Brent Teaching PCT - NHS Newcastle Gateshead Clinical

Primary Care Commissioning Committee

Tuesday 29 June 2021, 5 pm – 5.30 pm

Microsoft Teams video-conference (please note the meeting will be recorded)

Agenda

No Timing guide

Item Papers Presenter

1 Welcome and Apologies for Absence - Chair

2 Confirmation of Quoracy - Chair

3 Declarations of Interest Enc Chair

4 Draft Minutes of Previous Meeting – 25 May 2021 Enc Chair

5 Action Log – no outstanding actions - Chair

6 5.05 2020/21 Primary Care Co-Commissioning Budget Enc Jill McGrath

7 5.15 Risk Register Report Enc Neil Hawkins

8 5.25 Covid Vaccination Programme Update Verbal Jackie Cairns Lynn Wilson

9 Any Other Business - All

Date of next meeting:

Tuesday 27 July 2021, 4 pm

Declaration of Interest Register 2020/21

EMPLOYEES: Declaration completed by employees

Fin

anci

al In

tere

st

No

n-F

inan

cial

Pro

fess

ion

al In

tere

st

No

n-F

inan

cial

Pe

rso

nal

Inte

rest

From To

Go

vern

ing

Bo

dy

QSR

Au

dit

Co

mm

itte

e

Pri

mar

y C

are

Co

mm

issi

on

ing

Co

mm

itte

e

Re

mu

ne

rati

on

Exe

c C

om

mit

tee

No

rth

ern

CC

G J

oin

t

Co

mm

itte

e

Staf

f

Clin

ical

Le

ad /

Dri

ecto

r

Ho

ste

d

De

cisi

on

Mak

er

SelfSt Albans Medical

Greoup, GP practiceY Y N Direct

Partner at GP

surgery in NGCCG

area. Enhanced

Service to provide

GP cover to

Intermediate Care

in Gateshead

Jan-20 OngoingI will declare at

meetings when requiredY Y 07.10.20

No change for

2020/21

Self

GP Trainer with

Northumbria GP

Training Programme

N Y N Direct I am a GP trainer Jan-20 OngoingI will declare at

meetings when requiredY Y 07.10.20

No change for

2020/21

Cairns JackieDirector for Newcastle

PlaceDaughter

Newcastle Gateshead

Clinical

Commissioning Group

no

Non Financial

Professional

Interests

Non

Financial

Personal

Interests

In direct Daughter Apr-18 OngoingWill declare at meetings

as requiredY Y Y Y Y 07.10.20

Amended with

daughters details

Self

Sibling is GP whose

practice is a member

of CCG

NoWill declare in meetings

where relevantY Y Y Y Y Y 05.07.19

No change for

2019/20

Spouse

Care Navigator at

Oxford Terrace and

Rawling Road

Yes Indirect

Care Navigator at

Oxford Terrace and

Rawling Road

29.09.20 OngoingWill declare in meetings

where relevantY Y Y Y Y Y 29.09.20

Updated to reflect

wife's employment

status

self Gateshead Council Yes Direct Senior Officer ongoingWill declare if needed at

meetingsY

spouse NHS England Yes Indirect employee ongoingWill declare if needed at

meetingsY

SelfCare Quality

CommissionerNo

Member of CQC

Inspection Team01.04.17 Ongoing Y Y Y Y Y Y 19.06.2020

Updated to reflect

medical examiner

role

Self Medical Examiner YesMedical Examiner,

Northumbria FT01.06.2020 Ongoing Y Y Y Y Y Y 19.06.2020

Updated to refelct

medical examiner

role

Dodds PhilippaPortfolio Manager -

Primary Care DeliverySelf Nothing to declare Y Y 14.10.20

No change for

2020/21

JoeCorrigan Chief Finance Officer

BillSecondary Care

Clinician

John

Gateshead HWB

representative on

Primary Care

Commissioning

Committee

Costello

Butler Georgina

Clincal Director for

Transformation

(Gateshead)

Cunliffe

No change for

2020/21

Committees

14.10.20

Declared interest-

(name of

organisation and

nature of business)

Is the

interest

direct or

indirect?

