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Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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Paper A<br />

LLR <strong>PCT</strong> Cluster Board meeting<br />

14 June 2012<br />

Board to Board meeting. Ms Griffiths suggested that <strong>the</strong>se issues were<br />

addressed outside <strong>of</strong> <strong>the</strong> meeting.<br />

Action: Mrs Rowbotham<br />

It was RESOLVED<br />

- to note <strong>the</strong> contents <strong>of</strong> <strong>the</strong> report.<br />

CB/12/148<br />

Downham Market Inquiry Briefing<br />

Dr Aly Rashid, Medical Director presented a report on <strong>the</strong> Downham<br />

Market Inquiry Briefing (as attached in Minute Book – Appendix<br />

Number CB/05/10/M).<br />

Dr Rashid said that <strong>the</strong> East <strong>of</strong> Engl<strong>and</strong> SHA commissioned an<br />

external review in June 2011 as a result <strong>of</strong> issues arising from four<br />

Serious Incidents within a 12 month period. This involved <strong>the</strong><br />

suspension <strong>of</strong> two salaried GPs <strong>and</strong> <strong>the</strong> tragic death <strong>of</strong> a vulnerable<br />

patient.<br />

The report makes a number <strong>of</strong> recommendations <strong>and</strong> toge<strong>the</strong>r with <strong>the</strong><br />

findings from <strong>the</strong> review, provides valuable learning for all<br />

commissioners. The report <strong>and</strong> recommendations were circulated in<br />

December 2011 <strong>and</strong> <strong>the</strong> SHA has sought assurances from <strong>PCT</strong>s with<br />

regard to systems <strong>and</strong> processes against <strong>the</strong> findings <strong>and</strong><br />

recommendations <strong>of</strong> <strong>the</strong> review.<br />

Fur<strong>the</strong>r assessment <strong>of</strong> <strong>the</strong> <strong>PCT</strong> position in relation to <strong>the</strong><br />

recommendations is required but appropriate safeguards are in place in<br />

relation to <strong>the</strong> majority <strong>of</strong> recommendations <strong>and</strong> learning from <strong>the</strong><br />

external review.<br />

Actions required have been identified <strong>and</strong> are being completed as<br />

identified in <strong>the</strong> response to <strong>the</strong> SHA.<br />

Dr Rashid noted that <strong>the</strong> practice in question was a nurse-led practice<br />

<strong>of</strong> which <strong>the</strong>re are none in <strong>the</strong> LLR Cluster. There were four<br />

recommendations pertinent to LLR:-<br />

Recommendation 1 - in relation to locums being <strong>of</strong>fered<br />

appropriate clinical supervision <strong>and</strong> training. Dr Rashid said that<br />

only one third <strong>of</strong> LLR practices had locum induction packs. The<br />

Cluster was now <strong>of</strong>fering practices a st<strong>and</strong>ard locum induction<br />

<br />

pack.<br />

Recommendation 2 - <strong>the</strong> contracts <strong>of</strong> all practices that are not on<br />

conventional contracts should be reviewed.<br />

Recommendation 3 - all practices are encouraged to sign up to<br />

<strong>the</strong> patient participation directed enhanced service. Dr Rashid<br />

said that 119 out <strong>of</strong> 148 LLR practices had signed up.<br />

18

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