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Member Practice Update

21 March 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.


EPaCCS – Electronic Palliative Care Co-ordination System

Telephone Support service

Black Pear have informed us that they have partnered with Egton to provide a telephone support service. Requests can be sent to them 24 hours a day, 7 days a week. Their engineers work between 7.30am – 7.00pm Monday to Friday (excluding bank holidays) and 9am – 1pm on Saturdays to answer any questions and resolve any problems. The direct dial number is 0845 450 6271 and can be used for all support requests relating to the Black Pear Software (EPaCCs) including login problems.

Notification Emails

Black Pear have also notified us that they have changed the email address for notifications. The new notification email address is notifications.esp@nhs.net

NHS Health Checks – Q4 invitations reporting

Reporting on NHS Health Checks invitations is an important function for Worcestershire Public Health. Over the current financial year 2017-18 we have become aware of some over reporting of ‘1st Invitations’. Although there is no payment associated with invitations, the over reporting of 1st invitation affects the ‘take up rate’ percentages which are monitored at a national level.

Due to the variety of invitation method used, the current CCG distributed searches do not always paint a true picture of genuine ‘1st Invitations’.  In order that accurate ‘1st Invitation’ numbers can be reported for quarter 4 (1/1/18 – 31/3/18) a new set of EMIS searches have been created.

To assist with accurate reporting of invitation method, we will be removing the top level ‘NHS Health Check Invitation’ 9MC (READ) code from the approved codes list for 2018-19. One of the included searches for Q4 will identify where this code has been used and will recommend that you recode them in order that invitation method can be reported accurately. 


Please can you import these EMIS searches and use them specifically for your 1st Invitation reporting on your claim for the Q4 period. Further EMIS Searches to identify Invitations for the *2018-19 financial year will be sent out in due course.

A guide on how to import EMIS searches can be found here.

*(Please note that the 2018-19 invitation searches will not search for the top level 9MC code, so it will be imperative that you use the appropriate invitation code to indicate the method used going forward).

National Diabetes Audit 2016-17 report 1 publication now available

The National Diabetes Audit Care Processes and Treatment Targets 2016-17 Full Report was published on 14 March 2018.
The report can be accessed here.
This full report details the findings for the 2016-17 audit. The audit collected data during the Summer of 2017, for the period 1 January 2016 to 31 March 2017 and contains the full key findings, recommendations, case-mix adjusted results and banding for performance, ranking of practices within CCGs, results of analysis for multiple readings, and information for learning disability and severe mental illness.
Thank you for your continued support of this audit.

Frailty model changes

The frailty model has changed in response to the frailty assessment unit being continually used as an inpatient surge area due to system pressures and some acute nurse staffing challenges.

As a result the frailty team are operating an outreach model of assessing patients meeting the frailty criteria in the Emergency Department, the emergency department unit and the medical assessment unit  or wherever the frailty patient is moved to. This overcomes the requirement for frailty to require dedicated space that is then at risk of being occupied with in patents.

If a patient meeting the frailty criteria needs to be referred to the frailty assessment unit please telephone  the Alexandra Hospital switchboard on 01527 503030  and ask for the frailty co-ordinator to be bleeped on 0397.

This way of working will be in place until 30 April 2018. The frailty team wish to apologise for any inconvenience caused. If any issues arise that need to be addressed or you would like to  bring to someone’s attention to resolve the issue please email Deborah.Critchley@nhs.net or telephone her on 07919 213151

Reminder: QOF 2017/18 year end actions

QOF 2017/18 Year End Update

This update contains:

  1. Quality and Outcomes Framework (QOF) 2017/18 preparation and actions
  2. Year-end support and contact details

1. Quality and Outcomes Framework (QOF) 2017/18

Preparation and actions for the 2017/18 year-end QOF collection must be completed by the deadlines displayed below to enable us to collect your 2017/18 QOF achievement payments and calculate 2018/19 aspiration payments.
Preparation actions required:
1. Make sure you have agreed to participate in the QOF 2017/18 information collection within CQRS.  If you are unsure, please contact your Commissioning Organisation as a matter of urgency.

2. You will also need to manually input achievements for the following four required manual indicators. This can be completed at any time but must be submitted by midnight on 31 March 2018.
  • PC002 – Palliative Care
  • SMOK003 – Smoking
  • CS001 – Cervical screening
  • CS004 – Cervical screening

Please see the QOF manual indicators guide on our website for details on how to manually input for the four above indicators.

If you don’t complete the above two steps, you will not be able to declare QOF 2017/18 achievement for payment, and payments may be delayed.

3. Agree to participate in QOF 2018/19 within CQRS. You should have received an offer for this from your Regional Local Office or Clinical Commissioning Group. To view and accept the service, you must manually change the financial year to 2018/19 under the Participation Management tab. Agreeing to participate must be completed by midnight on 23 March 2018.  

4. Please then work through and complete all the relevant actions in the QOF 2017/18 year-end checklist on our website.
All the four preparation activities above must be completed to ensure 2018/19 aspiration payments are calculated. If you do not complete all steps, your aspiration payment for April 2018 may be delayed.

The QOF 2017/18 data will be collected by GPES from 1 - 3 April 2018.   Data (including achievement data) is planned to be available to view in CQRS between 4 – 5 April 2018. This information will be used to calculate payment.

