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Member Practice Update

07 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.

  • No specific Redditch and
    Bromsgrove news
  • No specific South Worcestershire news
  • No specific Wyre Forest news

CCG Key Messages for November 2018 

The CCG Key Messages for November 2018 are now available, access them here.

Gynaecological Conditions Guideline and Associated Policy Updates 

The “Common Gynaecological Condition Leading to Referral” guidelines developed jointly between clinicians from Worcestershire Clinical Commissioning Groups and Worcestershire Acute Hospital Trust are now approved and available for immediate use. The guidelines provide a useful reference source for pathway management of a variety of conditions that commonly present in primary care; within this further links are provided to relevant supporting documentation (patient leaflets, referral forms, local policy and national guidance). A more comprehensive introduction to this new guidance will be provided by the authors in a forthcoming issue of this newsletter.

To coincide with the launch of this guideline we also provide information in relation to updated clinical commissioning policies for:

  • Tertiary Treatment For Assisted Conception (now incorporating arrangements for referral from primary to secondary care for fertility investigations, ensuring patients are not adversely affected by the more robust requirements of a tertiary care referral)
  • Cryopreservation for Infertility Associated with Medical Treatment or Surgery

These policy updates will be contractually “live” from Monday 10 December 2018.

Worcestershire GPFV – Work Programme Highlight Report October/November 2018  

The Worcestershire GPFV Work Programmed Highlight Report for October/November 2018 is now available to access.

Download it here.


Worcestershire Countywide Development Day - 29 November 2018  

The Worcestershire Primary Care Team would like to invite our practices to attend a countywide development day on Thursday 29 November 2018 at Sixways Stadium. A light lunch will be served from 12:30 for a 1:00pm start. The session will run until 5pm.

We are just working to finalise the agenda for the day. To help us understand the numbers attending we have set up a registration process through Eventbrite at www.eventbrite.co.uk/e/worcestershire-countywide-primary-care-development-day-tickets-52210148961. Can we ask everyone to please sign up by 22 November to ensure we have an accurate number attending, also if there are any special dietary requirements please send Denise Horton an email prior to 21 November to let her know what you require.

The afternoon will include updates on what is happening with the primary care workforce in Worcestershire, the newly rebranded General Practice Support Team and Digital General Practice of the Future.

As in previous years, we are encouraging practices to send a GP and PM representative from each practice. Funding for backfill will be reimbursed as part of the PCE contract (As outlined in Sections 1.1 Best Practice – education, development & engagement – CCG study day).  Practices are welcome to send additional delegates but we are unable to provide backfill support beyond what is outlined above.

If you have any questions or feedback please contact Denise Horton at dhorton@nhs.net

Worcestershire CCGs Flu Leads  

Following a number of correspondence from NHSE to GP Practices giving contact details of local Flu leads please be advised that Lynda Dando is the local Flu lead and Jo Hall is the Flu Co-ordinator  for the Worcestershire CCG’s

Tel:01905 681999

Herefordshire and Worcestershire Training Hub Recruitment Service  

The Herefordshire and Worcestershire Training Hub would like to announce the launch of their new recruitment service. This has been piloted in Herefordshire to good response with a number of applications for the roles posted, with the Training Hub circulating the postings to a wider audience outside of Herefordshire and Worcestershire.

Download this flier to find out more.

Perinatal Mental Health Regional GP Champion 

NHS England and West Midlands Clinical Network (CN) recognises the need to involve GPs in improving care across the pathway for those women and families affected by Perinatal Mental Illness (PMI). The NHS England West Midlands CN has agreed to fund a scheme aimed at improving knowledge and understanding in perinatal mental illness amongst GPs and their colleagues and build on a Wessex GP champion perinatal mental health pilot project delivered in 2017/18 in partnership with the Royal College of General Practitioners. The work is also expected to strengthen relationships between health professionals who work together to support and care for those affected.

Find out more here.


Cannabis Based Products for Medicinal Use 

New legislation aimed at widening the availability of cannabis-based medicinal products within the NHS came into effect on 1 November 2018. The legislation provides a Definition of a Cannabis-based Medicinal Product and products thus defined move from schedule 1 to schedule 2 of the Misuse of Drugs Act Regulations 2001; this reclassification enables these products to be prescribed to meet a clinical need.