Type of Interest

DOI/StatusSurname

Co

mm

ents

DECISION MAKERS: Declarations completed by Governing Body; members of Governing Body committees; staff grade 8d and above; joint committee members; members of advisory groups which contribute to direct or delegated decision making on the commissioning or provision

of tax payer services

Dat

e C

om

ple

ted

Nature of Interest Action Taken

Date of Interest

ForenameCurrent Position(s) in

CCG

Gertig PaulLay governing body

memberdaughter Indirect

My Eldest daughter

is on the GP core

training programme

in our area. Her 1st

6 months is with a

GP practice in

Gateshead

Aug-19 Aug-22

I will declare at

meetings as required

and comply with the

standards of buisness

conduct and

declarations of interest

policy.

Y Y Y Y Y 24/09/19 Updated

Goode Rosalind CCG Employee Partner

North of England

Commissioning

Support Unit (NECSU)

No

Non Financial

Professional

Interests

Non

Financial

Personal

Interests

IndirectBusiness Process

Automation Lead01.06.20 No conflict Y Y 14.09.20 Added

Self

Northumberland CCG -

providing governnace

support and advice

N Y N Direct

Northumberland

CCG - providing

governnace support

and advice

01.07.2020 OngoingI will declare at

meetings as required. Y Y Y Y Y Y Y Y 01.07.20

Updated to reflect

N'land CCG role and

wife's role at NCC.

SpouseNorthumberland

County CouncilN N N Indirect

Northumberland

County Council -

Assistant Director

for Policy

01.07.2020 OngoingI will declare at

meetings as required. Y Y Y Y Y Y Y Y 01.07.20

Updated to reflect

N'land CCG role and

wife's role at NCC.

Newcastle YMCA. The

YMCA hold public

health funding for

anti-obesity

programme.

Yes Directchief Executive

Officeron-going

will declare at meetings

if necessaryY Y Y Y

Personal friend with

Dr D Howarth and

family, Senior Partner,

Denton Turret

Medical Group.

Friendship started 15

years ago.

No No Yes Indirect

Close Personal

friendship dating

back 15 years.

On-goingwill declare at meetings

if necessaryY Y Y Y

McGrath Jillian Head of Finance spouseWorks for North East

Ambulance ServiceNo Yes Yes Indirect

employed in

organsiation which

the CCG contracts

with

Pre-dates CCG present no conflict Y Y Y Y 09.10.20No change for

2020/21

Self

Association of

Directors of Public

Health - Board

Member and

Honorary Treasurer

Yes Yes No Sessional payments 2006 PresentUnlikely to be a conflict -

will declare as necessaryY Y

Self

Advisory Committee

on Resource

Allocatiotn

No Yes No

Advisory

Committee Board

Member

2017 Present No conflct Y Y

Self Newcastle University No Yes No

Academic honorary

status (and Vice-

Chair of FUSE

strategy board)

1999 PresentUnlikely to be a conflict -

will declare as necessaryY Y

Hawkins NeilHead of Corporate

Affairs

Hurst

Milne Eugene

Newcastle Wellbeing

for Life Board

representative on

Joint Commissioning

JeffLay Member and

Deputy Chair

Removed lines - no

longer has an

involvement with

NICE or the Journal of

Public Health

13.11.20

17.12.19

Self

Wife

Queen Elizabeth

Hospital Gateshead /

City Hospitals

Sunderland

IndirectConsultant

Histopathologist1997 Present

Will declare at meetings

as required Y Y

Self

Operating Theatre.

