Mid-suitland commissioning group met on 25th November 2009. The minutes were agreed with the following corrections. 24hr nursing provision desired by EDICS / MEDLinks is, at present, only an aspiration and no agreement is present.
Mid-suitland commissioning group met on 25th November 2009. The minutes were agreed with the following corrections. 24hr nursing provision desired by EDICS / MEDLinks is, at present, only an aspiration and no agreement is present.
Mid-suitland commissioning group met on 25th November 2009. The minutes were agreed with the following corrections. 24hr nursing provision desired by EDICS / MEDLinks is, at present, only an aspiration and no agreement is present.
Present Zahid Ali, Oliver Bernath, Chris Botten, Ulrich
Dempfle, 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, Anny Wells, Simon Williams, Julie Gaze and Colleagues from Surrey and Borders Foundation Trust for item 4
Secretary Absent - notes taken by Chair
1. Last Meetings Minutes (14/10/09)
The minutes were agreed with the
following corrections 1. 24hr nursing provision desired by EDICS/MEDLinks is, at present, only an aspiration and no agreement is present.
2. Matters Arising (not on agenda)
1.Report on the progress on joint
project between CSH and Social Services. This is going forward within current resources and staff have been identified. The pilot should inform the business plan and this should be available at the next MSCG meeting.
2.In response to an enquiry from HL it
was reported by the Chair that as far as he was aware the Improving Access for Psychological Therapies was proceeding and was out to tender. 3. Report on the ‘Perfect Storm’ Event
This was held recently by the PCT (RB
and CB had been present from the Group) RB presented the following, which sets out in broad terms the financial crisis facing our health economy. 4. Commissioning Mental Health Services (the meeting was joined by Julie Gaze and Colleagues from Surrey and Borders)
We were given an update on the Trust’s
consultation on inpatient provision. There was a 73% approval for the three- centre option based on Chertsey, Guildford and Redhill. All inpatient services (including EMHS) will be delivered from these sites and the facilities at Epsom will eventually be closed. The group continued with reservations but had to accept the position. The focus now had to be in developing community services and to this end we will set up a liaison group starting with representation on the MSCG Board (there will also need to be representation at Locality level). Julie will provide a name and will also provide a telephone number for GPs who are experiencing difficulties in obtaining services.
Action Julie Gaze – Director of
Corporate Affairs S&BFMHT
5. Community Services
SG was able to report that the proposals
had been supported by the PCT and funding had been found to allow IHP to be involved in developing a business plan. CSH were happy to support this work. The work should include the use of Community Hospital Beds (currently they have been reduced as a cost saving exercise)
6. Medicines Management
SP and AP had been working jointly
around the area of Medicine Use Reviews (MUR). These are part of the new Pharmacy Contract although not all pharmacies are accredited to provide them. One suggestion was that GPs could add a further tick box to the script altering the Pharmacist that a MUR would be indicated. Other proposals were made but one obvious difficulty would be know which pharmacies were able to carry them out. There was also a feeling that the scheme would not be totally beneficial until home visits were included. Work will continue on this.
HL reported some concern around privacy
in Pharmacies although no pharmacy should be approved until; they could provide a private area. SP would be happy to receive any specific concerns.
UD from IHP was able to give an update
of the Medicine Management element of the Managed Care Project A prescribing leads meeting is planned for 17th December
7. Patient Representation
HL reminded the Group of the agreed
process for patient participation (a requirement of the PBC Incentive Scheme). There had been only limited progress and as yet only two practices had shown progress in establishing group/individuals that HL could work with. She suggested that the practice manager of one of the practices is invited to a group meeting to discuss how to go about it.
8. Update on MSCG plans
The Group noted with dismay the action
of the PCT in withdrawing funds to support the Managed Care Project. All felt that it would be foolish to not continue with the project if at all possible using PBC Incentive Scheme monies alone. We were hopeful that there were sufficient funds in the Management Allowance to allow this (CB reported that he had secured current funding up to 31st December) This money is not available for distribution to practices and would be returned to the PCT if not spent.
It was agreed that a small group would
be convened by AR and including RB, TR and IHP, to see what can be achieved to allow IHP to continue to manage the project.
The remainder of the Managed Care Report
was given in Part 2 of the agenda.
9. AOB
EDICS/MEDLinks had reviewed their
position and now wished to proceed with a joint meeting to look at areas of co- operation. It was suggested that 4 members of each group should attend an initial meeting on 22nd December. The MSCG members would be TR, SG, MJ and SW.
The Chair was directed by the Group to
express their frustration to Karen Parsons on the failure to have the new EDICS contract signed.
10. Date of next meeting
No meeting is planned for December and the next meeting of the full group will be 20th January 2010