Local GP Provider Contracts Committee
The CCGs Local GP Provider Contracts Committee (LGPPCC) meets regularly in public in two parts, with ‘Part One’ conducting business and reaching decisions relating to primary care commissioning (delegated from NHS England). ‘Part Two’ considers proposals and provides advice, assurance and recommendations on the CCGs other business with GP providers. Both parts meet within the same Committee to ensure that this business is transacted in a transparent and robust way, free from conflicts of interests.
NHS England (NHSE) has delegated the exercise of most of its primary care commissioning functions to the CCG. The LGPPCC functions as a corporate decision-making body for the management of the delegated functions and the exercise of the delegated powers and reports on its decisions to the CCG Governing Body. The role of the LGPPCC within ‘Part One’ of its meetings shall be to carry out the functions relating to the commissioning of primary medical services under section 83 of the NHS Act. This includes the following:
- Commissioning of General Medical Services (GMS), Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contracts (including the design of PMS and APMS contracts, monitoring of contracts, taking contractual action such as issuing branch/remedial notices, and removing a contract);
- Newly designed enhanced services (“Local Enhanced Services” and “Directed Enhanced Services”);
- Design of local incentive schemes as an alternative to the Quality Outcomes Framework (QOF);
- Decision making on whether to establish new GP practices in an area;
- Approving practice mergers;
- Making decisions on ‘discretionary’ payment (e.g., returner / retainer schemes).
The LGPPCC will also carry out the following activities within the ‘Part Two’ of its meetings on behalf of the CCG GB:
- To review the proposals for all CCG commissioned services from local GP providers;
- To review the contracting strategy for the service proposals and ensure integration with other commissioned contracts to ensure collective delivery of metrics;
- To review the contracting route for proposals taking into account legal and advice from the CCG Head of Contracts and CCG’s commissioning support provider (currently North East London Commissioning Support Unit (NELCSU));
- To ensure that contractual arrangements promote improved performance and that financial and clinical incentives are aligned;
- To review procurement processes after completion, ensure process was followed, endorse the recommendation to award a contract and recommend these to the CCG GB, providing assurance on the process;
- To take advice from the Audit Committee (AC) and CCG GB and follow any framework they suggest for initiatives and / or procurement;
- Consider, scrutinise, review, and agree the associated service specifications and contractual arrangements where:
- There is the potential for contracting with local GP providers for list based services or primary care / out of hospital services, including GP out of hours services;
- Where local GP providers are a potential provider under any procurement exercise.
- To ensure that the contractual proposals will achieve health improvement and represent value for money;
- Ensure that these proposals reflect a good use of public money and represent value for money, will deliver clinical outcomes and improved performance and are within the commissioners statutory responsibilities;
- Reach decisions on formal primary care related contractual arrangements;
- To review and assess any Key Performance Indicators (KPIs) and contractual metrics and the basis on which contractual payments would be made and provider performance assessed and ensure that these are challenging and robust;
- The CCG GB has delegated power to the LGPPCC to review and decide on requests for payments to be made under the contracts that have been entered into with primary care providers. The LGPPCC will review whether the control processes (established by the CCG to ensure that services have been properly delivered by the providers under these contracts) have been followed in practice, conflicts of interest appropriately managed and decide whether these payments are proper and can be released by the CCG;
- To ensure that in developing service specifications and contract proposals all conflicts of interest have been managed in line with the CCG Conflicts of Interest policy and the CCG Constitution;
- The LGPPCC will also receive regular reports from the CCGs GP Confederation Oversight Group (GPCOG) (see Terms of Reference for that body), and in doing so provide assurance to the CCG GB that the contracts commissioned from the GP Confederation are delivering requirements and continue to provide both population coverage and value for money and that the Confederation is a robust safe high quality provider. The Committee can also suggest items for the GPCOG to consider and scrutinise.
Local GP Provider means a GP practice operating in the CCG area and/or a company, mutual or other corporate entity (whether social enterprise or otherwise) with GP members (who are also members of the CCG) that provides or is seeking to provide health care services in the CCG area.
The members of the LGPPCC are:
Honor Rhodes, CCG Lay Member and Chair of LGPPCC Part One
Jaime Bishop, CCG Associate Lay Member and Chair of LGPPCC Part Two
Chris Gallagher, CCG Secondary Care Consultant
Siobhan Clarke, CCG Governing Body Nurse
Jane Milligan, CCG Accountable Officer
Sunil Thakker, CCG Chief Finance Officer
David Maher, CCG Managing Director
Declarations of interest for the Committee members are contained in the CCGs Register of Interest.
Meetings are typically held on the last Friday of each month, they are rarely held on other days.
All meetings are open to the public. Past meeting papers are available at Meeting papers