Attached is the report submitted to the Healthy Halton Policy and Performance Board (PPB) meeting of 13th March 2007. Further information is being prepared by the Primary Care Trust (PCT) and this will be circulated to the PPB as soon as it is available.
Minutes:
The Board received a presentation
from Mr C Powner of Halton and St Helens Primary Care Trust (PCT) on the Annual
Health Check results for 2006/07. The presentation set out:
§
the background
of the PCT and its mission statement;
§
the PCT’s main
providers;
§
the private
practices involved with the PCT i.e. GP practices, Dentists, Phamacies etc;
§
the standards
which the PCT were tested against and the conclusions of this testing, namely
that due to the reasons set out below the PCT was expected to declare compliance
with each standard:
o
C14 –
Complaints: robust complaints procedure in line with regulations and
comprehensive staff training programme
o
C16 – Patient
Information: patient information leaflets produced in line with guidance, PCT Annual Report highlights the range of services and information
leaflets are available in a range of formats
o
C17 – Patient
and Public Involvement: robust Patients and Public Involvement (PPI) strategy,
processes for consulting with patients and public and patients are well
represented on PPI Forum/LITs
o C18 – Access to Services: published race
equality scheme, PCT premises are DDA compliant and Choose & Book awareness
raising publicity campaign
o
C22 a & c
– Partnership Working: robust plans to promote, protect and demonstrably improve health, Local
Area Agreements on health and well being include shared outcomes and
implementation of Choosing Health has been jointly planned and wide range of programmes to cover health protection
o C22b - Director of Public Health Annual
Report: recommendations in the DPH’s annual report, services for
alcohol, obesity, sexual health and smoking and implementation of
numerous interventions.
The Board raised a number of issues in
relation to the presentation, as detailed below:
§
how the budgets for each consortium would be set, prioritised, monitored
and reviewed;
§
whether the priorities would be national or local in relation to each
consortium;
§
whether the change to practice based commissioning would create
additional jobs and if so how these would be funded;
§
heating problems with the new Health Care Resource Centre in Widnes;
§
how Halton and St Helens PCT was linking with the North Cheshire
Hospitals NHS Trust, as this was particularly relevant to Halton; and
§
whether there were any plans to set up walk-in centres in Halton.
In response the representatives
present from Halton and St Helens PCT, Mr C. Powner and Mrs K. Harrison, gave
the following answers:
§
budgets were set based on historical spend and a
mix of weighted capitation; each practice had own governance arrangements and
business plan which linked back to the PCT;
§
priorities would be set based on both national and
local priorities and would be agreed with the PCT;
§
each consortium was being provided with a business
manager by the PCT, however these posts had been transferred directly from the
PCT so incurred no additional funding and would not effect front line funding;
§
the issues reported in relation to the Health Care
Resource Centre would be reported back;
§
new contracting arrangements meant that one PCT acted
as the lead in negotiations with North Cheshire Hospitals NHS Trust, this was
Warrington PCT at present. This meant that Halton and St Helens PCT was an
associate PCT; however, it was noted that it was still a significant partner
providing 30% of the hospital trust’s income and, as such, it did still have
opportunity to input into any negotiations.
In addition it was noted that a
roadshow had been developed in relation to Practice Based Commissioning which
Members may find useful if invited to a future meeting.
The Board thanked the PCT
representatives for an informative presentation.
The Board discussed two areas
where it had worked with the PCT on the implementation of Choosing Health and on
the development of the consultation protocol, along with individual members’
experience of the availability of patient information within Halton. The Board
agreed that there was sufficient evidence to enable a 3rd Party
Commentary to be made in relation to two of the standards; C16 – Patient
Information and C22 a & c – Partnership Working.
RESOLVED: That
(1)
the content of the report be noted;
(2)
a 3rd party commentary on the
performance of the PCT, in relation to Standards C16 and C22 a & c, to
accompany the Annual Health Check declaration, be submitted by the deadline of
1st May 2007; and
(3) authority be
delegated to the Operational Director - Adults of Working Age, in consultation
with the Chairman, to agree the final wording of the 3rd Party
Commentary.
Supporting documents: