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REDBRIDGE LOCAL MEDICAL COMMITTEE MEETING

To be held from 2.30 pm to 4.30 pm on Thursday 30 May 2013 at

Hainault Medical Centre, Manford Way, Chigwell, IG7 4DF

PART TWO

AGENDA 1.0 Welcome and apologies

2.0 2.1

Declarations of interest Members to declare any conflicts of interest in connection with any items on the agenda or in the light of subsequent debate

3.0 Minutes and matters arising: 3.1 Minutes from Redbridge LMC Part two meeting on 28 March 2013 (pages 2-4) 3.1.1 Anticoagulation (minute 4.1 refers) 4.0 4.1 4.2

Members reports of meetings attended Feedback from LMC Annual Conference on 23 and 24 May 2013 – Dr Shah to report Other reports of meetings attended

5.0 CCG update: 5.1 5.2 5.3 5.4

BHR-CCGs’ Management Structure (pages 5-15) CCG budgets and service priorities Local Enhanced Services Primary Care Strategy Clinical Director elections

6.0 6.1 6.2

Acute Trust issues BHRT Barts Health • Pathology issues

7.0 Public Health issues Local Enhanced Services

8.0

Date of the next meeting 25 July 2013, Hainault Medical Centre

9.0 Any Other Business

Redbridge Local Medical Committee

Part 2

Minutes from the meeting held at 1:30pm on Thursday 28 March 2013 in the Hainault Medical Centre, Manford Way, Chigwell IG7 4DF

Present: LMC Members: Dr Heath Springer (Vice-Chair)

Dr Pradeep Sharma Dr Undinti Shubhaker

Co-opted: Visitor:

Dr Emma Taslima Mannan Dr Sarah Heyes (CCG)

In Attendance: Dr Tony Grewal, Medical Director, Londonwide LMCs

Gracie Edevbie, Committee Liaison Executive, Londonwide LMCs NOTE

Please note that the Committee was not quorate on the day. Dr Tony Grewal advised that the Committee could proceed with the meeting, but any decision made would need to be rectified by a Committee that is quorate at the next meeting or via email.

1.0 Welcome and Apologies

1.1 Dr Heath Springer welcomed everyone to the meeting and introduced Dr Emma Taslima Mannan as a GP Registrar representative. Everyone introduced themselves. Apologies for absence were received from Greg Cairns (Director of Primary Care Strategy, Londonwide LMCs), Dr Kaindon Kugathas, Dr Zulfikar Moghul, Dr Munesh Mistry, Neill Moloney (BHRUT), Neil Roberts, Dr Ambrish Shah, Dr Anil Shah, Dr Muhammed Tahir and Andrew Watson.

2.0 Declaration of interest 2.1 There were no declarations of interest in relation to Part 2 of the meeting.

3.0 Minutes of the meeting held on Thursday 14 February 2013 3.1 The Minutes of the Part 2 meeting held on Thursday 14 February 2013 were

agreed as a correct record subject to the amendment of ‘Undinti’ to ‘David’ (points 4.1 and 51) to reflect Dr Shubhaker’s name preference.

4.0 Matters Arising 4.1 Anti-coagulation

Dr Sarah Heyes indicated that anti-coagulation is something that has been raised by the clinical directors at CCG, however, the issue was one of lack of fund. She stated she is hopeful that things will change come beginning of April. Dr Tony Grewal suggested that LMC members write to constituents indicating that anti-coagulation is an important issue and should CCG not continue with the service, we would raise it with NCB. It was agreed that Dr Tony Grewal would write to CCG to express LMC

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members’ concerns regarding anti-coagulation service in Redbridge and to ascertain from them what is being done in this area. Urgent response required from CCG. It was further agreed to keep anti-coagulation as a standing item on Redbridge LMC agenda.

TG GE

5.0 Updates - to include 5.1 Enhanced Services (‘ES’) – Procurement and Competition

Dr Tony Grewal advised that the Commissioning Board issued guidance in July 2012 regarding Enhanced Services and more recently section 75 of the 2012 Act hit the news; the upshot being that although ES can be rolled over, there is no longer a mechanism for ES to be part of the contract; any public service contract over £100,000 must be open to tender in line with competition law unless it is not in the public interest to do so; also where the service is offered to a single provided this must be justified. Dr Tong Grewal urged LMC members to get advice if they or anyone they know are thinking of providing ES. He said that they should contact LMC office if they needed help. Dr Tony Grewal clarified that existing ES will be rolled over, but new ones (son of LES) will be open to challenge.

