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Member Practice Update

27 February 2019








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:


Find out about local and national events and training here.

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  • No specific Redditch & Bromsgrove news
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  • No specific South Worcestershire news
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  • No specific Wyre Forest news


GP Forward View - Workforce 

GP and Hospital/Healthcare provider Portfolio Working opportunity

Herefordshire and Worcestershire CCGs with support from NHS England, local Trusts/Healthcare Providers and the Local Medical Committee are seeking to develop GP portfolio roles. These roles are aimed at providing interesting, varied and supportive ways for GPs to work both within General Practice and a local hospital or community healthcare setting. Find out more.

The roles are being arranged so that GPs, who may be interested in this way of working, could do so in a relatively straightforward way.
We intend for the posts to be set up so that the GP is employed by the Provider, under a specifically adapted honorary contract for an agreed number of sessions. The GP’s terms and conditions, indemnity and pension would all be covered within one agreement with the Provider. It would be advised that the provider and substantive GP practice have an agreed memorandum of understanding.

Initially we are seeking to offer a small number of portfolio positions, to learn how they should be developed and whether they could be extended to other professional disciplines if they prove successful.

We would welcome expressions of interest from all GPs.

Roles offered by Providers:

A detailed Job Plan for each of the opportunities can be found within the attachment. Please review and complete the Expression of Interest form indicating which role you are interested in.

  • Adult Mental Health, Worcestershire Health and Care Trust
  • Care of the Elderly and Stroke Rehab, Worcestershire Health and Care Trust
  • GP in ED, Staywell Healthcare

Please note we are waiting for potentially three additional roles to be confirmed by other Providers across Herefordshire and Worcestershire, further details on these roles to follow in a future communiqué.

If working within a portfolio arrangement like this would be of interest to you as a GP, please review the roles offered by Providers and complete the expression of interest form via e-mail and send to the Herefordshire and Worcestershire Primary Care Workforce Team sowoccg.workforce@nhs.net by 8th March 2019. Interviews and appointment to the roles will take place towards the end of March 2019 directly by the Providers.

Development of the First Five Mentor network

You may recall an expression of interest opportunity to be a GP mentor/clinical was circulated by NHSE during late December/early January as part of the development of a new First Five Mentor network. NHSE have delegated responsibility for the development of the network and recruitment of the Clinical Lead and mentors to the CCGs.

Therefore we’d like to make you aware of two exciting opportunities;

Clinical Lead for the First Five Mentor Network in Herefordshire and Worcestershire

The CCGs are looking to appoint one clinical lead on behalf of our STP to undertake the Clinical Lead role. The Job Description and Expresion of Interest form for this role can be found here.

Some key information about the Lead role is included below;

  • Fixed Term contract for 12 months (until 31 March 2020), 1 session per week
  • A pre-requisite for this role will require the individual to be within the first five years of qualifying.
  • The Clinical Lead will create reporting/accountability structure for their local network to ensure key deliverables are realised.
  • The clinical lead role will oversee the development of Mentors register for first fives.
  • First meeting of the Clinical Leads across the Region will take place on 28 March 2019, 2pm-5pm at St Chads, Birmingham, This meeting will be chaired by Dr Sarah Marwick, Associate Medical Director, NHSE.
  • Interviews will take place during March (date to be confirmed but likely to be either w/c 11th March or w/c 18th March).


We believe this is a fantastic opportunity to develop the future leaders of tomorrow as well as contributing to the workforce agenda for the GP Forward View. If you are interested in the Clinical Lead role and are within the first five years of qualifying, please complete the expression of interest template and return to; sowoccg.workforce@nhs.net. No later than 8th March 2019.

Mentors for the First Five Mentor Network in Herefordshire and Worcestershire

Thank you to those GPs who have already expressed an interest in being a mentor for this network. Applications to be a mentor for this network will remain open until 8 March 2019. As soon as the clinical lead is appointed, we will be making contact with interested mentors to develop and launch the network from April 2019.

If you are interested in becoming a mentor,  all you need to do is complete the attached expression of interest and return to sowoccg.workforce@nhs.net. There are no pre-requisites for GP expressing an interest in being a mentor.

