Key Notes and Action Points from SLA Review meeting between WHHT & Hertfordshire PCTs held on the 13th March 2008 at 2 p.m. – Royalty House, Watford

In attendance:	Andrew Moore, WHHT Head of Business Development
			Phil Bradley, WHHT Deputy Director of Finance
			Julie Cowie, PCT Deputy Director of Commissioning
			Clare Jones, PCT Senior Contracts Manager
Jane Rice, PCT Finance Lead
			Katrina Power, PBC Representative
			Ian Issac

Apologies		Mo Girach
			Andrew Parker
			Beverley Flowers
			Alan Pond
			Nick Evans
			John Clegg

Note/Action	Responsible Lead	
1.   Minutes of previous Meeting

No comments		
2. 07/08 Performance
AM ran through the performance reports for both East & North Herts and West Herts PCTs. 

East & North Herts PCT
Main issues are around paediatrics and oral surgery. It would seem that dentists are now referring extractions into the trust as they do not believe the funding is sufficient.
CDiff rates are being explored.
Staff turnover has increased again this month – up from 15.4% to 15.6%

West Herts PCT
This month has seen 467 S22s – mostly due to lack of anaesthetists. Majority are at St Albans. This info should be added to the East & North Herts report.

Invite Russell Harrison to the next meeting to discuss issues with St Albans and cancellations from independent providers.

AM to send detailed report prior to meeting.

DNAs are running at a high level. II suggested that this figure is possibly too high. When challenged, his patients say that they have contacted the trust and have been given new appointments but they are still showing on PAS as a DNA.

DNAs should be added to the agenda. 

II to provide patient details when experience this. If other GPs are experiencing the same issues – details should be provided to AM

AM to add DNAs by specialty to the monthly report.

KP to liaise with analysts to look at the number of GP referrals for Orthopaedics and ENT

AM to split report by PBC group.
	AM/CJ/II/KP
	
3. 18 week Performance
Need to clarify the comms around 18 week (and 26 week) breeches. Trust achieving 69% admitted care, setting profile to get to 85% by end of march and 90% by December. Still more validation to complete. Non admitted – trust achieving 91% which puts Trust in upper quartile. Target is 90% by March.

Attenborough surgery has raised a query on patients needing to be seen more than 6 months from their previous appointment. This must be a new referral.

Dermatology CATS are experiencing huge problems with System 1. Referrals being sent back to the GP to re-refer into the trust. Referral has been in system for more than 6 weeks and is therefore breeching. Simon has emailed BF and KG to discuss. There is a particular issue with Potters Bar as they use manual diaries which mean there is no clock information. Urgent meeting is needed Amanda/KG/KP/AM

KP to follow up with Katrina Hall.

Hertsmere had requested details of their patients likely to breech 18 weeks. Margaret Stockham has not received any information yet. AM to follow up.
	KP/AM	
5.  PBC Commissioning Intentions

Watcom – Cardio, Stroke and development of existing Ophthalmology CATS

Dacorum – looking at Ophthalmology CATS through PCT governance committee

St Albans – most in place. Improvements in Cardio. KP is having a meeting with Alastair King re Gastro. KP to feed back to AM

Other items – intermediate care, diabetes and COPD. Possible open access to CT scans.. The trust is acquiring a second CT scanner so it may be feasible to open up access. However, would need very strict access criteria.

KP to identify priorities which would then be reviewed by the trust and PCT to assess financial implications. The biggest priority for Watcom next year is community services. This will be the same for St Albans and Hertsmere.
 	KP	
6. Any Other Business
Future meetings – suggest that associates be invited to the meeting – from May onwards. Suggested agenda items for May are Lyndsay McIntyre to discuss the Hemel move and the introduction of the DAF(AAU)

Discharge summaries – II has noted that over the last year the trust has reverted to handwritten notes which are difficult to read – particularly when scanned in. AM stated that with the introduction of Infoflex these should all be automatically generated. However, infoflex not rolled out to medical specialties. II to send evidence to AM.

OP work – to progress the work on the 5 specialties will need GP volunteers. II suggested Sheila BJ. KP to confirm to CJ volunteers from remaining PBC groups.
		
7.  Date & time of next meeting
10th April, 2-4pm Rm KS6 Royalty House.