Hampshire Partnership CCG Partnership Delegated Primary Care Committees in Common Partnership Primary Care Commissioning - North Hampshire CCG
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Hampshire Partnership CCG
Partnership Delegated Primary Care Committees in Common
Partnership Primary Care Commissioning
Freeman Room, Central 40, Lime Tree Way, Chineham Business Park, Basingstoke RG24 8GU
6 March 2019 09:30 - 6 March 2019 10:30
Overall Page 1 of 33
INDEX
1. DPCCC Agenda 6 Mar 2019- Public v4.docx.....................................................................
.......3
2. Register of Interests.pdf.......................................................................................................
.......5
3 Draft DPCCC Mins 24 Jan- Part I.docx................................................................................
.......9
4 PCCC Action Tracker Mar 2019.docx..................................................................................
.......13
5. Partnership DPCCC Proposed Finance Report Structure.docx..........................................
.......15
6. PCCC Quality Report March 2019.docx..............................................................................
.......17
7.1 Cover Sheet- Work Programme.docx.................................................................................
.......23
7.2 Draft Committee Workplanner DPCCC.xlsx.......................................................................
.......25
9.1 FGSEH PCOG Decision Log.pdf.......................................................................................
.......27
9.2 NHCCG PCOG Decision Log.pdf......................................................................................
.......29
9.3 IOW PCOG18-XXX Schedule of Actions PCOG 26.02.19.pdf...........................................
.......31
Overall Page 2 of 33Hampshire and Isle of Wight Partnership of
Clinical Commissioning Groups
Delegated Primary Care Commissioning Committees in Common
Meeting in Public
NHS FAREHAM AND GOSPORT CCG
NHS ISLE OF WIGHT CCG
NHS NORTH HAMPSHIRE CCG
NHS SOUTH EASTERN HAMPSHIRE CCG
Wednesday, 6th March 2019 from 9.30am- 10.30am
Freeman Room, Central 40, Chineham Business Park, Basingstoke
Item Title Lead Delivery Action Time
1. Welcome and Introductions Chair Verbal 9.30
2. Declarations of Interest All Paper
Items for Decision
3. Minutes of the meeting on 24th Chair Paper Decision 9.35
January 2019
4. Action Tracker from the meeting All Paper Decision
on 24th January 2019 and
Matters Arising
Items for Noting
5. Finance Report Template All Paper Note 9.40
6. Quality Report Julia Barton Paper Note 9.50
7. Draft Work Programme Primary Care Paper Note 10.05
Leads
8. New GP Contract Update Sara Tiller Presentation Note 10.10
Items for information
9. Decision Logs from local Primary Care Operational Groups 10.20
9.1 Fareham and Gosport and South Eastern Hampshire CCGs
9.2 North Hampshire CCG
9.3 Isle of Wight CCG
10. Any Other Business
11. Evaluation of Meeting and Meeting Close 10.25
1. DPCCC Agenda 6 Mar 2019- Public v4.docx Page 1 of 1
Overall Page 3 of 33Overall Page 4 of 33
Partnership Primary Care Commissioning Committee in Common
First Name Surname CCG? Declared Interest - Name and Nature of
Business
Sanofi Pharmaceuticals - Director of Market
Jessamy Baird North Hampshire Access
Sister works as Deputy Director of Public
Health at Bedford, Luton and Milton Keynes
Jessamy Baird North Hampshire STP
Sister works at Treloars School as Head of
Jessamy Baird North Hampshire Music
Benefactor of Treloars School through regular
Jessamy Baird North Hampshire donations
Jessamy Baird North Hampshire Sanofi Pharmaceuticals - Shares Owned
Geoff Barratt North Hampshire No interests to declare
Friends with the family of contractor, Marcus
Julia Barton All Partnership CCGs Pullen, director of Blue Donut Studios
Julia Barton All Partnership CCGs Patient at the Bosmere Medical Practice
Normi Cadavieco North Hampshire No interests to declare
David Chilvers Fareham & Gosport CCG SCAS Governing Body Member
Undertakes section 12(2) Mental Health Act
David Chilvers Fareham & Gosport CCG assessments for Social Services
David Chilvers Fareham & Gosport CCG GP with Willow Group
2. Register of Interests.pdf
Overall Page 5 of 33David Chilvers Fareham & Gosport CCG Fareham & Gosport Alliance
Nicola Decker North Hampshire Partner GP at Watership Health
Husband is an orthopaedic surgeon at
Nicola Decker North Hampshire Hampshire Hospitals NHS Foundation Trust
Husband is a member of the Board of
Governors, Hampshire Hospitals NHS
Nicola Decker North Hampshire Foundation Trust
Partner in GP Practice that is a shareholder in
North Hampshire Alliance GP Commissioning
Nicola Decker North Hampshire Collaborative
Part of role involves supporting the
development of implementation of GP
Keeley Ellis Fareham and Gosport and South Eastern
Extended
Hampshire
AccessCCGs
Part of role involves supporting the
development of the MCP, particularly working
Keeley Ellis Fareham and Gosport and South Eastern
with Hampshire
GP practicesCCGs
and better local care.
