Meetings for 2010

10 01 2010

13th January Gracefield Gardens Room OA14 3rd Floor – Board
10th February Hetherington Group Practice – Board
10th March The Valley Road Surgery – Board
14th April  Gracefield Gardens OA15 – All members
12th May Hetherington Group Practice – Board
9th June Streatham Hill Group Practice – Board
14th July Brixton Hill Group Practice – Board
11th August Gracefield Gardens ST01 & ST02 Ground Floor – All members
8th September Prentis Road – Dr Masterton – Board
13th October Brixton Hill group Practice – Board
10th November Streatham Hill Group Practice – Board
8th December Gracefield Gardens – All members





Renal Clinic Update

10 12 2009

1)There is now a monthly clinic in Clapham at the Clapham Family Practice. The Gracefield Gardens clinic will continue.

2)Referrals can now be emailed to our new nhs.net address
lam-pct.Renal-Clinic@nhs.net. Any enquiries can also be addressed to this address or to me at azharala@nhs.net.

3) There is a new fax number for referrals based at the Clapham Family Practice 0207 622 5566 and Patsy Cobham based there will arrange appointments.

Referrals are not counted against Practice budgets as this is a block contract.

If there are any practices we have not visited please let me know so we can visit you to talk around Chronic kidney disease and the clinic.

Referral Form
ReferralStreathamClaphamHealthRENALCLINICnew(2)





Board Meeting 02 12 09

1 12 2009

Gracefield Gardens 2-4pm

02.12.09 Agenda





Board Meeting 07 10 09

1 10 2009




Board Meeting 08 07 09

7 07 2009

Board meeting 2 – 4 pm at Brixton Hill Group Practice.

08.07.09 Agenda

In reference to the BSU update item on the agenda, please read the Terms of Reference relating to the BSU and Lambeth PBC Collaborative.
lpbcc-bsu-tor-june09





Lambeth Community Joint Assessment Clinic

24 06 2009

SWLOCAS has rebranded as Lambeth Community Joint Assessment Clinic.

Revised GP and patient information and new referral forms are here.

Joint Assessment Clinic,service description for GPs

Joint Assessment Clinic Information leaflet

new MCATTS referral form peripheral 12.6.09

new MCATTS referral form spinal 12.6.09





Renal Outreach Clinic

24 06 2009

The referral form for this has been updated.

ReferralStreathamClaphamHealthRENALCLINICnew





Board Meeting 03 06 09

3 06 2009

Board Meeting at Hetherington Group Practice

03.06.09 Agenda





Cataract Pathway

3 06 2009

There is a new pathway whereby patients may be referred or self refer to an optometrist, who will assess and then refer on for cataract surgery if appropriate.

Documents relating to this are below:

GP Information for Cataract Pathway Redesign v2 23.04.09

CAT 5 Cataract Patient Information via GP v2 08.04.09 w logo v2

CAT 1a Cataract Referral Checklist (GP)_ amended v4_8.4.09

CAT 2 GP Referral to Optometrist – Cataract_v4_8.4.09





London’s primary care trusts gain world class commissioning back-up

17 05 2009

From the HSJ

NHS London and the capital’s primary care trusts set up Commissioning Support for London in response to concerns that they were too small and lacked the capacity to improve standards.

It combines the strategic health authority’s commissioning support function and organisations including Healthcare for London, which is leading service reform, and the London Health Observatory.





Members Meeting 06 05 09

6 05 2009

This is a meeting of the board, with all member practices invited.

Agenda 06 05 09





Quality of healthcare in England, Wales, Scotland, Northern Ireland: an intra-UK chartbook

18 03 2009

A great big chartbook to download with lots of stuff on quality across the UK.





SaCH Extraordinary Meeting 19 03 09

17 03 2009

EGM will be held at Gracefield Gardens 1.30-2.30pm on thursday 19 03 09, in order to present the current state of play with the Business Support Unit and pan Lambeth Strategic Group, and to get sign up to the new agreement.