Please circulate the information to any GPs you may feel would be interested in either the Clinical Lead or Mentor role. We look forward to hearing from you.


Pathway Update - Minor Eye Care Service

Following the roll out of the Minor Eye Care Service (formally known as PEARS) across all Worcestershire CCGs, please find attached an updated list of accredited opticians offering MECS. The most up-to-date list is available here. Also available is information for patients that includes a list of opticians. 

Please note: All Worcestershire GP practices should advise all patients with routine eye concerns to visit their MECS accredited optician. If a patient subsequently requires a referral then this will be managed by the optician and therefore does not require GPs to make the referral. If you have any ‘red flag’ clinical concerns that requires an immediate ophthalmologist’s opinion, please contact the Kidderminster acute service on - Tel: 01562 828826 email: wah-tr.acuteeyeclinicreferral@nhs.net 

If you have any further questions, please feel free to contact Jason.nash2@nhs.net 



The Data Security and Protection Toolkit (DSPT)  

Emily Sullivan, Practice Manager at Grey Gable Surgery has been working closely with the CSU and Computacenter to develop the following documentation to support practices with answering the more technical questions contained in the DSP Toolkit.  For 18/19 not all items are mandatory, however, Emily will continue to liaise with the relevant agencies in order to set-up formal communication so that practices are able to proceed more seamlessly next year.

Download Advice


Consultant Connect Service Ending 30 April 

The CCG has listened to GPs who have expressed frustration about the lack or response to Consultant Connect calls and has given notice on the pilot scheme. The service will end on 30 April.

We are grateful to GPs for engaging with the scheme and are disappointed that the poor pick-up rates meant that it did not deliver to the expected outcomes.

Work is ongoing to develop alternatives which will improve the interface between GPs and secondary care consultant colleagues.


Service Concerns reported via Datix for Q3 2018/19

The Service Concerns process, reported via the Datix system, is used by the CCG Quality Team to gather intelligence on single events of concern or trends of any emerging issues for commissioned providers. The system was established following learning identified from the Mid Staffordshire Enquiry, where local intelligence and feedback from primary care could have identified the extent of concerning practice sooner. Information reported through this process is used to inform commissioning and provider initiatives that make measurable improvements in the quality and safety of care. 

The Quality Team review Datix notifications on a daily basis. All notifications are logged and the details reviewed against serious incident and safeguarding thresholds: 

  1. Where a trend becomes apparent the Quality Team will contact the provider directly and agree rectification, through appropriate Clinical Quality Review Meetings.
  2. Where there has been a known impact on patient care the Quality Team will contact the Provider to request that they investigate. This may require the Provider to contact the GP Practice Directly for any further information.
  3. If the Service Concern content is assessed as meeting the criteria of a reportable Serious Incident or safeguarding concern the Quality Team will follow up directly with provider, ensuring that a robust investigation is undertaken and action to mitigate any identified gaps in care are agreed.

Currently the DATIX System does not generate an automated response to reporters. Due to the number of concerns received from 66 GP Practices and the level of resource available to support the Service Concern system, it is not possible to acknowledge every reported concern and so Practices will only be directly contacted if the concern falls under categories 2 or 3 listed above.

GP Practices are encouraged to actively contact the provider prior to reporting Service Concerns to the CCG so as not to delay any required response to ensure patient safety.

Find out more here



Dementia Wellbeing Service 

Early diagnosis and access to support for those living with dementia and their carers remains a priority for Worcestershire and as such the Worcestershire CCGs and Worcestershire County Council are delighted to announce the we have awarded a new contract to Age UK Herefordshire & Worcestershire who will have overall accountability for the delivery of the programme with Onside Independent Advocacy working to a sub-contract agreement to consolidate the existing provision of post diagnostic services.

This includes the Dementia Cafes, Connection Point, the Dementia Advisor Services and Connected  we have awarded a strengthened 4-year (3+1) contract to provide a comprehensive and responsive service for the county. The new contract helps to support the Voluntary Community Sector by giving certainty of funding. There has been no reduction in funding.

