Ealing LMC CCG 28 Nov 2012 · The professional voice of general practice in Ealing, Hammersmith and...

The professional voice of general practice in Ealing, Hammersmith and Hounslow Londonwide LMCs is the brand name of Londonwide Local Medical Committees Limited Registered and office address: Tavistock House North, Tavistock Square, London WC1H 9HX. T. 020 7387 2034/7418 F. 020 7383 7442 E. [email protected] www.lmc.org.uk Registered in England No. 6391298. Londonwide Local Medical Committees Limited is registered as a Company Limited by Guarantee Chief Executive: Dr Michelle Drage

AGENDA

1.0 Welcome, Apologies and Declarations of Interest

2.0 Additional Items Not Listed on the Agenda Members to notify the Chair of urgent additional matters for discussion under any other business

3.0 Minutes and Matters Arising (not listed elsewhere on the agenda)

3.1 To confirm the minutes of the Ealing SJLC meeting on 26 September 2012 (pages 2-8)

3.2

To update on matters arising from the Ealing SJLC meeting on 26 September 2012

4.0 Primary Care Development Update

4.1 4.2 4.3

Outer North West London Board Financial Position (pages 9-25) Procurement

- Verbal update on care home tender 111 Service – Update (Dr Shanker Vijay) (pages 26-28)

4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11

Premises -Improvement Grants Enhanced Services

- Anti-coagulation LES proposed change for NOACs - Shared care/ Near Patient Testing LES - paper to be forwarded

QOF GP Clinical System Consultation (Robert McClaren) Ealing Council and Public Health Transition (Sally Beauchannon)

- Public Health Invoicing Process (pages 29-31) OPD Discharge Policies in Local Hospitals (AJ) Sub fractionated heparin injection arrangements (for pre-op patients on warfarin) (AJ) GP revalidation feedback

5.0 5.1 6.0 6.1

Clinical Commissioning Group To receive an update on Clinical Commissioning Group development

- Authorisation - CSU development

Items to Receive Report from Meetings with NHS NWL and NWL LMCs

- Strategic Meeting, 23 October 2012 (cancelled) - Operational Meeting, 30 October 2012 (pages 32-33)

7.0 8.0 9.0

To Confirm LMC Newsletter Items Date of the Next Meeting 23 January 2012 - Conference room B Any Other Business NB: Please give the Secretary 24 hours notice of any subject to be raised under this heading

Ealing LMC / CCG Liaison

Wednesday 28 November 2012

Conference Room B, Armstrong Way, Southall

12.45pm Lunch will be provided

of 7 DRAFT

Draft Minutes from the Ealing Standing Joint Liaison Committee Meeting on 26

September 2012 at NHS Ealing, Armstrong Way, Southall

Present LMC Members: Dr M Alzarrad Dr R Bhatt Dr S Datta Dr S Gautam Dr D Heavey Dr A Jenkins Dr R Naish Dr P Sandhu Dr S Yin

Londonwide LMCs: Mrs G Rogers Ms R Shaw NHS Representatives: Ms J Murfitt (Chair) Ms S Pascoe Dr R Chandok Ms F Horne Ms S Beauchannon (Item 4.2)

1.0 Welcome Apologies and Declarations of Interest Apologies were received from Dr J Chin, Ms Charles, Mr Jackson, Dr Parmar. There were no new Declarations of Interest.

2.0 Additional Items Not Listed on the Agenda There were no additional items raised.

3.0 Minutes and Matters Arising form 25 July 2012 It was requested that the following amendments were made to the minutes: Ms F O’Donnell’s and Dr A Dhillon’s names to be amended throughout the document. Item 4.2 – Procurement Paragraph two, line eight to be amended to read, “It is planned that the formal tender process will begin in August 2012 with the contract commencing in March 2013.” It was confirmed that once these changes had been made, the minutes would be an accurate record on the meeting. Matters Arising Item 3.2 – Matters Arising Ealing Interpretation Service Dr Jenkins queried whether the PCT have to pay for the interpretation service on occasions when the interpreter does not turn up. Ms Pascoe advised that practices should alert to the PCT when this is the case, so that they know not to make a payment. Ms Murfitt added that if this is a regular occurrence, the PCT would reconsider continuing the contract. Item 4.1 – Outer North West London Board Financial Position Ms Pascoe undertook to send the local Ealing finance paper to the Londonwide (LW) LMCs Office to decide whether this should be included on future agendas.

RS SP

2

of 7 DRAFT

Item 4.2 – Nursing Home Tender Ms Pascoe advised that NHS Ealing is waiting on the LMC to nominate a representative to sit on the steering group. Ms Murfitt suggested that this could be a non-local GP. Mrs Rogers requested further details of the requirements of this representative. Ms Pascoe confirmed that the representative would be paid for their time out of practice. Ms Murfitt undertook to send these details to Mrs Rogers for review. Item 4.2 – Adult Audiology Ms Pascoe reported that she is looking into Dr Bhatt’s concerns, raised at the last meeting, and that this action remains on-going. Item 4.6 – Capital Update Ms Murfitt reported that there have been 30 applications for improvement grants in Ealing.

JM SP

4.0 Primary Care Development Update 4.1 Outer North West London Board Financial Position

Dr Jenkins asked for the details of the financial issues with Northwick Park Hospital. He commented that Northwick Park’s financial position stand out from the other figures. Ms Murfitt confirmed that its expenditure amounts to more that its income. Dr Heavey referred to page 21 of the agenda pack. He queried whether the £10 million deficit of Imperial College Trust will be paid by NHS Ealing. Ms Murfitt confirmed that Imperial have a capped contract for 2012/13. She listed that there are issues with the trust using a substantial number of agency staff, over performance in the A&E department and an increase in maternity requirements.

4.2 Ealing Council and Public Health Transition Ms Horne informed LMC Members that the following services will be moving to Public Health:

• Vascular Risk Assessments

• Smoking Cessation • Learning Disabilities

• Sexual Health

It was noted that the payment mechanism between Public Health and practices is yet to be defined. Ms Murfitt advised that the CCG are awaiting guidance from the NCB. Dr Jenkins requested a LW LMCs view on this issue. Ms Beauchannon from Public Health joined the meeting for this item. She reported that Public Health is awaiting guidance from NHS London outlining plans for communication of the changes to Public Health to practices. There will be a NHS template letter for this. She requested that Members disregard the letter provided in the agenda as this will no longer be used. She agreed to send the draft letter to the LMC prior to sending it out to practices. Ms Beauchannon acknowledged the complexity of the future payment arrangements from Public Health to practices. She outlined that Public Health

RS

SB

3

of 7 DRAFT

are awaiting confirmation of their allocated budget, which is scheduled to be announced in December 2012. Once this announced, they will be in a position to plan for the year. It was noted that where possible, planning has begun. Public Health will move to Ealing Council in April 2013. It was decided that Ms Beauchannon would be invited to attend future meetings. It was requested that Public Health be placed as a standing item on future agendas.

RS

4.3 Procurement Nursing Home Tender Ms Pascoe advised that the advertisement for this tender will be publicised imminently. She added that letters will be sent to practices outlining the plans and TUPE arrangements. She undertook to send these to Dr Jenkins for approval prior to wider circulation. She reported that NHS Ealing would like an LMC representative to sit on the steering group and confirmed that the representative would be reimbursed for their time out of the practice. It was noted that NHS Ealing has a responsibility to support the staff whose jobs are at risk. Therefore, they will have to ask practices to declare whether their staff would like to be redeployed. Ms Murfitt confirmed that patients in private nursing homes are entitled to NHS Services. Dr Bhatt raised the issue of patients in nursing homes who have complex medication requirements. He commented that GMS services do not cover their needs. Ms Pascoe responded that it is hoped that the Nursing Home Tender contract specification will address this issue. She outlined that the contract will result in improved patient care for 1000 people. 111 Service Ms Murfitt reported that Brent, Harrow, Hounslow and Ealing have appointed Harmoni to run this service. The service will soft launch in November 2012 for Brent and Hounslow and will soft launch in January 2013 for Ealing and Harrow. Ms Pascoe added that the Coordinate My Care requirements will be incorporated into the service. Ms Pascoe undertook to send the CCG briefing on the 111 Service to LW LMCs for circulation to LMC Members. Dr Sandhu queried how conflicts of interest had been managed during the procurement process. Ms Murfitt responded that interests would have been declared at the beginning of each meeting. It was decided that LW LMCs would find research the experience of GPs with regards to the Hillingdon 111 pilot. It was noted that communication to GPs regarding this service would be circulated in due course. Dr Bhatt queried the impact that the 111 Service would have on the Integrated Care Pilot (ICP). He outlined that the Service could hinder plans to manage patients in primary care. Ms Pascoe responded that is hoped that the ICP and the 111 Service will be joined up.

