Londonwide LMCs and Londonwide Enterprise Ltd Annual General Meeting 26 January 2017 Review of 2016 and plans for 2017 Accounts for FY 2015/16 www.lmc.org.uk
Introduction and Welcome Dr Adam Jenkins Chair of Board of Directors Chair of Ealing, Hammersmith and Fulham and Hounslow LMC www.lmc.org.uk
Agenda • Introduction from the Chair Achievements in 2016 • Priority Work Areas – Financial report for 2015/16 • Strategic plan for 2017 • • Chief Executive keynote speech • Questions for the Chief Executive and the Board • Closing remarks from the Chair • Meet the Londonwide LMCs’ team www.lmc.org.uk
Board of Directors Dr Adam Jenkins • • Dr Dami Adedayo Chair of the Board – – Barnet Ealing, Hammersmith – • Dr Robbie Bunt and Fulham and Islington – Hounslow Dr Rishi Chelvan • Dr Chris Jowett • Bromley – Treasurer – Dr Mike Grenville • Hillingdon – Waltham Forest – Dr Michelle Drage • Dr Marek Jarzembowski • Chief Executive – Sutton and Merton – www.lmc.org.uk
Highlights of 2016 Assurance and partnership role with NHSE • Influence within STPs • Support for Federations • • Chairs and Vice Chairs training Internal change at Londonwide LMCs • – Investors in People Silver award New Medical Director team – – New structure • Practice workforce surveys – Highlight practice closures and vacancies Using intelligence to work more closely with other • bodies Mayor and GLA – www.lmc.org.uk
Priority work areas GP Resilience • LMC Development • Promoting Representation • Provider Development • Workforce • www.lmc.org.uk
Priority Work Area (PWA): GP Resilience Vicky Ferlia Director of GP Support www.lmc.org.uk
Achievements 2016 Facilitated a number of successful practice merger negotiations • Written and issued guidance on mergers • Increased support to practices in CQC special measures • CQC guidance / workshops • Successful negotiations with NHSE/CCGs to save contracts from • termination / dispersal Supported increased numbers of GPs with performance issues • Supported practices with service charge disputes • PHP Masterclasses • Patient engagement project • Ongoing engagement with NHSE, CCGs and HLP about GPFV • resilience funding www.lmc.org.uk
Going Forward - 2017 24 hour retirement guidance • Supporting practices with lease negotiations • Workshops on premises / leases • Workshops on patient engagement • More targeted support to practices facing closure • Greater focus on facilitating mergers • Closer working with our Workforce PWA • Closer working with our Provider Development PWA • Continue engagement with commissioners re: GPFV • resilience funding www.lmc.org.uk
Priority Work Area (PWA): LMC Development Julie Freeman Director of Primary Care Strategy www.lmc.org.uk
LMC Development (Quality) PWA Training and development programme for members completed: • Gained member preference for skills development planning • Communicating effectively – ‘Presentation’ • Leadership • Induction for new members • Follow up for new members www.lmc.org.uk
LMC Development (Quality) PWA Review of training and development programme 2016: 117 members attended Leadership and • Presentation skills Oversubscribed and highly evaluated • Additional sessions added • 19 attended new members’ induction, additional • session planned www.lmc.org.uk
LMC Development (Quality) PWA Next Steps: Review of programme • Facilitation • New ways of working including SLN support • Follow up and support for new members • Consolidation of skills acquired • www.lmc.org.uk
Priority Work Area (PWA): Promoting Representation Jane Betts Director of Primary Care Strategy www.lmc.org.uk
PWA - Promoting Representation Progress to date: Scoped aims and objectives • Establishing terms of reference for working • group Identifying key people • Estimating initial support resources • www.lmc.org.uk
Priority Work Area (PWA): Provider Development Greg Cairns Director of Primary Care Strategy www.lmc.org.uk
2016 Achievements Support to Federations • Engagement – Development – – Disputes PM development • – Conference – Training module Pan-London planning • – Partnerships, support, learning Engagement, influence – Analysis, risks – Now • Future • Internal • Restructuring – – Vison, aims, objectives, forward plan www.lmc.org.uk
