PROFESSIONAL EXECUTIVE COMMITTEE
DRAFT MINUTES
5 February 2008
Committee Room, St. Catherine’s Hospital
Present:
Medical Director – Wallasey Locality (Chair)
Director of Commissioning & Performance
Joint Director of Public Health
Director of Workforce
Clinician
Nurse Consultant
Clinician
Director of Strategic Partnerships
Medical Director – Birkenhead Locality
Clinician
Non Executive Director
Medical Director – Bebington & West Wirral
Locality
Director of Adult Social Services
Dr Shyamal Mukherjee
Ms Cathy Gritzner
Ms Jane Harvey
Ms Jo Harvey
Dr Phil Jennings
Ms Maggie Johnson
Dr Andrew Lee
Ms Tina Long
Dr Abhi Mantgani
Dr Peter Naylor
Mr Michael Roach
Dr Shanila Roohi
In Attendance:
Head of Bebington & West Wirral Locality
Head of Birkenhead Locality
Senior Assistant
Divisional Head of Service Redesign
Mr Glenn Coleman
Mr Paul Edwards
Miss Davina Schonle
Mrs Alison Shead
Guests:
Business Development Manager, Peninsula
Health LLP
Head of Commissioning in Primary Care
Director of Merseyside & Cheshire Cancer
Network
Peninsula Health LLP representative
Service Redesign Manager for Urgent Care
Head of Wheelchair and Equipment Services
Mrs Nina Birt
Members:
Reference
Mr John Webb
Mr John Ferguson
Ms Pat Higgins
Dr Bennett Quinn
Ms Sarah Quinn
Ms Paula Wedd
Minute
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112
Apologies for Absence
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113
Declaration of Interests
Kathy Doran, Chief Executive,
Paul Edwards, Head of Birkenhead Locality
Russell Favager, Director of Finance
Katy Kidd, Medical Director/Director of Infection Control & Prevention
Maura Noone, Head of Commissioning, Health & Wellbeing
Iain Stewart, Head of Wallasey Locality.
John South, Director of Primary Care & Provider Services
Julia Simms, Head of Medicines Management
Tony Kinsella, Head of Performance & Intelligence
Dr Abhi Mantgani declared an interest in Agenda Item 6 – Joint and Soft Tissue
Service – Referral Protocols (PEC07-08/117).
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Wirral PCT
Agenda Item:9.2
Ref: W07-08/235
Reference
Minute
Dr Andy Lee declared an interest in Agenda Item 6 – Joint and Soft Tissue
Service – Referral Protocols (PEC07-08/117).
PEC07-08/
114
Approval of the Minutes of the Previous Meeting held on 22 January 2008
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115
Matters Arising
The minutes of the previous meeting held on Tuesday 22 January 2008 were
agreed as a true and accurate record subject to the inclusion of Phil Jennings,
Michael Roach, and Alison Shead as attending.
The guidelines for best practice in the identification and treatment of malnutrition in
adults have now been included into the Care Home contracts (Ref: PEC07-08/103).
Issues regarding commissioning of diagnostic capacity for PCT direct access are
being taken forward (Ref: PEC07-08/105).
Letters have been sent to all GPs on the MRSA screening initiatives (Ref: PEC0708/107).
PEC07-08/
116
Powered Wheelchair Provision to Children
The Committee received the report that proposes to change the existing criteria for
the provision of outdoor electric powered wheelchairs for children and young people.
The Committee discussed the report and the following points were clarified:
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Hill Dickinson: advice has been incorporated into criteria.
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Liability: PCT to only agree competency in use of wheelchair, parents are
liable in the event of incident. Consent form to be signed after all PCT
guidance had been received.
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Review: an annual review would be undertaken.
The Committee agreed to receive a report on the commissioning of wheelchair
services at a future Committee.
The Committee approved the proposal.
PEC07-08/
117
Joint and Soft Tissue Service – Referral Protocols
The Committee received a presentation proposing the clinical pathways offered
through Map of Medicine (MoM) to be used by the Joint and Soft Tissue Service
which will be managed by Peninsula Health LLP.
The Committee discussed the pathways and raised the following points:
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Referral Process: only paper referrals available. Linking to WROCS to be
discussed. Localisation of MoM via Modernisation Teams. Links in MoM
pathway for referral to Peninsula LLP.
GP Notebook: not accredited but standard practice to use as reference
where no Map of Medicine pathway exists.
Communication: pathways to be submitted to Rheumatology Modernisation
Group.
Training: educational events for GPs to be held quarterly.
PPI: to be included in contract arrangements. Patient satisfaction to be
monitored regularly via questionnaires.
Other providers: have been consulted.
Audit of referrals: to ensure that no bias exists.
