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Member Practice Update

12 October 2016

Welcome to the Member Practice Update

This regular Member Practice Update is produced by NHS Redditch and Bromsgrove CCG, NHS South Worcestershire CCG and NHS Wyre Forest CCG 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 ccgcomms@worcestershire.nhs.uk

In this issue:

  • No Redditch & Bromsgrove CCG news.

  • No Wyre Forest CCG news.


Releasing Capacity and Fulfilling the Potential of Primary Care Event – 9 November 2016 - LMC & CCGs Countywide Development Day

Over the past couple of weeks there have been items in the Member Update asking practices to save the 9th November for a countywide event hosted by the three Worcestershire CCGs and the LMC.

Dr Robert Varnam will be leading the day which will focus on Releasing Capacity in General Practice and looking at ways we can move forward with the MCP model with a focus on collaborative working. This is a dedicated training session to allow GPs and other practice staff the opportunity to learn about the most up to date information on particular subjects which underpin the key priorities for healthcare in Worcestershire right now. The morning will consist of a series of discussions on what is happening in other areas and how we might move forward in light of the General Practice Forward View and the development of MCPs. The afternoon will focus on breakout sessions offering a range of topics for practices to choose from, all with the common themes of releasing capacity and collaborative working. From 15:30 - 16:30 Dr Robert Varnam will be holding a post workshop ‘Surgery’ session for those that would like to stay and continue the discussion. A full agenda is available to download here.

The event will be held at the Chateau Impney Hotel & Exhibition Centre, Droitwich Spa, Worcestershire, WR9 0BN and lunch will be provided.

There is funding to provide backfill for one GP for the event via the Promoting Clinical Excellence contract but we recognise that this is an event that practices may want to send more than one GP to. In order to support as many GPs attending as possible the CCGs are working on providing clinical coverage via the Out of Hours provider Care UK to those practices that may want to close for the day so a majority of their GPs can attend. In order to do this we will need a clear idea of which practices would be interested in closing so we all interested practices need to  contact Denise Horton by Wednesday 19 October 2016 so that we can arrange appropriate cover.

A booking form will be sent to all practice managers on Monday 17 October. These will need to be completed and returned to Denise Horton by 25 October so that numbers can be determined.

Please feel free to contact Denise Horton with any question you may have regarding the event. We look forward to seeing you there.

GP Online Services

A range of materials are now available on the NHS England website to help raise awareness of GP Online Services* and encourage patients to engage with the service.

The resources available include posters, leaflets and appointment cards and can be ordered via this link:

A toolkit has also been developed to support practices in promoting the services via practice websites, the press and on social media. This can be accessed via this link:

A series of one-hour webinars are available to all GP Practices across Midlands and East Region to find out more about Patient Online and how it can benefit practices. Webinars at the end of October and November will highlight how Patient Online will save time during the busy flu season. Details of forthcoming webinars are shown below.

Thursday 20 October 2016 - 13:00 - 14:00 - Join Online - Meeting Number: 958 049 384

Tuesday 25 October 2016 - 13:00 - 14:00 - Join Online - Meeting Number: 951 338 538

Wednesday 2 November 2016 - 13:00 - 14:00 - Join Online - Meeting Number: 955 474 287

To join any of these meeting by phone call: 0800 917195 - Access Code: 848 080 56

* Please note that Patient Online is being re-branded as GP Online Services for public facing activities only.

Healthier You - Diabetes Training

Come and find out about a new local prevention programme for diabetes - 'Healthier You Worcestershire'.

Wednesday 23 November 2016 -  13:00 - 15:00 at Crown and Sandy’s Hotel, Main Road Ombersley WR9 OEW (Lunch from 12:30 onwards.)

Download the flyer here

Please send an RSVP to Catherine Day before October 31st to confirm your attendance.


NHS Health Check Service Tender Now Live

The tender for NHS Health Check Service 2017 is now live on the Council's INTEND system.

If you haven't already registered with INTEND please either go to the home page and follow the instructions to register or go directly to the Registration link and follow the instructions:

Please remember to state within your business category "Healthcare".  

If you have any questions please submit them through the INTEND system.

Prescribing Top Tips

Targinact® is a modified release opioid analgesic containing oxycodone and naloxone. The naloxone component is intended to counteract opioid induced constipation, but there is poor evidence that this product offers any extra patient benefits from either an analgesia or constipation perspective.

The use of Targinact® for the treatment of severe pain is therefore not supported for patients registered with a GP in Worcestershire or those patients resident in Worcestershire but not currently registered with a GP.

For more information read the full top tips document here.