6.0 Commissioning Update – constitution; authorisation 6.1 Dr Sarah Heyes reported that at a meeting at Beckett’s House involving Greg

Cairns, the 5 major concerns regarding the Constitution were dealt with. She said she understood that the Constitution has been approved and a letter by email will go out to all members stating that LMC was happy with it (she referred to an email she had received from Greg regarding this); Redbridge is authorised with 6 conditions (she read out the conditions). Dr Tony Grewal said that we would say that the Constitution is in compliance, but no letter will be sent by us to members regarding it. Dr Sarah Heyes report included the appointment of Dr Anil Mehta as the interim CCG Chair. She stated that Dr Anil Mehta is keen on making significant changes, but money was an issue. Dr Sarah Heyes indicated that Redbridge has been under-funded historically, but a change is likely in the foreseeable future; there was now a persistent lobbying to recognise that Redbridge is historically under-funded. It was agreed that Dr Sarah Heyes would notify LMC office when Dr Anil Mehta is confirmed in post so that a letter can be sent, on behalf of LMC members, to welcome him to the post and also to invite him to Redbridge LMC meetings.

SH

7.0 Acute Trust issues 7.1 BHRT – information on maternity boundaries for noting

The Committee noted the information relating to maternity boundaries and further noted Dr Sarah Heyes’ explanation/report regarding it. She reported that all planned deliveries are analysed daily. She explained when referral can be made to Whipps Cross. It was agreed that Dr Sarah Heyes would email Gracie Edevbie with the contact details for maternity lead.

SH

7.2 Barts Heath and NHS Trust

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The Committee noted that there was no visitor from Barts Health. 8.0 PCT owned Premises – updates re leases, service charges 8.1 The Committee that this item was dealt with in Part 1 of the Agenda. 9.0 Enhanced Services – Procurement and Competition 9.1 This item was dealt with under Point 5.1 above. 10.0 Dates of Redbridge LMC meetings for 2013 - noting 10.1 The Committee noted this item. 11.0 Date of Next Meeting 11.1 In Part 1 of the meeting, Gracie Edevbie informed the Committee that as the

next meeting date of 23 May 2013 clashed with the Annual Conference, they should consider whether the meeting should be rescheduled for 16 May 2013 or 30 May 2013. Following discussions on the above, the Committee opted for 30 May 2013. It was agreed that Gracie Edevbie would email LMC members, via the list server, to inform them that the next meeting of Redbridge LMC will be on 30 May 2013.

GE

12.0 Any Other Business 12.1 Conflict of interest issue raised by Dr Pradeep Sharma

Dr Pradeep Shah raised concern in respect of a conflict issue involving a CCG Board member who has taken over a 3 months contract to supervise a practice (there were 8 applications and 5 were shortlisted). Dr Tony Grewal advised that how primary care is delivered to patients is a matter for the PCT and its power has been delegated to CCG, a statutory stand-alone body and as long as the CCG Board member was not involved in the decision making, then there is no conflict per se. The Committee acknowledged, however, that there could be a perception of conflict regarding the situation Dr Pradeep Shah raised. Dr Sarah Heyes indicated that CCG should have been made aware of the above situation (the 3 months contract situation). It was agreed that Dr Pradeep Sharma would email Dr Tony Grewal with any concerns he wished to raise concerning the conflict of interest issue he talked about at the meeting.

PS

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Barking and Dagenham, H i d R db idHavering and Redbridge 

CCGsCCGs

Management structure

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BHR CCGs integrated management support structure

Barking and Dagenham CCG Havering CCG Redbridge CCG

Conor BurkeAccountable Officer

Louise MitchellChief Operating

Officer (Redbridge)

Alan StewardChief Operating

Officer (Havering)

Sharon MorrowChief Operating Officer (B&D)

Rob MeakerDirector of Innovation

Marie PriceDirector of

Corporate Services

Martin SheldonChief Financial

Officer

Graham SimpsonCommissioning Support Director

Jane GateleyDirector of Strategic

Delivery

POD Comms and HR

Jacqui HimburyNurse Director

POD Contracting &

POD Finance Lead

Leads

POD Contracting & Quality Leads

POD Analytics Lead

Central CSU

Acute reconfiguration

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Organisational Structure: Barking and Dagenham CCG borough team

Sharon MorrowChief Operating Officer

Conor BurkeAccountable Officer

Mabel SanniExecutive Assistant Chief Operating Officer

James GregorySenior Locality Lead

Change project

Leilla HorsnellSenior Locality Lead

Gemma Hughes/Sarah D’SouzaSenior Locality Lead

Planning & Integration

Executive Assistant

Jamil AhmedCommissioning Manager g p j

Simrath BhandalPractice Improvement Lead

Kam SahotaPractice Improvement Lead

Monga MafuPractice Improvement Lead

g g

Joy OgbonnaLocality Admin Support

Mary PirieLocality Admin Support

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Organisational Structure: Havering CCG borough team

Conor Burke

Alan StewardChief Operating Officer

Accountable Officer

Eileen WilliamsExecutive Assistant

Jessica ArnoldSenior Locality Lead

Jen HardimanSenior Locality Lead Cathy Lobendhan

L lit L d

Clare Burns (start date tbc)Senior Locality Lead Senior Locality Lead

Change ProjectsSe o oca ty ead

Primary Care Improvement Locality Lead

VacantPractice Improvement Lead

Jordanna HambergerPractice Improvement Lead

Peter ClarkPractice Improvement Lead

yPlanning and Integration

Bob BarrPractice Improvement Lead

Jennifer HibbenPractice Improvement

Lead

Mary ChidemePractice Improvement

LeadLead

Keeley ChaplinLocality Admin Support

Lead

Joy ManwaringLocality Admin Support

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Organisational Structure: R db id CCG b hRedbridge CCG borough team

