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Member Practice Update

14 February 2020 








Welcome to the Member Practice Update


This weekly Member Practice Update is produced by NHS Redditch and Bromsgrove, NHS South Worcestershire and NHS Wyre Forest Clinical Commissioning Groups for circulation in your practice, to provide you with essential guidance, information and useful support.

Your views and feedback are very much appreciated. If you have any comments, suggestions or contributions for inclusion in the Member Practice Bulletin, please e-mail the communications team.

In this issue:

  1. Coronavirus Update
  2. PCN Update
  3. Infected Blood Inquiry
  4. New GP Payments and Pension System
  5. Data Provision Notice 
  6. Changes to FP10 NHS Prescription Form 
  7. GP Medical Education Academy 
  8. Patient Information Leaflet 
  9. Become a Veteran Friendly GP Practice 
  10. Multi Agency Adult MCA and DoLS Competency Framework 
  11. What Makes a Good GP Report?
  12. Prescribing Top Tip 
  13. Safeguarding Sub-Bulletin 
  14. Cancer Update: Herefordshire & Worcestershire 
  15. H&W STP Randomised Coffee Trials 
  16. Fuel poverty - Free Training 
  17. Medico-Legal Society
  18. NHS e-RS Training 
  19. Managing and Implementing Change Workshops
  20. Clinical Support for the H&W CCG

 

Find out about local and national events and training here

Redditch and Bromsgrove

South Worcestershire

Wyre Forest 

Herefordshire

  • No Redditch & Bromsgrove news 
  • No South Worcestershire News 

  • No Wyre Forest news




Coronavirus Update

Coronavirus GP Briefing February 14th 2020

Current position

Based on the World Health Organization’s declaration that this is a public health emergency of international concern, the UK Chief Medical Officers have raised the risk to the public from low to moderate. This permits and directs the government to plan for all eventualities. The risk to individuals remains low.

Every Thursday there is national webinar with Professor Keith Willett, National EPRR Lead, which updates the NHS on the current national situation and advises on any new guidance coming out imminently. From yesterday’s call we are now expecting updates to Primary Care guidance on patient communication requirements and decontamination guidance.

The Department of Health and Social Care (DHSC) has now confirmed that as of 13 February, a total of 2,521 people have been tested, of which 2,512 were confirmed negative and 9 positive.

Useful Links

DHSC will be publishing updated data on this page on a daily basis at 2pm until further notice.

Any change to public health advice will be published here first.

PHE materials have been updated to reflect the latest case definition and are available on the CRC. There are a range of translated materials on the site

Primary Care Assurance

Thank you for responding to my letter dated 31st January 2020 asking for assurance of your understanding and communication of PHE guidance with all your staff relevant at the time  and thank you all for stating you have put up the PHE Posters supplied. All practices responded and we have an excellent level of assurance that Primary Care in Herefordshire and Worcestershire is prepared and communicating as well as can be expected; given the changing nature, demand and clinical management requirements of this outbreak.

New Services set up to manage demand

I have outlined below what other providers have been required to put in place to ensure timely response to patients who require clinical assessment and swabbing; to reduce the impact on A&E and Primary Care as much as possible.

NHS 111 – All concerned or case definition symptomatic patients should be directed to NHS 111. The first question asked on this service is regarding Coronavirus. If this is the reason for the patient to call they are able to hear advice, speak to PHE Helpline if they want more advice and they can speak to a clinician if they have symptoms and meet the case definition. If they require further assessment and are not too unwell they are being directed to a NHS 111 Clinical Priority Assessment Pod.

NHS 111 Clinical Priority Assessment Pods - To support us to deliver the best service to patients, plans have been developed to avoid a surge in Emergency Departments and Primary Care due to Coronavirus.  Trusts have been asked to organise a “NHS 111 Coronavirus Priority Assessment Pod”, which will mean people with symptoms indicative of infection will get quick assessment, nasal/throat swab, while other patients also continue to get appropriate care. This service is accessed by phoning NHS 111. They can phone NHS 111 from the pod if they arrive before having done so.

In Herefordshire this is located on the Hereford Hospital site outside A&E.

In Worcestershire this is located at the Working Well Centre, Newtown Rd, Worcester.

