primary care committee tuesday 6 february 2018 9.30am – 11 ...€¦ · iend is wor here are cu t...
Post on 18-Jul-2020
0 Views
Preview:
TRANSCRIPT
Primary Care Committee Tuesday 6 February 2018
9.30am – 11.30am Sherwood Board Room 1
A G E N D A
Item Lead Enc. Time
1. Welcome & Apologies Chair 9.30am
2. Declaration of Interests Chair
3. Minutes of Previous Meeting held on Wednesday 10 January 2018
Chair PCC18/01 9.35am
4. Matters Arising Chair
Operational
5. Primary Care Budget
PMS Enhanced Services
Edna Muraya PCC18/02 9.45am
6. E - Consultations Alex Friend PCC18/03 9.55am
Any Other Business
7. 10.05am
Date of next meeting
8. Wednesday 7 March, 2pm – 4pm Sherwood Board Room 1
PFIN
PRDHEKWDA
Ja ADDAMNM InH
1.
2.
3.
4.
5.
rimary Care CoINAL V1.0 HS Classifed
resent Richard Also
r Nessan Cilary Jones dna Murayaayley O’Sul
Will Perks r Nicola Smlexia Stenn
anine Welha
Apologies: r Hopeson avid Foord ndrew Mort
Mike Rowlanadia Shaw
Matthew We
n AttendanHazel Webb
. Welc
As ab
. Decla
Dr NeDr Nic
. Minut
The m
. Matte
There
. CEPN
Hazeform aalongprimaon 31attendHealtat trai
mmittee Minute
op Carson
a llivan
mith ing
am
Alifoe
ton nds
bb
nce
ome and A
bove
aration of I
essan Carsocola Smith –tes of the p
minutes wer
ers Arising
e were no a
N/Workforc
l Webb introa Commun
gside our STary care coll
st January wding. In addh Educationining for Ca
es 10 January 20
P
RA DNC BHJ HEM SKO’S PWP LNS GAS D
CJW P
HA BDF DAM CMR LNS HMW C
HW
Apologies
nterest
on – GP in – GP in MKprevious m
re accepted
actions from
ce
oduced herity EducatioTP colleaguleagues wowhich Janindition we han England aardiovascula
018
PRIMARY CWednesda
Sherwoo
Director of PBoard MembHead of QuaSenior FinanPrimary Care
ay Board MGP Chair, MDeputy DirecCCG Primary Care
Board MemDirector of NChief FinanLay Board MHealthwatchChief Office
Delivery Ma
MK K meeting hel
d as an accu
the previou
self to the con Provider ues. An Expuld like to jo
ne Welham,ave been suand there isar, Respirat
CARE COMay 10 Januaod Board R
Minutes
Programme ber, MK CCality, Deputynce Managee Support O
Member, MKMK CCG
ctor of Prog
e Developm
mber, MK CCNursing and
nce Officer, Member, Mh Represen
er, MK CCG
anager – P
d on 15 No
urate record
us meeting
committee. Network de
pression of Ioin the com, Hazel Webuccessful in s a plan beintory and pos
MMITTEE ary 2018
Room 1
Delivery, MCG y Director oer, MK CCGOfficer, MK K CCG (Cha
gramme Del
ment Manag
CG d Quality, MMK CCG K CCG
ntative G
lanned & P
ovember 20
d of the mee
and the act
There is rinevelopmentnterest has
mmittee. Thbb and Dr Nobtaining a
ng developessibly leg u
MK CCG
f Nursing, MG CCG (Minu
air)
liver and He
ger, MK CCG
MK CCG
rimary Care
017
eting.
tion log is c
ng-fenced mt and we ares gone out toe first STP
Nessan Carsadditional fued to particulcer dressin
MK CCG
utes)
ead of Prim
G
e
complete.
money to e working o see if meeting is
rson will be unds from ularly look ngs for
PCC18/01
Page 1 of 4
ary Care, M
Action
MK
PFIN
6.
7.