190309-agenda

Presentation 19 03 09

SaCH ToR






Practice based commissioning in the UK

17 03 2009

Editorial in the BMJ, a call to arms?

Reinvigoration will require more than just extra funding.

Have a read here, may need to log in for the full thing.





Guidance on the routine collection of Patient Reported Outcome Measures (PROMs)

15 03 2009




Clinical Commissioning: our vision for practice-based commissioning

15 03 2009

Clinical Commissioning: our vision for practice-based commissioning (Guidance and accompanying letter)

The Department of Health has worked with a wide range of clinicians, PCTs and strategic health authorities to produce a collective vision for clinical commissioning.  This vision is presented in the document ‘Clinical Commissioning: our vision for practice-based commissioning’, which was launched on 4 March 2009.

The document sets out the hallmarks of successful clinical commissioning, the support and entitlements that practice-based commissioners can expect, and the principles underpinning vibrant, productive practice-based commissioning partnerships between PCTs and their clinical communities.

It confirms the direction of practice-based commissioning and firmly embeds it as a core aspect of World Class Commissioning.





Shaping the Future

4 03 2009

The PCT has published Shaping the Future, a consultation document outlining the changes to strengthen commissioning and deliver independent community services.

There is a consultation period of four weeks from 27th February and a feedback form.

The link is to PCT intranet, therefore from N3 connection only.





Practical Commissioning

18 02 2009

Pulse, the GP mag, does a weekly email on practical commissioning that you can sign up for and has useful information and discussions on its website, for which registration is required.

Recent stuff of interest:

Eight keys to PBC success from John Oldham’s survey of PBC for the DH:

1 Visible supportive PCT leadership

2 Clarity about roles between PBC and PCT

4 Locality structure within a PCT or within large consortiums

5 Management support by the PCT – this was a high leverage factor

6 Management allowance for consortiums – the amount was per capita based and the median was £2.50 per head of population

7 Incentive schemes – LES and so on

8 Meaningful involvement in PCT commissioning decisions.

Useful to benchmark where we are.

Also, a focus on data problems.

Key messages included making use of other sources, such as NHS Comparators,  Information Centre and others. We also have a huge amount in practices, which may become more accessible and usable with the Combined Predictive Model.





A Guide to Policy and Good Practice for Commissioning Services

17 02 2009

This is a practical guide to commissioning services, incorporating race equality, from Race for Health.

Read more and download here.





PBC Board meeting 04 02 09

4 02 2009

Important discussions regarding pan Lambeth Business Support Unit and decisions taken towrds its setting up.

Relevant papers will be circulated to practices, and will be posted here once agreement reached and publication agreed.





PCT Board meeting 29 01 09

4 02 2009

Huge number of papers available; worth a browse. Listed here.





Transforming Community Services

27 01 2009

This enabling guidance is intended to help PCT providers of community services to move their relationship with their commissioners to a purely contractual one, consider what type(s) of organisations would best meet the future needs of patients and local communities, and how change can be managed to support the transformation of services to patients.





PBC development framework

18 01 2009

From DH site: “The PBC Development Framework provides a structured and time efficient method for NHS bodies to rapidly procure high quality support to boost their PBC capability and skills.”





Prioritising Investments in Public Health

5 01 2009

A report commissioned by DH on prioritising investments in public health.

Probably a little bit relevant.





Meeting the challenges of PBC

16 12 2008

A meeting at the King’s Fund, Thursday 19 February 2009, 10.00am–4.15pm.

Details here. Also a useful document to download

Should someone go?





Paper to the board

21 11 2008

On 20th November, this paper was submitted to the PCT board for approval.

The following is taken from the PCT message of the week.

Dear colleague

You’ll recall last week that I started to flesh out for you the organisational change proposals that flow from the Department of Health’s World Class Commissioning (WCC) programme, the London-wide Strengthening Commissioning programme and our consideration of the future of community healthcare services in Lambeth in Fit for the Future.

These proposals were considered by the PCT board when it met on Thursday, 20 November and I’m keen to keep you up to date with this unfolding process.