The new ‘Dementia Wellbeing Service’ will support our population by providing services across the county, working with our neighbourhood teams to ensure better access for people living with dementia and support for their family and carers closer to where they live. The specification for the service was developed by working with people with dementia and their families as well as existing providers. The contract start date is the 1 April 2019.

We are very excited to be working with the Age UK Herefordshire & Worcestershire and Onside to provide a comprehensive post diagnostic service for people in Worcestershire, which adopts an integrated approach to providing the right support at the right time for people with a diagnosis of dementia and their carer’s. The pathway will include peer support (cafes) drop in centres, and a dementia wellbeing service and will provide a seamless transition for existing service users and increased opportunities to engage and shape the services going forward.

Further information will be available before April 1st about referral routes into the services.



EMIS Read codes for Dermatology  

Ahead of piloting Teledermatology with 10 GP Practices in Worcester, the CCG’s have reviewed the current EMIS read codes being used for Dermatology referrals.


This piece of work has identified variation across practices.

To ensure accuracy of recording referrals and for consistency the CCG’s kindly request for the following codes to be used (this also supports coding for PCE):

Code

Definition

8H43

Dermatology referrals sent to the Acute Trust

8Hn0

Any fast track (suspected cancer) referrals

8Hkq

Dermatology referrals sent to the Community

9N1S

Patients seen in a Dermatology clinic



A specific Teledermatology code will be used during the pilot, details of which will be sent to the practices involved once a start date has been confirmed.

Please share codes as appropriate.



Medicines Commissioning News  

The latest edition of Medicines Commissioning News is now available to read.

Access it here.



Children's Social Care Contact List 

The latest excel document listing contact details for Children's Social Care staff is now available to download.

It's advised that staff use primarily generic email addresses for teams. These are well used by our staff and manned daily, and requests marked as urgent can be dealt with efficiently. If an NHS number is known this will also help.

WHACT also ask that notes from meetings and plans etc. are sent from gcsx accounts to the appropriate generic email account (marked for attention of a named practitioner) rather than shared in paper format. This is more efficient in that it doesn’t need scanning saving etc., but it is more secure than the post.



CSE Awareness Day - 18 March  

Child Sexual Exploitation Awareness Day is Monday 18 March, please download and display the below awareness materials within your practices.

Download pack here.



PCSE GP Pension bulletin 

The latest PCSE GP Pension bulletin is now available to read.

Access it here



Health Champion Programme 19/20 

The Young Carers Health Champion programme was established in 2015 to support improved health literacy, promote health and wellbeing and develop the capacity of young carers to participate in planning and development of young carer friendly services. It aims to support service change through young carer voices. The 12-month programme is made up of young carers (aged between 16 – 24) from across the country.

Recruitment is now open for candidates for the next cohort of Young Carers Health Champions and the advert is available here.



Tackling Homelessness Together: A Consultation  

On 21/02/19 the Ministry of Housing published their consultation on “structures that support partnership working and accountability in homelessness”. The consultation is available online and will be open for 12 weeks (closing on 16 May). Further details, including information on how to respond, can be found here.
 
The Rough Sleep Strategy included several commitments which aim to strengthen local accountability arrangements for the delivery of homelessness services. One of these was a commitment to consult on ways to improve accountability at the local level, including the potential use of local Homelessness Reduction Boards.
 
Any stakeholders asking question about the consultation should be asked to contact homelessness.accountability@communities.gov.uk



Worcestershire Medico-Legal Society - Breach of Duty in Paramedic Practice

Dr Tim Kilner, Senior Lecturer – Advancing Practice, Allied Health and Social Sciences, Institute of Health and Society, University of Worcester

Tuesday 19th March 2019 at 7:30pm

The Courtroom, School of Law, Jenny Lind Building, Farrier Street, Worcester, WR1 3BZ

Tea/coffee and biscuits available

For any further information, please contact: Dr. Lesley Ann Smallman.

Non-members:
Professionals £10
First Year Students free
Other Students £5