Healthcare Financial Management
Association, South Central Branch Committee -
Member and Chair of Finance Staff
Pamela Hobbs All Partnership CCGs Development Committee
Hampshire Hospitals NHS Foundation Trust -
Paul Jones North Hampshire Member
Healthcare Financial Management Association
Paul Jones North Hampshire (HFMA) - Member
North East Hampshire and Farnham
Kirsten Lawrence CCG TBC
2. Register of Interests.pdf
Overall Page 6 of 33Michele Legg Isle of Wight CCG President of IOW Osteoporosis Society
Michele Legg Isle of Wight CCG School Governor at Ryde School
Partner undertakes work in the spinal triage
Michele Legg Isle of Wight CCG clinic at St Marys Hospital and the EAS
Shares held in Company Island Clinical
Michele Legg Isle of Wight CCG Academic Services
Michele Legg Isle of Wight CCG Partner, Tower House Surgery
Sharon Martin North Hampshire
Roshan Patel All Partnership CCGs No interests to declare
Barbara Rushton South Eastern Hampshire CCG GP Principal at Liphook and Liss Surgery
Barbara Rushton South Eastern Hampshire CCG Co-Chair of NHS Clinical Commissioners
Barbara Rushton South Eastern Hampshire CCG CCG Clinical Chair South East Hants CCG
Barbara Rushton South Eastern Hampshire CCG Member of Alliance
Visiting Lecturer, Keele University School of
Tracey Savage Isle of Wight CCG Pharmacy (no payment)
Tracey Savage Isle of Wight CCG Husband is an employee of IOW NHS Trust
2. Register of Interests.pdf
Overall Page 7 of 33Margaret Scott All Partnership CCGs Governor of University of Portsmouth
Working closely with South Hampshire GP
Allicance, Southern Health NHS Foundation
Trust and GP practices on the development of
Sara Tiller Fareham and Gosport and South Eastern
new Hampshire
care models
CCGs
Carole Truman All Partnership CCGs No interests to be declared
2. Register of Interests.pdf
Overall Page 8 of 33Minutes of the Hampshire & IoW CCG Partnership Delegated Primary Care
Commissioning Committees in Common- Part I
NHS FAREHAM AND GOSPORT CCG
NHS ISLE OF WIGHT CCG
NHS NORTH HAMPSHIRE CCG
NHS SOUTH EASTERN HAMPSHIRE CCG
Held on Thursday 24 January 2019 between 14.30 and 16.15
Wallington Room, Commissioning House, Fort Southwick
Members Margaret Scott, Non-Executive Director (Chair)- HIOW Partnership MS
Present: Carole Truman, Non-Executive Director- HIOW Partnership CT
Sara Tiller, Managing Director and Executive Lead for Primary Care- ST
South Eastern Hampshire CCG
Nicola Decker, Clinical Chair- North Hampshire CCG ND
Michelle Legg, Clinical Chair- Isle of Wight CCG ML
David Chilvers, Clinical Chair- Fareham & Gosport CCG AH
Andrew Holden, Clinical Lead, Primary Care- Fareham & Gosport and DC
South Eastern Hampshire CCGs
Dan Williams, Senior Management Accountant- North East Hampshire & DW
Farnham CCG (Deputy for RP)
In Keeley Ellis, Associate Director of Primary Care- Fareham & Gosport and KE
attendance: South Eastern Hampshire CCGs
Kirsten Lawrence, Associate Director of Transformation- HIOW KL
Partnership
Tracy Savage, Associate Director of Primary Care - Isle of Wight CCG TS
Normi Cadavieco, Senior Governance Manager- North Hampshire CCG NC
(Minutes)
Helen Goff, Governance Manager- Fareham & Gosport and South HG
Eastern Hampshire CCGs (Observing)
Apologies for Roshan Patel, Chief Finance Officer- HIOW Partnership
Absence: Jessamy Baird, Non-executive Advisor- North Hampshire CCG
Sharon Martin, Associate Director of Primary Care- North Hampshire CCG
Julia Barton, Director of Nursing and Quality- HIOW Partnership
Barbara Rushton, Clinical Chair, South Eastern Hampshire CCG
1 Welcome and Introductions
Apologies were noted as outlined above.
2 Declarations of Interest
In addition to the Declarations of Interest provided, the following conflicts of
interest were noted:
MS is a patient at Grange Surgery and a Governor at University of
Portsmouth.
CT is a patient at a local surgery.
TS is a visiting lecturer at Keele University
3 Minutes of final local Primary Care Commissioning Meetings
3.1 North Hampshire CCG
The minutes of the previous meeting were approved without amendment.
3.2 Fareham & Gosport and South Eastern Hampshire CCGs
The minutes of the previous meeting were approved without amendment.