Takes commissions

for plays on health

themes for a number

of professional,

student and general

audiences

No Yes Yes Direct Trustee OngoingI will declare at

meetings as requiredY Y Y Y Y Y

Self

WeCan Enable. A

Hexham based

charity, that receives

some funding from

Northumberland

County Council and

raises funds

No Yes Yes DirectTrustee/Board

MemberOngoing

I will declare at


Self

Sessional GP at

Bridges Medical

Practice

Yes No No Direct

Sessional GP, no

permanent or

business influencing

role in the practice

OngoingI will declare at


SelfBritish Academy of

Childhood DisabilityNo Yes Yes Direct GP representative Ongoing

I will declare at


Wilson LynnDirector for

Gateshead Systemself

Foster Carer Durham

Councilindirect Nov-13 current No conflict Y Y Y Y Y 11.11.20

No change for

2020/21

Be Wellbeing

(providing training

and wellbeing

services, subsidiary of

Tyneside and

Northumberland

Yes Direct Director 2019 OngoingWill declare at meetings

as appropriateY Y Y Y Y

Northumbria

UniversityYes Direct Employee 2019 Ongoing



Think Ahead (Charity

training mental health

social workers)

Yes Direct Employee 2019 OngoingWill declare at meetings


Northen Youth

Theatre ProjectYes Direct Trustee/Director 2019 Ongoing



O'Neil Siobhan HealthwatchNorth East Child

Poverty TrustNo No Yes Direct Trustee 2020 ongoing

I will declare at

meetings as requiredN N N Y N N N N N N

04.03.21

Wood

No change for

2020/2108.10.20

Oliver Lay Member Self 23.09.20Updated to add PCCC

responsibility

Slowie Dominic Medical Director

Milne Eugene

Newcastle Wellbeing

for Life Board

representative on

Joint Commissioning

Removed lines - no

longer has an

involvement with

NICE or the Journal of

Public Health

17.12.19

Page 1 of 3

D R A F T

Minutes of a meeting of the Primary Care Commissioning Committee

Tuesday 25 May 2021

Due to Covid-19, the PCCC met via a video conference

Present: Members: Mr Jeff Hurst Lay Member (Chair) Dr Georgina Butler GP Clinical Director Ms Jackie Cairns Director of Newcastle System Ms Jill McGrath Deputy Chief Finance Officer Dr Dominic Slowie Medical Director Dr Lynn Wilson Director of Gateshead System

In attendance:

Mr John Costello Gateshead Health and Wellbeing Board Ms Ros Goode Commissioning Project Lead, Primary Care Ms Michelle Stamp Newcastle Wellbeing for Life Board Ms Siobhan O'Neil Newcastle and Gateshead Healthwatch Mr David Steel NHS England

05/21 01 Welcome and Apologies for Absence

Apologies received (members) from Bill Cunliffe (Secondary Care Clinician) and Oliver Wood (Lay Member).

Apologies received (in attendance) from Philippa Dodds (Portfolio Manager,

Primary Care Delivery).

05/21 02 Confirmation of Quoracy

The Committee was confirmed as quorate.

05/21 03 Declarations of Interest

Declarations of interest documentation had been circulated with the agenda. There were no further declarations of interest relating to items on the agenda.

05/21 04 Draft Minutes of the Previous Meeting held on 27 April 2021

The minutes of the previous meeting were agreed as an accurate record.

05/21 05 Action Log

There are no outstanding actions.

Page 2 of 3

05/21 06 Primary Care Co-Commissioning Budget Update

Jill McGrath presented the report, jointly prepared with Gillian Wood from NHS

England, highlighting the key points in the proposed Primary Care budget for the period April – September 2021/22.

Consistent with the rest of the financial framework for the NHS this year,

funding has been allocated for the first 6 months only (April to September 2021). The report also set out expected funding for the full 12 months.

The report outlined the main areas to be highlighted in determining the detailed

budgets and the associated risks and mitigations. Key risks relate to emergency support for practices due to pressures, increased premises costs, and population growth higher than planned.

There is a contingency fund against potential pressures of 0.5% and also

uncommitted funds available. Further work to propose plans to best utilise uncommitted funds to support Primary Care across Newcastle and Gateshead is continuing.