Community service

In the coming days we will be commissioning a community service offer which will enable testing at home. This is not operating at the moment and a standard operating procedure was published Thursday 13th February which sets out what is required and what patients are in scope.

Primary Care Recording

As a precautionary measure, you were advised that Public Health England is working with national primary care recording organisations, such as EMIS, to ensure that any potential infection is identified, recorded, and tracked. To support this, the following EMIS National codes have been created to support the care and tracking of patients during this outbreak - these should have been made available to you in an emergency MKB update (MKB 159.1.0) which was to be released as soon as possible:

  • Exposure to 2019-nCoV (Wuhan) infection
  • Suspected 2019-nCoV (Wuhan) infection
  • Tested for 2019-nCoV (Wuhan) infection
  • Confirmed 2019-nCoV (Wuhan) infection
  • Excluded 2019-nCoV (Wuhan) infection




PCN Update

PCN Portfolio Role Development Grant Scheme – Success and Expansion

Expressions of Interest sought

Following the success of the first round of PCN Portfolio grants, we are really pleased to confirm we approved 26 grants from GPs across Herefordshire and Worcestershire and now have further funding available for more grants.

The scheme outlined here has been designed to retain existing GPs within the counties whilst enhancing an individual’s skills and knowledge in areas of interest to them, and supporting areas of need for Primary Care Networks in Herefordshire and Worcestershire. They encourage a different approach to tackling recruitment difficulties by encouraging GPs to adopt a portfolio approach to their employment options. The schemes are bespoke and flexible with the intention that all roles benefit local Primary Care Network needs and the wider health care system within Herefordshire and Worcestershire.

The STP is able to offer 6 individual educational grants of up to £3000 to existing GPs to support developing a portfolio role that creates additional expertise within Herefordshire and Worcestershire general practice and particularly within PCNs. These grants may be used to support a key learning objective such as funding a diploma (which would in time support work within Herefordshire and Worcestershire PCNs), support time to develop a GPwSI / GPwER post, further training in medical education or be used to develop a leadership role or research expertise.

For more information, please read the guidance and, if you are interested, complete the Expression of Interest form by 1st March 2020. If you have any questions please contact the Workforce Team

Developing Nursing Leadership for Primary Care Networks in the Midlands 

Sent on behalf of Amanda Callow, Senior Nursing Lead, NHSE and NHSI

Wednesday 18th March 2020 9am - 3pm
Aston Villa Football Club
Birmingham
B6 6HE

We wanted to make you aware of an event that we have organised with the national nursing team which aims to bring nurses, nurse leaders and other senior leaders together to agree the approaches and interventions needed to empower practice nurses (and potentially other clinicians as well) to become PCN leaders of the future.

This is an important time for nursing in this year of the Nurse & Midwife, and this event provides us with a fantastic opportunity to focus on empowering nurses across our healthcare systems.

During the day attendees will:

  • Share learning and ideas about what’s working, what needs to change and the support that’s needed to enable GPNs to engage and get involved in PCN development / leadership;
  • Gain an understanding of the national and local context around PCN’s and some of the key priorities
  • Hear from colleagues who will share their own experiences, offer some insights and hopefully some inspiration
  • Define a ‘call to action’; and
  • Agree next steps to help support the development of nurse leadership within PCN’s over the next 12 months.


This event is being facilitated by NHSI & NHSE national and regional nursing teams. It may be of particular interest to the following:

  • GPN’s & GP’s
  • Clinical Directors of PCN’s
  • Primary care leads
  • CCG chief nurses
  • Workforce leads

 

Please find the link for booking via NHS England Events. The agenda will be forwarded once finalised.

If you have any queries about the day then please do not hesitate to contact Jane Hubble, Lead Nurse Primary Care, Regional Advisor to NHS England and NHS Improvement for the General Practice Nurse Ten Point Plan (Midlands) or myself.

We very much look forward to seeing you at the event. 




Infected Blood Inquiry

Sent on behalf of NHS England and NHS Improvement

NHS organisations were contacted in April 2019 regarding the Infected Blood Inquiry – details of which are included below as Annex A – reminding about the retention of relevant records and explaining how the NHS can support the Inquiry and patients/families who may have been affected. 

