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Member Practice Update

11 December 2018

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.

  • No specific Redditch and Bromsgrove news
  • No specific South Worcestershire news

CCG Key Messages - December 2018  

The December roundup of CCG Key Messages is now available to download.

Access them here.


GPFV – Online Consultation Pilot 

Don’t forget the closing date for participation in the 12 month online consultation pilot is 28 December. Find out more here. James Harley can provide informal advice - James.Harley2@nhs.net. Let Sandra Hayward know which system you’ve chosen by 28 December.

Sandra will support you throughout this process in her role as Project Lead: Phone – 07818 015489 / Email – sandra.hayward1@nhs.net

Commissioning For You - Winter 2018 

The Winter 2018 Edition of Commissioning For You, The Worcestershire CCGs Newsletter, is now available to download.

Access it here.

Children's Social Care Referrals are changing  

As part of Worcestershire County Councils improvement plan, They have been looking at how referrals to Children's Social Care are made and whether the service can be improved to make sure children and families get the correct support they need as quickly as possible.

The Cause for Concern referral form has been updated for all safeguarding and child and child protection referrals and is accessible from their website to allow wider access to professionals internal and external. It remains accessible, via a Worcestershire Children's Portal account for
those who have access to it. This is now renamed Referral to Children's Social Work Services

WCC have also created a new referral pathway for young people, parents, carers and professionals to make direct requests in their local area for help and support from Early Intervention Family Support (EIFS) or Targeted Family Support (TFS) services. This is a new service request form for children and young people who are identified as needing early help and support from these two specific teams only.

This is also accessed from WCC's website and is known as 'Early Help request for service for family support'.

There is a video available for professionals filling in the new referral form for the first time

If you are referring a child protection concern you must still telephone the Family front door on 01905 822666.

IAPT Service / Healthy Minds Referral   

From today (12/12/2018) referrals to IAPT Service/Healthy Minds are to be completed via the e-referral service, please find additional NHS
Guidance here

(QOF) 2018/19 - issues with the release of v39 in EMIS  

Following deployment of the QOF v39 libraries in EMIS a number of enquiries have been received by NHS Digital regarding Read codes which practices believe to be incorrectly included or excluded from their registers.

It has come to light that the reason this issue occurred was due to incorrect mapping from V2 to SNOMED leading to the inclusion/exclusion of a number of codes that have been queried by practices. In total, around 80 individual codes have had to be reviewed and as a direct result a decision has been made to skip the autumn release of the v40 business rules and move directly to v41 (end of year), which will be the version used for payments.
What this means for practices

The official line from NHS Digital is that practices do not need to take any further action. However, it appears on further inspection some practices have identified patients who have been incorrectly added to a disease register or removed when they should be included which could impact on
their annual recall.

In order to help practices manage this issue a company called Primary Care Pathways have created a suite of EMIS searches to help identify additions and subtractions and these will be shared with practices as soon as possible.

In the meantime, practices should be able to identify which codes are incorrect by using this spread sheet.

Reminder - GPN Mentors for Herefordshire and Worcestershire  

A reminder that four General Practice Nursing (GPN) Mentors are now in place to support the growth of pre-registration nurses in primary care.

This flyer outlines the GPN Mentors role and how to contact them, together with a factsheet about the Nursing and Midwifery Council (NMC) changes to education and assessment. Please share this information with your practice nurse staff.

If you would like any more information regarding the GPN Mentors please contact traininghub@taurushealthcare.co.uk

FAU Contact Details 

The Frailty Assesment Unit's direct line mobile phone is: 07525 922215

The criteria for acceptance is anyone over 65 with a CFS 5-8 from their usual place of residence, however, there may be negotiated exceptions on the age criteria i.e. LD. Please bleep the Advanced Clinical Practitioners directly via switchboard if you are unsure.

Nurse Forum  

Thank you to the 36 Practice Nurses, Advanced Nurse Practitioners and Health Care Assistants and Student Nurse that attended our Second Nurse Forum. This forum is open to all Practice Nurse staff across the county.

