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MINUTES

Meeting: Stevenage Locality Commissioning Meeting

Date: 8th November 2016, 12.30-2.30

Venue: BTC (Business & Technology Centre)

Attendee Organisation Present

1. Dr Russell Hall (Chair) (RH) GP Chells Way Surgery

2. Michelle Myers (MM) PM Chells Way Surgery

3. Dave Myers (DM) Chells Way Surgery

4. Helen Ellis (HE) Chells Way Surgery – Locality support Analyst

5. Teresa Sutherill (TS) Chells Way Surgery

6. Sanora Headington Chells Way Surgery

7. Mary Bishop (MPB) PM Stanmore Medical Group

8. Susan Lincoln (SL) PM Canterbury Way

9. Dr Rabia Osman (RO) GP St Nicholas

10. Mark Banks (MB) PM King George Surgery

11. Dr Vishen Ramkisson (VR) GP King George Surgery

12. Dr Rini Saha (RS) GP King George Surgery

13. Fiona Lucas (FL) Symonds Green

14. Elaine Cook (EC) PM Bedwell Medical Centre

15. Allison Seymour (ALS) PM Bedwell Medical Centre

16. Dr P Raveendran (PR) GP Bedwell Medical Centre

17. Sandra Copping (SC) PM Manor House

18. Dr M Duggan (MD) GP Manor House

19. Dr Nikhil Vaghela Manor House

20. Manjit Phugura (MP) PM Shephall Way Surgery

21. Dr Andrew Cormack (ACO) GP Shephall Way Surgery

22. Noreen Coles (NC) Deputy Chief Finance Officer CCG

23. Helen Edmondson (HED) AD CCG

24. Deena Keefe(DK) Locality Manager CCG

25. Mary – Anne Gregory (MAG) HCT

26. Sara Kumari (SK) Locality Team Administrator , ENHCCG

27. Cindy Howard Herts Stop Smoking service

28. Harper Brown Director Commissioning , ENHCCG

29. Dr Masood GP Symonds Green Apologies

30. Sharn Elton (SE) Director Operations and Resilience CCG Apologies

31. Dr Prag Moodley (Chair) (PM) GP Stanmore Medical Group Apologies

32. Maxine Davis(MD) Senior Pharmaceutical Advisor ENHCCG Apologies

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1. Apologies and Introductions Apologies were received from the following members before the meeting:

Sharn Elton (SE)

Dr Prag Moodley (Chair) (PM)

Maxine Davis(MD) Declarations of Interest DK updated everyone on the new procedures with effect from the December meeting: Currently the Leads clarify if anyone has any changes that they need to declare, and any incorrectly completed forms are distributed. Governing Body has implemented a new process following a recommendation from an Internal Audit, and this same process will be followed in Locality meetings. From now on the Locality Meeting Pack will include the Register of Interest, all Practice Representatives will review their entry and confirm that the register is up to date, this will need to recorded in the minutes each time for an audit trail. The overall effect will be that there will be less paperwork, there will be no need to ask the Practice Representatives to complete a new form every 6 months.

2. Action notes from previous meeting & matters arising not on the agenda Minutes from the previous meeting 11th October 2016 were agreed as true and accurate record.

Action log update - see updated actions log on page 6.

Matter arising – none discussed.

3. Finance (Paper attached) NC updated the locality on Month 4 finance and following key points were noted.

Apologies for not having month 5 report Advised that Stevenage position has slightly improved

Main overspent is at E&N Herts Trust mainly due to on-going coding issues, 60% increase in spend has been challenged by the CCG.

Figures for Non elective are steady

Outpatients referrals are up across the whole CCG

Query was raised about who is looking at the data around coding errors and accuracy which has been identified by Helen Ellis ie: coding as Paediatric when it was a 40year old patient, another being charged for beds for patients who had died. Confirmed that the reports had been sent to Jo Heeney. The locality confirmed that they have data from 1st August. Any issues should also be reported to the GP Hotline. NC requested a copy of report.

