Issue - meetings

Joint Report of the Sefton Clinical Commissioning Groups and NHS England (Cheshire and Merseyside).

Further to Minute No. 55 (2) of 3 April 2018, Fiona Taylor, Chief Officer for NHS South Sefton Clinical Commissioning Group and NHS Southport and Formby Clinical Commissioning Group; and Anthony Leo, Director of Commissioning; NHS England (Cheshire and Merseyside), will be in attendance at the meeting to present the report to the Committee and respond to questions put by Members.

Further to Minute No. 55 (2) of 3 April 2018, the Committee considered the joint report on Primary Care in Sefton, submitted by the Sefton Clinical Commissioning Groups and NHS England (Cheshire and Merseyside), describing the National and Local landscape for primary medical care across NHS South Sefton and NHS Southport and Formby Clinical Commissioning Groups (CCGs).

The report set out the background to the matter; the national summary that included five key areas for support, namely investment, workforce, workload, practice infrastructure, and care re-design; and the local summary for both NHS Southport and Formby CCG and NHS South Sefton CCG.

The Committee also considered a presentation submitted by NHS Southport and Formby CCG and NHS South Sefton CCG.

The presentation provided a General Practice update that included the following information:-

·         Local Context 2018/19;

·         Delegated commissioning;

·         Contracting for primary care;

·         Local Quality Contract (LQC);

·         An overview of NHS South Sefton CCG;

·         An overview of NHS Southport and Formby CCG;

·         General Practice Forward View (GPFV);

·         GPFV Progress to date;

·         Enhanced Access – GPFV;

·         Primary care work-streams;

·         Southport and Formby workforce;

·         South Sefton workforce;

·         Care Quality Commission (CQC) visits - Southport and Formby;

·         CQC visits - South Sefton;

·         Patient survey results to July 2017 - Southport and Formby;

·         Patient survey results to July 2017 - South Sefton;

·         Challenges;

·         Role of General Practice;

·         Aims;

·         Strategy;

·         How will we get there?;

·         Integrated care; and

·         Targeted care.

Fiona Taylor, Chief Officer for NHS South Sefton CCG and NHS Southport and Formby CCG; Anthony Leo, Director of Commissioning; NHS England (Cheshire and Merseyside); and Dr. Rob Cauldwell, Chair of NHS Southport and Formby CCG; were in attendance at the meeting to present the report and presentation to the Committee and respond to questions put by Members.

Fiona Taylor explained aspects of the presentation that was included within the Committee agenda.

Members of the Committee asked questions/raised matters on the following issues:-

·         How could sufficient numbers of GPs be attracted from overseas to work in the NHS?

Some 5,000 additional doctors would be required to work in general practice by 2020 and there were issues around international recruitment. Lobbying of relevant Government Departments was currently taking place concerning the decision to refuse doctors whose first language was not English.

·         Where was the detail on the Enhanced Access Service, with regard to the General Practice Forward View (GPFV)?

This was in the process of procurement. Patients would have access to primary care services delivered from a primary care hub in each CCG area. Services were anticipated to be provided up to 8.00 p.m./8.30 p.m. on week days, plus weekend access, although there would be some flexibility permitted by the Provider regarding precise details.

·         Would consultation on Enhanced Access Service take place beforehand?

Engagement was key although a Provider was required to be procured first in order to carry it out.

·         Was the delivery of an Enhanced Access Service dictated by national directive?

Attempts were being made to take national policy and shape it for Sefton requirements. Feedback would  ...  view the full minutes text for item 5