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Member Practice Update


14 February 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.

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  • No Redditch and Bromsgrove specific news

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  • No Wyre Forest specific news


New Way for Making Termination / Social Gynae Referrals  

Please note from the 12th February 2018 the referrals to the above service will be managed from the Referral Management Centre within Wye Valley NHS Trust. The process will remain the same however the contact details will change. This is to ensure that all referrals are processed in a timely manner.

Email is the preferred way of communication; however fax communication is still an option. Download the fax frontsheet here.

Revised contact details are as follows:

Referral Management Centre, Fax number:  01432 372905
Contact telephone number: 01432 383100 – Option  7
Email address: socialgynae.wvt@nhs.net





Temporary reduction in X-Ray facility at Malvern Community Hospital 

From Monday 19th February 2018 we will have a temporary X-Ray machine at Malvern Community Hospital for approximately 8 weeks due to an upgrade to the current machine.

During this time we will be unable to X-ray pelvis, abdomen and lumber. In the meantime the Walk-In service at Worcestershire Royal Hospital are open Monday-Friday 8am - 5.30pm or Evesham Community Hospital Monday/ Wednesday and Friday 9am - 4.30pm.

We do apologise for any inconvenience caused, but the upgrade is essential.

 



Prescribing Top Tip 

Overarching prescribing advice on medical devices can be found in the Worcestershire Medical Devices Position Statement on the Area Prescribing Committee website. A list of the commissioning status of some commonly prescribed medical devices is given in the table below:

Initial prescribing of a formulary medical device must be accompanied by appropriate instruction and counselling.

Medical Device

Commissioning Position

Anal Irrigation Products

Not supported for new patients. Currently supported for existing patients only

Contiform® vaginal  insert

Not supported

Continence products ( eg catheters, leg bags)

Supported when in line with  Continence Formulary

Diabetic test strips, pen needles & lancets

Supported when in line with Guidance for Selecting Blood Glucose Strips, Lancets & Needles

Dressings

Supported when in line with  Wound Guidance

Emollients & Barrier Creams

Supported when in line with Emollient Guidance   (Note not all emollients are classed as medical devices;  however all bath & shower emollients and colloidal oatmeal preparations are not supported)

Eye Products

Supported when in line with Dry Eye Guidance

Flash glucose monitoring strips (eg Freestyle Libre®)

Not supported  in line with  Position Statement

Hosiery/Trusses

Supported. SeeWound Guidancefor formulary hosiery choices.

Oral film forming agents eg Gelclair®, Caphosol®

Not supported in primary care – Secondary care supply only

Oscillating positive expiratory pressure device (eg Flutter®)

Not supported in primary care – Secondary care supply only, following  device training

Silk garments

Not supported in line with Silk Garments Position Statement

Spacers/Peak Flow Meters

Supported

Sterimar® spray

Not supported – suitable for OTC purchase

Stoma products

Supported when in line with Stoma & Appliances Guidance

Vacuum pumps for erectile dysfunction (eg ErecAid®)

Supported  in primary care following secondary care recommendation and training



The above list is not exhaustive. Additional guidance and information on devices considered less suitable for prescribing can be found in the Prescqipp Medical Devices Drop List. Queries regarding the prescribing of individual devices can also be raised with the Medicines Commissioning team at medicinescommissioning.worcestershire@nhs.net

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




Governing Body Elections Reminder 

Call for nominations to roles on all three Governing Bodies have now been issued as follows:

Redditch and Bromsgrove CCG (1 April 2018 - 1 October 2019)
Clinical Chair
1 Governing Body GP

South Worcestershire CCG (1 April 2018 – 1 October 2019)
Clinical Chair
2 Governing Body GPs

Wyre Forest CCG (1 June 2018 - 1 December 2019)
Clinical Chair
2 Governing Body GPs

All nominations must be received by 5pm on Monday 19 February.

If you are interested in applying and have not seen the nominations e-mailer, or if you have any questions, please get in touch with Hana Taylor, Head of Corporate Governance.





YOTI App

Childline and the Internet Watch Foundation have come together to provide a service where children can request the removal of sexual images of themselves which have been shared online. As part of that process the child would be asked to provide a link to where the image is stored online, rather than send the image itself.
 
The child is also required to verify their identity and age and this is done through the YOTI app. YOTI will not store images of the child’s ID following the verification process.
 
Below are a couple of online resources which contain details regarding this service:
 
www.nspcc.org.uk/preventing-abuse/keeping-children-safe/sexting

There is a section which covers what you can do if you’ve lost control of a sexual image and refers to the YOTI app.
 
contentreporting.childline.org.uk
This is the portal where you can report images and videos for take down and again refers to using the app to verify age.




Reducing inequalities in access to general practice services 

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.





South Worcestershire News:

MSK Self Referral cards  

If you require additional supplies of the self-referral cards for the MSK Integrated Physiotherapy and Pain Management Service, please contact Natasha Dent.