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Member Practice Update

28 February 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. COVID-19 (Coronavirus) Brief 
  2. Major Incident Flooding
  3. Falls Prevention - Referral Pathway
  4. QOF Update
  5. Digital Update 
  6. ReSPECT Newsletter - February 2020
  7. MECS Providers List 
  8. Association of Chartered Physiotherapy 
  9. Children, Young People and Families
  10. Safeguarding Sub-Bulletin
  11. Thursday 19 March - MSK & Chronic Pain Update Course 
  12. Children Society Launch Event
  13. Cancer Education Event
  14. General Practice Workforce & Celebration Event

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

COVID-19 (Coronavirus) Brief

Sent on behalf of Jo-Anne Alner, Accountable Emergency Officer

As I write this I have just had the “news flash” that in the UK we have had our first reported death linked to Covid-19, we have had over 7,000 people tested and 16 tested positive. This new news will raise anxieties and will require us to keep promoting the important infection control messages and direct the public and staff to phone NHS 111 if they want more advice or clinical assessment.

Since the number of countries on the “at risk” list has risen to 19 in the last week, including parts of Italy, the demand on services has risen substantially. NHS 111 is now showing signs of struggling due to the demand and extra support has been commissioned to support this service to cope.

In Herefordshire and Worcestershire, we now have a COVID 19 Clinical Assessment Service Pods at every Acute site and all MIUs in Worcestershire.

We also have a community swabbing service starting in each county.

We are in discussion with regional team about a co-ordination centre, which will be responsible for notifying people of negative swab results. A centrally based service which enables and to ensure results are reported as quickly as possible is welcomed. The position currently, is if a patient is positive Public Health England will alert the system and advise the patient.

At the CCG we are reviewing our business continuity plans in light of this outbreak. If you have any questions or thoughts about how you are reviewing your plans, I would welcome hearing about what you are doing or what support you might welcome in doing so.

New and Updated Guidance

Just to remind you of the key guidance documents which were published last week, some written specifically to support Primary Care. So please ensure you spend time reading the following:

New primary care briefing coronavirus primary care briefing.

PHE has also produced detailed guidance for primary care providers, it was updated on 20th Feb, and is available here.

The key principles are to:

  • identify potential cases as soon as possible
  • prevent potential transmission of infection to other patients and staff
  • avoid direct physical contact, including physical examination, and exposures to respiratory secretions
  • isolate the patient, obtain specialist advice and determine if the patient is at risk of COVID-19 infection.

This guidance also includes information on patient transfers and cleaning your premises following a possible case.

  • The  Novel Coronavirus (COVID-19) Patient Pathway guidance was published on 20th  February. The purpose of this document is to set out the minimum operating standards for each element of the patient pathway from identification of a possible COVID-19 case, through co-ordination of required steps and on to discharge.On page five, you will find the Pathway for presentations of self-isolated patient with intercurrent illness or exacerbation of known co-morbidity. This pathway highlights guidance which is coming soon for patients who require transport and face to face assessment during the isolation phase.
  • Additional resources have been made available for primary care providers. Please ensure that you share and display these as appropriate. Posters for primary care settings are available here and you can sign up to the campaign page and get advised of the most up to date information to share.


Major Incident Flooding

Sent on behalf of Jo-Anne Alner, Accountable Emergency Officer

This week we continue to experience severe flooding levels across both counties, we are coming to the end of week two of this major incident and it looks like it will continue into week three. Thank you for your resilience and professionalism in managing in very difficult circumstances. Herefordshire have had a few days of respite, but it is likely that the River Wye will be impacted again next week from this weekend’s rain. We continue to work with our LA, Health and emergency service partners whom I am constantly impressed with what support they give to our local communities 24/7 in these circumstances. ,  

As always, if you have any questions about either of the above major incidents please feel free to contact me.

Falls Prevention - Referral Pathway

Please be aware than the falls prevention referral pathway has changed.  Please do not send falls referrals to the Falls Prevention Service. For all falls referrals and queries please contact your local, neighbourhood team via their usual email address/number

QOF Update

QOF year-end 19/20 update and actions required

This document has been developed to assist practices to prepare for the QOF 2019/20 year-end. 

Digital Update

Since the beginning of 2019 we have been working together as system partners to determine the best way to join up information across our digital platforms to improve patient care. Collectively, we have agreed an STP wide digital strategy that has at its centre the creation of an Integrated Care and Wellbeing Record (ICWR). 

Read more

ReSPECT Newsletter - February 2020 

Please find the ReSPECT Newsletter for February 2020.

MECS Providers List

Please find the updated list of Minor Eye Care Service Providers. 

Read more

Association of Chartered Physiotherapy 

Sent on behalf of Katie Harrison, Principle Physiotherapist, Birmingham Women's and Children's NHS Foundation Trust

At Birmingham Children’s Hospital, the orthopaedic department and the physiotherapy department receive many referrals for concerns around developmental gait patterns and flat feet. Whilst we are happy to assess this group of patients and to reassure parents, many of them are seen and discharged at their first appointment as they are normal variants. Some of these referrals could be avoided.

Are you aware of the APCP (Association of Chartered Physiotherapy) website and access to good parent information leaflets?  There are downloadable parent information leaflets available for ‘Intoeing Gait’, ‘Flat Feet in Young Children’. 

There are also leaflets for ‘Osgood Schlatter’s Disease’, ‘Promoting Physical Development’, ‘Babywalkers – are they necessary?’, ‘Head Turning Preference and Plagiocephaly’, and ‘Symtomatic Hypermobility’.