Read more




New GP Payments and Pension System

You may already be aware that a new GP Payments and Pension system is being launched by Primary Care Support England (Capita) in May 2020 to replace the current Exeter/NHAIS system. The following update has been published on the PCSE website:

Transforming how we support you – PCSE Online for GP Payments and Pensions

"As part of the services transformation programme, PCSE is looking to simplify the process for submitting, calculating and processing payment claims and pension information.

Currently, GP practices use a mixture of paper forms, email and computer systems to submit payment and pension requests. In May 2020 PCSE is introducing PCSE Online for submitting and reviewing this information, which will provide users with a simpler, more efficient, and fully tracked payments and pensions administration service.

More information will be available over the coming months. To find out more information about the new online services please visit the What’s Changing section of the PCSE website.

Each GP practice will receive a letter from PCSE at the end of February with further information and requesting the name of a practice specific system administrator. We have been advised that training for the new system will begin in March for all practices and CCGs.

The CCG will provide further information when it is received and will look to support practices in this transition wherever possible. As there will be no double running of the current and new system, the CCG are ensuring plans are in place to maintain practice payments in May should any unforeseen issues arise with the first payment on the new system.




Data Provision Notice

Practice sign up required for Data Provision Notice: GP Appointments Data Collection in Support of Winter Pressures v2: Categorisation

The following service has been offered out to practices centrally by CQRS (6 February 2020):

  • GP appointments in support of winter pressures v2


This is a participation only service, no data will be recorded in CQRS and it replaces the existing GP appointments in support of winter pressures collection.

Practices should have received the Data Provision Notice outlining the collection, and further information can be found on the service page and on the publication page.

All practices should now sign up to this participation service on CQRS commencing in February 2020 with the first collection expected to take place during March 2020.




Changes to FP10 NHS Prescription Form

Briefing on changes to FP10 NHS prescription form and EPS Tokens Jan 2020

New NHS prescription forms and EPS Tokens have been introduced in England from January 2020 following “Changes to the FP10 NHS Prescription Form” guidance produced by the Department of Health and Social Care (DHSC) and NHSBSA. These have been introduced to make it easier for eligible patients to correctly claim the exemptions to which they are entitled to free NHS prescriptions and avoid penalty charges.

Read more




GP Medical Education Academy

Launch of the Herefordshire and Worcestershire GP Medical Education Academy

Thanks to the General Practice Forward View and NHS England’s Four Pillars Targeted GP Retention Programme, Herefordshire and Worcestershire CCGs GP Workforce Team has funding to support the development of GP Medical Education Academy. The scheme outlined in the flyer has been designed to retain existing GPs within the counties whilst enhancing an individual’s skills and knowledge in Medical Education and supporting education and learning needs within Primary Care Networks in Herefordshire and Worcestershire. The GP Academy will encourage a different approach to tackling recruitment difficulties by encouraging GPs who have an interest in medical education to support teaching, education and supervision of near peers.

We have worked with the University of Worcester to develop a 3 day training course which supports this exciting initiative. To minimise impact on practice, we have planned ‘Sunday-Tuesday’ training dates. The CCGs are able to offer funded places for interested GPs.

Please see the flyer for more information on the academy, the training and how to apply. The closing date is 14th February but we are happy to receive late applications until end of February 2020.




Patient Information Leaflet 

The 2 Week Wait Bowel Cancer Telephone Assessment Pathway. 

Read more




Become a Veteran Friendly GP Practice

The Royal College of General Practitioners is working with NHS England and NHS Improvement to accredit GP practices as 'veteran friendly'. This is just one of several initiatives being undertaken to improve NHS care for the Armed Forces community (which includes serving personnel, regulars and reserves, veterans and their families). To date, we have 15 Worcestershire practices and 9 Herefordshire practices who have been accredited as Veteran Friendly.

CQC website mentions the programme in the Tips and myth busters for GP practices where the CQC's Senior National GP Advisor shares agreed guidance to best practice for surgeries to consider. Nigel's surgery 93: Caring for veterans and their families explains that members of the armed forces community are part of the population group ‘people whose circumstances may make them vulnerable’ checked by CQC, and the veteran friendly accreditation is listed as a resource to support GP practices in care for veterans and their families.