There is also the risk of non-recurrent slippage which could result in

underspend. In discussion it was noted:

• There is a potential risk of significant non-recurrent and recurrent slippage.

• The pressures in Primary Care are high with an expectation of further increased pressure this year.

• The need to ensure the budget is fully utilised in Primary Care for the care of patients across Newcastle and Gateshead.

• Work needs to begin soon to consider the opportunities to commit funds to avoid a surplus, in particular noting the move to the Integrated Care System at the end of the financial year.

The Committee:

• noted the anticipated full year funding allocation for primary medical services in 2021/22 and the financial impact of the contract changes;

• noted the impact of temporary financial arrangements for CCGs providing funding for the first 6 months of 2021/22;

• noted the potential risks and mitigations outlined in the report;

• unanimously approved the budget for April – September 2021 at £39.9m as outlined.

05/21 07 Covid Vaccination Programme Update

Newcastle:

• The current 7-day infection rate per 100,000 is 48.9 (slightly up from 43)

• Incidences are predominantly in the age group 11 – 20 years

• Some incidences in the age group 30 – 50 years

Page 3 of 3

• No Covid cases in hospital

• Vaccinations – currently over 159,000 first doses and 8,000 second doses administered

• With a large younger population, plans are in place to ensure delivery of all first dose vaccinations to eligible populations in line with national trajectories

• 43 cases of the Indian variant identified (travel related) Gateshead:

• Current infection rate 21 per 100,000

• 43% increase in the last 7 days (equating to 13 people)

• 1 Covid-positive patient in hospital – not in ITU and not elderly

• No new Care Home outbreaks

• Vaccinations – 170,000 administered

• CBC Health Ltd have been contracted to deliver Cohorts 10 - 12 in place of Outer West practices

• No cases of the Indian variant identified The Committee received and noted the update for information.

05/21 08 Any Other Business

There was no further business.

1

Purpose (click one box only) Decision ☐ Information ☒

Classification (delete as appropriate)

Official

Meeting Primary Care Commissioning Committee

Date 29 June 2021 Agenda Item 6

Report Title 2020/21 Primary Care Co-Commissioning Budget

Lead Director & Report Author

Director: Joe Corrigan Title : Chief Finance and Operating Officer

Author: Jill McGrath & Gillian Wood Title: Deputy CFO & Locality Finance Manager

Synopsis This report outlines the financial position for the Primary Care Co-Commissioning Budget for the year to date Month 12 2020/21.

Implications and Risks

As disclosed in report

Recommendation The CCG Primary Care Commissioning Committee is asked to note the year to date costs against budget for the 12 months to March 2021.

Benefits to patients & the public / link to strategic objectives

Outlines the performance against budget year to date to support sustainable commissioning plans for primary care. Achievement of financial balance and commissioning of services within the primary care funding allocation.

Resource implications (finance; HR)

Total application of CCG primary care commissioning budgets

Legal / equality & diversity / sustainability implications

N/A

Report history N/A

Next steps Financial performance will be monitored against budget in year and reported

to the Primary Care Committee on a quarterly basis.

Appendices N/A

2

Submission checklist – to be completed by author ahead of inclusion on meeting agenda

Has the paper been cleared by the lead Director? Yes ☒ No ☐

Does the covering paper clearly state what the Committee are asked to do – i.e. clear recommendations?

Yes ☒ No ☐

Have the CCG finance team been consulted about any resource implications? Yes ☒ No ☐ N/A ☐

Person(s) consulted: Jill McGrath & Gillian Wood

Are there any wider implications that require consideration – HR, contracting, procurement, etc? If so, have CCG leads been consulted?

Yes ☐ No ☐ N/A ☒

Person(s) consulted:

Does the proposal realise any savings that could be captured through QIPP – if so have the PMO been consulted?