Of greatest interest to you is likely to be the board’s approval that by next April our community healthcare services will become an autonomous provider organisation (APO), separate from our commissioning function.

The APO will remain formally part of the PCT but will operate as far as possible as if it were entirely separate. We will explore the best organisational form for full and formal independence for the APO longer term and the board agreed that it will want to fully consider all the responses to the four options identified in Fit for the Future before making its final decision. The board has asked the PCT management team to work up proposed structures, subject to engagement with the staff partnership forum and to formal consultation with staff and other stakeholders.

With regards to the other organisational change proposals, the board noted the pieces of work currently in progress. To recap briefly, these are:

  • Consolidating our local commissioning responsibilities in a commissioning-only borough based PCT.
  • Establishing an alliance with Southwark and Lewisham PCTs for the commissioning and contracting of acute hospital services.
  • The establishment of stronger strategic commissioning arrangements across southeast London.
  • The establishment of a London-wide “hub” – the London Commissioning and Business Support Agency – to provide some specialist support to all 31 PCTs.

You can see much more detail about these proposals in the board papers on the PCT internet. Concrete proposals will be considered by the board in December and January, and consultation with staff about all the changes will begin in February. Please be reassured that I’ll keep you informed as the process evolves.

Kevin Barton, chief executive





Bradshaw to bring in firms to boost GP commissioning

25 07 2008

Check this article in HSJ.

Would seem that DH are tendering for private providers of support services for PBC.

Does this have an impact for BSU?





Intermediate Care

16 07 2008

Lambeth PCT is currently reviewing the intermediate care strategy.

Please check out the website for this and engage with the process.





Notes of SaCH Board Meeting 4th June 2008

19 06 2008

The notes of the last SaCH Board Meeting 4th June 2008

040608-notes2





Pan-Lambeth Business Support Unit Notes of Awayday 12th June 2008

19 06 2008

Notes from Pan-Lambeth Business Support Unit Awayday 12th June 2008

notes_from_12th_june_awayday13





SaCH PBC Board Meeting 2nd July 2008

19 06 2008

020708_agenda1

Dear SaCH members,

Please find attached the Agenda for the next SaCH Board meeting 2nd July 2008 and also note the earlier start. The meeting will commense at 1.00 p.m. at Gracefield Gardens with a MSK Update and workshop. We look forward to seeing you there. 





Procurement guidance

5 06 2008

gpcprocurementguidance0508

A document from the GPC regarding procurement. Might be of relevance sometime.





Combined predictive model

5 06 2008

may-08-combined-model-update

Here is an update from Joiss. Those present at yesterday’s meeting will also have heard a brief update from me. There is also an impressive presentation available on disc for anyone interested.

On a related topic, we also discussed some of the tools available from NHSI, which might help with prioritising and supporting some of the process of service redesign.





Meeting 04 06 08

22 05 2008

Agenda 04 06 08

There will be a closed part for board members and an open part for all local practices.





World Class Commissioning

22 05 2008

Excerpts from DoH’s World Class Commissioning – Competencies:

World class commissioners will secure effective strategic capacity and capability to turn competence into excellence, transforming people’s health and well-being outcomes at the local level, while reducing health inequalities and promoting inclusion.

Competencies can be defined, taught, learned, put into practice, tested, observed and quality assured, but they are not an end in themselves. World class commissioners will also display visionary, inspiring leadership. The workforce will be motivated and fully engaged with local people and communities, aware of their needs, addressing them in the most effective ways.

Commissioning is essentially transformational, and not just transactional. It incorporates “contracting” and “procurement” but only as mechanisms for achieving the higher commissioning objectives. World class commissioners also display visionary leadership and operate with tact, assertiveness and skill. They draw legitimacy from being seen to be engaged with communities, with service providers and with partner agencies drawing complementary views into a credible and coherent plan to which all sign up – putting the “mission” into commissioning.

The JSNA will form one part of this assessment, but when operated at world class levels will require more and richer data, knowledge and intelligence than the minimum laid out within the proposed duty of a JSNA. Fulfilling this competency will require a high level of knowledge management with associated actuarial and analytical skill.