Page 1 of 3
3 Draft DPCCC Mins 24 Jan- Part I.docx
Overall Page 9 of 333.3 Isle of Wight CCG
The minutes of the previous meeting were approved without amendment.
4 Action Tracker
The action tracker including actions carried over from the local Primary Care
Commissioning Committees was reviewed. The Committee discussed the
amber rated actions and noted the following:
Action 1- ND to provide a summary on progress to the Committee.
Action 2- TS provided an update on ongoing recruitment and retention activities
on the Isle of Wight.
The Committee noted the paper.
4 Terms of Reference
MS introduced the Terms of Reference and requested feedback from the
Committee, noting that they will be reviewed regularly in line with the
requirements of the Committee. MS highlighted a preference to have clinical
representation from each CCG at all meetings, which could include the Clinical
Chair(s) or a nominated deputy.
The Committee discussed the Terms of Reference and requested confirmation
of whether the terms of reference require approval from NHS England (NHSE),
if they have already been reviewed by NHSE and that they have been cross-
checked to the Primary Care Commissioning guidance issued by NHSE.
Action: NC
The Committee approved the Terms of Reference subject to clarification
requested.
5 Scheme of Delegation
The Committee reviewed the Scheme of Delegation, noting that the Primary
Care Leads have been working on this on an ongoing basis. KE noted that an
updated version is available and agreed to send the full Scheme of Delegation
to NC to distribute to the Committee. Action: KE/NC.
The Committee approved the Scheme of Delegation subject to circulation
of the full version.
6 Meeting Frequency & Schedule
MS introduced the meeting schedule, noting that monthly meetings have been
scheduled but will be cancelled if they are not required. The Committee
requested that reminders be sent to Primary Care Leads two weeks in advance
of each scheduled meeting in order to determine whether the meeting is
required. Action: NC. The committee also asked that Skype be available for
meetings where possible. Action: NC
The Committee noted the paper.
7 Work Programme
The Committee discussed the ongoing development of the Work Programme.
MS asked the Primary Care Leads to develop a draft Work Programme to be
presented at the next meeting. Action: SM/KE/TS/NC
8 NHS Long Term Plan
ST provided a verbal update on the NHS Long Term Plan, highlighting the
areas of particular relevance to primary care. The committee discussed the
challenges that may arise around delivering the expectations outlined within
the Plan. ST agreed to circulate a summary document of key areas of
Page 2 of 3
3 Draft DPCCC Mins 24 Jan- Part I.docx
Overall Page 10 of 33relevance to Primary Care. Action: ST
The Committee discussed expectations around investment into the plans
outlined for primary care and the level of involvement required of both the
Committee and the CCG in implementing the Long Term Plan. ST highlighted
the link to ongoing work at the STP level around New Models of Care, noting
that the role of this Committee should be to focus on ensuring that Primary
Care part is sufficiently invested in, shaped correctly and well developed in
order to support the work ongoing within the Partnership and at the STP level.
ST agreed to develop a model of ‘lines of influence’ including this Committee
and other groups throughout the Partnership and STP with a Primary Care
focus to be presented at the next meeting. Action: ST/NC
The Committee noted the update.
9 SEH Practice Sustainability/Locality Focus
MS invited each of the Primary Care Leads to share a current issue within their
localities.
KE provided an update on a CQC visit to a surgery within the South Eastern
Hampshire locality following concerns around clinical processes, paperwork
and staff training. This visit followed a previous visit by the CCG where an
action plan was developed; the majority of these actions have been completed
but there is not yet evidence that these have been embedded. The practice
now faces the departure of the nursing team by 14 February and they have
been asked to produce a formal plan in preparation for this. KE and AH will
follow-up on the assurance visit next week. ND sought feedback on how the
CCGs can work better together with CQC. The committee discussed how this
can be used to better support struggling practices.
TS noted that the most prominent issues on the Isle of Wight are currently
related to workforce and workload management. There are also complexities
related to possible practice mergers being manged. ML added that
engagement and morale are low within primary care.
ND shared the position in North Hampshire, which is complex due to the need
to strengthen linkages within the system, noting that primary care issues
should not be viewed in isolation from the system as a whole. Work is ongoing
to develop local for a, led by the CCG, where issues can be discussed openly
at a system level. AH and DC agreed that this is necessary, highlighting
pressures related to resources and mental health on primary care.
The Committee noted the update.
11 Any other business
DW sought views from the Committee on the development of a Finance
report. The Committee requested that a template report be presented at
the next meeting for feedback. Action: DW/NC
AH provided an update on clinical assembly.
KE updated the Committee on the Out of Hours/Extended Access
Strategy.
The next meeting will be held on 6 March 2019 from 9.30 to 12.00 in Freeman
Room, Chineham Business Park, Basingstoke.
