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7. Sheffield CQC Inspections CQC have informed the CCG that Practice inspections will take place between April – June 2015 8. Practice Manager’s Forum Due to the pressure and workload on Primary Care managers, a city wide manager’s forum is to be set up Date and time for next meeting: Tuesday 9.00am, 24 February, Dovercourt Surgery

2

 

 

 

HHALLLAM ANNDD SSOOUTTHH CCOOMMISSSIOONNINNGG LLOOCAALLITTY

Loocaal EExeecuutivve Grrouup (LEEGG) MMeetingg

Thursddayy 115 JJannuaryy 22015 aat CCharnnock Heeallth Ceenttree 2--4ppm

Minuutess PParrt AA

MMemmbeerss: DDr CC HHeaatleey ((Chhaiir) MMs H Caawtthoornee Dr A MccGintyy Dr S Daaviddsoon, MMr GG OOsbborrne, MMrs J CCooakkleyy, MMrss MM Smitth, MMrs J HHoskiin, Ms LL BButler,, Dr MM BBoyyle

Atttendiingg MMs LL LLidddamment CCCG

Apologgiess: DDr G WWooodd, MMrss SS Nutbbrowwnn

Notee taakeer: SSussann Listeer

Declaraatioon of Inttereestts –– NNonne iin cconnflicct wwith the Aggenndaa

MMinuutees oof laastt mmeeetin g NNovv -aaccceppteed aas a truee reefleectionn off prrocceeedinngss.

Thhe LEEG weelccommeed tthee reetuurn off Dr HHeaatleey froom his wwork for thhe Ebbolla ccrississ inn Sierrra Leeonne.

1..Reevieww off LLoccaliitiees ((HAASSL aandd thee LEEGG)

MMs CCawwthhorrnee circuulattedd thhe rrevvieww ppapperr, wwhicch waas tthee finnal veersionn foolloowinng appprrovval at thee CCCGG AAppproovaals Grooup. Discuusssion took pplacce abbouut its immppacct oon thhe HHAAS LLoccallity annd LEG. It wwaas aagrreeed tthaat thhe neew CCittywwidee LLoccalitty GGrooupp hhadd a pivotal role iin tthee ovverrall syysteemm, thhatt thhe LLEGG mmust remmain infllueentiial (if not inncreeasse itss innfluuenncee), aandd thhatt thheree mmusst bbe a leveel oof sscrrutiny annd cchaalleengge at Locallityy leevel onn thhe immpaact to patie ntss annd praactticees of deccissionns mmaadee att thhe CCCCG.. It waas also aggreed that thiss ppapper proviideed cclarityy onn thhe LEEG’s ccommmmisssiooninng role. Mrr OOsbornne advissedd thhat praactticees wweere awwarre tthat changees aree too hhapppeen aandd thhatt thheyy wooulld bbe mooree innvoolveed iin tthee coommmissiionningg aspeectt.

Dr HHeaatleey rrepporttedd thhat thee “55 YYeaar RRevvieew” invvollveed bbig chhanngees ffor Prrimaryy CCaree. Thhe LEEG maay neeedd too bee mmorre ffoccussedd oon tthee coommmuunity agendda. MMs Caawtthoornee asskeed if thhe 200133/200144 HHASS LLoccality Plaan should bbe uppdaatedd too taakee innto acccoounnt soome oof tthe prropposed loccall chhanngees, annd tthee naatioonaal eemergging ttheemees in oordder to prrovvidee thhe LEEG witth cclear aimms annd oobjjecctives forr immprrovvingg thhe heealth oof itts poopuulaation wwithhin the SSheeffieldd health annd ssoccial caaree ecconnommyy. DDr HHeaatleey

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suggested that the LEG should invite Jason Horsley, Public Health Consultant, - and Susan Hird, to a future meeting. Dr Heatley will also approach Julia Newton, Head of Finance at the CCG, to produce the budget for HASL for the coming financial year.