Nurse Forum

Topic's covered included:

  • New's from across the County from the CCG and work that Nina Lealan Practice Nurse Clinical Nurse In Education is carrying out for Practice Nurse staff
  • Educational Training needs for 2019
  • General Practice Nurse mentors and introduction to their new role.
  • Sexual Health Update
  • Nurse Associates and Apprenticeships
  • Infection control including Sepsis and UTI management

The next forum is set for:

26 February 2019 in Redditch and Bromsgrove, venue to be confirmed

  • 12.30pm-1.15pm: Lunch and networking with colleagues / Clinical supervision and Sharing of Best Practice
  • 1.15pm-1.45pm: Spirometry Pathway, Chris Loveridge Education for Health
  • 1.45pm-2.30pm: RCN Crediatialling, Nicholas Paterson RCN
  • 2.30pm-3pm: Emis Templates Claire Gibbs Worcestershire CCG
  • 3pm-4pm: Tissue Viability and Burns Algorithm Rosie Callaghan, Worcestershire Health and Care Trust.

If anyone wants any details please contact Nina Lealan.

Winter Preparedness  

See how the Worcestershire Healthcare System is preparing for winter.

Visit: www.worcestershire.nhs.uk/winter/preparedness/

Prescribing Breach Form - Reminder 

Whilst the majority of requests from secondary care to primary care to take over prescribing responsibility are appropriate, occasionally they are not. Any requests from secondary care (or another provider) to prescribe a drug or medical device which is not endorsed for use in primary care or not in line with Worcestershire guidance should be reported to the Medicines Commissioning Team. This allows the CCG to monitor and report back on all such requests. In addition, it will be necessary for individual GPs to communicate directly with the requester to explain that they will not be able to take on the prescribing as suggested.

The CCG Medicines Commissioning Team collates information on such requests so they can be raised directly with the providers to minimise future (inappropriate) requests or to prompt review of prescribing guidance where appropriate.

Examples of provider contract prescribing breaches include:

  • Requesting medicines, appliances or devices that have not been approved for use by the Worcestershire Area Prescribing Committee and are therefore non-formulary.
  • Request to prescribe due to insufficient supply of dressings/medicines to meet patient post-operative needs following 'day-case' attendance.
  • Treatment advice notes with insufficient information.

Information on breaches should be recorded on a standardised breach form. This can be found on the APC website & a link to the form can be found here.

The form takes approximately 2-3 minutes to complete and is then submitted online via the Survey Monkey platform. Please note that whilst this site is secure, patient identifiable information should never be recorded on this form. As a result of the breach forms submitted, we have had many positive outcomes that will be communicated in the near future via our newsletter.

If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net

Consultation on NICE Principles - closes 11 February 

NICE would like to invite you to comment on the consultation of a new version of the principles that guide the development of NICE guidance and standards. The consultation will run until 11 February 2019.

The document brings together existing statements of the way we practice, in particular the principles set out in our Social Values Judgements document. It also links to, and is consistent with, the legislation that establishes NICE in its current form, the NICE charter, and other legal, ethical and technical considerations that relate to decisions about how to allocate fixed resources in health and social care. We hope it will be of interest to anyone involved in developing NICE’s guidance and standards and to anyone else who would like to know more about how NICE goes about its work. We look forward to hearing your feedback.

The consultation details can be found here.

Beyond the Symptoms Eating Disorder Training for Healthcare Professionals 

An estimated 1.25 million people in the UK have an eating disorder. These serious mental illnesses devastate both the lives of those
suffering and those supporting them. The sooner someone receives support for an eating disorder the better their chance of a full, sustained recovery.

Beat, the UK’s eating disorder charity, are working in partner-ship with West Midlands Clinical Network to deliver eating disorders training to equip healthcare professionals across West Midlands with the skills needed to spot the early signs of eating disorders and make appropriate referrals.
For more information and to book your place contact training@beateatingdisorders.org.uk.

West Midlands Dates:

  • Tuesday 5 February 2019 - Birmingham—St Chad’s Court
  • Thursday 28 February 2019 - Warwickshire—Hilton Warwick
  • Thursday 7 March 2019 -Worcester—Whitehouse Hotel

Wyre Forest Locality Update:

KEMP for Carers Respite Service 

KEMP Hospice is launching a new respite service, find out more about it below: