Post on 29-Jul-2018
The professional voice of general practice in Ealing, Hammersmith and Hounslow Londonwide LMCs is the brand name of Londonwide Local Medical Committees Limited Registered and office address: Tavistock House North, Tavistock Square, London WC1H 9HX. T. 020 7387 2034/7418 F. 020 7383 7442 E. info@lmc.org.uk www.lmc.org.uk Registered in England No. 6391298. Londonwide Local Medical Committees Limited is registered as a Company Limited by Guarantee Chief Executive: Dr Michelle Drage
AGENDA
1.0 Welcome, Apologies and Declarations of Interest
2.0 Additional Items Not Listed on the Agenda Members to notify the Chair of urgent additional matters for discussion under any other business
3.0 Minutes and Matters Arising (not listed elsewhere on the agenda)
3.1 To confirm the minutes of the Ealing SJLC meeting on 26 September 2012 (pages 2-8)
3.2
To update on matters arising from the Ealing SJLC meeting on 26 September 2012
4.0 Primary Care Development Update
4.1 4.2 4.3
Outer North West London Board Financial Position (pages 9-25) Procurement
- Verbal update on care home tender 111 Service – Update (Dr Shanker Vijay) (pages 26-28)
4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11
Premises -Improvement Grants Enhanced Services
- Anti-coagulation LES proposed change for NOACs - Shared care/ Near Patient Testing LES - paper to be forwarded
QOF GP Clinical System Consultation (Robert McClaren) Ealing Council and Public Health Transition (Sally Beauchannon)
- Public Health Invoicing Process (pages 29-31) OPD Discharge Policies in Local Hospitals (AJ) Sub fractionated heparin injection arrangements (for pre-op patients on warfarin) (AJ) GP revalidation feedback
5.0 5.1 6.0 6.1
Clinical Commissioning Group To receive an update on Clinical Commissioning Group development
- Authorisation - CSU development
Items to Receive Report from Meetings with NHS NWL and NWL LMCs
- Strategic Meeting, 23 October 2012 (cancelled) - Operational Meeting, 30 October 2012 (pages 32-33)
7.0 8.0 9.0
To Confirm LMC Newsletter Items Date of the Next Meeting 23 January 2012 - Conference room B Any Other Business NB: Please give the Secretary 24 hours notice of any subject to be raised under this heading
Ealing LMC / CCG Liaison
Wednesday 28 November 2012
Conference Room B, Armstrong Way, Southall
12.45pm Lunch will be provided
Page 1 of 7 DRAFT
Draft Minutes from the Ealing Standing Joint Liaison Committee Meeting on 26
September 2012 at NHS Ealing, Armstrong Way, Southall
Present LMC Members: Dr M Alzarrad Dr R Bhatt Dr S Datta Dr S Gautam Dr D Heavey Dr A Jenkins Dr R Naish Dr P Sandhu Dr S Yin
Londonwide LMCs: Mrs G Rogers Ms R Shaw NHS Representatives: Ms J Murfitt (Chair) Ms S Pascoe Dr R Chandok Ms F Horne Ms S Beauchannon (Item 4.2)
1.0 Welcome Apologies and Declarations of Interest Apologies were received from Dr J Chin, Ms Charles, Mr Jackson, Dr Parmar. There were no new Declarations of Interest.
2.0 Additional Items Not Listed on the Agenda There were no additional items raised.
3.0 Minutes and Matters Arising form 25 July 2012 It was requested that the following amendments were made to the minutes: Ms F O’Donnell’s and Dr A Dhillon’s names to be amended throughout the document. Item 4.2 – Procurement Paragraph two, line eight to be amended to read, “It is planned that the formal tender process will begin in August 2012 with the contract commencing in March 2013.” It was confirmed that once these changes had been made, the minutes would be an accurate record on the meeting. Matters Arising Item 3.2 – Matters Arising Ealing Interpretation Service Dr Jenkins queried whether the PCT have to pay for the interpretation service on occasions when the interpreter does not turn up. Ms Pascoe advised that practices should alert to the PCT when this is the case, so that they know not to make a payment. Ms Murfitt added that if this is a regular occurrence, the PCT would reconsider continuing the contract. Item 4.1 – Outer North West London Board Financial Position Ms Pascoe undertook to send the local Ealing finance paper to the Londonwide (LW) LMCs Office to decide whether this should be included on future agendas.
RS SP
2
Page 2 of 7 DRAFT
Item 4.2 – Nursing Home Tender Ms Pascoe advised that NHS Ealing is waiting on the LMC to nominate a representative to sit on the steering group. Ms Murfitt suggested that this could be a non-local GP. Mrs Rogers requested further details of the requirements of this representative. Ms Pascoe confirmed that the representative would be paid for their time out of practice. Ms Murfitt undertook to send these details to Mrs Rogers for review. Item 4.2 – Adult Audiology Ms Pascoe reported that she is looking into Dr Bhatt’s concerns, raised at the last meeting, and that this action remains on-going. Item 4.6 – Capital Update Ms Murfitt reported that there have been 30 applications for improvement grants in Ealing.
JM SP
4.0 Primary Care Development Update 4.1 Outer North West London Board Financial Position
Dr Jenkins asked for the details of the financial issues with Northwick Park Hospital. He commented that Northwick Park’s financial position stand out from the other figures. Ms Murfitt confirmed that its expenditure amounts to more that its income. Dr Heavey referred to page 21 of the agenda pack. He queried whether the £10 million deficit of Imperial College Trust will be paid by NHS Ealing. Ms Murfitt confirmed that Imperial have a capped contract for 2012/13. She listed that there are issues with the trust using a substantial number of agency staff, over performance in the A&E department and an increase in maternity requirements.
4.2 Ealing Council and Public Health Transition Ms Horne informed LMC Members that the following services will be moving to Public Health:
• Vascular Risk Assessments
• Smoking Cessation • Learning Disabilities
• Sexual Health
It was noted that the payment mechanism between Public Health and practices is yet to be defined. Ms Murfitt advised that the CCG are awaiting guidance from the NCB. Dr Jenkins requested a LW LMCs view on this issue. Ms Beauchannon from Public Health joined the meeting for this item. She reported that Public Health is awaiting guidance from NHS London outlining plans for communication of the changes to Public Health to practices. There will be a NHS template letter for this. She requested that Members disregard the letter provided in the agenda as this will no longer be used. She agreed to send the draft letter to the LMC prior to sending it out to practices. Ms Beauchannon acknowledged the complexity of the future payment arrangements from Public Health to practices. She outlined that Public Health
RS
SB
3
Page 3 of 7 DRAFT
are awaiting confirmation of their allocated budget, which is scheduled to be announced in December 2012. Once this announced, they will be in a position to plan for the year. It was noted that where possible, planning has begun. Public Health will move to Ealing Council in April 2013. It was decided that Ms Beauchannon would be invited to attend future meetings. It was requested that Public Health be placed as a standing item on future agendas.