3

Primary Care Budgets 2020/21

Financial Report for Month 12 – April 2020 to March 2021

1. SUMMARY POSITION

Appendix 1 sets out the financial position for month 12 – April 2020 to March 2021. The outturn, which is subject to audit approval, shows an underspend of £25k.

2. ALLOCATION ADJUSTMENTS

There was an allocation adjustment of £396k in month 12 in respect of PCN Additional Roles Reimbursement therefore the annual allocation increased from £75,386k in month 11 to £75,782k.

3. MAIN VARIANCES

The overall (full year) underspend reported at month 12 is £25k. Explanations of the

main variances are shown below:

• QOF overspend of £31k:

➢ Net of prior year accrual release and addition 2020/21 £31k

• Enhanced Services underspend of £75k with main variances:

➢ Learning Disabilities - increased achievement to 72% £49k

➢ Minor Surgery – release on prior year estimate -£134k

➢ Adobe Licences (charged to Enhanced Services) £35k

• Overspend on Premises £993k with main variances:

➢ Service charge provision over developments slippage £152k

➢ Management fees for NHSPS and CHP £192k

➢ Rent Reviews £105k

➢ Leasehold Improvement charges £204k

• Underspend on Other GP Services £109k with main variances:

➢ Prescribing – personally administered drugs -£168k

➢ Locum estimated pressure £82k

• Underspend on Primary Care Networks £356k:

➢ ARRS – release on prior year estimate -£269k

➢ Non recurrent plans and participation – net underspend -£87k

• Earmarked reserves slippage -£502k

4. RECOMMENDATION

The CCG Primary Care Commissioning Committee is asked to note the year to date

costs against budget for the 12 months to March 2021.

4

Appendix 1 Primary Care Financial Report to month 12 (March 2021)

Cover Sheet

Purpose (click one box only) Decision ☒ Information ☐

Classification (delete as appropriate) Official

Meeting Primary Care Commissioning Committee

Date 29 June 2021 Agenda Item 7

Report Title Risk Register Report

Lead Director & Report Author

Director: Mark Adams Title : Chief Officer

Author: Neil Hawkins Title: Head of Corporate Affairs

Synopsis The purpose of the paper is to provide a risk management update for review and discussion of the CCG’s key primary care risks.

Implications and Risks

This report is in accordance with the CCG Risk Management Policy CCG CO14.

Recommendation The Primary Care Commissioning Committee is asked to receive and note the attached risk register and discuss whether this accurately reflects the CCG’s primary care risk profile.

Benefits to patients & the public / link to strategic objectives

Patients and the public will be given assurance that the CCG, through its governing body and constituted committees, is undertaking the roles and responsibilities for which it was established.

Resource implications (finance; HR)

No resource implications have yet been identified.

Legal / equality & diversity / sustainability implications

To comply with the legal requirements of the Health and Social Care Act 2012.

There are no implications for any of the nine protected characteristics.

There are no sustainability implications.

Report history

Next steps

Appendices Appendix 1: Primary Care Risk Register

2

Submission checklist – to be completed by author ahead of inclusion on meeting agenda

Has the paper been cleared by the lead Director? Yes ☒ No ☐

Does the covering paper clearly state what the Committee are asked to do – i.e. clear recommendations?

Yes ☒ No ☐

Have the CCG finance team been consulted about any resource implications? Yes ☐ No ☐ N/A ☒


Are there any wider implications that require consideration – HR, contracting, procurement, etc? If so, have CCG leads been consulted?



Does the proposal realise any savings that could be captured through QIPP – if so have the PMO been consulted?



3

Primary Care Commissioning Committee – Risk Update June 2021

1. Introduction

The purpose of this paper is to present to the Primary Care Commissioning Committee (PCCC) a summary of the primary care risk profile as at 15 June 2021.

