Agenda item

To consider the report of the Director of NHS England, West Yorkshire, on the commissioning approach and plans for primary care services in Leeds over the two years from 2014-2016, covering the major commissioning areas of General Practice, Dental Services, Community Pharmacy and Community Optometry

Further to Minute 7 of the meeting held 18 June 2014, Moira Dumma, NHS England, West Yorkshire, presented a report on the NHS England commissioning approach and plans for primary care services in Leeds for 2014-2016, covering the major commissioning areas of General Practice, Dental Services, Community Pharmacy and Community Optometry.

A revised version of the appendix to the report had been circulated prior to the meeting.

The Chair reported that she had responded on behalf of HWB to NHS England’s request for comments on co-commissioning by welcoming the move to more local decision making and seeking a role for the HWB

In considering the report, the following matters were highlighted:

·  Co-commissioning – noted the development work being undertaken across the CCGs in readiness for implementation in April 2015. Updates would be provided as plans emerged

·  Oral health - noted the progress made by Leeds and that the Oral Health Strategy would be presented to HWB early next year

·  Links and monitoring - the need to ensure that issues raised in various partner meetings were fed into the co-commissioning plans and that monitoring of the new working arrangements would ensure progression

·  Ambitions – commented that the plans did not reference co-commissioning as an ambition for Primary Care and that additional narrative on how patient feedback shaped service provision was required in order to meet the criteria of the JHWS

·  Recognition of the need to discuss how change will be instigated and delivered, and the external factors which might affect delivery.

·  Existing practice - recognised that some existing practices had grown out of immediate service need rather than an overview of provision being taken.

HWB discussed examples –

·  HWB discussed the example of child mental health which was dependant on individual teachers and cluster organisations taking a role and required behavioural changes in adults to recognise children in difficulty. Noted the comment that Clusters should be involved in service planning for this issue

·  deprivation and it's influence on provision, noting that individual former PCTs would have had regard to the deprivation indexes and shaped provision accordingly although it could be said that those indicators were now out of date. A workshop scheduled for the New Year would consider this issue and service structure

Extended GP opening hours - noting that West CCG had implemented extended service as a pilot scheme to test uptake, HWB considered the demand for the services, the role of third sector for provision of some services, resources and capacity. HWB felt it would be useful to receive the results from West CCG and national pilots

RESOLVED -

a)  To note the report and associated work being carried out in Leeds to deliver high quality primary care services and improve general practice, dental, pharmacy and optometry services.

b)  That the comments made on the challenges and opportunities facing primary care in Leeds, in particular relating to access, quality and sustainability of services, be noted

c)  That a further report be provided to HWB members in due course on the results and/or success of the 7 day General Practice working undertaken by Leeds West CCG and nationally; to include information on the access and uptake of services and reference to any impact of the move of some provision from acute to General Practice provision

d)  That a further performance report on the CCGs be presented in due course following the implementation of the new ways of working