Patient Reference Group 10 January 2018 Agenda Item Topic Lead - - PowerPoint PPT Presentation

Patient Reference Group

10 January 2018

Agenda

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Item Topic Lead Time

1 Welcome Apologies Declaration of conflicts of interest Richard Griffin 6:00-6:15pm 2 GP contracts - Personal Medical Services (PMS) Linda Finch, Programme Manager 6:15 - 6:45pm 3 Online consultations programme for discussion Tarlochan Boparai, Primary Care Transformation Manager 6:45 – 7:00pm Break 7:00pm 4 Being a patient representative in 2018 All 7:15 to 7.50pm 5 AOB All 7:50 - 8:00pm

Primary Care Access Scheme

Linda Finch, Programme Manager

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Background

• The primary care access scheme was developed as part of a process to

review a specific type of GP contract called a Personal Medical Services (PMS) contract. This is a locally agreed contract as opposed to the national General Medical services (GMS) contract. There are 22 PMS practices, and 19 GMS practices in Waltham Forest.

• They key principle for the review was to ensure all practices offered the

same access to patients for the same price. Prior to the review this varied significantly between PMS and GMS practices.

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• The scheme enables practices to receive additional payments for

delivery of locally developed indicators which are over and above the requirements of the core contract.

• Access and patient satisfaction were the areas chosen because we

know that Waltham Forest patients have experienced some difficulty getting an appointment at their GP practice and we believe this scheme will improve this situation.

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Background

The Review Process

• The CCG conducted lengthy negotiations with a group that consisted of

PMS, GMS and Local Medical Committee (LMC) representatives

• The review meant that some PMS practices had their contract value

reduced whilst some PMS practices and all GMS practices could earn additional income through the scheme.

• Following conclusion of the negotiations the proposal was formally signed
• ff by the CCGs primary care commissioning committee and assured by

NHS England and Londonwide LMC

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• GMS practices could sign up to the scheme with effect from 1 July

2017

• All PMS practices have now agreed to the new deal and the

scheme went live for them from 1 January.

• The detail of the scheme is provided in appendix 1

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The Review Process

Any questions?

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General Practice Forward View (GPFV) Online Consultations Fund

Patient Reference Group Presentation 10 January 2018 Tarlochan Boparai Primary Care Transformation Manager

What Are We Doing

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As a part of the NHS England General Practice Forward View there has been funding released for each CCG across England. The CCG will look to procure a system/tool that can enable online consultations to take place within a General Practice setting. Research has shown that around 10% of patients will utilise this solution so this is unlikely to be something that will radically change the way a practice operates. This is intended to give those patients willing to use technology to make use of another channel to access primary care for routine purposes.

What Are We Doing

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NHS England have given each CCG a deadline of 31 March 2018 to have spent the allocated funding or have committed contractually to a supplier. Where we are: 1. A review of the market has taken place at North East London (NEL) level. 2. Each CCG across NEL has taken part in joint working to look at one common solution for all practices across the 7 CCG areas in NEL. 3. Understanding what technical interfaces we need with our clinical systems to enable this to truly work and give benefit to patients and practices.

What We Need From You

• What are the main features you want to see from a web based solution for

practices?

• What do you see being the barriers and constraints for patients up taking a

web based solution?

• How do you see technology assisting your journey in using general

practice?

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Any Questions?

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Being a patient representative in 2018

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What do you hope to achieve as a patient representative in 2018?

• Lay members
• co-chair arrangements and role on other CCG committees
• PPG locality representatives
• what have you done so far to engaged your PPG?
• Working with other PPGs?
• promoting the PPG local standard
• Other members
• Healthwatch Waltham Forest

Alex Kafetz

Remuneration committee Setting the pay for CCG executives and lay members. Advising on any payment issues that sets the CCGs at risk. Agreeing the new salary for the new accountable officer Lay member for NE London Individual Funding Request Panel This is a clinical panel which can compel local CCGs to fund treatments outside NHS tariff/NICE guidance. We look at a number of criteria. Recent examples have included a young woman who wanted breast reduction surgery due to muscular skeletal issues, and someone who wanted cosmetic surgery following obesity reduction surgery. Based on a presentation from an expert and evaluation against criteria - the panel must decide whether treatment should be funded.

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Ana da Cunhalewin

• Procurement process for NHS 111; attending a number of training meetings as a

patient representative, some online work (shortlisting applicants) and then a whole day

• f in the assessment.
• Promoting surveys and information; to community groups in my local area and

Residents Association.

• Enjoyed commenting on patient leaflets etc. and have done this when the opportunity

has arisen.

• For 2018, I would love to be more involved in longer lasting projects focusing on

specific aspects of health and patient experience. Cancer / geriatric medicine / end of life care / mental health.

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Pat Stephenson

• Particularly helpful was a Healthwatch course.
• Contact with PPGs in Walthamstow.
• Attended meetings; Patient Voice, launch of the blood testing

service, CCG board meeting and it was good to meet other PPGs members at the Mill (PPG Local Standard).

• Supported PPGs when asked and raised awareness PPGs.

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The PRG members are also involved in…

• Women of Walthamstow
• Waltham Forest Save Our NHS
• Churches
• Political parties
• Horticultural society
• Tenancy and local residents associations
• governing body of a school
• Waltham Forest Vision
• East London Vision
• PPGs
• Whipps Cross Patients Panel
• London Ambulance Patients Forum
• Community Safety board for the local authority

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PRG views are shared with

• WF CCG Primary Care Commissioning Committee
• WF CCG Primary Care Advisory Committee
• WF CCG Governing Body
• Care & support hub steering group for the CCG
• NHS 111 contract procurement
• PPGs
• WF CCG remuneration Committee
• North East London independent funding review panel
• National Information Board
• NHS England self care and prevention programme board
• Health Education England building a digital ready workforce

programme board

• DH transparency programme board

PRG Survey

What topics would you like to discuss in 2018?

• Exactly how services are designed to provide accessible care
• Mental, health services and is the model of Care in the community working?
• 6mths review of the new arrangements for Phlebotomy .
• service for dementia patients
• Successfully meeting health needs of immigrants locally
• mental health, cancer, respiratory and end-of-life discussions. Perhaps

focus on one condition such as Diabetes.

• The amalgamation of the CCG with six others, is a big step, and needs

discussion and more information of how this will work..

• How we can improve care for older people.
• At least one meeting with Whipps Cross group.

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PRG Survey

What topics would you like to discuss in 2018?

• Carers and carer support higher on the agenda.
• Would like to see national charities to give talks
• Taking action on service improvement
• Technology; Patients access to their data beyond the summary

care records /Online GP consultations including out of hours/ Online triaging pre appointments.

• Workforce - recruitment and retention
• Whipps Cross hospital development
• Accountable Officer system plans

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Any other business?

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• NHS 70th birthday
• Phlebotomy – you said, we did
• Renal - encouraging GPs to use the new service