NHS Milton Keynes CCG
GP PLT
Thursday 25th May 2017
Protected Learning Time
Introduction and CCG Update May 2017
Dr Nicola Smith
CCG Chair
Agenda
1:00pm - 1:15pm
CCG update
Dr Nicola Smith, Chair MK CCG
1:15pm - 1:45pm
Milton Keynes GP Federation
Dr Thao Nguyen
1:45pm - 2:10pm
Heart Failure Management in Milton Keynes
Dr Naguib Hilmy, GP Whaddon Medical Centre
2:10pm - 2:35pm
Assessment and Pathways in Arrhythmia Management
Dr Andrew Potter, GP Whaddon Medical Centre
2:35pm - 3:00pm
Syncope Update
Dr Assad Hamid, GP Whaddon Medical Centre
3:00pm - 3:10pm
Refreshment Break
3:10pm - 4:00pm
Acute Kidney Injury
Anselm Fliedner, Consultant Nephrologist
GP Board Appointments
Dr Nicola Smith, GP at Parkside Medical Centre, Chair
Dr Nessan Carson, GP at Central Milton Keynes Medical Centre,
GP Board Member
Dr Hopeson Alifoe, GP at Hilltops Medical Centre, GP Board Member
Dr Anthony Nicolaou, GP at Kingfisher Surgery, GP Board Member
Dr Edward Sivills, GP at Central Milton Keynes Medical Centre,
QPT Lead for East
Dr Naema Alam, GP at Whaddon Medical Centre, QPT Lead South
Dr Bipin Patel, GP at Hilltops Medical Centre, QPT Lead West
Currently one vacancy remains for a GP Board Member on the CCG’s Board.
The role of QPT Lead for the North Neighbourhood is under consideration.
Cyber-attack
All practices should be back on their systems now following the cyber attack
on the NHS and other organisations on 12th May. The IT team visited all
practices with an on site server to ‘patch’ computers to allow reconnection to
systems the other 11 practices had their patches applied through the central
server. Messages and updates were sent throughout the period following the
attack via an established messaging application that included practice
managers and updates were added to the Practice Portal page of the CCG’s
website. The CCG kept members of the public updated via web updates and
social media.
If you are continuing to experience any issues, please contact Janine
Welham [email protected]
National Diabetes Prevention Programme (NDPP)
The National Diabetes Prevention Programme allows GPs to identify and
refer people at risk of type 2 diabetes into a programme, where patients will
get tailored, personalised support including education on healthy eating and
lifestyle, help to lose weight and bespoke physical exercise programmes.
There are ten Trailblazer practices in Milton Keynes and the remaining
practices are joining in August:
Bedford Street Surgery
You will have received some posters
to advertise the programme –
please display these in your practices
in patient areas.
Red House Surgery
Water Eaton Health Centre
Stony Medical Centre
Watling Vale Medical Centre
Wolverton Health Centre
Stonedean Practice
Hilltops Medical Centre
Drayton Road Surgery
Westfield Road Surgery
Primary care commissioning
• Resolving local practice based problems- eg
LARCs, QRISK
• Locally commissioned services contracts with
practices by 1st April
• Practice manager development
• Clinical admin and signposting
• Engaging with primary care over e consultations
• PMS investment monies year 2
Date for your diary: CCG Annual General Meeting
27th September 2017
The CCG will be holding it’s Annual General Meeting on
Wednesday 27th September at the Ridgeway Conference
Centre in Milton Keynes.
All GPs and practice staff are invited to attend.
Further details will follow.
GP Workload …. Primary/Secondary care ineterface
NHSE standard contract..
“GPs are under considerable workload pressures
……secondary care providers , particularly hospitals ,
don’t organise patient care efficiently and don’t
communicate with patients and practices. ……. NHS
England has included a range of new provisions , trying
to move providers towards better practice in these
areas, in ways which will be better for patients and
reduce unnecessary workload for practices.”
Are our hospitals complying with expectations?
• Consultant to consultant referrals- For a non urgent condition related
to the original referral to another professional within the same provider is
permitted , there is no requirement to refer back to the GP. Re referral (or GP
approval) is only required for onward refarral of a non –urgent , unrelated
condition.
