Notes of the Merton Clinical Commissioning Group Primary Care Commissioning Committee Meeting Part 1 Thursday, 25th May 2017 - 120 The Broadway, Wimbledon SW19 1RH Chair: Clare Gummett Present Rebecca Blackburn (RB)
Partnership Manager (East Merton)
Amanda Bland (AM)
Director of Quality
James Blythe (JB)
Managing Director
Peter Derrick (PD)
Governing Body Lay Member – Governance
Anthony Farnsworth (AF)
Director of Commissioning
Clare Gummett (CG)
Chair, Governing Body Lay Member for PPI
Dr Tim Hodgson (TH)
Clinical Locality Lead – West Merton
Dr Marek Jarzembowski (MJ)
Chair – Merton Local Medical Committee
Andrew McMylor (AMc)
Director of Primary Care
Dr Andrew Murray (AM)
Chair of the Governing Body
Nora Simon (NS)
Assist. Head of Primary Care Commissioning - NHSE
Kate Symons (KS)
Acting Head of Delegated Primary Care Commissioning
Apologies Jane Castle (JC)
Senior Primary Care Commissioning Manager - NHSE
William Cunningham-Davis (WCD)
Head of Primary Care Commissioning – NHSE
Julie Freeman (JF)
Director of Primary Care Strategy, LMC
Julie Hesketh (JH)
Director of Quality & Governance
Ben Homer (BH)
Assistant Director, Primary Care and Transformation
Dr Karen Worthington (KW)
Clinical Locality Lead – East Merton
Dr Asiya Yunus (AY)
Local Medical Committee
In Attendance Tony Foote (TF)
Note Taker, SE CSU
Members of the Public in Attendance Keith Rainsley
Merton Residents Healthcare Forum Steering Group Page 1 of 4
No. 1.
Item
Action
Welcome and Apologies The Chair (CG) welcomed members to the meeting and noted the apologies received.
2.
Conflicts of Interest No interests additional to those on the Register were declared.
3.
Notes of Part 1 Meetings 23.03.17 and 27.04.17. With the correction of a number of typographical errors, the minutes were APPROVED as a full and accurate record of the meeting.
4.
Primary Care Commissioning Update KS presented the update which covered the following areas: Rowan’s Surgery Procurement The Surgery was currently providing primary medical services under an Alternative Personal Medical Services (APMS) caretaking contract, initially due to expire 31st May 2017 but now extended to 30th June 2017. The CCG agreed to re-procure the service to ensure on-going primary medical service provision in the area. At its extra-ordinary meeting on 27th May the Primary Care Commissioning Committee Meeting approved the procurement process and, therefore, the award of the contract to the preferred bidder. On the 16th May the CCG was formally notified that the contract had been awarded to AT Medics and the mobilisation process was now on-going with the formal contract commencing on the 1st July. AM asked how people would be informed of the award to AT Medics and NS responded that there would be stakeholders’ engagement but not yet a public statement in the media. PD asked whether AT Medics held any other similar contracts and NS confirmed that they did; five across the London area. Ravensbury Park Medical Centre - Inadequate CQC Report Ravensbury Park was inspected by the CQC on 11 January 2017 and the findings from this published on 30 March. The practice was given an overall rating of “Inadequate” and placed in Special Measures. A further inspection will take place within 6 months and, if insufficient improvements have been made, the CQC will take action to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if there is no improvement. The following actions are now in place: • Royal College of General Practitioners (RCGP) Practices placed in Special Measures can participate in the RCGP Practice Support Programme which is funded by NHS England. The RCGP team has drawn up a Special Measures Action Plan with the Page 2 of 4
TF
practice and is scheduling a series of meetings over the six month period including CCG and NHS England representation to support the practice staff as they work through the necessary actions. • Merton CCG The East Merton Locality Clinical Lead, KW, has met with Dr Keyamo and offered on-going clinical support to the practice. • NHS England Representatives from NHSE and the CCG have met with the Senior Partner and the Practice Manager to discuss the report and the actions required. The practice was also advised that the issues identified by the CQC constitute breaches of its PMS contract and that the serving of a contract breach remedial notice was under consideration in the areas identified. One of the key areas would be the completion of work recommended by the RCGP team and development of an Action Plan. There will be a follow up visit from NHS England and the CCG to monitor the progress. CG asked whether there would be any patient engagement in this matter and NS said that there would be some later in the process. AM expressed concern that the CCG was not aware, before the CQC report, that there was a Practice experiencing problems. AMc acknowledged this as a valid concern and that “soft intelligence” could be used more, especially any feedback from TH and KW. How have Merton General Practices performed in recent CQC inspections? As of 15th May 2017, all but the Rowan Surgery have received a CQC inspection. As part of this process practices receive an overall rating across five areas: • Are services safe? • Are services effective? • Are services caring? • Are services responsive to people’s needs? • Are services well led? The paper presented contained a table showing how Merton Practices have been rated across these five key areas. The majority of practices, 91%, have been rated as “Good” overall, with just one practice rated as inadequate, and one with requires Improvement. AMc commented that this was an acceptable situation but clearly there was still some work to be done. TH commented that, historically, primary care was not as well monitored as the acute sector and the welcomed the increased scrutiny. MJ stated that he was aware of another Practice that’s “safe” rating required improvement and asked whether the CCG had a plan for this too. KS confirmed that work with the Practice in question was on-going and it was hoped to see an improvement soon. Summary of recent General Contracting Decisions The Committee noted the contract variations that have been made under delegated commissioning arrangements The Primary Care Commissioning Committee NOTED and DISCUSSED the Primary Care Commissioning Update. 5.
Any Other Business CG informed the Committee that two questions had been submitted by a Page 3 of 4
member of the public. These were: 1. How many if any of the CCG’s GP practices are running unsupported versions of Microsoft Windows such as Windows XP which makes them vulnerable to “ransomeware” and malware attacks? 2. Is it or should it be a contractual requirement for GP practices not to run unsupported software and keep their software up to date and apply relevant patches? CG stated that both questions would receive a full written response with a copy of this coming to the next meeting for note. 6.
Date of Next Meeting: 27th July 2017 Time: 11.30am – 12.30pm
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CG/ AMc