12 The meeting closed at 16.15.
Page 3 of 3
3 Draft DPCCC Mins 24 Jan- Part I.docx
Overall Page 11 of 33Overall Page 12 of 33
Primary Care Commissioning Committees in Common Action Tracker 6 March 2019
Date of
Meeting/
Issue
Originally Update Progress report / Update from RAG
Ref No Raised Title Summary of Action / Issue Due Assigned To previous meeting
FGSEH PCCC- Presentation to be given at
1 FGSEH- PCCC on what needs to be done for an
6/6/18 Outstanding CHC Outstanding CHC rating 6/3/19 Kate McCandish Action revised from previous.
Rating
Revised: ND to provide a summary on
progress to the Committee.
IOW- GP IOW PCC- GP Retention and Recruitment Complete. TS provided an
2 27/9/18 update on ongoing recruitment
Recruitment Update to be added to the December Primary N/A RB
and retention activities on the
Care Committee agenda. Isle of Wight.
3 NC to confirm whether the terms of reference
require approval from NHS England (NHSE), In progress. Terms of
24/1/19 Terms of Reference if they have already been reviewed by NHSE Reference sent to Olivia
6/3/19 NC
and that they have been cross-checked to Falgayrac-Jones at NHSE for
the Primary Care Commissioning guidance review.
issued by NHSE.
4 Scheme of In progress. Scheme of
24/1/19 Complete Scheme of Delegation to be
Delegation 6/3/19 KE/NC Delegation being reviewed by
distributed to the Committee.
the Finance Team.
5 NC to send meeting reminders to the Primary
24/1/19 Meeting Reminders Care Leads two weeks prior to each meeting Complete. Meeting reminders
6/3/19 NC
date to determine whether the scheduled to be sent.
meeting is required.
6 Skype/Dial-in NC to investigate the availability of Skype for Complete. Skype is available
24/1/19 for next meeting in
Facilities use in future meetings. 6/3/19 NC
Basingstoke. Other venues to
be confirmed.
Page 1 of 2
Rag Rating: Overdue In Progress Complete
4 PCCC Action Tracker Mar 2019.docx
Overall Page 13 of 337 Primary Care Leads to develop a draft Work
Committee Work
24/1/19 Programme to be presented at the next
Programme 6/3/19 SM/KE/TS/NC Completed. On agenda.
meeting
8 Long Term Plan ST to circulate Long Term Plan summary
24/1/19
Summary document. 6/3/19 ST Completed.
9 Model of ‘lines of influence’ including this
Lines of Influence Committee and other groups throughout the
24/1/19
Meeting Model Partnership and STP with a Primary Care 6/3/19 ST/NC
focus to be presented at the next meeting.
10 Template Finance Report to be presented at
24/1/19 Finance Report Finance Report added to
the next meeting. 6/3/19 DW/NC
agenda for 6/3/19.
Previously completed actions have been archived.
Page 2 of 2
Rag Rating: Overdue In Progress Complete
4 PCCC Action Tracker Mar 2019.docx
Overall Page 14 of 33Summary of all Primary Care Budgets
Fareham & Gosport CCG South Eastern Hampshire CCG North Hampshire CCG IOW CCG
Full Year Forecast Full Year Forecast Full Year Forecast Full Year Forecast
Annual Budget Full Year Forecast (Under)/Over Annual Budget Full Year Forecast (Under)/Over Annual Budget Full Year Forecast (Under)/Over Annual Budget Full Year Forecast (Under)/Over
£'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000 £'000
Delegated Primary Care
Budget 2
Budget 3
Budget 4
Budget 5
Budget 5
TOTAL
Summary of Performance and Key Highlights (3-4 key headline bullet points per CCG)
Fareham and Gosport CCG
South Eastern Hampshire CCG
North Hampshire CCG
IOW CCG
5. Partnership DPCCC Proposed Finance Report Structure.docx
Overall Page 15 of 33Overall Page 16 of 33
Delegated Primary Care Commissioning Committee
Title of Paper Primary Care Quality Report
Agenda Item 6 Date of meeting 6th March 2019
Exec Lead Julia Barton
Author Julia Barton
Purpose For Decision
To Ratify
To Discuss
To Note X
Executive Summary
This report details quality risks, issues and exceptions relating to primary care services across the
following CCGs
Fareham and Gosport CCG
Isle of Wight CCG
South Eastern Hampshire CCG
North Hampshire CCG
Primary care quality exceptions from North East Hampshire and Farnham CCG are reported at North
East Hampshire and Farnham CCG’s Governing Body and Integrated Finance, Performance and Quality
Committee.
There are no items to formally escalate to this committee.
Committee members are asked to:
1) Consider the report and the quality risks, issues and challenges and
improvements being made by primary care providers.
Recommendations
2) Request any further information or assurance required on the content of
the report, which will be provided outside of this committee.
