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Member Practice Update

24 January 2018

Welcome to the Member Practice Update

This regular Member Practice Update is produced by NHS Redditch and Bromsgrove CCG, NHS South Worcestershire CCG and NHS
Wyre Forest CCG 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 worcs.comms@nhs.net

In this issue:

Find out about local and national events and training here.

  • No Redditch and Bromsgrove specific news

  • No South Worcestershire specific news
  • No Wyre Forest specific news

Consultant Connect - elderly care/frailty advice now available 

The teams at Worcestershire Acute Hospitals NHS Trust (WAHT) continue to steadily improve their call pick-up rate and also the speed of call connection. In the week commencing Monday 8 January the ‘first time’ call connection rate was 70% with a further 10% of calls being picked up on follow-up - and six of the eight specialties achieved a 100% call pick up rate. The average speed of call connection since inception of the service is just 38 seconds and the average call duration is four minutes and 15 seconds.

The WAHT Elderly Care/Frailty team has now joined the initiative and are keen to receive calls from GPs following their internal restructure and relocation of services to the Alexandra Hospital. Please do use Consultant Connect wherever possible/appropriate to speak with a geriatrician for any support or advice required.

Treatments of Limited Clinical Benefit - Prior Approval Update Phase 6 (17 January 2018)  

Following on from last week’s members update, now please find attached the EMIS referral form for the newly published “Management of Gallstone Disease and Gallbladder Pathology” commissioning policy.

EMIS Referral Template attached within this zip file along with phase 6 details.

Please ensure that this is loaded onto your EMIS system as soon as possible as the “go live” date for Prior Approvals for elective surgery comes into place from 26 January 2018.

If you have any difficulties loading this form onto your EMIS system, please contact Claire Gibbs on 01905 681952.

Nurse Radiology Requests via ICE

Worcestershire Acute Hospitals NHS Trust is happy for nurses to request radiology tests but they have tightened their system and in order to get access the Trust now require the names and email address of nurses who will be requesting Radiology via the system. If any of your nurses/ANP's request anything other than x-rays please specify when you respond.

Please can practices email worcestershire.primarycareccg@nhs.net with the names of any nurses they wish to nominate; the nurses will be required to undertake a short e-learning test but there is no cost involved in this.

Please ensure you respond no later than Friday 16 February 2018.

IQSP Study Half-Day – Save The Date (Wednesday 21 March 2018)

Please keep the afternoon of Wednesday 21 March free from 12.30 until 5.00pm for a  clinical IQSP/PCE half day study event. The clinical event will be open to PCE group clinical leads and GPs from each of our member practices. Further details on the clinical breakout sessions will be communicated in the next couple of weeks via the Members Practice Update and direct communication with practices.

The expectation is one GP per practice will attend, the backfill to support this has been reimbursed to the practices through the PCE contract.  Practices may send as many GPs as they would like to the event but should be aware there is only backfill to support one GP per practice.

Macmillan GP 

The CCGs in association with Macmillan have an exciting opportunity for a GP to become engaged with and help shape the cancer agenda in Worcestershire, please view the job description here. The CCGs are requesting that Expressions of Interest are sent to Simon Gartland simon.gartland@nhs.net using this form.

Please note the closing date for expressions of interest is Friday 2 February and the interviews are set to be held on the afternoon of Friday 9 November.

Find out more here.

Electronic Referral System GP Update 

As you are aware there is a national initiative to implement a switch off of GP paper referrals for all Consultant led first outpatient appointments, linked to the NHS Electronic Referral System, Worcestershire’s timeline to move electronic referral is 31 May 2018.
The CCG is working closely with the Worcestershire Acute Hospitals NHS Trust on this project and we were due to roll out the paper switch off for Cardiology and ENT on 15 January 2018, this is now on hold due to on-going negotiations with NHS England and the BMA.
There are also local discussions taking place with Worcestershire and Herefordshire LMC, therefore, a decision has been made to delay the roll out of full ERS implementation.  A further assessment will take place at the end of January 2018 with a view to commence paper switch off in February pending BMA progress.

