ࡱ> _  $bjbj .bb LL43$3&3&3&3&3&3&3$Q58J3J3_3F$3$3020⤂@.13u30318,R8,282h}|%J3J3~"38L l: SOMERSET COUNTY PRACTICE MANAGER GROUP LEADS Notes of a meeting held on Tuesday 10th January 2012 at Preston Grove, Yeovil PresentAndrea Ball (Chair); Guy Patey (Minutes);Sian Brammer; Alison Foulkes; Tracey Holle; Karen Lashley Jenny Fletcher (PCT) part (New schedule of meetings / officers attached to these notes)Apologies for absenceClaire Gregory; Moira Allen, Jill Hellens (LMC) Mike Whitburn (CCG) WORK GROUP SubjectDetailAction byLocum PackLMC locum pack outline was circulated. Prior input made by LMC PM rep and GP locum. Commended as useful document. The group recommended dividing it into two documents:- Generic standard information sheet Child protection, Prescribing, QOF, Primary Link, Referrals Practice specific template using same format across the county (practice to fill in details) using headings as per LMC outline pack plus nursing functions and testing arrangements Non locum agency locums to supply confirmation on an annual basis to practices of performers list, GMC and medial defence  AB to develop template Induction ProgrammeOutline previously circulated. Aimed at new staff (not just PMs). Day 1 Split into 2 sessions. Session 1 aimed at new staff, session 2 also to be available to existing staff Keep session 1 content under review / topical Commissioning / Federations/ budgeting to feature in session 1 Day 2 ( available to wider range of staff) Utilise existing training providers / information e.g. Pitmans, SHI, MDU Practice Managers to assist with delivery of training (paid role) Hold test event to assess values, quality etc Include interactive elements JH JH JH SB, KL, AF  OPEN MEETING SubjectDetailAction byCCG update and newsCancelled. Mike Whitburn not in attendanceMinutes of last meetingThe minutes of the meeting held on 8.12.11 were agreed as a correct recordMatters arising not covered elsewherea) Louise Webster await feedback b) CCG update and news AF unable to attend meeting re HVs. c) Attached staff and midwife formula This remained with JF to finalise and compete with numerous other demands on her time. Complicated issues, many variances of practice, costs coming out quite high (unaffordable to PCT). Issues for practices around storage requirements and consumables. d) PMS Contracts PCT final offer issued to LMC seeking percentage reduction in OOHs. Response due by 23.1.12. Some clarification / agreement needed on basis of figures to ensure mutual understanding e) Leg ulcers meeting between LMC and PCT still outstanding. Issue remains around post treatment doppler and core work. f) Anticoagulation Final revised spec due shortly. JF pointed to budget offer re guidance for anticoag finances (attached to these minutes) David Ward will clarify with practices exactly what they are being paid for Each DN team to have local SOP agreement with practices Two version of spec to be available standard and housebound g) QOF lots of data capture issues remaining for EMIS and other system suppliers. Clinical achievement at end of Dec 11 looks low across county compared with Dec 10. Likely to be partly explained by IT, business rule set problems PCT to target outlier low actual to target practice to assist them to get back on track PCT to produce a handy hint guide re coding etc DM3 issue of ordercomms reporting wrong code Practice required to predict and post non clinical achievement on QMAS to assist PCT budgeting etc Diabetic retinopathy appears to be a problem in some areas  AF to send knowledgeable deputy JF to finalise for next meeting JH, AF, JF JH, JF JF to re-circulate anticoag figures JF JF JF to remind practices JFPCT updatea) Enhanced services Spec and budget to be available earlier than for 11.12 b) Public health physical activity programme website under development and looking for primary care input. Practice nurse input suggested. Physical activity week suggested. What about involving retail industry? INR spec revision - covered under matters arsing from last meeting JF to seek input through weekly bulletinAOBNoneWork topic for FebruaryThe group felt that it would be useful to work on the CQC toolkitAF to agendaAOBUseful for Andy Hill, CCG (Federation development) to attendAF PRACTICE MANAGERS COUNTY LEADS GROUP MEETING DATES FOR 2012 Date  Day Time Venue Chair Minutes 10 JanuaryTues9.00 amPreston Grove Medical CentreAndreaGuy 8 FebruaryWed9.00 amGlastonbury SurgeryGuyAndrea 8 MarchThur9.00 amCrown Medical CentreMoiraSian 17 AprilTues9.00 amAbbey Manor SurgerySianMoira 16 MayWed9.00 amGlastonbury SurgeryKarenClaire 14 JuneThur9.00 amCrown Medical CentreTraceyKaren 17 JulyTues9.00 amPreston Grove Medical CentreClaireTracey 8 AugustWed9.00 amGlastonbury SurgeryAndreaClaire 13 SeptemberThur9.00 amLMC Office GuyAndrea 9 OctoberTues9.00 amPreston Grove Medical CentreMoiraGuy 14 NovemberWed9.00 amGlastonbury SurgeryKarenMoira 13 DecemberThur9.00 amCrown Medical CentreSianKaren NB - If you are the nominated minute taker and you are unable to make a meeting, it is your responsibility to make arrangements with someone else to provide cover for you Extract from GP Practice Budgets 2011/12 Accompanying Notes There are a number of prices paid for anticoagulation level 4, depending on whether the practice has opted to test housebound patients itself (group 1 in the table below) or wishes the District Nurses to undertake these tests (group 2 in the table below). There may also be transitional arrangements/payment levels in where a practice is transferring to the new level 4 specification during 2011/12 (payment under the old specification), or where the District Nurses are using practice equipment/ consumables for testing on an interim basis (group 2 interim in table below). Due to the complexity of the payment arrangements for anticoagulation, the PCT may reconcile activity to payments on a quarterly basis, rather than leaving it to after the end of the year. Anticoagulation Level 4 pricesGroup 1: Practice tests housebound patientsGroup 2: District Nurses test housebound patients using equipment/strips supplied by DNsGroup 2 interim: District Nurses test housebound patients using equipment/strips supplied by practicePrice for all patients Price for patients tested by the practice Price paid for housebound patients tested by the DNsPrice for patients tested by the practice Price paid for housebound patients where DNs test those patients using equipment/strips supplied by practicePrice paid to practice:148.91146.5868.37146.58128.05which is made up of:Practice time to do test18.5318.5318.53Practice time to review dosage68.3768.3768.3768.3768.37Consumables: 15.5 strips per patient at 3.85 per strip59.6859.6859.6859.68Travel to housebound patients, based on 3% of patients requiring a home visit2.33 Issued 29 July 2011 with budgets (via email to individual practices, however the general guidance is available on intranet. ,-SU} B C Y _ ( * + ] ^ ĹĹĉĹ~s~s~~ssgs\hM=hbCJaJhM=hO>*CJaJhM=hOCJaJhM=h4oCJaJhM=h4o5CJaJh4oh4oCJaJhM=h h_56CJaJhM=h h_CJaJhM=hS=&CJaJhM=hS=&5CJaJh4ohS=&CJH*aJh4ohS=&CJaJh4oh5CJaJh4ohS=&5CJaJ!-.|} B C Y mkd$$Ifl0  t0644 lalpytM= $Ifgd. xvvvjjj $$Ifa$gdM=kd$$Ifl0  t0644 lalpytM= { `ZZMMDD $Ifgd4o & F$IfgdM=$Ifkd>$$IflF  4 t06    44 lalpytM=     ( ) * + ? 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