SP/AJ

SP

RS

4

of 7 DRAFT

Dr Chandok outlined that next year Ealing Hospital will not be on a block contract, so the CCG are working to change hospital management behaviour now. He listed that the CCG will be carrying out a non-elective admissions audit next year, with the aim of challenging the volume of admissions. Ms Murfitt added that the CCG are also looking into alternatives to hospital admission and are considering including admissions as key performance indicator (KPI) for the contract. She added that the CCG will be in a better position to manage these issues in April 2013 when they move to payment-by-referral. Dr Chandok suggested that the Trust should be paid an annual price per patient, rather than making a payment for each referral.

4.4 Premises Dr Naish informed LMC Members that he will attend an improvement grant meeting next week as an LMC representative. Dr Naish raised the issue of the NHS NWL premises review questionnaire that has been circulated to practices. He outlined that he experienced issues downloading the document. Ms Murfitt undertook to look into this issue.

JM

4.5 Enhanced Services Anti-Coagulation Ms Pascoe reported that there is nothing to update the Committee on regarding anti-coagulation. Dr Heavey queried whether it had been proven that a sufficient geographical coverage could be achieved by the interest practices. Ms Pascoe responded that the networks have demonstrated that they will be able to cover practices. Dr Bhatt commented that he congratulated the work of the networks. It was noted that there is significant transition period ahead. Dr Jenkins voiced concern that for this service redesign it has been possible for primary care to absorb the additional work, but it may not have capacity to do so for future service redesigns. Dr Chandok agreed that there needs to be investment in primary care IT, premises and workforce to support this trend. Dr Bhatt added that the CCG should be working with the LETB to achieve this. Ms Pascoe outlined that the service will be used by Hillingdon and West Middlesex Hospitals, since the service charges are not capped on these contracts. It was noted that communication regarding the launch of this service will follow in due course. NHS Ealing Enhanced Services Review Ms Horne outlined that NHS Ealing have reviewed their back room functions as a result of the discussion at the meeting on 25 July 2012 to ensure that enhanced service payments are processed in an efficient way. She outlined that the volume of enhanced services listed by the finance team had caused issues, so this has been tidied up. It was noted that 55 LES lines have been reduced to 37. She emphasised that this reduction does not mean that services have been discontinued, but that the list has been realigned to the budget streams. A new electronic form has been launched which will facilitate the smooth processing of claims. Claims will be processed through Open Exeter, which will allow for practices to receive an explanation of the payment breakdown.

5

of 7 DRAFT

Dr Naish raised the issue of QOF payments, outlining that the details for these are difficult to decipher. Ms Horne undertook to look into this. Dr Heavey queried what action is being taken to resolve the backlog of claims. Ms Horne responded that the statements will be amended to provide more detail, so that practices are aware which month they are receiving payment for. She added that all invoices submitted before 5 September 2012 has now been processed, practices should expect to receive this payment by then end of the month. She added that going forward any electronic claim submitted by the fifth day of the month will receive payment at the end of that month. Ms Pascoe stated that a high number of practices still do not submit their invoices electronically. It was noted that the QIPP LES payment is awaiting sign-off from the Non-Executive Directors. It was confirmed that the payment would be signed off on 28 September 2012. Ms Pascoe undertook to communicate this to practices on 1 October 2012. Ms Horne reported that a portion of the Extended Hours DES payment would have to be clawed back from practices, since the payment for this service has been reduced. She explained that practise will be informed prior to the clawback. Dr Jenkins commented that this principle should be applied to all clawbacks. Dr Sandhu voiced concern that this practice had had some money clawed back in September 2012 without notification. Ms Horne undertook to look into this issue. Ms Horne informed LMC Members that NHS Ealing is looking into the issues relating to the Childhood Immunisation DES. The Committee thanked Ms Horne for her efforts.

FH

SP

FH

4.6 QOF This item was discussed under item 4.5.

4.7 Invest to Save Ms Horne stated that an estimated £2.3 million saving had been associated with Invest to Save. It was noted that 84% of this had been achieved. Ealing had saved a total of £975,631. Ms Horne undertook to find out how much the scheme had cost the Delivery Support Unit (DSU) initially. Dr Bhatt requested further details of the saving. Ms Murfitt responded that this would be discussed at the Medicines Management Group meeting.

FH

4.8 Data Validation Requests Dr Jenkins stated that two additional elements have been added to data validation. Ms Murfitt responded that NHS Ealing is tidying up their lists to ensure they are paying for the correct amount of patients. She added that there are non-local patients listed on their patient lists. Dr Jenkins queried how it is possible for the PCT to be paying for patients who do not live in the Borough or in a Borough that the practice has an individual agreement with. Londonwide LMCs undertook to look into whether it is plausible for non-local patients to remain on the Borough’s patient list. Dr Heavey raised the issue that practices do not receive details of the results

RS

6

of 7 DRAFT

that their data validation exercises achieve. Ms Murfitt responded that a report is compiled. She undertook to share this with the LMC. Dr Chandok advised that in there are plans to move towards electronic discharge summaries.

JM

5.0 CCG Update Dr Chandok stated that Ealing CCG (ECCG) completed their mock authorisation site visit week commencing 17 September 2012. The feedback received was positive and constructive. Long term conditions, the hospital merger and demographics were listed as local challenges for the ECCG. There are plans for the CCG to develop primary care through investment. It was noted that the authorisation site visit will take place on 25 October 2012. Dr Chandok undertook to share the report from the authorisation site visit with the LMC. Commissioning Support Unit (CSU) It was reported that the CSU are currently recruiting personnel and working through the details of their services. The Chief Operating Officers, Accountable Officers and Financial Directors will be meeting with the CSU to finalise the plans for delivery. The CSU will take on responsibility for implementing the CCG Commissioning Intentions. Ms Murfitt outlined that quality monitoring is a potential challenge, since this function will be taken away from the local level. She reported that the CCG meets with the acute trusts to monitor quality and financial requirements. Performance Contract Notices are used as a penalty when issues arise. Dr Chandok stated that LMC Members are welcome to attend this meeting as observers. LMC Members agreed that this function should remain local. Dr Naish reported that he had received a letter from Ealing Hospital Trust (EHT) outlining that their DNA policy has changed. He commented that the CCG should have communicated this to practices. Ms Murfitt responded that this letter should not have been sent out because the CCG and EHT had not reached an agreement of the revised DNA policy. Ms Murfitt undertook to send a letter to practices clarifying this activity. Dr Jenkins requested that the issue of clinical leads not being involved in the decision-making for DNA management is raised at the next CQG Meeting. He commented that this practice is clinically dangerous.

RC

JM

JM

6.0 Items to Receive

6.1 Report from Strategic Meeting with NHS NWL, 14 August 2012 The notes from this meeting were received.

6.2 Report from Operational Meeting with NHS NWL, 31 July 2012 and 28 August 2012 The noted from this meeting were received.

7.0 To confirm items for LMC newsletter

8.0 Date of the Next Meeting

7

of 7 DRAFT

The date of the next meeting was noted.

9.0 Any Other Business Ms Pascoe reported that the Adult Audiology contract has been awarded to a number of successful bidders. She listed that seven providers will offer the service from the end of September 2012. It was noted that there will be a period when the new service runs alongside the old service, with referrals for the old service being accepted until the changes are communicated to practices at the next Borough Meeting. Referrals for the new service will be managed via the Referrals Facilitation Service (RFS). The service will be run on a nationally set price. Communications and a list of providers will be sent to practices in due course.