As work has been completed by the Worcestershire Trust and all slots made available for booking electronically, within these two specialties, the Trust will continue to encourage referrals through e-RS as you do now but paper referrals will, for now, still be accepted for these two specialties and will not be returned.

We will work to support practices in implementation and continue to monitor e-RS utilisation per practice and will feedback utilisation performance on a regular basis. We are also working on producing a FAQ for practices.

We will continue to complete and aim to roll out full ERS by May 2018 in expectation of BMA and NHSE negotiations.

Prescribing Top Tip  

Co-dydramol – New Strengths Available

Prescribe and dispense by strength to minimise risk of medication error
Take care to avoid “picking errors”

Co-dydramol (dihydrocodeine/paracetamol) was previously available only as 10/500 mg. Two products are now available with a higher dose of dihydrocodeine (co-dydramol 20/500 mg tablets and 30/500 mg tablets). MHRA therefore advise that in future Co-dydramol products should be prescribed by strength to minimise dispensing errors and the risk of accidental opioid overdose.

Link to MHRA document: Co-dydramol

Currently these new preparations do not appear on Emis but prescribers need to be mindful of the potential for “picking errors” when they are added.
If you have any suggestions for inclusion in the 'Top Tips' then please send them to: akingham@nhs.net

Clinical Pathway Lead for Dementia Reminder

We are seeking to appoint a GP to act as the countywide Clinical Pathway Lead for Dementia. 

The clinical lead will provide expert advice and support to GPs and Primary Care Staff on issues relating to dementia and the implementation of the dementia diagnosis rates action plan for Worcestershire. The Clinical Lead will also work collaboratively with CCG Clinical Leads, Dementia Programme Manager and other Named Professionals across the three CCGs in Worcestershire to ensure clinical practice relating to dementia is consistent with national and local policy.

The post will initially be funded for one session per week, and the number of sessions required will be reviewed after six months. 

If you are interested in this post, please complete the Expressions of Interest form, indicating why you believe that you are suitable for the post of GP Lead for Dementia.

Expressions of Interest should be submitted along with a copy of your CV to: Carol Rowley, Delivery Programme Manager Dementia at carol.rowley5@nhs.net

The job description is available here. Deadline for submission is 16 February 2018

If you have any queries regarding the Clinical Lead role, please contact Carol Rowley on 01905 482923 or Dr Anthony Kelly on Anthony.kelly@nhs.net

GP Retention Scheme  

The GP Retention Scheme was opened to new applicants in April 2017. The scheme builds on the enhancements made to the ‘Retained Doctor Scheme’ made in July 2016 and maintains the same level of funding.

The scheme is in recognition of the fact that the retained GP role is different to a 'regular' salaried GP post.

GPs may be on the scheme for up to five years with an annual review each year to ensure that they remain eligible.

The scheme is a package of support resources aimed at GPs who may be considering leaving the profession, to remain in clinical practice providing between one and four sessions per week.

The resources also offer support to the GP practices employing them

Find out more here.

Commissioning For You  

The latest edition of the CCG stakeholder newsletter 'Commissioning For You' is now available to read.

This issues includes information about the Mentor Awards, an update on financial recovery, the latest on the NHS Diabetes Prevention Programme and details of practice success at the Self Care Awards.

View the newsletter here.

General Practice Forward View – lease incentive scheme extended until end of March 2018  

The General Practice Forward View offered the following support to GP practices that are tenants of an NHS Property Services or Community Health Partnerships (freehold or leased) building to enter into a new lease: reimbursement of Stamp Duty Land Tax for the initial term (up to 15 years), contribution up to £1,000 plus VAT of legal fees related to the lease transaction and reimbursement of management fees for the financial year 2016-2017 and 2017-2018.

This offer has been extended to 31 March 2018 to allow more time for GP practices to formally complete their lease transactions. Practices will need to present their signed leases to england.gppremisesfund@nhs.net by that time.