RS
4.3 Procurement Nursing Home Tender Ms Pascoe advised that the advertisement for this tender will be publicised imminently. She added that letters will be sent to practices outlining the plans and TUPE arrangements. She undertook to send these to Dr Jenkins for approval prior to wider circulation. She reported that NHS Ealing would like an LMC representative to sit on the steering group and confirmed that the representative would be reimbursed for their time out of the practice. It was noted that NHS Ealing has a responsibility to support the staff whose jobs are at risk. Therefore, they will have to ask practices to declare whether their staff would like to be redeployed. Ms Murfitt confirmed that patients in private nursing homes are entitled to NHS Services. Dr Bhatt raised the issue of patients in nursing homes who have complex medication requirements. He commented that GMS services do not cover their needs. Ms Pascoe responded that it is hoped that the Nursing Home Tender contract specification will address this issue. She outlined that the contract will result in improved patient care for 1000 people. 111 Service Ms Murfitt reported that Brent, Harrow, Hounslow and Ealing have appointed Harmoni to run this service. The service will soft launch in November 2012 for Brent and Hounslow and will soft launch in January 2013 for Ealing and Harrow. Ms Pascoe added that the Coordinate My Care requirements will be incorporated into the service. Ms Pascoe undertook to send the CCG briefing on the 111 Service to LW LMCs for circulation to LMC Members. Dr Sandhu queried how conflicts of interest had been managed during the procurement process. Ms Murfitt responded that interests would have been declared at the beginning of each meeting. It was decided that LW LMCs would find research the experience of GPs with regards to the Hillingdon 111 pilot. It was noted that communication to GPs regarding this service would be circulated in due course. Dr Bhatt queried the impact that the 111 Service would have on the Integrated Care Pilot (ICP). He outlined that the Service could hinder plans to manage patients in primary care. Ms Pascoe responded that is hoped that the ICP and the 111 Service will be joined up.
SP/AJ
SP
RS
4
Page 4 of 7 DRAFT
Dr Chandok outlined that next year Ealing Hospital will not be on a block contract, so the CCG are working to change hospital management behaviour now. He listed that the CCG will be carrying out a non-elective admissions audit next year, with the aim of challenging the volume of admissions. Ms Murfitt added that the CCG are also looking into alternatives to hospital admission and are considering including admissions as key performance indicator (KPI) for the contract. She added that the CCG will be in a better position to manage these issues in April 2013 when they move to payment-by-referral. Dr Chandok suggested that the Trust should be paid an annual price per patient, rather than making a payment for each referral.
4.4 Premises Dr Naish informed LMC Members that he will attend an improvement grant meeting next week as an LMC representative. Dr Naish raised the issue of the NHS NWL premises review questionnaire that has been circulated to practices. He outlined that he experienced issues downloading the document. Ms Murfitt undertook to look into this issue.
JM
4.5 Enhanced Services Anti-Coagulation Ms Pascoe reported that there is nothing to update the Committee on regarding anti-coagulation. Dr Heavey queried whether it had been proven that a sufficient geographical coverage could be achieved by the interest practices. Ms Pascoe responded that the networks have demonstrated that they will be able to cover practices. Dr Bhatt commented that he congratulated the work of the networks. It was noted that there is significant transition period ahead. Dr Jenkins voiced concern that for this service redesign it has been possible for primary care to absorb the additional work, but it may not have capacity to do so for future service redesigns. Dr Chandok agreed that there needs to be investment in primary care IT, premises and workforce to support this trend. Dr Bhatt added that the CCG should be working with the LETB to achieve this. Ms Pascoe outlined that the service will be used by Hillingdon and West Middlesex Hospitals, since the service charges are not capped on these contracts. It was noted that communication regarding the launch of this service will follow in due course. NHS Ealing Enhanced Services Review Ms Horne outlined that NHS Ealing have reviewed their back room functions as a result of the discussion at the meeting on 25 July 2012 to ensure that enhanced service payments are processed in an efficient way. She outlined that the volume of enhanced services listed by the finance team had caused issues, so this has been tidied up. It was noted that 55 LES lines have been reduced to 37. She emphasised that this reduction does not mean that services have been discontinued, but that the list has been realigned to the budget streams. A new electronic form has been launched which will facilitate the smooth processing of claims. Claims will be processed through Open Exeter, which will allow for practices to receive an explanation of the payment breakdown.
5
Page 5 of 7 DRAFT
Dr Naish raised the issue of QOF payments, outlining that the details for these are difficult to decipher. Ms Horne undertook to look into this. Dr Heavey queried what action is being taken to resolve the backlog of claims. Ms Horne responded that the statements will be amended to provide more detail, so that practices are aware which month they are receiving payment for. She added that all invoices submitted before 5 September 2012 has now been processed, practices should expect to receive this payment by then end of the month. She added that going forward any electronic claim submitted by the fifth day of the month will receive payment at the end of that month. Ms Pascoe stated that a high number of practices still do not submit their invoices electronically. It was noted that the QIPP LES payment is awaiting sign-off from the Non-Executive Directors. It was confirmed that the payment would be signed off on 28 September 2012. Ms Pascoe undertook to communicate this to practices on 1 October 2012. Ms Horne reported that a portion of the Extended Hours DES payment would have to be clawed back from practices, since the payment for this service has been reduced. She explained that practise will be informed prior to the clawback. Dr Jenkins commented that this principle should be applied to all clawbacks. Dr Sandhu voiced concern that this practice had had some money clawed back in September 2012 without notification. Ms Horne undertook to look into this issue. Ms Horne informed LMC Members that NHS Ealing is looking into the issues relating to the Childhood Immunisation DES. The Committee thanked Ms Horne for her efforts.
FH
SP
FH
4.6 QOF This item was discussed under item 4.5.
4.7 Invest to Save Ms Horne stated that an estimated £2.3 million saving had been associated with Invest to Save. It was noted that 84% of this had been achieved. Ealing had saved a total of £975,631. Ms Horne undertook to find out how much the scheme had cost the Delivery Support Unit (DSU) initially. Dr Bhatt requested further details of the saving. Ms Murfitt responded that this would be discussed at the Medicines Management Group meeting.
FH
4.8 Data Validation Requests Dr Jenkins stated that two additional elements have been added to data validation. Ms Murfitt responded that NHS Ealing is tidying up their lists to ensure they are paying for the correct amount of patients. She added that there are non-local patients listed on their patient lists. Dr Jenkins queried how it is possible for the PCT to be paying for patients who do not live in the Borough or in a Borough that the practice has an individual agreement with. Londonwide LMCs undertook to look into whether it is plausible for non-local patients to remain on the Borough’s patient list. Dr Heavey raised the issue that practices do not receive details of the results
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6
Page 6 of 7 DRAFT
that their data validation exercises achieve. Ms Murfitt responded that a report is compiled. She undertook to share this with the LMC. Dr Chandok advised that in there are plans to move towards electronic discharge summaries.
JM
5.0 CCG Update Dr Chandok stated that Ealing CCG (ECCG) completed their mock authorisation site visit week commencing 17 September 2012. The feedback received was positive and constructive. Long term conditions, the hospital merger and demographics were listed as local challenges for the ECCG. There are plans for the CCG to develop primary care through investment. It was noted that the authorisation site visit will take place on 25 October 2012. Dr Chandok undertook to share the report from the authorisation site visit with the LMC. Commissioning Support Unit (CSU) It was reported that the CSU are currently recruiting personnel and working through the details of their services. The Chief Operating Officers, Accountable Officers and Financial Directors will be meeting with the CSU to finalise the plans for delivery. The CSU will take on responsibility for implementing the CCG Commissioning Intentions. Ms Murfitt outlined that quality monitoring is a potential challenge, since this function will be taken away from the local level. She reported that the CCG meets with the acute trusts to monitor quality and financial requirements. Performance Contract Notices are used as a penalty when issues arise. Dr Chandok stated that LMC Members are welcome to attend this meeting as observers. LMC Members agreed that this function should remain local. Dr Naish reported that he had received a letter from Ealing Hospital Trust (EHT) outlining that their DNA policy has changed. He commented that the CCG should have communicated this to practices. Ms Murfitt responded that this letter should not have been sent out because the CCG and EHT had not reached an agreement of the revised DNA policy. Ms Murfitt undertook to send a letter to practices clarifying this activity. Dr Jenkins requested that the issue of clinical leads not being involved in the decision-making for DNA management is raised at the next CQG Meeting. He commented that this practice is clinically dangerous.