Conor BurkeAccountable Officer

Louise MitchellChief Operating Officer

Judith SmyExecutive Assistant

Gulsen GungorSenior Locality Lead

Change Projects

Simon JamesSenior Locality Lead

Primary Care Improvement

Colette MarshallSenior Locality Lead

Kirsty BoettcherSenior Locality Lead

Planning and Integration

Linda O’ReganPractice Improvement Lead

Carol HoggPractice Improvement Lead

Yvonne BrownePractice Improvement Lead

Tina VirdeePractice Improvement Lead

Jacqui ThorneProject Officer support

Tracey MurphyProject Officer support

Bethany GoddardLocality Admin Support

Margaret AdesanwoLocality Admin Support

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Finance

Martin SheldonChief Finance OfficerChief Finance Officer

Rob AdcockDeputy Chief

Finance Officer

Abbas ManzoorSenior Management

Accountant

Nicola SpencerManagement Accountant

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Corporate ServicesCorporate Services

Marie PriceChrissie Beach Marie PriceDirector of Corporate Services

Chrissie BeachBusiness Manager

Pam DobsonHead of Corporate Services Andy Strickland

Communications & Stakeholder Management Advisor

Rod McEwenLegal and Governance

Advisor

Anne-Marie Keliris /Angela Ward

Company Secretary

Amy BurgessPatient & Public Engagement

Advisor

Lisa WoodSenior Business

Manager

Lynda StainesBusiness Manager toAccountable Officer

Rod LeungBusiness ManagerGovernance and

committee support

Aligned to

Reporting to

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Primary Care Innovation

Rob MeakerDirector of InnovationDirector of Innovation

Colleen Atkinson Vacant Azmi PeerunSunny LachanahSimon Lam David Game Robert LavenderProgramme Manager(pt 0.65)

Business Intelligence Analyst

Azmi PeerunProject Manager Programme

Support

Clive Sutherland

Business Intelligence Analyst

Senior GP IT Manager

Robert LavenderRA Manager

D bbi M ddiClive SutherlandRashid Aleem

Donna Richardson

Business Information Analyst s

Janis WebbSenior RA Officer

James SwallowMutalib Mahmood

Dmytro SossaRichard Baker (a)Graham Gillon (a)

Kara Smith (a)

Debbie MaddisonRahul Sharma

Monica Harrison (a)1 vacancy

GP IT Project Managers

Jackie NinebergGP IT Facilitator

Tracey AbrahamsColin Gaunt (a)

1 vacancyRA Officers

Chris Nelson (a)2 vacancies

GP IT Tim JamesonGP IT Project

Officer

Mahnaz Parbin (a)GP It Trainer / Administrator

Aysen IsmailGP IT Project

Assistant

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Strategic Delivery StructureStrategic Delivery Structure

Jane GateleyDirector of StrategicDirector of Strategic

Delivery

Debbie HarrisDebbie HarrisExecutive Assistant

Ramesh RajahAD Programme

Management office

Carla MorganTara-Lee Baohm

Strategic delivery project managers x 2

Elisha LaslettProject support

officer

Emily PlaneProject support

officer

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Nursingg

Jacqui HimburyN Di t D i t d D t f S f di ChildNurse Director

Di J

Designated Doctors for Safeguarding ChildrenDr Akindele – interim (Barking and Dagenham)Dr Sodeine (Havering)Dr Luke (Redbridge)

Designated Doctors for Child Death ReviewsDiane JonesDeputy Nurse Director

Safeguarding

Designated Doctors for Child Death ReviewsDr Akindele – interim (Barking and Dagenham)Drs Rawal/Subramanian (Havering)Dr Luke (Redbridge)

Sue NewtonDesignated Nurse

(Barking and Dagenham)

Anna JonesDesignated Nurse

(Havering)

Cynthia CondliffeDesignated Nurse

(Redbridge)

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Aligned to

Reporting to

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Medicines Managementg

Dr Belinda KrishekChief Pharmacist

Oge ChesaDeputy Chief Pharmacist

Sanjay PatelVicki Kong (a)

QIPP Programmep y

Denise BakerJenny King

Project Support Officers

QIPP Programme Pharmacist

Matthew HenryPrescribing Data Analyst

Lola ApakamaImran Khan

Prescribing Advisors Barking & Dagenham

Julia QuantLola Apakama

Mohammed Kanji

Prescribing Advisors Havering

Imran Khan Julia Quant

Prescribing AdvisorsRedbridgeHavering

Sushma Patel Practice Prescribing

Support Officer

Saiqa MughalAlda Tarsia (a)

Practice PrescribingSupport Officers

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