The Clinical Commissioning Groups (CCGs) in Bradford are producing a Primary Medical Care Commissioning Strategy which outlines the approach that will be taken to the commissioning of primary medical care services within Bradford over the next 5 years. The strategy outlines the proposed end state and focuses on six key areas: access; quality; workforce; self-care and prevention; collaboration; and estates, finance and contracting.

The strategy is currently in draft form and is out to public and stakeholder consultation. NHS Bradford City CCG and NHS Bradford Districts CCG will present Document “N” which contains the draft strategy and invites feedback from the Committee to inform the final version.

Recommended –

The Committee is asked to feedback its comments on the Draft Primary Medical Care Commissioning Strategy to inform the final version of the strategy.

(Vicki Wallace – 01274 237524)

The Clinical Commissioning Groups (CCGs) in Bradford are producing a Primary Medical Care Commissioning Strategy which outlines the approach that will be taken to the commissioning of primary medical care services within Bradford over the next 5 years. The strategy outlines the proposed end state and focuses on six key areas: access; quality; workforce; self-care and prevention; collaboration; and estates, finance and contracting.

The strategy is a key underpinning aspect of the Sustainability and Transformation Plan (STP) for the district as strong, high quality, sustainable primary care is a critical part of our health and care system.

The strategy is currently in draft form and is out to public and stakeholder consultation. NHS Bradford City CCG and NHS Bradford Districts CCG presented Document “N” which contained the draft strategy and invited feedback from the Committee to inform the final version.

The Chief Officer of Bradford City and Bradford Districts CCGs provided a summary of the report.  She reported that issues relating to the Mental Health Strategy, the increasing amount of time GPs were spending on mental health issues, the role of carers and the importance of collaboration were the issues that had featured most strongly during the consultation period so far; there was just over a week left of the consultation period.

In response to Members’ questions, it was reported that:

·        Pharmacy First had worked well and the feedback received showed that people were returning to use the service and were having a positive experience.

·        There was no additional funding for the strategy; funding to implement it would come from existing baseline resources.

·        The GP Forward View spoke of investing in 3,000 new fully funded practice-based mental health therapists; this highlighted the need to look at services relating to mental health within GP practices and the need to consider primary care and mental health strategies side by side.

·        ‘Commissioning services to provide people with other routes into care other than their GP’ related to instances in which a GPs advice was not required and about empowering people.

A Member considered there was a need for CCGs to publicise that the strategy was being delivered within existing resources and not new funding.

A discussion took place about the potential new health professional roles which could be implemented within GP practices in the future.  In relation to Bradford, it was recognised that this needed to be considered as a whole system approach as it was a multi layered workforce issue which also related to nurses in hospitals.  Tackling loneliness through commissioning voluntary sector activities and low level first responses were example provided which could potentially free up some GP appointments.

A Member welcomed Pharmacy First but stated there were other services people could access through Emergency Care Practitioners, Mental Health Practitioners, Asthma Nurses etc.  She stated that people were not accessing those services direct as they were not advertised well and questioned what could be done to change this.  In response, it was stated that, as with the Pharmacy First scheme, the issue was about people accessing services where they perceived they would get the best experience and the way to change this was to encourage people to have a different experience; this was recognised as being a slow process change.

A Member welcomed Pharmacy First and spoke of a pilot that had helped a pharmacy create a stronger link with its community.

Resolved –

That the report be noted.

NO ACTION