Patient Reference Group 10 January 2018
Agenda Item Topic Lead Time 1 Richard Griffin 6:00-6:15pm Welcome Apologies Declaration of conflicts of interest 2 GP contracts - Personal Medical Linda Finch, 6:15 - 6:45pm Services (PMS) Programme Manager 3 Online consultations programme for Tarlochan 6:45 – 7:00pm discussion Boparai, Primary Care Transformation Manager Break 7:00pm 4 Being a patient representative in All 7:15 to 7.50pm 2018 5 All 7:50 - 8:00pm AOB 2
Primary Care Access Scheme Linda Finch, Programme Manager 3
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. 4
Background • 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. 5
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 off by the CCGs primary care commissioning committee and assured by NHS England and Londonwide LMC 6
The Review Process • 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 7
Any questions? 8
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 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. 10
What Are We Doing 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. 11
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? 12
Any Questions? 13
Being a patient representative in 2018
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 15
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. 16
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 of 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. 17
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. 18
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 19
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 20
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. 21
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 22
Any other business? NHS 70 th birthday • • Phlebotomy – you said, we did • Renal - encouraging GPs to use the new service 23
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