Minutes of the meeting held on the 19 May 2011, Conference Room,
Guide Business Centre
Present;
Dr Chris Clayton (in the Chair), BwD
Shelia Whiteoak -Practice Manager, BwD
Rosemary Edmonds-Practice Manager, BwD
Vanessa Hollings- Director of Commissioning Development & Planning, BwD
Dr. Tom Phillips- GP representative, BwD
Paul Hinnigan- Director of Finance & Information, BwD
Dr P Muzaffar GP Representative
Dr Asif Garda, GP Representative
David Kerambrum- Director of health and Wellbeing, BwD Borough Council
In Attendance
Ben Barr- Consultant in Public Health, BwD
Debbie Nixon-Network Director, Mental Health, BwD
Dilwara Ali- BWD Healthy Living Project Co-ordinator
Carol-.Grant Pearce, Network Service Improvement Facilitator LSCCN
Angela Dunn- Project Support Officer, BwD
Paul Conlon- Democratic Services, BwD Borough Council (Minutes)
1. Apologies for Absence
Dr M. Ridgway, Dr Zaki Patel, Mr Dominic Harrison and Mrs Janet Thomas.
2. Minutes of the Previous Meeting
The minutes of the meeting held 28 April were agreed as a correct record.
3. Matters Arising.
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The prescriber’s initiative scheme, The board were updated on progress and the discussions that had taken place. It was agreed that the move to a fair share based on clinical need taking account of chronic disease be progressed and that the need to maximise the incentive scheme in the medium to long term be noted.
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DVT- it was noted that the aim of getting an East Lancashire agreement in place was being progressed. Members noted progress and agreed that we should proceed with the implementation of the revised specification as a pilot and other areas could follow if they wished.
Action:
Discussions would continue with other PCTs and the chair would write to them informing them of this.
Update on GPCC Developments and Clusters.
The Board received an update from the chair on positive engagement that had taken place. There was to be a meeting in the next week to look at a constitution for the cluster and parallel commissioning and support relationships. It was reported that from July onwards it was hoped that the board would be looking at business delivery and ensuring that there was continuity. The report on progress was noted.
4. Mental Health-Technical Appraisal Briefing.
The Board received a briefing note providing a summary of the outcome of the Lancashire Acute Mental Health reconfiguration technical appraisal process and the joint PCT board Seminar on 20th April.
Members were informed that there were 3 sub-groups, the Clinical Reference Group, the Finance Group and the Service Users and Carers Group. The full report outlined the details and actions in response to a question it was stated that the proposed reconfiguration would keep acute beds in Blackburn. The members asked if financial information was available and it was stated that this would be provided. Attention was drawn to the provision of the severe dementia beds in Blackpool which would be for the most challenging needs. It was stated that the there was a meeting with clinical leads in the next week and views were needed across the patch. It was proposed that the proposals would be reported to the board at the end of May and to the Lancashire wide Overview and Scrutiny Committee in June. The public consultation would end in the autumn.
Action:
It was agreed that the briefing paper be noted and the outcome of the technical appraisal process recommending support for Lancashire Care’s preferred configuration be reported to the PCTs and the full report be submitted to the PCT board meetings in May/June 2011.
5. Woman to Woman
The Board received a presentation on the Woman to Woman project which was working with communities and GP practices to increase Breast and Cervical Screening. The Board were informed of the progress on the project and the key findings together with the key areas of learning. The project costs were outlined and how the aims had been achieved. Members of the board discussed the issues of achievement related to cost and whether we could achieve the same outcomes for less in the future. The positive outcome of the scheme needed to be measured against competing schemes and optimal investment return achieved. It was pointed out that a lot of the work could continue through GP practices and that the scheme could be modified and costs revised. Work could also be done through neighbourhood working and networking with GPs. It was suggested that the report and the outcomes be reviewed and examined and recommendations drawn up.
Action:
It was agreed that the outcomes and achievements of the women to women project be evaluated and a task group would consider how outcomes could be enhanced with a more efficient model in the future learning from this project.
6. Community Nursing Review.
The Board considered a request for a review of community nursing. The Board were informed that the review would need to review all areas of provision and that each path way would need to be considered given the interlinked nature and the wider role. The request for an urgent review was agreed with a task and finish style approach.
Action: Dr. Tom Phillips to be Clinical Lead working with Jillian Wild.
7. Monitoring of Stable Glaucoma.
The Board received a report setting out a proposed service development for the treatment of stable Glaucoma. The proposals had been supported by the local Optometry Committee and the ELTH Ophthalmology Department. The Board drew attention to the need to talk to other service providers and the training needed. In response to a question it was stated that the cost savings from the proposals would not be substantial and could lead to other costs.
Action:
Although the proposals could be achieved easily there were higher priorities. It was agreed that the proposals be noted and kept on file until a later date.
8. Any other business.
There was no other business to be discussed.
9. Date of the next meeting.
It was noted that the next and last meeting of the board would take place on 23rd June at 13.00
