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Member Practice Update

  21 December 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

Please be aware that there will be no update on Wednesday 28 December. Have a Merry Christmas and a Happy New Year.

In this issue:

  • Nothing this week
  • Nothing this week

Financial Recovery update

You will be aware that the significant financial challenge has now been reflected in NHS Redditch and Bromsgrove CCG’s latest financial position with the CCG forecasting an in-year deficit of £8 million. This means that the CCG has entered formal financial recovery with immediate effect and has established a Financial Recovery Board to oversee the actions needed to reduce the forecast deficit during 2016/17 and to identify further actions necessary to address any underlying deficit at the end of the year. The financial position in the other two Worcestershire CCGs is also extremely challenging, with work to do to ensure their financial targets for this year can be met. The Financial Recovery Board process has therefore been setup to cover all three CCGs.

The Financial Recovery Board meets fortnightly on a Friday and colleagues will be kept informed of progress through this weekly update and via future face-to-face meetings.

Financial recovery over the past few weeks has focussed on the more immediate actions necessary to respond to the deterioration of the RB position. This has included the submission of a Financial Recovery Plan to NHS England, who have now approved  the in-year deficit of £8 million for 2016/17.

Work will now take place over the next few weeks confirming a number of key programme areas, each headed up by an Executive Sponsor and a dedicated Business Director. These work programmes will pull together existing QIPP schemes with the additional Financial Recovery Plan / QIPP stretch requirements into one consolidated programme of work which all colleagues will be expected to focus on in 2017.

These will be agreed by early January and the remit of these programmes and how they will be resourced made clear to everyone. In some instances this will mean re-focusing more of the day-to-day work onto the financial recovery process.

For the latest update with regard to the financial recovery process please see the FRP update that was discussed at Financial Recovery Board last Friday (16th January).

Reminder: eDeclaration 2016/17

The 2016/17 eDec will be opened for submissions until Friday 23 December 2016. There are 19 Worcestershire practices yet to submit.

All GP practices are required to submit their eDEC electronically through the primary care website, as per the Assurance Management Framework of Primary Medical Services Policy and Guidance.

Eighty-five percent of the eDec has been prepopulated with responses provided from last year’s collection. The remainder are new or revised questions identified by (n) and (r) respectively next to the question number, Four questions have been removed, 5 are new and 9 have been revised from last year’s collection (reflecting minor changes made to the question). A number of questions are voluntary but we would encourage all practices to respond.

It will be necessary for practices to check prepopulated responses, amend responses where necessary and also respond to the new mandatory questions in order to submit their eDEC.

GTN skin patches - explosion risk

We have received an urgent email from the Institute of Cemetery and Cremation Management (ICCM) regarding GTN skin patches and a potential explosion risk.

During the last few weeks, there have been a number of unexplained explosions as crematoria across the UK. Following an investigation, it has been discovered that the cause may be the presence of GTN skin patches on the deceased.

This matter has been referred to the Medicines and Healthcare Products Regulatory Agency (MHRA) and a statement will be made soon. In the meantime, please could you indicate on CF 4 whether the deceased has such a patch until we get further clarification.

Children with infective conjunctivitis

An estimated 160,000 GP appointments could be freed up if schools stopped sending home children with infective conjunctivitis, according to the Royal College of General Practitioners.

The RCGP says that cases of conjunctivitis are unintentionally ‘clogging up’ the GP appointments system because some schools are refusing to admit children with the condition unless they have a prescription for antibiotics - leaving many other patients struggling to see their family doctor or practice nurse.

To help raise awareness the RCGP have developed this poster, with information for parents about what to do if their child has infective conjunctivitis.

Please print out and display the poster in your public areas.

Advice and Guidance

We have been encouraging practices to use Advice and Guidance as one of a package of measures to reduce variation in referrals, but also to help you clinically manage patients who may not necessarily need an out patient appointment, but can be supported by yourselves with a bit of back up from acute colleagues.

The following specialties are now available to consult in the first instance rather than direct referral where you feel appropriate.