Draft Minutes PEC (05.02.08): Board Meeting 11 March 2008
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Wirral PCT
Agenda Item:9.2
Ref: W07-08/235
Reference
Minute
The Committee approved the pathways.
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118
Treatment of “Wet” Age-Related Macular Degeneration (AMD) at Wirral
University Teaching Hospital Foundation Trust
The Committee received an update on treatment of AMD with Lucentis at Wirral
University Teaching Hospital Foundation Trust. It was noted that the cost of this
service is lower than the previous provider.
The Committee noted the report and agreed to receive an update in 6 months on
patient satisfaction.
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119
The Cancer Reform Strategy – Merseyside & Cheshire Cancer Network
Summary
The Committee received a presentation and a summary report on the new Cancer
Reform Strategy.
The Committee discussed the report and was advised of the following:
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Commissioning Strategy: key role in prevention of cancers. Work ongoing
with Public Health and Sexual Health Networks.
Investment: 7% investment has already been received.
Screening implications: to be submitted to PEC and Board.
Breast screening: to be within 2 weeks. Classed as a Gold Standard.
Radiotherapy Access: available locally at Clatterbridge Centre for Oncology.
Urology: designated centre in Wirral. Each district to have specialist
treatment centres.
Map of Medicine: pathways to be localised.
End of Life Care: plan to be completed by February 2008.
The Committee noted the report and agreed to receive a Cancer plan in due course.
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Urgent Care Programme Update
The Committee received the report updating on the progress of the urgent care
programme and proposes the extension of the minor injuries service at Victoria
Central Hospital.
The Committee discussed the extension of the Victoria Central Hospital and the
following points were clarified:
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Radiology: service to be extended to cover gaps.
Ambulance Service: patients to be redirected to VCH if appropriate.
Minor Injuries clinic: Concerns were expressed that initially it would not be a
Wirral-wide service. If successful, discussions to be held to provide minor
injuries clinics in other localities. Drop-in centres already in discussion.
Costs: implementation costs included in Invest to Save scheme. Payments
would be based on actual activity undertaken.
Capital costs: policy to be consulted to clarify if equipment should be
included.
Public perception: communication required to ensure appropriate
attendance.
The Committee discussed the report and raised the following points:

Single point of access (SPA): Service Redesign Manager for Urgent Care to
ensure all GPs have received directory of services.
Draft Minutes PEC (05.02.08): Board Meeting 11 March 2008
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Wirral PCT
Agenda Item:9.2
Ref: W07-08/235
Reference
Minute
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Single front door development: minor injuries and child referrals to be built
into SLA.
PCAU: extension of service to be agreed.
Emergency Response: draft service specification to be submitted to a future
Committee.
The Wirral Integrated Services Project (WISP) was discussed and the Committee
agreed that there should be a close link to the project and the urgent care
programme.
The Committee approved the development of the minor injury clinic at VCH and
noted the progress of the urgent care workstreams.
PEC07-08/
121
Chronic Kidney Disease – Local Enhanced Service
The Committee received the proposal to provide the management of patients with
Chronic Kidney Disease (Stage 3 or higher), exclusively in a General Practice
setting. It was noted that the Renal Modernisation Team had approved the
proposal.
The Committee discussed the report and made the following points:
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Opt-In: Committee agreed that the choice should be optional to ensure
competency and dedication of practices taking part.
Capacity issues: smaller practices may not be able to offer the service.
Support: training and guidance would be available to all offering the service.
Map of Medicine: work ongoing to make the guidelines into a flowchart for
ease of reference and is due to be available on Map of Medicine by
September 2008.
References: all sources of references quoted in Appendix A to be included.
The Committee requested that the outstanding amount to be paid to the practice be
amended to “at the end of 14 months with a review taking place after 12 months”.
The issue to include this is service in the QOF review is to be discussed.
The Committee approved the report subject to the amendments.
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122
Every Disabled Child Matters – PCT Charter
The Committee received the report proposing that the PCT signs the Every Disabled
Child Matters PCT Charter.
The Committee discussed the report and the following points was clarified:
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Child development centre: preferred option to be submitted to the
Committee in due course.
Learning Disabilities Group: locality heads to nominate a representative.
GP Forums: awareness to be raised.
Workforce: dedicated time commitment to be agreed.
The Committee approved the recommendation to sign the PCT Charter.
PEC07-08/
123
Items for Risk Register/Assurance Framework
There were no items to be included on the Risk Register/Assurance Framework.
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Agenda Item:9.2
Ref: W07-08/235
Reference
Minute
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Any Other Business
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Date and Time of Next Meeting
There was no further business to discuss.
The next Committee will be held on Tuesday 19 February 2008 at 11.00am in the
Committee Room, St Catherine’s Hospital.
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