Mid Surrey Commissioning Group

Wednesday 25th November 2009

MINUTES

Chair Ralph Burton

Present Zahid Ali, Oliver Bernath, Chris Botten, Ulrich

Dempfle,
Saul Galloway, Mark Jenkins, Masood Ahmad,
Helen Lewis, Suzanne Moore, Sejal Patel,
Andreas Pitsiaeli, Jo Pritchard, Imran Rafi,
Tim Richardson, Andrew Roscoe, Nahib Sidhom,
Sonja Sparla, Michael Trent, Nick Downs, Anny
Wells, Simon Williams, Julie Gaze and
Colleagues from Surrey and Borders Foundation
Trust for item 4

Secretary Absent - notes taken by Chair

1. Last Meetings Minutes (14/10/09)

The minutes were agreed with the

following corrections
1. 24hr nursing provision desired by
EDICS/MEDLinks is, at present, only an
aspiration and no agreement is present.

2. Matters Arising (not on agenda)

1.Report on the progress on joint

project between CSH and Social
Services. This is going forward within
current resources and staff have been
identified. The pilot should inform
the business plan and this should be
available at the next MSCG meeting.

2.In response to an enquiry from HL it

was reported by the Chair that as far
as he was aware the Improving Access
for Psychological Therapies was
proceeding and was out to tender.
3. Report on the ‘Perfect Storm’ Event

This was held recently by the PCT (RB

and CB had been present from the Group)
RB presented the following, which sets
out in broad terms the financial crisis
facing our health economy.
4. Commissioning Mental Health Services (the
meeting was joined by Julie Gaze and Colleagues
from Surrey and Borders)

We were given an update on the Trust’s

consultation on inpatient provision.
There was a 73% approval for the three-
centre option based on Chertsey,
Guildford and Redhill. All inpatient
services (including EMHS) will be
delivered from these sites and the
facilities at Epsom will eventually be
closed. The group continued with
reservations but had to accept the
position. The focus now had to be in
developing community services and to
this end we will set up a liaison group
starting with representation on the MSCG
Board (there will also need to be
representation at Locality level). Julie
 will provide a name and will also
provide a telephone number for GPs who
are experiencing difficulties in
obtaining services.

Action Julie Gaze – Director of

Corporate Affairs S&BFMHT

5. Community Services

SG was able to report that the proposals

had been supported by the PCT and
funding had been found to allow IHP to
be involved in developing a business
plan. CSH were happy to support this
work. The work should include the use of
Community Hospital Beds (currently they
have been reduced as a cost saving
exercise)

6. Medicines Management

SP and AP had been working jointly

around the area of Medicine Use Reviews
(MUR). These are part of the new
Pharmacy Contract although not all
pharmacies are accredited to provide
them. One suggestion was that GPs could
add a further tick box to the script
altering the Pharmacist that a MUR would
be indicated. Other proposals were made
but one obvious difficulty would be know
which pharmacies were able to carry them
out. There was also a feeling that the
scheme would not be totally beneficial
until home visits were included. Work
will continue on this.

HL reported some concern around privacy

in Pharmacies although no pharmacy
should be approved until; they could
provide a private area. SP would be
happy to receive any specific concerns.

UD from IHP was able to give an update

of the Medicine Management element of
the Managed Care Project
A prescribing leads meeting is planned for 17th
December

7. Patient Representation

HL reminded the Group of the agreed

process for patient participation (a
requirement of the PBC Incentive
Scheme). There had been only limited
progress and as yet only two practices
had shown progress in establishing
group/individuals that HL could work
with. She suggested that the practice
manager of one of the practices is
invited to a group meeting to discuss
how to go about it.

8. Update on MSCG plans

The Group noted with dismay the action

of the PCT in withdrawing funds to
 support the Managed Care Project. All
felt that it would be foolish to not
continue with the project if at all
possible using PBC Incentive Scheme
monies alone. We were hopeful that there
were sufficient funds in the Management
Allowance to allow this (CB reported
that he had secured current funding up
to 31st December) This money is not
available for distribution to practices
and would be returned to the PCT if not
spent.

It was agreed that a small group would

be convened by AR and including RB, TR
and IHP, to see what can be achieved to
allow IHP to continue to manage the
project.

The remainder of the Managed Care Report

was given in Part 2 of the agenda.

9. AOB

EDICS/MEDLinks had reviewed their

position and now wished to proceed with
a joint meeting to look at areas of co-
operation. It was suggested that 4
members of each group should attend an
initial meeting on 22nd December. The
MSCG members would be TR, SG, MJ and SW.

The Chair was directed by the Group to

express their frustration to Karen
Parsons on the failure to have the new
EDICS contract signed.

10. Date of next meeting

 No meeting is planned for December and
the next meeting of the full group will
be 20th January 2010

RHB 27th November 2009