8.
rimary Care CoINAL V1.0 HS Classifed
practiCEPNyear. nurse The Cbeingtrainin ThreeRecruJanua
. Pract
This pKeyneremovPagnOakg The c
. Prima
CurreQOF senioservic Edna do nocoupldelegreview This yreceivare leNHSEneed this. In 18/111 s
. E – C
This pto NHTheresubmConsneighDue tcommthey a
mmittee Minute
ice nurses aN is £30,000With the sp
e within eac
CME Prograg funded. Drng will need
e practices uitment Proary. tice Bound
paper was ces Village Pving Oakgroell Medical rove.
committee aary Care B
ently overspwhich is ba
ority and MPces/extende
Muraya neot claim. Jane of years b
gated authows are curre
year the praved letters weasehold buE are startinto make su
/19 EM infoservices will
Consultatio
paper was vHSE to ensue were a few
mitted to NHSultation pro
hbourhood tto the procumittee with Nare involved
es 10 January 20
and HCAs. 0. Both budpecialist traih neighbou
amme will fir Nessan Cad to continue
in Milton Kegramme an
daries
circulated toPractice havove whilst tCentre has
agreed to thudget
pent on indeased on lastPIG which ised hours.
eeds to verifnine Welhambut claims crity sit with ently outsta
actices that with increasut they haveng Bedfordsure that ours
ormed the co be moved
ons
virtually senure that the w amendmeSE. Alex Fr
ogramme. That have pu
urement framNHSE framed with the c
018
The amoundgets will neining for nurrhood to att
nish at the arson highlie locally wit
eynes have nd a STP ap
o committeeve requestehere practic
s agreed to
his decision
emnity insurt year’s achs being pha
fy extendedm has askecan go backNHSE and
anding from
premises ased costs foe to wait for shire CCG rs are condu
ommittee thout from th
nt to the comfunding wa
ents which wriend is worhere are cuut in an expmework theework for e-hoice of pro
nt from Heaeed to be sprses we aretend.
end of Marcighted that thin Milton K
expressed pplication w
e members ed to decreace extensioextend thei
and the pra
rance, matehievement. Used out alo
d hours as Ned practicesk 6 or 7 yeawe have aninformation
are manageor service ch
the Districtrent reviewsucted first. E
hat hopefullye primary c
mmittee to bas secured twere grammrking througurrently onepression of iere is not a p-consultatioovider prior
lth Educatiopent by the e looking to
ch due to thpractice nuKeynes.
an interestwill be subm
for a virtuaase their pran is being cr practice b
actices have
ernity and siUnderspentng with ren
NHSE do nos and some ars. The pren agreemenn received f
ed by NHS pharges. Majt Valuer to as prior to MiEM to speak
y the urgencare budget
be able to gthrough the mar and theh the STP t or two pracnterest to tapreferred bi
on. The GP’to contract
on is £18,00end of the fobtain at le
he programmrses update
in the Overitted at the
l decision. Mactice bouncompleted. Noundary to
e been infor
ickness payt areas are gt and enhan
ot peruse prhave not clceding year
nt with themfrom NHSE.
property serjority of our agree the reilton Keynesk to NHSE r
t care contrlines.
get the plan GP Forwar
e paper wasto deliver thctices in eacake part in tidder. AF tos have requaward.
00 and financial east one
me not es and
rseas GP end of
Milton dary by Newport include
rmed.
yments andglobal sumnced
ractices thalaimed for ars prior to
m. Rent .
rvices haver properties evised rentss but we regarding
ract and
for deliveryrd View. s then his E-ch the pilot.
o update theuested that
PCC18/01
Page 2 of 4
,
at a
s.
y
e
AF
PFIN
9.
10
rimary Care CoINAL V1.0 HS Classifed
Comm
. Clinic
This isignppractiprovidof Sethis tofinancfurthedevel The c With tthe trafeedbpractiimpleClinic
0. Any O
EM/JWthey rNewtodiscuThereensur Futurafterngood
mmittee Minute
mittee agree
cal Admin
s ring fenceposting trainices. Three der B was trvices will no be able tocial year aner READ coop the Dire
committee a
the READ caining has b
back is gathice first. It w
emented sigcal hours. AOther Busi
We are meeretain the mon Leys whssions as to
e has been re sustainab
re meetings noon but to attendance
es 10 January 20
ed and upd
Training
ed money thing and REcompanieshe preferred
need to be uo roll out in Pd if there is
ode training ectory of Se
agreed with
code traininbeen compered by pra
would be menposting aldvise Healtness
eting with Mmoney rathehere they wio whether itan indicatiobility within
- Committeensure it do
e.
018
ate at next
hrough the EAD code tras came in tod bidder. Thup to date aPrimary Car money leftdue to staffrvices.
provider B.
g, Insight Sleted for the
actices PPGeasured betready and tthwatch that
Milton Keyner than givinll not be but can be useon from the primary car
ee agreed tooes not clas
meeting.
GPFV. It is aining this i
o present tohey are the and there wre. The mont over there f turnover a
.
Solutions see staff to fill
Gs but it neetter by outcthey have nt this trainin
es Council ng it to the Cuilding a praed it for worCouncil tha
re. EM to fe
o monthly msh with othe
for care nas already b the Practicleast expen
ill need to bney needs tare practic
and money m
end JWe thein. A sugge
eds to be imomes, Waln
noticed that ng is comme
regarding SCCG. Thereactice so workforce, traiat they are keed back at
meetings oner external m
avigation traeing rolled
ce Managersnsive but ou
be work comto be spent es that still may be nee
e feedback festion was m
mbedded intnut Tree havthey have gencing.
Section 106 is money f
ould like to sning, develokeen for it tothe next me
n a Wednesmeetings to
aining, out in
rs and ur Directory
mpleted on this would like
eded to be
forms oncemade that to the ve gained
money as from start opment etco be used toeeting.
sday o allow a
PCC18/01
Page 3 of 4
AF
y
AF
. o
EM
Primary Care ComFINAL V1.0 NHS Classifed
Action
1. K2. J3. G4. F5. E6. J7. I
f8. D
a9. H10. H
f11. A12. E13. A14. E15. C16. S
mmittee Minutes 10 Ja
Log
KO’S to ensure JW will chase thGPFV schemes Further work to EM to incorporaJW to provide aIt was discussedfurther areas thaDr Nicola Smith acknowledge theHJ to provide thHJ to catch up wfinancial year foAlexia Stenning E-ConsultationsAF to update theE-ConsultationsClinical Admin TSection 106 mee
anuary 2018
resources for dehe other 8 practic
that are complebe carried out fo
ate PMS plus andGPFV Highlight
d that an additioat are being worwill promote thee teething issuee PCC visibility
with Dr Nessan Cr the workforce to draft a letter
s - Janine to infoe committee with
s – Update at theTraining - Adviseeting with the Co
elegation is addeces for the signeete need to be aor PMS reinvestd enhanced servt Report update nal report could
rked on e.g. Come Consultant Cos that are beingon this piece of Carson and Ednbid to escalate the Prm Alex that GPh NHSE framewe next meeting e Healthwatch thouncil - Edna to
ed as a standinged copies of theirchived on the Gment and Commvices within the at the next meebe produced fo
mmissioning Intennect service at addressed work and advise
na Muraya as the
PCSE issues to Ps need to be invwork for e-consul
hat this training ifeed back at the
P
g agenda item ir constitution GPFV plan missioning Intentbudgets
eting r the PCC which
entions. t the next PLT b
ed of the use of ere will be a cha
NHSE volved in the choltation
s commencinge next meeting
Page 4 of 4
tions for 18/19
h includes
ut to also
these funds ance to bid next
oice of provider
D
KO’S 2JW 2KO’S 2AS/JWe 2EM 2JWe 1AS/JWe 1
NS 1
HJ 1HJ 1
AS 1JWe 1AF 1AF 1AF 1EM 1
Date O
28/6/17 C28/6/17 C28/6/17 C28/6/17 C28/6/17 C19/9/17 C19/9/17 C
19/9/17 C
19/9/17 C19/9/17 C
19/9/17 C10/01/18 10/01/18 10/01/18 10/01/18 10/01/18
PCC18
Outcome
Completed CompletedCompletedCompletedCompletedCompletedCompleted
Completed
Completed Completed
Completed
/01
MKCCG Delegated Commissioning Finance Report
December 2017
By Edna MurayaSenior Finance Manager
PCC18/02
KEY MESSAGES ON THE BUDGET
The budget for 17/18 for delegated commissioning is £32.205M. At Month 9 the budget was underspent by £524K and forecast to be underspend by £572K.
This underspend partly relates to an uncommitted contingency reserve of £379K . This is phased equally in the budget with no actual spend currently forecast.
In its 17/18 financial and operating plan the CCG held back 1.0% of its allocation to meet future Transformational costs. This totalled to £327K
The areas that are underspending are:Global sum is underspent more year to date than the forecast due to the phasing of the plan as there are patient population growth is reflected in the last two quarters of the year.
Minor surgery, rent and extended hours are lower than planned. We have received the updated claims from NHSE and adjusted the actual spend and forecast based on this latest data.
MPIG underspend is growing as anticipated as it is being phased out and so are the seniority payments which are projected to be going down year on year.
DELEGATED COMMISSIONING FINANCE REPORT- DEC 2017
PCC18/02
Business Rates expenditure was planned at 16/17 levels however post national rates rebate exercise are now being reflected in 17-18 hence an underspend of £64K YTD and forecast at £86K.
The areas that are overspending are as follows:
Indemnity Insurance will overspend as its based on population size at 51.6p per patient. We are still awaiting direction from NHSE but this will be paid at the end of the financial year.
