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Member Practice Update

24 January 2020 

Welcome to the Member Practice Update

This weekly Member Practice Update is produced by NHS Redditch and Bromsgrove, NHS South Worcestershire and NHS Wyre Forest Clinical Commissioning Groups 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 the communications team.

In this issue:

  1. Wuhan Novel Coronavirus Infection
  2. MMR Vaccine
  3. GP Medical Education Academy 
  4. Fax Machine Removal 
  5. eRS changes for 2 week wait referrals 
  6. Communication around Rockwood Frailty Coding and SNOMED
  7. Nexplanon® Contraceptive Implant
  8. MJog SMART App Campaign 
  9. St Richard's Hospice Build 2020: Stage 2
  10. Prescribing Top Tip
  11. WH&CT Leg Ulcer Working Group 
  12. Palliative and End of Life Care 
  13. ACT Forum Meeting - Anticoagulation Therapy: 11th February 2020, Cardiff
  14. WHCT Perinatal Mental Health Workshops 
  15. STP Mental Health Strategy - Follow-up Engagement Sessions 
  16. GP Bitesize Cancer Update 
  17. Quality and Service Improvement Training 
  18. Recruitment 

Find out about local and national events and training here

Redditch and Bromsgrove

South Worcestershire

Wyre Forest 


  • No Redditch & Bromsgrove news 
  • No South Worcestershire news

  • No Wyre Forest news
  • No Herefordshire news 

Wuhan Novel Coronavirus Infection

Interim advice for primary care professionals dealing with patients with suspected Wuhan novel coronavirus infection (WN-CoV).

Read more

MMR Vaccine 

Message to GP practices

Every GP practice in the country will shortly receive posters and reception counter cards to support the NHS ‘Measles, Mumps and Rubella (MMR) – Help Us Help You, Get Protected’ campaign.

This is one of six campaigns agreed as part of this year’s GP contract and the materials have been developed to support you in encouraging your patients to get protected.

Research shows, that healthcare professionals are the most trusted source of information on vaccination. Their positive voice and ability to carefully correct any myths around vaccination are a vital part in maintaining and improving vaccination uptake.

As part of this campaign there are two posters, one version featuring a nurse, and an additional version that features a nurse and child (for the important parents of young children audience). Both posters carry the same text, highlighting that the MMR vaccination is the safest and most effective way to protect people and their families against measles, mumps and rubella. It goes on to say that two doses of the MMR vaccination are required for full protection and that a catch-up vaccination is available to those that aren’t fully immunised.

When the posters arrive, please display them prominently in your practice – the posters shouldn’t be used side by side – but it’s suggested that the ‘nurse and child’ poster could be used in areas/clinics that are more likely to receive parents.

The counter card should be used at reception desk to prompt patients to ask about the MMR vaccination when they’re talking to the reception team. A digital pack including these and further downloadable materials including social media content and digital screens will also be available via the Campaign Resource Centre. These materials are designed to complement other materials which are available to download/order

GP Medical Education Academy

Launch of the Herefordshire and Worcestershire GP Medical Education Academy

Thanks to the General Practice Forward View and NHS England’s Four Pillars Targeted GP Retention Programme, Herefordshire and Worcestershire CCGs GP Workforce Team has funding to support the development of GP Medical Education Academy. The scheme outlined in the flyer has been designed to retain existing GPs within the counties whilst enhancing an individual’s skills and knowledge in Medical Education and supporting education and learning needs within Primary Care Networks in Herefordshire and Worcestershire. The GP Academy will encourage a different approach to tackling recruitment difficulties by encouraging GPs who have an interest in medical education to support teaching, education and supervision of near peers.

We have worked with the University of Worcester to develop a 3 day training course which supports this exciting initiative. To minimise impact on practice, we have planned ‘Sunday-Tuesday’ training dates. The CCGs are able to offer funded places for interested GPs.

Please see attached flyers for more information on the academy, the training and how to apply.

Fax Machine Removal 

GP Practices - March 2020

As you are all aware there is a contractual requirement in the GP Contract reform that “by April 2020, practices will no longer use facsimile machines for either NHS or patient communications”.

