Primary Care Joint Commissioning Committee

Minutes from the meeting held on Tuesday 23 rd June 2015,

Conference Room, Southgate House, Devizes, SN10 5EQ

Present:Christine Reid, Lay Member WCCG Governing Body (Chair) (CR)Dr Mark Smithies, Secondary Chair Doctor, WCCG (Vice Chair) (MS)Deborah Fielding, Chief Officer, WCCG (DF)Dr Steve Rowlands, Clinical Chair, WCCG (SR)Dr Peter Jenkins, GP Medical Advisor WCCG (PJ)Dr Anna Collings, GP Vice Chair NEW (North East Wiltshire) WCCG(AC)Dr Toby Davies, GP Chair Sarum WCCG (TD)Dr Richard Sandford-Hill GP Chair WWYKD (West Wiltshire, Yatton Keynell and Devizes)WCCG (RSH)Debra Elliott, Director of Commissioning, NHS England (DE)Tracey Strachan, Head of Primary Care Finance, NHS England (TS)Steve Perkins, Deputy Chief Financial Officer WCCG (SP)Maggie Rae, Corporate Director & Director of Public Health, Wiltshire Council (MR)Chris Graves, Chair of Healthwatch Wiltshire (CG)Jo Cullen, Group Director WWYKD (West Wiltshire, Yatton Keynell and Devizes) WCCG, (JC)Sarah MacLennan, Interim Head of Communications and Engagement WCCG (SM)Dina McAlpine, Interim Director of Quality and Patient Safety WCCG (DM)Victoria Stanley, Service Redesign Lead WWYKD WCCG (VS)

Attending:Katey Buckby, Minute Taker (KB)

Apologies:Rosi Shepherd, Assistant Director of Nursing (Quality and Safety)NHS England( RS)Nikki Holmes, Head of Primary Care, NHS England, (NH)Dr Gareth Bryant, Medical Director for Wessex LMC (GB)Jane Scott, Leader of Wiltshire Council (JS)

NO ITEM ACTION

1. Welcome/Introductions and ApologiesWelcome and apologies received from those above.

2. Declarations of InterestNo declarations were made.

3. Terms of ReferenceIt was confirmed as per para 10 of the TOR that Wiltshire CCG and NHS England shall have two votes per organisation. The Joint Committee shall reach decisions by a simple majority. However where a casting vote is required NHS England will have the casting vote for any functions within NHS England’s statutory obligations and Wiltshire CCG will have the casting vote on any of the CCG’s statutory functions that

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are included within the scope of the joint committee’s responsibilities.

The reporting from the Primary Care Operational Group (PCOG) to the Joint Commissioning Committee (JCC) was discussed. It was agreed that the PCOG will provide reports on the key priority programme areas to the JCC, as set out in ToR such as;• Quality and performance of general practice• Finance.• Primary Care infrastructure development

The PCOG will also produce additional reports at the request of the Joint Commissioning Committee.

4. Primary Care Operational Group TORIt was agreed that a Quality Representative should be added to Primary Care Operational Group.

ACTION: JC to amend terms of reference to ensure that a Quality Representative is in attendance at the Primary Care Operational Group.

5. Wiltshire Primary Care Overview – Presentation Jo Cullen

JC gave a presentation on “Primary Care Overview”.

CR requested an analysis of practice income, broken down by percentage of income from each category to be shared at the next meeting. There was a recognition that this may not be representative of any practice as each practice functions differently, and has different funding streams depending on the services they offer. Percentage income can therefore vary hugely. A high level piece of information will be provided for the next meeting based on the Wiltshire average. This will also include the average full time equivalent GP to patient ratio.

ACTION: DE/ TS/ JC to present an overview of GP Practice funding streams at the next meeting.

It was agreed a glossary of primary care should be made available on the Wiltshire CCG website.

It was noted that VTS outlined in JC’s presentation stands for Vocational Training Scheme.

6. NHS England National UpdateDE gave a verbal update to the group.The issue of premises developments was discussed and DE explained there is a clear

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and concise process for practices who wish to apply for improvement grants which has been shared with all practices and is also available on the NHS England website. Estates are discussed at the Primary Care Operational Group and NHS England keep an active list of practices who have applied for development grants which runs in parallel to the infrastructure funding list.

There needs to be an Estates Strategy, developed with CCG and NHS England with NHS Property Services providing strategic estates advice by December 2015.

MR confirmed that from May 2015, a Community Infrastructure Levy (CIL) has come into force which enables Wiltshire to secure money from new development towards the funding of infrastructure to support growth set out in the adopted Wiltshire Core Strategy.

For further details:http://www.wiltshire.gov.uk/planninganddevelopment/planningpolicy/communityinfrastructurelevy.htm

7. Joint Committee 2015/16 Strategic and Development Work Programme

VS updated the group.

WCCG has been working with the neighbouring CCGs to identify the top three priorities of work programme and timescales.

It was agreed that the priorities should be premises, the primary care workforce strategy and commissioning of primary care services.

The group suggested that there should be a measure to calculate patient satisfaction and experience, patient opinion on access to local GP services and patient outcomes as part of a quality measure.

ACTION: JC will ensure this is recognised in the work plan 8. Finance – Primary Care Financial Summary

TS gave a verbal update. For South Central at month 2, primary care budgets are forecast to be breakeven against target. Work is ongoing to develop a suite of information for all CCGs as the national reporting system currently cannot produce CCG level reports for primary care budgets.

It was agreed that a short presentation explaining the budgets and the in-year position would come to the next meeting.

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9. Any Other Business and Closing Remarks

No other business was discussed.

CR thanked everyone for their attendance and interaction at this meeting.Date and Time of Next Meeting: Tuesday 22nd September 2015, 14.30-16.30, Conference Room, Southgate House, Devizes, SN10 5EQ

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