Agenda item

Tamsin Hooton, Director of Service Redesign, NHS Southwark Clinical Commissioning Group will present.

A paper is attached.

This is a late and urgent item.

14.1  Tamsin Hooton, Director of Service Redesign, introduced the report circulated by explaining that the CCG would like to invest in one practice with 8 to 8 access in up to four locations within a cluster. She said that the CCG are looking for public endorsement of this model.

14.2  Members asked where the cluster practices  would be and she explained that they are considering a number of locations; likely ones include the present Lister Centre and Dulwich Hospital. Other possibilities are Guy’s Urgent Care Centre and Bermondsey Spa. A member suggested new building developments, such as the Heygate. The Director of Service Redesign explained that a lot of the investment is in soft services and therefore the physical location is not fixed.

14.3  There was a discussion on  the requirements for a substantial variation and the scrutiny project manager, Julie Timbrell,  explained that this is quite subjective ; and the main criteria is if the committee thought a change would significantly impact on patients. If the committee considered this to be a substantial variation then the CCG would need to provide certain information, including a decision timeline, however most of this information has already been provided. A member commented that a major change would usually involve a 12 week consultation period and he would like to see more information on the CCG engagement plans. Members discussed whether this should be considered a substantial variation and decided it did not, however it was agreed that the CCG confirm that no services will be lost.

RESOLVED

The proposal on the commissioning of  urgent access to primary care will not be deemed a substantial variation.

The committee will scrutinize the proposals at the 5 March meeting.

In future papers the CCG will provide assurances that the changes will not result in any loss of service and details of patient engagement.