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Member Practice Update

5 December 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

GPFV Development Day

Primary Care Development Day - 29 November

Thank you to those of you who attended or presented at the Primary Care development day last week. It was a busy afternoon with lots of information across a number of areas including; Workforce, IT, GP Provider Board, General Practice Forward View, Resilience, Integrated Care and Neighbourhood Teams and the re-launching of the General Practice Support Team. We have included a copy of the presentations from the event.

Thank you to those of you who completed the evaluation forms, we will be reviewing your feedback and using this to improve future events.

The website James Harley made reference to in the Digital General Practice of the Future session can be found here. It features information on telephony, Mjog, On-line Consultation, GP Team Net and the EMIS User Group

Online Consultation 12 Month Pilot

The “Right Fit” your practice, your choice, to suit your needs

Worcestershire Funding Per Practice

  • 12 month funding for system of choice*
  • £1000 - Supports Operational Change & participation
  • Minimum 1 Year Service - Delivery, Support and Maintenance

Desired Outcomes

  • Engagement in 'digital first’ and the GPFV
  • Achieving some of the 10 High Impact Actions;
  • Develop the Team, Productive Workflows, Personal Productivity
  • Reduce DNA’s, New Consultation Types

Aimed Benefits

  • Increase online usage, reduce unnecessary appointments
  • Better Signposting for Self Care
  • Reduce workload – GPs & admin staff
  • Reduce waiting times and length of some appointments
  • Restructure Clinician/Patient time, manage demand, balance capacity
  • Right Clinician, right Care, increase efficiencies
  • Increase Patient satisfaction, have a positive impact on the workforce

*Further national funding expected. Pilot will be evaluated.

Next Steps:

Practices to look at the brief overview of each system available. Access the overview here. James Harley can provide informal advice - James.Harley2@nhs.net

Then let Sandra Hayward know which system you’ve chosen by 28 December. Sandra will support you throughout this process in her role as Project Lead: Phone – 07818 015489 / Email – sandra.hayward1@nhs.net

EMIS referral form for Diabetes Structured Education  

A new EMIS referral form for Diabetes Structured Education has been developed and can be downloaded here.

This is a combined referral form to cover all courses offered by the Diabetes Team at Worcestershire Acute Hospitals NHS Trust and replaces the separate forms previously used to refer for:

  • First Steps (Taking control of your diabetes)
  • X-PERT Diabetes
  • X-PERT Insulin 
  • Carbohydrate Counting Workshop
  • Introducing and Optimising Diabetes Control on Insulin

A paper copy of the form and additional information about the range of diabetes education programmes on offer in Worcestershire can be accessed below. If you have any queries please contact r.dunkley@nhs.net

Diabetes education summary
Diabetes structured education form

Launch of e-Referral for IAPT/Healthy Minds Service

Message on behalf of the Worcestershire Health and Care NHS Trust

We are pleased to inform you that from 12 December 2018, you will be able to book patients requiring IAPT Services/Healthy Minds Service an assessment appointment via the e-Referral Service. 

This will allow you to complete the referral with the patient, allowing the patient to leave the practice with the date and time of their appointment, and you can handover care for the patient to Worcestershire Health & Care NHS Trust.  Just to remind you, this will be for a telephone assessment appointment only and doesn’t require the patient to attend a clinic.  

As per other services currently available on e-Referral, patients can book their appointment whilst with you, or alternatively they can be given the central booking line number and phone to book at their convenience.   

We believe this is a positive addition to e-Referral bookable services, and that you and your patients will benefit from this access. Please can we remind you when making an appointment request through e-Referral to ensure a referral letter is attached at the earliest opportunity, as this will reduce the need to reschedule appointments.   

Please note that it is possible for other healthcare professionals within your practice to refer to IAPT service via e-Referral, but may need to be set up with access to e-Referral from within the practice.

GP Access campaign

A new campaign phase for Help Us Help You, which promotes access to evening and weekend GP appointments, was launched earlier this week, by NHS England. This campaign is designed to raise awareness of the availability of appointments with GPs, nurses and other healthcare professionals outside of working hours.

There are a range of new materials to support you in promoting this campaign to your audience and these are available on the PHE Resource Centre.

Please remind all staff who arrange appointments for patients to highlight the availability outside of core hours to ensure patients are aware of the Improved Access appointments. Currently many of these slots are going unfilled.

Docman 10 users - Advice from CSU

We are aware that Practices using Docman 10 have been receiving this warning: 

“Please be aware that we are migrating our services from N3 to HSCN in the 1st week of December.
This has been communicated out through CCG’s.
To avoid disruption, please ensure your edge firewall permits the new IP addresses.
Please see the section 'Network and Bandwidth requirements' in: - http://docmankb.wpengine.com/wp-content/uploads/2017/10/DM10-Warranted-Environment-Specification.pdf “

Please note that BT N3 have confirmed that the Docman 10 IP addresses are permitted in the NHS estate and no action is required.

Prescribing Top Tip

Stoma Adhesive Removers

Adhesive removers are not indicated for use in every patient, prescribing should be based on a clinical recommendation from a stoma nurse.


  • Patients do not need both a spray and wipe product.
  • Sprays are preferred as they are more cost effective.

For more information about appropriate use of stoma products see Worcester APC Guidelines for Prescribing Stoma Appliances and Accessories in General Practice

Further advice is also available from the community stoma nurse specialists:

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

NHS Diabetes Prevention programme  

As promoted in the Member Practice Update on 5 September 2018, the local diabetes prevention programme was relaunched on 1 September. The programme is now being managed by Herefordshire with a single delivery pathway across the STP.

As part of this message we shared a range of associated paperwork and the information that practices will be paid £7 per referral, with referrals capped annually as laid out in the MoU.

Access the paperwork here.

New patient leaflet

We now have updated patient information leaflets, containing the new contact information. If you would like a batch for your practice, please email worcs.comms@nhs.net

Age UK support

Age UK offer a range of services to help support patients across Herefordshire and Worcestershire.

This document has been developed to give healthcare professionals an understanding of the services they provide.

I'm a Medic, Get Me Out of Here

I’m a Medic, Get me out of here is an online outreach programme and competition that gets people in healthcare roles talking with school students. Following on from the successful pilot in the East Midlands, NHS Health Education England is funding a nationwide expansion of the programme in 2019.

The Primary Care Zone and Mental Health Zone are running 21 January–8 February 2019. Teams and individuals from general practices, CCGs, mental health services, dental surgeries, medical and physiotherapist clinics and other related places are invited to take part.

Apply for I'm a Medic here.

Diploma in Advanced Primary Care Medicine - February 2019 intake  

There are still places left for the February 2019 intake of the NAPC's Diploma in Advanced Primary Care Management. Some bursaries are available including 50% bursary funding for candidates within Integrated Care Systems (ICSs) for February 2019.

The diploma is designed for people who are managing primary care and are becoming responsible for creating and running primary care at scale, for example, as a primary care home or other primary care network.

For more information about the diploma visit the NAPC's website or email aislinn.santoni@napc.co.uk

RCGP Rural Forum Conference – Keeping Rural Practice Relevant

RCGP Rural Forum Conference – Keeping Rural Practice Relevant is due to take place on Saturday 26 January 2019.

There is an extended early bird discount of £20 if place is booked before 31 December 2018 off RCGP Member and Non-Member fee.

Find out more here and view the programme here.