8

Chief Executive: Dr Anne Rainsberry Chair: Jeff Zitron

NHS North West London Cluster Board NHS North West London Cluster Board is a meeting in common of the Boards of NHS Brent, NHS Ealing, NHS

Hammersmith & Fulham, NHS Harrow, NHS Hillingdon, NHS Hounslow, NHS Kensington & Chelsea and NHS Westminster

5 November 2012

Title Month 6 Finance Report

Agenda Item 8.1

Senior Responsible Officer (SRO)

Directors of Finance (Jonathan Wise & Clare Parker)

Summary

The report summarises the financial position of the Cluster, highlighting the key risks and forecast outturn.

Recommendations The Board is asked to:

Note the overall NWL financial position reported at Month 6 and financial risks and mitigations facing the Cluster during 2012/13.

Approve the transfer of £15m of resource on a repayable basis from Brent PCT to Hillingdon PCT

Note the individual PCT financial positions and budget movements.*

* NB: Detailed financial reports on each PCT/CCG are set out in the full finance paper which is on the NWL website. Hard copies are available for Board Members on request.

This report cross references:

Board Assurance Framework

Finance Objective 4

Equality N/A

Summary of Patient and Public Involvement/ Feedback

N/A

Previous forum Draft taken to NWL Executive Team meeting.

Date paper completed 29th Oct 2012

9

of 2

Applicable to: All

PCTs NHS

Brent NHS

Ealing NHS

Hammersmith & Fulham

NHS Harrow

NHS Hillingdon

NHS Hounslow

NHS Kensington & Chelsea

NHS Westminster

For all queries regarding the NHS North West London Cluster Board meetings please contact: Lynne Spencer, Hea T: 020 7932 3794 M: 0777 133 9164 E: [email protected]

10

2

The

Boa

rd is a

sked

to:

No

te the

ove

rall

NW

L fin

ancia

l po

sitio

n r

epo

rte

d a

t M

on

th 6

an

d fin

an

cia

l ris

ks a

nd m

itig

atio

ns fa

cin

g the

Clu

ste

r du

rin

g

201

2/1

3.

Approve the transfer of £15m of resource on a repayable basis from Brent PCT to Hillingdon PCT

No

te the

ind

ivid

ua

l P

CT

fin

an

cia

l positio

ns a

nd

bu

dge

t m

ove

men

ts.*

* N

B:

Deta

iled

fin

ancia

l rep

ort

s on

each P

CT

/CC

G a

re s

et o

ut

in t

he fu

ll fina

nce p

ap

er

wh

ich is o

n t

he

NW

L w

eb

site

. H

ard

co

pie

s a

re a

vaila

ble

fo

r B

oard

Me

mbe

rs

on

re

qu

est.

Summary Recommendation

12

3

th

13

PCT Financial Position

5

Mo

nth

06

(1

Ap

ril

- 3

0 S

ep

tem

be

r 2

01

2)

Ye

ar

to D

ate

Po

sit

ion

F

ore

ca

st

Ou

ttu

rn P

os

itio

n

Fin

an

cia

l P

erf

orm

an

ce

P

lan

A

ctu

al

Va

ria

nc

e

fro

m P

lan

P

rev

iou

s

Mo

nth

P

lan

A

ctu

al

Va

ria

nc

e

fro

m P

lan

£000

£000

£000

£000

£000

£000

£000

s

ur/

(de

f)

su

r/(d

ef)

in

c/(

de

c)

inc

/(d

ec

) s

ur/

(de

f)

su

r/(d

ef)

in

c/(

de

c)

NH

S B

ren

t

1

0,7

42

1

1,8

25

1

,08

3

1,2

00

2

1,5

00

2

1,5

00

0

NH

S H

arr

ow

0

0

0

40

4

-

-

0

NH

S E

ali

ng

(6

02

) (6

02

) (3

42

)

-

-

0

NH

S H

illi

ng

do

n

-

(6,0

75

) (6

,07

5)

(5,0

03

)

-

-

0

To

tal O

ute

r F

ed

era

tio

n

10

,74

2

5,1

48

(5

,59

4)

(3,7

41

)

21

,50

0

2

1,5

00

0

NH

S H

ou

ns

low

(2

,44

4)

(2,4

44

) (1

,99

5)

-

3

4

34

NH

S H

am

m &

Fu

lha

m

3

,54

6

5,7

85

2

,23

9

46

7

,08

4

7

,08

4

0

NH

S K

&C

3

,66

6

8,6

94

5

,02

8

2,1

53

7

,33

2

1

1,3

32

4

,00

0

NH

S W

es

tmin

ste

r

9,6

78

1

3,3

20

3

,64

2

3,6

00

19

,34

4

2

4,3

44

5

,00

0

To

tal In

ne

r F

ed

era

tio

n

16

,89

0

25

,35

5

8,4

65

3

,80

4

33

,76

0

4

2,7

94

9

03

4

Co

ntr

ol

To

tal

27

,63

2

30

,50

3

2,8

71

6

3

55

,26

0

6

4,2

94

9,0

34

15

7

PCT QIPP Position

PC

T S

um

ma

ry -

QIP

P S

av

ing

s P

erf

orm

an

ce

Ta

ble

3

Mo

nth

06

(1

Ap

ril

- 3

0 S

ep

tem

be

r 2

01

2)

Ye

ar

to d

ate

Po

sit

ion

F

ore

ca

st

Ou

ttu

rn P

os

itio

n

QIP

P S

av

ing

s

Pe

rfo

rma

nc

e

Pla

n

Ac

tua

l

Th

is

Mo

nth

V

ari

an

ce

Pre

vio

us

M

on

th -

V

ari

an

ce

P

lan

A

ctu

al

Va

ria

nc

e

fro

m P

lan

(S

LA

ca

p)

Va

ria

nc

e f

rom

P

lan

(u

nc

ap

pe

d

SL

A )

£000

£000

£000

£000

£000

£000

£000

£000

NH

S B

ren

t

5,8

78

5,8

89

1

1

(74

)

1

2,9

91

15

,05

6

2,0

65

(91

6)

NH

S H

arr

ow

6,7

54

6,6

97

(5

7)

(14

9)

1

4,0

74

14

,00

3

(71

)

(3,1

04

)

NH

S E

ali

ng

8,1

05

7,5

85

(5

20

) (4

52

)

1

8,6

81

17

,67

9

(1,0

02

)

(1,0

02

)

NH

S H

illi

ng

do

n

9,1

15

5,1

55

(3

,96

0)

(2,2

28

)

1

8,1

03

12

,40

6

(5,6

97

)

(5,6

97

)

To

tal O

ute

r F

ed

era

tio

n

2

9,8

52

2

5,3

26

(4

,52

6)

(2,9

03

)

6

3,8

49

59

,14

4

(4,7

05

)

(10

,71

9)

NH

S H

ou

ns

low

6,2

04

5

,58

5

(61

9)

(63

6)

1

2,5

80

12

,06

5

(51

5)

(5

15

)

NH

S H

am

me

rsm

ith

& F

ulh

am

7,0

85

6,3

21

(7

64

) 1

1

4,1

68

13

,43

3

(73

5)

(1

,47

0)

NH

S K

en

sin

gto

n &

Ch

els

ea

7,4

23

6,5

03

(9

20

) 4

3

1

4,8

46

13

,99

9

(84

7)

(1

,47

1)

NH

S W

es

tmin

ste

r

8,4

63

7,3

24

(1

,13

9)

7

1

6,9

26

15

,83

4

(1,0

92

)

(2,2

41

)

To

tal In

ne

r F

ed

era

tio

n

2

9,1

75

2

5,7

33

(3

,44

2)

(58

5)

5

8,5

20

55

,33

1

(3,1

89

)

(5,6

97

)

Clu

ste

r T

ota

l 2

01

2-1

3

5

9,0

27

5

1,0

59

(7

,96

8)

(3,4

88

)

12

2,3

69

1

14

,47

5

(7,8

94

)

(16

,41

6)

16

As

at

Mo

nth

6,

NH

S Tr

ust

s w

ith

in t

he

NW

L C

lust

er,

incl

ud

ing

th

e L

on

do

n A

mb

ula

nce

Se

rvic

e,

are

re

po

r%n

g a

su

rplu

s o

f

£2

.4m

aga

inst

th

e y

ea

r to

da

te p

lan

ne

d c

on

tro

l to

tals

.

