The professional voice of general practice in Redbridge Londonwide LMCs is the brand name of Londonwide Local Medical Committees Limited Registered and office address: Tavistock House North, Tavistock Square, London WC1H 9HX. T. 020 7387 2034/7418 F. 020 7383 7442 E. [email protected]www.lmc.org.uk Registered in England No. 6391298. Londonwide Local Medical Committees Limited is registered as a Company Limited by Guarantee Chief Executive: Dr Michelle Drage REDBRIDGE LOCAL MEDICAL COMMITTEE MEETING To be held from 2.30 pm to 4.30 pm on Thursday 30 May 2013 at Hainault Medical Centre, Manford Way, Chigwell, IG7 4DF PART TWO AGENDA 1.0 Welcome and apologies 2.0 2.1 Declarations of interest Members to declare any conflicts of interest in connection with any items on the agenda or in the light of subsequent debate 3.0 Minutes and matters arising: 3.1 Minutes from Redbridge LMC Part two meeting on 28 March 2013 (pages 2-4) 3.1.1 Anticoagulation (minute 4.1 refers) 4.0 4.1 4.2 Members reports of meetings attended Feedback from LMC Annual Conference on 23 and 24 May 2013 – Dr Shah to report Other reports of meetings attended 5.0 CCG update: 5.1 5.2 5.3 5.4 BHR-CCGs’ Management Structure (pages 5-15) CCG budgets and service priorities Local Enhanced Services Primary Care Strategy Clinical Director elections 6.0 6.1 6.2 Acute Trust issues BHRT Barts Health • Pathology issues 7.0 Public Health issues Local Enhanced Services 8.0 Date of the next meeting 25 July 2013, Hainault Medical Centre 9.0 Any Other Business
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REDBRIDGE LOCAL MEDICAL COMMITTEE … · Gulsen Gungor Senior Locality Lead Change Projects Simon James Senior Locality Lead Primary Care Improvement Colette Marshall Senior Locality
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The professional voice of general practice in Redbridge Londonwide LMCs is the brand name of Londonwide Local Medical Committees Limited Registered and office address: Tavistock House North, Tavistock Square, London WC1H 9HX. T. 020 7387 2034/7418 F. 020 7383 7442 E. [email protected] www.lmc.org.uk Registered in England No. 6391298. Londonwide Local Medical Committees Limited is registered as a Company Limited by Guarantee Chief Executive: Dr Michelle Drage
REDBRIDGE LOCAL MEDICAL COMMITTEE MEETING
To be held from 2.30 pm to 4.30 pm on Thursday 30 May 2013 at
Hainault Medical Centre, Manford Way, Chigwell, IG7 4DF
PART TWO
AGENDA 1.0 Welcome and apologies
2.0 2.1
Declarations of interest Members to declare any conflicts of interest in connection with any items on the agenda or in the light of subsequent debate
3.0 Minutes and matters arising: 3.1 Minutes from Redbridge LMC Part two meeting on 28 March 2013 (pages 2-4) 3.1.1 Anticoagulation (minute 4.1 refers) 4.0 4.1 4.2
Members reports of meetings attended Feedback from LMC Annual Conference on 23 and 24 May 2013 – Dr Shah to report Other reports of meetings attended
5.0 CCG update: 5.1 5.2 5.3 5.4
BHR-CCGs’ Management Structure (pages 5-15) CCG budgets and service priorities Local Enhanced Services Primary Care Strategy Clinical Director elections
6.0 6.1 6.2
Acute Trust issues BHRT Barts Health • Pathology issues
7.0 Public Health issues Local Enhanced Services
8.0
Date of the next meeting 25 July 2013, Hainault Medical Centre
9.0 Any Other Business
Redbridge Local Medical Committee
Part 2
Minutes from the meeting held at 1:30pm on Thursday 28 March 2013 in the Hainault Medical Centre, Manford Way, Chigwell IG7 4DF
Present: LMC Members: Dr Heath Springer (Vice-Chair)
Dr Pradeep Sharma Dr Undinti Shubhaker
Co-opted: Visitor:
Dr Emma Taslima Mannan Dr Sarah Heyes (CCG)
In Attendance: Dr Tony Grewal, Medical Director, Londonwide LMCs
Please note that the Committee was not quorate on the day. Dr Tony Grewal advised that the Committee could proceed with the meeting, but any decision made would need to be rectified by a Committee that is quorate at the next meeting or via email.
1.0 Welcome and Apologies
1.1 Dr Heath Springer welcomed everyone to the meeting and introduced Dr Emma Taslima Mannan as a GP Registrar representative. Everyone introduced themselves. Apologies for absence were received from Greg Cairns (Director of Primary Care Strategy, Londonwide LMCs), Dr Kaindon Kugathas, Dr Zulfikar Moghul, Dr Munesh Mistry, Neill Moloney (BHRUT), Neil Roberts, Dr Ambrish Shah, Dr Anil Shah, Dr Muhammed Tahir and Andrew Watson.
2.0 Declaration of interest 2.1 There were no declarations of interest in relation to Part 2 of the meeting.
3.0 Minutes of the meeting held on Thursday 14 February 2013 3.1 The Minutes of the Part 2 meeting held on Thursday 14 February 2013 were
agreed as a correct record subject to the amendment of ‘Undinti’ to ‘David’ (points 4.1 and 51) to reflect Dr Shubhaker’s name preference.