To assist practices with their communications to organisations who either send or only except fax communications from practices we have drafted 2 letters practices may wish to use to send back to these organisations to prepare them to look at alternative methods of communication post March 2020.

eRS changes for 2 week wait referrals

As part of the NHS standard contract and the continuing improvements to Worcestershire Acute Trust e-Referral services, the trust plan to move the Two Week wait services listed below from ‘ghost’ clinics/services to Referral Assessment Service (RAS) on Monday 3rd February 2020.




These changes will improve patient experience, take away the confusion of fictitious appointments and allow Worcester Acute Trust to contact the patient to discuss choice and arrange a suitable appointment.

Step 1 - Referrers send their patient referrals directly into a RAS without having to book a dummy appointment for the patient.

Step 2 - When a service search is being initiated, a RAS service will have a Send for Triage button instead of the usual tick box option on the service selection screen.

Step 3 - Once the request has been created, the clinical referral information will need to be attached to the referral before the service provider is able to complete a triage. The patient will not be visible to the trust until a referral has been attached, so it’s imperative this is done at the time of referral.

Note: a RAS cannot be added to a shortlist of services when creating a request for the patient, it must be the only option selected.  

If you have any queries, please feel free to contact:

Emma Hannah
NHS e-RS Facilitator
Worcestershire Acute Hospital Trust
Tele No: 01527 503030 Ext 44831
Fax No: 01527 512190

Communication around Rockwood Frailty Coding and SNOMED

Sent on behalf of Maggie Keeble, ICOPE Lead 

Those of you who have migrated to SNOMED will have realised that the coding system no longer recognises ‘Rockwood’ as a coded term. The equivalent is the rather less catchy ‘Canadian study of health and aging clinical frailty scale’. Typing ‘Canadian’ ‘Cana…Stu’ or ‘Clin… Frailty’ will take you to it – unfortunately CFS will give you ‘Chronic Fatigue Syndrome’. An alternative is to add a Quick Code Shortcut e.g. ‘@Rock’ which can be linked to the same code. Ray Giles has done some screen shots that will show you how to add a Quick code – it's easy to do and you can start to build up a library of your own Quick Codes and Short cut texts.

Ray has tested the pop up protocol using original codes to search for existing Rockwood codes and he assures me that it still works on SNOMED migrated systems – if anyone is having problems please let us know and we’ll ensure it is rebuilt and sent out as a matter of urgency. If anyone hasn’t got this pop up loaded and want the current version please get in touch with Ray Giles

We have had to hang back in the development of Frailty Templates whilst waiting for the impact of SNOMED so once all practices have migrated, we will push forward with this development in collaboration with our Pershore and Upton colleagues who are trialling a version for us already.

Maggie Keeble
ICOPE Clinical Lead 

Nexplanon® Contraceptive Implant

The Faculty of Sexual Health have issued updated guidance to support the insertion of Nexplanon® contraceptive implant. Dr Melanie Mann will be holding practical workshops for LARC practitioners to attend and details of these will be circulated as soon as possible. 

MJog SMART App Campaign

All GP Practices will be receiving a MJog update which will assist in promoting the uptake of MJog SMART App.

  • The update will be carried out remotely, free of charge and no input is need from practices.
  • Automatic invite messages will then be sent to patients when they are sent an appointment reminder, limited to once every 90 days so as not to bombard patients.
  • The patient will receive the automated invite ahead of their appointment reminder, and should they download the app, they will then have the reminder delivered to the app. If a patient decides not to download the app, they will receive their appointment reminder by SMS as usual.
  • The update cannot be turned off, or amended, by staff at practice level, however, MJOG can remove on behalf of a practice. This is a pretty quick process, and can be done by email, or over the phone.
  • If the patient already has the app, they won't receive an invitation - the system is intelligent enough to know who is registered for the app, and who isn't. If the patient already has the app, the invite message will not be triggered, and they would receive their appointment reminder.
  • The patient will continue to receive the reminders alongside their appointment reminders, though they are limited to one every 90 days. If the patient does not download the app, but continues to see their GP every week, they will not receive another invitation until their first appointment reminder is sent after the 91-day period following the initial invitation.


For questions or problems please contact:

Stephen Morgan
Project Co-ordinator | Midland and Lancashire CSU
Mobile : 07776164521
Office : 01562 513029
Email: stephen.morgan6@nhs.net

St Richard’s Hospice Build 2020: Stage 2

Sent on behalf of June Patel, Chief Executive, St Richard's Hospice 

Here at St Richard’s at Wildwood Drive, Worcester, we are about to start the next stage of our Build 2020 redevelopment and expansion project. The completion of the first phase has already given us the opportunity to welcome more patients into our expanding Living Well services.

