Mid Surrey Commissioning Group

8/14/2019 Mid Surrey Commissioning Group

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Mid Surrey Commissioning Group

Wednesday 25th November 2009

MINUTES

Chair Ralph Burton

Present Zahid Ali, Oliver Bernath, Chris Botten, UlrichDempfle,Saul Galloway, Mark Jenkins, Masood Ahmad,Helen Lewis, Suzanne Moore, Sejal Patel,Andreas Pitsiaeli, Jo Pritchard, Imran Rafi,Tim Richardson, Andrew Roscoe, Nahib Sidhom,Sonja Sparla, Michael Trent, Nick Downs, AnnyWells, Simon Williams, Julie Gaze andColleagues from Surrey and Borders FoundationTrust for item 4

Secretary Absent - notes taken by Chair

1. Last Meetings Minutes (14/10/09)

The minutes were agreed with thefollowing corrections

1. 24hr nursing provision desired byEDICS/MEDLinks is, at present, only anaspiration and no agreement is present.

2. Matters Arising (not on agenda)

1.Report on the progress on jointproject between CSH and SocialServices. This is going forward withincurrent resources and staff have beenidentified. The pilot should informthe business plan and this should beavailable at the next MSCG meeting.

2.In response to an enquiry from HL it

was reported by the Chair that as faras he was aware the Improving Access


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for Psychological Therapies wasproceeding and was out to tender.


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3. Report on the Perfect Storm Event

This was held recently by the PCT (RBand CB had been present from the Group)

RB presented the following, which setsout in broad terms the financial crisisfacing our health economy.


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4. Commissioning Mental Health Services (themeeting was joined by Julie Gaze and Colleaguesfrom Surrey and Borders)

We were given an update on the Trustsconsultation on inpatient provision.There was a 73% approval for the three-centre option based on Chertsey,Guildford and Redhill. All inpatientservices (including EMHS) will be

delivered from these sites and thefacilities at Epsom will eventually beclosed. The group continued withreservations but had to accept theposition. The focus now had to be indeveloping community services and tothis end we will set up a liaison groupstarting with representation on the MSCGBoard (there will also need to be

representation at Locality level). Julie


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will provide a name and will alsoprovide a telephone number for GPs whoare experiencing difficulties inobtaining services.

Action Julie Gaze Director ofCorporate Affairs S&BFMHT

5. Community Services

SG was able to report that the proposalshad been supported by the PCT andfunding had been found to allow IHP to

be involved in developing a businessplan. CSH were happy to support thiswork. The work should include the use ofCommunity Hospital Beds (currently theyhave been reduced as a cost savingexercise)

6. Medicines Management

SP and AP had been working jointlyaround the area of Medicine Use Reviews(MUR). These are part of the newPharmacy Contract although not allpharmacies are accredited to providethem. One suggestion was that GPs couldadd a further tick box to the scriptaltering the Pharmacist that a MUR wouldbe indicated. Other proposals were made

but one obvious difficulty would be knowwhich pharmacies were able to carry themout. There was also a feeling that thescheme would not be totally beneficialuntil home visits were included. Workwill continue on this.

HL reported some concern around privacyin Pharmacies although no pharmacy

should be approved until; they could


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provide a private area. SP would behappy to receive any specific concerns.

UD from IHP was able to give an update

of the Medicine Management element ofthe Managed Care Project


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A prescribing leads meeting is planned for 17th

December

7. Patient Representation

HL reminded the Group of the agreedprocess for patient participation (arequirement of the PBC IncentiveScheme). There had been only limitedprogress and as yet only two practiceshad shown progress in establishing

group/individuals that HL could workwith. She suggested that the practicemanager of one of the practices isinvited to a group meeting to discusshow to go about it.

8. Update on MSCG plans

The Group noted with dismay the actionof the PCT in withdrawing funds to


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support the Managed Care Project. Allfelt that it would be foolish to notcontinue with the project if at allpossible using PBC Incentive Scheme

monies alone. We were hopeful that therewere sufficient funds in the ManagementAllowance to allow this (CB reportedthat he had secured current funding upto 31st December) This money is notavailable for distribution to practicesand would be returned to the PCT if notspent.

It was agreed that a small group wouldbe convened by AR and including RB, TRand IHP, to see what can be achieved toallow IHP to continue to manage theproject.

The remainder of the Managed Care Reportwas given in Part 2 of the agenda.

9. AOB

EDICS/MEDLinks had reviewed theirposition and now wished to proceed witha joint meeting to look at areas of co-operation. It was suggested that 4members of each group should attend aninitial meeting on 22nd December. TheMSCG members would be TR, SG, MJ and SW.

The Chair was directed by the Group toexpress their frustration to KarenParsons on the failure to have the newEDICS contract signed.

10. Date of next meeting


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No meeting is planned for December andthe next meeting of the full group willbe 20th January 2010

RHB 27th November 2009

Mid Surrey Commissioning Group

Documents

Transcript of Mid Surrey Commissioning Group