4.0 Matters Arising 4.1 Anti-coagulation
Dr Sarah Heyes indicated that anti-coagulation is something that has been raised by the clinical directors at CCG, however, the issue was one of lack of fund. She stated she is hopeful that things will change come beginning of April. Dr Tony Grewal suggested that LMC members write to constituents indicating that anti-coagulation is an important issue and should CCG not continue with the service, we would raise it with NCB. It was agreed that Dr Tony Grewal would write to CCG to express LMC
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members’ concerns regarding anti-coagulation service in Redbridge and to ascertain from them what is being done in this area. Urgent response required from CCG. It was further agreed to keep anti-coagulation as a standing item on Redbridge LMC agenda.
TG GE
5.0 Updates - to include 5.1 Enhanced Services (‘ES’) – Procurement and Competition
Dr Tony Grewal advised that the Commissioning Board issued guidance in July 2012 regarding Enhanced Services and more recently section 75 of the 2012 Act hit the news; the upshot being that although ES can be rolled over, there is no longer a mechanism for ES to be part of the contract; any public service contract over £100,000 must be open to tender in line with competition law unless it is not in the public interest to do so; also where the service is offered to a single provided this must be justified. Dr Tong Grewal urged LMC members to get advice if they or anyone they know are thinking of providing ES. He said that they should contact LMC office if they needed help. Dr Tony Grewal clarified that existing ES will be rolled over, but new ones (son of LES) will be open to challenge.
6.0 Commissioning Update – constitution; authorisation 6.1 Dr Sarah Heyes reported that at a meeting at Beckett’s House involving Greg
Cairns, the 5 major concerns regarding the Constitution were dealt with. She said she understood that the Constitution has been approved and a letter by email will go out to all members stating that LMC was happy with it (she referred to an email she had received from Greg regarding this); Redbridge is authorised with 6 conditions (she read out the conditions). Dr Tony Grewal said that we would say that the Constitution is in compliance, but no letter will be sent by us to members regarding it. Dr Sarah Heyes report included the appointment of Dr Anil Mehta as the interim CCG Chair. She stated that Dr Anil Mehta is keen on making significant changes, but money was an issue. Dr Sarah Heyes indicated that Redbridge has been under-funded historically, but a change is likely in the foreseeable future; there was now a persistent lobbying to recognise that Redbridge is historically under-funded. It was agreed that Dr Sarah Heyes would notify LMC office when Dr Anil Mehta is confirmed in post so that a letter can be sent, on behalf of LMC members, to welcome him to the post and also to invite him to Redbridge LMC meetings.
SH
7.0 Acute Trust issues 7.1 BHRT – information on maternity boundaries for noting
The Committee noted the information relating to maternity boundaries and further noted Dr Sarah Heyes’ explanation/report regarding it. She reported that all planned deliveries are analysed daily. She explained when referral can be made to Whipps Cross. It was agreed that Dr Sarah Heyes would email Gracie Edevbie with the contact details for maternity lead.
SH
7.2 Barts Heath and NHS Trust
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The Committee noted that there was no visitor from Barts Health. 8.0 PCT owned Premises – updates re leases, service charges 8.1 The Committee that this item was dealt with in Part 1 of the Agenda. 9.0 Enhanced Services – Procurement and Competition 9.1 This item was dealt with under Point 5.1 above. 10.0 Dates of Redbridge LMC meetings for 2013 - noting 10.1 The Committee noted this item. 11.0 Date of Next Meeting 11.1 In Part 1 of the meeting, Gracie Edevbie informed the Committee that as the
next meeting date of 23 May 2013 clashed with the Annual Conference, they should consider whether the meeting should be rescheduled for 16 May 2013 or 30 May 2013. Following discussions on the above, the Committee opted for 30 May 2013. It was agreed that Gracie Edevbie would email LMC members, via the list server, to inform them that the next meeting of Redbridge LMC will be on 30 May 2013.
GE
12.0 Any Other Business 12.1 Conflict of interest issue raised by Dr Pradeep Sharma
Dr Pradeep Shah raised concern in respect of a conflict issue involving a CCG Board member who has taken over a 3 months contract to supervise a practice (there were 8 applications and 5 were shortlisted). Dr Tony Grewal advised that how primary care is delivered to patients is a matter for the PCT and its power has been delegated to CCG, a statutory stand-alone body and as long as the CCG Board member was not involved in the decision making, then there is no conflict per se. The Committee acknowledged, however, that there could be a perception of conflict regarding the situation Dr Pradeep Shah raised. Dr Sarah Heyes indicated that CCG should have been made aware of the above situation (the 3 months contract situation). It was agreed that Dr Pradeep Sharma would email Dr Tony Grewal with any concerns he wished to raise concerning the conflict of interest issue he talked about at the meeting.
PS
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Barking and Dagenham, H i d R db idHavering and Redbridge
CCGsCCGs
Management structure
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BHR CCGs integrated management support structure
Barking and Dagenham CCG Havering CCG Redbridge CCG
Conor BurkeAccountable Officer
Louise MitchellChief Operating
Officer (Redbridge)
Alan StewardChief Operating
Officer (Havering)
Sharon MorrowChief Operating Officer (B&D)
Rob MeakerDirector of Innovation
Marie PriceDirector of
Corporate Services
Martin SheldonChief Financial
Officer
Graham SimpsonCommissioning Support Director
Jane GateleyDirector of Strategic
Delivery
POD Comms and HR
Jacqui HimburyNurse Director
POD Contracting &
POD Finance Lead
Leads
POD Contracting & Quality Leads
POD Analytics Lead
Central CSU
Acute reconfiguration
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Organisational Structure: Barking and Dagenham CCG borough team