Dear Rashmi
It would be helpful if you could please confirm how the borough team are 
planning to support your PCN to carry out this additional work to the DES as 
they cannot expect you to carry out additional work unresourced.
Many thanks
Lesley

Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Tel:  020 7387 2034 ext *221
Direct Dial:  020 3818 6221
Mobile: 07768 109690
Email: [email protected]<mailto:[email protected]>
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Twitter: @LondonwideLMCs

From: SINGH, Rashmi (CLIFFORD ROAD SURGERY) <[email protected]>
Sent: 05 June 2022 13:55
To: Cathy Winfield <[email protected]>; MIKHAIL, Mark (NHS NORTH WEST 
LONDON CCG) <[email protected]>; Lesley Williams <[email protected]>
Cc: Paul Park <[email protected]>; Asiya Yunus <[email protected]>
Subject: RE: [Nwl_cd] Re: Enhanced Access Pack for PCN CDs and practices

In addition to Saturdays.
Dr Rashmi Singh
Hounslow GWR PCN CD

From: Cathy Winfield via Nwl_cd 
<[email protected]<mailto:[email protected]>>
Sent: 01 June 2022 15:35
To: MIKHAIL, Mark (NHS NORTH WEST LONDON CCG) 
<[email protected]<mailto:[email protected]>>; ILLIAMS, Lesley (NHS NORTH 
WEST LONDON CCG) <[email protected]<mailto:[email protected]>>
Cc: [email protected]<mailto:[email protected]>; PARK, Paul (NHS 
NORTH WEST LONDON CCG) <[email protected]<mailto:[email protected]>>; 
Asiya Yunus <[email protected]<mailto:[email protected]>>
Subject: [Nwl_cd] Re: Enhanced Access Pack for PCN CDs and practices


This message originated from outside of NHSmail. Please do not click links or 
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Hi,
Really surprised that there are some PCNs who are offering Sundays - can I just 
check is this as an alternative to Saturdays or in addition within the same 
funding envelope???


Cathy Winfield
Director of Primary Care
Londonwide LMCs
Mobile: 07458 144381
Email: [email protected]<mailto:[email protected]>
Diary management: [email protected]<mailto:[email protected]>


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-----Original Message-----
From: MIKHAIL, Mark (NHS NORTH WEST LONDON CCG) 
<[email protected]<mailto:[email protected]>>
Sent: 22 May 2022 12:03
To: Lesley Williams 
<[email protected]<mailto:[email protected]>>
Cc: [email protected]<mailto:[email protected]>; Cathy Winfield 
<[email protected]<mailto:[email protected]>>; Paul Park 
<[email protected]<mailto:[email protected]>>; Asiya Yunus 
<[email protected]<mailto:[email protected]>>
Subject: Re: [Nwl_cd] Enhanced Access Pack for PCN CDs and practices
Importance: High

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]<mailto:[email protected]>> wrote:
>
> <Final NWL Enhanced Access Pack.zip>



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