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