Agenda item

(To receive a report from NHS Lincolnshire Clinical Commissioning Group, which advises the Committee on the outcome of the NHS Lincolnshire Clinical Commissioning Group’s Lessons Learnt Review in relation to Lakeside Healthcare General Practice at Stamford.  Wendy Martin, Associate Director of Nursing and Quality and Nick Blake, Head of Transformation and Delivery (South Locality) will be in attendance for this item)

The Chairman invited the following presenters from Lincolnshire Clinical Commissioning Group: Wendy Martin, Associate Director of Nursing and Quality and Nick Blake, Head of Transformation and Delivery (South Locality), to remotely present the report, which advised the Committee on the outcome of the NHS Lincolnshire Clinical Commissioning Group’s (CCG) Lessons Learnt Review in relation to the previous operation of Lakeside Healthcare General Practice at Stamford.

The report highlighted the five phases of the review; and provided a key summary of the outcome from the lessons learnt which were detailed in Appendix 1 to the report.

In conclusion, the Committee noted that the recommendations following the Lessons Learnt Review and report were being included within an ongoing review and reorganisation of the CCG’s Primary Care Commissioning Team and associated CCG functions.

During consideration of the report, the Committee raised some of the following comments:

·       Timetable for when the lessons learnt were likely to be implemented.  The Committee was advised that an updated version of the progress made was being prepared.  It was noted that some of the lessons learnt had already been completed; and that this information would be made available to the Committee.  It was noted further that progress would be monitored by the CCG’s Primary Care Commissioning Committee;

·       Some concern was expressed as to what measures were in place to prevent the same happening again.  The Committee noted that the CCG’s Estates Working Group had put systems in place to mitigate the chance of the situation happening again.  Details of the recommendations put in place were shown in Appendix A to the report;

·       Support of NHS England and NHS Improvement.  It was noted that CCG officers had been working with NHS England and NHS Improvement to better understand current break clauses within leases.  It was noted further that the function of contracts from the NHS England Regional Team had been delegated to CCGs over time and that in 2020 there had been a Memorandum Understanding to this effect;

·       How engagement with partners was measured.  It was reported that there was a range of dashboards used, and that locality assurance meetings and countywide quality assurance meeting were being held.  It was reported further that some of the dashboard metrics could be shared with the Committee;

·       Further clarification was sought as to which primary care services Lakeside had or were planning to re-instate and whether the CCG had now received full clarification in respect of these services.  Confirmation was given that that the core primary care services had been reinstated at the St Mary’s premises, with the exception of diagnostic testing which was being carried out by the practice at the Sheepmarket surgery;

·       How much progress had been made with regard to the recommendations.  The Committee was advised that progress was going well, and that an updated version of the timetable could be made available to members of the Committee to confirm the progress being made; and

·       Confirmation was sought as to whether the Lincolnshire Integrated Care System (ICS), due to come into place in July 2022, would continue with the recommendations highlighted in the report.  Reassurance was given that the ICS would be continuing with the recommendations.

RESOLVED

1.      That the report presented be received and noted.

2.     That the recommendations, as set out in Appendix 1 to the Lessons Learned report be endorsed and that an updated timetable showing progress made against the recommendations be made available to members of the Committee.