All

NW

L Tr

ust

s h

ave

ag

ree

d a

su

rplu

s p

lan

wit

h t

he

exc

ep

tio

n o

f N

WL

Ho

spit

als

NH

S Tr

ust

wh

ich

ha

s a

de

fici

t p

lan

of

£2

0.6

m

an

d E

ali

ng

Tru

st, w

hic

h h

as

a b

rea

keve

n p

lan

.

Imp

eri

al,

CLC

H,

WLM

HT

an

d W

est

Mid

dle

sex

rep

ort

ed

su

rplu

ses

ag

ain

st y

ea

r to

da

te p

lan

s o

f £

2,6

57

k,

£3

00

k, £

22

0k

an

d

£1

57

k r

esp

ect

ive

ly w

hile

Ea

lin

g a

nd

NW

L Tr

ust

s re

po

rte

d m

arg

ina

l de

fici

ts.

LAS

ha

ve a

de

fici

t o

f £

78

1k.

Th

ey

ha

ve s

ub

mit

ted

a p

lan

to

NH

S L

on

do

n t

o r

eco

ver

the

po

si%

on

.

All

Tru

sts

are

fo

reca

s%n

g b

rea

k-e

ven

po

si%

on

ag

ain

st t

he

ir y

ea

r-e

nd

ta

rge

t w

ith

th

e e

xce

p%

on

of

Imp

eri

al

Tru

st w

hic

h i

s

fore

cast

ing

a s

urp

lus

of

£3

.41

5m

.

NW

L P

CTs

ha

ve p

rov

ide

d n

on

-re

curr

en

t fu

nd

ing

to

No

rth

We

st L

on

do

n H

osp

ita

ls T

rust

(£1

0m

), I

mp

eri

al C

oll

eg

e (

£8

m)

an

d

We

st M

idd

lese

x H

osp

ita

l (£

3.9

m).

Th

e S

LAs

wit

h N

WLH

T, E

alin

g a

nd

Im

pe

ria

l ha

ve b

ee

n n

eg

oti

ate

d w

ith

ca

pp

ed

ove

r

pe

rfo

rma

nce

pa

yme

nts

. Ca

ps

are

be

ing

fin

ali

sed

wit

h W

est

Mid

dle

sex,

wh

ich

wil

l be

fa

cto

red

into

th

eir

po

si%

on

ne

xt m

on

th.

8

Trust Financial Position

17

Trust Financial Position

9

Tru

st

Su

mm

ary

Fin

an

cia

l P

erf

orm

an

ce

ag

ain

st

Co

ntr

ol

To

tal

T

ab

le 4

Mo

nth

06

(1

Ap

ril

- 3

0 S

ep

tem

be

r 2

01

2)

Ye

ar

to d

ate

Po

sit

ion

F

ore

ca

st

Ou

ttu

rn P

os

itio

n

Fin

an

cia

l P

erf

orm

an

ce

P

lan

A

ctu

al

Va

ria

nc

e

fro

m P

lan

Pre

vio

us

mo

nth

P

lan

A

ctu

al

Va

ria

nc

e

fro

m P

lan

Pre

vio

us

mo

nth

£000

£000

£000

£000

£000

£000

£000

£000

su

r/(d

ef)

s

urp

/(d

ef)

in

c/(

de

c)

inc

/(d

ec

) s

ur/

(de

f)

su

rp/(

de

f)

inc

/(d

ec

) in

c/(

de

c)

Imp

eri

al C

oll

eg

e

13

4

2,7

91

2

,65

7

1,1

27

5

00

3

,91

5

3,4

15

3

,41

5

No

rth

We

st

Lo

nd

on

(1

3,3

38

) (1

3,3

92

) (5

4)

(55

) (2

0,6

00

) (2

0,6

00

) 0

0

We

st

Mid

dx

9

13

1

,07

0

15

7

12

2

1,6

02

1

,60

2

0

0

To

tal:

Ch

all

en

ged

Tru

sts

(1

2,2

91

) (9

,53

1)

2,7

60

1

,19

4

(18

,49

8)

(15

,08

3)

3,4

15

3

,41

5

Ea

lin

g H

os

pit

al

11

3

57

(5

6)

15

0

0

0

0

We

st

Lo

nd

on

MH

T

1,5

05

1

,72

5

22

0

25

8

3,4

38

3

,43

8

0

0

Ce

ntr

al

Lo

nd

on

Co

mm

un

ity H

ea

lth

1

,44

8

1,7

48

3

00

2

53

1

,81

4

1,8

13

(1

) 0

Lo

nd

on

Am

bu

lan

ce

Se

rvic

e

51

6

(26

5)

(78

1)

(28

7)

3,0

93

3

,09

3

0

0

To

tal:

Oth

er

Tru

sts

3

,58

2

3,2

65

(3

17

) 2

39

8

,34

5

8,3

44

(1

) 0

NW

L T

rus

ts 2

01

2-1

3 -

Co

ntr

ol

To

tal

(8,7

09

) (6

,26

6)

2,4

43

1

,43

3

(10

,15

3)

(6,7

39

) 3

,41

4

3,4

15

18

Provider QIPP Position

Th

e N

WL

Tru

sts

incl

ud

ing

Lo

nd

on

Am

bu

lan

ce S

erv

ice

ha

ve a

n a

nn

ua

l co

st i

mp

rove

me

nt

pla

n o

f £

12

1m

.

As

at

mo

nth

6,

Tru

sts

are

re

po

rtin

g s

lip

pa

ge

of

£0

.3m

(0

.6%

) a

gain

st t

he

ir y

ea

r to

da

te p

lan

of

£4

8m

.

Imp

eri

al r

ep

ort

ed

a y

ea

r to

da

te s

urp

lus

of

£1

m w

hil

e N

WLH

T is

re

po

rtin

g a

de

fici

t o

f £

38

2k.

Ea

lin

g (

£1

87

k) a

nd

CLC

H (

£7

43

k)

ha

ve a

lso

re

po

rte

d s

ho

rtfa

lls

aga

inst

th

eir

ye

ar

to d

ate

pla

nn

ed

sa

vin

g

targ

ets

wh

ile

LA

S a

nd

WLM

HT

re

po

rte

d a

bre

ak

-eve

n p

osi

%o

n.

All

NW

L Tr

ust

s h

ave

re

po

rte

d a

bre

ak-

eve

n f

ore

cast

ou

8u

rn p

osi

%o

n a

gain

st t

he

ir a

nn

ua

l sa

vin

g p

lan

s

exc

ep

t fo

r Im

pe

ria

l, N

WL

an

d C

LCH

. Im

pe

ria

l is

fo

reca

stin

g a

n o

ve

r d

eli

very

of

£8

64

k w

hil

e C

LCH

an

d

NW

L a

re r

ep

ort

ing

sli

pp

age

s o

f £

59

6k

an

d £

16

80

k re

spe

ctiv

ely

.