RC
JM
JM
6.0 Items to Receive
6.1 Report from Strategic Meeting with NHS NWL, 14 August 2012 The notes from this meeting were received.
6.2 Report from Operational Meeting with NHS NWL, 31 July 2012 and 28 August 2012 The noted from this meeting were received.
7.0 To confirm items for LMC newsletter
8.0 Date of the Next Meeting
7
Page 7 of 7 DRAFT
The date of the next meeting was noted.
9.0 Any Other Business Ms Pascoe reported that the Adult Audiology contract has been awarded to a number of successful bidders. She listed that seven providers will offer the service from the end of September 2012. It was noted that there will be a period when the new service runs alongside the old service, with referrals for the old service being accepted until the changes are communicated to practices at the next Borough Meeting. Referrals for the new service will be managed via the Referrals Facilitation Service (RFS). The service will be run on a nationally set price. Communications and a list of providers will be sent to practices in due course.
8
Chief Executive: Dr Anne Rainsberry Chair: Jeff Zitron
NHS North West London Cluster Board NHS North West London Cluster Board is a meeting in common of the Boards of NHS Brent, NHS Ealing, NHS
Hammersmith & Fulham, NHS Harrow, NHS Hillingdon, NHS Hounslow, NHS Kensington & Chelsea and NHS Westminster
5 November 2012
Title Month 6 Finance Report
Agenda Item 8.1
Senior Responsible Officer (SRO)
Directors of Finance (Jonathan Wise & Clare Parker)
Summary
The report summarises the financial position of the Cluster, highlighting the key risks and forecast outturn.
Recommendations The Board is asked to:
Note the overall NWL financial position reported at Month 6 and financial risks and mitigations facing the Cluster during 2012/13.
Approve the transfer of £15m of resource on a repayable basis from Brent PCT to Hillingdon PCT
Note the individual PCT financial positions and budget movements.*
* NB: Detailed financial reports on each PCT/CCG are set out in the full finance paper which is on the NWL website. Hard copies are available for Board Members on request.
This report cross references:
Board Assurance Framework
Finance Objective 4
Equality N/A
Summary of Patient and Public Involvement/ Feedback
N/A
Previous forum Draft taken to NWL Executive Team meeting.
Date paper completed 29th Oct 2012
9
Page 2 of 2
Applicable to: All
PCTs NHS
Brent NHS
Ealing NHS
Hammersmith & Fulham
NHS Harrow
NHS Hillingdon
NHS Hounslow
NHS Kensington & Chelsea
NHS Westminster
For all queries regarding the NHS North West London Cluster Board meetings please contact: Lynne Spencer, Hea T: 020 7932 3794 M: 0777 133 9164 E: lynne.spencer@london.nhs.uk
10
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Mid
dle
sex
rep
ort
ed
su
rplu
ses
ag
ain
st y
ea
r to
da
te p
lan
s o
f £
2,6
57
k,
£3
00
k, £
22
0k
an
d
£1
57
k r
esp
ect
ive
ly w
hile
Ea
lin
g a
nd
NW
L Tr
ust
s re
po
rte
d m
arg
ina
l de
fici
ts.
LAS
ha
ve a
de
fici
t o
f £
78
1k.
Th
ey
ha
ve s
ub
mit
ted
a p
lan
to
NH
S L
on
do
n t
o r
eco
ver
the
po
si%
on
.
All
Tru
sts
are
fo
reca
s%n
g b
rea
k-e
ven
po
si%
on
ag
ain
st t
he
ir y
ea
r-e
nd
ta
rge
t w
ith
th
e e
xce
p%
on
of
Imp
eri
al
Tru
st w
hic
h i
s
fore
cast
ing
a s
urp
lus
of
£3
.41
5m
.
NW
L P
CTs
ha
ve p
rov
ide
d n
on
-re
curr
en
t fu
nd
ing
to
No
rth
We
st L
on
do
n H
osp
ita
ls T
rust
(£1
0m
), I
mp
eri
al C
oll
eg
e (
£8
m)
an
d
We
st M
idd
lese
x H
osp
ita
l (£
3.9
m).
Th
e S
LAs
wit
h N
WLH
T, E
alin
g a
nd
Im
pe
ria
l ha
ve b
ee
n n
eg
oti
ate
d w
ith
ca
pp
ed
ove
r
pe
rfo
rma
nce
pa
yme
nts
. Ca
ps
are
be
ing
fin
ali
sed
wit
h W
est
Mid
dle
sex,
wh
ich
wil
l be
fa
cto
red
into
th
eir
po
si%
on
ne
xt m
on
th.
8
Trust Financial Position
17
Trust Financial Position
9
Tru
st
Su
mm
ary
Fin
an
cia
l P
erf
orm
an
ce
ag
ain
st
Co
ntr
ol
To
tal
T
ab
le 4
Mo
nth
06
(1
Ap
ril
- 3
0 S
ep
tem
be
r 2
01
2)
Ye
ar
to d
ate
Po
sit
ion
F
ore
ca
st
Ou
ttu
rn P
os
itio
n
Fin
an
cia
l P
erf
orm
an
ce
P
lan
A
ctu
al
Va
ria
nc
e
fro
m P
lan
Pre
vio
us
mo
nth
P
lan
A
ctu
al
Va
ria
nc
e
fro
m P
lan
Pre
vio
us
mo
nth
£000
£000
£000
£000
£000
£000
£000
£000
su
r/(d
ef)
s
urp
/(d
ef)
in
c/(
de
c)
inc
/(d
ec
) s
ur/
(de
f)
su
rp/(
de
f)
inc
/(d
ec
) in
c/(
de
c)
Imp
eri
al C
oll
eg
e
13
4
2,7
91
2
,65
7
1,1
27
5
00
3
,91
5
3,4
15
3
,41
5
No
rth
We
st
Lo
nd
on
(1
3,3
38
) (1
3,3
92
) (5
4)
(55
) (2
0,6
00
) (2
0,6
00
) 0
0
We
st
Mid
dx
9
13
1
,07
0
15
7
12
2
1,6
02
1
,60
2
0
0
To
tal:
Ch
all
en
ged
Tru
sts
(1
2,2
91
) (9
,53
1)
2,7
60
1
,19
4
(18
,49
8)
(15
,08
3)
3,4
15
3
,41
5
Ea
lin
g H
os
pit
al
11
3
57
(5
6)
15
0
0
0
0
We
st
Lo
nd
on
MH
T
1,5
05
1
,72
5
22
0
25
8
3,4
38
3
,43
8
0
0
Ce
ntr
al
Lo
nd
on
Co
mm
un
ity H
ea
lth
1
,44
8
1,7
48
3
00
2
53
1
,81
4
1,8
13
(1
) 0
Lo
nd
on
Am
bu
lan
ce
Se
rvic
e
51
6
(26
5)
(78
1)
(28
7)
3,0
93
3
,09
3
0
0
To
tal:
Oth
er
Tru
sts
3
,58
2
3,2
65
(3
17
) 2
39
8
,34
5
8,3
44
(1
) 0
NW
L T
rus
ts 2
01
2-1
3 -
Co
ntr
ol
To
tal
(8,7
09
) (6
,26
6)
2,4
43
1
,43
3
(10
,15
3)
(6,7
39
) 3
,41
4
3,4
15
18
Provider QIPP Position
Th
e N
WL
Tru
sts
incl
ud
ing
Lo
nd
on
Am
bu
lan
ce S
erv
ice
ha
ve a
n a
nn
ua
l co
st i
mp
rove
me
nt
pla
n o
f £
12
1m
.