2. Risk register arrangements

2.1. Overview

This paper provides a summary specifically of those risks relating to primary care. Although the committee meets monthly, risks are reviewed quarterly and as a result there are few if any material changes to report on a monthly basis. In order to reduce the number of agenda items the committee has to review each month, in future risk management will be reported on a quarterly basis. This means that the next risk management report will be presented to the committee in September. There have been no changes to any of the primary care risks in the period. In total there is one extreme risk, two high and one low. The full risk register can be found in Appendix 1.

3. Recommendations

PCCC are asked to review the risks and discuss whether:

• The risks sufficiently cover the key primary care risks within the CCG;

• The risks are scored appropriately; and

• Whether any further action is required to manage the risks.

4. Appendices

Appendix 1: Primary Care Risk Register

Appendix 1 PCCG

risk register 23.06.21.PDF

23/06/2021

Ref Objective Risk description

Risk level

DirectorOwner

Initial

C L Score

Controls Internal assurance External assurance Residual

C L Score

ReviewsAction Action OwnerDetails/progress

Sta

rt

Ta

rge

t

Gaps in controls Gaps inassurance

NG Primary Care Commissioning CommitteeRisk Register

Target

ScoreC L

2237 Sustainability of primarycarePrimary Care is unable toprovide long term,sustainable and reliablequality care services topatients. Caused byworkforce shortages,increased patientdemand, failure of PCNs,infrastructure andtechnology limitations.

4 4DominicSlowie

PhilippaDodds

4 52.EngageInStrategicPlanningRelatingTo TheCommissioning OfHigh-QualityHealthServices

(5). Quarterly

23/06/2021Dominic Slowie

Action updatedto reflect fundingavailability

Next review:21/09/2021

Stra

tegic (N

/G)

20 16Regular meetingof the PrimaryCare Group todiscussimplications ofpressures onPrimary Care.

Escalation ofissues to PrimaryCareCommissioningCommittee whoalso receive PCGminutes.

NonePCG is anoperationalmeeting andthere is now aprocess fordiscussing risksand deciding theescalationprocessesappropriate. Meeting iscurrently takingplace virtually.

Established CCGteam of Enablerswith specialistroles acrossworkforce, IT andestates who havegood links tospecialist teams inNHS England.

PCG membershipincludesenablement teamand they have aregular standingitem on theagenda.

NoneSome CCG teammembers ontemporarycontracts whichcould result inincreasedworkload whencontracts end.Currentvacancies inthese teams willreduce capacityfor support.

Regular auditscovering areassuch as CQC audit,Patient AccessAudits, NHSWorkforcereporting, GP ITaudit, 6 facetestates surveys.

Access toResilienceprogrammes tosupport PrimaryCare with specificservice provisionissues.

No gapsAnnual, one offprocess toaccessprogramme withlimited provisionwhich requiresrisk ranking andno guaranteesfunding will beprovided. All practiceslikely to needfunding forresilience onceimplications ofCovid 19 are fullyrealised. Thisannual fundingmay not cover allrequests.

NHS Englandassess access toResilience programand carry outregular progressaudits.

Place basedstrategic meetingsare taking place inprimary care.

CCG place baseddirector attends themeetings

No formalminutes takento recorddecisions /outcomes.NooverarchingCCG wideassurance

CCG has noformal assuranceand receives noprogress updates

17/0

1/2

020

31/0

8/2

021

Philippa Dodds

Review current processfor identifyingcandidates for resiliencesupport. Progress: Resilience moniesavailable to allocateagain and Covidcapacity fundingavailable as additionalfunding

Date Entered :23/06/2021 14:43Entered By : WendyMarley

4 2 8

Page 1NGCCG Cttee RR1

23/06/2021


Risk level

DirectorOwner

Initial

C L Score


C L Score


Sta

rt

Ta

rge

t



Target

ScoreC L

2234 EstatesEstates are not optimallyutilised to support PrimaryCare objectives, minimisevoid costs or the CCGcurrent budget does notsupport future estatesgrowth requirements.Caused by lack of fundingor ability to implement therequired processes.Results in financial loss toCCG and inability toinvest in future estatesexpansion

4 3JoeCorrigan

JaneHudspith


(5). Quarterly

15/06/2021Jane Hudspith

Controls,assurances andreview andupdated.