10

19

Provider savings (Table 5)

11

Tru

st

Su

mm

ary

of

QIP

P S

av

ing

s

Ta

ble

5

Mo

nth

06

(1

Ap

ril

- 3

0 S

ep

tem

be

r

20

12

) Y

ea

r to

da

te P

os

itio

n

Fo

rec

as

t O

utt

urn

Po

sit

ion

QIP

P S

av

ing

s

Pe

rfo

rma

nc

e

Pla

n

Ac

tua

l T

his

Mo

nth

V

ari

an

ce

Pre

vio

us

M

on

th -

V

ari

an

ce

P

lan

A

ctu

al

Th

is M

on

th

Va

ria

nc

e

Pre

vio

us

M

on

th -

V

ari

an

ce

£000

£000

£000

£000

£000

£000

£000

£000

Imp

eri

al

20

,50

7

21

,51

4

1,0

07

5

03

5

2,1

40

53

,00

4

86

4

81

4

No

rth

We

st

Lo

nd

on

5

,21

9

4,8

37

(3

82

) (3

05

)

1

6,8

20

15

,14

0

(1,6

80

) (3

16

)

We

st

Mid

dx

3

,78

6

3,7

91

5

4

7

,00

0

7

,00

0

0

0

Su

b T

ota

l: C

ha

lle

ng

ed

Tru

sts

2

9,5

12

3

0,1

42

6

30

2

02

7

5,9

60

7

5,1

44

(8

16

) 4

98

Ea

lin

g H

os

pit

al

4,5

51

4

,36

4

(18

7)

(24

6)

1

3,1

22

13

,12

2

0

0

We

st

Lo

nd

on

MH

T

5,1

72

5

,17

2

0

0

1

0,7

16

10

,71

6

0

0

Ce

ntr

al

Lo

nd

on

Co

mm

un

ity H

ea

lth

4

,66

6

3,9

23

(7

43

) (4

15

)

9

,19

7

8

,60

1

(59

6)

(24

8)

Lo

nd

on

Am

bu

lan

ce

Se

rvic

e

3,9

04

3

,90

4

0

0

1

2,4

98

12

,49

8

0

0

Su

b t

ota

l: O

the

r T

rus

ts

18

,29

3

17

,36

3

(93

0)

(66

1)

45

,53

3

44

,93

7

(59

6)

(24

8)

NW

L C

lus

ter

Tru

sts

20

12

-13

- T

ota

l 4

7,8

05

4

7,5

05

(3

00

) (4

59

) 1

21

,49

3

12

0,0

81

(1

,41

2)

25

0

20

North West London Cluster Budget (Table 6)

Th

e C

lust

er

HQ

bu

dg

et

is s

ho

win

g a

n u

nd

er-

spe

nd

of

£5

48

k fo

r th

e p

eri

od

to

Se

pte

mb

er

20

12

, la

rge

ly d

ue

to

no

n-r

ecu

rre

nt

slip

pa

ge

. T

he

sli

pp

ag

e w

ill b

e f

ull

y u

%li

sed

in

la

ter

mo

nth

s a

nd

th

e o

vera

ll b

ud

ge

t is

fo

reca

st t

o b

e i

n b

ala

nce

by

the

ye

ar

en

d.

Th

e n

on

-re

curr

en

t fu

nd

ing

ag

ree

d b

y t

he

Bo

ard

fo

r th

e H

R a

nd

Str

ate

gy

Bu

dg

ets

ha

s b

ee

n p

rofi

led

acr

oss

1

2 m

on

ths,

th

e a

dd

i%o

na

l A

CV

bu

dg

et

for

Q1

an

d Q

2 is

pro

file

d a

cro

ss M

1-6

.

Th

e C

lust

er-

wid

e F

HS

se

rvic

e h

as

be

gu

n i

n Q

ua

rte

r 2

, th

e p

art

-ye

ar

bu

dg

et

of

£3

,87

1 i

s sh

ow

n i

n t

he

ta

ble

, w

hic

h in

clu

de

s e

xce

p%

on

al

no

n-r

ecu

rre

nt

cost

s fo

r li

st c

lea

nin

g i

n B

ren

t a

nd

Hil

lin

gd

on

.

Fu

nd

ing

wa

s re

ceiv

ed

in

20

11

/12

fo

r Lo

nd

on

20

12

(O

lym

pic

s) w

hic

h t

he

Clu

ste

r w

as

un

ab

le t

o c

arr

y fo

rwa

rd a

nd

th

is c

ost

pre

ssu

re h

as

be

en

sh

ow

n in

th

e b

ud

ge

t ta

ble

.

Th

e s

ha

do

w C

SU

wil

l b

e m

an

ag

ing

th

e A

CV

re

late

d b

ud

ge

ts f

or

the

re

ma

ind

er

of

the

ye

ar.

Pri

nci

ple

s h

av

e

be

en

ag

ree

d b

etw

ee

n t

he

PC

T C

FO

s a

nd

th

e C

SU

Co

mm

erc

ial

Dir

ect

or

to s

afe

ly m

an

ag

e t

he

tra

nsi

%o

n o

f st

aff

an

d r

eso

urc

es

un

de

r th

e s

ha

do

w a

rra

ng

em

en

ts.

12

21

Cluster HQ Budgets

13

20

12

-13

Fin

an

cia

l P

os

itio

n

Ta

ble

6

Mo

nth

06

(1

Ap

ril

- 3

0 S

ep

tem

be

r 2

01

2)

Ye

ar

to d

ate

ve

rsu

s P

lan

F

ore

ca

st

Ou

ttu

rn v

ers

us

Pla

n

Fin

an

cia

l P

erf

orm

an

ce

B

ud

ge

t to

d

ate

E

xp

en

dit

ure

to

d

ate

Va

ria

nc

e t

o

da

te

ov

er/

(un

de

r)

An

nu

al B

ud

ge

t

Fo

rec

as

t O

utt

urn

Va

ria

nc

e t

o

da

te -

ov

er/

(un

de

r)

Inc

om

e S

um

mary

£000

£000

£000

£000

£000

£000

PC

T I

nc

om

e

8,7

30

8

,73

0

0

(18

,18

8)

(18

,18

8)

0

No

n R

ec

urr

en

t In

co

me

0

(2,6

24

) (2

,62

4)

0

To

tal

8

,73

0

8,7

30

0

(2

0,8

12

) (2

0,8

12

) 0

Ex

pe

nd

itu

re S

um

mary

£000

£000

£000

£000

£000

£000

NW

L M

an

ag

em

en

t

1,4

78

1

,80

5

32

7

2

,95

7

2,9

57

0

NW

L F

ina

nc

e

30

0

23

2

(68

)

60

0

60

0

0

Ac

ute

Co

mm

iss

ion

ing

1

,83

7

1,6

37

(2

00

)

2,6

30

2

,63

0

0

Pe

rfo

rma

nc

e &

In

form

ati

cs

1

,72

0

1,5

06

(2

14

)

2,5

00

2

,50

0

0

AC

V F

ina

nc

e

55

6

40

6

(15

0)

8

81

8

81

0

Wo

rkfo

rce

& H

R

46

5

46

7

2

9

31

9

31

0

Co

mm

un

ica

rtio

ns

& E

ng

ag

em

en

t

27

6

27

3

(3)

5

51

5

51

0

Ind

ivid

ua

l F

un

din

g R

ev

iew

s

57

1

41

1

(16

0)

1

,14

3

1,0

35

(1

08

)

Str

ate

gy &

Pla

nn

ing

7

88

7

31

(5

7)

1

,57

6

1,5

76

0

Pro

fes

sio

na

l C

lin

ica

l 7

12

6

46

(6

6)

1

,42

4

1,3

24

(1

00

)

Pri

ma

ry C

are

6

37

5

51

(8

6)

1

,27

3

1,2

73

0

Fa

mil

y H

ea

lth

Serv

ice

1

,29

0

1,2

90

0

3,8

71

3

,87

1

0

LA

S C

om

mis

sio

nin

g

26

8

24

3

(25

)

58

3

58

3

0

Oly

mp

ic a

ss

ua

ran

ce

(5

4)

98

1

52

(10

8)

10

0

20

8

To

tal

10

,84

4

10

,29

6

(54

8)

20

,81

2

20

,81

2

0

22

Th

e f

oll

ow

ing

ta

ble

sh

ow

s a

su

mm

ary

of

the

sh

ad

ow

CC

G d

ele

ga

ted

bu

dg

eta

ry p

osi

%o

ns

at

Mo

nth

6 a

nd

fo

reca

st o

u8

urn

.

Ov

era

ll,

the

In

ne

r C

oll

ab

ora

tio

n o

f C

CG

s h

av

e a

ye

ar

to d

ate

su

rplu

s o

f £

4.6

m.

All

In

ne

r

Fe

de

ra%

on

CC

Gs

are

re

po

r%n

g y

ea

r to

da

te s

urp

luse

s w

ith

th

e e

xce

p%

on

of

Ho

un

slo

w C

CG

wh

ich

is

rep

ort

ing

a y

ea

r to

da

te d

efi

cit

of

£2

.4m

.

