Primary Care Co-Commissioning

Primary Care Co-commissioning is one of a series of changes set out in the NHS Five Year Forward View.

Co-commissioning is a key enabler in developing seamless, integrated out-of-hospital services based around the needs of local populations. It will also drive the development of new models of care such as multispecialty community providers and primary and acute care systems.

The role of the committee shall be to carry out the functions relating to the commissioning of primary medical services under section 83 of the NHS Act. This includes the following:-

  • GMS, PMS and APMS contracts (including the design of PMS and APMS contracts, monitoring of contracts, taking contractual action such as issuing branch/remedial notices, and removing a contract).
  • Newly designed enhanced services (Local Enhanced Services and Direct Enhanced Services”).
  • Design of local incentive schemes as an alternative to the Quality Outcomes Framework (QOF).
  • Decision making on whether to establish new GP practices in an area.
  • Approving practice mergers.
  • Making decisions on discretionary payment (eg, returner/retainer schemes).

The CCG will carry out the following activities:-

  • To plan, including needs assessment, primary medical care services.
  • To undertake reviews of primary medical care services.
  • To co-ordinate a common approach to the commissioning of primary care services.
  • To manage the budget for commissioning of primary medical care services.
  • To develop and implement integrated commissioning across acute, community and social care services.
  • To develop and continuously improve the quality of commissioned primary medical services.
  • To develop local incentives schemes (as an alternative to QOF) to adapt the primary medical care “service offer” to the needs of local patients.
  • To develop and support “vulnerable GP practices” to ensure the continuity of services to the local population.
  • To develop and implement primary care commissioning intentions which address inequalities within the registered and non-registered population.
  • To plan and develop the primary care workforce.
  • To develop and implement primary care commissioning intentions to prepare primary care to deliver the NHS Five Year Forward view through the Better Care Together/Lincolnshire Health and Care programme.
  • To develop and implement primary care commissioning intentions to deliver the operational plans of the CCG and strategic plans of the relevant “Unit of Planning” for Lincolnshire.
  • To develop federated/network/collaborative arrangements as required to support the health needs of the population and the continuity of primary medical services.
  • To develop and implement primary care commissioning intentions to strengthen population-wide prevention, promote self-care and improve access to healthy lifestyle services.
  • To develop and commission a wider range of community based multi-specialty services which provide episodic care to the local population.
  • To work collaboratively with the Central Midlands Area Team of NHS England to maintain the stability of the Area Team Direct Commissioning function during 2015/16.

Membership of the committee is made up of the following lay and executive members:

•  CCG Secondary Care Doctor (voting & Lay Member) - Dr David Boldy (Chair)
•  CCG Two Lay Members (voting) - Dr Brynnen Massey & Mrs Brenda Owen (Vice Chair)
•  CCG Accountable Officer (voting) – Mr Gary James
•  CCG Chief Finance Officer (voting) – Mrs Sandra Williamson
•  CCG Chief Nurse (voting) – Ms Tracy Pilcher

In attendance:

•  Head of Commissioning (non-voting) – Mrs Angela Ashcroft
•  Performance & Commissioning Manager (non-voting) – Mrs Sarah Starbuck
•  Public Health representative Lincolnshire County Council (non-voting)
•  Adult Care representative Lincolnshire County Council (non-voting)
•  Health & Wellbeing Board representative (non-voting)
•  Healthwatch representative (non-voting)
•  NHS England Representative (non-voting)

Patient Engagement Overview Report:

This report provides an overview of the Primary Care Listening Clinics undertaken in general practices within the Lincolnshire East CCG area during 2016/17. NHS Lincolnshire East CCG Primary Care Listening Clinics Programme 2016/17

Meetings:

The Lincolnshire East CCG Primary Care Co-Commissioning Committee meets on a monthly basis. The meeting is held in public and members of the public are welcome to observe the meeting. As part of the Primary Care Co-Commissioning Committees commitment to openness and accountability, members of the public are invited to attend the meeting. Anyone may ask a question relating to items on the agenda in advance of each meeting. Such questions will be responded to at the meeting.

Upcoming Meeting Dates here                     Previous Papers here