Londonwide LMCs and Londonwide Enterprise Ltd Annual General Meeting - - PowerPoint PPT Presentation

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Londonwide LMCs and Londonwide Enterprise Ltd Annual General Meeting - - PowerPoint PPT Presentation

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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

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Londonwide LMCs and Londonwide Enterprise Ltd

Annual General Meeting

26 January 2017 Review of 2016 and plans for 2017 Accounts for FY 2015/16

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Introduction and Welcome

Dr Adam Jenkins

Chair of Board of Directors Chair of Ealing, Hammersmith and Fulham and Hounslow LMC

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  • 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

Agenda

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  • Dr Dami Adedayo

– Barnet

  • Dr Robbie Bunt

– Islington

  • Dr Rishi Chelvan

– Bromley

  • Dr Mike Grenville

– Waltham Forest

  • Dr Marek Jarzembowski

– Sutton and Merton

Board of Directors

  • Dr Adam Jenkins

– Chair of the Board – Ealing, Hammersmith and Fulham and Hounslow

  • Dr Chris Jowett

– Treasurer – Hillingdon

  • Dr Michelle Drage

– Chief Executive

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  • 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

Highlights of 2016

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  • GP Resilience
  • LMC Development
  • Promoting Representation
  • Provider Development
  • Workforce

Priority work areas

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Priority Work Area (PWA): GP Resilience

Vicky Ferlia

Director of GP Support

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  • 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

Achievements 2016

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  • 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

Going Forward - 2017

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Priority Work Area (PWA): LMC Development

Julie Freeman

Director of Primary Care Strategy

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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

LMC Development (Quality) PWA

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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

LMC Development (Quality) PWA

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Next Steps:

  • Review of programme
  • Facilitation
  • New ways of working including SLN support
  • Follow up and support for new members
  • Consolidation of skills acquired

LMC Development (Quality) PWA

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Jane Betts

Director of Primary Care Strategy

Priority Work Area (PWA): Promoting Representation

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Progress to date:

  • Scoped aims and objectives
  • Establishing terms of reference for working

group

  • Identifying key people
  • Estimating initial support resources

PWA - Promoting Representation

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Priority Work Area (PWA): Provider Development

Greg Cairns

Director of Primary Care Strategy

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  • 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

2016 Achievements

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  • Current position; future direction

– Federation maturity, development, direction – Gaps, challenges – Relationships

  • Funding, support
  • Engagement
  • Relationships

2017 Planning

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Priority Work Area (PWA): Workforce

Gill Rogers

Director of General Practice Nursing

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  • Workforce
  • Training
  • Innovation

Workforce PWA

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  • Workforce roundtable with

stakeholders March 2016

  • Engagement with CEPNs and HEE

London

  • Focus on GPs
  • Focus on practice managers
  • Professional leads forums

Workforce

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Themes from Workforce Roundtable

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  • LEAD including LMC Chairs training events
  • 31 events with 654 attendees
  • Blended Learning Programme – Accredited

GPN and HCA programmes

  • 241 learners at various stages
  • Practice Manager Training Programme
  • HCA programme for apprenticeship

adapted to attract new funding

Training

96 10 19 67 25 11 5 8

50 100 150 Enrolled Successfully Completed Incomplete Still Working Through

GPN & HCA Students on Accredited Programme

HCA Training Programme GPN Training Programme 115, 18% 174, 27 % 165 , 25% 126, 19% 74, 11%

Attendance by Delegate Type

GP LMC Chairs & Vice Chairs Practice Management Practice Admin Team

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5 10 15 20 25 30 35 2015 2016

Number of Associates

38% increase

Innovation

  • The number of associates increased by

38% over the previous year.

  • Buying Group
  • Innovation with associates – joint

ventures established

  • CEPNs – higher level of engagement –

encouraging sharing

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  • Continuous improvement
  • Collaborative working throughout the
  • rganisation
  • Positioning Londonwide LMCs as a credible

education provider and innovation partner

  • Balance between proactive and reactive

work!

  • Horizon scanning
  • Seizing opportunities!

Themes running through Workforce PWA

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Accounts for 2015/16

Dr Chris Jowett

Treasurer

Paul Tomlinson

Director of Resources and Company Secretary

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  • 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

Did Londonwide accounts break even in 2015/16?

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  • 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)

Did anything adverse or unexpected happen?

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  • 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

Financial year 16/17

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  • 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

Londonwide Enterprise Ltd

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2017/18 Strategy

Dr Lisa Harrod-Rothwell Lead Medical Director

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Strategic plan for Londonwide LMCs 2017/18

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Dr Michelle Drage

Chief Executive

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Questions

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Summary

Dr Adam Jenkins

Chair of Board of Directors Chair of Ealing, Hammersmith and Fulham and Hounslow LMC