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Member Practice Update

26 September 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

Worcestershire CCGs Digital General Practice of The Future Group  

Would you like to shape the future of online consultation in Worcestershire?

The NHS is providing a one-off transformational fund, overseen as part of the General Practice Forward View, towards providing patients with the facility to conduct a clinical consultation with their GP practice online - NHS England GP Online Consultation information: web link.

A Worcestershire pilot has taken place over several months using the Engage Consult system. Three practices took part and we can share the lessons from that pilot – but would also like to expand the process to look at other systems available. In some areas, online consultation rates exceed 10% of the workload and can be used for targeted promotion for submission of patient queries, symptoms, or other information e.g. use by patients unable to contact the surgery during usual business hours, 'the worried well', or use as an alternative consultation. This can enable rapid triage with the added benefit of reducing practice workload. 

There are a number of systems available and we now need to develop a specification for a system(s) for use by those practices who are interested in participating in a wider 12 week pilot. We want this to start in December.

Our DGPoF IT group has developed a list of benefits for practices and patients which we want to see achieved by whatever system(s) we finally choose. Please could you let us know whether you want to take part in this next phase including helping to choose the systems which best match our needs.

Please complete this survey by 12 October 2018.

Please contact Sandra Hayward, Project Coordinator or any member of the group (see below) to discuss this further.

Members of the Digital General Practice of The Future IT Group:

Project Coordinator:
Sandra Hayward: 07818 015489

Director of Primary Care:
Lynda Dando

GP, Wyre Forest:
Dr. Roy Williams

IT Managers:
Redditch and Bromsgrove: Richard Budd

Wyre Forest: Gavin Canty

Practice Managers:
Redditch and Bromsgrove: Nigel Higenbottam

South Worcestershire: Ben Kent
Wyre Forest: Shirley Mackay

Primary Care Team:
Ben Furlow

Clare Gibbs
Ray Giles
James Harley

Alan Luckman

Influenza 2018/19 Update  

The Local Improvement Scheme for the use of antiviral prophylaxis is currently being updated for 2018/19 .The scheme supports payment to practices for carrying out an assessment, obtaining consent and writing a prescription for antiviral prophylaxis in the care home setting.

Please view the below paperwork in relation to the Seasonal Influenza Vaccination Programme for Health and Social Care Workers 2018/19 for your reference:

The scheme is available to all practices and if you wish to participate, please could you complete the enclosed sign up form and return to the GP Primary Care Advice Support Transformation Team (PCASTT) email at: england.gp-contracting@nhs.net by no later than 30 September 2018.

Health and Social Care staff will be eligible for a free flu immunisation this season. Further details are awaited from NHSE. however it is anticipated that the delivery will be the same as last year either from their own GP or via a participating pharmacy. A revised Influenza Toolkit and supporting documentation will be issued again to all Worcestershire Care Homes and Domiciliary Care Services.

South Worcestershire CCG - GP Governing Body Member Election Process 

Nominations are invited for the following role:

1x GP Member of the Governing Body for South Worcestershire CCG - Job description
Appointment for the period of October 2018 (Date TBC) to 31 March 2020

Appointment and Election Process:

Please note: In line with the caveats that were agreed with the CCG membership, it has been noted that there can only be a maximum of 1 GP representative per locality. Due to current representation, nominations are sought from practices in Worcester City and EBBI. If no nominations are received following this second nomination period, it shall be proposed that that this caveat is waived and the position is opened up to all GPs within South Worcestershire; in order to ensure that GPs are sufficiently represented on the CCG Governing Body.

Availability on Wednesday mornings for monthly Governing Body commitments is also an essential requirement of the role.

Elections are held in accordance with BMA guidance and CCG Constitutions

If you:

  • Are a medical practitioner who is either  a partner or a salaried GP of one of the CCG member practices
  • Meet the role requirements as set out in Clinical commissioning group governing body: Role outlines, attributes and skills document and summarised in the job description; and
  • Are not within the exclusions as detailed in the National Health Service (Clinical Commissioning Groups) Regulations 2012 (Schedule 5, pages 12-15). View here.
  • Have evidence of your practice’s support of the nomination


Would like to stand for election, please fill in the nomination form together with a short supporting statement and email it to hana.taylor@nhs.net no later than Wednesday 10 October.

Nominations will not be accepted after 5pm on Wednesday 10 October.

If you would like to informally discuss the positions, please contact Hana Taylor.

If more than one nomination is received, ballot papers will be sent to all partners and salaried GPs within the CCG member practices and process outlined in the CCGs’ Standing Orders will be followed.


