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PROVIDER DIRECTORATE MANAGEMENT BOARD/PEC by A5HD259

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									          PRIMARY CARE (DIRECTORATE) MANAGEMENT BOARD
                                    MINUTES OF MEETING

                                        3 June 2008
                            Board Room, 3rd Floor, 3 Port Causeway


Members:
             Non-Executive Director (Chair)                                  Peter Eaglesfield
             Director of Primary Care & Provider Services                    John South
             Head of Birkenhead Locality                                     Paul Edwards
             Head of Bebington and West Wirral Locality                      Glenn Coleman
             Head of Wallasey Locality                                       Iain Stewart
             Medical Director, Birkenhead Locality                           Abhi Mantgani
             Medical Director / Director of Infection Prevention & Control   Katy Kidd
             Head of Medicines Management                                    Julia Simms
             Senior Accountant, Primary Care & Provider Services             Karon Coppell
             Head of Nursing Strategy                                        Sandra Christie
             Deputy Director of Workforce                                    Karen Walkden-Smith
             Business Manager, Primary Care & Provider Services              Carla Sutton
             Business Manager, Primary Care & Provider Services              Mary Render
             Head of Governance                                              Kevin Street
             Senior Strategic Analyst                                        Carol Phillips

In Attendance:
           Head of Commissioning for Primary Care                            John Ferguson
           Consultant, Public Health                                         Jane Harvey
           Head of Therapies & Rehabilitation                                Jenna Ryan
           Head of Dietetics                                                 Lowri Lloyd-Jones
           Clinical Services Manager Wirral Heart Centres                    Frieda Rimmer
           Lead Nurse Infection Prevention & Control                         Helen Oulton
           Acting Executive Assistant/Team Leader                            Aysha Günal




Reference                                              Minute
P08-09/      Apologies for Absence
026
             Pauline Davis - Non-Executive Director – Patient & Public Involvement
             Shanila Roohi - Medical Director, Bebington & West Wirral Locality
             Kevin Carbery - Business Manager, Public Health
             Shyamal Mukherjee - Medical Director, Wallasey Locality
             Lisa Cooper - Head of Provider Services

P08-09/      Declarations of Interest
027
             There were no declarations of interest.

P08-09/      Minutes of the Previous Meeting (15 April 2008)
028
             The minutes of the previous meeting held on 15 April 2008 were agreed as a true and
             accurate record.




Minutes of PCMB (3.6.08):Board Meeting 8 July 2008                                           1/6
                                                                                     Agenda Item:4.4
                                                                                     Ref: W08-09/087

Reference                                             Minute
P08-09/      Minutes of the Previous (Informal) Meeting (6 May 2008)
029
             The minutes of the previous (informal) meeting held on 6 May 2008 were agreed as a
             true and accurate record.

P08-09/      Matters Arising
030
             The Consultant, Public Health noted that Section 47 was included in the Action Points
             to be updated. The Board was informed that Jane Harvey, Consultant, Public Health
             will represent Wallasey Local Health Directorate (LHD), Helen Lowey, will represent
             Bebington & West Wirral LHD. A new position will be appointed for Birkenhead LHD.

P08-09/      Infection Prevention & Control Update
031

             The Board received an Infection Prevention & Control Update. The report detailed an
             update of developments within the Infection Prevention & Control Team and provided
             a summary of its current work plan.

             An Infection Prevention & Control Strategy has been formulated and is currently in its
             final stages. It will be presented to the PCT Board in the near future.

             The Board was informed that all infection control policies are being reviewed and
             update, they will be ratified later this summer.

             The Lead Nurse, Infection Prevention & Control was asked to explain the meaning of
             ‘Colonised MRSA’, the Board was informed that when the infection is colonised it is
             carried without making the carrier sick. However, the infection can still be transferred.

             The Chairman enquired if there was any evidence that Wirral Hospital Trust screening
             had reduced numbers of MRSA. It was considered more time was needed to evaluate
             progress.

