Please excuse the American version of dates but this is the way I file things

The following is information from BMA through Andrew Barton

Any contravening views should be directed to the local LNC Chair and BMA IRO

FROM BMA COMMS  (Andrew Barton)

  1. North Central London. The North Middlesex University Hospital Trust has applied to join what it describes as the “Royal Free London group”, while West Hertfordshire Hospitals Trust is in talks to “buddy” with Royal Free. The Royal Free is one of three trusts in England working to create a chain of full-service hospitals, along with Salford Royal and Northumbria Healthcare foundation trusts. It is argued the group brings together the advantages of economies of scale for support services and also access to larger clinical teams who are able to sub-specialise and offer the best outcomes for patients. The RFL group is part of one of the new models of care ‘vanguards’ sponsored by the NHS nationally. At the moment it is undergoing an accreditation process to allow it to establish a group. Katie Fisher, Director of service transformation, from Royal Free London Foundation Trust will take up the chief executive role at West Hertfordshire Hospitals Trust this month.
  2. North Middlesex A & E Dept. The Care Quality Commission has taken the unprecedented step of telling the Trust they must improve their trust’s accident and emergency performance. The north London trust was inspected in April and the regulator has now issued a warning notice requiring the organisation to “significantly improve the treatment of patients attending the emergency department”. The CQC said the unannounced inspection: “Found the treatment model for patients was not effective. Inspectors found there were delays in the initial assessment of patients, in their assessment by a doctor and in moving them to specialist wards and that there were insufficient middle grade doctors and consultants.” The CQC said the trust had been given until 26 August 2016 to make improvements.

  3. South West London. All 6 of the CCGs (Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth) in this area have awarded an integrated urgent care contract – combining NHS 111 and out of hours services across several boroughs – to South London Doctors Urgent Care (SLDUC). All six have procured NHS 111 services from the provider but only Kingston, Merton, Sutton and Wandsworth CCGs have procured an out of hours GP service. SLDUC will run services for three years from October 2016, with the option to extend for a further two years. South London Doctors Urgent Care is a partnership between Vocare and South East London Doctors Co-operative (SELDOC). Vocare is an established provider of NHS 111 services nationally, while SELDOC manages the existing GP OOH contract for Sutton CCG, as well as contracts across south east London.
  4. Deanery/ London and SE HEE (4 LETBs). At a recent union partnership meeting we heard that the HEE LETBs would move from 13 across England to 4 in line with the four regions NHS England have adopted (South, London & the SE, Midlands, North). The HEE teams will then align themselves to workforce boards in the 44 England STP areas. 5 of these are in London (NW London, NC London, NE London, SE London, SW London).
    The PGMDE is still integrating across London and the SE; the consultation with staff will start in July and it is envisaged that there will be a need for 30% reduction in staff posts.
    There is currently a review on the lead provider arrangements in London (mdex).
    August 2017 administration and basic stuff.
  5. STP processes. Dr Gary Marlowe (our own Chair of LRC) as a member of city & hackney CCG, has accused the area’s sustainability and transformation plan process of being “not democratic” in the HSJ. He expressed concern about rules for the North East London STP board, which would allow decisions to be made by only two CCG chief officers. There are seven CCGs in the patch. In response, the CCG’s chair Clare Highton explained that STPs would not have access to transformation funding without the agreement of all member CCGs, but added: “While there was no statutory power to force membership of a STP, it may be impossible to continue financially outside of one.” The LRC is considering surveying GP members to ask them about how they feel about their involvement in the development of STPs.
  1. NHS Equality & Diversity Council. This body has published the inaugural report of the NHS Workforce Race Equality Standard (WRES), showing results of the experiences of BME and white staff from the staff survey 2015 at every NHS trust across England. If you are interested in seeing a copy let me know.


As a North East London Regional Consultant Committee Representative on the UK Consultants Committee I will be attending the 9th  June meeting of UK-CC.

Further info to follow