AGM 26-5-2016

Agenda Open to All Havering GPs 7.00 – 7.15pm Where we are 2 years on Dr D Weaver, Chairman 7.15 – 7.30pm Q&A Chaired by Dr R Burack, Director Federated GP Practices only 7.30 – 7.40pm Statement of Accounts Dan Martine (Kingston Smith) 7.40 – 7.45pm Director Appointment 7.45 – 8.00pm Q&A Chaired by Dr K Kendall, Director

Minutes of the last AGM 12/11/14 37/48 practices (77%) patients 206,000/251,000 (82%) Future Projects: A&E Triage and Treatment Redesign & provision of the new, Urgent Care services. (£70- 140M) Physiotherapy Anticoagulation Phlebotomy Representing GPs in the NHSE/CCG agenda for Primary Care Transformation 11/18/2018

Vision A group of local GP practices who have agreed to work together to offer a well resourced, high quality health service provided by clinicians with expertise in, understanding of, and commitment to their local communities Conceived May 2016 Incorporated - July16 2014 11/18/2018

Where We Are 2 Years on: Overview Shareholders; Website & IT; BHRF Hubs UCC Anticoag Community Physio Workforce and Training Community Pharmacists New to Nursing HENCLE/ CEPN RTT APMS / Vulnerable Practice Scheme 11/18/2018

Where we are 2 Years on: Shareholders, Website 87% of Practices 93% Patients 6 Non-member practices: 1 Pending? / 1 closing? 91% & 96% www.haveringhealth.co.uk V3 BHRF/BHRGPS ltd 11/18/2018

Where we are 2 years on: Hubs Secured Tariff based 2016/17 Contract Up to 19,200 consultations PA - Core 1600PM across 2 sites 95% Appointments Used/Paid Quality/Satisfaction >98% Patient Satisfaction Responses April 2016 Total Responses 307 Satisfaction with Outcome Yes No   98.37% 1.63% Courtesy of staff? Very Helpful Helpful Neither helpful or unhelpful Not helpful 90.55% 9.12% 0.33% 0.00% FFT 99.67% If this service was not available 111 OOHs A&E Wait 4 GP 17.26% 20.85% 33.22% 28.66% Preferred a telephone call back from a doctor? Maybe 10% 75% 15% Operation since Sept 2014 >£862,839.96 11/18/2018

Where we are 2 years on: UCC BHRF Future ? £20K HH Investment - Safe 0800-2300 IUC 770 Patients/week (677 KGH) 24/7 25% of Queens Hospital Urgent attendances (29% KGH = 24/7) Challenges: Adastra Working Environment Prescriptions Printers Recruitment Real GPs Contract & Aligned Vision Jan 2015 HH Gross Share 31/3/16 - £60K 11/18/2018

Where We Are 2 Years on: Anticoag We have met challenges in delivering CCG Invoice payment GP Practices - 7 Pharmacies? - 9 Patients? – 1650 Future Warfarin NOAC’s? End 2014 11/18/2018

Where we are 2 years on: Community Physio Oct/Nov 2016-March 2017 One off – Future? 19/47 Practices 4 Sites 229 Patients Average of 4 sessions/pt 100% positive feedback to Quality Questions Overall Rating: 92% 5/5 8% 4/5 “Very helpful First Class Convenient Very helpful after a long wait for standard physio" 916 appts 11/18/2018

Where we are 2 Years on: Training & Workforce BHRF HENCLE / CEPN Nurse/HCA/Staff Training Community Clinical Pharmacists 60/40/20% 11 Clinical Pharmacists 7 Junior 3 Senior 3 Havering Practices New 2 Nursing 2 in Havering 11/18/2018

Where we are 2 Years on: RTT NEED 1000 Patients >52 week wait BHRUT Demand > Supply Commissioner and Acute Trust Need and will to engage OPPORTUNITY Virtual Specialist Advice Email Investigation Prescribing Community Specialist Clinics GPSI Training Minor Surgery Training / Mentorship Support Partnership Opportunities Third Parties Care UK BHRUT 11/18/2018

We Need YOU! Minor Surgeons Minor Surgeries GPwSIs Where we are now: RTT We Need YOU! Minor Surgeons Minor Surgeries GPwSIs Manager@haveringhealth.co.uk 07710 392 238 11/18/2018

Where we are 2 Years on: Learning from Mistakes APMS PQQ Capital Relevant Trading History Vulnerable Practice Scheme In-House vs Outsourcing Capacity / Expertise Communication/Control A life spent making mistakes is not only more honorable, but more useful than a life spent doing nothing. George Bernard Shaw A person who never made a mistake never tried anything new. Albert Einstein All men make mistakes, but only wise men learn from their mistakes. Winston Churchill 11/18/2018

Q&A Chaired by Dr R Burack 11/18/2018

CLOSED MEETING

Statement of Accounts Dan Martine – Kingston Smith

?Re-appoint or formal election? Director Appointment Too early to advocate a change in directors which at this stage would be significantly de-stabalising.  However, it is necessary to follow our agreed articles which set out a system for rolling director appointment which is also critical to avoid long term instability/discontinuity Training Learning Curve All appointed by election at last AGM Election Resource Dr Richard Burak Dr Dan Weaver ?Re-appoint or formal election? 11/18/2018

Q&A – Keith Kendall Improve & protect the quality of patient care and role and resource of General Practice Tell us what you want 11/18/2018

Minor Surgeons Minor Surgeries GPwSIs Manager@haveringhealth.co.uk We Need You: Minor Surgeons Minor Surgeries GPwSIs Manager@haveringhealth.co.uk 07710 392 238 11/18/2018