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Member Practice Update

  20 June 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.

Move to e-RS and the switch off of paper referrals at WAHT

In line with the national requirements the CCGs, in collaboration with WAHT and the LMC, have put plans in place for the transition to electronic referrals and the switch off of paper referrals. Please find below details with regard to the transitional process.

The CCG will be sending out weekly communications on this area.

eRS Update for Primary Care

Promoting Clinical Excellence Initiative - Reducing follow up attendances in Secondary Care

A reminder that your response template which was emailed to you on 15 May is due back by 22 June.

Please direct any queries and send all responses to tracey.martin10@nhs.net

Request from Gastroenterology at Worcestershire Royal Hospital 

The Gastroenterology Team at WRH has reported regular occurrences where they need to manage patients’ expectations around their appointment. Many are unaware that they have been referred on the 2WW pathway.

The team is therefore asking if Primary Care referring clinicians could inform the patient if they are referring them on the 2WW pathway; and also to be clear with patients if they are not being referred as a priority.

Friends and Family Test - Monthly Data  

Follow this link to access the Friends and Family Test (FFT) report for April 2018

Use the drop down arrow on the second worksheet for details of your practice submissions.

Please be aware that the F&FT is a contractual requirement (Clause 16.7a of the GMS contract) and becomes a contractual issue if it isn’t submitted for a period of three months or more. Practices need to be aware that a non-submission is also picked up on NHS England’s performance framework dashboard. Practices are strongly encouraged to ask their patients to take part in the survey and to submit their data every month. Submissions need to be made before the twelfth working day after month end, so please ensure you have your data submitted before then.

Prescribing Top Tip  

Xaggitin XL® - Preferred Brand of Methylphenidate MR Tablets

Xaggitin XL® is the current preferred Worcestershire brand of methylphenidate modified release tablets for both new initiations and existing patients. The product is bio-equivalent to Concerta XL® and therefore patients can be switched to Xaggitin XL® from Concerta XL® on an individual basis where this is considered clinically appropriate.

Comparable prices to Concerta XL® tablets are shown in the table below:

Methylphenidate product

Concerta XL® price (MIMS  June 18)

DT Price June 18 (Cat C)

Xaggitin XL® price (MIMS June 18)

18mg MR tabs x30


£31.19 (based on Concerta XL®)


27mg MR tabs x30


£36.81 (based on Concerta XL®)


36mg MR tabs x30


£42.45 (based on Concerta XL®)


54mg MR tabs x30




Based on prescribing for the 12 months to the end of March 18, the potential cost savings arising from a 50% switch from Concerta XL® to Xaggtin XL®   are given in the table below, for all three Worcestershire CCGs:


12 month spend on Concerta XL® tabs to end March 18

Savings based on a 50% Switch to Xaggitin XL® tabs













Prescriptions for methylphenidate modified release tablets should be prescribed by brand to facilitate product continuity for patients. Switching from generically written methylphenidate to branded Xaggitin XL® can also generate a small amount of further savings for the 18mg, 27mg & 36mg strengths.

It may be advisable to action prescribing changes for this medication via face to face reviews or telephone consultations, to address potential concerns where applicable and facilitate “buy-in” of the switch with the patient and/or carer.

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

Patient Transport 

Please see the below documents with information regarding the Patient Transport Service.

PTS Eligibility Criteria

PTS Leaflet

PTS Business Card

Worcestershire BME victims of domestic abuse survey

The Worcestershire Domestic Abuse Service has been awarded one year of funding to develop a specialist service for those experiencing domestic abuse from Black, Asian and minority ethnic groups.

This week West Mercia Women's Aid (WMWA) launched a survey for professionals– to get local stakeholders views, on their experience of supporting local BME victims of domestic abuse, how they think WMWA can improve theirs and others services for these clients and what issues professionals would like covered in the free workshops being offered as part of the project.

Here’s the link for the survey https://goo.gl/forms/HqHyv3pdovKLostx2

The survey will close on 11 July.

Extended GP access - a few days left to respond 

The Worcestershire CCGs have produced a survey around improved primary care access for patients. As part of a national initiative, we want to look at how we can improve access to healthcare by offering routine appointments outside the core hours. By answering this survey, you are helping us develop GP services that meet the needs of local patients.

Advanced GP telephony   

The Worcestershire CCGs are rolling out advanced cloud-based VOIP telephone services across the region’s GP surgeries to achieve NHS plans for more efficient and effective care.

The new countywide telephony rollout is funded for three years from Estates and Technology Transformation Fund (ETTF). The fund covers all capital and revenue costs (inc call costs) for the three years.

The service offers GP Practices the opportunity to replace antiquated telephone system that are not efficient and can be extremely costly.

Practice staff have full control of their telephony system enabling them to update their own voice recordings, menu options, call workflows, redirecting calls, monitoring calls, generating reports and recording calls amongst some of these rich features they have full control off. The system can be accessed anywhere enabling staff to work remotely. Phones can be automatically re-directed to mobile phones in the event of any loss of Internet connection, therefore system never goes offline and it integrates with EMIS Web, so calls can be made directly from the patients record.

Early termination fees of existing telephony providers are not covered by the ETTF fund, but Practices still may experience cost benefits by migrating to the new system.

For more information please contact Luke Ruddock, Project Manager, on luke.ruddock@nhs.net

Vacancy - Maternity Locum

St John's Surgery in Bromsgrove requires a maternity locum for five sessions per year from mid-October for nine months.

Find out more here.