Action – Ms Cawthorne will update the 2013/2014 plan and circulate to the LEG for their comments by April 2015

Action – Dr Heatley to request budget for 2015/2016. Action – Ms Cawthorne to meet with Jason Horsley

2. Review of Governing Body.

Ms Cawthorne attended this meeting and advised that there is new Guidance for the management of Conflict of Interests. Ian Atkinson, the CCG Accountable Officer for, has announced that he will be leaving the organisation at the end of March 20154. A successor is to be appointed. She reported that the Care Planning funds were being under utilised at the moment, Mr Osborne agreed to follow this up to see if there is an issues for HAS practices.. Sheffield City Council had stringent budget cuts to make and was working closely with the CCG around Adult Social Care.

Action – Ms Cawthorne to circulate powerpoint presentation from this meeting to the LEG.

3.Feedback Clinical Council.

Dr Heatley felt that the meeting had been well received. The presentation by Mrs Cleary and Dr Livesey had culminated in the HAS locality agreeing to a co-commissioning level 1. The presentation by Dr Pratt was also very well received. There is to be an extra Clinical Council on the 12th Feb which will be solely around QIS (Quality Incentive Scheme). Plans for the future meetings in Mar and May were discussed and it was agreed that we should ask practices what topics they would like to see on the agenda. Plus the clinical speakers suggested by Dr Davidson, Ms Hoskin and Dr Boyle.

4.FURS (Freed Up Resources) Update

Mr Osborne reported that the Medicine Optimisation scheme was not being used by many practices and he is to send out further information on how to use the scheme. It was agreed during the meeting that the funding available to practices would continue into April 2015, and he will inform practices of this. This will incorporate any ongoing appointments made in March.

Action – Mr G Osborne

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5.Items proposed for City-Wide Locality Group

Ms Cawthorne had attended the meeting and suggested that an update from this should be a standing item on the LEG agenda. The group plan to meet twice a month. Dr McGinty informed the group that the community nursing contract is to be considered as a future agenda item for this group. This was welcomed as it is considered to be a priority issue. Mr Osborne informed the LEG that Bladder diaries are to be funded by North Locality and this should also be discussed by the group.

6.Supporting Practices with Low CQC (Quality Care Commission) banding.

Mr Osborne and Mrs Coakley had sent out updates on the changes to CQC and also spoken and given support to the practices concerned. The LEG felt that this subject and its concerns should be on the agenda for the City-Wide Locality group.

7.Practice Nurse Update

Mrs Hoskin stated that the learning sets were two thirds of the way through but with a high fall out rate. She had revisited the aims and objectives of the sets and 2 nurses have re-joined.

8.HCA Training FURS

Mrs Hoskin reported this was ongoing and that the funds should be utilised by the end of March. A lot of practices were not claiming backfill monies when the nurses were at the training. Mrs Lister is to inform Mrs Hoskin on which practices have claimed.

Action – Mrs Lister

9.UTI/urinanalysis project.

Dr Boyle is continuing to work with the Microbiology Unit to review activity in care homes.. The process requires changes and training in order to improve the benefit to patients. Dr Boyle is to liaise with Mrs Hoskin to address this subject at the nurses meeting.

10.Response to National Review of Asthma Deaths paper.

Dr Boyle reported that there was a significant increase in asthma deaths and that nursing was pivotal in order to reduce this. Dr Boyle is to work on this concern.

11.Lost Chord

Dr Boyle is a volunteer with this music charity. They play to dementia patients in care homes. Dr Boyle felt that this charity could be utilised more. The cost to the care home is £50 and the charity donates another £150.

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12. AOB

Mr Osborne raised the question regarding Mrs Nutbrown's position on the LEG now that she had retired from Mosborough Practice. The LEG agreed that she should be a co-opted member on the LEG from now on.

Mr Osborne also reported that many practice managers across the city were experiencing high levels of stress and needed support. Mrs Coakley stated that in the HASL group of practices support came from within the GPA groups.

Practice Visits – these are to continue with Dr Heatley and Ms Cawthorne.

DONM 19th Feb 2-4pm at Charnock Health.

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