             The Head of Governance noted that there is now a 20% chance of an inspection and
             the progress made is a positive one.

             The PCMB noted the report.

P09-09/      18 Week Waiting List Initiative
032

             The Board received a proposal for funding to extend the current 18 week wait
             initiative for 24 Hour ECG holter monitoring. The funding would be used to continue
             the service for GP referrals only.

             The Board was informed that the pilot for this service had reduced the waiting list
             dramatically and funding was required to maintain this service with the waiting list for
             GPSI referred 24hour ECG fitting currently being 5 weeks.

             It was noted that for the service to run at its current capacity including the Heart
             Service would cost £16,200.

             The Clinical Services Manager was asked if there was capacity to continue the
             service, the Board was assured that, if the funding was available, there would be
             capacity to deliver.




Minutes of PCMB (3.6.08): Board Meeting 8 July 2008                                        2/6
                                                                                  Agenda Item:4.4
                                                                                  Ref: W08-09/087

Reference                                             Minute

             The PCMB approved the proposal.

P08-09/      Proposal for HETF Service
033

             The Board received a proposal to expand the Home Enteral Tube Feeding (HETF)
             Service in response to an increasing number of complex patients being tube fed in
             the community. The increase has meant that the current HETF service needs to be
             expanded to meet the NICE (National Institute of Clinical Excellence) standards of
             care regarding follow up appointments.

             It was noted that there will be a provision of additional training to members of the
             department and other Primary Care colleagues to build a more specialised and
             responsive workforce.

             The Board was informed that the Primary Care Dietetic Service requires £90,887 to
             fund additional staffing resources.

             The Head of Dietetics was asked for the reasons for an increase in patients; the
             Board was informed that many cases are being identified sooner as well a longer life
             expectancy of some patients.

             The Medical Director, Birkenhead Locality informed the Board that there is a problem
             with Paediatric patients. Although the service cannot accommodate a Paediatric
             service at the moment, efforts will be made to take Paediatric patients on board with
             the new service.

             The Board was informed that there are plans to work in partnership with Wirral
             Admission Prevention Service/Unplanned Care Services to develop an out of hours
             service for HETF patients.

             The Head of Commissioning for Primary Care enquired if being open five and a half
             days a week was enough to cope with the case load. The Board was informed that
             the service may be expanded to more days but they are waiting to see how the
             Saturday morning works out first.

             The PCMB approved the proposal.

P08-09 /     NPSA National Reports and Learning System
034

             The Board received a summary report of the key findings in the National Patient
             Safety Agency (NPSA) National Reporting and Learning System feedback reports
             dated October 2006 – March 2007 and April 2007 – September 2007.

             The report details the efficiency of Wirral PCT reporting in comparison with other
             organisations. The report shows that Wirral PCT is one of the highest reporting PCTs
             in the cluster indicating that there is stronger reporting than other organisations.

             The Director of Primary Care & Provider Services clarified that the paper was for
             noting. A more detailed report with regard to action points will be presented by the
             Head of Governance in due course.

             The PCMB noted the report.




Minutes of PCMB (3.6.08): Board Meeting 8 July 2008                                    3/6
                                                                                   Agenda Item:4.4
                                                                                   Ref: W08-09/087

Reference                                             Minute
P08-09/      Finance Report
035

             The Board received a report detailing the financial position of the Primary Care
             Directorate as a whole as at 31 March 2008. It also includes the actual outturn
             position of Provider Services for the same reporting period.

             The report highlighted the latest position on key financial risk areas within the
             directorate and is reporting an underspend of £2.7 million at the end of the year. The
             report included an update on capital, cash, PSPP and the additional investments
             within the Directorate as a whole for 07/08.

             The report noted that the performance in paying invoices in 30 days of receipt was
             under the 95% target but the new financial ledger system would improve this.

             The Senior Accountant, Primary Care & Provider Services added that the Shared
             Business Services (SBS) has been running for two months and is going well.

