approval of primary care networks in nottingham …...page 1 approval of primary care networks in...

Approval of Primary Care Networks in Nottingham North and East

1. Purpose

The purpose of this report is to provide the Committee with an overview of how the proposed Primary Care Networks intend to address the concerns that have been raised about how they will meet the approval requirements, in order for the Committee to consider the applications presented to it.

Four applications for Nottingham North and East have been submitted. A summary of applications is included in Appendix A, the Network Contract DES registration forms are provided in Appendix B and a map showing the proposed PCNs is provided at Appendix C for reference.

2. Introduction

The proposed PCN configuration for Nottingham North and East was discussed by clinical and lay members of the Primary Care Commissioning Committee on the 23rd May. Two key concerns were identified for further consideration:

the ability of other service providers to align themselves with PCN 3 and PCN 4 given the overlaps between their practice populations;

the ability of PCN 3 to offer services in a way that makes geographical sense to their patients, in particular the patients registered with Daybrook Medical Practice.

The locality team facilitated a meeting of the practices in PCN 2, 3 and 4 on 29th May; 11 out of the 12 practices were represented. The only practice not represented had provided comments via the LMC and the relevant PCN Clinical Director. As well as the LMC, NHS England and Local Partnerships were also represented at the meeting.

3. Alignment of Other Service Providers

As the main provider of community services to the PCNs in Nottingham North and East, Local Partnerships have considered the current resources available within the locality and how they could be wrapped around the proposed PCNs. The proposals for PCN 1 and PCN 2 provide no particular issues. The proposals for PCN 3 and PCN 4 can only be readily accommodated if those PCNs undertake to ensure that there is an ongoing consistent approach to the commissioning of community services that are delivered in both PCNs.

PCN 3 and PCN 4 practices have unanimously agreed that they will adopt a consistent approach to the commissioning of community services that are delivered in both PCNs and that this agreement will be written into the relevant network agreement schedules for submission by the 30th June.

4. Offer of Services in a Way That Makes Geographical Sense to Patients

There was an extensive discussion around the options to amend the proposed alignment of practices to PCNs but no agreement could be reached to amend the original proposal.

The position remains that Daybrook Medical Practice continues to be an integral a core member of the PCN3.

the practices have established good working relationships and have similar practice populations;

Daybrook Medical Practice and Plains View Surgery have commenced discussions that may impact on their partnership arrangements and their ability to be treated as two separate practices for the purposes of PCN alignment.

PCN 3 and Daybrook Medical Practice recognised the concerns around the potential risk that registered patients may not to be able to access services at their nearest “hub” (provided by PCN 2 in Arnold) if PCN 3 hub services are located in Carlton. However, they feel that this risk is relatively small and can be managed: Key points for consideration are:

the provision of multiple hubs has been discussed and agreed to meet all patient needs in PCN in particular hubs with parking facilities.

a significant proportion of the practice’s population live within Nottingham City and already travel into the City to access public health services

patients already travel to Carlton to access many services including mental health, ultrasound and podiatry services

there is a direct bus route from Daybrook to all potential hub sites in Carlton

for patients not readily able to travel, the GP practice provides services in house and will continue to do so

In addition, PCN 3 have agreed that they would seek to enter into an agreement with PCN 2 for patients who are unable to travel to be able to access relevant hub services within Arnold and to have this written into the relevant network agreement schedules for submission by the 30th June.

5. PCN Population Numbers

The population of PCN 4 is currently below the 30,000 threshold by 353 patients. Housing developments in the area mean that the PCN will reach the 30,000 threshold during 2019 / 20. The practices within PCN 4 have stated that if they are not supported to establish a PCN of their own at this point in time because of their population size, as soon as they reach a population of 30,000 they will apply to leave the PCN that they are in and resubmit an application to form their own PCN.

In order to ensure good working relationships and to avoid the disruption of practices leaving a PCN soon after it has formed it would be beneficial not to reject the PCN 4 proposal on the grounds of population size.

6. The Greater Nottingham Primary Care Co-Commissioning Committee is asked:

to APPROVE the registration requirements for PCNs 1 and 2

to CONSIDER the additional assurances provided by PCNs 3 and 4 and APPROVE whether the registration requirements for PCNs 3 and 4 have been met

Appendix A: PCN summary

PCN

Criteria

Network Contract DES Registration Form completed in line with guidance (ODS codes, network list size, single practice receiving funding, ACD)

Size – between 30,000 and 50,000 patients

(NHS Digital, 01 Jan 2019)

Geographical contiguity – practice boundaries must overlap or be adjacent

Formation of PCNs cannot result in a practice(s) being left out or not contiguous with other patients

PCNs can only cross upper tier local authority areas in exceptional circumstances

No practice can be excluded from a PCN

PCN structures must make geographical sense to patients and for commissioned services

Accountable clinical director

Nottingham North & East CCG

PCN 1 Hucknall

Yes 36,715 Hucknall, Bestwood Village, Linby, Papplewick

Complete Complete – all practices within Nottinghamshire County Council

Complete Yes Dr Adam Connor, Whyburn Medical Practice

PCN 2 Arnold & Calverton

Yes 33,778 Arnold, Calverton Complete Complete – all practices within Nottinghamshire County Council

Complete Yes Dr Kate Evans, Stenhouse Medical Centre

PCN 3 Carlton & Villages

Yes 40,969 Carlton, Daybrook, Mapperley, Burton Joyce, Lowdham

Complete Complete – all practices within Nottinghamshire County Council

Complete No Dr Umar Ahmad, Plains View Surgery

PCN 4 Yes 29,647 Carlton, Netherfield, Bakersfield, Colwick, Gedling, Woodthorpe, Lambley, Burton Joyce, Lowdham, Woodborough, Epperstone, Gunthorpe, Gonalston, Bleasby, Thurgarton, Oxton, Hoveringham, Caythorpe, Mapperley