1
6. PCCC Quality Report March 2019.docx
Overall Page 17 of 33Hampshire and Isle of Wight Partnership of Clinical Commissioning Groups
Primary Care Quality Exception Report: March 2019
Section Report CQC
Outcomes
1.0 Primary North Hampshire Beggarwood & Rooksdown Practice (Cedar Medical)
Care CQC Practices Practice currently rated as ‘requires improvement.’ CQC re-inspection carried out 22 January 2019 but outcome not yet 16 practices
regulatory confirmed, however significant risk of deterioration on previous position. ‘good’
compliance
Chineham Medical Practice rated ‘requires improvement’ in August 2018. 2 practices
rated
Kingsclere and Oakley & Overton practices are now known as Watership Down (after their merger. They were ‘required
inspected in January 2019 but no report has been released as yet. improvement’
Fareham and Brockhurst surgery inspected February 2019 – report awaited. 18 practices
Gosport Practices rated ‘good’
South Eastern Staunton Surgery - has been rated as ‘requires improvement’ 3 practices
Hampshire Vine Medical group - rated ‘requires improvement’ rated ‘requires
Practices The Grange - rated ‘requires improvement improvement’
17 practices
Pinehill Surgery – CQC report is awaited rated ‘good’
Isle of Wight The Care Quality Commission has inspected all 16 Isle of Wight CCG practices over a 2-year period; 2016 to
Practices 2018. 16 practices
All practices have received an overall rating of ‘good’ with three practices, Shanklin Medical Centre, Tower rated ‘good’
House Surgery and Sandown Health Centre receiving ‘outstanding’ in the responsive domain.
2.0 Quality North Hampshire Beggarwood & Rooksdown Practice (Cedar Medical).
Exceptions Practices A number of complaints, concerns and MP queries have been received by the CCG in quarter 4. Current quality concerns are as follows:
a) Workforce challenges Large numbers of vacancies for nursing, medical and administrative staff and use of temporary staff has
resulted in some core services not being delivered.
b) Vaccinations
• Out of date vaccines found in the fridge at Beggarwood site, which CCG escalated to NHS England Screening and Immunisations
2
6. PCCC Quality Report March 2019.docx
Overall Page 18 of 33team February 2019.
• NHS England placed a temporary suspension to vaccinations being administered at the Beggarwood site which was subsequently
lifted on 1 February 2019 following a joint visit (CCG Quality & NHSE ) to the practice on 30 January 2019 to review current
practice and determine assurance that the vaccine stock was suitable for use.
• The vaccination suspension was lifted on 1 February 2019 and NHS England have stipulated a number of actions that need to be
taken by the practice and which will be followed up with the practice by NHS E and the CCG
Action: The CCG Quality Cedar Oversight meetings will be used to monitor and review progress with regard to the actions required
by the practice. Medicines management have also been approached to review support to the practice in relation to audit.
c) Cervical screening (including serious incident)
• NHS England have called an investigation panel meeting for the cervical screening serious incident at Cedar medical – this is
taking place on 21 February 2019; the CCG are attending.
• The temporary suspension of the cervical screening programme at the Rooksdown Practices was lifted by NHS England on 1st
February 2019.
Action:
• The practice have been asked to confirm the trajectory for offering appointments to the women whose smears were cancelled
and for those women whose smears were rejected
• The Duty of Candour letter has been sent, w/e 15 February 2019, to the women whose cervical screens were rejected – this was
reviewed by NHS England and the CCG
• The CCG booked appointments for cervical screening for two women who contacted the CCG directly who had had their
appointments cancelled using ‘improved access’ at Acorn Health
d) Professional registration – nursing
Locum practice nurse working at Cedar Medical with NMC conditions of practice imposed on her registration
• The detailed review of patient contacts (@ 212 patient contacts) to have been carried out by the GP Clinical lead has not
progressed.
• Duty of Candour responsibility sits with the practice – letter has not been sent to patients seen by practice nurse
Action:
• DDoN has requested the medical director of Cedar Medical reviews the list of patient contacts and provide a detailed
breakdown of interventions and assessment of level of harms
• Duty of Candor letter – draft letter shared with the CCG for comment 12 February 2019
e) Death of Patient A
• This case involves the locum nurse with conditions to practice imposed by the NMC and a locum GP who reviewed the ECG. The
investigation which is being led by the CCG is underway.
3
6. PCCC Quality Report March 2019.docx
Overall Page 19 of 33Fareham and Brockhurst surgery -follow up on nurse prescribing issues by CCG during February 2019.
Gosport Practices
South Eastern Quality support visits to Pinehill surgery and practices receiving a ‘requires improvement CQC outcome’
Hampshire
Practices
Isle of Wight a) Workforce
Practices Recruiting to the Isle of Wight Primary Care workforce has been recognised as having specific local issues arising from the Island
geography and local economy; which makes attracting people to work on the island more difficult. In addition to the national drivers
affecting GP recruitment and retention, extensive local engagement in Primary Care over the last six months has identified the following
specific challenges:
Of the 62.5 FTE GPs on the island, 42% intend to retire or leave general practice in next five years,
25% percent of practices are currently able to offer 70 GP/ANP consultations/1000 patients
An elderly demographic contributes to an estimated increased demand in appointments of 35.5% by 2022, requiring (without any
interventions) an additional 35.5 FTE GPs.