Employing their knowledge of future priorities, needs and community aspirations, PCTs will use their investment power to influence improvement, choice and service design through new or existing providers to secure the desired outcomes and quality, effectively shaping their market and increasing local choice of provision. This will include building on local social capital and encouraging provision via third sector organisations.





Update from diabetes network

15 05 2008

lsdn-commissioners-summary

This is a summary of where things are with the diabetes network, prepared for commisioners, which now includes us.





Draft Business Case Community Based Ultrasonics

26 03 2008




Clapham and Streatham Health

7 02 2008

At previous board meeting, agreed that we would be called Streatham and Clapham Health, and domain name purchased accordingly.

Owing to technical problems, now registered as Clapham and Streatham Health Ltd .





ELIC

17 01 2008

Attached is a presentation by Paul Haigh from ELIC, which may help to inform our development.

ELIC presentation

ELIC website

Apparently we are welcome to make use of these resources.





New guidance

16 01 2008

Two new documents from GPC, available on Londonwide LMC website.

There is guidance on PBC for 2008/9 and another document on the dual role of practice based commissioner and GP provider; ensuring probity and avoiding conflicts of interest.





Next board meeting

10 01 2008

Please note the updated list of meeting dates for 2008.

This is the agenda for the next board meeting on 16th January.

Agenda 160108





Renal Clinic

31 12 2007

Here is information about referring to the new Streatham and Clapham Renal Clinic. it is a 3 month pilot starting January 2008, with clinics held on the last two Monday afternoons each month, at Gracefield Gardens. Note that referral to this service does not attract a tariff.

When to refer

Referral form coming soon





Putting commissioning into practice

4 12 2007

The Audit Commission has produced a report on PBC. Read here.

Commenting on the Audit Commission report on Practice Based Commissioning, Dr Laurence Buckman, Chairman of the BMA’s GP Committee, said:

“This report highlights what many GPs have unfortunately known for quite a while – Practice Based Commissioning (PBC) has great potential but that potential will never be reached if Primary Care Trusts (PCTs) continue to block initiatives and fail to support practices adequately.

“The BMA’s own survey of GPs1 showed nearly a third of family doctors said their Primary Care Trust was either obstructive or uncooperative in relation to PBC. Two thirds said not enough resources were made available to support the workload. Is it any wonder that doctors who are initially keen to drive forward PBC find their enthusiasm drained when their efforts to improve services are blocked?

“In the few areas where PBC is working effectively then patients and practices are reaping the benefits. At its best it can free up NHS resources, give GPs greater control over service provision and improve patients’ access to care closer to their homes. The PCTs that aren’t operating effectively would do well to look to these models of good practice.”

1. The National Survey of GP opinion was published on 16 October 2007. The full survey can be accessed at http://www.bma.org.uk/gp





Locality Away(half)day

8 11 2007

You are invited to a really important meeting to devise the Governance Structure and 2008/09 Commissioning Priorities.

Date: Wednesday 21st November 2007

Venue: Streatham Common Group Practice
St Andrew’s Hall
Guildersfield Road
SW 16 5LS

Time: 2.00 – 5.00 pm

Please send one or two representatives from each practice.

Confirm your attendance to kemi.lawal@lambethpct.nhs.uk or 0203 228 8029 by November 10th 2007

Invite Letter

Agenda 210907

Options Paper





South West Locality GP Forum

10 08 2007

12th September, 6.30 for 7.00 at Greenvale.

GP Forum 120907 Flyer





Musculoskeletal service update (latest)

6 08 2007




A Framework for Action

16 07 2007




Links

28 06 2007

Take a look at the blogroll (on the right). Some new and interesting links to entertain and inform.

Used to pop up neat previews, which seems to have stopped at present, but links all seem to work.

Let me know of anything that doesn’t work or suggestions for anything else useful.

ade





Lambeth Health Profile 2007

22 06 2007




Board Meeting 20 06 07

20 06 2007