Please see further CQRS updates for details.  We will be distributing an update on Wednesday 4 April 2018 to inform individuals if the data collection has / has not been a success, and if you have not received data, what action needs to be taken in order to receive payment.
Achievement summary report

Once your practice’s achievement has been calculated, you can run the achievement summary report for QOF.  For full details on how to do this, please refer to the FAQs on our website.

2. Year end user support

If you have any further year-end related enquiries that have not been resolved through the year-end specific FAQs on our website please contact the following:

Technical support using CQRS system: support@cqrs.co.uk, 0800 440 2777, 8am-6pm Mon-Fri (excl. bank holidays).
Other year end queries: enquiries@nhsdigital.nhs.uk  / cqrsfeedback@nhs.net
Training:  CQRS Training
System:  CQRS log in
Web:  GP Collections

If you can't see information from a collection in CQRS by the date given, or it is different to the information in your clinical system, contact your clinical system supplier.

Clinic Space West Midlands Familial Hyperchlesterolaemia Service

As you are hopefully aware the West Midlands Familial Hypercholesterolaemia service (WMFHS) was launched in November last year. Patients identified with potential FH (Total Cholesterol of nine or over and other causes of high cholesterol ruled out) are invited in to be assessed by the FH specialist nurse for genetic testing following referral by GPs. We have clinic spaces within GP practices across Herefordshire and Worcestershire which allow these patients to be seen within their localities, however we remain short of space in The Redditch and Bromsgrove area, in particular teams 1,2 and 4 . In order to ensure patients receive equitable access to the service within these areas we would ideally like to secure a morning or afternoon clinic session once a month.

The nurses invite the patients in; we use our own database, do our own phlebotomy and refer patients where necessary to lipid consultants. We are only seeing one patient an hour so a maximum of three possibly four patients per session. The patients receive an hour’s consultation addressing health and lifestyle issues and education regarding cholesterol management before a genetic test is sent (If indicated). Following this where positive results are received, we assist with the identification of family members likely to be affected, resulting in early detection and management of patients at high risk of cardiovascular disease.

Please contact Sarah Day, FH Nurse for Worcestershire and Herefordshire to discuss this further.

Changes to the Children and Young Peoples Sexual Assault (PSAS) Service Model

NHSE has produced a briefing note regarding ‘Changes to the Children and Young Peoples Sexual Assault (PSAS) Service Model’

Vacancy within the Transformation & Delivery Team

GP Lead for Urgent Care
2 sessions/week

The Transformation and Delivery Team supports the overarching transformation agenda on behalf of Worcestershire CCGs. The Transformation and Delivery Work Programme is a complex programme of work focussed upon four national priorities: Urgent Care, Elective Care, Cancer and Mental Health. Programme Leads across each priority area are responsible for the definition and delivery of the focus areas and require strong clinical leadership and expertise in order to secure the most effective use of resources and best possible outcomes for patients.

Do you have the passion and determination to drive local service change and deliver improvements across our local Urgent Care system?

Deadline Wednesday 28 March 2018.

Find out more.

Prescribing Top Tip

Sorbaderm Barrier Preparations

Practices are reminded that whilst our Emollients Guidance has been updated, the current preferred Worcestershire barrier preparations have not changed and remain the Sorbaderm range.

This is available as a cream (92g & 20x2g sachets), spray (28ml) & foam applicators (1ml &3ml). Prices are given in the table below:


Price (DT March 2018)

Sorbaderm Cream 92g


Sorbaderm Cream sachets  20x2g


Sorbaderm No-sting film spray 28ml


Sorbaderm No-sting foam applicators 1ml x5


Sorbaderm No-sting foam applicators 3ml x5


Note that Sorbaderm Cream 28g should NOT be prescribed as this represents poor value for money.

The cream need only be applied sparingly after every third episode of incontinence. A 92g tube should last 3 months and can be used up until the expiry date; there is no requirement to discard after 28 days of opening.

Further prescribing and application information can be found in both the Worcestershire Wound Formulary and the Worcestershire Continence Product Formulary.

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

NEW: Emotional Wellbeing, Mental Health and Eating Disorder Pathway for Professionals

Please see a new one page guide for all professionals that work with children and young people. The guide covers all aspects of the pathway including emotional wellbeing, mental health and eating disorders. It outlines the services that are available to refer to and introduces a new team CAMHS CAST – Consultation, Advice, Support and Training - whose role is to offer support and advice to professionals working with young people experiencing difficulties with their mental health.

Worcestershire Medico-Legal Society - Some thoughts on Mental Capacity

Senior Judge (Retired) Denzil Lush (Court of Protection)

Tuesday 17 April 2018 at 6:00pm
School of Law, Jenny Lind Building, University of Worcester, Farrier Street, Worcester, WR1 3BZ
Please note the new time and venue. Car parking is available on request. Please contact Dr Smallman by 16 April 2018

For any further information, please contact:
Dr. Lesley Ann Smallman: lasmallman@btinternet.com

Non-members: Professionals £10; First Year Students free; Other Students £5

Locality Updates:

Redditch and Bromsgrove:

Redditch and Bromsgrove Alliance Board February 2018 Highlight Report is now available.

Download it here

South Worcestershire:

South Worcestershire Alliance Board March 2018 Highlight Report is now available.

Download it here.

Wyre Forest:
Wyre Forest Alliance Board February 2018 Highlight Report is now available.

Download it here.