As a result, the island has been recognised as one of 7 national sites for intensive support for retention and recruitment (GP Recruitment
and Retention Intensive Support Site – GPRISS).
The CCG alongside the GP federation, (One Wight Health), have put in place an extensive action plan to support recruitment and
retention at the individual GP, practice, locality (network) and system level. The plan, although due to finish by April 2019 will have
elements that will be sustained going forward including the recruitment of 9 clinical pharmacists for primary care on the island.
b) Resilience
Issues based around workforce and increasing workload has resulted in the need to undertake resilience and support visits to practices.
The primary care team have embarked on a series of visits to ensure a baseline for further work and actions as Primary Care Networks
evolve. The agenda includes; current and future workforce, management capacity, financial capacity and planning, estates and
buildings, IT and business intelligence.
All The STP Quality Board has developed an integrated care quality governance framework which is being rolled out to all clusters (primary
care networks).
4
6. PCCC Quality Report March 2019.docx
Overall Page 20 of 333.0 Quality North Hampshire NH CCG Practice National Learning and Reporting System (NRLS) incident reporting:
Improveme
nt and
examples of
good
practice
Fareham and Under a local contract, The Safer Practice Self-Assessment Framework is now live for GP practices to access.
Gosport and Quasar primary use monitored via LCS. Quarterly reports and newsletters to practices
South Eastern
Hampshire
January 2019 shows an increase of
57% in healthcare professional
feedback submitted on Quasar,
compared to the same period in
2017/18.
5
6. PCCC Quality Report March 2019.docx
Overall Page 21 of 33 Quasar HCP feedback- Analysis of the quarter 3 data shows that these were the top 5 concerns that were reported:
a) Discharge
b) Referral
c) Assessment
d) End of life care
e) Prescribing
Isle of Wight A monthly Primary Care Quality and Safeguarding Network meeting has been established to provide a specific focus for practices on
quality. The PCQSN is well represented by GP practices, the Local Medical Committee and local Consultants where necessary, with
regular attendance from the Consultant for Palliative Medicine. The network discusses significant incidents, trends and themes,
safeguarding updates including trends and themes, discussions of new pathways of care, CQUINS, data local and national.
Four practices, Shanklin, Tower House, Esplanade and West Wight are rolling out Quasar Primary currently; further work is required
to ensure the system is rolled out across all the reaming 12 practices.
Workforce education has been reinvigorated by the reinstatement of practice closure afternoons. The primary care workforce lead
continues to work on non-medical training and development. One of her current priorities is the need for Spirometry register of
those trained by 2020/21.
6
6. PCCC Quality Report March 2019.docx
Overall Page 22 of 33Delegated Primary Care Commissioning Committee
Title of Paper Draft Committee Work Programme 2019/20
Agenda Item 7 Date of meeting 6th March 2019
Exec Lead Sara Tiller, Managing Director and Executive Lead for Primary Care
Author Normi Cadavieco, Senior Governance Manager- North Hampshire
Purpose For Decision
To Ratify
To Discuss x
To Note
Executive Summary
The draft work programme for this committee has been developed using the work programmes
from the now non-operational local Delegated Primary Care Commissioning Committees for each of
the CCGs now meeting in common.
The work programme outlines items which are to be presented on a recurring basis and items
which need to be reviewed at specific times of the year. Recurring items are denoted with an ‘x’ and
items requiring review in specific quarters are denoted with green shaded boxes for each of the
meetings occurring in the relevant quarter.
The committee is asked to review the items, timing and frequency on the
Recommendations work programme for the year and suggest any amendments required.
7.1 Cover Sheet- Work Programme.docx
Overall Page 23 of 33Overall Page 24 of 33
Partnership Primary Care Commissioning Committees in Common Annual Work Programme
Lead
Item Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20
Executive
Assurance & oversight (Items for Noting)
Development of Schemes to Support winter (timing
dependent on guidance)
GP Development Scheme
Improvement Grants
E-referral Digital Quarterly Report- including GPTeamNet,
Practice Index Plus, Online Consultation- eConsult,
Patient Online Access, Qmaster & Qtoolset Enterprise
Finance Report x x x x x x x x x x x x x
Quality Report x x x x x x x x x x x x x
No meeting
No meeting
Directed Enhanced Services (DES)- including
performance management
Primary Care Services (PCS)- including performance
management
Primary Medical Services Contract Management
Commissioning Update
GP Resilience Programme
GPFV Assurance (as required)
Contractual Assurance (as required)
Patient & Public Engagement Updates (as required)
Internal Audit (as required)
Major Procurements and Items for Decision
Procurement and new contracts (as required)
Practice Mergers, closures and list closures (as required)
Practice Performance Decisions (as required)
Risk Management - significant risks score 15 and above
Primary Care Risk Register
Risks to be escalated
PCOG Specific items
PCOG Decision Trackers x x x x x x x x x x x x x
Items for Escalation (as required)
Governance Framework
Terms of Reference Annual Review N/A x x x
Register of Interests N/A X X X X X X X X X X X X X
Committee Self-Evaluation N/A X X X X X X X X X X X X X
7.2 Draft Committee Workplanner DPCCC.xlsx
Overall Page 25 of 33Overall Page 26 of 33
Practice Decision required What Date of Application Outcome Who Co-Commissioning
Date of Decision Decision Log
Rationale Method of Decision: How Any consultation of
engagement required?