502: Gynaecology
400: Neurology
101: Urology
110: Trauma and Orthopedics
420: Paediatrics
301: Gastroenterology
410: Rheumatology
350: Infectious Diseases
361: Nephrology
301: Endocrinology

We are aware that some of the responses received back, have not always been timely. Out of 215 requests between April to November this year 57% have been within 5 working days. We appreciate that this is not ideal and continue to monitor the situation. However, we are more than happy for you to direct any queries you have directly to personnel who can take up the problem and give you a direct reply as to what is happening. If you have any eRS performance queries please email including UBRN:
Leesa Thornton - leesathornton@nhs.net
Emma Gartland - emmagartland@nhs.net
Heather Fleming - Heather.Fleming@worcsacute.nhs.uk
Sandy Purewal - Sandeep.Purewal@worcestershire.nhs.uk
Please persevere as this is a valuable service. So far this financial year 68% of the A&G queries have avoided a referral making a saving of £27,556 based on first OPD attendance costs.

Infectious diseases referral email

A dedicated email address has been set up for infectious diseases referrals.

The email address is wah-tr.idreferrals@nhs.net 

Asha Women's Centre

We have been informed that the Asha Women's Centre in Worcester will close on 31 January 2017.

All users of the service are being informed and plans are being put in place to offer an exit strategy for women currently engaged in projects at the centre.

If you have any queries, please contact Emma Carmichael - emma.carmichael@ashawomen.org.uk

Worcestershire Safeguarding Children Board - 2016 update

View a round-up of 2016 updates here.

Diabetes Professional Care - speaker presentations

The speaker presentations are now available from the Diabetes Professional Care event that took place a few weeks ago.

To access the presentations visit www.diabetesprofessionalcare.com/what-s-on/speaker-presentations and enter the following:

Username - presentations
Password - dpc2016pres

Medicines Commissioning News

View the latest edition of Medicines Commissioning News here

Save the date - Joint Annual Diabetes Conference 2017

The West Midlands Cardiovascular Clinical Network and Diabetes UK are holding their joint annual conference on 8 February 2017, Holiday Inn, Walsall, WS2 0BS.

The West Midlands Diabetes Conference will provide an opportunity to hear about the following aspects:

  • Key information on diabetes performance across West Midlands
  • National Diabetes Audit
  • NHS Diabetes Prevention Programme 
  • Foot care
  • Diabetes education
  • Successful local clinical networks
  • Role of Pharmacy
  • The developing STP plans for diabetes across the West Midlands
To book a place at the conference, visit www.eventbrite.com/e/west-midlands-cardiovascular-clinical-network-diabetes-uk-tickets-30290555868

Postgraduate Certificate in Urgent Care and Acute Care

There are a limited number of spaces remaining on the Postgraduate Certificate in Urgent and Acute Care (Jan 2017 programme), hosted at the University of Worcester.

The programme is designed for medical and non-medical clinical staff, who are involved with or wishing to broaden their skills in Urgent and Acute Care. The certificate includes modules in:

  • Urgent Care for adults with Long Term Conditions
  • Urgent Care and the Frail Elderly
  • Acute and Life Threatening Care

As well as a preparatory study skills module, to prepare students for Level 7 study.

Students will have an opportunity to undertake this unique course as part of a multi-professional team, including GPs, Paramedics, Nurses, Pharmacists, Allied Health Professionals and Physician Associates.

Anyone interested in the course should declare their interest by 30 December. Find out more here.

Prescribing Update Day - Principles and Practice

Two new dates have been arranged for the above day on 13 June and 16 June 2017 at the University of Worcester.

Find out more here.

Arts and Obesity - the bigger picture

The Worcestershire Arts Partnership invites you to an open space event to look at creative solutions to the obesity crisis.

The event takes place on 19 January 2017, Civic Centre, Pershore from 9.20am-12.30pm.

Find out more about the event here.

Primary Care newsletter

The latest newsletter is now available and can be accessed here.

Worcestershire CEPN update

The December update is now available and can be accessed here.

Leadership in Action update

The December update is now available and can be accessed here.


Redditch & Bromsgrove Locality News:

Chart of the Week

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 ‘Inhaled Corticosteroid prescribing cost/ASTRO PU’ and the data is Q2 15/16 vs Q2 16/17

Inhaled corticosteroid prescribing