Opera

tional (N

/G)

16 12CCG facilitation oflease reviewmeetings betweenlandlord andtenant.

Not all leases aresigned

List from propertyservices of leasesand gaps

GP premisesspecialists hold infoon leases andrents

Meeting arrangedwith NHS PropertyServices, NHS Eand CCG in June2021 to discuss thenext steps for theservice chargeagreements.

Practice profileand estates planfor each practiceand PCN network

Delivery plan toimplementPaper beingdrafted for PCCC(April/May 2021)Conversations arebeing held withPCN and practicesaround estateneed.

Early stages andfew are yetcompleted

National datacollection finishingin June 2021 byNHS E identifyingareas of need inpractices to beused for practicePCN profileupdates.

Monthly meetingwith NHS PropertyServices

None Actions log

Applications forSection 106 asrelevant

Lack ofassurancethat 100% ofall relevantopportunitiesare appliedfor.

Submission ofapplications toLocal Authority

23/1

2/2

019

01/1

2/2

021

Jane Hudspith

Develop a practiceprofile and plan toaddress primary carecurrent and futureneeds, capacity andestates requirements.Progress: COVID 19 Pandemicimpacted significantlyon timelines both for thelocal and national level.The national plan hasbeen pushed back tothe end of 2021.

Date Entered :08/03/2021 16:10Entered By : ValerieChopamba

4 2 8

2238 Implementation of PCNsPCNs cannot deliver therequirements of thePrimary Care NetworkDirect Enhanced Service,caused by increasedworkload pressures fromthe DES, remunerationchanges and changes topracticenumbers/structures.Results in the inability ofpractices to deliver bothroutine primary careservices as well as theenhanced care benefits ofPCNs as envisaged in the5YFV.

4 3DominicSlowie

PhilippaDodds

4 48.Collaborate AndCommunicate WithAllRelevantStakeholders InRelationTo TheCommissioning OfHigh-QualityHealthServices.

(5). Quarterly


Assuranceupdated toconfirm allpractices arenow part of aPCN


Opera

tional (N

/G)

16 12PMOResponsibility forensuring crossCCG support forPCNimplementationand on-goingsupport. Thisincludes adetailed projectplan used toprovide assurancethat actions takeplace.

An internal PCNProject Groupmeets every 2weeks. This hasbeen replaced withvirtual meetingsince June 2020.

No gapsCovid-19pandemic hasmeant that PCNDESimplementationhas been pushedback andamended.

Attendance at NHSEngland PCNSteering GroupandTeleconferencesas appropriate.Introduction ofNational PrimaryCare Sit-Rep toassure NHS E ofstatus of PCN DESwork. ICS primarycare strategy groupin place and meetsquarterly.

Regular meetingof the PrimaryCare Group todiscussimplications ofpressures on

Escalation of risksand issues toPrimary CareCommissioningCommittee whoalso receive PCG

No gapsPCG is anoperationalmeeting andthere is now aprocess fordiscussing risks

4 2 8


23/06/2021


Risk level

DirectorOwner

Initial

C L Score


C L Score


Sta

rt

Ta

rge

t



Target

ScoreC L

Primary Care. minutes. Meeting iscurrently virtualwith minutes andaction log taken asnormal.

and deciding theescalationprocessesappropriate.

Place basedmeetingsunderway withCCG place basedteams.

An internal PCNProject Groupmeets every 2weeks. WeeklyPCN updates asstanding item atCMT. Regular meetingsare now takingplace virtually.Virtual meeting ofprimary care takingplace weekly withCD representationfrom bothNewcastle andGateshead.

NoneRegularmeetings werestood down asresult of Covid-19but PCN CDswere activelyinvolved with theCCG and othersystem playersas part of theCovid-19response. TheCD meetingshave beenre-instigated asvirtual meetings.