Ov

era

ll,

the

Ou

ter

Co

lla

bo

rati

on

of

CC

Gs

ha

ve

a y

ea

r to

da

te d

efi

cit

of

£4

.5m

. T

his

is

ma

inly

du

e t

o H

illi

ng

do

n ,

Ea

lin

g a

nd

Ha

rro

w C

CG

s re

po

rtin

g a

ye

ar

to d

ate

de

fici

t o

f £

5.7

m,

£1

.5m

,

£0

.4m

re

spe

ctiv

ely

, w

hil

e B

ren

t C

CG

is

rep

ort

ing

a y

ea

r to

da

te s

urp

lus

of

£3

m.

Ov

era

ll,

Ou

ter

Fe

de

rati

on

CC

Gs

are

re

po

rtin

g f

ore

cast

ou

ttu

rn d

efi

cit

of

£2

5m

ag

ain

st t

he

ir

an

nu

al d

ele

ga

ted

bu

dg

ets

, £

23

m o

f th

e f

ore

cast

de

fici

t re

late

s to

Hil

lin

gd

on

CC

G a

nd

th

e

po

si%

on

exc

lud

e e

xte

rna

l n

on

-re

curr

en

t fi

na

nce

su

pp

ort

. T

his

em

ph

asi

ses

the

hig

he

r ri

sk

bu

dg

ets

th

at

CC

Gs

wil

l b

e r

esp

on

sib

le f

or

fro

m A

pri

l n

ex

t ye

ar.

Th

e C

CG

fin

an

cia

l pla

ns

for

20

13

/14

wil

l n

ee

d t

o d

em

on

stra

te t

ha

t th

e i

mp

act

of

this

ha

s b

ee

n t

ake

n i

nto

acc

ou

nt

an

d

tha

t th

ey

are

in

re

curr

en

t u

nd

erl

yin

g b

ala

nce

fo

r th

eir

au

tho

risa

%o

n a

pp

lica

%o

ns.

Summary CCG Delegated Budget Performance

14

23

Consultancy Contracts (1)

.

16

NB: All Public Authorities are required to publish any invoice payments over £25,000 each

mo

nth

. No.

Provider

Description

Total Maximum

Value £'000

Element funded

by 3rd Parties

£'000

Cost to Sub

Cluster

£'000

Process

Reference

Date

Inn

er

Fed

era

tio

n:

1 M

cK

inse

y

20

13/1

4 Q

IPP

Sup

port

- N

HS

Hou

nslo

w

33

3

0

33

3 F

ram

ew

ork

Tend

er.

Fun

ded

through DSU & Hounslow £900k

no

n-r

ecurr

en

t re

covery

su

ppo

rt

fundin

g.

Pan

el d

ecis

ion

au

tho

rise

d b

y D

oF

.

Ju

l-12

2 P

WC

CW

HH

-P

rovid

e s

uppo

rt t

o

CC

G

Auth

ori

sation-C

en

tra

l Lo

ndo

n

CC

G

32

32

Waiv

er

Auth

ori

sed

by

Accoun

tab

le O

ffic

er

Sep

-12

3 P

WC

CW

HH

-P

rovid

e s

uppo

rt t

o

CC

G

Auth

ori

sation-H

ou

nslo

w C

CG

30

30

Waiv

er

Auth

ori

sed

by

Accoun

tab

le O

ffic

er

Sep

-12

4 P

WC

C

WH

H -P

rovid

e s

uppo

rt t

o

CC

G

Auth

ori

sation-W

est Lon

don

CC

G

20

20

Waiv

er

Auth

ori

sed

by

Accoun

tab

le O

ffic

er

Sep

-12

5 P

WC

CW

HH

-P

rovid

e s

uppo

rt t

o

CC

G

Auth

ori

sation-H

&F

C

CG

(estim

ate

) 30

30

Fra

me

wo

rk te

nde

r

Auth

ori

sed

by

Accoun

tab

le O

ffic

er

Sep

-12

S

ub

-to

tal

44

5

0

44

5

Ou

ter

Fed

era

tio

n

1 A

ttain

NH

S H

illin

gd

on -

de

velo

pm

ent

of

13

/14

co

nsu

ltancy te

nde

r 31

31

Fund

ed f

rom

non

-recurrent £900k

recove

ry s

upp

ort

.

Auth

ori

sed

Bud

get

ho

lder.

Ju

n-1

2

2 M

oorh

ouse /

Fin

nam

ore

N

HS

Ealin

g C

CG

Supp

ort

22

8

22

8 F

ram

ew

ork

te

nde

r. F

unde

d f

rom

no

n-recurrent £900k recovery

su

ppo

rt.

Pan

el D

ecis

ion,

au

tho

rise

d D

ir o

f

Str

ate

gy

Ju

n-1

2

3 M

oorh

ouse /

Fin

nam

ore

NH

S H

arr

ow

CC

G Q

IPP

& 1

3-1

4

Pla

n S

upp

ort

24

5

24

5 B

uyin

g S

olu

tio

ns T

ende

r T

end

er;

P

an

el A

ssessm

ent app

rove

d b

y

Clu

ste

r D

oF

in M

ay-1

2

Pan

el D

ecis

ion,

au

tho

rise

d D

ir o

f

Str

ate

gy

Sep

-12

4 P

ricew

ate

rho

use

Coope

rs

LL

P

NH

S H

arr

ow

- C

CG

Pro

ject

su

ppo

rt

26

26

Waiv

er

Te

nd

er

Wa

ive

r

Ag

ree

d C

EO

&

Dir

ecto

r o

f F

ina

nce

Sep

-12

5 P

riva

te P

ublic

Lim

ited

N

HS

Bre

nt

- O

utp

atien

t pro

cu

rem

ent p

roje

ct

35

35

Waiv

er

Te

nd

er

Wa

ive

r

Ag

ree

d C

EO

&

Dir

ecto

r o

f F

ina

nce

Sep

-12

6 A

sh

ridg

e

NH

S B

ren

t C

CG

Auth

orisatio

n

Sup

port

70

70

Waiv

er

Tend

er

wa

iver

Agre

ed

, A

uth

ori

sed

by

Accoun

tab

le O

ffic

er

Sep

-12

7 E

rnst Y

ou

ng

NH

S B

ren

t S

ocia

l in

tegra

tion w

ith

the C

ou

ncil

40

40

Tend

er

Auth

ori

sed

Bud

get

ho

lder.

S

ep

-12

8 F

inna

more

BE

HH

- S

up

port

for

QIP

P P

lans

an

d C

om

mis

sio

nin

g Inte

ntio

ns

10

1

10

1 W

aiv

er

Te

nd

er

Wa

ive

r

Ag

ree

d A

cco

un

tab

le

Off

ice

r a

nd

Chie

f

Fin

an

ce

Offic

er

Sep

-12

S

ub

-to

tal

7

76

0

7

76

24

Consultancy Contracts (2)

.

17

NW

L C

lus

ter:

1 P

A/M

ckin

sey

Exte

nsio

n o

f m

od

elli

ng

, A

naly

tical

& P

rogra

mm

e s

upp

ort

to

SH

F

recon

figu

ration.

82

0

0

82

0 W

aiv

er

ag

ree

d f

or

ext

ensio

ns o

f pre

vio

us t

end

er.

NW

L B

oard

23rd

A

pri

l A

pr-

12

2 M

cK

inse

y

CS

S B

usin

ess Inte

lligen

ce

Deve

lopm

ent

Supp

ort

F

ram

ew

ork

. 74

74

Waiv

er

ag

ree

d d

ue t

o c

ontinuity a

nd

urg

en

cy

Clu

ste

r C

EO

M

ay-1

2

3 K

PM

G

Ou

ter

NW

L Q

IPP

re

vie

w

23

23

Waiv

er

ag

ree

d d

ue t

o c

ontinuity a

nd

urg

en

cy a

nd s

cale

CE

T A

ppro

ved

Apr-

12

4 M

cK

inse

y

Whole

Syste

ms Inte

gra

ted

Care

50

0

50

0

0 F

ram

ew

ork

te

nde

r, f

un

ded

by N

HS

Lo

ndo

n,

ho

ste

d N

WL

.

