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Member Practice Update



28 September 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:



Planning issued provides more details on how the extra funding announced in the General Practice Forward View will be used to help transform services.

Published by NHS England and NHS Improvement, Delivering the Forward View: The NHS Operational Planning Guidance for 2017/18 and 2018/19 provides NHS trusts and commissioners with the tools they need to plan for the years ahead. On top of planned increases to primary medical care allocations for  general practice, the guidance confirms that there will also be further local recurrent funding to improve and increase capacity in general practice, totalling £138m by 2017/18 and increasing to £258m by 2018/19. This will contribute to the overall ambition of investing an extra £2.4 billion in general practice services by 2020/21.

In 2016/17, this recurrent funding is being made available to the General Practice Access Fund pilot schemes (formerly known as the Prime Minister’s Challenge Fund) and a number of additional areas across the country which will accelerate delivery of improving GP access in 2017/18. This will also enable London to begin a capital wide programme of improving access from 2016/17.

The investment will be extended in 2018/19 to enable the whole country to start developing additional capacity, so that from April 2019 every CCG can expect a minimum additional £6 per head to improve access to general practice.

It means CCGs will be able to commission extra services, making the most of new technologies and the wider workforce. This might include commissioning provision of access to pre-bookable and same day appointments to general practice services in evenings (after 6:30pm) and at weekends, meeting local population needs as appropriate. This should help reduce demand on both general practice in-hours, and urgent care services.

For the first time, the new planning guidance also places a requirement on CCGs to develop local action plans detailing how they will deliver on the aims set out in the General Practice Forward View. This will be a crucial part of delivering the overall vision for the local area, being developed as part of their Sustainability and Transformation Plans. In particular, the plans will need to  set out how CCGs will invest funds to support and transform general practice. CCG plans will complement work taking place at a national level to deliver the commitments in the General Practice Forward View, such as improving resilience and growing the workforce.

CCGs will need to provide plans outlining their approach to implementing the General Practice Forward View by 23 December 2016 as part of the NHS Planning process. The plan as a minimum must set out:

  • How access to general practice will be improved
  • How funds for practice transformational support will be created and deployed to support general practice
  • How ring-fenced funding devolved to support the training of care navigators and medical assistants, and to stimulate the use of online consultations will be deployed.

This is really good news for general practice! This clearly needs to be the subject of a lot of discussion over the coming months and we will need to work through the figures and allocations particularly as a significant amount of this funding needs to be found from within our existing allocations.

Download planning requirements 

We are looking for an exceptional individual with demonstrable leadership skills to support the Director of Primary Care Commissioning & Development with the development and implementation of our Primary Care Strategy, the formation of new models of sustainable primary care and the leadership of the Primary Care team. As truly membership driven organisations, your outstanding relationship skills to handle difficult conversations, especially with regards to contract performance or proven variation will be key to your success.

If you think you have the energy, enthusiasm and capability to work as part of our County-wide Integrated Management Team, Primary Care providers and other stakeholders in Worcestershire to transform services for our population then we look forward to hearing from you.

Full details about this vacancy are available on NHS Jobs website.

This month's newsletter contains information and updates on the following areas: 

  • Area Prescribing Committee
  • Guidance on interventions to improve medication adherence
  • Prescribing Top Tip - Tramacet
  • UTI Audit.

Download the latest edition of the Medicines Commissioning Newsletter.

The Public Health Team at Worcestershire County Council has redesigned and tendered a new Integrated Sexual Health Service for Worcestershire. The new service incorporates a shift in focus towards better prevention and early intervention along with targeting of vulnerable groups in addition to provision of open access sexual health and treatment services. The tender has been awarded to the Worcestershire Health and Care NHS Trust and will commence on 1st October.

The new service will bring together all elements of sexual health and will provide integrated contraception and STI testing and treatment from a range of countywide community settings, targeted outreach, sexual health promotion activities and training and education for frontline staff. The service will be supported and enhanced through use of digital technology offering online self-testing, interactive apps and website. Worcestershire County Council and Worcestershire Health and Care NHS Trust are working together for a smooth transition and implement the new service over the next few months and will seek to regularly communicate progress and changes made.  

The provision of the Counselling and Psychosexual therapy services currently provided by Worcestershire Health and Care NHS Trust beyond the end of September 2016 is currently unclear as these were not included in the tender. The County Council and the Health and Care Trust have decided that the waiting list will close not accept any new referrals.   