Not contiguous

Complete – all practices within Nottinghamshire County Council

Complete No Ian Campbell, Park House Medical Centre

Appendix B: Network Contract registration forms

Nottingham North and East

PCN 1 (Hucknall)

PCN 2 (Arnold and Calverton)

PCN 3 (Carlton and Villages)

PCN 4

Network Contract DES Registration Form

This registration form sets out the information required by the commissioner for any GP practices within primary care networks signing-up to the Network Contract Directed Enhanced Service. The completed form is to be returned to Fiona Callaghan, Locality Director South Nottinghamshire by email: [email protected] to be received no later than 15 May 2019. PCN members and ODS code

Network Member Practices ODS code

Practice’s registered list size (as at 1 January 2019)

Oakenhall Medical Practice Bolsover Street Huknall Nottingham NG15 7UA

C84095 7,267

Om Surgery 112 Watnall Road Hucknall Nottingham NG15 7JP

Y00026 2,137

Torkard Hill Medical Centre Farleys Lane Hucknall Nottingham NG15 6DY

C84053 15,422

Whyburn Medical Practice Curtis Street Hucknall Nottingham NG15 7JE

Awaiting new code 11,889

PCN list size

36,715 as at 1st January 2019

Name of Clinical Director

Name Job Title Practice/organisation Contact Email Address

Dr Adam Connor PCN 1 Hucknall Clinical Director

Whyburn Medical Practice

Curtis Street Hucknall Nottingham NG15 7JE

mailto:[email protected]

OFFICIAL

Details for PCN’s nominated payee

Name of single nominated practice or provider (‘nominated payee’):

PRIMARY INTEGRATED COMMUNITY SERVICES LIMITED Unit H4 Ash Tree Court Nottingham Business Park Nottingham NG8 6PY

Name of bank account (if different to above) Account number Sort code

PICS Nottingham North & East

10917450

161418


This registration form sets out the information required by the commissioner for any GP practices within primary care networks signing-up to the Network Contract Directed Enhanced Service. The completed form is to be returned to Fiona Callaghan, Locality Director South Nottinghamshire by email: [email protected] to be received no later than 15 May 2019 PCN members and ODS code

Network Member Practices ODS code

Practice’s registered list size (as at 1 January 2019)

Calverton Practice 2A St Wilfrid’s Square Calverton Nottingham NG14 6FP

C84047 9,701

Highcroft Surgery High Street Arnold Nottingham NG5 7BQ

C84055 11,978

Stenhouse Medical Centre 66 Furlong Street Arnold Nottingham NG5 7BP

C84026 12,099

PCN list size

33,778 as at 1st January 2019



Dr Kate Evans PCN 2 Arnold and Calverton Clinical Director

Stenhouse Medical Centre

66 Furlong Street Arnold Nottingham NG5 7BP Email: [email protected]


OFFICIAL






10917450

161418



Network Member Practices ODS code Practice’s registered list size (as at 1 January 2019)

Daybrook Medical Practice Salop Street Daybrook Nottingham NG5 6HP

C84066 9,528

Ivy Medical Group 6 Lambley Lane Burton Joyce Nottingham NG14 5BG

C84646 7,062

Peacock Practice 428 Carlton Hill Carlton Nottingham NG4 1HQ

C84613 5,704

Plains View Surgery 57 Plains Road Mapperley Nottingham NG3 5LB

C84709 6,850

Unity Surgery 318 Westdale Lane Mapperley Nottingham NG3 6EU

C84133 3,798

Westdale Lane Surgery 20-22 Westdale Lane Gedling Nottingham NG4 3JA

C84115 8,027


OFFICIAL

PCN list size

40,969 registered patients as at 1st January 2019



Dr Umar Ahmad PCN 3 Carlton & Villages Clinical Director

Plains View Surgery

57 Plains Road Mapperley Nottingham NG3 5LB Email: [email protected]






10917450

161418



Network Member Practices ODS code Practice’s registered list size (as at 1 January 2019)

The Jubilee Practice C84613 2334

Trentside Medical Group C84010 11654

Park House Medical Centre C84709 10088

West Oak Surgery C84696 5638

PCN list size

29,714



Dr Ian Campbell GP Park House Medical Centre

[email protected]



The Jubilee Practice


Dr Claire Hatton

41812468 30-96-18


Map of Network Area

Appendix C - NNE Locality: PCN practices

Figure 1. NNE Locality: PCN practices, showing relative population sizes (positions slightly adjusted for clarity)

Epperstone

Calverton

WoodboroughGonalston

Lambley

Burton Joyce

Lowdham

Caythorpe

Gedling

Arnold

Hoveringham

Carlton

Netherfield

Colwick

Gunthorpe

Bestwood Village

Hucknall

Papplewick

Newstead Village

3 4

12

1

2

3

4

7

6

5

5

6

7

8

14

12

11

9

13

10

8

9

10

11

12

13

14

1716

18

15

15

16

17

18

Oakenhall (7,267)

Om (2,137)

Torkard Hill (15,422)

Why burn (11,889)

Calv erton (9,701)

Highcrof t (11,978)

Stenhouse (12,099)

Day brook (9,528)

Iv y (5,062)

Iv y (branch) (2,000)

Peacock (5,704)

Plains View (6,850)

Unity (3,798)

Westdale Lane (8,027)

Jubilee (2,346)

Park House (10,077)

Trentside (11,615)

West Oak (5,609)

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