Management Committee. Dr Stavrianakis advised that it was proposed that the formularies across the five NCL boroughs be standardised across the sector It was noted that the issue of medications being initiated in secondary care but continuing to be prescribed by GPs was discussed and the LMC agreed that secondary care physicians should be responsible for the drugs they prescribed. Mr Alexander noted that no community physicians attended these meetings and it was agreed that Miss Rice would send him a copy of the letter which the LMC office had sent to the Chair requesting representation and the relevant contact details. In the meantime Dr Stavrianakis undertook to bear in mind NR 2 4 the difference between community and hospital pharmacists should relevant issues arise. 4.3 Feedback from North Middlesex Drugs and Therapeutics Committee on 29 April 2013 Professor Suri advised that at the meeting on 29 April 2013 he raised the issue of only 3 days antibiotics being prescribed following attendance at A&E. It was agreed that this would be looked at. 4.4 Meeting with Ms Julie Lowe, Chief Executive of North Middlesex University Hospital Dr Lindsay advised that he had held a helpful meeting with Ms Julie Lowe and she had undertaken to come to the next LMC meeting. 4.5 Enfield and Haringey Child protection meeting with CCG, Social Service and child protection team on 1 May 2013 Dr Lindsay advised that these meetings had been arranged to look at how communication between the child protection team and Enfield and Haringey GPs could be improved as different forms and thresholds existed for different boroughs. He reported that it had been a positive meeting and it was good that people were working together to avoid duplication of work. He advised that there would be named Health visitors linked to practices and there would be links to the Child Protection team. Dr Pelendrides noted that if a Haringey practice had a child registered but who was an Enfield resident liaison with the health visitor in Enfield liaison would take place by telephone. However if a Haringey practice had a large number of children who lived in Enfield then the health visitor would attend the practice. 4.6 Medicines Management Committee on 8 May 2013 Dr Stavrianakis confirmed that Ms Efa Morty was still working on liaison with community dieticians but this was making slow progress. Dr Lindsay hoped that this would be resolved in the near future as GPs appeared to be doing all the work yet had no ownership of the problems and considered that the work should be passed back to the dieticians. Dr Pelendrides responded to advise that there were technical reasons why the budget could not be stopped and explained that there were no contractual levers in place at the moment to do this unless something was put in next year’s budget. Dr Lindsay noted that at the moment the services being provided were coming out of GPs budgets and this needed to be resolve. Dr Pelendrides undertook to take the LMC’s concerns back for consideration. Dr Stavrianakis further advised that a Food First policy was due to be circulated in relation to frail and malnourished patients. Dr Grewal reported that LLMCs had asked NHS E to clarify who would be responsible for producing PGDs for immunisations for example and the indemnity arrangements.