Items in normal text – for consideration / items in italics – for information / * indicates additional papers
Alastair Roeves was welcomed to the meeting. He outlined the draft ABMU Clinical Services Plan which involved reconfiguring some significant clinical services. Eight options had been developed based on the distribution of medical patients, planned surgery, emergency surgery and frailty services across the three main hospital sites. An urgent decision was required so that more detailed planning could start and Alastair asked the Exec team to rate each option and complete the score card to enable the LMC view to be shared with the Clinical Senate Council.
Alastair also asked for LMC support to encourage clusters to submit details of schemes to be funded from the second wave of Winter pressures monies.
Following a discussion about waiting list initiatives Alastair suggested that the validation of waiting lists could be considered as a cluster based project.
Drs I Harris (Chair) (IH), S Hlaing (SH), J Kletta (JK), A Rayani (AR), N Shah (NS) Mrs M Liddell (Executive officer) (ML), E Harris (Secretarial assistant) (EH)
Dr E Rees
• LMC Executive Committee meeting – Tuesday 9th October 2018: the Minutes were approved and signed by the Chair.
The Cwm Taf paper was still under review
A meeting date with Judith Vincent had not been confirmed.
The Exec discussed whether the ES for shared care should be renegotiated and agreed that the full basket of Enhanced Services should be reviewed by the Liaison Group.
IH / AR
SH would attend future meetings of the Continence Steering Group on behalf of the LMC.
Issues raised previously were being taken forward by IH
There was one vacancy in Bridgend and four in the sessional /first five constituency.
JK commented that he found the presence of a pharmacist at cluster meetings was helpful. AR would attend a follow up sustainability meeting for a NPT practice on 18th December 2018.
AR had attended the meeting on 28th November 2018. A presentation about mainstreaming projects had confirmed the difficulties being voiced by clusters in taking schemes forward.
Clinical cover arrangements were in place to the end of March 2018. Continuing arrangements thereafter would depend on the sustainability of the arrangements put in place.
AR would attend a sustainability follow up meeting on 18th December 2018.
NS summarised the issues discussed at the meeting he attended on 29th November 2018.
A summary of expenditure to 30th November 2018 was tabled and reviewed. No queries were raised.
IH and ML had attended a GPDF workshop in Reading on 9th November2018. It had provided some clarity around the role and purpose of the GPDF. IH had highlighted the importance of Wales not being disadvantaged.
The Exec discussed GP representation in Wales. Due to ongoing discussions the structure of GPC Wales post April 2019 was not clear and it was hoped that the workshops would provide some clarification.
Dr Richard Evans would be invited to attend the LMC meeting on 12th March 2018 to discuss the deterioration in performance in respect of discharge summaries.
The draft minutes had been circulated.
The draft minutes* had been circulated.
No update reported
The draft escalation process had been forwarded to Karin Phillips, Deputy Director of Primary Care (WG)
The response across Wales had been very good. It was not clear yet how many practices in ABMU had signed up.
The process for re-sending incorrect lab results was being queried by IH with the DPO as it was thought to breach data protection regulations.
This had been discussed at length in the Liaison Meeting and was being taken forward by the Unit Nurse Director.
HD advised that the draft report had required changes although not all changes had been agreed by the CHC and the report had been circulated. The Primary Care Access and Sustainability Forum would review terminology used in future and take forward in respect of further reports.
14th December 2018: BMA House, London: AR/ML would attend.
Tuesday 19th (pm) and Wednesday 20th March 2019: Belfast: SH/JK/NS would attend as LMC reps. AR would attend as a GPDF rep.
JK had, on behalf of the LMC, attended the public meeting about the proposed closure of the day hospital. Representation from the public and other interested parties had been good and it was clear that the community did not want it to close. The information presented by the HB was felt to be confusing and misleading. A decision would be made in January 2019.
• Full LMC Meeting: Tuesday 8th January 2019 – The Mercure Hotel, Swansea SA7 9EG
• LMC Executive Committee: Tuesday 12th February 2019 – Venue tbc
• AGM: Tuesday 9th April 2019 – Morgans Hotel Swansea