As
at
mo
nth
6,
Tru
sts
are
re
po
rtin
g s
lip
pa
ge
of
£0
.3m
(0
.6%
) a
gain
st t
he
ir y
ea
r to
da
te p
lan
of
£4
8m
.
Imp
eri
al r
ep
ort
ed
a y
ea
r to
da
te s
urp
lus
of
£1
m w
hil
e N
WLH
T is
re
po
rtin
g a
de
fici
t o
f £
38
2k.
Ea
lin
g (
£1
87
k) a
nd
CLC
H (
£7
43
k)
ha
ve a
lso
re
po
rte
d s
ho
rtfa
lls
aga
inst
th
eir
ye
ar
to d
ate
pla
nn
ed
sa
vin
g
targ
ets
wh
ile
LA
S a
nd
WLM
HT
re
po
rte
d a
bre
ak
-eve
n p
osi
%o
n.
All
NW
L Tr
ust
s h
ave
re
po
rte
d a
bre
ak-
eve
n f
ore
cast
ou
8u
rn p
osi
%o
n a
gain
st t
he
ir a
nn
ua
l sa
vin
g p
lan
s
exc
ep
t fo
r Im
pe
ria
l, N
WL
an
d C
LCH
. Im
pe
ria
l is
fo
reca
stin
g a
n o
ve
r d
eli
very
of
£8
64
k w
hil
e C
LCH
an
d
NW
L a
re r
ep
ort
ing
sli
pp
age
s o
f £
59
6k
an
d £
16
80
k re
spe
ctiv
ely
.
10
19
Provider savings (Table 5)
11
Tru
st
Su
mm
ary
of
QIP
P S
av
ing
s
Ta
ble
5
Mo
nth
06
(1
Ap
ril
- 3
0 S
ep
tem
be
r
20
12
) Y
ea
r to
da
te P
os
itio
n
Fo
rec
as
t O
utt
urn
Po
sit
ion
QIP
P S
av
ing
s
Pe
rfo
rma
nc
e
Pla
n
Ac
tua
l T
his
Mo
nth
V
ari
an
ce
Pre
vio
us
M
on
th -
V
ari
an
ce
P
lan
A
ctu
al
Th
is M
on
th
Va
ria
nc
e
Pre
vio
us
M
on
th -
V
ari
an
ce
£000
£000
£000
£000
£000
£000
£000
£000
Imp
eri
al
20
,50
7
21
,51
4
1,0
07
5
03
5
2,1
40
53
,00
4
86
4
81
4
No
rth
We
st
Lo
nd
on
5
,21
9
4,8
37
(3
82
) (3
05
)
1
6,8
20
15
,14
0
(1,6
80
) (3
16
)
We
st
Mid
dx
3
,78
6
3,7
91
5
4
7
,00
0
7
,00
0
0
0
Su
b T
ota
l: C
ha
lle
ng
ed
Tru
sts
2
9,5
12
3
0,1
42
6
30
2
02
7
5,9
60
7
5,1
44
(8
16
) 4
98
Ea
lin
g H
os
pit
al
4,5
51
4
,36
4
(18
7)
(24
6)
1
3,1
22
13
,12
2
0
0
We
st
Lo
nd
on
MH
T
5,1
72
5
,17
2
0
0
1
0,7
16
10
,71
6
0
0
Ce
ntr
al
Lo
nd
on
Co
mm
un
ity H
ea
lth
4
,66
6
3,9
23
(7
43
) (4
15
)
9
,19
7
8
,60
1
(59
6)
(24
8)
Lo
nd
on
Am
bu
lan
ce
Se
rvic
e
3,9
04
3
,90
4
0
0
1
2,4
98
12
,49
8
0
0
Su
b t
ota
l: O
the
r T
rus
ts
18
,29
3
17
,36
3
(93
0)
(66
1)
45
,53
3
44
,93
7
(59
6)
(24
8)
NW
L C
lus
ter
Tru
sts
20
12
-13
- T
ota
l 4
7,8
05
4
7,5
05
(3
00
) (4
59
) 1
21
,49
3
12
0,0
81
(1
,41
2)
25
0
20
North West London Cluster Budget (Table 6)
Th
e C
lust
er
HQ
bu
dg
et
is s
ho
win
g a
n u
nd
er-
spe
nd
of
£5
48
k fo
r th
e p
eri
od
to
Se
pte
mb
er
20
12
, la
rge
ly d
ue
to
no
n-r
ecu
rre
nt
slip
pa
ge
. T
he
sli
pp
ag
e w
ill b
e f
ull
y u
%li
sed
in
la
ter
mo
nth
s a
nd
th
e o
vera
ll b
ud
ge
t is
fo
reca
st t
o b
e i
n b
ala
nce
by
the
ye
ar
en
d.
Th
e n
on
-re
curr
en
t fu
nd
ing
ag
ree
d b
y t
he
Bo
ard
fo
r th
e H
R a
nd
Str
ate
gy
Bu
dg
ets
ha
s b
ee
n p
rofi
led
acr
oss
1
2 m
on
ths,
th
e a
dd
i%o
na
l A
CV
bu
dg
et
for
Q1
an
d Q
2 is
pro
file
d a
cro
ss M
1-6
.
Th
e C
lust
er-
wid
e F
HS
se
rvic
e h
as
be
gu
n i
n Q
ua
rte
r 2
, th
e p
art
-ye
ar
bu
dg
et
of
£3
,87
1 i
s sh
ow
n i
n t
he
ta
ble
, w
hic
h in
clu
de
s e
xce
p%
on
al
no
n-r
ecu
rre
nt
cost
s fo
r li
st c
lea
nin
g i
n B
ren
t a
nd
Hil
lin
gd
on
.
Fu
nd
ing
wa
s re
ceiv
ed
in
20
11
/12
fo
r Lo
nd
on
20
12
(O
lym
pic
s) w
hic
h t
he
Clu
ste
r w
as
un
ab
le t
o c
arr
y fo
rwa
rd a
nd
th
is c
ost
pre
ssu
re h
as
be
en
sh
ow
n in
th
e b
ud
ge
t ta
ble
.
Th
e s
ha
do
w C
SU
wil
l b
e m
an
ag
ing
th
e A
CV
re
late
d b
ud
ge
ts f
or
the
re
ma
ind
er
of
the
ye
ar.