Deadline for submitting nominations

 Wednesday 10 October, 5pm

Nominees notified of outcome of nominations

 Friday 12 October

Ballot opens (if multiple nominations are received)

 Monday 15 October

Ballot closes

 Friday 26 October

Results of ballot announced

 Monday 29 October

Prophylaxis with antiviral drugs from influenza like illness in Care Homes  

This scheme is a practice Local Improvement Scheme which will be an Appendix to the practice's GMS or PMS contract. If practices wish to offer this scheme please return the signed scheme to: sowoccg.worcestershireprimarycare@nhs.net

Any queries regarding the program should be directed to emmasneed@nhs.net.


Cardiology Email Advice & Guidance Service

Message from Worcestershire Acute Cardiology Consultants:

  1. This is a service that the Worcestershire Royal Hospital Cardiology Consultants provide for the patients and is for use by General Practitioners. Address - wah-tr.WorcesterCardiologyAdvice@nhs.net
  2. We answer approximately 170 queries per month, most within 24 hours and 99% within our target of 48 hours. 75% include ECG or investigation results for review. We audit admission or clinic avoidance rates which are > 75%.
  3. We will advise on any adult patients whether previously known to our service or not.
  4. The patient details should be included in which case the query and advice is filed on our electronic notes system.
  5. We cannot accept clinic referrals via this means (although we may recommend one) - an ERS referral must be made.
  6. In order to maintain the timely responses we are not able to extend it to our own hospital consultants, specialist nurses, Nurse Practitioners or Pharmacists

To contact a specific Consultant – please correspond through the usual channels. For emergency advice please call switchboard & ask for bleep 467 – the cardiology Reg or the on-call consultant of the week.

We hope you find this service useful and we’re always very grateful for any feedback. The service is not specifically funded nor commissioned.

ETTF aids dementia-friendly services in Evesham 

Funding from NHS England’s Estates and Technology Transformation Fund (ETTF) has helped to improve access and create the first dementia-friendly surgery in Evesham in Worcestershire.

The extension at DeMontfort Medical Centre has resulted in seven more clinical and treatment rooms, and there is scope for developing the second floor to create more consulting space in the future. There is also a new lift and automatic front doors, and the reception desk has been improved for greater access and privacy.

Improvements such as signage in both written and picture form, a clear colour scheme and labelling, and suitable flooring and surfaces, are all designed to benefit dementia and learning disabled patients in particular. The GP partners have invested £350,000 in the development themselves and were supported by an ETTF grant of £735,000.

The region has some £49 million in ETTF funding for 2018/19. All the schemes being funded have been proposed by the region’s 17 STPs, based on the priorities of their estates plans and aligned to their local digital roadmaps.

Medicines Commissioning News 

The September edition of Medicines Commissioning News is now available, download it here.

Three Counties Medical School  

The TCMS is based at the University of Worcester. The University has significant strengths in a range of health-related subjects, including Physician Associates, and its graduates are well regarded in the local health services.

The area of TCMS covers the counties of Herefordshire, Gloucestershire and Worcestershire and the NHS facilities in all of these will be essential in providing the clinical, and some basic medical science, learning and teaching. This may be extended to the contiguous areas if the environment is suitable.

Clinical placements will be in approximately equal numbers in the community and in secondary care. The ‘community’ is taken to include both primary care and specialist care provided out with the major hospitals. It is anticipated that ‘hubs’ of community hospitals, their associated general practitioners and the related health care team will provide a suitable framework.

Find out more about Three Counties Medical School

CQRS: Rescheduled QOF 2018/19 Extraction 

Due to technical issues it is unfortunately not possible to extract data for the QOF 2018/19 September achievement on the scheduled date.

Therefore, the data extraction for this service will now be scheduled on 11 October 2018, with the data available to view in CQRS from 19 October 2018.

We apologise for any inconvenience this may cause.

Details of CQRS services, including the live collections timetable can be found on the GP Collections website, which will be updated to reflect the changes: digital.nhs.uk/GP-collections

Practice Nurse - The Ridgeway Surgery 

16 Hours per week, working Monday, Tuesday & Friday
Salary: Negotiable based on experience

An opportunity has arisen for a Part-Time Practice Nurse to join our team at The Ridgeway Surgery in Redditch. Successful candidate will have past experience of general practice nursing and have proficiency in chronic disease management, especially COPD, Asthma and Diabetes. You must be enthusiastic, flexible and computer literate, knowledge of EMIS Web is desirable but training will be given. You will also be expected to participate fully in clinical audits.

We offer a friendly working environment, NHS Pension. Hours are negotiable but we would like approximately 16 hours per week. Salary will be dependent upon skills and experience.

Please email Mrs.Navpreet Kaur, Practice Manager, at navpreet.kaur1@nhs.net, if you would like any further information before applying.

GP - Bewdley Medical Centre  

Due to retirement of one of their longstanding partners, Bewdley Medical Centre is looking for a Partner or Salaried GP (with view of partnership) to join our friendly, high-achieving and innovative team.

Find out more here.