2017 Planning Current position; future direction • – Federation maturity, development, direction – Gaps, challenges – Relationships Funding, support • Engagement • Relationships • www.lmc.org.uk
Priority Work Area (PWA): Workforce Gill Rogers Director of General Practice Nursing www.lmc.org.uk
Workforce PWA • Workforce • Training • Innovation www.lmc.org.uk
Workforce • Workforce roundtable with stakeholders March 2016 • Engagement with CEPNs and HEE London • Focus on GPs • Focus on practice managers • Professional leads forums www.lmc.org.uk
Themes from Workforce Roundtable www.lmc.org.uk
Attendance by Delegate Type Training 74, 11% 115, 18% GP LEAD including LMC Chairs training events • LMC Chairs & Vice 126, Chairs 19% 31 events with 654 attendees Practice • 174, 27 165 Management % Practice Admin Blended Learning Programme – Accredited • , 25% Team GPN and HCA programmes GPN & HCA Students on Accredited 241 learners at various stages • Programme Practice Manager Training Programme • 8 Still Working Through 67 HCA programme for apprenticeship • 5 Incomplete 19 adapted to attract new funding 11 Successfully Completed 10 25 Enrolled 96 0 50 100 150 HCA Training Programme GPN Training Programme www.lmc.org.uk
Innovation Number of Associates 35 The number of associates increased by • 30 38% increase 38% over the previous year. 25 Buying Group • 20 Innovation with associates – joint • ventures established 15 CEPNs – higher level of engagement – • 10 encouraging sharing 5 0 2015 2016 www.lmc.org.uk
Themes running through Workforce PWA Continuous improvement • Collaborative working throughout the • organisation Positioning Londonwide LMCs as a credible • education provider and innovation partner Balance between proactive and reactive • work! Horizon scanning • Seizing opportunities! • www.lmc.org.uk
Accounts for 2015/16 Dr Chris Jowett Treasurer Paul Tomlinson Director of Resources and Company Secretary www.lmc.org.uk
Did Londonwide accounts break even in 2015/16? Total budget of £4.7m (4.4m) • Surplus of £44,981 (-£22,176 ) • – Depreciation £68k (£76k) – Year end cash position £1.48m (£1.3m) – Year end assets £1.72m (£1.48) Notable financial movements • – Remainder of rent free period- circa £50k – Deferred payment for breach notice legal fees – GPDF rebate for local projects - circa £100k Funding patient experience project and Legal • services for practices and federations in 2016/17 www.lmc.org.uk
Did anything adverse or unexpected happen? Assured through clear audit report • Contingency planning • – Reserves held accessibly to mitigate for adversity, eg, slower income payments – Business capital reserve - 3 months trading in the event of closedown - increase to £1.19m (£1.15m) General reserve fund in excess of liabilities - • £366 (£359k) www.lmc.org.uk
Financial year 16/17 Increase to levy of 0.52p (1.05p) per patient • to 58.3p (57.78p) Pressure on honoraria budget • Transitional staff costs • Delivery of projects from funds received in • 2015/16 Deferred payment of breach notice legal fees • Monitor depreciation • New accounting regulations - FRS 102 • – Different assessment and declaration of assets/liabilities – Impact on balance sheet www.lmc.org.uk
Londonwide Enterprise Ltd Turnover slightly lower £156k (£163k ) • Profit increased - £ 56K (£24k) net of tax • – Cash position £205k (£176k) Costs decreased - £46k (£87k) • Contribution to LLMCs - management cost • – £38k (£43k) - Turnover ratio – Less outlay on speakers, venues and catering – Provision of cost neutral, subsidised/ free events – Clear focus on budgets and core products www.lmc.org.uk
2017/18 Strategy Dr Lisa Harrod-Rothwell Lead Medical Director www.lmc.org.uk
Strategic plan for Londonwide LMCs 2017/18 www.lmc.org.uk
Dr Michelle Drage Chief Executive www.lmc.org.uk
Questions www.lmc.org.uk
Summary Dr Adam Jenkins Chair of Board of Directors Chair of Ealing, Hammersmith and Fulham and Hounslow LMC www.lmc.org.uk
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