The maternity and sickness payments are currently overspent based on the information we have and are awaiting NHSE to send the claims that have been put forward by practices.
QOF achievement for 16/17 indicated an increase from the achievement level in 15/16 on which the 16/17 budget was based. Therefore a £140K YTD overspend exists and is forecast to overspend by £266K for the year 2017-18
DELEGATED COMMISSIONING FINANCE REPORT-NOV 2017 (cont’d)
PCC18/02
Service Budget 2017‐18Sum of YTD Budget
Sum of YTD Actual
Sum of YTD Variance
Sum of Forecast Variance
APMS ContractAPMS Contract 1,657,056 1,221,894 1,243,686 21,792 1,673,530 16,474Sub total 1,657,056 1,221,894 1,243,686 21,792 1,673,530 16,474CorpOther‐Indem Insurance 135,204 101,403 111,507 10,104 148,676 13,472Other‐Corp 95,872 71,904 47,110 ‐24,794 15,642 ‐80,230 Caretaking Fees 28,500 28,500 28,500 0 28,500 0Sterile Services 32,060 24,045 0 ‐24,045 47,172 15,112Sub total 291,636 225,852 187,117 ‐38,735 239,990 ‐51,646 EHSExtended Hrs 449,724 337,293 282,773 ‐54,520 377,030 ‐72,693 Learning Dis 33,192 24,894 21,576 ‐3,318 28,768 ‐4,424 Minor Surg 357,708 268,281 217,530 ‐50,751 289,392 ‐68,316 Violent Patients 54,000 40,500 40,500 0 54,000 0Sub total 894,624 670,968 562,379 ‐108,589 749,190 ‐145,434 GMS ContractGlobal Sum 20,337,336 15,266,775 15,056,103 ‐210,673 20,154,375 ‐182,961 MPIG 254,976 191,232 150,173 ‐41,059 202,278 ‐52,698 Sub total 20,592,312 15,458,007 15,206,276 ‐251,731 20,356,653 ‐235,659 PCOMat Leave 152,124 114,093 115,745 1,652 159,630 7,506PCO‐Other 20,004 15,003 0 ‐15,003 0 ‐20,004 Seniority 378,528 283,896 263,369 ‐20,527 351,159 ‐27,369 sickness 50,064 37,548 63,149 25,601 70,084 20,020Susp Drs 0 0 0Sub total 600,720 450,540 442,263 ‐8,277 580,872 ‐19,847 PMS ContractFDR 944,088 708,066 708,068 2 944,091 3PMS Reviews CCG 472,044 354,033 354,034 1 472,045 1Sub total 1,416,132 1,062,099 1,062,102 3 1,416,136 4PremisesActual rent 2,812,812 2,109,609 2,064,187 ‐45,422 2,754,482 ‐58,330 Clin Waste 188,400 141,300 141,298 ‐2 188,397 ‐3 Water 23,676 17,757 17,755 ‐2 23,673 ‐3 CQC Fees 0 104,708 104,708 136,650 136,650PIG 0 0 0 0Rates 462,348 346,761 282,530 ‐64,230 376,707 ‐85,640 Sub total 3,487,236 2,615,427 2,610,477 ‐4,950 3,479,909 ‐7,326 Presc/DispDisp 0 0 0 0 0Presc 223,980 167,985 167,985 ‐0 194,582 ‐29,398 Sub total 223,980 167,985 167,985 ‐0 194,582 ‐29,398 QOF 0ach 798,648 0 0 0 884,495 85,847Asp 1,863,516 1,397,637 1,537,713 140,076 2,043,817 180,301Sub total 2,662,164 1,397,637 1,537,713 140,076 2,928,313 266,148OtherVoluntary levy deductions 0 0 0 0Trade waste 0 0 11,210 11,210 13,664 13,664Sub total 0 0 11,210 11,210 13,664 13,664Total 31,825,859 23,270,408 23,031,208 ‐478,400 31,632,839 ‐193,020Contingency 379152 284,364 0 ‐284,364 0 ‐379,152Grand Total 32,205,011 23,554,772 23,031,208 ‐523,564 31,632,839 ‐572,172
PCC18/02
Recommendations
Primary Care Committee is asked to note the content of this finance report.
Other primary care budgets.