Action – Helen Ellis to send a copy of data analysis report to NC

4. HCT/Rapid Response MAG updated the group:

Rapid Response service is running well, Locality was asked if there are any issues around Rapid Response service, Practices were encouraged to inform them directly as they occurred.

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ST will send a Rapid Response report out monthly

It was confirmed that HomeFirst was not a pilot but a phased launch, practices can start to refer in to the service.

Recruitment is still an on-going issue, 2 OTs have been recruited and will start in January.

Carrying out and Audit on blocked catheters.

Locality was reminded that the Patients can be referred electronically, GPs need to identify the patients then refer, the team will manage and then discharge, also discuss these patients at MDTs.

There are 4 CPNs for the area each with a case load of 40-50 patients.

ST has contacted all the practices to visit and discuss the list of patients that need to be contacted by the practice. So far only a few have been visited, ST to contact practices again.

Action - ST will send a Rapid Response report out monthly to the locality

5. Long Term Conditions – LTC Locality was reminded about the respiratory session which will be held on 17th November, between 8.30am to 11.30am in the locality.

6. Prescribing (email attached) RS reported on behalf of MD

August position for the locality is slightly higher forecast overspend £137k, this reflects an increase in spend across CCG.

Reported 70-80% attendance on 1st October

Antibiotics confirmed that 4 practices in the locality have not met their target and therefore not met the QP targets.

There are some useful webinar sessions on antibiotics, will email the details to all practices.

More self-care paperwork will be provided, to aid the clinicians in explaining to patients why antibiotics are not needed.

Care Homes – Pharmacy team are in St Martins Home, supporting and educating regarding scripts and un-necessary medicines etc, there has been various changes already and a good result so far.

Canterbury way is showing as an outlier for Winter prescriptions, however, this is due to the Winter Pressures scheme running from there for last year for the locality.

7. Mental Health Item deferred, however there was a query around the Mental Health Strategy – to be discussed with PM.

8. Quality Premium (QP) update Nothing to discuss

9. Xc Consolidated Funding Framework (CFF)

Query was raised regarding the funding availability for 2017-20 as locality is still unclear about the CFF financial situation.

Concerns were raised that if the £10.10 is not available in the future, practices need to know for funding of future planning and resources. HB confirmed that the £2.10 funding this year was for the planning of 2017-2020, plan should reflect on how the locality is planning on spending the £10.10, the affect it will have on the relevant areas and how it will make an impact. Identify new services that will affect the reduction in A&E

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attendances and admission rates.

Discussion took place with HB regarding the future funding of CFF. HB advised that Governing Body will be discussing CFF at the next meeting on Thursday 10th November.

The Localities have to the end of December (6 to 8 weeks) to develop the plan further and present it to the Governing Body.

Action - The Localities have to the end of December (6 to 8 weeks) to develop the plan further and present it to the Governing Body.

10. Patient Participation group – Update Item deferred

11. S Stop Smoking (Moved forward on the agenda) Cindy Howard Stop Smoking Specialist, Hertfordshire Stop Smoking Service reported:

Overall locality referrals decreasing because maybe significant numbers taking e-smoking

Locality is at 45% of the target

Brief intervention training for receptionist, HCA – offer to practices, contact CH.

Currently working with 3 elderly frail operations

Team happy to support anyone who is trying to quit smoking using e-cigarettes

Prescribing cost 12 week program £187 in Stevenage

Home visit can be provided to patients who can’t attend clinics or pregnant patients

Stevenage has slightly high prevalence smoking rate

Practices were encouraged to refer any pregnant women who are smokers

Query was raised on how to contact the service.

Action – DK to circulate the information of Stop Smoking service to practices, including the Intervention training details.

12. AOB

AOB

Winter Resilience/Flu - MB updated on the joint Flu meetings with the pharmacists first meeting was on 12th October and the next meeting is on 17th November, 7:30pm at Kings George surgery with the pharmacists.

Immform – MB confirmed that an email will be sent to all practices for consent to share their practice data with the locality. Immform will not give MB access until that is done, so cannot see the locality performance. Concerns were raised at the meeting about data being incorrect.

