Patient and Public Engagement Event Wednesday 12 June 2019 1pm-4pm - PowerPoint PPT Presentation

Patient and Public Engagement Event Wednesday 12 June 2019 1pm-4pm Committee Room, Holbrook House, Cockfosters Road, Barnet, Herts, EN4 0DR

Welcome Kevin Sheridan Lay Member for Patient and Public Engagement

Housekeeping • No fire alarm is planned today. If you hear the alarm, please follow the CCG fire warden who will help you to evacuate. • Please turn your mobile phones off or put them on silent • Please help yourself to refreshments throughout the event • Feedback forms will be emailed to you after the event and a small number of printed copies are available • This is the first time we have used Holbrook House as a venue. Please tell us what you what think of today’s event on the feedback form and tell us about topics you would like to see at future events. 3

How you can get more involved in the work of the CCG • Join your GP practice’s Patient Participation Group (PPG). Ask your practice if you can join. We have an active PPG network and an elected PPG representative Litsa Worrall who sits on the Governing Body • Volunteer to be a patient representative and help us improve services for local patients forms are available. • Attend a Governing Body Meeting or a North Central London CCGs meeting – dates are advertised on our website, on Twitter and in the Enfield Independent • Follow us on Twitter @EnfieldCCG • Sign up to our mailing list - we will add your email address from the sign-in sheet to our list OR contact enfccg.communications@nhs.net • Contact us if you would like someone to attend your voluntary or community group meetings • Visit our website www.enfieldccg.nhs.uk

Agenda 1:00pm-1:30pm Sign in, refreshments and networking 1:30pm-1:40pm Welcome Kevin Sheridan, Lay Governing Body member for Patient and Public Engagement 1:40pm-2:00pm Enfield CCG corporate update Dr Fahim Chowdhury Workshops 2:00pm-2:45pm Commissioning a new community phlebotomy service Clinical lead – Dr Yogasakaran Arjuna Management Lead - Philippa Mardon 2:45pm-3:30pm Chase Farm Urgent Care Centre Clinical Lead - Dr Fahim Chowdhury Management Lead – Clare Kapoor 3:30pm - 3:40pm Clinical Advice and Guidance Management Lead –Julian Chiew 3:40- 3:50pm Launch of new ophthalmology service Management Lead - Philippa Mardon 3:50pm - 4:00pm Questions and Answers session with the Governing Body 4:00pm Thank you and event closes Kevin Sheridan, Lay Governing Body member for Patient and Public Engagement 5

Enfield CCG Update Dr Fahim Chowdhury

Corporate Update • New interim Chief Officer for Enfield CCG from 21 May – Rob Larkman. John Wardell is currently on long term sick leave. Rob Larkman recently covered for Chief Finance Officer NCL CCGs, Simon Goodwin’s sick leave has agreed to cover for John for the duration of his sick leave. Rob is a very experienced Chief Executive and we are pleased that he has agreed to join us in Enfield. • Enfield CCG Governing Body meetings are now quarterly from April 2019 onwards. Details of meetings on our website. Next meeting is on 19 June 1:30-3:30pm at Holbrook House. • NCL Joint Committees already in place: NCL Joint Commissioning Committee and Primary Care Co-Commissioning Committee in Common. Details on the CCG’s website. http://www.enfieldccg.nhs.uk/about-us/north- central-london-ccgs.htm The meetings are held in public. Local clinicians working with local people for a healthier future

Primary Care Hubs • Enfield CCG’s procurement committee has formally agreed not to renew the GP hubs single point of access (SPA) telephone service contract. With effect from Monday 1 July the 03000 333 666 telephone number will no longer be available. • The SPA number was initially set up due to technical and IT issues at the time of establishing the GP hubs service. These technical and IT issues have since been resolved. • From 1 July onwards patients will be required to request a GP hubs appointment via their own GP practice directly during core opening hours, or via NHS 111 weekday evenings, weekends and bank holidays when the practice is closed. • To support these changes a pre-recorded message will be added to the SPA line provided by LCW, so that if patients call they can be signposted appropriately. Enfield CCG will support the withdrawal of materials promoting the SPA number and will replace with the nationally bran ded ‘Help Us Help You’ campaign materials for GP extended access service. We will also notify relevant stakeholders, such as Healthwatch Enfield and other community and voluntary organisations, in advance of the SPA number close down. • All GP practices will be required to update their answerphone messages and individual practice websites accordingly before the changes are implemented on 1 July. Local clinicians working with local people for a healthier future

