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Member Practice Update

  16 November 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 South Worcestershire CCG news
  • No Wyre Forest CCG news

Countywide Development Day - Releasing Capacity and Fulfilling the Potential of Primary Care

Thank you to everyone that attended our first countywide development day, we were pleased to have 64 of the 67 practices represented. A wide variety of speakers attended to highlight what is happening nationally as well as what is happening in our local area. The feedback from the day has been very positive and it is felt that this was a good start to beginning discussions on how we will move forward throughout the county as well as at CCG/locality level.

Download the evaluation summary.

This was just the beginning of the process to outline what we would like to do and how we achieve it. As we move into the new year we will be organising smaller meetings with the localities and the Alliance Boards to begin working through next steps and what support will be needed to accomplish them. The General Practice Forward View presents a significant opportunity to deliver change, and we must get this right. In the coming weeks we will be sending out a survey monkey to all the Worcestershire practices to get a sense check on direction of travel and views on what additional learning events will be helpful. While we appreciate you receive a number of surveys we encourage you to take a few minutes to complete this one as it will help to shape how we move forward.

We are in the process of compiling the presentations and videos from the development day, they can be found here:


This week is World Antibiotic Awareness Week

As part of the week, European Antibiotic Awareness Day takes place this Friday and the three Worcestershire CCGs are again working with health and social care partners across the county to remind patients of the importance of only taking antibiotics when necessary.

One way to promote better antibiotic use is by making an Antibiotic Guardian pledge. Antibiotic Guardian is a UK-wide campaign which aims to improve behaviours around antibiotic prescribing and use.

This campaign supports the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which sets out actions to slow the development and spread of antimicrobial resistance.

Please make your pledge to become an Antibiotic Guardian and pledge to “champion the Antibiotic Guardian campaign within your organisation by encouraging at least 10 others to pledge".

More information about the campaign and how to pledge is available at: www.antibioticguardian.com

We have posters and leaflets available that can be printed to promote the campaign, if you could display these in public areas:

Download campaign poster
Download campaign leaflet

There are also a wide range of national resources, including social media messaging and videos which can be used to raise awareness of the campaign. These can be accessed via:

Christmas and New Year opening 2016/2017

Each practice manager should have received a letter regarding opening hours and winter plans for the Christmas and New Year period by email on 10/11/16; it is available again below for ease. As stated in the letter if you need to make changes to your extended hours sessions during the festive system, please email michelle.sharp2@nhs.net, in the county-wide Primary Care team, with the details.

Download letter

Making Time audit

Following Wednesday’s Development Day, most if not all practices can now appreciate the benefit of completing the Making Time audit and how the results from this will influence and shape the decisions we need to make around the investment available via the General Practice Forward View. The Primary Care Foundation has advised us that we are the only CCG to be funding practices to complete the audit given the benefits it provides at a practice level. NHSE took some convincing too that this was appropriate use of PMS premium monies. I still firmly believe that the value of the information is so important that we fund practices for completing. The letter isn’t sufficiently clear that it is for each practice to choose whether it is one or all GPs to complete and it should have been clearer that the period in which it is run is also a practice decision so anything from 1 day to 5 is absolutely acceptable. Robert Varnum informed us that the Audit will be available as a web-based option in 4/5 weeks. Therefore practices can choose whether to use this version but should be aware that the deadline remains as 31/12/16.


We are aware of a number of ongoing problems with the services provided to GP practices by Capita. A briefing was previously circulated on 27 September 2016, explaining their escalation process and describing what systems are being put in place to reduce the impact this is having on primary care. Below is their updated brief, including email contacts and timescales for improvement; please read this. We are aware of some specific problems our practices are still trying to rectify using this process, but please continue to escalate problems.


  • They hope to have addressed the backlog of new patient registrations by the end of the year 
  • The backlog for patient medical records continues and may take some time to rectify
  • Fast tracking and other actions are being put in place to improve performers’ list delays
  • Capacity is being increased to improve the GP payments service
  • Changes are being made to their customer support service, and there is an ‘urgent’ case flag facility
  • They report that there are generally no problems with supplies ordering.

Download briefing.

New Primary Care England Policy Briefing

The physiotherapy workforce is currently underutilised in primary care. Between 20 and 30% of a GP caseload is made up of patients with musculoskeletal (MSK) conditions, 85% of these could be dealt with by a physiotherapist.

Increasingly GPs are piloting initiatives to introduce general practice physiotherapists to their practice teams. These are experienced physiotherapists who provide assessment, advice, and if necessary, referral on for patients contacting the surgery with MSK concerns.

The evidence from these initiatives shows increased GP capacity, reduction in referrals for unnecessary investigations or into secondary care, and high patient and GP satisfaction. The role of general practice physiotherapists is supported by both the BMA and RCGP.

It is also cost effective. Building physiotherapy into your 2017-19 planning can deliver key areas of the General Practice Forward View; increasing capacity in general practice and enabling patients to receive the right care from the right professional.

To help with this, the CSP has produced:

  • Joint guidance for GPs, commissioners and physiotherapists about GP Physiotherapy roles, produced with the RCGP and the BMA.
  • Physiotherapy Works for Primary Care – a CSP policy briefing with the evidence and examples of this working in practice.
  • A physiotherapy cost calculator to help business planning in relation to implementation - a physiotherapist with advanced practice skills costs £54.11 per hour, a GP £130.171.

