You Said, We Did

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Harrow CCG welcomes and regularly seeks feedback, comments and suggestions from local people about healthcare services we plan, deliver and monitor. We want to hear your views and opinions on what is working well and what could be improved in the future. It is a key priority for us to keep you informed and updated in every aspect of our work.

Due to this feedback, we have developed a 'You Said, We Did' approach, ensuring that we respond to the feedback received by you the public.

This information will be promoted and regularly updated via the ‘You Said, We Did’ section of our website and at our engagement meetings/events.

 

Question / discussion area

Response

How will feedback be fed back to GPs?

The GP membership will be kept up to date through regular email circulars, updates at local Peer Groups, GP and Practice Manager Forums.

How will the CCG keep patients informed?

The CCG will continue to engage with local PPG leads through the HPPN Network and local patient representation groups such as HeathWatch. The CCG Governing Body and Primary Care Committee meetings which are held in public and include patient engagement representatives will include updates and be available via the CCG website.

Is the primary care funding ring-fenced

Yes

What is the formula for each surgery?

A capitation based system is used based upon the size of the list of patients.

Full delegation does not mean a change to the formula of the way practices are funded. There’d be a primary care committee, Harrow wide but with more lay people on it and clinicians not connected to Harrow. This will include HPPN; looking at it being present for both Part A and Part B (contractual compliance). The committee will have a dotted line to the Governing Body.

 

Are there tangible examples of delegated commissioning that will enable us to look at the difference it has made, e.g. a huge problem of diabetes, so what will happen on diabetes if moved to delegated commissioning?

Under level 3, there would be influence to change. For example, diabetes is part of the Quality Outcomes Framework that GPs have to deliver on, the CCG can decide not to incentivise those indicator that don’t have the most  impact; the CCG can set the specification to change  commissioning to be more outcomes based. The power lies with the primary care committee, so can de-commission/change the balance of the QoF

Lots of CCGs have gone for delegation, by April 90% nationally will have gone for level 3. It is too early to say if delegation has led to positive outcomes for the CCGs that have already moved to level 3 delegation.

Voting is taking place in February and the decision will be announced by end February. The vote will be agreeing to the establishment of the local primary care committee. The Governing Body will require assurance by 31 March that the necessary due diligence has been undertaken.

 

How will patients have more choice?

Via the PPGs, the primary care committee will have more lay members. Across NW London a common framework is being developed and each borough will be looking at variations in each. In Harrow, we’re looking at HPPN to be part of the Committee with full representational membership

Will patients be better placed to get a response from the CCG compared to the wider NHS?

Yes patient will be better placed as the CCG will be responsible for commissioning more of the services provided by local GP Practices.

Who will be responsible for implementing it

The CCG will be responsible for implementing it. Huge challenges regarding the right workforce to take on the additional responsibilities, we know also that that there are primary care workforce issues around recruitment and retention, many GPs are over 55 so will be retiring soon, so there is an issue of recruiting new GPs.

 

How many people will there be on the (committee) and will the public have a say

At the moment this is still under discussion, how HPPN can be on the committee and how this can be achieved will be part of this.

Who will address the quality issue? Who will walk in and say we got this right, or not?

In the new set up, the CCGs will have the responsibility.

Is there better, joined up, integration with social care?

There’s a huge hole in social care, concern if merged this might haemorrhage NHS money.

GPs are about take a vote without terms of reference for the committee, isn’t this risky?

Financial due diligence by NW London will have been completed 30 January, this will be available to the GPs before the vote. Workforce due diligence will not be ready as not enough time and implementation may take some time, e.g. there is potential for TUPE/HR processes to be followed

How will the voting work?

A majority vote, what’s required in the CCG’s constitution.  Votes are not weighted on the size of the Practice.

When will the PMS review be concluded?

In November, CCGs took on full responsibility for the review. Don’t have exact date when this will be concluded.