Agree it feels as though there is an attempt being made at coercion to cover 
those 16hours outwith the national DES specs in London, without appropriate 
remuneration. There was confirmation that the payment of £7.44 is per patient 
and therefore doesn’t specify the number or timing of hours of clinical 
contact. This needs to be pushed back against, but neighbouring PCNs bending 
and bowing to this will without challenge is going to make it difficult for the 
rest of us to take a stand. All if this before we've even begun to consider the 
2p per patient that appears to have disappeared.

Kind regards
Kamini

Dr Kamini Gautam
Lead GP KS Medical Centre
Clinical Director North Southall PCN
________________________________
From: MIKHAIL, Mark (NHS NORTH WEST LONDON CCG) via Nwl_cd 
<[email protected]>
Sent: Sunday, May 22, 2022 12:03:07 PM
To: ILLIAMS, Lesley (NHS NORTH WEST LONDON CCG) <[email protected]>
Cc: [email protected] <[email protected]>; WINFIELD, Cathy (NHS 
NORTH WEST LONDON CCG) <[email protected]>; PARK, Paul (NHS NORTH WEST 
LONDON CCG) <[email protected]>; Asiya Yunus <[email protected]>
Subject: [Nwl_cd] Re: Enhanced Access Pack for PCN CDs and practices


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We are getting somewhat mixed messages re paragraph 3 and the need to provide 
services on a sunday for example.
In a recently Ealing meeting, there was some concern raised about the 
expectation that we provide Sunday cover and Rachel Donovan (assistant head of 
primary care at NWL) advised that there is no requirement for PCNs to provide 
cover on sunday’s.
That said, the Local leads seem to waffle and they seem to be leaving their 
options open.
Many are concerned that there is an expectation to provide 16 hours extra (over 
and above the National offer) with no added remuneration.

The letter circulated clearly indicates that there is an added expectation 
‘this means that we have a higher starting point …’

We need to push back here as it is not feasible for PCNs to provide Sunday 
hours / additionally without remuneration.

I must advise that in Ealing some PCNs have gone ahead and submitted plans to 
offer Sunday provision and therefore it seems that given that there is a strong 
focus on equity across PCNs and a clear indication that not every PCN will be 
permitted to have a hub, PCNs who have not submitted
some mention of Sunday provision will eventually be coerced into providing some 
Sunday cover.


Kind Regards

Dr Mark Mikhail

Elected Clinical Director for N.Southall
Ealing GP Federation Vice Chairman
Ealing LMC elected member

GP Principal
Chepstow Gardens Medical Centre
150 Lady Margaret Rd
UB1 2RL
T 0208 574 2812

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> On 18 May 2022, at 17:09, Lesley Williams via Nwl_cd 
> <[email protected]> wrote:
>
> <Final NWL Enhanced Access Pack.zip>



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