Com

mis

sio

ner

&

Pro

vid

er

pa

nel

de

cis

ion. C

ET

App

rove

d

Ju

l-12

5 M

oorh

ouse /

Fin

nam

ore

Ou

t of

Hospita

l C

luste

r

Pro

gra

mm

e M

ana

gem

ent

off

ice

24

7

24

7 F

ram

ew

ork

te

nde

r, D

SU

fu

nde

d.

Pan

el d

ecis

ion,

au

tho

rise

d D

ir o

f

Str

ate

gy

Ju

l-12

6 M

cK

inse

y / P

A C

on

sultin

g

NW

L C

om

mis

sio

nin

g S

uppo

rt

Deve

lopm

ent.

Call

off c

ontr

act

up

to a

ma

xim

um

su

m.

1,5

00

1,5

00

Fra

me

wo

rk te

nde

r, C

SU

de

velo

pm

ent

funde

d

App

rove

d N

WL

Boa

rd 9

th J

uly

Ju

l-12

7 Ip

sos M

ori

Sha

pin

g a

Hea

lthie

r F

utu

re -

C

on

sultatio

n r

espo

nse

re

port

ing

an

d a

naly

sis

24

8

24

8 F

ram

ew

ork

te

nde

r, S

HF

budg

et

Pan

el d

ecis

ion,

au

tho

rise

d D

ir o

f

Str

at.

Ju

l-12

8 O

PM

Sha

pin

g a

Hea

lthie

r F

utu

re -

Con

sultatio

n e

vents

Deliv

ery

28

9

28

9 F

ram

ew

ork

te

nde

r, S

HF

budg

et

Pan

el d

ecis

ion,

au

tho

rise

d D

ir o

f

Fin

an

ce

Ju

l-12

9 P

A C

onsultin

g

Sha

pin

g a

Hea

lthie

r F

utu

re -

C

on

sultatio

n p

rog

ram

me

man

age

ment S

uppo

rt (

Jul-

Dec)

87

6

87

6 F

ram

ew

ork

te

nde

r. S

HF

budg

et

Pan

el d

ecis

ion

ap

pro

ved b

y t

he

CE

T

Ju

l-12

10

Mo

tt M

cD

on

ald

S

ha

pin

g a

Hea

lthie

r F

utu

re -

E

qu

alit

ies im

pact asse

ssm

ent

39

39

Fra

me

wo

rk te

nde

r

App

rove

d b

y

bu

dge

t hold

er.

Ju

l-12

11

Go

od D

ecis

ion P

art

ne

rsh

ip

Sim

ul8

mod

elin

g to

ol fo

r de

nta

l

refo

rm o

n b

eha

lf o

f th

e D

H

25

25

0 S

ing

le te

nde

r A

ctio

n,

waiv

ere

d a

nd

sig

ned

off

.

App

rove

d b

y

bu

dge

t hold

er.

A

pr-

12

12

Cro

ss R

oa

ds C

are

/Priva

te

Pub

lic L

imite

d

Sha

pin

g a

Hea

lthie

r F

utu

re -

OO

H a

nd

Ca

rers

70

70

Fra

me

wo

rk te

nde

r, D

SU

fu

nde

d.

Pan

el d

ecis

ion,

App

rove

d b

y D

ir

Str

ate

gy

Sep

-12

13

McK

inse

y / D

rive

rs J

onas

Delo

itte

S

ha

pin

g a

Hea

lthie

r F

utu

re -

OO

H E

sta

tes p

lan

nin

g

97

8

97

8 F

ram

ew

ork

te

nde

r, D

SU

+ S

aH

F

funde

d.

Pan

el d

ecis

ion,

Auth

ori

sation b

y

Dir o

f S

trate

gy &

Pro

gra

mm

e S

RO

Sep

-12

14

McK

inse

y

Sha

pin

g a

Hea

lthie

r F

utu

re -

OO

H W

ork

forc

e

39

9

39

9 F

ram

ew

ork

te

nde

r, D

SU

fu

nde

d.

Pan

el d

ecis

ion,

Auth

ori

sation b

y

Dir o

f S

trate

gy

Sep

-12

S

ub

-to

tal

6,0

88

52

5

5,5

63

To

tals

7,3

09

52

5

6,7

84

25

NHS 111 North West London NHS 111 Health and Social Care Professional Feedback Form

1 NWL 111 Health & Social Care Professional Feedback Form v1.0 – October 2012

IN CONFIDENCE

We welcome feedback from Health and Social Care Professionals to help us to learn and continually improve the

NHS 111 service covering North West London. Please use this form to record any feedback you wish to provide us.

Your correct contact details are important in case we need to contact you for further clarification/information.

Patient’s Name: ~[Title] ~[Forename] ~[Surname] Patient’s DOB: ~[Date of Birth]

Patient’s

Address:

~[Patient Address Block] ~[Post Code]

Patient’s

Telephone:

~[Telephone Number]

~[Mobile No] ~[Mobile]

NHS Number

(if known): ~[NHS Number]

NHS 111 informs all callers that calls may be recorded and monitored for quality, training and safety purposes

Date & Time of call /

contact with 111 Service:

111 Call ID (if known, may

be found on call report):

What number was called? 111 Local GP practice Unknown Other:

Detail of Feedback/Concerns and Suggestions/Desired Outcomes:

Do you require a response

to your feedback? Yes, preferably by Email Yes, preferably by Phone No

Your Name: Date of Feedback: ~[Today...]

Your Job/Role: Email Address:

Organisation’s

Address:

~[Surgery Address Line 1]




~[Surgery Address Line 5] ~[Practice

Code]

Telephone: ~[Surgery Tel No.]

Thank you for your feedback, you have now completed the form.

Please refer to the next page for instructions on how to return your completed form to the NHS 111 service

that covers the location of the patient/your organisation.

26



How to return your NHS 111 Feedback Form

Different 111 services cover different parts of London. Please check the tables below to return your feedback form

to the 111 service that covers your patient’s location (if your feedback relates to a specific patient) or your

organisation’s location (if your feedback is general and does not relate to a specific patient).

Inner North West London – LCW 111

Hammersmith & Fulham

Kensington & Chelsea

Westminister

By email (preferred): [email protected]

By fax (safehaven): 020 8962 4401

By post: 111 Clinical Governance Lead, c/o LCW, St Charles Centre for Health and

Wellbeing, Exmoor Street, London W10 6DZ

You can also call 020 8962 7766 (please note calls to this number are recorded)

What happens next?

Once your feedback form has been received by the 111 service, it will be shared with the local commissioner’s 111

Clinical Governance Lead that covers the relevant geographical area. The response section (see next page) will be

completed and patient identifiable data will be removed from the form. If you have asked for a response, we aim to

return your feedback form with completed response section within 7 working days. If this is not possible, we will

endeavour to let you know and explain why.

Your feedback, whether positive or negative, is extremely valuable and a summary of the main points raised by your

feedback may be discussed within wider 111 Clinical Governance groups to help shape improvements in the NHS 111

service.

What about patients who want to provide their direct feedback?

Patients can also contact the relevant 111 services using the details above. In addition, they may wish to visit

www.patientopinion.org.uk and leave their NHS 111 feedback or personal story online.

Outer North West London – Harmoni 111

Brent

Ealing

Harrow

Hillingdon

Hounslow

By email (preferred): [email protected]

By fax (safehaven): 020 8893 5500

By post: 111 Clinical Governance Lead, c/o Harmoni, Square One, Navigator Park,

Unit 1 Southall Lane, Southall UB2 5NH

You can also call 020 3402 1111 (please note calls to this number are recorded)

27



FOR USE/COMPLETION BY NWL NHS 111 – Response to Feedback

Thank you for taking the time to provide your feedback. This section is designed to be completed by NHS 111 to give

you a quick response (if requested) to the key issues raised in your feedback.

Nature of Issues underlying Feedback (Select all that apply):

Clinical Patient Safety Technical

Communication Staff Safety Transport

Engagement/Awareness NHS Pathways Telephony

Appropriateness of referral Directory of Services Handover between Services

Operational Out of Area Other (please specify):

Overall Category of Feedback:

Compliment Concern Complaint Potential Incident Potential Serious Incident

Initial Response from Review of Feedback/Contact:

Further Action to be Taken (if required/relevant):

Responder’s Name: Date of Response:

Responder’s Job/Role: Email Address:

Contact Address:

Telephone:

If there are any queries in relation to this response, please contact us back using the details above.