Co-Commissioning - An email will be sent out to all the practices with the updates. Practices were reminded to participate in voting for Joint or Delegated Commissioning

Terms of Reference - Terms of reference document was discussed and reviewed. This will be finalised via email.

GP Front Door at A&E – discussed the payments of the scheme and also the prescribing of the medicines.

Minor Injuries LES – MPB requested that the Locality were allowed to carry out a 6 month pilot for Minor Injuries and the data was submitted to RP to produce a report. Is the evaluation ready and could it be shared. DK to look for the report and liaise with HE.

Action - Minor Injures LES evaluation report, DK to look for the report and liaise with HE. Action – DK to send the TOR document to all via email and agree virtually.

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Diabetic Retinal screening – One of the practices raised that the department finds that a patient has cataracts and then they refer the patient back to the GP, the service should be able to refer onward, which would save a lot of work all round for the clinicians and the patient and be offer better patient care.

Cervical Cytology – Issues regarding the feedback from Capita to practices and delays, the service is not offering the same as before.

St Nicholas update – discussions are progressing regarding the transfer with Stanmore Medical group, hopefully will be finalised by the end of December. NHSE and CCG involved in discussions.

My Care – David Hodgson (CCG) to be invited to the December meeting for an update. Clarification is needed regarding consent and also what the contact numbers are for patients if they have any queries.

CCF Event 24th November 2016 – reminder that the event is for Clinicians and Practice Managers, HUC cover will not be provided as it is during the lunch period, if all practices can send representatives.

Locality Nurse Lead - one of the practices mentioned that currently there is not a named Nurse Lead for the locality, one of the nurses has stepped in. We need to formalise this role and maybe advertise etc. DK to look into the process.

Action: Nurse Lead DK to look into the process of recruiting to the role previously and advise the Locality. Action – DK to add My Care to the December Locality agenda and invite David Hodgson.

Lister e-referrals – urgent referrals need to be faxed at the moment as they have not given a new email address for these to be sent.

NHS Choices – one of the practices reported that NHS Choices no longer send an email to let you know that a comment has been added for the practice. Practices need to remember to check and respond to the comments.

Map of Medicine (MoM)– as part of the CFF support and education; each GP in the practice has to review 3 separate pathways covering priority areas and contribute with comments and reflections. Feedback from the locality was that they could not access MoM and therefore it would be unfair to be penalised for this area. Canterbury way, Bedwell and King George surgery reported that they are experiencing issues. HE will follow this with the Associate Director responsible for MoM. Templates had been emailed to practices to assist with this a few weeks ago, so that the pathways could still be reviewed.

Action – HE to follow up with AD responsible for MoM.

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ACTIONS Person

Responsible

DATE

1) EB to answer FAQs before sending out GP data packs

to all practices.

EB ASAP

2) NC to give breakdown of non-tariff figures to SC NC In progress

3) RP to chase practices for feedback on Minor injuries

performance.

RP In progress -HED

reported that

collected, need to

report at next

meeting.

4) RH to report back to SE and agree a start date for the Pilot of the Collaborative hub.

RH In progress

5) ST to contact practice managers to talk about Rapid

Response next steps and implement case

management.

ST Ongoing

6) HED/DK to feedback to CCG finance team regarding the process of Over 75s claim. DK to chase finance

HED/DK In progress

7) HED/DK should look into how productive the PCG group meetings are and what tasks the PCG can be involved in.

HED/DK In progress

31.12.16

8) HED to ask Laura Moore at the CCG to link up with HE re breakdown of coding to ensure that they are aware of what is being picked up and Contract conversations reflect this.

HED/DK In progress, Laura

has made contact

and needs to set a

meeting date with

DK

30.11.16

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9) HED/DK to speak to TS/CF and to liaise with Dr Ravi re the Desmond referral issues

HED/DK In progress, CF

dealing with it,

hopefully no more

issues?