CCG staff alignedto support specificnetworks and alsoplaced basedworking,supportingnetworks todevelop and buildresilience.

An internal PCNProject Groupmeets every 2weeks. WeeklyPCN updates asstanding item atCMT. Current regularmeetings are stooddown as result ofCovid-19. Virtualmeeting of primarycare taking placeweekly with CDrepresentation fromboth Newcastleand Gatesheadwith a place basedfocus.

No gapsPCN aligned staffbeing redeployedinto other rolesas a result ofCovid-19pandemic.

Regular Meetingswith the LocalMedical Councilrepresentativesand attendance atLMC meetings. Regular meetingswere stood downas result ofCovid-19 but arenow taking placevirtually. Virtualmeeting ofprimary caretaking placeweekly with LMCrepresentation

Virtual meeting ofprimary care takingplace weekly withLMCrepresentation fromboth Newcastleand Gateshead

No gapsNo gaps Minutes ofmeetings withLMC, LMC meetingminutes,representation byLMC at relevantCCG meetings.


23/06/2021


Risk level

DirectorOwner

Initial

C L Score


C L Score


Sta

rt

Ta

rge

t



Target

ScoreC L

from bothNewcastle andGateshead

As CCGs have aduty to ensureevery patient iscovered by a PCNthe PMO has nowreviewed primarycare networkrisks.

PCCC papersubmittedsummarising keyPCN risks thatcould have apotential impact onthe CCG. Any practice notpart of the PCN iscovered by a localincentiveagreement suchthat their patientsare hosted byanother PCNtherefore allpractices are nowpart of a PCN.

CCG has limitedformalperformancemanagementover the PCN.

1300 Inability of CCG toestablish, managerobustly and provideassurance of formalprimary carecommissioningarrangements,which could result infailure to commissionprimary care effectivelyand efficiently.

4 2DominicSlowie

PhilippaDodds


(5). Quarterly


New controladded


Stra

tegic (N

/G)

16 8Monthly PrimaryCareCommissioningCommittee as partof CCG statutorydelegatedco-commissioningresponsibility.Currently meetingvirtually withChairs actionstaken whenappropriate.

PCCC ToR andMinutes. Minutesreceived by CCGGoverning Body.Reports to theGoverning Body.

NoneNone NHS Englandapproval of Level 3submission.Internal Auditreport of PrimaryCareCommissioning2019/20 Reportsreceived by PCCCpublic meeting andCCG AuditCommittee.

Regular meetingof the PrimaryCare Group tomanage strategicand operationalissues in PrimaryCare. Meetingcurrently virtualwith minutes andactions taken asnormal.

1. Membership ofthe group.2. Minutes of thegroup received byPrimary CareCommittee.

None

Primary CareQuality AssuranceProcessdiscussed inPrimary CareQuality Meeting

Minutes of PrimaryCare QualityMeetings. Quarterlyreport sent toPCCC. New dashboards incooperating localdata will be inplace covering

NoneNational datasets used can bebased on historicinformation.Current data set(Q4 19.20) isdelayed as aresult of Covid -19 pandemic.

17/0

1/2

020

31/0

5/2

021

Philippa Dodds

Review of latest practicee-Declaration to assessassurance outliers.Report to be taken toPCCC.

Progress: New dataset from NHSEngland due end ofApril 2021. CCG toreview dataset andpresent the informationto PCCC as soon aspossible.

Date Entered :10/03/2021 10:08Entered By : ValerieChopamba

4 2 8


23/06/2021


Risk level

DirectorOwner

Initial

C L Score


C L Score


Sta

rt

Ta

rge

t



Target

ScoreC L

quarter 3 2021data and goingforward.

Latest data setdue September2020.Looking tosource local datato improvecurrentassuranceprocesses.

Quality assurancedashboard

Dashboardupdated and nowprovides betterdata.

Some dataout of datedue to COVID


Documents

Brent Teaching PCT - NHS Newcastle Gateshead Clinical