In this final phase we will be creating a range of specialist therapeutic rooms for patients and families, enabling us to offer even more to our patients and local community. During the building work there will be some impact on our in-patient services. In order to protect patients and families from any noise or disruption due to construction work, we anticipate a reduction in bed capacity for a period of around 12 weeks, starting on 27th January 2020.  

Bed capacity will be reviewed daily by our clinical team to maximise patient access to as many beds as we can. To ensure we continue to support as many patients with complex palliative care needs as possible, we will be exploring ways in which some staff from the in-patient unit are able to support our community services during this time.

We apologise for any inconvenience this may cause but hope you join with us in looking forward to the benefits the expansion will bring to patients and families in the future. 

We will keep you regularly updated but if you have any questions or concerns now or at any time during the temporary reduction in bed capacity, please do not hesitate to get in touch:

June Patel, Chief Executive 
Email: June Patel 
Telephone: 01905  958177

Debbie Westwood, Care Director 
Email: Debbie Westwood
Telephone: 01905 958147

Prescribing Top Tip

This week's Prescribing Top Tip is regarding the Prescribing of Rubefacients

WH&CT Leg Ulcer Working Group

The WH&CT Leg Ulcer working group are currently scoping to understand the current work around leg ulcers, lower limb disorders and chronic oedema. These are complex issues that are currently managed by a range of services from community services, practice nurses, “Leg Clubs” to the acute setting. 

Please take 5 minutes to complete the data gather form (one response per practice) to ensure we are managing our resources effectively and can plan for a sustainable health service. Please note- there are no ‘right’ or ‘wrong’ answers- this is to collect baseline data - Please complete by Friday 7th February.

Palliative and End of Life Care

When supporting patients who are nearing the end of their life, it is important that health professionals and carers use consistent language.

Read more

ACT Forum Meeting – Anticoagulation Therapy: 11th February 2020, Cardiff

We are delighted to invite you to join Dr Richard Anderson and Dr Rupert Sayers for an informal, interactive day discussing new ideas in stroke prevention for patients with atrial fibrillation (AF). You will have the opportunity to meet colleagues who have successfully delivered innovative AF services, and learn how to secure funding and implement new initiatives in your own practice. There will be time to work on developing a business case and project plan, with advice and support from our expert faculty. 

Read more

WHCT Perinatal Mental Health Workshops

The perinatal mental health team from Worcestershire Health and Care NHS Trust wish to invite all health and social care colleagues, involved in caring for pregnant women and new families to attend one of four interactive masterclasses to raise awareness of perinatal mental health.



Tuesday 25th February

9:00am - 12:00pm

Tuesday 25th February

2:00pm – 5:00pm 

Tuesday 10th March

9:00am - 12:00pm

Tuesday 10th March

2:00pm – 5:00pm 



St Peter’s Baptist Church, Worcester, WR5 3TZ

Masterclasses will include;

  • Perinatal/ parent mental health overview
  • Understanding correct referral routes, criteria and pathways
  • Future plans to make the service more accessible
  • Introduction to DadPad – new bespoke app filled with practical information for dads-to-be and new dads across Herefordshire & Worcestershire

Masterclasses are suitable for all professionals including; GP’s, Obstetricians, Midwifery, Health Visitors, Breastfeeding Support Workers, CAMHs/ CARs teams and IAPT teams.

For more information, please see the flyer or book you place now

STP Mental Health Strategy – Follow-up Engagement Sessions

Following on from the successful engagement sessions in October 2019, the Clinical Commissioning Groups (CCGs) in Herefordshire and Worcestershire are hosting two follow up engagement sessions to further discuss the Sustainability Transformation Partnership (STP) Mental Health Strategy.

These will be structured co-production sessions and will aim to include an equal mix of participants (public members, staff and partners) from each background and/or specialty. The purpose of the sessions is for participants to give their views on the first draft of the mental health strategy and explore how this can be developed further.