If you are interested in being part of this scheme sign up for free to start the process.

In summary, accreditation consists of five elements:

  1. Ask patients registering with the surgery if they have ever served in the British Armed Forces.
  2. Code it on the GP computer system. We recommend using 'English' rather than Read codes as these vary according to which computer system is used. Having changed the Read codes available and removed derogatory codes such as 'dishonourable discharge', we recommend that the term 'Military Veteran' is used. It is therefore very simple.
  3. Have a clinical lead on veterans in the surgery. This should be a registered health care professional, but could be a nurse or paramedic, not just a GP.
  4. This clinical lead is required to undertake dedicated training, attend training events (RCGP or other provider), stay up to date with the latest research and innovations and ensure that the practice is meeting the health commitments of the Armed Forces Covenant. They should also be available to provide advice to colleagues, as well as possibly seeing veterans themselves.
  5. Eligible practices should have a CQC 'good' rating or higher.

 

Accreditation lasts three years. 

Whilst this is a voluntary initiative, this is set out as a key commitment in the NHS Long Term Plan, which states: 'To ensure all GPs in England are equipped to best serve our veterans and their families, over the next five years we will roll out a veterans accreditation scheme in conjunction with the Royal College of GPs.'

Being accredited means that a practice can better identify and treat veterans, refer them, where appropriate, to dedicated NHS services (such as the Veterans' Mental Health Transition, Intervention and Liaison service (TILS), the Veterans' Mental Health Complex Treatment Service (CTS) and the Veterans Trauma Network) and capture better epidemiological data to improve future health provision. It also means that the NHS is better able to meet the health commitments of the Armed Forces Covenant, whereby the Armed Forces community, including veterans, should face no disadvantage in accessing health services and should receive priority care for military attributable conditions, subject to clinical need. 

Accredited practices are provided with an information pack to help increase their understanding of the health needs of veterans and services available to them.

Accreditation is currently open to GP practices in England. We are working with the Devolved Nations to extend the programme.

For further information, please email veterans@rcgp.org.uk or call 020 3188 7649




Multi Agency Adult MCA and DoLS Competency Framework

Following a Safeguarding Adult’s Review carried out by Worcestershire Safeguarding Adults’ Board, a recommendation was made for the Multi Agency Adult MCA and DoLS Competency Framework to be circulated to all GP Practices in Worcestershire.

This framework has been produced to support partner organisations in the development of a workforce that is competent and effectively trained in the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) practices and which is continuously improving. It outlines the sets of competencies required for particular categories of job roles.

Previously MCA & DoLS training has been based upon attendance at training at a range of levels. However, completion of training does not evidence a worker’s competence in any particular area or task, only that they have attended a training course.

This framework sets out a competency based approach to enable all staff working with adults to develop their skills. It is designed to raise standards and promote a consistent and appropriate response to adults whose mental capacity may be in question. It has been devised to provide a baseline for demonstrations of competence by staff who support adults.

For further information please contact the Worcestershire CCGs Safeguarding Team on 01527 482920 or email.




What Makes a Good GP Report?

What makes a good-quality GP report for an Initial Child Protection Conference?

Under the Children Act 1989, when safeguarding concerns arise in England, local authorities (LAs) have a statutory responsibility to carry out a Section 47 Enquiry. This may lead to an Initial Child Protection Conference (ICPC), which relies on collating pertinent information from relevant agencies. Because GPs are a key health representative, who may hold crucial information in their records, they should be invited to submit a written report for and, if able, attend the ICPC. GPs have been poor attenders at ICPCs and locally it has been found that offering teleconferencing as an alternative to attending in person was not taken up.