08.11.16

10) HED to contact the TPP Lister Team about the 2 Phlebotomy issues, also check what was commissioned and the numbers of contacts. Query raised about where are we with the progress in

finding new contractor for TPP. It was informed that

two other providers are being looked at. Adenbrooks

has been asking if they can provide the service, the

contract is still for 2years. Block contract was signed 2

weeks ago for TPP, It was informed that a meeting has

been setup with the chief executive of TPP.

HED/DK 31.12.16

In progress

11) HED to contact the Refugee Council and the practices involved and discuss the issues of Refugee family and additional support and funding for practices taking part.

HED 31.12.16

Ongoing – working

with PS

12) DK to arrange for Anna Cassums to attend a future locality meeting and discuss the Hotline.

DK 25.11.16 to attend

Dec meeting booked

13) Helen Ellis to send a copy of data analysis report to NC HE asap

14) ST will send a Rapid Response report out monthly to the locality

ST monthly

15) The Localities have to the end of December (6 to 8 weeks) to develop the plan further and present it to the Governing Body.

MB/SL/MPB/

RH/PM

31st Dec

16) DK to circulate the information of Stop Smoking service to practices, including the Intervention training details.

DK Emailed practices

after the meeting

completed - Nov 16

17) Minor Injures LES evaluation report, DK to look for the report and liaise with HE.

DK/HE asap

18) DK to send the TOR document to all via email and agree virtually.

DK/All End of December

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19) Nurse Lead DK to look into the process of recruiting to the role previously and advise the Locality.

DK asap

20) DK to add My Care to the December Locality agenda and invite David Hodgson.

DK 13.12.16

21) HE to follow up with AD responsible for MoM and the issues with accessing the system.

HE asap

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MINUTES

Meeting: Stevenage Locality Commissioning Meeting

Date: 13th December 2016, 12:30-2:30

Venue: Cromwell Hotel, High Street, Old Town, Stevenage, SG1 3AZ.

Attendee Organisation Present

1. Dr Russell Hall (Chair) (RH) GP Chells Way Surgery Y

2. Michelle Myers (MM) PM Chells Way Surgery Y

3. Teresa Sutherill (TS) Chells Way Surgery Y

4. Helen Ellis Locality Information Support Officer Apologies

5. Mary Bishop (MPB) PM Stanmore Medical Group Y

6. Susan Lincoln (SL) PM Stanmore Medical Group Y

7. Dr Imon Chakraborty GP Stanmore Medical Group/LTC Lead Y

8. Dr Rabia Osman (RO) GP St Nicholas Apologies

9. Stephen Murphy PM St Nicholas Apologies

10. Mark Banks (MB) PM King George Surgery Y

11. Dr Vishen Ramkisson (VR) GP King George Surgery Y

12. Dr Rini Saha (RS) GP King George Surgery Y

13. Fiona Lucas (FL) Symonds Green Y

14. Elaine Cook (EC) PM Bedwell Medical Centre Y

15. Allison Seymour (ALS) PM Bedwell Medical Centre Y

16. Dr P Raveendran (PR) GP Bedwell Medical Centre Apologies

17. Dr Alison Holt GP Bedwell Medical Centre Y

18. Sandra Copping (SC) PM Manor House Y

19. Dr M Duggan (MD) GP Manor House Y

20. Karen Smith (KS) Nurse Manor House Y

21. Manjit Phugura (MP) PM Shephall Way Surgery Apologies

22. Noreen Coles (NC) Deputy Chief Finance Officer CCG Y

23. Helen Edmondson (HED) AD CCG Apologies

24. Deena Keefe(DK) Locality Manager CCG Y

25. Mary – Anne Gregory (MAG) HCT Y

26. Dr Amy St John ? Y

27. Sabina Tai (ST) HomeFirst & Rapid Response Project Manager Apologies

28. Sara Kumari (SK) Locality Team Administrator , ENHCCG Apologies

29. Dr Masood GP Symonds Green Y

30. Sharn Elton (SE) Director Operations and Resilience CCG Y

31. Dr Prag Moodley (Chair) (PM) GP Stanmore Medical Group Apologies

32. Maxine Davis(MD) Senior Pharmaceutical Advisor ENHCCG Apologies

33. David Hodson My Care Record Programme Lead,CCG Y

34. Rachel Cowley Primary Care Customer Relations Manager, E&N Herts Trust

Y

35. Jamie Archer Project Manager, CCG Y

36. Marie Barnes Primary Care Implementation & Utilisation Y

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Lead, Hertfordshire, Bedfordshire and Luton

ICT Services

1. Apologies and Introductions Apologies were noted. Declarations of Interest – none declared.

2. Action notes from previous meeting & matters arising not on the agenda Minutes from the previous meeting 8th November 2016 were agreed as true and accurate

record.

