WARWICKSHIRE LOCAL DENTAL COMMITTEE Minutes of the Meeting Held on 9 July 2012 At The Clarendon Arms Kenilworth PUBLIC MEETING

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1 WARWICKSHIRE LOCAL DENTAL COMMITTEE Minutes of the Meeting Held on 9 July 2012 At The Clarendon Arms Kenilworth PUBLIC MEETING PRESENT R Wyld, A Deol, F Jamall, A Chustecki,, N Gibb, Mrs J Warham. Mrs R Atwal. IN ATTENDANCE L Yeates (Lay Secretary), R Cure, (Ex officio), E Crouch (Birmingham LDC and GDPC Rep) Mrs M Deol, A Dulia T Gide, A Andrade (Observers) APOLOGIES D Lunsford, D Longman, Mrs C Bars, M Jones(Members) Dr J Iola, Ms C Reece (Arden Cluster), Ms C McCarty (BDA) A Davey. INTRODUCTIONS. In view of the new visitors, members introduced themselves MINUTES OF THE LAST PUBLIC MEETING. Minutes of the public meeting held on the 14 May 2012 having been circulated were accepted as a true record and signed by the Chairman MATTERS ARISING Mr Wild asked if there had been any comment following Prof Lynch s attendance at the last meeting. Mr Yeates responded that no one had sent comments to him. IN THE ABSENCE OF PCT OR BDA REPRESENTATION THE CHAIR INVITED E CROUCH TO ADDRESS THE COMMITTEE. Mr Crouch asked if the local PCT cluster were beginning a campaign to look at inappropriate claiming by practitioners. Mr Gibb advised that no comments had been received from the PCT. There had been issues around Audits and Dr Iloya was looking at Practice Data analysis and vital signs. Mr Couch reported that there were national meetings regarding the development of a uniform contract management process which was being led by John Morris. He reported that the BDA were holding elections to the Professional Executive Committee.

2 Birmingham LDC were hosting a meeting on the 3 October 2012 at which Barry Cockcroft would present on the Changing NHS, the role of Local Dental Networks and the NCB Structure. The West Midlands LDC would meet on the 19 September 2012 at the Dental Hospital. Indications on national monitoring suggest automatic claw back on underperformance of 96%. Practices failing to achieve 30% of contact in the first 6 months of the year would be visited. The GDPC were working with the DoH on the Dental Pilot Evaluation although critically some of the early statistics were inconclusive. The pilot was looking at patient satisfaction, changes in skill mix, patient charges (which were down 5 million within the pilots) and extended hours of service The BDA were also talking to the DoH about HTMO 105 and potential changes. Mr Couch thanked members for allowing him to attend and left the meeting.

3 WARWICKSHIRE LOCAL DENTAL COMMITTEE Minutes of the Meeting Held on 9 July 2012 At The Clarendon Arms Kenilworth Members and Contractors Meeting PRESENT R Wyld, A Deol, F Jamall, A Chustecki, N Gibb, Mrs J Warham, Mrs R Atwal. IN ATTENDANCE L Yeates (Lay Secretary), R Cure (Ex officio), Mrs M Deol, A Dulka. T Gidda, A Andrade (Observers). APOLOGIES D Pulsford, D Langman, Mrs C Barrs, M Jones(Members), A Davey MINUTES OF THE LAST MEETING. Minutes of the members meeting held at the Clarendon Arms on Monday 14 May 2012 were confirmed by members and signed by the chair as a true record MATTERS ARISING. The Chair reported that the Liaison Meeting with the PCT had been cancelled and recorded his thanks to Mr Pulsford and Mr Langman who had agreed to continue as active members of the Committee CHAIRMAN S REPORT. Mr Gibb referred to the OFT Report on Dentistry comparing selling and services and the need to transparency of prices. Mr Gibb advised that meetings had taken place with the PCT Cluster and referred to the reports within the agenda. Whilst the capital funding was limited it had been agreed that it should be open to all practices to submit an application. He would be the assessor for the Coventry Practice Bids and a Coventry LDC member would be the assessor for the Warwickshire Practice bids so that there was clear governance. The Cluster meeting also discussed the current under activity in relation to PCT targets and the performance management of contracts. There had also been discussion about spot purchasing of additional UDAs which could become recurrent and allocation be based on assess with the potential for carry forward annual over performance to the maximum of the 104% level.