Year to Date ‐ Month 09 Forecast Outturn
Annual Plan Budget Actual Variance RAG Forecast Variance RAG£000 £000 £000 £000 % Rating £000 £000 % Rating
GP Delegated Commissioning 32,205 23,555 23,031 ‐524 ‐2.2% G 31,633 ‐572 ‐1.8% G1% Transformation Fund NHSE (GP Alloc) 327 245 0 ‐245 ‐100.0% G 0 ‐327 ‐100.0% GLocal Enhanced Services 1,587 1,190 910 ‐281 ‐23.6% G 1,199 ‐388 ‐24.5% GPMS Plus Contract 380 285 285 0 ‐0.2% G 380 ‐1 ‐0.2% GSupport to GP Practices (£3/head) 430 0 0 0 0.0% G 0 ‐430 ‐100.0% GGP Forward View 1,373 992 1,179 187 18.8% R 1,642 269 19.6% RCommissioning Schemes for over 75s 0 0 ‐187 ‐187 0.0% G ‐270 ‐270 0.0% G111 Service 734 581 614 33 5.6% R 802 68 9.3% ROther Commissioning Schemes 143 107 81 ‐26 ‐24.7% G 111 ‐32 ‐22.1% GUrgent Care Contract 3,305 2,431 2,217 ‐214 ‐8.8% G 3,014 ‐291 ‐8.8% GTOTAL PRIMARY CARE 40,484 29,387 28,129 ‐1,258 ‐4.3% G 38,511 ‐1,972 ‐4.9% G
PCC18/02
Subject: Meeting: Date of M Report of 1. SUMM The GPFVavailable v The fund clinical coassociatesupport thsystems abackfill of support. This fund consultatiof clinicianLuton and
2. UPDA
The
On
pro
Fun
Alth
use
Meeting:
f:
MARY
V has idenvia the De
is to be usonsultation d with an a
he total proand to suppstaff time,
will providon types. Bns’ time. Td Milton Ke
ATE
e formal F
n Thursdayocurement
o The Din its fr
o To decdocum
o NHS Ecall sc
nding has
hough the ed to purch
GP Forwa
Primary C
6 Februa
Alex Frie
tified fundipartment o
sed towardwith their
annual liceoject costs,port the int engagem
e a significBenefits w
The intentioeynes Sust
unding Tem
y 25 Januateam. Theynamic Puramework.cide on a p
mentation aEngland wicheduled fo
now been
funding fohase the sa
ard View (
Care Com
ry 2018
nd
ing for ‘onlof Health.
s the costsGP practic
ence for a h, including troduction ent with pa
cant contribill include i
on is to utilitainable Tr
mplate wa
ry Alex Friey explaineurchasing S Of which
preferred pand procesll support t
or Tuesday
released t
or the Projeame Provid
(GPFV) On
mmittee
line consul
s of providice online. hosted sertowards thof the newatients or p
bution to thimproving ise a proviransformat
s submitte
end received Solution (Done will be
provider thess advice) the STP asy 30 Janua
to individua
ect has beeder solutio
nline Cons
ltations’. T
ing patientThe fund wvice on a phe cost of s
w way of woprovision o
he move toaccess forder/IT solution Progra
ed to NHS
ved a call f
DPS) now he our STPse STP will by NHS Ens of this we
ary 2018.
al CCGs
en issued ton across t
sultations
his is ring f
ts with the will cover aper-patientservices ororking, for
of project m
owards pror patients aution acrosamme.
England on
rom the NH
has 6 apprs preferredbe fully sungland eek with an
to individuahe STP
Page
s
fenced and
facility to ca purchaset basis. Fur software example t
manageme
oviding newand makingss the Bedf
n 8 Decem
HS Englan
roved suppd provider upported (w
n initial con
al CCGs, i
e 1 of 2
d is made
conduct a e cost nding will for online hrough nt
w g best use ford,
mber 2017.
nd
pliers with
with
nference
t will be
PCC 18/03
The
Sta
therefi
Co
3. RECO The comm
ere has beo Milton o Bedforo Luton
akeholder me specificatined by wo
ontract awa
OMMENDA
mittee is kin
een a very Keynes C
rd CCG – CCG – 4 p
meetings htion requireorking with
ard to the p
ATION
ndly reque
encouragiCCG – 8 pra12 practicepractices
have been ements. Wthe above
preferred p
ested to rea
ng responactices es
ongoing. IWork begane practices
provider wil
ad and com
se for Pha
In particulan on this in
(and Heal
ll be issued
mment on t
se 1 ‘expre
ar there wilsummer 2thwatch) in
d by 31st M
the docum
Page
essions of
ll now be a2017 and thn the comi
March 2018
ment as app
e 2 of 2
interest’.
a focus on his will be ng weeks.
8
propriate.
PCC 18/03
top related