Worcestershire Health and Care Trust has written to clients already referred, or being seen, informing them of this and advised that they return to their referrer to discuss any possible alternative options, which may include any of the following:

West Mercia Rape and Sexual Abuse Support Centre - http://www.wmrsasc.org.uk 

West Mercia Women's Aid - http://www.westmerciawomensaid.org/

Worcestershire Relate - http://www.relate.org.uk/worcestershire 

Early Help & Stronger Families (Worcestershire County Council) - http://www.worcestershire.gov.uk/info/20211/early_help 

Worcestershire Adult Mental Health Services - http://www.hacw.nhs.uk/service-directory/adult-mental-health/ 

Worcestershire Child & Adolescent Mental Health Service (CAMHS) - http://www.hacw.nhs.uk/our-services/childrens-community-health-services/camhs/ 

Worcestershire Children and Adults with Learning Disabilities - http://www.worcestershire.gov.uk/info/20004/health_and_social_care

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, we appreciate that this was yet another request for data but we felt that the information obtained will be invaluable.

We have had several queries regarding the duplication of data asked for in this year’s HSCIC Workforce data and the Extended Access surveys, we acknowledge there is some duplication of numbers but we are asking for additional information that is not supported in the NHSE tools.  The detailed information on skills your practices possess,  your thoughts on how you will manage future vacancies  and why they are occurring will allow us to focus our planning on those areas which you feel will most greatly improve our workforce position.

We understand that the national survey has a completion deadline of 26 October and with that in mind we are extending the deadline for the CCG survey to 28 October 2016.

Any questions or feedback can be directed to Denise Horton denise.horton@worcestershire.nhs.uk

Update on Primary Care Support Services

We are aware of and concerned with the increasing number of issues practices are experiencing since the transfer of primary care support services to Capita. Yesterday we again escalated a number of these to NHSE who  hold the contract with Capita. Attached is their response. Please continue to share any performance issues with the primary care team and/or email NHSE directly -england.smtinfo@nhs.net

Download briefing

The Patient Self-Management programme has been designed by Worcestershire Health and Care NHS Trust. The course is open to individuals with long term conditions in Worcestershire empowering them to take a more active role in managing their health by improving knowledge, skills and confidence. 

Facilitated by an occupational therapist and volunteers with lived experience of long term conditions the Patient Self-Management course enables participants to explore the impact of their condition(s) and the daily challenges they face.

The course explores better, active ways of managing a long term health condition to improve health prospects and quality of life.

Courses are open to self-referral and are currently being delivered across the county.

More information including a fact sheet, leaflet and referral form can be found on our website: http://www.hacw.nhs.uk/our-services/patient-self-management/

If you have any questions please contact:

Carlene Hill
Patient Self-Management Programme Coordinator
Email: carlene.hill@nhs.net
Tel: 01527 488096 Mobile: 07715634205

You will be aware that NHS England has launched a new national framework agreement for the collection and disposal of clinical waste from GP surgeries and unwanted medicines from pharmacies. Following a procurement process, 5 suppliers have been placed on the framework for the Midlands & East Region and the process for these suppliers to ‘bid’ for contracts in the West Midlands has now begun.

This new approach will deliver a number of benefits including improved quality standards, consistency, better management of contracts and value for money. You can read more about this Framework Agreement on our website: www.england.nhs.uk/clinicalwaste

There will be a total of 8 contracts across the West Midlands; one for GP surgeries and one for pharmacies in each of the 4 STP footprint areas. The new suppliers will be commencing services to GP surgeries in your area on 14th November 2016.

The only changes we expect for GP surgeries may be a change of supplier and perhaps some changes to the routine activity within the contracts, for example collection days. These will be communicated to GP surgeries in advance of any changes. We also expect suppliers to visit GP surgeries before the new contract starts to ensure they have all the information they need and that local requirements are met.

We will be writing to inform all GP surgeries of these changes and I would like to reassure you that a key priority will be to ensure a smooth transition to the new arrangements.

Save the Date - Releasing Capacity and Fulfilling the Potential of Primary Care 9th November

9th November 2016 at the Chateau Impney Hotel, The Royal Suite – 9am - 4pm

Releasing Capacity and Fulfilling the Potential of Primary Care – Presented by the LMC, Redditch and Bromsgrove CCG, South Worcestershire CCG and Wyre Forest CCG.

The three Worcestershire CCGs in conjunction with the LMC would like to invite our practices to attend a countywide development day on Wednesday 9th November hosted by Dr Robert Varnam, Head of General Practice Development NHS England.  