• Fit notes-Expectation this is done as part of the normal patient pathway, so
that specific clinic appointments are not requires for the sole purpose of providing
a fit note
• Medication following clinic attendance
• Patient and GP queries –Hospitals should respond themselves rather than
passing on to GP surgeries. Respond promptly including notification of results
Reporting
[email protected]
Please no patient details
You can tell us which hospital and which
department
BLMK STP Event 3rd May
• Possible new model of care “Primary Care
Home” for populations of 30-50,000
• Breakout groups including- LTC, care homes,
digital, call handling and triage, extended
access, physicians associates, RNs, ECPs HAs
• Comments and follow up from this event will
be available soon.
• PLT Thursday 13th July dedicated to
progressing vision for primary care in MK
Principles....
• Focus on patient care
• Developing a sustainable new system
• Work collaboratively across the health and
social care system
• Think about the wider BLMK STP footprint
• Need a strong voice from general practice –
CCG is supporting the emerging GP federation
Care closer to home
Rapid ultrasound service
• Rapid access to ultrasound to rule out ascites
and/or pleural effusion
• Known life limiting condition/palliative care
• To reduce need to refer to hospital
• Whaddon medical centre/patients home
• “Will this alter my management?”
• “Will this prevent a hospital attendance?”
How to refer
• Call 01908 272700
Milton Keynes General Practice
(MKGP) Ltd
Federation of General Practices
Leading the Transformation of Local Primary Care
BY D R N E I L D O U S E & D R T H AO N G U Y E N
I N T ERIM CHA I R & I N T ER IM L EA D G P
MKG P F E DE RATION
Why Federate?
 Increased workload and demand with a decreasing work force which
requires local and regional transformation
 Reduced overall core funding which requires operational efficiency savings
for practice sustainability
 Contracts “at scale” 30,000 – 50,000 population (FYFV, GP 2022) eg:
Enhanced services, GPAF, AQPs
 Increasing quality standards and regulations eg: CQC
 We need to work together to transform General Practice by General Practice
or do nothing and have it done to us.
 One Voice for Milton Keynes General Practice – together we are stronger
Our Story
Roundabout
MKGPSS
MKG
P Fed
MKGPAF
Our Vision
Our vision is to create a sustainable, strong and
effective local general practice in Milton Keynes,
delivering high quality services for patients that are
responsive to local needs.
Our Aims
1. Reduce General Practice workload
2. Improve General Practice efficiency
3. Enable General Practice sustainability
4. Enable high quality care
5. Support our local community
MKGP Federation structure
Federation
Share
holders
20
General
Practice
s
Federation
Board
Federation
Board
Federation
structure
MKGP Ltd
MKGP Plus
Federation
management
Federation
Management
Team
Service
Management
Team
MKGP Federation Organisation
Interim
Federation
board
Interim
Management
team
• Dr Neil Douse (Chair)
• Dr Thao Nguyen (Lead GP)
• Dr Darren Moore
• Dr Andrew Potter
• Dr Michael Cassidy
• Dr Thao Nguyen (Lead GP) - [email protected]
• Mr Steve Kemp (Federation Project Manager) –
[email protected]
• Ms Diane McKerracher (CEO) –
[email protected]
2017/18 Priorities
1. Reduce General Practice workload: Develop Milton Keynes 10
High Impact Plan including supporting staffing, recruitment and
training
2. Improve General Practice efficiency: as above including
centralised locum bookings.
3. Enable General Practice sustainability: Improve, develop &
deliver the General Practice Access Fund (GPAF) Service. Bid for
Physiotherapy AQP
4. Enable high quality care: Develop a local clinical leadership
programme
5. Support our local community: Engagement with patient groups
and support local charities.
Dates for your diary
 Thursday 8th June 2017 @ 1-2pm - Federation open session for
detailed update
 Friday 16th June 2017 by email – release of Election details
 Wednesday 21st June 2017 @ 1-3pm – Federation open session for
more detailed update
 Monday 3rd July 2017 by email – Elections for permanent Federation
Board Members
 Monday 17th July 2017 by email – Appointment of permanent
Federation Board Members
 Tuesday 1st August 2017 – Elected Federation Board Members in post