28

G:\LMCs\NWL\EHH LMC\EHH 2012\Ealing LMC CCG Liaison\Papers\28

November\Invoicing Process for Retailers.doc

Draft Public Health Invoicing Process for – Ealing Council 1 invoice is required per month and must cover a calendar month for VAT purposes i.e. 1 – 31 July 2011. The invoice should be received in the Adults Finance Operations team by the 15th day of the following calendar month. The invoice must be on company headed paper and quote the company’s VAT registration number. The invoice must be addressed to: Public Health Team (appropriate Contact Manager) Ealing Council 3rd Floor North West Perceval House 14 – 16 Uxbridge Road London W5 2HL Contact number: to be provided E-mail Address: [email protected] The invoice must be dated and have a unique reference/invoice number. The narrative must include the following:

• The unique Supplier ID – provided by the Council

• The Service Description, any item code & quantity of items provided

• The net amount for each item or multiple quantity i.e. 2 x £18.00 = £36.00

• The VAT total

• The gross amount

• A FULLY COMPLETED original copy of each invoice must be provided • Work is being undertaken to find an appropriate way of “sign-off” for

services provided, which maintain appropriate confidentiality The payment terms are currently under review, but are required to be within 30 days. Ealing Council has 2 payment runs a week – Tuesday and Thursday. Please note that the submission of invoices containing incorrect information could result in a delay in payment whilst the invoices are checked and any disputes are investigated. Our current thoughts are that 1 invoice per surgery should be completed each calendar month, with each service provided detailed on the connected spreadsheet, and summarised on the invoice. Ealing will provide a remittance advice for the amounts paid against each invoice, for your reconciliation An example of an invoice is attached for guidance purposes.

29



EXAMPLE INVOICE ONLY – DO NOT PAY

FEELWELL PHARMACY 56 Well Lane, Hanwell, London W7 6RU

Telno: 0208 259 2000 VAT REG NO 123 4567 89

Public Health Invoice No: 236 Ealing Council 3rd Floor North East Date: 02/09/2011 Perceval House 14 – 16 Uxbridge Road London W5 2HL

Supplier ID: 12345 (this will be provided to you) Services Description Qty Net Total EAL777123 1 10.00 EAL777545 1 9.00 1 8.00 1 9.00 EAL777966 1 15.00 1 23.00 EAL778021 2 36.00 1 16.00 1 12.00 Total Net £138.00 VAT @ 20% £27.60 Gross £165.60

30



Ealing is looking at developing a spreadsheet whereby if the information is completed below – then a summary invoice can be provided in 1 click, and then a copy of both the invoice and the spreadsheet can be sent to Ealing to verify the payment request. This will reduce the amount of inputting required.

Supplier ID Prepopulated

Services Description Drop Down List

Quantity Drop Down List

Net Value VAT @20% Prepopulated

Gross Value Prepopulated

Patient Gender Drop Down List

Patient Age Drop Down List

Patient Ethnicity Drop Down List

Patient Postcode (1st part) Drop Down List

Patient Postcode (1st part)

Date of Service

Ealing is also to examine the current system used by Pharmicists to see if it is possible to continue its use, and or expand this to include other services. As more information is available we shall update our position. Please remember this is an ongoing area for development. Ealing is awaiting much information and is developing things to make as smooth transition as possible, but some information is not yet available.

31

Londonwide LMCs and NHS North West London Primary Care Contracting team interim meeting

Action notes from Tuesday 30 October 2012

1.0 In attendance: Rachel Donovan (RD) Julie Sands (JS) Andy Michaels (AM) Ann Ayamah (AA) Alison Dalal (AD) Ariadne Siotis (AS) Kathryn Charles (KC) – on the telephone

2.0 Apologies: Gill Rogers

3.0 Matters arising from meeting 20 September 2012

There were no matters arising for discussion.

4.0 NHS NWL 4.1 To receive an update on any NWL structural changes and appointments – JS reported that the

structures had been published for the Primary Care Team. Karen Clinton had been appointed as Head of Primary Care and she would be reporting to Vicky Scott, Delivery Director for the LAT. There would also be one Deputy Head of Primary Care for NWL but that position had not yet been filled. Thirza and Tessa would be part of a team within the CCG structure but spanning all 8 CCGs. JS noted that the transition should be complete by the end of December and everyone would know where they had been placed by then.

5.0 Enhanced Services

5.1 QIPP LES – KCh reported that the outstanding QIPP LES payments had now been made in Ealing. RD noted that the DH had changed the reporting requirements for the PCT regarding the Pertussis NES and that they would now have to ask practices to record the EDDs on the claims form. KCh and AD pointed out that this would be difficult as the EDDs were often included as free text in the notes rather than coded and would therefore have to be manually retrieved which would create a lot of additional work for practices. AM suggested that perhaps and additional administrative payment could be made to practices in the form of a LES to support this work but JS responded that there was no additional money available. AM undertook to raise this query with the GPC to ascertain whether practices were obliged to provide this information in the requested format or whether they just had to make it available to the PCT to extract. (AM) JS also undertook to feedback to Public Health and to see if an alternative solution could be found for gathering the necessary data. (JS)

6.0 Contracts

6.1 Contract compliance visits– RD noted that the PCT were no longer doing minimum premises standards checks as part of these visits. The PCT would be writing to the selected practices (1/3 of total practices) in the coming week to tell them that they had been selected for a visit and to inform them of the week the PCT is hoping to conduct the visit. The letters would give practices 6 weeks’ notice of the visit and would include the criteria they will be checked against. NW London advised they would be flexible where practices were not able to accommodate a visit during their allocated week. The letter would also outline the consequences of failing to meet any of the standards. RD undertook to send the letter to the LMC office to look at before sending it

32

out. (RD)

7.0 QoF 7.1 To receive an update on 2012/13 year end process – RD reported that QMAS would be

changing to CQRS which would be used for both QoF and CoF as well as for some ESs including alcohol and LDs. The new system would be up and running by April 2013 and QMAS would be shutting down on 31 July with no amendments allowed after 30 June. This means that there will be a very tight timescale for signing off QoF. KC raised the issue of Med 10 and QP points being confirmed in good time before QMAS shuts down and RD undertook to discuss this with the prescribing team. (RD) AD suggested that the PCT attend the PM fora to explain the changes to the PMs and to encourage them to get their returns in early. AS also undertook to include something in the Londonwide LMCs newsletter about this. (AS)

8.0 Practice Vacancies and Procurement 8.1 RD noted that the Grove Medical Centre in Hounslow will be going out for procurement. The

process will be run by NHS NWL. AS undertook to put this as an item on the next Hounslow LMC agenda. (AS) RD also reported that it was now looking unlikely that The Practice in Hillingdon would be going out to tender.

9.0 Any Other Business Flu – AD raised a query about Occupational Health providing flu shots to Practice staff. She noted that she understood that the contract for Occupational Health was held by Imperial College and that they were telling practices they had to send their staff to Queen Mary’s to get vaccinated. JS undertook to raise the issue with the head of HR and AM undertook to raise it with the LMC and CCG Chairs. (JS, AM/AS) Premises – AS updated the group on the current situation regarding the premises review underway. JS suggested that the feedback about practices being sold additional services be passed on to Thirza at the DSU. (AS) CQC – RD and JS reported that there were 4 practices who had not yet done anything about CQC registration. They were going to encourage them to contact the LMC office for support. AS undertook to include something in the next newsletter about CQC registration and the fact that the office could offer support. (AS) Funding for nurse training – AD noted that practices used to receive funding for nurse training and queried where that budget had gone. AM agreed to raise this with the CCGs. (AM)

10.0 Date of Next Meeting – November 20, BMA House

33

Ealing LMC CCG 28 Nov 2012 · The professional voice of general practice in Ealing, Hammersmith and...

Documents

Transcript of Ealing LMC CCG 28 Nov 2012 · The professional voice of general practice in Ealing, Hammersmith and...