Primary Care Commissioning Committee 19 October 2016

Wednesday 19 October 2016
1:00pm - 3:00pm
The Board Room, Leafield House, NHS Leeds North CCG
Leeds North CCG

From 1 April 2016, NHS England has delegated to the CCG authority for commissioning primary medical care in Leeds North. To make decisions on the review, planning and procurement of these services, the CCG has established a Primary Care Commissioning Committee.

Members of the public are welcome to attend meetings, which will be held from 1.00 – 3.00pm at  the CCG’s offices at Leafield House. (Directions to Leafield House and parking.) Details of the papers and minutes for these meetings can be found in the publications section.

At the beginning of the meeting there is an opportunity to ask a question which will be addressed by the Committee.  If you wish to submit a question, please email with your question and ‘PCCC Question’ in the subject heading.

Questions from the Public at the 19th October meeting.

The PCCC received the following written questions in advance of the meeting:
What are the CCG’s plans for locating multi-disciplinary health professionals in general practices, and how this would be funded? The CCG is working hard to ensure that primary care, acute, community, mental health and voluntary sector providers work together to deliver better care for patients.  This involves healthcare professionals working together in an integrated way, for example by practice-based pharmacists supporting patients to self-manage their wellbeing. The CCG recognises that ‘one size doesn’t’ fit all’ and has been piloting a number of new approaches in localities across the CCG, some of which have required new investment.  Over the next few months, the CCG will be rolling out some of these approaches more widely across the CCG area.
What restrictions are placed on patients registering with general practices outside of their immediate locality? All GP practices have a catchment area or practice boundary from within which they register patients. They also have an outer practice boundary, which are an expansion of the catchment area. In the past, patients may have had to register with a new GP even after only moving a few streets away.  These outer boundaries are a way for patients to stay registered with their old GP.

Patients still have to speak with their GP first and, if appropriate, the GP may keep them on the register. If the GP decides the patient can stay registered, then they will continue to receive the full range of services, including clinically necessary home visits.

All GP practices are free to register new patients who live outside their practice boundary area. These arrangements are voluntary for GP practices. If the practice a patient wished to register with has no capacity at the time, or feels it is not clinically appropriate or practical for them to be registered so far away from home, they can still refuse registration. The practice should explain to the patient their reason for refusing their registration.

Registering with a GP practice further away from home can affect decisions about referrals for hospital tests and treatment, or access to community health services. Patients wishing to register with a practice outside of the local area should speak to the GP about their options.

The CCG appears to have removed the ability of GP practices to carry out a variety of functions and hospital referrals, for example mammography requests. What is a GP practice now prevented from dealing with and in the light of this, what is the function of a GP practice? The questioner asked that the answer provided by the CCG at the meeting should not be posted on the website.
The following verbal questions were also asked at the meeting:
What is a ‘Primary Care Mental Health Trust’ and what does it mean? There are no organisations called Primary Care Mental Health Trusts. The Leeds CCGs commission a number of organisations to provide a range of mental health services across the city. Leeds and York Partnership NHS Foundation Trust (LYPFT) is the largest mental health service provider in Leeds. LYPFT provide a range of services, including psychology and psychotherapy services, and various community mental health, outreach and wellbeing services.
What is the process for dealing with complaints about general practice? There are a number of ways to complain about general practice.  Patients can complain to the practice direct.  Practices are generally very open to discuss complaints, and many have complaints and comments boxes to enable this. Patients can get help from the local Patient Advice and Liaison Service (PALS) or can complain direct to NHS England, who are responsible for dealing with complaints about all primary care services.
What is the likelihood of mental health services being provided from general practices? The CCG puts a high priority on ensuring parity of esteem by valuing mental health equally with physical health, and has increased its investment in mental health services.  Leeds North leads on mental health commissioning in Leeds and has led a city-wide approach to delivering mental health services in the community.  This has included bringing more specialist mental health help and advice into primary care settings. We are currently testing out this new way of working within the Chapeltown locality with Primary Care Mental Health Liaison workers. These are practitioners with mental health and psychological expertise.