Pri
nci
ple
s h
av
e
be
en
ag
ree
d b
etw
ee
n t
he
PC
T C
FO
s a
nd
th
e C
SU
Co
mm
erc
ial
Dir
ect
or
to s
afe
ly m
an
ag
e t
he
tra
nsi
%o
n o
f st
aff
an
d r
eso
urc
es
un
de
r th
e s
ha
do
w a
rra
ng
em
en
ts.
12
21
Cluster HQ Budgets
13
20
12
-13
Fin
an
cia
l P
os
itio
n
Ta
ble
6
Mo
nth
06
(1
Ap
ril
- 3
0 S
ep
tem
be
r 2
01
2)
Ye
ar
to d
ate
ve
rsu
s P
lan
F
ore
ca
st
Ou
ttu
rn v
ers
us
Pla
n
Fin
an
cia
l P
erf
orm
an
ce
B
ud
ge
t to
d
ate
E
xp
en
dit
ure
to
d
ate
Va
ria
nc
e t
o
da
te
ov
er/
(un
de
r)
An
nu
al B
ud
ge
t
Fo
rec
as
t O
utt
urn
Va
ria
nc
e t
o
da
te -
ov
er/
(un
de
r)
Inc
om
e S
um
mary
£000
£000
£000
£000
£000
£000
PC
T I
nc
om
e
8,7
30
8
,73
0
0
(18
,18
8)
(18
,18
8)
0
No
n R
ec
urr
en
t In
co
me
0
(2,6
24
) (2
,62
4)
0
To
tal
8
,73
0
8,7
30
0
(2
0,8
12
) (2
0,8
12
) 0
Ex
pe
nd
itu
re S
um
mary
£000
£000
£000
£000
£000
£000
NW
L M
an
ag
em
en
t
1,4
78
1
,80
5
32
7
2
,95
7
2,9
57
0
NW
L F
ina
nc
e
30
0
23
2
(68
)
60
0
60
0
0
Ac
ute
Co
mm
iss
ion
ing
1
,83
7
1,6
37
(2
00
)
2,6
30
2
,63
0
0
Pe
rfo
rma
nc
e &
In
form
ati
cs
1
,72
0
1,5
06
(2
14
)
2,5
00
2
,50
0
0
AC
V F
ina
nc
e
55
6
40
6
(15
0)
8
81
8
81
0
Wo
rkfo
rce
& H
R
46
5
46
7
2
9
31
9
31
0
Co
mm
un
ica
rtio
ns
& E
ng
ag
em
en
t
27
6
27
3
(3)
5
51
5
51
0
Ind
ivid
ua
l F
un
din
g R
ev
iew
s
57
1
41
1
(16
0)
1
,14
3
1,0
35
(1
08
)
Str
ate
gy &
Pla
nn
ing
7
88
7
31
(5
7)
1
,57
6
1,5
76
0
Pro
fes
sio
na
l C
lin
ica
l 7
12
6
46
(6
6)
1
,42
4
1,3
24
(1
00
)
Pri
ma
ry C
are
6
37
5
51
(8
6)
1
,27
3
1,2
73
0
Fa
mil
y H
ea
lth
Serv
ice
1
,29
0
1,2
90
0
3,8
71
3
,87
1
0
LA
S C
om
mis
sio
nin
g
26
8
24
3
(25
)
58
3
58
3
0
Oly
mp
ic a
ss
ua
ran
ce
(5
4)
98
1
52
(10
8)
10
0
20
8
To
tal
10
,84
4
10
,29
6
(54
8)
20
,81
2
20
,81
2
0
22
Th
e f
oll
ow
ing
ta
ble
sh
ow
s a
su
mm
ary
of
the
sh
ad
ow
CC
G d
ele
ga
ted
bu
dg
eta
ry p
osi
%o
ns
at
Mo
nth
6 a
nd
fo
reca
st o
u8
urn
.
Ov
era
ll,
the
In
ne
r C
oll
ab
ora
tio
n o
f C
CG
s h
av
e a
ye
ar
to d
ate
su
rplu
s o
f £
4.6
m.
All
In
ne
r
Fe
de
ra%
on
CC
Gs
are
re
po
r%n
g y
ea
r to
da
te s
urp
luse
s w
ith
th
e e
xce
p%
on
of
Ho
un
slo
w C
CG
wh
ich
is
rep
ort
ing
a y
ea
r to
da
te d
efi
cit
of
£2
.4m
.
Ov
era
ll,
the
Ou
ter
Co
lla
bo
rati
on
of
CC
Gs
ha
ve
a y
ea
r to
da
te d
efi
cit
of
£4
.5m
. T
his
is
ma
inly
du
e t
o H
illi
ng
do
n ,
Ea
lin
g a
nd
Ha
rro
w C
CG
s re
po
rtin
g a
ye
ar
to d
ate
de
fici
t o
f £
5.7
m,
£1
.5m
,
£0
.4m
re
spe
ctiv
ely
, w
hil
e B
ren
t C
CG
is
rep
ort
ing
a y
ea
r to
da
te s
urp
lus
of
£3
m.
Ov
era
ll,
Ou
ter
Fe
de
rati
on
CC
Gs
are
re
po
rtin
g f
ore
cast
ou
ttu
rn d
efi
cit
of
£2
5m
ag
ain
st t
he
ir
an
nu
al d
ele
ga
ted
bu
dg
ets
, £
23
m o
f th
e f
ore
cast
de
fici
t re
late
s to
Hil
lin
gd
on
CC
G a
nd
th
e
po
si%
on
exc
lud
e e
xte
rna
l n
on
-re
curr
en
t fi
na
nce
su
pp
ort
. T
his
em
ph
asi
ses
the
hig
he
r ri
sk
bu
dg
ets
th
at
CC
Gs
wil
l b
e r
esp
on
sib
le f
or
fro
m A
pri
l n
ex
t ye
ar.
Th
e C
CG
fin
an
cia
l pla
ns
for
20
13
/14
wil
l n
ee
d t
o d
em
on
stra
te t
ha
t th
e i
mp
act
of
this
ha
s b
ee
n t
ake
n i
nto
acc
ou
nt
an
d
tha
t th
ey
are
in
re
curr
en
t u
nd
erl
yin
g b
ala
nce
fo
r th
eir
au
tho
risa
%o
n a
pp
lica
%o
ns.
Summary CCG Delegated Budget Performance
14
23
Consultancy Contracts (1)
.
16
NB: All Public Authorities are required to publish any invoice payments over £25,000 each
mo
nth
. No.
Provider
Description
Total Maximum
Value £'000
Element funded
by 3rd Parties
£'000
Cost to Sub
Cluster
£'000
Process
Reference
Date
Inn
er
Fed
era
tio
n:
1 M
cK
inse
y
20
13/1
4 Q
IPP
Sup
port
- N
HS
Hou
nslo
w
33
3
0
33
3 F
ram
ew
ork
Tend
er.
Fun
ded
through DSU & Hounslow £900k
no
n-r
ecurr
en
t re
covery
su
ppo
rt
fundin
g.
Pan
el d
ecis
ion
au
tho
rise
d b
y D
oF
.