Data Collections

There are three requests for data, two of which are mandatory collections, now open for completion/submission.
i) Workforce Data Collection for Worcestershire Practices

A workforce data collection survey was sent to all Worcestershire practices on 20 September 2016. Thank you to the number of practices that have already responded. This request asks for additional information that is not supported in the NHSE tools such as skills and managing future vacancies. This will allow us to focus our planning on those areas which you feel will most greatly improve our workforce position. The templates are attached and should be completed and returned to denise.horton@worcestershire.nhs.uk by 31 October 2016.

ii)  A new “Biannual Extended Access” collection.
The first return is now open from 3 October 2016 and closes on 31 October 2016. This will set out what access to appointments the practice offers to patients either itself or through other arrangements, seven days a week.

This module will be made automatically available to GP practice staff who currently have ability to submit mandatory data returns to NHS England in the NHS England primary care website
www.primarycare.nhs.uk Congratulations, and thank you, to the 19 Worcestershire practices who have already completed this return!
If you are a new practice manager or senior partner and require access, please ensure you have registered to use the primary care website here https://www.primarycare.nhs.uk/register.aspx and contact your NHS England regional team to request relevant access.
Further guidance is available here: https://www.england.nhs.uk/commissioning/gp-contract/
For further questions about the collection itself, for example clarification of the survey questions please contact england.gpaccess@nhs.net
iii) Workforce Minimum Data Set (wMDS)

The submission window is now open from 3 October 2016 and closes at 12.00pm on 26 October 2016.

This collection captures data about the GP practice workforce as at 30th September and any absence and vacancies between 1 April 2016 and 30 September 2016. The data is vital to address workforce pressures in primary care for the future. Congratulations, and thank you, to the 16 Worcestershire practices who have already completed this return!

Further guidance is available here: www.digital.nhs.uk/pcwt 

For further questions about the wMDS collection please contact NHS Digital at enquiries@nhsdigital.nhs.uk

Mandatory Safeguarding Training

Following the requirements of the CCG, CQC and NHS England, an audit of GPs that have attended Safeguarding Adults training in 2015/16 has been undertaken. This returned that only 10% of GPs in the county have achieved the Level 3 training which is a mandatory requirement.

In order to ensure that all GPs and Practices meet Level 3 competencies as a statutory requirement under the Care Act, further training sessions are being facilitated as below:

Safeguarding Children Level 3

Wednesday 19 October 2016 - 13:30 - 16:30 – Pershore Medical Practice - Pershore

Wednesday 9 November 2016- 13:30 - 16:30 – CHEC - Worcester

Wednesday 23 November 2016 - 13:30 - 16:30  – POWCH - Bromsgrove

Thursday 8 December 2016 - 13:30 - 16:30 – Great Witley Surgery - Worcester

Wednesday 11 January 2017 - 13:30 - 16:30 – Barbourne Health Centre - Worcester

Thursday 9 February 2017 - 13:30 - 16:30 – Severn Valley Medical Practice - Worcester

Safeguarding Adults Level 3

Wednesday 19 October 2016 - 13:30 - 16:30 – Alex Hospital - Redditch CANCELLED!

Tuesday 22 November 2016 - 13:30 - 16:30 – Venue TBC

Wednesday 14 December 2016 -13:30 - 16:30 – Barnsley Hall - Bromsgrove

Thursday 23 February 2017 - 13:30 - 16:30   – Venue TBC

Thursday 6 April 2017 - 13:30 - 16:30 – Upton Surgery - Worcester

It is important that all GPs achieve the safeguarding training at Level 3 as set out in the RCGP Inter-collegiate document. It is also important to evidence that all relevant practice staff meet the outcomes set out in the CQC Provider Handbook for GP practices.

Please book a place on the training courses by emailing Charlotte Keogh with the date of the training session you would prefer.

New Community Stoma Care Pathway

A new countywide service to support stoma patients has been approved.

A team of Stoma Nurse Specialists working in partnership with the CCGs will offer a new community stoma care service throughout Worcestershire. Patients will be followed up via a clear pathway which will ensure patients are receiving appropriate support and advice to manage their stoma. It will also assist practices in ensuring that all products are efficiently prescribed.

New stoma patients will be referred to the community stoma care team provided by the Coloplast Care Nursing Service on discharge and all existing patients receiving prescriptions for stoma products will be eligible for review by the specialist nurses.

The community stoma care team will accept written referrals. In addition practices will be provided with a dedicated answer phone line to refer patients. Self-referrals from patients will also be accepted via this route. Once referred to the service patients will be offered a yearly review as well as ad-hoc reviews as needed. Community Clinics will be provided from a variety of locations throughout the County to give patients access to stoma care nearer their home. Housebound and care home patients will be visited in their place of residence.

