A DES of £5.25 per vaccine is available even if the patient is not vaccinated at the practice of their registered GP for example at a walkin centre. Therefore, data collection including refusal data is important; GPs need to be able to check on the data base whether an individual patient has been vaccinated. The cost to an individual practice (including capital costs and storage) could be greater than the £5.25 DES payment. Therefore the LMC will investigate how other LMCs are managing this discrepancy and arrange a meeting with Neil Buckton (PCT) to discuss the possibility of a LES.
Manufacturers expect to have the required product licence in October. One of the manufacturers is using a pork based vaccine allowing patients with an egg allergy to still be vaccinated.
The vaccination of patients belonging to any practice which has declined to sign up for the vaccination programme will need to be arranged.
3.3 The development of patient information literature concerning medical / dental / optician services on entering residential care is been developed. Patient choice was acknowledged as been central to the policy.
Action: Mrs J. Ross to collate information.
3.4 The response to the letter of proposal regarding GPs hours of work related to sickness / maternity payment is currently been collated and issues to be addressed will be identified by Mrs J. Ross.
3.5 PMS contracts: Initial meeting 5/10/09, Dr Horsburgh to attend and will feed back to LMC the outcome of the process.
3.6 Patient Access Survey appeals. Dr Horsburgh on behalf of the LMC attended the appeals meeting and will feed back process and outcomes once data is co-ordinated
Appeals have a statutory limit of three years; therefore there is still the opportunity to appeal.
4. CHAIRMAN’S COMMUNICATIONS
4.1 Triennial elections - nominations from GPs to serve on the Dudley LMC are currently being sought. Nominations from sessional and salaried GPs (these groups are currently under represented) are particularly welcome.
5. CORRESPONDENCE FROM THE BMA
5.1 GPC newsletter received, issues raised include swine flu, practice boundaries and revalidation. See LMC website.
5.2 Negotiating News received, issues raised include swine flu vaccination DES, MPIG, access and seniority payments.
6. CORRESPONDENCE FROM THE GPC WEST MIDLANDS
6.1 Nuts and Bolts conference 30/09/09 – GMC revalidation update. Lawrence Buckman GPC Chairman outlined negotiating policy for the next year. There will be a reduction in MPIG. QOF point indicators will be unchanged 2010 – 2011. National DES under spend - negs seeking to recycle money.
Please see LMC website for full report.
6.2 West Midlands QOF guide received – available from Secretary.