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l-12
2 P
WC
CW
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-P
rovid
e s
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rt t
o
CC
G
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sation-C
en
tra
l Lo
ndo
n
CC
G
32
32
Waiv
er
Auth
ori
sed
by
Accoun
tab
le O
ffic
er
Sep
-12
3 P
WC
CW
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-P
rovid
e s
uppo
rt t
o
CC
G
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ori
sation-H
ou
nslo
w C
CG
30
30
Waiv
er
Auth
ori
sed
by
Accoun
tab
le O
ffic
er
Sep
-12
4 P
WC
C
WH
H -P
rovid
e s
uppo
rt t
o
CC
G
Auth
ori
sation-W
est Lon
don
CC
G
20
20
Waiv
er
Auth
ori
sed
by
Accoun
tab
le O
ffic
er
Sep
-12
5 P
WC
CW
HH
-P
rovid
e s
uppo
rt t
o
CC
G
Auth
ori
sation-H
&F
C
CG
(estim
ate
) 30
30
Fra
me
wo
rk te
nde
r
Auth
ori
sed
by
Accoun
tab
le O
ffic
er
Sep
-12
S
ub
-to
tal
44
5
0
44
5
Ou
ter
Fed
era
tio
n
1 A
ttain
NH
S H
illin
gd
on -
de
velo
pm
ent
of
13
/14
co
nsu
ltancy te
nde
r 31
31
Fund
ed f
rom
non
-recurrent £900k
recove
ry s
upp
ort
.
Auth
ori
sed
Bud
get
ho
lder.
Ju
n-1
2
2 M
oorh
ouse /
Fin
nam
ore
N
HS
Ealin
g C
CG
Supp
ort
22
8
22
8 F
ram
ew
ork
te
nde
r. F
unde
d f
rom
no
n-recurrent £900k recovery
su
ppo
rt.
Pan
el D
ecis
ion,
au
tho
rise
d D
ir o
f
Str
ate
gy
Ju
n-1
2
3 M
oorh
ouse /
Fin
nam
ore
NH
S H
arr
ow
CC
G Q
IPP
& 1
3-1
4
Pla
n S
upp
ort
24
5
24
5 B
uyin
g S
olu
tio
ns T
ende
r T
end
er;
P
an
el A
ssessm
ent app
rove
d b
y
Clu
ste
r D
oF
in M
ay-1
2
Pan
el D
ecis
ion,
au
tho
rise
d D
ir o
f
Str
ate
gy
Sep
-12
4 P
ricew
ate
rho
use
Coope
rs
LL
P
NH
S H
arr
ow
- C
CG
Pro
ject
su
ppo
rt
26
26
Waiv
er
Te
nd
er
Wa
ive
r
Ag
ree
d C
EO
&
Dir
ecto
r o
f F
ina
nce
Sep
-12
5 P
riva
te P
ublic
Lim
ited
N
HS
Bre
nt
- O
utp
atien
t pro
cu
rem
ent p
roje
ct
35
35
Waiv
er
Te
nd
er
Wa
ive
r
Ag
ree
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EO
&
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ecto
r o
f F
ina
nce
Sep
-12
6 A
sh
ridg
e
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ren
t C
CG
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orisatio
n
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port
70
70
Waiv
er
Tend
er
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iver
Agre
ed
, A
uth
ori
sed
by
Accoun
tab
le O
ffic
er
Sep
-12
7 E
rnst Y
ou
ng
NH
S B
ren
t S
ocia
l in
tegra
tion w
ith
the C
ou
ncil
40
40
Tend
er
Auth
ori
sed
Bud
get
ho
lder.
S
ep
-12
8 F
inna
more
BE
HH
- S
up
port
for
QIP
P P
lans
an
d C
om
mis
sio
nin
g Inte
ntio
ns
10
1
10
1 W
aiv
er
Te
nd
er
Wa
ive
r
Ag
ree
d A
cco
un
tab
le
Off
ice
r a
nd
Chie
f
Fin
an
ce
Offic
er
Sep
-12
S
ub
-to
tal
7
76
0
7
76
24
Consultancy Contracts (2)
.
17
NW
L C
lus
ter:
1 P
A/M
ckin
sey
Exte
nsio
n o
f m
od
elli
ng
, A
naly
tical
& P
rogra
mm
e s
upp
ort
to
SH
F
recon
figu
ration.
82
0
0
82
0 W
aiv
er
ag
ree
d f
or
ext
ensio
ns o
f pre
vio
us t
end
er.
NW
L B
oard
23rd
A
pri
l A
pr-
12
2 M
cK
inse
y
CS
S B
usin
ess Inte
lligen
ce
Deve
lopm
ent
Supp
ort
F
ram
ew
ork
. 74
74
Waiv
er
ag
ree
d d
ue t
o c
ontinuity a
nd
urg
en
cy
Clu
ste
r C
EO
M
ay-1
2
3 K
PM
G
Ou
ter
NW
L Q
IPP
re
vie
w
23
23
Waiv
er
ag
ree
d d
ue t
o c
ontinuity a
nd
urg
en
cy a
nd s
cale
CE
T A
ppro
ved
Apr-
12
4 M
cK
inse
y
Whole
Syste
ms Inte
gra
ted
Care
50
0
50
0
0 F
ram
ew
ork
te
nde
r, f
un
ded
by N
HS
Lo
ndo
n,
ho
ste
d N
WL
.
Com
mis
sio
ner
&
Pro
vid
er
pa
nel
de
cis
ion. C
ET
App
rove
d
Ju
l-12
5 M
oorh
ouse /
Fin
nam
ore
Ou
t of
Hospita
l C
luste
r
Pro
gra
mm
e M
ana
gem
ent
off
ice
24
7
24
7 F
ram
ew
ork
te
nde
r, D
SU
fu
nde
d.
Pan
el d
ecis
ion,
au
tho
rise
d D
ir o
f
Str
ate
gy
Ju
l-12
6 M
cK
inse
y / P
A C
on
sultin
g
NW
L C
om
mis
sio
nin
g S
uppo
rt
Deve
lopm
ent.
Call
off c
ontr
act
up
to a
ma
xim
um
su
m.
1,5
00
1,5
00
Fra
me
wo
rk te
nde
r, C
SU
de
velo
pm
ent
funde
d
App
rove
d N
WL
Boa
rd 9
th J
uly
Ju
l-12
7 Ip
sos M
ori
Sha
pin
g a
Hea
lthie
r F
utu
re -
C
on
sultatio
n r
espo
nse
re
port
ing
an
d a
naly
sis
24
8
24
8 F
ram
ew
ork
te
nde
r, S
HF
budg
et
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el d
ecis
ion,
au
tho
rise
d D
ir o
f
Str
at.
Ju
l-12
8 O
PM
Sha
pin
g a
Hea
lthie
r F
utu
re -
Con
sultatio
n e
vents
Deliv
ery
28
9
28
9 F
ram
ew
ork
te
nde
r, S
HF
budg
et
Pan
el d
ecis
ion,
au
tho
rise
d D
ir o
f
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an
ce
Ju
l-12
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A C
onsultin
g
Sha
pin
g a
Hea
lthie
r F
utu
re -
C
on
sultatio
n p
rog
ram
me
man
age
ment S
uppo
rt (
Jul-
Dec)
87
6
87
6 F
ram
ew
ork
te
nde
r. S
HF
budg
et
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el d
ecis
ion
ap
pro
ved b
y t
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tt M
cD
on
ald
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ha
pin
g a
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lthie
r F
utu
re -
E
qu
alit
ies im
pact asse
ssm
ent
39
39
Fra
me
wo
rk te
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r
App
rove
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y
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dge
t hold
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Ju
l-12
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Go
od D
ecis
ion P
art
ne
rsh
ip
Sim
ul8
mod
elin
g to
ol fo
r de
nta
l
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rm o
n b
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e D
H
25
25
0 S
ing
le te
nde
r A
ctio
n,
waiv
ere
d a
nd
sig
ned
off
.
