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Member Practice Update

10 January 2018

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 worcs.comms@nhs.net

In this issue:

Find out about local and national events and training here.

  • No Redditch and Bromsgrove specific news

  • No South Worcestershire specific news 
  • No Wyre Forest specific news

Treatments of Limited Clinical Benefit - Prior Approval Update

Please see below an update providing information about prior approvals for treatments of limited clinical benefit, new commissioning policy not requiring prior approval and what this means for GPs.

Please ensure that you read the update here.

Frailty Unit update

Since opening:

  • 364 patients have been seen by FAU and 41% (n= 150) have been discharged on the same day
  • 72.55% FAU attendances are from Redditch/Evesham postcodes. Whilst WMAS have done considerable work to promote FAU the current frailty criteria excludes a high volume of patients on their initial presentation. It is often only after initial assessment and medical queries being ruled out, that the patient is deemed appropriate for frailty.

Comparing Nov 2016 and Nov 2017 the following has been found:

  • There has been an increase in the number of  patients discharged the day of attending the FAU
  • 27.35% patients discharged the same day in Nov 17 compared to 20.26% in Nov 16 – likely an effect of the FAU
  • Reduction of 521 bed days - 4,038 in Nov 2017 compared to 4,559 in Nov 2016 - this would be the equivalent of around 57 admissions (based on AVG LOS of 9 days) 
  • Average LOS reduction of 1.78 days (1.40 days excluding 0 LOS).

Registering patients

We are aware that a number of vulnerable or transient patients are being refused registration for various reasons, even as a temporary resident, or because of being unable to provide specific pieces of information.

Under your GMS contract (8.1.2) you have an obligation to treat these individuals if they believe themselves to be ill, unless there are extenuating circumstances (e.g. they are on the zero tolerance list). This link to the BMA is very helpful and could be shared with your reception staff as gives a clear summary of what is required.


Sexual Health clinic opening times

View this poster to view opening times for Sexual Health clinics across Worcestershire.

Please note that some of these opening times may be different from those previously advertised.

Night Sitting Service

The Night Sitting Service is available to patients across Worcestershire, providing high quality overnight care and support for those individuals that would be at increased risk of admission to hospital or residential care and to facilitate timely discharge from hospital.

View this document to find out more about the service.

TIA Service at Worcestershire Acute Hospitals NHS Trust
As you will be aware the management of suspected TIAs changed last year following the publication of new guidelines issued by the Royal College of Physicians.

This document has been put together to update you on the latest information around TIAs.

Referral form (Word)

Referral form (EMIS)

UTI treatment flowchart
A flowchart has been developed as an aid for GPs, care homes, nursing homes and ambulance crews in the management and treatment of UTIs.

Access the flowchart here.

Primary Care Communications and Practice Engagement Survey - reminder

There are still a number of practices that haven't completed the communications and engagement survey, which was sent out before Christmas.

We would like to remind practices about this opportunity to have their say on how we engage and communicate. Each practice is asked to complete at least one survey as part of the mandated surveys within the PCE contract.

Access the survey here.

GP Coaching
As part of supporting resilience, NHS England is funding some coaching sessions for GPs. Please be aware that places have to be booked by 31 January 2018. 

This flier provides more details of one-to-one tailored coaching for GPs, with a link to register directly.

Prescribing Top Tip

This week's top tip to start the New Year is a summary of Prescribing Top Tips and Medicines Commissioning News (August-December 2017).

View the update here.

Opportunities for LeDeR GP Champions in Midlands and East
GP Champions in the Midlands and East are urgently required to support local roll-out of the National Learning Disability Mortality Review (LeDeR) Programme, and to champion the process with local primary care stakeholders.

Further details of the GP Champion role are provided in this summary document. For more information, email Louisa Whait or call 07730 391373.

De-registration of Fern House Care Home

Please be aware that Fern House Rest Home, 14-16 Margaret Road, Worcester has de-registered with the CQC as a care home, due to retirement planning.

The Firs Care Home of 141 Malvern Road, Worcester is unaffected by this and is trading as normal.

Please will you adjust your records accordingly.

EPaCCS – Electronic Palliative Care Co-ordination System – User Guides and New Release notes
Since the original EPaCCS user guide was published, Black Pear has released a new version of the software with enhancements to the user interface. This means that the live system now differs slightly to some of the screens in this guide.

Black Pear has therefore published an updated document, Software Release 8 December 2017: eSP v2.0.2 (V1.0), which is attached to this guide as Appendix A to assist the user in familiarising themselves with the new features.

If you have any training needs, please contact Tomasina Collier – contact details included below:

Tomasina Collier
Mobile: 07899 692927
Email: tcollier@nhs.net

Reducing inequalities in access to general practice
Ensuring everyone can access services on an equal footing is a key priority for the NHS. One of the seven core requirements for implementing improved access, as set out in the NHS Operational Planning and Contracting Guidance 2017-19, is to address issues of inequalities in patients’ experience of accessing general practice, identified by local evidence, and put actions in place to resolve this.

To support commissioners and providers of general practice services to address this, NHS England has produced a practical resource – Improving Access for all: reducing inequalities in access to general practice services – which aims to promote understanding of groups in the community who are experiencing barriers in accessing services and help to address those barriers as improvements in access to general practice services are implemented.

WSAB business objectives survey
The Worcestershire Safeguarding Adults Board would like your help in setting their business objectives for 2018/19.

They have developed this survey, which they would be very grateful if you could take a few minutes to complete.

Please complete by Friday 19 January.