LaMPS Regional Report – London
Name of Regional Representative: Sue Evans / Sheriden Hanson
Date: 25.02.13
The headings below are suggestions only; please add/delete headings as required.
Key issue
Update and comments on the impact of the issue
Commissioning
18% savings required across medical MSK service although improving dialogue with
developing CCG. Potential for development of ESP posts
Challenge of trying to get post-D/C tariff applied to relevant areas. Have had to resort
to formal notice of intent for April as referring Trusts not complying to the PbR
guidance.(Surrey)
AQP not having any impact on our services in mental health – though in the past 2
years the Trust has lost out when services have gone to ‘tender’ e.g. inpatient
addictions service.
Bids have been forthcoming for some of our indirect areas for MSk work – 2 bids
submitted to date. Huge amount of work for ?? what return? Concern re. potential
conflicts of interest as per the ARC CSP motion.(Surrey)
No impact from AQP in MH, but Trust has lost out in the past 2 years when services
have gone to ‘tender’ e.g. inpatient addictions service.(SWLstg)
Delays in filling vacancies through protracted and changing recruitment authorization
processes
Additional funding for winter pressures and trailing slight extension in weekend hours
worked in inpatients (+ funding for inpatient OT at weekends)
Participated in national Benchmarking
Support services to be reviewed
Any Qualified Provider
Workforce /
Recruitment
All areas in our Trust are being asked to justify no.s of staff & bandings of staff.
Starting with management structure & working down; the sub text seems to be to
down band wherever possible.
(Surrey) – fully staffed. Recruitment via panel, needing additional justification,
therefore additional 2 week delay in processes. Talk of across the board skill mix
review. Still able to get backfill for Maternity Leave.
(SWL) – being required to justify numbers of staff and bandings. Starting with
management structure and working down. Sub-text – down band wherever possible.
(WLMHT) – Band 7 off sick – no funding for locum cover. Trust’s Recruitment &
Payroll Services tendered out to Capita from 01.04.13.
Policy and strategy
impact
More stringent monitoring of waiting times
NLWH review of acute hospitals with investment in A&E in preparation for transfer of
work.
(Surrey) – restructured 1 year ago, and still bedding in. New Manager for Access,
which all the therapies come into. Trust expanding and requiring PT +++
Continuing to move forward on 6 & 7 day working. Most services are 6 days, and
some 7.
(WLMHT) – working towards FT. Working on Recovery based treatment.
Service developments
(Surrey) – looking at heart failure and national guidance. Hopeful to provide CR this
year. Exploring immediate rehab of pulmonary rehab patients on a rolling PR
programme. Increased involvement in R&D anticipated.
(WLMHT) - AHP consultation going on. AHP Lead presented again to SMT on
22.02.13 – awaiting resulting proposal.
Savings plan focusing on Trust-wide projects – anticipate this will move to divisional
and therefore service targets if Trust-wide projects don’t deliver
Financial issues
8% CIP target this year across “Therapies”.
In terms of Physiotherapy team, this has only resulted in redeployment / redundancy
for the Admin Assistant – but of course, it means that clinicians will be spending more
time on administrative tasks – reducing time for patient contacts.
(Surrey) – Have met CIP this year. Next year – 6.5%, and have been successful in
demonstrating how it will be achieved.
(SWLstg) – 8% CIP target this year across ‘Therapies’. Physio – only resulted in
redeployment/redundancy for the Admin Assistant- but results in clinicians spending
more time on admin, less on patient contact.
(WLMHT) – CIPs ongoing. Awaiting confirmation of 2013/14 budget & required
savings. Hearing that a saving of £12m is required within Local Services fro 13/14.
On-call negotiations
Training and
development
Other Local Issues
Regional LaMPS
activity, suggestions
for LaMPS conference
etc
Suggestions for
inclusions to LaMPS
website
Halted 2012 due to difficulty for HR in standardizing across services – identified
within support services as a saving for 13/14 although no savings anticipated from
changes in physio
(Surrey)- Concluded. Not using AfC, but local agreement discussed in partnership.
PT Staff have done slightly better out of this deal.
Training budget focused on Trust-wide customer care so anticipate limited funding for
profession specific requests.
(Surrey) - Year on year decreases in NMET funding are cutting hard. Unlikely to be
any financial support for MSc modules next year.
(WLMHT ) – B7-B9 being put through Quasic Management Training – ongoing.
Major Trauma network continuing to develop, St Mary’s MTC for NWL ( new Therapy
lead just appointed)
Some engagement from Trauma units in the NWL Rehabilitation network, no
involvement as yet from community services.
(Surrey) – Community services taken over by Virgin Care. Changes occurring but full
impact to be discovered. Ongoing concerns re. the Community pulling patients out of
hospital, so have own outreach team covering the gap. N
Need to unpick the community contract to see what they are contracted to provide in
this respect.
(WLMHT) – St bernard’s Re-development programme on-going. Internal movement
of ward sites.
(Surrey) = Impact of AQPs and private profit-making companies in direct competition
with the NHS.Particularly as they often have excellent business managers, and we
don’t !!
Contributors
Hillingdon Hospitals
South West London and St George's Mental Health NHS Trust
Royal Surrey County Hospital NHS FT
West London Mental Health Trust