You can access all of the above by visiting the CSP website at www.csp.org.uk/primarycare

If you have any questions about any of our primary care documents please contact the CSP for more information on enquiries@csp.org.uk

Prescribing Top Tip

Prescribing of Branded Generics on EMIS

Concerns have been raised by practices that confusion can occur amongst prescribers, patients and prescription clerks when generically written prescription items are switched to more cost effective brands.

Practices are reminded that in EMIS it is possible to check the generic name of a branded medicine by “right-clicking” on the item and selecting the “G/T switch” function, which will then state the generic name as a switch option (obviously you need to close the message after viewing and not accept the switch).

Alternatively, when switching to a branded medication, entering the generic name of the medicine in brackets at the beginning of the dosage field can provide subsequent clarity for both patients and prescription clerks when repeat medications are ordered.

This dosage with additional generic name clarification will then automatically be suggested as an option in the dosage field by EMIS when this product is prescribed again.

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

Safeguarding Adult and Children Training

Whatever their role all staff should know when and how to report any concern about abuse or neglect of an adult or child. It is the responsibility of the employing organisation to have in place appropriate and sufficient training for safeguarding adults and children. 

Individual staff members have a duty to access safeguarding training at an appropriate level and to ensure they have sufficient knowledge and competence to carry out their roles and responsibilities. It is the employing organisation’s responsibility to seek assurance that their staff meets safeguarding competences.

Download full list of available training

Stonham Domestic Abuse Training for Professionals

Training will be held at Perdiswell Young Peoples Leisure Centre in Worcester further details will be provided on your confirmation nearer the time.

Download booking form

Practice Manager Network for Managing Workload

The below flyer gives dates for half day workshops to support practice managers leading the changes described in the GP Forward View. There is an event on 13 December, in Birmingham, 12.00 to 5.00pm.

Download flyer

Spire Parkway | Birmingham Medical Institute Womens Health GP Study Day

Spire Parkway Hospital have 6 eminent consultant Gynaecologists speaking at the next Birmingham Medical Institute study day on Wednesday 7th December.

Please see below for details. For more information or to book a place please follow this link:


9.30 am

Mrs Poonam Pradhan MBBS, FRCOG, RCR/RCOG (Diploma in Scanning) Consultant Gynaecologist               

Spire Parkway Hospital


10.15 am

Mr Senthurun Mylvaganam BSc(Hons) MBBS MA MFST FRCS         

Consultant Oncoplastic Breast Surgeon

Spire Parkway Hospital


11.00 am



11.15 am

Mrs Kavita Goswami BSc, MB BS, FRCOG, MMedSci, Diploma USS (Obs/Gyn)            

Consultant Gynaecologist

Spire Parkway Hospital


12.00 pm

Miss Parveen Abedin MBBS, MSc, MRCOG

Consultant Gynaecologist

Spire Little Aston Hospital

Gynaecological cancers and screening

12.45 pm



1.30 pm

Ms Ravinder Kalkat MBBS, MD, MRCOG -Consultant Gynaecologist Spire Little Aston Hospital


2.15 pm

Mr Mohan Kumar MBBS, MRCOG Consultant Gynaecologist

Spire Little Aston Hospital


3.00 pm



Chat Health

Chat Health, provided by Worcestershire Health & Care NHS Trust is a text service for 11-19 year olds.

Chat Health offers a confidential service and give advice on all issues that Young People may have concerns about. This includes advice on issues regarding emotional health, healthy eating, sexual health, eating disorders, self harm, friendship or family issues and any worries that young people may have

It is run by the Specialist Community School Health Nurses and covers the whole of Worcestershire from 09.00 – 16.00 Monday – Friday.

Download poster
Commemorating the first birthday of Meridian, the West Midlands Academic Health Science Network’s (WMAHSN) online health innovation exchange, we would like to invite you to join us for Meridian LIVE.

Supporting the spread of good practice to deliver improved health and wealth across the West Midlands, Meridian has grown from strength to strength in its inaugural twelve months and Meridian LIVE will provide delegates with the opportunity to meet the people behind the campaigns and innovations submitted.

Offering you the chance to network with potential partners and to explore the latest innovations and advances within the region, as well as learning about the latest developments in WMAHSN priorities and support and funding mechanisms, this free to attend event is a must for medical and healthcare professionals in the West Midlands – and beyond!

Exhibitions are open only to Meridian users and invited partner organisations. With limited, complimentary exhibitions available on a first come, first served basis, early booking is essential. Delegates can register to attend either the morning, afternoon session or the full duration of the day. 

To book your delegate place, 
please click here

To register your interest in an exhibition stand, please contact 


Redditch & Bromsgrove Locality News: 

We are often asked for more comparative information to enable practices to know where they stand on a variety of indicators in comparison with other practices. Therefore we publish a chart in the Member Practice update on a variety of topics. Please let us know if this is helpful and also for any topics that you would find it useful for us to cover.

This week’s Chart of the Week is ‘discharged after first outpatient attendance’ and the data is October 2015 - September 2016. The rank column is the rank within Worcestershire.If you'd like to discuss your data please contact a member of the locality team.


South Worcestershire Locality News: 

No locality news.

Wyre Forest Locality News: 

No locality news.