Action log update - see updated actions log.

Matter arising – none discussed.

3. Finance (Paper attached) NC updated the locality on Month 6 finance and following key points were noted.

Mediation meeting held last week with the trust, regarding the increase by £1m for activity counting and coding difference, and other matters. Matter not resolved and another meeting being held today at 4pm.

Locality overspend of £997K.

Main overspend is Acute Commissioning of £1,231k, reflecting overspend against the East and North Herts Trust.

Ongoing problem with coding at E&N Herts trust and over inflated unit prices.

4. HCT/Rapid Response (see Presentation) MAG updated the group:

All practice Case Management Visits carried out

ST will send out the reports soon

Referrals are increasing to the service, so all are using the service.

There are some issues with the Social Care due to lack of staff.

5. Long Term Conditions – LTC Respiratory Consultant Session

Good feedback was received regarding the Consultant Respiratory session on 17th November.

The timings of this session was not ideal, KS will look at this for future events with the team.

Reminder that a consultant is available for telephone consultations with the clinicians, bookable slots are available.

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Diabetes

See email dated 24th November from Charlotte Farraway

National Diabetes Prevention Programme is underway with referrals going live Oct 16.

Refer patients so that the team can arrange the groups.

Patient leaflets will be sent to all practices linked to the number of referrals made.

6. Prescribing (email attached) RS reported on the practice based Pharmacists: Stanmore Rd Surgery – Ade ( Ade is going to the practice today to have a handover from Gary who covered the practice before and is retiring so she will get a chance to meet some of the staff) St Nicks ( to continue post-merger)- Ade King George Surgery – Ade Chells Way Surgery – Ade ( Ade is covering ICT at Jubilee Ct so she will work with their GPs already) Bedwell Medical Centre – Rebecca Manor House Surgery – Rebecca Shephall Way – Rebecca Symonds Green – Rebecca Support will be targeted at the practices with the most potential savings, hopefully as the pharmacists will be based in practices as much as possible they will also be able to support with ad hoc issues and repeat prescription management. Both Rebecca and Ade will be working in Stevenage Weds / Thurs / Friday.

7. Rachel Cowley – Primary Care Customer Relations Manager RC updated the group on the availability of Consultants who were happy to come and present at Locality meetings. DK to circulate the list and all to pick which clinician they would like at a future meeting. Action – DK to circulate the list of Consultants to all from Rachel Cowley.

8. Mental Health Item deferred.

9. My Care Record Programme (MCR) (see presentation) DH presented on the programme, key points listed below:

Integrated care record initiated by West Essex CCG and Princess Alexandra Hospital Trust.

Implied consent and not a single/separate record but a number of records connected electronically.

Access to MCR is at the point of care by explicit patient consent or another legal basis.

Phase 1 – access is only by ED clinicians at PAH to GP clinical records.

Access is via a secure viewing platform

MCR is coded activity only, not free text

MCR is read only

ED clinicians incorporate relevant information from MCR into their own records. PAHT will be data controller for any incorporated information.

12 Week patient information campaign following agreement to proceed, stated in November. Leaflets and posters already sent to practices for patients.

Practice will know when a patient’s record has been accessed, via the Tasks section.

Each practice will have to enter into an information sharing protocol before information

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is shared.

Patients can opt out

Current opt outs will be respected.

Access will be for the full record, withholding part of the record will not be available initially.

SystmOne – within SystmOne by turning on sharing the record will be shared with other SystmOne users. But only where the patient is registered with each organisation, ie: legitimate relationship.

