FOI Reference: M022/07
Date: 6 March 2007
Details requested:
We are looking for data on practice-based commissioning, specifically:
the practice make-up of the clusters
the PBC leads in PCT and clusters
the specialities for PBC
the plans of the clusters
From previous contact (November 2006) we have the following data and one plan
from South Manchester. Please could you confirm the cluster set up, cite the PBC
leads and give access to any other plans that will give the specialties.
Information provided by Manchester PCT to the Requestor:
Further to your emailed enquiry dated 2 March. Below is information provided by North (Green),
Central (Blue) and South Districts (Red) of Manchester PCT.
· the practice make-up of the clusters
North Manchester is one of the most under-doctored PCT hubs in the country. There are 35
practices with a varied mix in list size of practice, some having around 2,000 patients to
others having in excess of 10,000 patients. As a PBC hub North Manchester is not split any
further operating as a locality, and therefore does not operate in clusters.
Central Manchester covers a small geographical area but has a very high density population.
The population has a high proportion of BME communities and high levels of deprivation.
It contains 41 GP practices ranging from 1200 list single hander to 17000 list University
practices. They have all formed Central Manchester Commissioning Group and are working
as one consortium.
South Manchester is an area of health inequalities, as the different sections of the local
population vary widely. There are 27 practices within the ‘hub’ and list sizes range from 2,073
patients to 12,280 patients. There are 9 single-handed practices in the area.
All 27 practices are members of the PBC South Manchester Commissioning Consortium.
· the PBC leads in PCT and clusters
In North Manchester has a PBC Steering Group, which has (recently appointed) leads, these
are;
GP’s
Dr Dev Shanker – PBC Steering Group Chair
Dr Liam McGrogan – Mental Health
Dr Julie Richards – Unscheduled Care
Dr Steve Farrar – Scheduled Care
Dr Avril Mattison – Chronic Disease Mgmt/ Long Term Conditions
Practice Managers
Monica Monaco – Mental Health
Anthony Foster – Unschedule Care
Linda Hardicre – CDM/LTC
Sue Boardman – Scheduled Care
Central Manchester has a PBC elected board. Details as follows:
Dr Mike Eeckelaers Chair
Dr Gill Edmondson Engagement lead
Dr Martin Griffiths Scheduled Care
Dr Helen Hosker Unscheduled Care
Dr Alison Hutton Implementation
Scott Brunt Implementation
David Whitehead Redesign
South Manchester Commissioning Consortium’s steering group is made up as follows:
Dr Bill Tamkin GP (Chair) Borchardt Medical Centre
Dr Ian Burton GP (Vice Chair) Barlow Medical Centre
Dr Ash Bakhat GP Peel Hall Medical Practice
Dr Steve Henderson GP Benchill Medical Centre
Dr Naresh Kanumilli GP Northenden Health Centre
Jayne Cooney Practice Manager Barlow Medical Centre
Janice Langley Practice Manager Cornishway Medical Centre
Jane Crean Practice Manager Peel Hall Medical Practice
Jim Bond Practice Manager Borchardt Medical Centre
Irena Hough Practice Manager Northenden Health Centre
Melanie Potts Practice Manager Benchill Medical Centre
The number of Practice Managers in the group is likely to be reduced and specific roles to be
st
allocated by 1 April 2007.
· the specialities for PBC
As in previous response for North Manchester
The plans for Central Manchester for next year are not yet chosen but the short list is as
follows.
A&E Triage
Further development of Active Case Management
Elderly Care
Falls
COPD
Cardiology
Obesity
Consultant to Consultant referrals
For South Manchester:
Gynaecology
ENT
General Surgery
MSK
Urology
Diagnostics
Unscheduled Care
o Diabetes
o COPD
o Urgent care
o Nursing Homes
o Active Case Management
Medicines Management
Mental Health
Follow-ups
Stroke services
· the plans of the clusters
As previous response in that North Manchester is not split into clusters, but operates as a
PBC hub. However to elaborate; In 2006/07 there were minimum requirements for people to
sign up to PBC. This involved a basic DES plan which set requirements for validating practice
data for anti-coag and urology, but also validating Q3/4 data and attending locality meetings.
The basic DES plan was aimed at practices with low capacity/list size, and the other practices
were encouraged to develop individual DES plans, those agreed covered;
* Consultant to consultant referrals
* Development of direct referrals to independent sector diagnostics for musculo-skeletal
issues
* Follow-up out-patient appointments in urology and dermatology
* Non-elective spells due to respiratory illness
* Ante-natal admissions not related to delivery spells
* A&E attendances
Central Manchester - The DES plan for this year covered
A full system review of Urgent care
Diabetes core and extended primary care services
Development of pathways for infertility
Increasing use of Greater Manchester Surgical Centre
Prescribing Statins, blood glucose monitoring etc
For South Manchester, priorities are:
18 week target
contract monitoring including Outpatient follow-up ratios and consultant to
consultant referrals
unscheduled care
local service provision – plans for 2007/2008 to be agreed by practices at
quarterly event to be held in April.