4 In relation to the spot purchasing no decision had been made as to whether average PCT wide UDA rates or practice UDA rates would apply. Members expressed the view that it should be practice UDA rates which reflected the local situation and practice costs. At the meeting Dr J Iloya had also provided an overview of some work being commissioned in Social Marketing targeted at the under fives and nursing mothers. The PCT were looking for a LDC member to sit on the project board to take this programme forward. F Jamall agreed to represent the LDC. Mr Gibb also advised that Dr Iloya had advised the group that he was working on a Dental Dashboard to be used as a practice monitoring tool within the PCT, he reported that both Warwickshire and Coventry LDC representatives and suggested that the Dashboard focus on vital signs and not nebulous analyses. Mr Gibb advised that he had met with Mrs Warham regarding the potential for her husband to develop an LDC web-site which could be used as a means of communication for contractors and improve the profile of the Committee and it s role. Mrs Warham advised that her husband as part of his business built web sites and if it was agreed she would be happy to take on the role of manager of the site in the short term. She had spoken with her husband about development costs and he had suggested a figure of 2500 would provide a basic site. Members discussed this and agreed to create a Sub Group Mrs Warham, N Gibb, F Jamall and R Cure. It was proposed to have a further report at the September meeting SECRETARY S REPORT. Mr Yeates reported that he had received a request from the PCT Cluster for a member to be appointed to the Primary Care Advisory Group. This group were the initial group which looked at performance issues of contractors before they were referred to the Performance Monitoring Group which David Pulsford sat on as the LDC representative. It was agreed that R Cure and Mrs C Barr share the role. He also referred to Mr Crouch s reference to the West Midland LDC and Mr Gibb advised that he would attend. Mr Yeates also circulated notes of two meetings with the PCT Cluster, a report of the LDC conference provide by Mr Pulsford together with a briefing he had prepared about the revised structure of the NHS following the issue of a report by the National Commissioning Board TREASURER S REPORT. Mr Chustecki circulated a report of the expenditure to date which had been prepared by the Secretary and would feature on all future agenda. Mr Chustecki referred to the members claim forms which had been circulated and which needed to be completed and returned to him in order that members payments could be made promptly and members would see an up to date expenditure plan at each LDC

5 meeting. It was agreed that the amounts detailed on the claim form be changed to attendance allowance of per meeting and mileage at 45p per mile ORTHODONTIC NETWORK. Mr Cure advised that the group were working on a letter for GDPs to give to patients being referred which set out why they were being referred. The group were also looking at KPIs and the potential problems of tendering for future contracts HEALTH AND WELL BEING BOARD STRATEGY. Mr Yeates referred to the invitation to submit comments upon the strategy and suggested that member take time to read the document and provide their comments by within the next two weeks CONTRACTOR ISSUES. Mr Gibbs reported that he had spoken with Mrs Judith Stocker regarding the MOS contracts. She fully supported the contract and the work of GDPs a meeting of the Clinical Network was being arranged and she would be attending the next LDC meeting DATES OF FUTURE MEETINGS. Members noted that future meetings were planned for: 10 September 2012 and 12 November 2012.

6 WARWICKSHIRE LOCAL DENTAL COMMITTEE Minutes of the Meeting Held on 9 July 2012 At The Clarendon Arms Kenilworth MEMBERS ONLY MEETING, PRESENT R Wyld, A Deol, F Jamall, A Chustecki, N Gibb, Mrs J Warham, Mrs R Atwal. IN ATTENDANCE L Yeates (Lay Secretary) FINANCIAL MANAGEMENT. The Chairman referred to a report which Mr Yeates had ed to all members regarding the current level of LDC funds and examining the options for future use of the money. Mr Yeates advised that when preparing the Treasurer s report on expenditure and the accounts for the auditor he became aware of the Committee s current funds and discussed with Mr Chustecki the level of funding and the options open to the Committee. He had then prepared the paper for members. Following discussion it was agreed that repayment of levy to contractors was complicated and costly and therefore should not be actioned. It was further agreed to continue the Levy Holiday until such time as the funds were reduced to The expenditure to be monitored at each meeting. The Chairman thanked members for their time and the meeting ended.