Agenda item

This report provides an update in relation to the work of the premises task and finish group, co-commissioning and the development of new models of primary care in Haringey.

Cassie Williams, Assistant Director of Primary Care Quality and Development, Haringey Clinical Commissioning Group (CCG), provided the panel with an update on the work of the Premises Task and Finish Group (GP access); co-commissioning; and the development of new models of primary care in Haringey. 

It was noted the Premises Task and Finish Group had been working to address GP access issues, particularly in the east of the borough and to ensure adequate future provision in regeneration areas, most notably the Tottenham and Wood Green areas.

During discussion, reference was made to the strategic development plan that had been commissioned by NHS England. It was noted that a draft report had been considered by the Health and Wellbeing Board on 23 June 2015. This had confirmed there was a shortfall in provision in Tottenham Hale and Northumberland Park.

Ms Williams informed the panel that NHS England had been working to resolve these issues in a number of ways. For example, an infrastructure fund had been released for extending GP premises to increase availability of access. In Haringey, six practices had been successful in bidding for this NHS England fund with five of the bids supporting increased access in Northumberland Park and Tottenham Hale. In addition, it was noted that NHS England had been working to commission a new practice in Tottenham Hale. This would offer additional GP and nurse appointments in Hale Village until completion of a new building in 3-5 years time. This provision was intended to be in place during Autumn of 2015 and the panel was informed that longer terms solutions had started to be considered with additional capacity being included in local regeneration plans.

In terms of co-commissioning, the panel was informed that during 2014 CCGs had been invited to become more involved in commissioning primary care in collaboration with NHS England. It was noted that this was managed at a north central London (NCL) level and that there were three levels of co-commissioning that CCGs could opt for:

-       Level 1: Greater involvement – in decision making

-       Level 2: Joint commissioning – joint decision making

-       Level 3: Delegated authority – taking on delegated responsibilities

Ms Williams explained that from April 2015 NCL CCGs had entered co-commissioning at Level 1 and as a result NHS England had engaged the CCGs in discussion around decisions. It was noted that from October 2015 NCL would begin joint commissioning (Level 2).

Ms Williams concluded her presentation by providing an update on new models of Primary Care. It was explained that there was a need to increase Primary Care access and to provide more coordinated services. The panel was informed various pilots had been successfully initiated in Haringey where GPs had worked together in new ways. These included Saturday clinics, extended hours telephone consultations, a call centre and personalised care plans for over 75s with long term conditions.   

During discussion, reference was made to the following:

-       Standards of practice for confidentiality and patient consent to information / data sharing

-       Workforce development, including GP recruitment

-       Concerns about the numbers of non-registered patients in Tottenham Hale

-       Premises development and building requirements

-       Governance arrangements for co-commissioning and the role of the pan-NCL joint commissioning committee

-       Issues in relation to the infrastructure fund and how this would be used to expand the premises at the Somerset Gardens Family Healthcare Centre.

-       Ensuring members of the panel received a copy of the Strategic Premises Document Plan: Borough of Haringey, considered by the Health and Wellbeing Board on 23 June 2015.   

The panel agreed an update on the Premises Task and Finish Group, with input from NHS England, should be prioritised for inclusion in the panel’s future work programme (for Autumn 2015). In addition, Ms Williams confirmed she would be happy to return at the end of the 2015/16 to provide an update on co-commissioning, the strategic direction for Primary Care in Haringey, and New Models of Primary Care.

AGREED:

1.    That the report be noted.

2.    That a copy of the Strategic Premises Document Plan: Borough of Haringey, considered by the Health and Wellbeing Board on 23 June 2015, be circulated to members of the panel for information.

3.    That an update on the Premises Task and Finish Group (Access to GPs) be prioritised for inclusion in the panel’s future work programme (for Autumn 2015) and discussed further under item 11 on the agenda – Work Programme Development.   

4.    That an update on Co-Commissioning, the strategic direction for Primary Care in Haringey, and New Models of Primary Care be prioritised for inclusion in the panel’s future work programme (for March 2016) and discussed further under item 11 on the agenda – Work Programme Development.