Current model in operation in Stevenage locality allowing sharing between GP Practices and HCT (however all practices confirmed that they only allow access case by case and then switch off the access as soon as the care has ended. It is not open all the time and to all patient’s records)

Various concerns were raised by the group. Action: DK to send out the My Care Record presentation to all.

10. Workforce Update VR updated on the Workforce data collected:

Locality not under doctored according to the wte data

Currently 53 wte doctors in the area

8 vacancies, as doctors are either returning or leaving soon

15% vacancy rate to follow soon

Stevenage carries out the highest training of GPs, however, losing them after training as they leave the area and work in London or other areas for more money.

11. E-Referrals (see presentation) JA & MB presented

CCG utilisation target is 51% by March 2017

Progress so far from 31% March 16 to 47% @ Oct 16.

Good progress in locality, however, a few practices are not using the service and assistance/training is available from MB.

CCG is still a low user compared to STP members. Action: DK to circulate the E-Referrals presentation.

12. Xc Consolidated Funding Framework (CFF)

CCG met on the 29th November 16 with the 3 PMs to discuss the plan, and guidance was given of what the plan should include.

The main message is that the £10.10 is Locality money and not Practice money. The plan will attract the money depending on what is proposed ie: transformational services, working with other providers, collaboration and where and how savings will be made, with focus on patient care and different ways of thinking in the future.

CCG to assist with the plans.

Action - The Localities have to the end of January to develop the plan further and present it to the Governing Body.

13. Patient Participation group – Update Item deferred

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14. AOB

AOB

Winter Resilience/Flu – CCG data shows that the uptake is higher for Flu vaccines than the same time last year. 2 Practices in the locality have a higher rate than the year before however, the data for the others show less than last year. Good effort so far so please keep up the good work.

9th Feb 17 Cancer Training – spaces are still available so contact CCG, Target Event due on the same day has been cancelled reschedule for early March.

QSIR (Quality Service improvement & Redesign ) - email sent requesting a rep for the locality, pleased to advise that Michelle Myers will represent the locality and attend the 5 day session and feedback to the locality. The time out from practice is not funded for backfill, however, it has been agreed that the practice will be reimbursed for the Practice Managers time at a rate of £30 per hour which is the agreed CCG rates for project work and will be funded from the Stevenage Locality Management Fund.

Terms of reference Agreement – Further to the email sent to all members on the 23rd November, and a few comments that were received. It was agreed that the Terms of Reference were agreed by the group, and could now be submitted to the Governing body.

Nurse Representative for the locality – KS advised that she would be happy to assist the locality but would not be able to take on the role fully, as she has too many other commitments. All agreed that they would be happy with that for the moment, and appreciate the assistance.

14th Feb Locality meeting date – request to change this date as it is half term holiday, arrange for the week before or after.

+75 checks – query was raised regarding when and on what claim forms the locality could start to claim for the additional work that has been carried out, this has been ongoing for quite a few months. NC to look into the matter with colleagues in Finance and also advise about the claim process. Also can there be an extension of the money, as there has been a delay in the CCG giving a response. NC will check, but due to CCG financial position it may not be possible.

A&E project – MPB updated on the project which has been resurrected due to start in 3 to 4 weeks, reception staff needed to cover the shifts, if all practices can let their staff know, rates of pay are under discussions.

St Nicholas surgery – merger is coming up to finalisation hopefully at 31st Dec.

Reminder - Practice managers meeting on Thursday 15th Dec.

TPP – practices have highlighted that some of their samples have not been cultured, advised all to report these using GP Hotline, which allows the CCG team to challenge the providers with evidence, also shows if there is a trend in the same issues for the locality.

HCA – practice is finding it difficult to recruit HCAs, are there any apprenticeships or training schemes to assist with this?

Capita and NHS numbers – practice reported an issue regarding patients getting access to their NHS numbers. Practices to report issues using GP Hotline, so that the contract can be challenged.

Ice Electronic forms- not being printed by the phlebotomist or they are deleting, Rachel Cowley to feedback after discussing with the team.

