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

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Paper A LLR PCT Cluster Board meeting 14 June 2012 There is a deteriorating in month performance for stoke and CPA follow-up. The benchmarked report for all providers in the Western District of the SHA ranks UHL overall as 19 out of 24 providers for the high risk indicators (patient experience, A&E 4 hour wait, infection control, 18 weeks RTT and 62 day cancer waits), which is an improvement on last month’s position of 21. There is a marked improvement in the performance of Chose and Book and learning disability health checks. It was RESOLVED - to note the at risk indicators and actions in place. CB/12/157 Primary Care Framework April 2012 Ms Vikki Taylor, Director of Commissioning Development presented a report on the Primary Care Framework April 2012 in Minute Book – Appendix Number CB/05/10/V). Ms Taylor noted that Primary Care would remain the responsibility of the Cluster. Ms Taylor said that this report is work in progress. Ms Taylor confirmed that there was significant amount of triangulation with CCGs including planned visits and review of complaints. The report outlines additional areas where there is cause for concern; these issues are followed up by the fitness to practice team. Dr Rashid noted the under performance in the dental service; as most practitioners offer a private and NHS service he asked if the private work being prioritised over the NHS work. Ms Taylor said this is a discussion item at the practice reviews if warranted by the data. Ms Taylor noted the difficulty of insisting that they deliver the agreed level of service. Mrs Ellis asked if there is over performance are the contracts re-negotiated upwards to take account of higher volumes; Ms Taylor confirmed that they were. Mr Wilson asked about the underperformance of dental activity and noted that the rate of fluoride varnishing was well below the SHA average; he asked if there were plans to increase this. Mr Wilson also noted that there was no dental sedation in the County. He asked if this was this part of the under spend. Ms Taylor said that the contract team were looking at how they could address the under spend. With regard to varnishing, this is being 30
Paper A LLR PCT Cluster Board meeting 14 June 2012 discussed with all practices at their annual dental reviews. There is funding for 30 practice nurses who could undertake this procedure. Mr Wilson noted the 30 GP practices that were a cause for concern and asked how this compared to the rest of the country. Dr Rashid said that this proportion was not unusual; LLR is not an outlier; he also said that very few of these were serious. Mr Wilson said that the information given was just a number with no detail as to the problem. Ms Griffiths said that this was an embryonic report which will develop to include more information. Mr Finan asked how the Cluster measures performance of GPs in quality aspects as happens in secondary care. Ms Taylor said that each practice has KPIs that they are monitored against e.g. health checks, access, immunisation. On a quarterly basis the practices submit a self assessment indicating their performance against the KPIs. These self assessments are reviewed alongside other information and this will determine which practices are visited. Dr Rashid said that measuring quality in primary care was not easy. Mr Mell asked why it was not possible to rank GPs in the same way as NHS Trust providers. Ms Bishop referred to the dental allocation and said that it was not appropriate to plan to spend the surplus yet as the 2012/13 budgets had not yet been signed off. Ms Watson noted the information that the CCGs have. Ms Taylor said that the team are building strong relationships with the CCGs. Dr Rashid said that he planned that the contracting team would go out with the CCGs on their practice visits. It was RESOLVED - to note the report. CB/12/158 Out of Hours Contract, Governance and Performance Report Ms Vikki Taylor, Director of Commissioning Development presented a report on Out of Hours Contract, Governance and Performance (as attached in Minute Book – Appendix Number CB/05/10/W). Ms Taylor said that since the 1 April 2011 GPs in LLR have opted back in to provide medical services in the out of hours period. LLR is the only place in England where GPs have opted back in. The GPs opted to subcontract their OOHs responsibilities to Central Notts Clinical Services (CNCS); this arrangement is via a contract between CNCS 31
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Minutes of the Leicester, Leicestershire and Rutland PCT ... - NHS

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