  • Worcester - Thursday 27 February 2020 - Warndon Hub, Shap Drive, Worcester, WR4 9NX – 10.30 am – 1.30pm 
  • Hereford - Thursday 5 March 2020 – Hereford Town Hall, St Owen Street, Hereford, HR1 2PJ – 12.00 pm Midday – 3.00pm

Both sessions will last three hours and will include lunch.

Who are these sessions for?

We are looking for the views of an equal mix of participants with lived and/or work experience of adult and/or child mental health. This includes, but is not limited to; patients, service users, carers, GPs, doctors, consultants, nurses, allied health professionals, other health staff, social workers, social care staff, partner organisations (private and public), voluntary and community sector organisations, psychology staff, management and commissioning staff, Healthwatch.

Book your place

Booking is essential. Please book your place directly on Eventbrite.

Additional booking information

You do not need to have attended the first engagement session to take part in either of these events. Places will be given on a first come, first served basis. To ensure that there is an equal mix of participants from each background / specialty, availability will be limited for each group represented. When booking your ticket, please select the group that you most feel aligned to (you might feel aligned to more than one 'group').

Those who are unable to get a place, will be added to a waiting list and notified if a place becomes available.


Across Herefordshire and Worcestershire all local health and care organisations are committed to providing the best mental health care possible. We want mental health and wellbeing to be high on our local agenda, to ensure members of our communities are aware of mental health and are able to recognise issues in individuals, and to be able to support or signpost appropriately. When things get harder or more serious, we want our specialist services to be equipped to provide support as early as possible, with a focus and commitment to recovery.

Organisations across our two counties are working together in partnership to provide services which are safe, effective and sustainable. We think it is important for people to be able to get help and support as early as possible and to live healthy and independently for as long as they can. When more support is needed, we want people to be able to access services quickly, in the right place at the right time.

The CCGs in Herefordshire and Worcestershire are working on behalf of the Herefordshire and Worcestershire Sustainability Transformation Partnership (STP) to set out a Herefordshire and Worcestershire Mental Health Strategy. We are interested to speak with local people, staff and partners to better understand your views on mental health, so that we can ensure the new strategy meets the needs of local people. We are hoping to gain a greater understanding of what you think works well and where we need to make improvements.

Your views will build upon previous engagement work that has been carried out but will provide us with an opportunity to work with patients, stakeholders and the wider community to understand what more we need to consider. This is an opportunity to work together to shape our mental health strategy over the next few years, to ensure mental health awareness is embedded across our communities, and to develop new and existing services so that people can get the help they need to support them in their recovery.

Previous Engagement

The engagement evaluation report for the survey and listening events which took place in Oct-Nov 2019, can be found online.


If you have any queries about this invite or the co-production sessions, please contact the CCG Engagement Team directly on 01905 681956 or email

GP Bitesize Cancer Update

Herefordshire & Worcestershire 

We hope everyone managed to get a break over the holiday period. We are arranging a cancer education event to take place on 2/4/2020, starting at 2pm, at Worcester cricket club. We are able to provide funding for backfill for one GP to attend from each practice across Worcester. We are arranging speakers to come and update us about the changes going on in cancer care, and there will opportunities to discuss some of the difficulties we have both in primary and secondary care (and hopefully resolve some!!).

Read more

Quality and Service Improvement Training

The Quality, Service Improvement and Redesign (QSIR) practitioner programme is an accredited NHS programme which is being offered nationally as part of the STP activities. If you are regularly involved in, or managing, improvement projects this programme will meet your needs. The 5 training days are delivered over 3 months allowing you to take away the tools and techniques that you are taught and put them into practice. The programme is delivered off site and attracts health and social care professionals from across Herefordshire and Worcestershire, offering lots of opportunity for networking with colleagues undertaking similar projects. 

There is a £150 fee for the programme and each participant is required to produce a post programme case study.

The dates of upcoming QSIR Programmes are:

Spring 2020 Cohort on 21 and 22 April, 22 May, 4 and 19 June
Autumn 2020 Cohort on 22 and 23 October, 12 November, 3 and 17 December

If you would like more information, please contact QSIR@wvt.nhs.uk

Read more


We have received a CV from a Dr Ola (MBBS, LRCP(Lond), DCH, DRCOG, MRCGP) who has recently relocated from Essex to live in Worcestershire (Stourport-on- Severn), who is seeking locum work or a salaried post in the area. If you would like to see Dr Ola’s CV please contact the Primary Care Team.