Noted at PCOG Noted at PCCC
is the detail around the request Approved or rejected made the decision decision was made for the decision e.g. via meeting or email decision is to be implemented
Bury Road Medical CentreTemporary List Closure Closure of practice list to registrations for 3 months to allow 11/12/2018 Approved Associate Director of 11/12/2018 IMPORTANT - CCG have supported this with planning Email and meetings. Email to the practice to organise Yes 11/12/2018 N/A
the practice to stabilise. Primary Care and standardised comms - this doesn’t require CCG themselves.
approval as practices don’t have to seek CCG approval
for temporary suspension
Gosport Medical Centre Temporary List Closure Closure of practice list to registrations for 3 months to allow 11/12/2018 Approved Associate Director of 11/12/2018 IMPORTANT - CCG have supported this with planning Email and meetings. Email to the practice to organise Yes 11/12/2018 N/A
the practice to stabilise. Primary Care and standardised comms - this doesn’t require CCG themselves.
approval as practices don’t have to seek CCG approval
for temporary suspension
Rowner Health Centre Temporary List Closure Update - List closure starts anew with the other Gosport 11/12/2018 Approved Associate Director of 04/01/2019 IMPORTANT - CCG have supported this with planning Email from Associate Director of Primary Email to the practice to organise No. N/A as already N/A
practices, so new dates of closure are 01/01/2019 to Primary Care and standardised comms - this doesn’t require CCG Care. themselves. discussed.
31/03/2019. Closure of practice list for temp 3 months, after approval as practices don’t have to seek CCG approval
the effect of Willow Patients re-registering. The 3 month for temporary suspension
period will enable the practice to stabilise and lower waiting
lists.
Brockhurst Medical Temporary List Closure Update - List closure starts anew with the other Gosport 11/12/2018 Approved Associate Director of 04/01/2019 IMPORTANT - CCG have supported this with planning Email from Associate Director of Primary Email to the practice to organise No. N/A as already N/A
Practice practices, so new dates of closure are 01/01/2019 to Primary Care and standardised comms - this doesn’t require CCG Care. themselves. discussed.
31/03/2019. Closure of practice list for temp 3 months, after approval as practices don’t have to seek CCG approval
the effect of Willow Patients re-registering. The 3 month for temporary suspension
period will enable the practice to stabilise and lower waiting
lists.
Bridgemary Medical Centre
Temporary List Closure Closure of practice list to registrations for 3 months to allow 11/12/2018 Approved Associate Director of 11/12/2018 IMPORTANT - CCG have supported this with planning Email and meetings. Email to the practice to organise Yes 11/12/2018 N/A
the practice to stabilise. Primary Care and standardised comms - this doesn’t require CCG themselves.
approval as practices don’t have to seek CCG approval
for temporary suspension
Liphook and Liss Surgery Partnership Changes. • Dr Barbara Rushton leaving on 31st Jan 2019 21/01/2019 Approved Associate Director of 22/01/2019 No change to number of partners, CQC membership is Email. Email to the practice to organise No. N/A N/A
• Dr Suzy Holden becoming Senior Partner and CQC Primary Care being transferred so no risk themselves.
Accountable Officer on 31st Jan
• Dr Natalie Higham joining as Partner
9.1 FGSEH PCOG Decision
C:\Users\cadaviecon\Desktop\6 Log.pdf
Mar 2019\9.1 FGSEH PCOG Decision Log
Overall Page 27 of 33Overall Page 28 of 33
Decisions of the North Hampshire Primary Care Operational Group
Date of Decision Agenda No. Agenda Item Decision Summary Decision Alternative Options
(If Applicable)
13/12/2018 2.6 APMS Contract Extension of Existing APMS Contract The Group approve recommendations within Option One, - 1. To offer the existing contractor the maximum extension
to extend the existing APMS contract for a further five allowable within their existing contract (five year as per
years, to the 31st March 2026. clause 2.3 of their APMS contract – as referenced above).
This option would support the CCG’s Estates Strategy, by
aligning with the suspected timeframe of the new
Winklebury housing development and the potential new GP
practice at Winklebury.
2. To procure the APMS contract on the open market.
Starting the procurement process in 2019/20 for a
commencement date of the 1st April 2021.
3. To disperse the patient list at the end of the existing
contract on the 31st March 2021.
Patients would be open to register with other local GP
practices, although this could significantly affect some GP
practices resulting in them formally applying to the CCG to
close their list.
