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Member Practice Update

28 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.

RB-3collumnheader
  • No specific Redditch and Bromsgrove news
SW-3collumnheader
  • No specific South Worcestershire news
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  • No specific Wyre Forest news




GPFV Update  

GPNs Leadership Workshops 2019

20 places are available for a residential GPN leadership workshop for Midlands and East to be run in 2019.

Midlands & East region
5 & 6 February – Jurys Inn, 245 Broad Street, Birmingham B1 2HQ
5 & 6 March – Jurys Inn, 245 Broad Street, Birmingham B1 2HQ

Successful applicants will be supported to undertake a change project as part of the programme and there will be an opportunity to develop a business case to access money from the GPN 10PP Regional Delivery Board to take the project forward. This project must support the delivery of the NHSE GPN 10 point plan and improve care delivery for patients or communities. The change project should be in the region of £1000-£5000k and will be dependent on successful approval from the GPN Regional Delivery Board.

A promotional flyer with an application form is available here.

All applications to be returned by 20 December to email address supplied on the form mirka.ferdosian@rcn.org.uk

The regional programme lead and panel, will make a selection based on the criteria on the attached flyer and application form. Successful applicants will be informed in January 2019.



Recommended vaccines for 2019/20 seasonal flu  

Please view this letter which provides information about vaccines for 2019/20 seasonal flu vaccination programme.



CAS Alert - Management of life threatening bleeds from arteriovenous fistulae and grafts  

A recent CAS Alert has been received in respect of threatening bleeds from arteriovenous fistulae and grafts. 

Please follow this link for further information and required action.



Advice for patients around driving post stroke/TIA

A more formal document has been put together to provide advice to patients around driving following a stroke/TIA.

The document will be given to patients on discharge from Acute and Community Stroke Services to outline the pathway.

A copy of the document can be found here.




Radiation Incident Investigation Report
   

Below is an anonymised report following a recent investigation into an unintended radiation dose due to an incorrect referral from a GP. As recommended by our radiation protection advisor this incident was notified to CQC, who has asked if the report summary can be shared with GPs for wider learning.

Access the report here.




Re-location of sexual health clinic  

From Monday 3 December 2018 contraception sexual health clinics currently provided from the Moor Street Clinic, Worcester will be moved to the John Anthony Centre, Newtown Road, Worcester (WR5 1HN).

This is due to the unsuitability of Moor Street Clinic which unfortunately is inaccessible for people using a wheelchair or with a pushchair and is part of plans to improve patient access and the overall experience for those attending clinic appointments.

There will be no clinics in Worcester on Thursday 29 November and Friday 30 November as the move from Moor Street in Worcester to the John Anthony Centre in Worcester takes place. Alternative clinics are available on these days in Kidderminster and Redditch. Details of these are available at www.knowyourstuff.nhs.uk

Find out more here.



Safeguarding Update

Sharing of information

GPs are sent information from Partner agencies, such as Triage information from Safeguarding Meetings and Domestic Abuse Reports from the police. These Reports are for safeguarding victims and children.

These reports are sent to inform the Practice so that GPs/clinical staff are up to date with issues that may impact on care of that patient /family and should not just be uploaded where the patient can access them. The incoming reports have clear guidance on data sharing responsibility.

This is a real case example:
The patient accessed the crime report, referrals, triage notes by accessing her medical records on her online patient access for her GP.

This information was provided confidentially from professional to professional and was never intended to be shared with the patient.

(Consider for example - where there is domestic abuse, including coercion and control; and the abuser accessed the patient’s medical record, and read ‘partner information’ which could then effectively endanger the patient.

Where appropriate, please review your systems and processes to ensure such reports cannot be accessed by anyone other than the GP/Clinical staff as a matter of urgency.

Early Help video

Please see below a link to a video guide for professionals completing the new early help "Request for service, Early Help, family support" which went live on Monday.

Access the video here.

Child sexual exploitation awareness raising

An invitation from Worcestershire Acute Hospitals NHS Trust

Please find below an invitation to attend a Child Sexual Exploitation Awareness Raising event presented by Loudmouth Theatre Company. Free places on this course are being made available to colleagues from partner agencies by the Worcestershire Acute Hospitals Trust. This event is separate to and not to be confused with the Worcestershire Safeguarding Children Board's CSE training, but provides additional opportunity for you to increase your knowledge regarding CSE.

Please note that attendance at this event does not replace the need for WSCB CSE Awareness Raising training for identified staff as defined in the CSE training strategy

If you have any questions at all in relation to this event please email wah-tr.SafeguardingWorcsacute@nhs.net

Invitation
Booking form



Contact details for Children's Social Care 

Please find attached contact information for Children's Social Care Teams.



PCE Top Tips - Transgender Patients 

Practices may find this short You Tube video, link below, offering tips on consultations with transgender patients useful

https://youtu.be/jv3Ztrm73FQ




Prescribing Top Tip  

Adrenaline auto-injectors update

The position regarding the supply, prescribing and dispensing of adrenaline auto-injectors remains fluid. Below is a summary of the position as of 26 November 2018:  

  • Epipen® 300 and 150 supply issues are on-going; both products are available but supplies of both are expected to be constrained until the end of the year.
  • The situation is most acute for Epipen Jnr® 150mcg, which is placing pressure on supply of all brands of 150mcg adrenaline auto-injectors.
  • Expert clinical guidance now recommends that all patients over 25kg should use 300mcg devices during this period of reduced supply, even when this represent “off-label” use.
  • The MHRA has granted expiry date extensions for specific batches of Epipen® 300mcg, Jext® 150 mcg and Jext® 300mcg. Lists of batch numbers for dispensing practices can be found at:
  • The MHRA requested (via a CAS alert on 15th October) that GP practices write to registered patients receiving Epipen Junior® to notify them about the shortages within five working days. The patient letter can be found here
  • Dispensing practices and pharmacies have been required to follow a dispenser validation protocol when supplying a 150mcg adrenaline auto-injector to ensure that every eligible patient has access to in-date devices. As of 5 November, the protocol restricts patients to having access to having a maximum of two in date devices. If a prescription is only partially fulfilled, these prescriptions will be deemed ‘closed’ and no further supplies should be made against them. Patients will need to return to their GP to get a new prescription, when they no longer have 2 devices or when the supply issue eases. The current protocol can be found here
  • A document detailing FAQs for dispensing practices and pharmacies in connection with adrenaline auto-injector supply can be found here.
  • Practices are advised that prescriptions for 150mcg adrenaline auto-injectors with a quantity of more than 2 will not currently be validated by dispensers. Where the patient usually receives more than 2 devices on repeat, the “one-off issue” facility on EMIS could be used to issue a lower quantity.      
                                                                                     
If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net



Veterans and Carers Showcase - 14 January 2019

Age UK are holding a marketplace style event in collaboration with Worcestershire Association of Carers to showcase the support that’s available for veterans and their carers in Worcestershire. Organisations attending include the Veterans Welfare Service, The Royal British Legion, SSAFA, Combat Stress and more. 

To find out more and book your place: www.carersworcs.org.uk/Event/joining-forces

Date: 14 January, 2019 at 10:30am – 12:30pm (light lunch provided).
Location: Perdiswell Young Peoples Leisure Club, Perdiswell Park, Droitwich Road, Worcester, WR3 7SN