App
rove
d b
y
bu
dge
t hold
er.
A
pr-
12
12
Cro
ss R
oa
ds C
are
/Priva
te
Pub
lic L
imite
d
Sha
pin
g a
Hea
lthie
r F
utu
re -
OO
H a
nd
Ca
rers
70
70
Fra
me
wo
rk te
nde
r, D
SU
fu
nde
d.
Pan
el d
ecis
ion,
App
rove
d b
y D
ir
Str
ate
gy
Sep
-12
13
McK
inse
y / D
rive
rs J
onas
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itte
S
ha
pin
g a
Hea
lthie
r F
utu
re -
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H E
sta
tes p
lan
nin
g
97
8
97
8 F
ram
ew
ork
te
nde
r, D
SU
+ S
aH
F
funde
d.
Pan
el d
ecis
ion,
Auth
ori
sation b
y
Dir o
f S
trate
gy &
Pro
gra
mm
e S
RO
Sep
-12
14
McK
inse
y
Sha
pin
g a
Hea
lthie
r F
utu
re -
OO
H W
ork
forc
e
39
9
39
9 F
ram
ew
ork
te
nde
r, D
SU
fu
nde
d.
Pan
el d
ecis
ion,
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ori
sation b
y
Dir o
f S
trate
gy
Sep
-12
S
ub
-to
tal
6,0
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5
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63
To
tals
7,3
09
52
5
6,7
84
25
NHS 111 North West London NHS 111 Health and Social Care Professional Feedback Form
1 NWL 111 Health & Social Care Professional Feedback Form v1.0 – October 2012
IN CONFIDENCE
We welcome feedback from Health and Social Care Professionals to help us to learn and continually improve the
NHS 111 service covering North West London. Please use this form to record any feedback you wish to provide us.
Your correct contact details are important in case we need to contact you for further clarification/information.
Patient’s Name: ~[Title] ~[Forename] ~[Surname] Patient’s DOB: ~[Date of Birth]
Patient’s
Address:
~[Patient Address Block] ~[Post Code]
Patient’s
Telephone:
~[Telephone Number]
~[Mobile No] ~[Mobile]
NHS Number
(if known): ~[NHS Number]
NHS 111 informs all callers that calls may be recorded and monitored for quality, training and safety purposes
Date & Time of call /
contact with 111 Service:
111 Call ID (if known, may
be found on call report):
What number was called? 111 Local GP practice Unknown Other:
Detail of Feedback/Concerns and Suggestions/Desired Outcomes:
Do you require a response
to your feedback? Yes, preferably by Email Yes, preferably by Phone No
Your Name: Date of Feedback: ~[Today...]
Your Job/Role: Email Address:
Organisation’s
Address:
~[Surgery Address Line 1]
~[Surgery Address Line 2]
~[Surgery Address Line 3]
~[Surgery Address Line 4]
~[Surgery Address Line 5] ~[Practice
Code]
Telephone: ~[Surgery Tel No.]
Thank you for your feedback, you have now completed the form.
Please refer to the next page for instructions on how to return your completed form to the NHS 111 service
that covers the location of the patient/your organisation.
26
NHS 111 North West London NHS 111 Health and Social Care Professional Feedback Form
2 NWL 111 Health & Social Care Professional Feedback Form v1.0 – October 2012
How to return your NHS 111 Feedback Form
Different 111 services cover different parts of London. Please check the tables below to return your feedback form
to the 111 service that covers your patient’s location (if your feedback relates to a specific patient) or your
organisation’s location (if your feedback is general and does not relate to a specific patient).
Inner North West London – LCW 111
Hammersmith & Fulham
Kensington & Chelsea
Westminister
By email (preferred): lcw111@nhs.net
By fax (safehaven): 020 8962 4401
By post: 111 Clinical Governance Lead, c/o LCW, St Charles Centre for Health and
Wellbeing, Exmoor Street, London W10 6DZ
You can also call 020 8962 7766 (please note calls to this number are recorded)
What happens next?
Once your feedback form has been received by the 111 service, it will be shared with the local commissioner’s 111
Clinical Governance Lead that covers the relevant geographical area. The response section (see next page) will be
completed and patient identifiable data will be removed from the form. If you have asked for a response, we aim to
return your feedback form with completed response section within 7 working days. If this is not possible, we will
endeavour to let you know and explain why.
Your feedback, whether positive or negative, is extremely valuable and a summary of the main points raised by your
feedback may be discussed within wider 111 Clinical Governance groups to help shape improvements in the NHS 111
service.
What about patients who want to provide their direct feedback?
Patients can also contact the relevant 111 services using the details above. In addition, they may wish to visit
www.patientopinion.org.uk and leave their NHS 111 feedback or personal story online.
Outer North West London – Harmoni 111
Brent
Ealing
Harrow
Hillingdon
Hounslow
By email (preferred): Harmoni111.feedback@nhs.net
By fax (safehaven): 020 8893 5500
By post: 111 Clinical Governance Lead, c/o Harmoni, Square One, Navigator Park,
Unit 1 Southall Lane, Southall UB2 5NH
You can also call 020 3402 1111 (please note calls to this number are recorded)
27
NHS 111 North West London NHS 111 Health and Social Care Professional Feedback Form
3 NWL 111 Health & Social Care Professional Feedback Form v1.0 – October 2012
FOR USE/COMPLETION BY NWL NHS 111 – Response to Feedback
Thank you for taking the time to provide your feedback. This section is designed to be completed by NHS 111 to give
you a quick response (if requested) to the key issues raised in your feedback.
Nature of Issues underlying Feedback (Select all that apply):
Clinical Patient Safety Technical
Communication Staff Safety Transport
Engagement/Awareness NHS Pathways Telephony
Appropriateness of referral Directory of Services Handover between Services
Operational Out of Area Other (please specify):
Overall Category of Feedback:
Compliment Concern Complaint Potential Incident Potential Serious Incident
Initial Response from Review of Feedback/Contact:
Further Action to be Taken (if required/relevant):
Responder’s Name: Date of Response:
Responder’s Job/Role: Email Address:
Contact Address:
Telephone:
If there are any queries in relation to this response, please contact us back using the details above.
