Sulisdoc Minutes
Date: 6.6.17
Venue: Hare & Hounds Pub, Lansdown 7.30pm
Attendees: Jonathan Osborn, Sam Parsons, Charles Bleakley, Debs Morgan, Chandana Marigowda, Claire Quiggin, Sam Gardner, Daisy Curling
Apologies: Fraser Head, Robin Teoh, Mark de Krester
Agenda Item
1. Welcome & Introductions/ Minutes of last meeting All ok. No new changes. We need to get minutes onto website more promptly.
Action: CB to upload but also CB to share website password with committee members so that others can access and upload or amend content as and when. Pension information is incorrect and this needs to be amended to reflect new changes. Link to NHS Pensions Agency needs to be added.
2. Membership CQ - currently 99 members. Bank account still has 3 original signatories linked to it.
Action: CQ will transfer £120 to SG for NASGP membership renewal. DC/CQ need to sort out bank signatories still. CB needs bank card details to renew website.
3. CCG update No clear CCG guidance yet on GP Indemnity Support Scheme. There is a contractual requirement to use this funding to help the indemnity inflation costs for all GP staff but not all salaried GPs know about the scheme. Individual PMs have liaised with LMC to get guidance but it would be good to get CCG involved so that all practices act similarly and all practices share funding increase with all GP staff. BMA have released guidance for sessional GPs, the First5 group seem to be aware of the new changes. Locums should continue to negotiate their rates with individual practices and should take into account this scheme and add this to their costs at their discretion.
James Child-Evans, Senior Commissioning Manager BaNES CCG is really keen to engage with Sulisdoc members to hear our ideas and views with regards to delegated commissioning moving forward.
Action: JO/DC will bring up Indemnity Support Scheme at next CCG meeting. JO will liaise with James and arrange date to attend a meeting.
4. LMC update CB - LMC Conference took place May 2017 in Edinburgh. Not attended by CB but overall impression from the event - General practice is on edge of collapse due to long term disinvestment and continued shift of workload from secondary to primary care. General feeling of pessimism from the event. No new developments re pension payments - BMA sessional GPs subcommittee have produced a blog and have been trying to work on behalf of locum GPs to sort out pension issues with Capita.
5. BEMS+ update SG - BEMS+ have won OOH contract with Medvivo and will take over in April 2018. Actively bidding for UCC with RUH and will find out in July 2017 if successful.
6. BDUC & Vocare Indemnity SG/CB Vocare indemnity continues to be run by insurance company Beazley. LMC's view was that the indemnity did meet their requirements but remains individual choice for GPs whether they are happy to use it or not.
Action: CB will see if LMC would be happy to send email out to Bath GPs outlining their view on Vocare indemnity.
7. Any other business: DC will be entering a partnership in Oct 2017. She is happy to resume her role as Sulisdoc Chair until then. Formal vote should take place for role of new Chair between now and then.
Action: Send out request for new chair candidates in Sept 2017.
8. Date of next meeting: 22 August 2017
9. BEMS+ presentation: Dr Andrew Smith, Chief Executive Officer & GP Combe Down Surgery, Julia Griffith, Business Director: Reason to attend meeting this evening is part of a general road trip to let everyone in BaNES know who BEMS+ are and what their current and future role is likely to be. Originally formed in 2004 when 3 local OOH cooperatives combined. A local not for profit organisation whose aim is to work across the community to improve patient care through providing high quality community based clinical services and by linking together local practices to help develop and provide these services. Ran BaNES OOH until 2014 and was highly regarded with many local GPs working for it. Strong governance structure - Executive council, Andrew, Julia & Dr Fraser Head - Clinical Governance Director, Dr Laurence Heywood - IM&T Director and Michelle Creed, HR Director meet monthly at office at Riverside Health Centre. BEMS+ Council consists of 7 elected members (Dr Nick Alexander (Keynsham/Chew), Dr Andrew Morrice (Paulton/Radstock), Dr Sharon Gillings (Heart of Bath), Dr Lizzie Thompson (Bath Family Care), Dr Sam Gardner (Sulisdoc), Nicola Bebb (Practice nurses) and Roger Stead (Practice managers/Independent practices) and meet 3 monthly.
Services provided at the moment: Fracture clinic, DVT diagnostics, vasectomy, outreach health checks on behalf of BaNES council, Referral Support Service, Earlier Home Visiting Service. Also involved in employing pharmacists at some practices, community education working closely with BGPERT e.g. expanding GPSI training & has input on Health & Wellbeing board, RUH and A+E developments and STP Primary Care group.
Future for BEMS+: OOH contract is for 10 years, if successful in UCC bid this would run at least 5 years, with option of further 5 years. Community education work is likely to expand - Dermatology GPwSI going live Sept 2017, Cardiology GPwSI at later stage. Very keen to support GPs in portfolio working with adequate support and training from local consultants and funding for accredited courses. Stat and Man training to be developed with a passport so that training can be easily viewed by prospective employers etc. Apprenticeship scheme working with local colleges to encourage young people into primary care as a career choice. Locum bank work has not been shelved just on hold presently as PMs weren't as enthusiastic as initially thought. Virgincare has expressed an interest and this may be developed further with them. Practice nurses and allied staff are still keen for locum bank to be created.
Donna Redman is OOH/UCC lead and is likely to contact Sulisdoc soon to get ideas as to what is important locally to encourage GPs to work for them. OOH will be sessional posts but if UCC successful then likely GPs will be salaried. They are trying to organise shared patient notes for OOH with TPP and Emis and they will likely look into all the issues with OOH indemnity. Paying for training is likely to encourage more local interest and bringing back the trust and respect will likely boost morale and sustain an enhanced workforce.
Date: 6.6.17
Venue: Hare & Hounds Pub, Lansdown 7.30pm
Attendees: Jonathan Osborn, Sam Parsons, Charles Bleakley, Debs Morgan, Chandana Marigowda, Claire Quiggin, Sam Gardner, Daisy Curling
Apologies: Fraser Head, Robin Teoh, Mark de Krester
Agenda Item
1. Welcome & Introductions/ Minutes of last meeting All ok. No new changes. We need to get minutes onto website more promptly.
Action: CB to upload but also CB to share website password with committee members so that others can access and upload or amend content as and when. Pension information is incorrect and this needs to be amended to reflect new changes. Link to NHS Pensions Agency needs to be added.
2. Membership CQ - currently 99 members. Bank account still has 3 original signatories linked to it.
Action: CQ will transfer £120 to SG for NASGP membership renewal. DC/CQ need to sort out bank signatories still. CB needs bank card details to renew website.
3. CCG update No clear CCG guidance yet on GP Indemnity Support Scheme. There is a contractual requirement to use this funding to help the indemnity inflation costs for all GP staff but not all salaried GPs know about the scheme. Individual PMs have liaised with LMC to get guidance but it would be good to get CCG involved so that all practices act similarly and all practices share funding increase with all GP staff. BMA have released guidance for sessional GPs, the First5 group seem to be aware of the new changes. Locums should continue to negotiate their rates with individual practices and should take into account this scheme and add this to their costs at their discretion.
James Child-Evans, Senior Commissioning Manager BaNES CCG is really keen to engage with Sulisdoc members to hear our ideas and views with regards to delegated commissioning moving forward.
Action: JO/DC will bring up Indemnity Support Scheme at next CCG meeting. JO will liaise with James and arrange date to attend a meeting.
4. LMC update CB - LMC Conference took place May 2017 in Edinburgh. Not attended by CB but overall impression from the event - General practice is on edge of collapse due to long term disinvestment and continued shift of workload from secondary to primary care. General feeling of pessimism from the event. No new developments re pension payments - BMA sessional GPs subcommittee have produced a blog and have been trying to work on behalf of locum GPs to sort out pension issues with Capita.
5. BEMS+ update SG - BEMS+ have won OOH contract with Medvivo and will take over in April 2018. Actively bidding for UCC with RUH and will find out in July 2017 if successful.
6. BDUC & Vocare Indemnity SG/CB Vocare indemnity continues to be run by insurance company Beazley. LMC's view was that the indemnity did meet their requirements but remains individual choice for GPs whether they are happy to use it or not.
Action: CB will see if LMC would be happy to send email out to Bath GPs outlining their view on Vocare indemnity.
7. Any other business: DC will be entering a partnership in Oct 2017. She is happy to resume her role as Sulisdoc Chair until then. Formal vote should take place for role of new Chair between now and then.
Action: Send out request for new chair candidates in Sept 2017.
8. Date of next meeting: 22 August 2017
9. BEMS+ presentation: Dr Andrew Smith, Chief Executive Officer & GP Combe Down Surgery, Julia Griffith, Business Director: Reason to attend meeting this evening is part of a general road trip to let everyone in BaNES know who BEMS+ are and what their current and future role is likely to be. Originally formed in 2004 when 3 local OOH cooperatives combined. A local not for profit organisation whose aim is to work across the community to improve patient care through providing high quality community based clinical services and by linking together local practices to help develop and provide these services. Ran BaNES OOH until 2014 and was highly regarded with many local GPs working for it. Strong governance structure - Executive council, Andrew, Julia & Dr Fraser Head - Clinical Governance Director, Dr Laurence Heywood - IM&T Director and Michelle Creed, HR Director meet monthly at office at Riverside Health Centre. BEMS+ Council consists of 7 elected members (Dr Nick Alexander (Keynsham/Chew), Dr Andrew Morrice (Paulton/Radstock), Dr Sharon Gillings (Heart of Bath), Dr Lizzie Thompson (Bath Family Care), Dr Sam Gardner (Sulisdoc), Nicola Bebb (Practice nurses) and Roger Stead (Practice managers/Independent practices) and meet 3 monthly.
Services provided at the moment: Fracture clinic, DVT diagnostics, vasectomy, outreach health checks on behalf of BaNES council, Referral Support Service, Earlier Home Visiting Service. Also involved in employing pharmacists at some practices, community education working closely with BGPERT e.g. expanding GPSI training & has input on Health & Wellbeing board, RUH and A+E developments and STP Primary Care group.
Future for BEMS+: OOH contract is for 10 years, if successful in UCC bid this would run at least 5 years, with option of further 5 years. Community education work is likely to expand - Dermatology GPwSI going live Sept 2017, Cardiology GPwSI at later stage. Very keen to support GPs in portfolio working with adequate support and training from local consultants and funding for accredited courses. Stat and Man training to be developed with a passport so that training can be easily viewed by prospective employers etc. Apprenticeship scheme working with local colleges to encourage young people into primary care as a career choice. Locum bank work has not been shelved just on hold presently as PMs weren't as enthusiastic as initially thought. Virgincare has expressed an interest and this may be developed further with them. Practice nurses and allied staff are still keen for locum bank to be created.
Donna Redman is OOH/UCC lead and is likely to contact Sulisdoc soon to get ideas as to what is important locally to encourage GPs to work for them. OOH will be sessional posts but if UCC successful then likely GPs will be salaried. They are trying to organise shared patient notes for OOH with TPP and Emis and they will likely look into all the issues with OOH indemnity. Paying for training is likely to encourage more local interest and bringing back the trust and respect will likely boost morale and sustain an enhanced workforce.