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Member Practice Update

14 November 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
  • No specific Wyre
    Forest news



The licenses for EPACCS were renewed back in September and therefore we wish to encourage practices to use the system (we realise some practices are making good use of the EPACCS system). EPACCS delivers many benefits for both your practice and patients including;

  • Improved communication between providers
  • Decreases the amount of GP admin time to communicate
  • Ensures patients plans and wishes are available in a crisis to all relevant providers
  • Reduces number of conveyances and people dying in places contrary to their wishes

James Harley has offered to support GP Practices with EPACCS and has developed the a robust E-Knowledge Base.

James can also manage user accounts and is quite happy to do some on-site training. If you wish to take him up on his offer please email him at james.harley2@nhs.net

GP Forward View  

The following training is available at a reduced rate of £150 per participant. Practices, or groups of practices may be interested in working to put a transformation bid together to secure funding to support their attendance these sessions.

Quality and Service Improvement Training

The Quality, Service Improvement and Redesign (QSIR) practitioner programme is an accredited NHS programme which is being offered nationally as part of the STP activities. If you are regularly involved in, or managing, improvement projects this programme will meet your needs. The 5 training days are delivered over 3 months allowing you to take away the tools and techniques that you are taught and put them into practice.

Download promotional material.

The programme is delivered off site and attracts health and social care professionals from across Herefordshire and Worcestershire, offering lots of opportunity for networking with colleagues undertaking similar projects.

There is a £150 fee for the programme and each participant is required to produce a post programme case study.

The dates of the next QSIR Programme are 24 and 25 January, 13 February, 6 and 29 March.

If you would like more information please contact QSIR@wvt.nhs.uk

Haematology at WAHT go live for Advice & Guidance on e-RS  

Please be aware that from Monday 19 November the Haematology Department at Worcestershire Acute Hospitals NHS Trust will be going live with advice and guidance through e-RS.

Worcestershire Primary Care Countywide Development Day - 29 November 2018   

Reminder to sign up for the Development Day

The Worcestershire Primary Care Team would like to invite our practices to attend a countywide development day on the afternoon of Thursday 29 November 2018 at Sixways Stadium. It will start with a light lunch served from 12:30pm with discussion starting at 1pm. The day will finish at 5pm.

We are just working to finalise the agenda for the day. To help us understand the numbers attending we have set up a registration process through Eventbrite at www.eventbrite.co.uk/e/worcestershire-countywide-primary-care-development-day-tickets-52210148961. Can we ask everyone to please sign up by 22 November to ensure we have an accurate number attending, also if there are any special dietary requirements please send Denise Horton an email prior to 21 November to let her know what you require.

The afternoon will include updates on what is happening with the primary care workforce in Worcestershire, the newly rebranded General Practice Support Team and Digital General Practice of the Future.

As in previous years, we are encouraging practices to send a GP and PM representative from each practice. Funding for backfill will be reimbursed as part of the PCE contract (As outlined in Sections 1.1 Best Practice – education, development & engagement – CCG study day).  Practices are welcome to send additional delegates but we are unable to provide backfill support beyond what is outlined above.

If you have any questions or feedback please contact Denise Horton


World Antibiotic Awareness Week/ European Antibiotic Awareness Day 2018  

Ensuring that we protect the effectiveness of our existing antibiotics and engaging with people remains a priority. International Infection Prevention and Control Week (15-21 October), World Antibiotic Awareness Week (WAAW) (13-19 November) and European Antibiotic Awareness Day (EAAD) (18 November) provide an excellent opportunity to engage with healthcare professionals (HCPs) and the public on AMR.

Support the PHE National AMR campaign for the public

On 23 October 2017 a national campaign ‘Keep Antibiotics Working’ was launched by PHE across England to support the government’s efforts to reduce inappropriate prescriptions for antibiotics by raising awareness of the issue of antibiotic resistance and reducing demand from the public using TV, radio and social media. The messaging for the campaign aims to move patients to a better understanding that taking antibiotics when they don’t need them puts them and their family at risk and to trust their doctors and healthcare professionals advice regarding the best appropriate treatment for them.

Update on provision of the Family First ‘Intensive Home Visiting’ service    

As of 1 December 2018 the provision of the Family First Service will transfer from the current contract holder, Ripplez CIC, to Worcestershire Health and Care NHS Trust. The service will become part of the Starting Well, 0-19 service.

Find out more.

Lidocaine Medicated Plasters – Preferred Brand   

Lidocaine medicated plasters are listed in NHS England’s Items which should not routinely be prescribed in primary care guidance. This guidance underpins our local position statement which advises that these patches should only be used as a fourth line option for severe post-herpetic neuralgia pain which is not responsive to, or where the patient cannot tolerate, other agents.

Until recently only one product was available: Versatis®. Now, however, the same manufacturer is producing an alternative, bioequivalent product named Ralvo®. This newer formulation has recently been approved for prescribing by the Worcestershire Area Prescribing Committee (for the very restricted indication as outlined above) and is slightly more affordable, as detailed in the table below:


NHS List Price

Versatis® 700mg (5% ) plasters (30)*


Ralvo® 700mg (5%)  plasters (30)


*Note that generically written prescriptions for lidocaine 700mg(5%) plasters are reimbursed based on the Versatis® price (Drug Tariff category C).

Practices are currently undertaking a review of prescribing of lidocaine plasters as part of the PCE contract and should continue to de-prescribe this product where appropriate, in line with both national and local guidance. Where the defined clinical exception is applicable, and on-going prescribing is considered suitable, patients should be switched from Versatis®, or generic lidocaine, to the Ralvo® brand. 
If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net

Primary Care Project Support Officer  

This role provides project support to the Primary Care Team working across Worcestershire CCGs delivering effective administrative support to local projects/schemes and initiatives across the County. A huge initiative and large part of the role provides support to improving quality across General Practice and other Primary Care commissioning priorities as part of the NHSE Worcestershire CCGs Primary Care work programme.  This ever changing environment which is a crucial link to integrated care requires adaptability.   

The role works closely with General Practice clinical and managerial staff supporting the preparation of project documentation and meetings across Worcestershire practices.

Read more