Richmond Clinical Commissioning Group Medical Director, Governing Body GPs and Clinical Leads Report Date: Attachment: 21st January 2014 D Meeting Title: Agenda Item: Governing Body in Public 8 Purpose: For information and discussion Authors: Dr Harriet Bradley Dr Kate Moore Dr Graham Lewis Dr Branko Momic Dr Catherine Millington-Sanders Dr Nicola Bignell Presented by: Dr Harriet Bradley Further Information contact: [email protected] Dr Harriet Bradley Lead Area: Medical Director Reporting Timeframe: 1. Meetings Attended • Attending Executive, Governing Body and Membership meetings. • Attending CAG and SIRG. 2. Key Activities • Working on bid for funding to set up an Education Providers Network within Richmond to focus on enabling GP Surgeries to be in a position to provide community placements for student nurses and to agree a standardised training package for HCAs • Discussions held with key stateholders including local GP Surgeries, HRCH, Middlesex and Imperial University. • Deadline for bid on 22.1.14 and should know if funding received by early March. • Hope to set up working group next month so will be writing to surgeries soon regarding opportunities to join working group. • Marked improvement noted in Significant Event reporting from HRCH. Following feedback regarding inadequacies of some reports, the standard has measurably improved. Letter sent to HRCH management from SIRG outlining this. • Working with NHSE regarding concerns regarding practitioners working within Richmond. Responsibility now lies with NHSE but acting as liaison for any intel received from community. • Clinical lead for substance misuse (Contracted via Public Health). Currently working on finalised spec for service. Tender process due to start in February. 3. Future Activities • Continue working on Education Providers Bid. • Should funding be received will move towards implementation of service. Dr Kate Moore Lead Areas: Primary Care, IT, Reporting Timeframe: health Intelligence, Enhanced Services, CAG chair, 1. Meetings Attended • Several meetings Nov/Dec to discuss community services and HRCH including Working together – a healthier Richmond for everyone Page 1 of 5 • • • • • • • • • • meeting with inetrested GP’s and Jo Silcox ( Project manager), meeting with HRCH medical director, meeting with PPG chairs CAG 5/11/13 and 3/12/13 Exec Team 26/11/13, 10/11/13 Governance Working group Exec team away day 12/11/13 QIPP 19/11/13, GB meeting 19/11/13 HIG 21/11/13 IG group 21/11/13 Community Ward Workshop 11/12/13 Data meeting with public health 2. Key Activities • Working to resolve issues around community provider • Data packs for QP and ongoing data for clinical networks • Support for governance review • Ongoing work with Paul Gibson around GP IT and capital allocations 3. Future Activities • Continue work on community provider which is priority • Push on QIPP for last quarter • CAG ( refine scheduling and finalise TOR) • Implementation plan for out of hospital strategy • Ongoing support for work on Data Packs Dr Graham Lewis Lead Areas: Urgent care, maternity, engagement 1. Meetings Attended: • Urgent Care Committee monthly • Health and Wellbeing Board Reporting Timeframe: 2. Key Activities: • Working with Kingston and West Middlesex Trusts and other CCG commissioners to mange A+E activity and the performance of 111. Linked with GP colleagues to feedback the rise in child attendances with respiratory infections noted before Christmas at Kingston. Local performance has been of a high standard over and around the bank holiday period and to date • Approval of the Better Care Closer to Home strategy, a key strategy for the CCG • Met with Judy Mace to look at children’s urgent care needs 3. Future Activities: • Continued close monitoring of local A+E performance and 111 • Provide clinical input to areas of the CCG involved with urgent care Working together – a healthier Richmond for everyone Page 2 of 5 Dr Branko Momic Lead Areas: Clinical Lead NHS 111 Reporting Timeframe: 1. Meetings Attended: • Regular monthly Clinical Governance Group meetings with Richmond and Kingston commissioning managers, clinical lead from Kingston, CSU