Action: NC will feedback on the +75 checks and claims Action: Rachel Cowley to feedback regarding the phlebotomists and the issue of printing forms on Ice.

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ACTIONS Person

Responsible

DATE

1) EB to answer FAQs before sending out GP data packs

to all practices.

EB Closed 13.12.16

2) NC to give breakdown of non-tariff figures to SC NC Completed –

emailed to practices

12.12.16

3) RH to report back to SE and agree a start date for the Pilot of the Collaborative hub.

RH In progress, issues

with IT.

4) ST to contact practice managers to talk about Rapid

Response next steps and implement case

management.

ST Closed 13.12.16

5) HED/DK to feedback to CCG finance team regarding the process of Over 75s claim. DK to chase finance, NC will feedback on the +75

checks and claims 13.12.16

HED/DK/NC In progress. Ongoing with Finance team. Completed 06.01.17

6) HED/DK should look into how productive the PCG group meetings are and what tasks the PCG can be involved in.

HED/DK Linda Dent was

looking into this

already – change to

the PPG formats and

also liaising with

Practice PPGs.

Closed 05.01.17

7) HED to ask Laura Moore at the CCG to link up with HE re breakdown of coding to ensure that they are aware of what is being picked up and Contract conversations reflect this.

HE/DK Meeting - 15.12.16

with CCG. HE to

attend the next

locality meeting and

feedback Jan 17.

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8) HED/DK to speak to TS/CF and to liaise with Dr Ravi re the Desmond referral issues

HED/DK Closed CF has sent

various emails re:

new service and

referrals.

Closed 13.12.16

9) HED to contact the TPP Lister Team about the 2 Phlebotomy issues, also check what was commissioned and the numbers of contacts. Query raised about where are we with the progress in

finding new contractor for TPP.

It was informed that two other providers are being

looked at. Addenbrookes has been asking if they can

provide the service, the contract is still for 2years.

Block contract was signed 2 weeks ago for TPP, It was

informed that a meeting has been setup with the

chief executive of TPP.

HED/DK 31.1.17

1. Bedwell – want more activity – Block contract therefore not gareed anything specific. 2. Shephall - HED requested for phlebotomist to work in practice, no increase in numbers. Not sure what their response will be. Closed 06.01.17

10) HED to contact the Refugee Council and the practices involved and discuss the issues of Refugee family and additional support and funding for practices taking part.

HED 31.12.16

Email from HED to

the 2 PMs 11.11.16

Closed 06.01.17

11) DK to arrange for Anna Cason to attend a future locality meeting and discuss the Hotline.

DK Booked Dec meeting

– but cancelled, due

Jan 17.

12) ST will send a Rapid Response report out monthly to the locality

ST Closed – sent to DK

for circulation.

Circulated 19.12.16

13) Minor Injures LES evaluation report, DK to look for the report and liaise with HE.

DK/HE Deadline – 16.12.16

Found – sent to

clinical leads

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15.1.16, awaiting

comments before

sharing with the

locality.

14) DK to send the TOR document to all via email and agree virtually.

DK/All End of December

Completed and

agreed 13.12.16

Closed

15) Nurse Lead DK to look into the process of recruiting to the role previously and advise the Locality.

DK Closed 13.12.16 KS

agreed to assist with

the role

16) DK to add My Care to the December Locality agenda and invite David Hodgson.

DK Completed added

13.12.16

17) HE to follow up with AD responsible for MoM and the issues with accessing the system.

HE Completed 13.12.16,

manual pathways

available for CFF

work, also contact

details for support.

18) DK to circulate the list of Consultants and specialities for localities to all from Rachel Cowley.

DK Completed 19.12.16

19) DK to send out the My Care Record presentation to all.

DK Completed 19.12.16

20) DK to circulate the E-Referrals presentation. DK Completed 19.12.16

21) CFF - The Localities have to the end of January to develop the plan further and present it to the Governing Body.

Task & Finish

Group & CCG

Ongoing

22) Rachel Cowley to feedback regarding the phlebotomists and the issue of printing forms on Ice.

RC/DK Ongoing