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Member Practice Update




26 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: 


SW-3collumnheader
  • No specific NHS South Worcestershire CCG news.


Hospitals in Worcestershire experiencing extreme pressure

Both the Alexandra Hospital in Redditch and Worcestershire Royal Hospital continue to experience extreme pressure and as a result Worcestershire Acute Hospitals NHS Trust are focusing on a series of actions to take the pressure off both our ‘front door’ and wards across both hospital sites. 

The aims are twofold, they are:

  • To create the headroom so that sensible decisions are made about where to stream emergency patients, so that they are in the right place

  • To ensure that Worcestershire Acute Hospitals NHS Trust can continue to operate our emergency services safely in response to the recent surge in the number of ambulances we have seen. Latest figures show that in three years we have seen a 30% rise in the number of over 75 year old patients being brought in to our hospitals by ambulance.

Over the coming days Worcestershire Acute Hospitals NHS Trust are asking all of our GP colleagues to work with us to do everything possible to ensure that our beds are occupied only by those patients who really need to be in an acute hospital setting.

As part of Worcestershire Acute Hospitals NHS Trust processes to temporarily speed up the discharge process pharmacists will be focussing on our ward patients, which means greater use of FP10s for outpatient dispensing enabling patients to access their prescriptions from their local pharmacy. In some situations it may also be necessary to temporarily revert to written discharge letters rather than using the EDS forms. 

Worcestershire Acute Hospitals NHS Trust will make every effort to identify capacity within the system to allow us to cope with the ever increasing demand.

Friends and Family Test monthly data

For practices who have not seen this report before – the first worksheet displays submission patterns for last year and this year, for all practices. Using the drop down arrow in row six the second worksheet allows you to drill down to your own practice’s details.

Just a reminder to all Worcestershire practices that the FFT is a contractual requirement (Clause 16.7a of the GMS contract) and becomes a contractual issue if it isn’t submitted for a period of three months or more. Practices need to be aware that a non-submission is also picked up on NHS England’s performance framework. Practices are strongly encouraged to ask their patients to partake in the survey and to submit data every month. The original brief from the BMA is that “Submission closure is the twelfth working day after month end, so please ensure you have your data submitted before then."

Access the Friends and Family Test report for August 2016 here

Investment in GP premises and technology

You may be aware of the announcement last week by Simon Stevens, NHS England Chief Executive, that further schemes of investment in GP premises and technology are being supported across the country. In Worcestershire, bids for funding were invited earlier this year and, after undergoing a lengthy process of review, NHS England have just informed us of the outcome.  

Unfortunately the Fund was heavily over-subscribed and only 10% of schemes submitted in the West Midlands are being supported. Whilst we are obviously disappointed that not all Worcestershire schemes were successful, we are pleased to confirm that the following are those that are being supported in principle subject to passing a set of due diligence checks:

  • DeMontfort Medical Centre, Evesham - Extension
  • Barn Close Surgery, Broadway - New Build
  • Stourport Health Centre/York House Medical Centre - New Build

In addition three technology schemes are also being supported:

  • GP practice telephony upgrade across Worcestershire
  • GP practice WiFi across Worcestershire
  • Redditch town practices hub

  

Mentor Awards 2016 

Three Worcestershire General Practice Nurses received outstanding mentor awards at the annual mentor awards ceremony held at the University of Worcester in partnership with local NHS Trusts, CCGs, Ambulance and social care services.

The awards recognised the practice nurses’ excellence in mentoring student nurses from the University of Worcester on placement in General Practice.

Download the press release here

Medicines Commissioning News


This month's newsletter features: 

  • Worcestershire Intravenous (IV) Antimicrobial Guidelines 
  • APC update: GLP-1 Antagonists and Cardiovascular Risk 
  • MHRA guidance & toolkit
  • Preferred brands of Quetiapine MR

Download October's newsletter 

Seven hours CPD opportunity for all prescribers to support the national antimicrobial resistance strategy 

In preparation for the European Antibiotic Awareness day on 18 November Public Health England and the British Society for Antimicrobial Chemotherapy (BSAC) have worked with primary care colleagues to develop a series of seven free TARGET antibiotics webinars highlighting key easy actions you can take to help improve your antibiotic prescribing, and at the same time improve the patient experience and their self-care, therefore freeing up your time.

They will cover how you can

  • Spread the load, and involve the whole team in antibiotic use
  • Explore and manage patients’, and parents’, expectations
  • Easily explore your practice antibiotic prescribing with some often surprising insights into your patients’ and colleagues’ behaviour
  • Use symptom scores to reduce consultations and antibiotics for sore throat
  • Use back-up prescribing for a range of infections
  • Optimise antibiotic use for UTI

There will be some quick pre webinar reading, a short film or presentation and then you have an opportunity to challenge or support the webinar lead clinicians’ ideas, proposing questions before or on the day.

Visit the TARGET webinar website to find out more

Find out more about the new diabetes prevention programme in Worcestershire 

Calling all GPs and Practice Nurses - come and find out more about the ‘The Healthier You: NHS Diabetes Prevention Programme’

The programme offers individuals who are at risk of Type 2 diabetes help and support to reduce the likelihood of them developing the condition. 