The day will provide an opportunity to:

  • Share the latest national policy – GP Forward View and Multispecialty Community Provider Framework
  • Begin to explore what this means for General Practice
  • Learn from experience elsewhere 
  • Releasing capacity in General Practice in action.

Dr Sam Everington, Chair of NHS Tower Hamlets Clinical Commissioning Group, will be joining us to discuss the work being done in Tower Hamlets and the impact social prescribing has. The day will be followed by a post-workshop surgery with Dr Robert Varnam for a more personal discussion with those that would like to stay and speak with him.

We encourage practices to attend as it will be a very informative day. The agenda and sign up details will be sent out to practices shortly.

Save the Date - ICT Event 17th October

We would strongly encourage all Practice Managers and IT/ lead Admin staff to attend the Countywide ICT Event scheduled to take place on the 17th October.

This event will include topics relating to electronic Advice and Guidance requests, e-Referrals and EPaCCS/Black Pear. The latter part of the morning will be dedicated to EMIS, and will be facilitated by our local EMIS Account Manager. This is a perfect opportunity for practice staff to engage with EMIS directly to discuss practice related issues, new functionality and to raise any specific training or system queries. 

Download flyer for details, including how to book a place.

Save the Date - Respiratory Education Event

The Worcester Respiratory Education Network (WREN) group are running another respiratory education event this Autumn. The event will take place on Thursday November 3rd at the Charles Hastings Education Centre. Provisional timing is 3pm – 8pm. Food & drink will be provided. Full confirmed details of speakers and workshops will follow shortly but in the meantime please pencil this date into your diaries if you have a respiratory interest or specialism.



Redditch & Bromsgrove Locality News:

Atrial Fibrillation Decision Support Tool

There is an opportunity for GP Practices to get involved in a research project with Keele University and will take no more than an hour of your time. Keele will remunerate you with £100/patient to participate in 2 short interviews and trialling the NICE endorsed AF decision support tool for anticoagulation prescribing on 1-2 patients over a 4-6 week time period. 

Download flyer for more details and the contact details of who you need to speak to in order to get involved. 



South Worcestershire Locality News:

Prescribing Budget Delegation Models for 2016/17

Sent on behalf of the Trish Haines 
Chair of the Primary Care Commissioning Committee

You will be aware that the Primary Care Commissioning Committee has been considering options for developing a new model with a potential gain share with SW Healthcare and practices, through which a collaborative approach of managing medicines effectively hoped to realise greater prescribing QIPP savings for reinvestment in primary care services. The Committee has looked at the current contracting options available and reviewed the emerging financial challenges in more detail. We are sorry to conclude that a robust financial and contractual model could not be identified that made a gain share model a viable offer for practices in 2016/17 with an acceptable level of risk for both the CCG and practice members. The CCG is committed to identifying opportunities for investment in primary care and will continue to support practices through the Medicines Optimisation Service for the remainder of 2016/17 whilst looking to develop future new options in conjunction with the GP Five year forward plan and primary care commissioning.


 
Wyre Forest Locality News:

1:1 Drop in Sessions for Practice Staff

In order to improve engagement with our member practices we have arranged 1:1 drop in sessions for any member of staff to meet with a member of the Senior Management Team. Sessions will provide an opportunity for staff to discuss any concerns/queries they may have, face to face. Sessions will be held over the lunchtime period within the CCG Locality Office at Kidderminster Health Centre (old premises, Bromsgrove Street). Please note there is no need to book a slot, just turn up!  Please find dates and times below:

  • Thursday 29th September: 12pm – 1pm, CCG Locality Office
  • Thursday 13th October: 12pm – 1pm, CCG Locality Office
  • Thursday 3rd November: 12 – 1pm, CCG Locality Office
  • Thursday 1st December: 12-1pm, CCG Locality Office.


Reminder: Governing Body Re-elections

There are three Wyre Forest CCG Governing Body positions which are coming for re-election at the end of November.

  • Chair of Governing Body 
  • Governing Body GP Member 
  • Practice Manager Representative 

All individuals eligible to stand in the election will be invited to submit a nomination for one of the above vacancies  with a view to have all three positions filled and appointments ratified by Wyre Forest GPA on 15 November 2016.

Atrial Fibrillation Decision Support Tool

There is an opportunity for GP Practices to get involved in a research project with Keele University and will take no more than an hour of your time. Keele will remunerate you with £100/patient to participate in 2 short interviews and trialling the NICE endorsed AF decision support tool for anticoagulation prescribing on 1-2 patients over a 4-6 week time period. 

Download flyer for more details and the contact details of who you need to speak to in order to get involved.