managers and Harmoni service providers. • Clinical leads, CSU managers and Harmoni clinical leads continued with regular monthly end-to -end audit. We invited Consultant Dan Harris to attend one of the audits when we were focusing on referrals from NHS 111 to A&E Kingston, then we have representatives from East Berkshire OOH provider to evaluate our NHS 111East Berkshire pathway. • Once-monthly meetings of Kingston Urgent Care Working Group (formally known as Kingston Urgent care Board) as a GP representative for Richmond CCG .The emphasis of the last 2 meeting was to ensure readiness of all the stakeholders regarding Winter Pressure initiative. • Pan-London NHS 111 CGG meeting with the London view on issues regarding NHS 111. • Meeting in November regarding developments and ideas for future commissioning of NHS 111 (with Anna Webster, commissioning manager for NHS 111 2. Key Activities • Clinical Lead NHS 111 • As a part of the role as a GP Board member at CCG, I participated as a clinical lead and attended 2 meetings for a tendering process for procurement of Patient Transport for Richmond CG. 3. Future Activities Dr Catherine Millington-Sanders Lead Areas: End of life care, organisational development, out of hospital, long term conditions, care homes 1. Meetings Attended Reporting Timeframe: NOV: • Care Home Pilot Meeting • End of Life Care Pilot meetings • Governance Working Group • Meeting with Dementia Clinical Lead • Clinical Advisory Group meeting • Exec Team meeting • Exec Team Away day • Strategic Partnership Group meeting • Out of Hospital Programme Board • CCG Community Ward Manager Interviews • Organisational Development • Interfaith Meeting • End of Life Care Alliance Workshop Working together – a healthier Richmond for everyone Page 3 of 5 • • • • • • Community Ward meetings Exec Team MDT meetings Membership Group Care Home Ops Meeting + YHC Contract Monitoring CCG Team Meetings & 1:1s DEC: • Out of Hospital Strategy Initiative Prioritisation Workshop • Risk Stratification Meeting • HRCH Meetings • Organisational Development • Richmond Health, Housing & Adult Services O&S Committee • Community Ward Workshop • Care Home IG Meeting • Princess Alice Hospice Pilot Meetings • Out of Hospital Strategy Programme Board • Governing Body Seminar • Team Meetings & 1:1s 2. Key Activities • Governing Body core business meetings • Organisational Development • Elderly Frail – focus on Care Homes, Falls & Bone Health, Out of Hospital Strategy • Cancer –strategy development, Pop up shop, GP Cancer Profiles & 2WW, Clinical decision tools, Acute commissioning • End of Life Care – enabling patients to die in the place of their choosing, have a ‘Good Death’ supported by initiatives such as Cordinate My Care (CMC), Difficult Conversations, Bereavement service, funding people at End of Life. • Community Ward – proactively identifying patients with LTC, reduce hospital admissions, run in partnership with LBRuT & HRCH, brings together key health & social care professionals, Multi Disciplinary Teams (MDT) 3. Future Activities • Further developing services detailed above • Integrated Partnership Group for Elderly/Frail developments Dr Nicola Bignell Lead Areas: Engagement, Reporting Timeframe: Commissioning, Planned Care, HRCH, Kingston Hospital Trust (KHT), Children 1. Meetings Attended • CAG, Executive meetings, RCAS evening meetings, Planned care meeting, RCEG meeting, intranet meetings, GB seminar • Several meetings Nov/Dec to discuss community services and HRCH including meeting with GPs and Ros Ranson, MD for HRCH 2. Key Activities Working together – a healthier Richmond for everyone Page 4 of 5 • • • • HRCH – community nursing model RCAS and Richmond clinical effectiveness group Intranet launches – individual practices Local DOS work 3. Future Activities • Intranet launches to continue • Local DOS to reach a near completion stage, but always a work in progress • To extend RCAS as a commissioning tool • community nursing model – incorporating into Better care closer to home, working with primary care and HRCH to bring geriatrics into the community Working together – a healthier Richmond for everyone Page 5 of 5