The event is taking place on 23 November, 1pm – 3pm at Crown and Sandy’s Hotel, Main Road Ombersley WR9 OEW (Lunch from 12:30pm onwards.)

Download the flyer here

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


Integrated Urgent Care weekly update 

This week's update features: 

  • Clinical hub 
  • Alliance agreement 
  • Service go-live
  • Communications strategy 

Download the full update here

Safeguarding update 

Worcestershire Safeguarding Children Board Newsletter 

This edition includes:

  • Sexting news & information 
  • Supporting professionals to work with the children and families of offenders 
  • Family Front Door – Survey for Users

Download the newsletter here

Headline news on Child Exploitation (CSE) in Worcestershire - Information briefing sessions 

There are still places for the afternoon session which takes place on Tuesday 8th November 2016, West Mercia Police HQ, Hindlip Hall, Worcester. 

For more information download the flyer

White Ribbon Campaign

From 25 November to 10 December the three CCGs in Worcestershire are working alongside Worcestershire Safeguarding Children Board (WSCB) to provide free online training on Domestic Abuse.

Download the flyer here 

FGM Mandatory Reporting – support pack for health professionals

As you will be aware, the new professional duty to report cases of FGM in girls under 18 to the police commenced on 31 October 2015.

We, with our partners at NHS England and professional bodies, have developed a package of support including:

  • Quick guidance – A two page summary of the duty including a process flowchart
  • Poster – A poster for health organisations to display about the duty
  • Training slides – A training presentation organisations can use to help them deliver 10 – 15 minute updates to staff to explain the duty
  • Video interviews With Vanessa Lodge, NHS England National FGM Prevention lead

An information leaflet for patients and their families which professionals can use to help when discussing making a report to the police.

The website for written materials is available here

The video can also be found at www.nhs.uk/fgmguidelines   

Access Webinars 

A series of webinars has been arranged that will give CCGs and GP practices an opportunity to hear about the evidence and learning from the Prime Minister’s GP Access Fund and consider how to apply it in their own plans. These are for staff in CCGs, general practice and NHS England who are involved in planning, implementing or overseeing programmes to improve access to general practice. Participants will learn about the findings from the 57 schemes who have tested innovations in access as part of the Prime Minister’s GP Access Fund, and the key lessons about successful implementation. This will be interactive throughout, with opportunities to ask questions and share your own experience and challenges. 

Download agenda / dates 

Primary & Community Care First Newsletter

As part of the GP Forward View agenda a target of 1000 Physician Associates (PAs) in primary care was announced by 2020. To help practices understand how to employ a PA and how they could contribute to their workforce Health Education England is deploying a number of PA ambassadors in primary care. The PA ambassadors will be working over the next 12 months with primary care employers, CEPNs and HEIs to form a West Midlands PA professional support network, career events and showcase successful PA primary care implementation. It is envisaged all new PAs will then have HEE support and development during their first year in practice.

Download the newsletter here

Moodmaster planning groups 

Moodmaster provides weekly sessions lasting an hour or so, in which you can hear really good information about emotional and physical health. 

Download posters here 

Save the date - Worcester Community Education Provider Network (CEPN) Primary Care Workforce Event

Worcester Racecourse - 29 November 2016 6.00pm - 8.30pm (food and refreshments will be served)

Agenda:

6.00pm – Registration, networking and refreshments
(food will be available)

6.30pm – Welcome and introduction
Simon Rumley, Jane Perry (TBC)  and Karen Storey

6.45pm – Physican Associate’s
Janina Iwaszko

7.15pm - Pre-reg placements
Robert Dudley and Caroline Donley

7.45pm – Fundamentals in GPN
Karen Mayne and Lorna Hollowood

8.15pm – Next steps and Q&A
Simon Rumley

8.30pm – Close

Please let Louise Folkes know if you wish to attend.



  

Redditch & Bromsgrove Locality News:

Promoting Clinical Excellence

All practices in Wyre Forest and Redditch & Bromsgrove have been offered the opportunity to participate in a locally-developed local improvement scheme, “Promoting Clinical Excellence” which is funded via  a combination of PMS premium and CCG monies. This local offering reflects the priorities agreed by the groups consulted with including local Patient Participation members. Practices have until the 30 November  to sign up and the CCG will make the first payment in November.  

Please Denise Goddard if you have any questions or would like further information.  

Further information on frailty scoring plus the “Making Time” audit will follow this week.


Wyre Forest Locality News:

Promoting Clinical Excellence

All practices in Wyre Forest and Redditch & Bromsgrove have been offered the opportunity to participate in a locally-developed local improvement scheme, “Promoting Clinical Excellence” which is funded via  a combination of PMS premium and CCG monies. This local offering reflects the priorities agreed by the groups consulted with including local Patient Participation members. Practices have until the 30 November  to sign up and the CCG will make the first payment in November. 

Please contact Jo Hall if you have any questions or would like further information.  

Further information on frailty scoring plus the “Making Time” audit will follow this week.