Please take a look and direct parents to these leaflets and consider whether they really do need an onwards referral.

Children, Young People and Families

Participation and Engagement in Worcestershire

Children’s services are currently conducting a consultation for Professionals and Partners to gather feedback regarding the Participation and Engagement with Children & Young People in Worcestershire.  

Take the survey 

Safeguarding Sub-Bulletin 

This Safeguarding Sub-Bulletin features:

  • 798 MCA and DoLS – refresher
  • Mental Capacity Act & Deprivation of Liberty Safeguards Training
  • Worcestershire Safeguarding Children Partnership (WSCP) Events
  • Safeguarding Children Level 2 and 3 – dates for new staff only
  • Safeguarding Adults Level 3
  • Adult Safeguarding: How To Be Green
  • Domestic Abuse Training by Sarah Wigley Associates
  • Raising Awareness of Exploitation and Vulnerability
  • Trauma recovery focused practice with unaccompanied asylum-seeking children and victims of modern slavery
  • WHCT Policy on cancellations and sickness

Read more

Thursday 19 March – MSK & Chronic Pain Update Course

This is an IQSP Education Event, in Conjunction with Red Whale. 


The Bank House Hotel 

Registration 1:30 session will commence 2:00pm – 6:00pm

This is a free entry event for one GP from each Herefordshire and Worcestershire practice (standard fee for the day’s course is £225 per head)

Please note for Worcestershire GPs this is one of the IQSP/PCE Study Events so backfill funding has already been paid for one GP from each practice to attend. Once the free tickets have been allocated a number of spare tickets will be available at a subsidised fee of £80.

Please follow the link to book your tickets (allocated ticket and additional tickets) or use the link on the flyer.

Course Flyer

Children Society Launch Event 

Thursday 19th March 2020

The children Society were successful with their bid for the West Mercia Diversionary Network and will be leading on the launch of the service that will be ready to receive referrals as of 1st April 2020. The service is an Early Intervention and Prevention service for 10-17yr olds, across the whole of West Mercia, who are:

  • Missing education or NEET
  • Are starting to be reported as Missing
  • At risk of entering the Criminal Justice System
  • Identified through arrest or intelligence to suggest they are in possession of Class A Controlled Drugs
  • Identified through arrest or intelligence to suggest they are carrying knives/ weapons
  • Engaging in Anti-Social Behaviour


And therefore at risk of Child Criminal Exploitation.

DATE: Thursday 19th March 2020
TIME: 1.30pm – 5pm
VENUE: Worcester Warriors Rugby Club, Pitch View Suite, Sixways Stadium, Warriors Way, Worcester, WR3 8ZE
PARKING: For those travelling by car, there will be ample parking on site

There will be an agenda circulated closer to the event date, but a brief overview of the day will be:

1.30pm – Arrival/ Registration/ Tea&Coffee
2pm – Introduction & Welcome to the event by PCC John Campion
2.15pm – The Children Society (TCS) will provide an overview of themselves
2.30pm – TCS to speak of their structure for the West Mercia Diversionary Network, referral criteria, referral pathways
4.30pm – Open floor for questions/ clarification
5pm – Close Event

Many of you on this distribution are identified as being embedded in key child safeguarding centric environments throughout West Mercia. Can I ask that you forward on this article to any groups/ individuals within your own business areas that would benefit from understanding the service being offered e.g. Problem Solving Hub Sgts – to your youth engagement PCSO’s and Care Home Co-Ordinators.

Registering your interest in attending this event:

The capacity at the venue is identified as 150. I will do my very best to accommodate everyone. Can I ask that you email to register your request to attend. There is no issue with a single email identifying all those from your business area that would like to attend. Please include their full name and email address. This will enable us to understand demand and business area for attendance as well as producing a register of attendance for the event.

Thank you all in advance for your support to this event and on behalf of John Campion and The Childrens Society, we look forward to welcoming you to Sixways Stadium.

Cancer Education Event

02/04/2020 Worcester Cricket Club, 14.30

The cancer education event on 02/04/2020 at Worcester cricket club still has places for GPs who wish to attend.

Read more

General Practice Workforce & Celebration Event

You are invited to join us on:

Wednesday 29th April 2020
Bank House Hotel

Lunch, Keynote speakers & Awards 12.30pm - 2.30pm. Information stands & various sessions between 9.30-2.30pm

Our Herefordshire & Worcestershire GP Workforce and Celebration Event is open to all general practice staff, and those with interest in working in general practice in the area.

We will be celebrating the Year of the Nurse and hearing about the achievements of our Nursing and GP Workforce with Keynote addresses from Karen Storey, Professor Tamar Thompson OBE & Professor Veronica Wilkie.

The event will culminate in our first ever Herefordshire and Worcestershire General Practice Awards Ceremony.

A detailed programme & information about the Awards Ceremony will be shared early March.

Please see the flyer with details on how to book your place. 

Primary Care Job Vacancies - Please visit the Primary Care Training Hub

GP Mentoring – The service can be used by any GP who would like to explore ways to develop themselves. This could be personally, professionally or within their career. The aim is to provide mentors to support GPs in fulfilling their potential, whether this is in practice or in other leadership positions. If you’d like a mentor, please email the Workforce Team

GP Support Team –The CCGs and LMC have a well-established GP Support Team in place, whose main focus is to respond to and empower practices to make operational and team changes that directly and indirectly address challenges they are facing in the short to medium term. The GP Support Team can be accessed via the LMC or Sally Everton at the CCGs.