FLEETWOOD COMMUNITY COMMISSIONING GROUP
THURSDAY 26 JANUARY
BROADWAY MEETING ROOM
BROADWAY MEDICAL CENTRE, FLEETWOOD
1. Apologies: Ted Taylor
Attendees: Mark Spencer
2. Minutes of meeting 24 November 2011
Change all SM to MS
JSC CE of Lancashire PCT Cluster
Mr Gandhi is ‘Retired Consultant Cardiothoracic Surgeon’
3. Matters Arising – CCG Authorisation Update –
FWD CCG remains a sub- committee of the PCT until such time that the new
governance arrangements have been agreed.
Wylde CCG is the same. It is anticipated that some time in the future the two will
Neither has a choice due to the geography.
FWD CCG is under no pressure from the PCT/Lancashire Cluster to merge with
Wylde until differences in respect of localism and earned autonomy have been
In order to submit their application for accreditation Wylde CCG must have sign up
from all Practices, until such time they too will remain a sub-committee of the PCT
Memorandum of understanding to be written up to include earned autonomy. It is
important that representatives from the Town should also sign up to this document.
Town Councillor, Bill Barrow, (BB) suggested a working group to meet with GP
representatives to discuss how they can take this forward. He also recommended a
Public meeting to inform the residents of the Town as to the future Commissioning
for Health for Fleetwood as there’s a lot of interest. BB confirmed he has monthly
meetings with the local MP who has a special interest in health matters
We’d require a governance arrangement as we wouldn’t be a legal body. Council’s
may request other safe guards. Chief Officers at SHA, PCT and DH all say we’re
currently doing all the right things.
MS suggested 3 basic principles to be included in the document:
FWD CCG have a say in the service delivery in Fleetwood i.e. any
changes to Fleetwood Hospital, District Nurses, Out patients – not
for the Wyre and Fylde Board to make the decision.
2. Budgets – If we save money on our budget, we decide where to
3. We’d be accountable to the Chief Officer, not the board.
Enablement funding – ‘Hospice at Home’ Service
This funding would be used to support End of Life. At a meeting earlier with the Finance Lead he
confirmed that it’s looking like funding has been secured to work with the Hospice and End of Life. It
is hope there should be someone in post by 1 April 2012. Trinity Hospice has already undertaken a
lot of work for the pilot with the Fylde Coast and Blackpool looking to be involved too. As the Hospice
doesn’t have enough resource to cover the whole area it could be that only one Fleetwood Practice
may be involved initially.
Action: MS to contact Dr Sarah Wenham, Hospice Consultant next week.
Mental Health: Melanie Consterdine (MC) informed the group of a GP Portal pilot for Mental Health
that is soon to start. The portal can provide information on cost of patients, location, CCG footprint,
care coordinator and indication of patients in different clusters.
Action: MC to send contact details of Susan Rigg, Assistant Director of Performance at LCFT to HD.
HD to invite Susan Rigg to a GP Education meeting.
Chemotherapy – funding has now been secured to deliver the pilot from the new health and
Wellbeing Centre on Dock Street, Fleetwood. It is envisaged that the pilot commence on the opening
of the building.
Action: HD to contact Andrea Doherty to ensure BB and IP receive invitations to the next Ops
The future of Community Services and the Community Hospitals in Fleetwood – MS confirmed that
he’d emailed Ian Treasure for an update. Ian informed him that the consultation documents have
now been approved from the OSC and that they are now being finalised following submission to BPCT
and then will be submitted to the SHA and finally the National Commissioning Board Advisory Team
who will then give the final say if on whether the document is appropriate. IT is expected that the
consultation process will being at the end of March 2012.
Marketing plans are still to be finalised but all should be assured that there will be events taking place
in Fleetwood. BB asked that Ian Treasure be invited to the February Meeting to present.
MS reminded the group of the Dementia consultation documents that is also to be rolled out at the
end of March 2012.
4. Empowering Communities for Health Project, Bid against the Coastal Communities Fund - MS
encouraged all members to read the 70 page report. He informed the group of a seminar that several
members of the group had attended at the NHS Alliance Conference in 2010 in Bournemouth. The
keynote speaker spoke about this fantastic project and showed a video of the scheme in Torbay. The
scheme has the endorsement of the Department of Health as it’s something that all communities with
deprivation and health inequalities could benefit from.
MS explained the essence is:
Focused around areas of highest need, Pharos Ward in Fleetwood.
It looks for a population of approximately 5000.
An external Team would come to Fleetwood to work with representatives in the town over a
2 year period looking at aspects of families, health, crime, unsocial behaviour etc
Look to reduce hospital admissions, crime levels and anti social behaviours
The Team would work with Council, Voluntary Sector, Police and GP Practices
Total funding would be £120k over a 2 year period
Outcomes would continue for years after the team left
Looking at a multi-agency project with funding from several sources
It is hoped that any such bid would fit with the Coastal Community funding criteria.
Brenda Marshall commented that she knows a lady at Mid Devon PCT so had previous knowledge of
this scheme and would fully support it. She asked whether the scheme could be rolled out to other
deprived wards in the Town. MS also confirmed that Mike Leaf has very positive thoughts about the
project and has confirmed that he’s more than happy to take it to the Health and Wellbeing Board
and Public Health.
A question was asked as to who would lead the project. JM confirmed that he would be happy for
health to lead it if a business case was developed showing potential savings. BB offered to email the
local MP to ask who might lead the bid to the Coastal Community Funding scheme.
RS as how you would place value, measure results etc. MS confirmed that there’s a section in the
document that breaks it down into disease areas, cardio, respiratory, obesity, reduction in falls A&E
etc, numbers per 5000 population and recurrent savings.
It is estimated in the document that £282k recurrent savings per year.
MS confirmed that he had approached the organisation with a view to visiting Fleetwood and they
welcomed the invite
Action: MS to invite representatives from the Organisation to attend the next Board Meeting.
5. Finance and Activity Report – Headlines are really good, at the last meeting we had a £130k
overspend and we are currently £9k in the black. There’s been a significant reduction in hospital
activity and prescribing. The projected figures for year end are looking positive.
6. AOB – BB confirmed that he’s meeting with the local MP next Friday to discuss CCG sub-group.
The invitation was extended out to MS but unfortunately he’s unavailable. BB suggested he goes
ahead with the meeting and arrange a further meeting the following month.
Dr Ramesh asked for confirmation of which Practices would be included in the commissioning for the
residence of the Town. MS replied he would hope all 5 Practices would commission services for the
population of Fleetwood. If the proposed reorganisation of the District Nursing Team, Fleetwood
Hospital services go ahead all Practices would be included. Each Practice would be required to sign
the governance document. Dr Ramesh confirmed that Adam Janjua from Dr Kwun’s practice is keen
to get on board with commissioning services for the residents of Fleetwood.
Action: RS to invite Adam to visit the Broadway Practice see what services are currently available
through the Fleetwood CCG.
7. Date and Time of next Meeting – Thursday 23 February 6 p.m. Broadway Meeting Room,