Read more




Prescribing Top Tip

This week's Prescribing Top Tip is regarding Generic Prescribing of Solifenacin




Safeguarding Sub-Bulletin 

This month's Safeguarding Sub-Bulletin features:

  • 798 MCA and DoLS – refresher
  • Mental Capacity Act & Deprivation of Liberty Safeguards Training
  • Worcestershire Safeguarding Children Partnership (WSCP) Events
  • Reducing Parental Conflict
  • Safeguarding Children Level 2 and 3 – dates for new staff only
  • Safeguarding Adults Level 3
  • Adult Safeguarding: How To Be Green
  • Domestic Abuse Training by Sarah Wigley Associates
  • Raising Awareness of Exploitation and Vulnerability
  • Trauma recovery focused practice with unaccompanied asylum seeking children and victims of modern slavery
  • WHCT Policy on cancellations and sickness

 

Read more




Cancer Update: Herefordshire & Worcestershire 

As part of the evolving patient centred followed up for breast cancer the breast surgical team are now issuing treatment summaries in place of the traditional discharge summaries. These entail the purpose of treatment (curative/ palliative), expected short and long term effects from treatment and their follow up. 

Read more




H&W STP Randomised Coffee Trials

The STP is arranging for colleagues across the system to link up using the Randomised Coffee Trial method. You can opt into the programme and be randomly paired with a colleague working across the health and care system in Herefordshire and Worcestershire and arrange for a telephone, skype or even face to face coffee to learn about each other’s roles. If you’re interested in signing up, please watch this YouTube video which includes details of how to sign up at the end.




Fuel Poverty - Free Training

Sent on behalf of Angela Eason, Energy Adviser, Act on Energy

Act on Energy are providing free training for front line practitioners who come into regular contact with vulnerable consumers. Following the training practitioners will be able to:

  • Identify the causes of fuel poverty and know how this can affect people
  • Spot the signs of fuel poverty
  • Support people in practical ways to save energy and money

 

Frontline practitioners who would benefit from this training include those from housing and health, neighbourhood teams, Age UK, CAB, those working with Care Leavers, District Council staff, Social/Welfare staff, Age UK, librarians, contractors and others.

The Big Energy Saving Network is an assisted action project made up of local community groups and charities across the United Kingdom. The aim is to provide advice on energy saving in the home, switching energy suppliers, different energy tariffs and available support to help vulnerable households stay warm and lower energy bills.

Act on Energy who are delivering the training on behalf of BESN have been providing energy saving advice and support to vulnerable people in the West Midlands for over 20 years.

If you have any queries or need further information please do not hesitate to contact me.  

Book here




Medico-Legal Society

Military patients: dispelling myths and looking after patients

Thursday 17th March 2020 7:30pm
The Courtroom
School of Law
Jenny Lind Building 
Farrier Street
Worcester 
WR1 3BZ

Read more




NHS e-RS Training

A further date has been released for e-RS training via Skype on Wednesday 18th March. The session is aimed at learners who would like to find out more about the functionalities available to referrers and referring teams. There are also sessions available for service providers and provider teams.  

Further information and details on how to book can be found via the e-RS website.

Please cascade this message to anyone within your organisations that might find it useful. 




Managing and Implementing Change Workshops

The Practice Manager Development Team have secured funding to support three Managing and Implementing Change workshops. This is a follow-on from the Working at Scale workshops which were held in May/June of 2019

The intent of the session is to give Practice Managers and any other appropriate staff the headroom to focus on how they would like to work within their PCNs. The session will focus on a variety of change models to support our changing environment, with time to consider what might work for their respective PCN.  There will be time built into the session for networking/best practice sharing and discussion within groups on how these change models could work to support individual PCNs. 

Based on feedback from the previous sessions we found that PMs attending in PCE groups got the most benefit from the sessions.

For more information see the flyer here, or click the following links below to book the session you would like to attend:

7 April 2020 - Avoncroft Museum - Bromsgrove

28 April 2020 – Worcestershire YFC - Worcester

19 May 2020 - Hereford Racecourse - Hereford




Clinical Support for the H&W CCG 

Herefordshire and Worcestershire CCG – which will become established on 1st April 2020 – is looking to recruit GPs to support the following workstreams, with effect from 1st April 2020.  A number of these roles will cover both Herefordshire and Worcestershire whilst others will be county specific, identified by the X below.

Read more




Safeguarding Training Events for Herefordshire

22nd May 9am until 4pm – Russet Room, St Owen’s Chamber, Hereford with trainer Tabetha Darmon

21st July 9am until 4pm – Russet Room, St Owen’s Chamber, Hereford with trainer Tabetha Darmon

Book by emailing Sally-Anne Evans via the Central Business Support inbox.