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Member Practice Update

14 September 2016

Welcome to the new 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:

Please see updated information regarding the testicular torsion pathway circulated by Mr Rajjayabun, Clinical Lead for Urology. This has been reviewed following the changes to inpatient paediatric services at Worcestershire Acute Hospitals NHS Trust

Download Pathway

Child Sexual Exploration Briefing Sessions 

Download the CSE briefing sessions flyer, to book a place please use the booking form available at: www.worcestershire.gov.uk/wscb 

Jane Hales resignation 

Jane Hales has resigned from her post of Named Professional Safeguarding Adults and Children(Primary Care) to commence a new role. We would like to thank Jane and wish her luck in her new role.

We will be recruiting to the post but in the interim if you wish to discuss safeguarding concerns please contact Sue Griffiths, Named Professional Safeguarding Adults and Children(Primary Care) on 01527 482919 Ext 32919 or mobile 07834172271. If Sue is not available then please contact either Ellen Footman, Designated Nurse for Safeguarding Children and Adults or Jez Newell Safeguarding Adults Lead on 01527 482919 Ext 32919.

Please also see CCG Safeguarding Webpages for information on safeguarding matters:




Generic Desogestrel Price Decrease

Whilst the branded prescribing of the Consilient range of oral contraceptives in primary care has been preferred in recent years, it is now considerably more cost-effective to prescribe desogestrel generically, based on its current (September 2016) Drug Tariff category M price. NHS costs associated with generic prescribing compared to prescribing the two current preferred formulary brands are detailed in the table below:


COST TO NHS (packs of 84)







At current prices, the estimated annual saving resulting from prescribing desogestrel 100% generically would be:







These figures are based on prescribing data for all desogestrel presentations from the 12 months to the end of June 2016.

Following the most recent meeting of the Worcestershire Area Prescribing Committee, prescribing this drug generically, rather than by brand is now recommended throughout the Worcestershire health economy. The Worcestershire formulary now reflects this position and the Optimise Rx prescribing support software will recommend prescribers prescribe generically where applicable.

The position regarding the branded prescribing of the Consilient range for other oral contraceptives remains unchanged.

An EMIS search is available at:

Medicines Management Countywide – Top Tip Searches – Patients on Branded Desogestrel

This will highlight patients that receive branded desogestrel presentations on a current repeat prescription.

If you have any suggestions for inclusion in the 'Top Tips' then please send them to Anne.kingham@worcestershire.nhs.uk

A fault on the BNF and BNFC apps has been detected affecting some Apple IOS devices. A small amount of content may be out of date. Please delete the apps and reinstall them from the App store. Android devices and all online web versions of the BNF are unaffected.

Any comments or questions can be directed to Chris Feinmann - (Christopher.Feinmann@nice.org.uk).

The Institute of Health and Society at the University of Worcester have a suite of programmes that are designed to meet the continuing professional development needs of health and social care professionals.

Please note that we have a limited number of places remaining on our September Introduction to Clinical Assessment of the Adult Patient/Client 5 day skills workshop

Download flyer

Spire has partnered up with the Birmingham Medical Institute and will be providing speakers for their next men’s health event.  There will be 4 eminent consultant urologists from Spire speaking on a variety of men’s health issues on Wednesday 12th October from 12.30pm – 4.00pm (lunch is included) at The Chamber of Commerce, 75 Harborne Road, Edgbaston, Birmingham B15 3DH

For more information and to book a place please go to: http://www.bmedi.org.uk/index.php?page=education

In order to proceed to the next stage of preparation for the Go-Live of the Black Pear (EPaCCs system), Black Pear require some additional information from your GP Practice.  Please can you provide them with the details of the individuals at your GP Practice who will be using the Black Pear system. Please can you send this information to the email address stated below in the following format:

Email to :  licensing@blackpear.com

Email message SUBJECT: “EPaCCS - <Practice code> and <Practice name> e.g. EPaCCS - M12345 The Surgery”

List each end user including the following details:
  1. name (title, forenames, surname)
  2. email address
  3. level of permission (*full, read/write, read-only)

For example – Dr Fred Bloggs, f.bloggs@nhs.net, full

*Please note that full access rights will allow someone to create a record as well as amending an existing record.

Black Pear are undertaking this for your GP Practice this time, but there will be opportunity for you to do this yourselves in the GP practice next time (you will be able to maintain your own user details going forward).

We are now nearing go-live and thank you for your patience as we get the final configuration items in place. As soon as we have a definite date, we will let you know.

If you have any queries re the above, please contact Tiffany Hodkinson via: licensing@blackpear.com

BMI The Priory Hospital is pleased to invite you to an exclusive FREE Obesity and Metabolic Surgery Study Session tailored for GPs which will cover the following topics:

  • Gastro oesophageal reflux and current strategies for management
  • The link between obesity and medical co-morbidities
  • Bariatric surgery and its role in the management of obesity and related co-morbidities

This event will provide over 1.5 hours of certified CPD learning.

Date: Thursday 29th September 2016
Time: 6:30pm-8:45pm

For more information and to sign up to attend click here

It is with regret that we have made the decision to cancel tomorrow evening’s consultation event as only 5 people are able to attend. We still think it is really important to give all practices the opportunity to comment and question our proposal so we’ll be taking the following actions:

  1. The slides we planned to share will be emailed to all practices by the end of today Wednesday 14 September
  2. A survey monkey will be sent to all practices as originally planned w\c 19 September requesting feedback
  3. A FAQ will be produced based on questions we receive from practices
  4. We’ll make time at the forthcoming IQSP visits to talk about the proposal  
  5. We’ll separately contact those practices who have already had an IQSP visit

The deadline for making any comments is 7th October. Please contact Lynda Dando or Denise Goddard if you have any concerns or queries.


IQSP visits are under way. Please could practices try to find time to review the data which is sent out a fortnight before the visit takes place.

CCG News - Summer Edition

The summer edition of the Health Together newsletter is out, you can download it here.

South Worcestershire Locality News:

Promoting Clinical Excellence – Making Quality Referrals

You should have received on Monday baseline referral activity for your practice via an Excel spreadsheet and an explanatory letter in respect of the Making Quality Referrals initiative which forms part of this year’s Promoting Clinical Excellence local contract.

The outpatient attendance data is provided by the Trust. We are aware that there may be issues with some of the data, for example, there may be an attendance linked to a GP who does not work for your practice. The data should though match the discharge summaries that you receive from the trust. We will be happy to take any queries up with the Acute Trust to improve data quality. Please notify any data queries to sowoccg.iprequests@nhs.net

The activity you’ve received is for baseline purposes only.Monitoring under the initiative will start from July 2016 onwards, If you have any queries on this or if you experience difficulty in operating the pivot table please email Caroline.Salmon@worcestershire.nhs.uk or nigel.crew@worcestershire.nhs.uk


Wyre Forest Locality News:

Health Together Newsletter

The summer edition of the Health Together newsletter is out, you can download it here. or if you would like a physical copy contact Ruth Cooper via email: ruth.cooper@worcestershire.nhs.uk