Finance update • Enfield CCG’s reported deficit for 2018/19 was £24.8m. After adjusting for non-recurrent items, the underlying position was a deficit of £14.6m. • For 2019/2020, Enfield CCG is planning to a planned deficit of £15.4m which equate to a total spend of £505.3m. There is potentially a net risk of a further £6.3m. • In order to deliver to the plan, the CCG is working to a gross transformation programme of £18m which will need to phased and supported by investment. As well as contractual agreements with acute providers, successful delivery will require an integrated approach to patient care across involving primary care, mental and community health and voluntary sector. The plan is expected to improve the patient journey and/or maximise the use of finite resources. Although the CCG has a developed and mature transformation programme, many of the easily achievable efficiency areas have already been adopted in recent years making transformational delivery vital. • North Central London commissioners and acute providers continue to work collaboratively to develop and implement the Sustainability and Transformation Plan (STP) assumptions to ensure that the Enfield CCG and the North Central London wide the financial control total is achieved.

NCL STP update NCL Orthopaedic review We are recruiting six local people to be part of the review process looking at options for the future of planned bone and joint surgery. http://www.northlondonpartners.org.uk/ourplan/Areas-of-work/Ortho- service-review/get-involved.htm Three residents representatives opportunities: • Analytics Board • Digital Board • Neurology Role descriptions on the website: http://www.northlondonpartners.org.uk/getinvolved/residents-representatives.htm NCL STP website http://www.northlondonpartners.org.uk/ Local clinicians working with local people for a healthier future

Public consultation on proposed move of Moorfields Eye Hospital services (City Road) A public consultation is running on a proposal to move Moorfields Eye Hospital’s services to a new centre, bringing together excellent eye care, ground-breaking research and world-leading education in ophthalmology. The consultation is running from Friday 24 May to and Monday 16 September and your views are sought. Eye care services would move from the current hospital at City Road, London, along with Moorfields’ partner in research and education, the UCL Institute of Ophthalmology and Moorfields Eye Charity. Have your say Download the consultation documents at Oriel-london.org.uk/consultation-documents For more information – including many different ways you can take part in the consultation go to oriel-london.org.uk/get-involved/ Local clinicians working with local people for a healthier future

Community Phlebotomy Service Philippa Mardon, Dep Director Transformation, Planning & Delivery 12

Current provision • The current Enfield community phlebotomy service provider is North Middlesex Hospital (NMUH). • GP surgeries: • Freezywater Primary Care Centre • White Lodge Medical Practice • Forest Road Primary Care Centre • Evergreen Surgery • Winchmore Hill Practice • Grovelands Medical Centre • Domiciliary phlebotomy service Local clinicians working with local people for a healthier future

Recently ceased provision • The Royal Free Hospital Trust also provided an un-commissioned practice phlebotomy service. • This service ceased as of 31st March 2019. • Abernethy House Surgery • Carlton House Surgery • Cockfosters Medical Centre • Eagle House Surgery • Gillian House Surgery • Highlands Practice • Lincoln Road Medical Practice • Oakwood Medical Centre • Riley House Surgery • Southgate Surgery • Trinity Avenue Surgery • Willow House Surgery • The Woodberry Practice Local clinicians working with local people for a healthier future

Gap/Variation in system? • Chase Farm Hospital and NMUH provide access to blood tests Monday to Friday, from early morning till late afternoon, but provide no weekend provision . • BEH will bleed patients for those already on District Nurse caseload. • Domiciliary service does not do urgent blood tests . • If urgent blood test required then, as a failsafe, only option is A&E. • Reduced convenience and longer travel times are concerns that have been raised by practices, and local stakeholders. Local clinicians working with local people for a healthier future

Feedback • What do you think about the current community phlebotomy and domiciliary service? Local clinicians working with local people for a healthier future