There will initially be a number of existing patients who will require referral to the new service. The medicines commissioning team will be contacting your practice shortly for help in providing information to and referring these patients. In the meantime if you have any queries please contact a member of the medicines commissioning team.

New Paediatric Sexual Assault Service for the West Midlands

Birmingham Community Healthcare NHS Foundation Trust and its partners have been successful in their bid to deliver the Regional Paediatric Sexual Assault Service (PSAS, sometimes referred to as SARC (Sexual Assault Referral Centre). The contract to provide the service commenced on 1 October 2016, was designed to provide a high quality and readily accessible, 24/7, one-stop open access sexual assault service to victims of rape, sexual violence and sexual abuse for children and young people aged 0-17 years.

Leaflets relating to the new Paediatric Sexual Assault Service for the West Midlands are now available:

(A child friendly leaflet with more age-appropriate content is currently being produced, which will be available locally at each Sexual Assault Referral Centre).

Worcestershire Safeguarding Children Board - Escalation Guidance Survey

Following the refreshed Escalation guidance Worcestershire Safeguarding Children Board (WSCB) is undertaking a large scale survey asking practitioners, managers and safeguarding leads if this process has been implemented in practice. The WSCB escalation process sets out the steps to be taken to address professional differences of opinion when a child requires a safeguarding response.   

The survey is available at: https://www.snapsurveys.com/wh/s.asp?k=147204184083 and will close on 20 October 2016.

WSCB requests that you complete this short survey (which will take five minutes) and will provide very valuable information on awareness and use of the process. Please forward this email to colleagues so that they can take part in the survey.

We are aware from Learning reviews and case auditing that escalating a disagreement can be difficult for professionals and if you have not / do not use / are not aware of the guidance completion of the survey is just as important so if necessary WSCB can ascertain a further communication strategy for this important piece of guidance. 

If you have any queries in relation to this survey please contact Angela Eason

Hate Crime Awareness Lecture

Worcestershire Medico-Legal Society are presenting a hate crime awareness lecture on: 

Tuesday 1 November 2016 at 19:30 at the Charles Hastings Education Centre, Worcestershire Royal Hospital
Tea/coffee and biscuits from 19:00

Lecture presented by: 

Ms Kathy McAteer, Independent Chair Worcestershire Safeguarding Adults Board
Ms Kal Parkash, Lead for Hate Crime, West Mercia Police 

For further information, please contact:
Dr. Lesley Ann Smallman

Non-members: Professionals £10; Students £5

CEPN Update

The latest update from the Worcestershire Community Education Provider Network is now available online here. The newsletter contains training opportunities for staff and moving forward will include any funding opportunities which Worcestershire have available.
CEPN will be running a Worcestershire workforce event towards the end of November (18:00 - 20:30), details will be included in the October newsletter but if you would like to register your interest please let Louie Folkes know.

Update on Progress Against General Practice Forward View Commitments (Publications Gateway Reference No. 05943)

NHS England has published an update setting out the latest measures it is implementing to help general practice cope with increasing demand - boosting GP numbers and tackling burnout as part of the General Practice Forward View.

A nationwide, £19.5m NHS GP Health service will be introduced in January 2017, aimed at improving access to mental health support for general practitioners and trainee GPs while the Induction and Refresher scheme will be revamped to speed up the time it takes for GPs to return to practice in England.

Contact for further information: For I&R please contact: england.primarycareworkforce@nhs.net and for GP Health Service please contact: england.primarycareops@nhs.net


South Worcestershire Locality News:

Promoting Clinical Excellence – Dementia Training

As part of the PCE contract there is a requirement for practices to attend two study days, one has been identified as dementia training and the other is the releasing capacity and fulfilling the potential of primary care event on 9 November. 

We appreciate that some practices have already met the dementia requirement, but for those practices that haven’t already attended or those that would like a bit more training we have arranged two further sessions of Enhancing skills in Primary Care for diagnosing and long term support of individuals living with dementia which will be facilitated by University of Worcester.

Venues, dates and times:

  • Wednesday 16 November 2016  - Haresfield Surgery,  Turnpike House, Worcester, WR5 1EZ,  Lunch at 13:00 training starts 14:00 - 17:00
  • Thursday 24 November 2016 - Malvern Health Centre, Prospect View, Malvern, WR14 2GP, Lunch at 13:00 training starts 14:00 - 17:00

Please email Joanne.Davis@worcestershire.nhs.uk to sign up for your preferred session as soon as possible, places will be issued on a first come first served basis. 

Read more about the course here.