South East Staffordshire and Seisdon Peninsula (SES&SP) Clinical Commissioning Group (CCG) and Dudley CCG are seeking your views on a proposed CCG constitutional change. Moss Grove Surgery in Kinver has indicated that they wish to transfer from SES&SP CCG to Dudley CCG.
Many of the GP partners at the Kinver practice also manage a practice in Kingswinford and they have started to seek the views of patients on the proposal so that they may put in an application to merge the two surgeries. They have articulated their reasons for the proposed merger of the two practices as follows:
- Merging and transferring Kinver under the commissioning structure of Dudley CCG would improve access and choice to our Kinver/Kingswinford patients. As patients would be able to use services at both sites.
- It is currently harder to offer patients of both practices extended hours or extended access appointments in our Kinver surgery. Combining both surgeries will give a greater ability to manage variations in ‘on the day’ demand
- There will be improved continuity of care. Currently, patients are sometimes unable to see their preferred doctor as they are working across 2 surgeries; if the transfer and merger were accepted then patients could see doctors at either site.
- Merging would mean that it is easier to offer patients in Kinver access to nurse services for five days of the week.
- Clinics available now to Kingswinford patients (minor operations, IUCD clinics, injection clinics to name a few) would be available to all patients
- Currently the partnership works and supports two CCGs and two NHS England area teams. This increases workload on an already stretched partnership management team.
- Economy of scale across both clinical and administration areas in Dudley would be realised.
- It is hoped that the merger will improve recruitment and retention of staff to both practices.
It is not possible for the CCG to consider a merger application from practices in two separate CCGs so any proposal to merge is subject to a decision by NHS England on whether they support an application to amend the CCG Constitutional Boundary. This application is made by each of our CCG Governing Bodies to NHS England articulating whether we support the proposal or not.
We are seeking views on this matter to help our Governing Bodies reach a decision. We will of course also be taking into account the views expressed by patients at the two practices (as sought by the practice) and through our own involvement mechanisms.
Please find below a number of key points which may help you to reach an opinion on this matter:
- Kinver Practice has a list size of approximately 5480 patients.
- A vast proportion of these patients are resident in South East Staffordshire and Seisdon Peninsula.
- The majority of patients currently choose to use the hospital services in Dudley. These arrangements and patient choice would continue regardless of the host CCG.
In the event of a CCG transfer the responsibility for existing contracts for health services would transfer to Dudley CCG, the intention being to maintain access to services for patients as exists at present.
- Although there will be a single health commissioner, arrangements for the commissioning of social care and other Council services will remain the same
- In the event of a CCG transfer, the funding associated with patients registered at Kinver would transfer from South East Staffordshire and Seisdon Peninsula (SES&SP) CCG to Dudley CCG
- In the event of a CCG transfer NHS England have indicated that the practice would not transfer with any proportion of South East Staffordshire and Seisdon Peninsula (SES&SP) CCG financial deficit, this may create a challenge within that health economy. The application to NHS England is required by the 1st June 2018 with any agreed change happening the following April (2019).