13/12/2018 6.1.2 Enhanced and Primary Recommendation to continue to commission The Group approve the recommendation to continue to NA
Care Services Review existing Enhanced and Primary Care services commission the existing Enhanced and Primary Care
2019/20 and to endorse the service specifications to services within a Primary Care Setting and to endorse the
the Primary Care Commissioning Committee service specifications, referring the decision to the Primary
in Common Care Commissioning Committee in Common for approval.
9.2 NHCCG PCOG Decision Log.pdf
Overall Page 29 of 33Overall Page 30 of 33
Primary Care Operational Group (PCOG)
Matters Arising: Schedule of Actions
Sponsor: Dr Myrto Kaklamanou, CCG Clinical Lead
Actions identified from previous meeting together with updates on
Summary of issue:
progress to date and expected completion dates.
Action required/ To gain assurance that the actions requested by Primary Care
recommendation: Operational Group are in train.
Source of Authority
CCG
(NHSE and/or CCG):
Principle risks: There are no principle risks at present.
Other committees where
this has been considered This paper has not been considered at any other committees.
including SMT:
Has this been agreed
Finance Quality Contracts
with the following areas;
Signed
Please tick and gain
Finance__________ Quality_________ Contracts __________
signature:
Financial /resource
There are no financial or resource implications at present
implications:
Legal implications/
There are no legal implications or impact at present.
impact:
Public involvement
There has been no public involvement in this paper.
/action taken:
Equality and diversity
There are no equality and diversity impacts relating to this paper.
impact:
Author of Paper: Tracy Richards, Governance Administrator
Date of Paper: 26 February 2019
Date of Meeting: 26 March 2019
Agenda Item: 4.1 Paper number: PCOG18-XXX
9.3 IOW PCOG18-XXX Schedule of Actions PCOG 26.02.19.pdf
Overall Page 31 of 33Isle of Wight Clinical Commissioning Group: Primary Care Operational Group (PCOG) SCHEDULE OF
ACTIONS TAKEN FROM THE MINUTES: 26 February 2019
Date of Minute Action Lead Update Due Status
Meeting No Date
27/11/18 18-083(2) Send out a briefing on the Sandown Hub to other SS 26/02/19 – It was requested that a summary Feb 19 Remain
GP Practices in regard to the Sandown Hub be shared with Open
18-089 To discuss with Sandown the proposal further PCOG
and explore other options 22/01/19 – SS has contacted Richard Berry
who is leading for IOW Council and One Public
Estate.
27/11/18 18-084(1) To share learning from the novation process with SS 26/02/19 – This item will remain open as this Feb 19 Remain
other practices by end of Feb 19 is ongoing and will be open for a period of Open
time
22/01/19 - Ongoing discussions with NHS
England and the District Valuer about the
Premises issues related to the Novation.
Update will be provided at February PCOG.
26/02/19 18-105(1) MLe to discuss further with Andrew Heyes in MLe Mar 19 Open
regard to One Wight Health Contract, specifically
Anticoagulation
26/02/19 18-105(2) GPRISS agreed planned expenditure to be shared TS/EP Mar 19 Open
with LMC and GP Practices
26/02/19 18-105(3) Membership of PCOG to be updated to include TS Mar 19 Open
Primary Care Quality Lead. PCOG Terms of
Reference to be reviewed
26/02/19 18-105(4) Quality report being presented to Designated TS/SS Mar 19 Open
Primary Care Commissioning Committee in
Common to be shared with PCOG members
26/02/19 18-106 Primary Care Risk Register – Item 18 Primary Care TS Mar 19 Open
9.3 IOW PCOG18-XXX Schedule of Actions PCOG 26.02.19.pdf
Overall Page 32 of 33Workforce score to be discussed, as PCOG feels
that this should be increased. TS to discuss with
Phil Hartwell and for this to brought back to
March PCOG
Item 7 – GP OOH – TS to explore Urgent
Treatment Centre GP and Hub Pilot and advise if
this will be a 7-day service or just Saturdays
IOW CCG Primary Care Team Capacity risk to be
reviewed by SMT – TS to discuss with Phil
Hartwell
26/02/19 18-110(1) GPRISS presentation to be circulated to PCOG TR Actioned post meeting 26/02/19 Mar 19 Closed
members
26/02/19 18-110(2) TS and EP to discuss with Quick Start TS/EP Mar 19 Open
commencement to be carried out earlier in the
year to allow for more uptake
26/02/19 18-110(3) CG to liaise with National Team for Toolkit data CG Mar 19 Open
and feedback/share
26/02/19 18-111 JM to explore further Physician Associate training JM Mar 19 Open
and feedback
26/02/19 18-114 TR to circulate PCQSN Minutes from January TR Actioned post meeting 26/02/19 Mar 19 Closed
2019
9.3 IOW PCOG18-XXX Schedule of Actions PCOG 26.02.19.pdf
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