             The Board was informed that there are £150k in Capital Funds to spend on projects
             of £5k plus with the life span of at least a year. The Director of Primary Care &
             Provider Services will be coordinating this.

             The Head of Birkenhead Locality enquired how the coding works for the SBS system
             as some invoices have come for Birkenhead Locality authorisation when in fact they
             should be authorised by another. The Senior Accountant, Primary Care & Provider
             Services is to follow up.

             The PCMB noted the report.

P08-09/      Workforce Report
036

             The Board received a draft report which reflects the current position of sickness
             absence within Provider Services as shown from the ESR database. The data has
             been checked by payroll for accuracy as there was a significant increase following
             transfer into ESR based on trend data.

             Final results from the validation exercise were tabled; the figures were for February
             and March 2008.

             The PCMB noted the report.

P08-09/      Information/Performance Report
037

             The Board received the summary report of the Provider Services performance of
             Wirral PCT for the first month of the financial year 2008/09.

             The Senior Strategic Analyst informed the Board that reports produced in the future
             will be in a new format that includes the number of referrals and number of completed
             episodes.

             The Director of Primary Care & Provider Services added that it would be beneficial for
             the report to be categorised by Service Level Agreement.

             The PCMB noted the report.



Minutes of PCMB (3.6.08): Board Meeting 8 July 2008                                     4/6
                                                                                 Agenda Item:4.4
                                                                                 Ref: W08-09/087

Reference                                             Minute
             Locality Directorates
             Noting of Minutes
P08-09/      Minutes of Birkenhead Locality Meeting – 28 April 2008
038
             The Medical Director, Birkenhead Locality informed the Board that Birkenhead have
             three to four practices willing to provide a Minor Surgery service. The proposal is
             ready to be presented at the Corporate Directors Group.

             The Board noted the minutes of the Birkenhead Locality Meeting held on 28 April
             2008.

P08-09/      Minutes of Wallasey Locality Meeting – 16 April 2008
039
             The Head of Wallasey Locality informed the Board that status of the Wallasey Health
             Alliance remains the same.

             The Board noted the minutes of the Wallasey Locality Meeting held on 16 April 2008.

             Operational Performance of Provider Services
             Noting of Minutes
P08-09/      Minutes of Heads of Provider Services Meeting – 1 April 2008
040
             The Head of Wallasey Locality informed the Board that the Wirral Integrated Services
             Project was designed to support people in the home.

             The Board noted the minutes of the Heads of Provider Services Meeting held on 1
             April 2008.

P08-09/      Minutes of Heads of Provider Services Meeting – 30 April 2008
041
             The Board were informed that the name ‘Barbara Hughes’ in the attendance list
             should read ‘Bev Hughes’.

             The Board noted the minutes of the Heads of Provider Services Meeting held on 30
             April 2008.

P08-09/      Minutes of Pharmacy Development Group – 15 April 2008
042
             The Head of Medicines Management informed the Board that the proposal for Care at
             the Chemist will go to PEC. The service has been commissioned by Bebington &
             West Wirral over the last year.

             The Board noted the minutes of the Pharmacy Development Group meeting held on
             15 April 2008.

P08-09/      Any Other Business
017
             The Board noted the tabled minutes of the Medicines Management Committee
             meeting held on 20 February 2008.




Minutes of PCMB (3.6.08): Board Meeting 8 July 2008                                    5/6
                                                                                 Agenda Item:4.4
                                                                                 Ref: W08-09/087

Reference                                             Minute

             The Medical Director, Birkenhead Locality suggested that an audit be conducted for
             Information Technology facilities for staff. The Director of Primary Care & Provider
             Services agreed to take responsibility for the audits.

P08-09/      Date and Time of Next Meeting
018
             Tuesday 2 July 2008 at 2.00 pm, Boardroom – Port Causeway




Minutes of PCMB (3.6.08): Board Meeting 8 July 2008                                   6/6

								
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