28
G:\LMCs\NWL\EHH LMC\EHH 2012\Ealing LMC CCG Liaison\Papers\28
November\Invoicing Process for Retailers.doc
Draft Public Health Invoicing Process for – Ealing Council 1 invoice is required per month and must cover a calendar month for VAT purposes i.e. 1 – 31 July 2011. The invoice should be received in the Adults Finance Operations team by the 15th day of the following calendar month. The invoice must be on company headed paper and quote the company’s VAT registration number. The invoice must be addressed to: Public Health Team (appropriate Contact Manager) Ealing Council 3rd Floor North West Perceval House 14 – 16 Uxbridge Road London W5 2HL Contact number: to be provided E-mail Address: PublicHealth@ealing.gov.uk The invoice must be dated and have a unique reference/invoice number. The narrative must include the following:
• The unique Supplier ID – provided by the Council
• The Service Description, any item code & quantity of items provided
• The net amount for each item or multiple quantity i.e. 2 x £18.00 = £36.00
• The VAT total
• The gross amount
• A FULLY COMPLETED original copy of each invoice must be provided • Work is being undertaken to find an appropriate way of “sign-off” for
services provided, which maintain appropriate confidentiality The payment terms are currently under review, but are required to be within 30 days. Ealing Council has 2 payment runs a week – Tuesday and Thursday. Please note that the submission of invoices containing incorrect information could result in a delay in payment whilst the invoices are checked and any disputes are investigated. Our current thoughts are that 1 invoice per surgery should be completed each calendar month, with each service provided detailed on the connected spreadsheet, and summarised on the invoice. Ealing will provide a remittance advice for the amounts paid against each invoice, for your reconciliation An example of an invoice is attached for guidance purposes.
29
G:\LMCs\NWL\EHH LMC\EHH 2012\Ealing LMC CCG Liaison\Papers\28
November\Invoicing Process for Retailers.doc
EXAMPLE INVOICE ONLY – DO NOT PAY
FEELWELL PHARMACY 56 Well Lane, Hanwell, London W7 6RU
Telno: 0208 259 2000 VAT REG NO 123 4567 89
Public Health Invoice No: 236 Ealing Council 3rd Floor North East Date: 02/09/2011 Perceval House 14 – 16 Uxbridge Road London W5 2HL
Supplier ID: 12345 (this will be provided to you) Services Description Qty Net Total EAL777123 1 10.00 EAL777545 1 9.00 1 8.00 1 9.00 EAL777966 1 15.00 1 23.00 EAL778021 2 36.00 1 16.00 1 12.00 Total Net £138.00 VAT @ 20% £27.60 Gross £165.60
30
G:\LMCs\NWL\EHH LMC\EHH 2012\Ealing LMC CCG Liaison\Papers\28
November\Invoicing Process for Retailers.doc
Ealing is looking at developing a spreadsheet whereby if the information is completed below – then a summary invoice can be provided in 1 click, and then a copy of both the invoice and the spreadsheet can be sent to Ealing to verify the payment request. This will reduce the amount of inputting required.
Supplier ID Prepopulated
Services Description Drop Down List
Quantity Drop Down List
Net Value VAT @20% Prepopulated
Gross Value Prepopulated
Patient Gender Drop Down List
Patient Age Drop Down List
Patient Ethnicity Drop Down List
Patient Postcode (1st part) Drop Down List
Patient Postcode (1st part)
Date of Service
Ealing is also to examine the current system used by Pharmicists to see if it is possible to continue its use, and or expand this to include other services. As more information is available we shall update our position. Please remember this is an ongoing area for development. Ealing is awaiting much information and is developing things to make as smooth transition as possible, but some information is not yet available.
31
Londonwide LMCs and NHS North West London Primary Care Contracting team interim meeting
Action notes from Tuesday 30 October 2012
1.0 In attendance: Rachel Donovan (RD) Julie Sands (JS) Andy Michaels (AM) Ann Ayamah (AA) Alison Dalal (AD) Ariadne Siotis (AS) Kathryn Charles (KC) – on the telephone
2.0 Apologies: Gill Rogers
3.0 Matters arising from meeting 20 September 2012
There were no matters arising for discussion.
4.0 NHS NWL 4.1 To receive an update on any NWL structural changes and appointments – JS reported that the
structures had been published for the Primary Care Team. Karen Clinton had been appointed as Head of Primary Care and she would be reporting to Vicky Scott, Delivery Director for the LAT. There would also be one Deputy Head of Primary Care for NWL but that position had not yet been filled. Thirza and Tessa would be part of a team within the CCG structure but spanning all 8 CCGs. JS noted that the transition should be complete by the end of December and everyone would know where they had been placed by then.
5.0 Enhanced Services
5.1 QIPP LES – KCh reported that the outstanding QIPP LES payments had now been made in Ealing. RD noted that the DH had changed the reporting requirements for the PCT regarding the Pertussis NES and that they would now have to ask practices to record the EDDs on the claims form. KCh and AD pointed out that this would be difficult as the EDDs were often included as free text in the notes rather than coded and would therefore have to be manually retrieved which would create a lot of additional work for practices. AM suggested that perhaps and additional administrative payment could be made to practices in the form of a LES to support this work but JS responded that there was no additional money available. AM undertook to raise this query with the GPC to ascertain whether practices were obliged to provide this information in the requested format or whether they just had to make it available to the PCT to extract. (AM) JS also undertook to feedback to Public Health and to see if an alternative solution could be found for gathering the necessary data. (JS)
6.0 Contracts
6.1 Contract compliance visits– RD noted that the PCT were no longer doing minimum premises standards checks as part of these visits. The PCT would be writing to the selected practices (1/3 of total practices) in the coming week to tell them that they had been selected for a visit and to inform them of the week the PCT is hoping to conduct the visit. The letters would give practices 6 weeks’ notice of the visit and would include the criteria they will be checked against. NW London advised they would be flexible where practices were not able to accommodate a visit during their allocated week. The letter would also outline the consequences of failing to meet any of the standards. RD undertook to send the letter to the LMC office to look at before sending it
32
out. (RD)
7.0 QoF 7.1 To receive an update on 2012/13 year end process – RD reported that QMAS would be
changing to CQRS which would be used for both QoF and CoF as well as for some ESs including alcohol and LDs. The new system would be up and running by April 2013 and QMAS would be shutting down on 31 July with no amendments allowed after 30 June. This means that there will be a very tight timescale for signing off QoF. KC raised the issue of Med 10 and QP points being confirmed in good time before QMAS shuts down and RD undertook to discuss this with the prescribing team. (RD) AD suggested that the PCT attend the PM fora to explain the changes to the PMs and to encourage them to get their returns in early. AS also undertook to include something in the Londonwide LMCs newsletter about this. (AS)
8.0 Practice Vacancies and Procurement 8.1 RD noted that the Grove Medical Centre in Hounslow will be going out for procurement. The
process will be run by NHS NWL. AS undertook to put this as an item on the next Hounslow LMC agenda. (AS) RD also reported that it was now looking unlikely that The Practice in Hillingdon would be going out to tender.
9.0 Any Other Business Flu – AD raised a query about Occupational Health providing flu shots to Practice staff. She noted that she understood that the contract for Occupational Health was held by Imperial College and that they were telling practices they had to send their staff to Queen Mary’s to get vaccinated. JS undertook to raise the issue with the head of HR and AM undertook to raise it with the LMC and CCG Chairs. (JS, AM/AS) Premises – AS updated the group on the current situation regarding the premises review underway. JS suggested that the feedback about practices being sold additional services be passed on to Thirza at the DSU. (AS) CQC – RD and JS reported that there were 4 practices who had not yet done anything about CQC registration. They were going to encourage them to contact the LMC office for support. AS undertook to include something in the next newsletter about CQC registration and the fact that the office could offer support. (AS) Funding for nurse training – AD noted that practices used to receive funding for nurse training and queried where that budget had gone. AM agreed to raise this with the CCGs. (AM)
10.0 Date of Next Meeting – November 20, BMA House
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