The products covered in the legislation are currently unlicensed specials and prescribing is restricted to a doctor on the GMC specialist register prescribing within their field of expertise, on a named patient basis only; this is likely to be a specialist consultant. The cost of the prescribing will be met by the NHS trust: neither CCGs nor NHSE currently commission these products.

Note that the only currently licensed cannabis-based medicinal product - Sativex®- is specifically excluded from the scope of the legislation and therefore remains in schedule 4.

GPs should not prescribe these products at this time. A page has been added to the NHS Choices website which gives information for patients on the prescribing of medical cannabis. The webpage includes the key advice: “You cannot get cannabis-based medicine from your GP – it can only be prescribed by a specialist hospital doctor.” Information is also given on the very small cohorts of patients who might benefit from medicinal cannabis, thus moderating patient expectations for a referral. Patients asking practices about medicinal cannabis should be directed to this site; a link can be found on the “Prescribing Resources for Clinicians” page of the Area Prescribing Committee website and is given here:   NHS position on Medicinal Cannabis.
If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net.

Dry Eye Guidance 

There is currently an issue with the APC website, causing link to Dry Eye Guidance that was in last week’s Medicines Commissioning News to be incorrect. The correct link is:www.southworcsccg.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=165075

Worcestershire SEND Information Roadshows Autumn 2018 

  • Do you have a child with Special Educational Needs (SEN) or Disability?
  • Do you know about Worcestershire's SEND Local Offer?
    - It provides information about what's available for families across education, health and social care for children and young people who have Special Educational Need (SEN) or are disabled, including those who do not have Education, Health and Care (EHC) plans.
  • You can find out about resources, services, support, groups and activities
  • We'll also cover what support schools should be offering

Worcestershire County Council, Families in Partnership (Worcestershire's parent carer forum) and the SEND Information, Advice and Support Service (SENDIASS) are joining together to offer some short information sessions (just 90 minutes long) for parent carers about the SEND Local Offer and SEND services.

These information sessions are aimed at parent/carers of children and young people with additional needs. They are designed to give you an overview of the SEND Local Offer and SEND services.

You are welcome to attend any of the FREE sessions – to find out more about the SEND Local Offer and SEND services.

Find out more here.

The Potential role of community pharmacies in diabetes prevention  

We are a group of fourth year pharmacy students at the School of Pharmacy, University of East Anglia. We are in the process of conducting our final year research project, working alongside a PhD student and our academic supervisors. Our project aims to obtain feedback from GPs and nurses that are currently referring patients to the NHS Diabetes Prevention Programme (DPP) as well as obtain their opinion as to the role of community pharmacies in diabetes prevention.

We would be very interested in GP and nurse views regarding referral of patients to the NHS DPP in your practices. We would be grateful if you could forward this e-mail to each GP and nurse within your practice who has an interest in diabetes management or is responsible for referrals to the NHS DPP. The questionnaire should take no longer than 10 minutes to complete and is completely anonymous.

The attached participant information sheet contains more information about the project and what it involves. As a thank you for participating, there is a chance to win one of ten £50 vouchers by entering a prize draw at the end of the questionnaire.

If you are happy to complete our questionnaire, please click on the link below:


Download a 'Participant Information Sheet' for more information.

If you have any questions, please do not hesitate to contact us through the email addresses provided below.

Thank you for your time and we look forward to hearing from you soon.

Kind regards,

Sekander Amini; s.amini@uea.ac.uk
Ceyhan Enver-Osman; c.enver-osman@uea.ac.uk
Achilleas Riniotis; a.riniotis@uea.ac.uk
Zyhar Said; z.said@uea.ac.uk
Olipa Zulu; o.zulu@uea.ac.uk

Annual Respiratory Study Afternoon 

Wednesday 23 January 2019
St Andrew’s Town Hotel, St Andrew's Dr, Droitwich, WR9 8BS

Outline Programme:

  • 12.30am Registration and Lunch
  • 1.00pm Welcome and introduction - Dr Jonathan Leach, GP & Worcestershire CCG COPD Clinical Lead
  • 1.30pm Introduce new NICE Guidance on smoking cessation and guidelines available for vaping
  • 2.00pm Update on changes in guidance around COPD and asthma exacerbations


  • 2.45pm Proactive care planning and accessing specialist services
  • 3.15pm Medicine Optimisation for COPD patients – ICS
  • 3.45pm Awareness Asthma phenotypes and medications guidance
  • 4.15pm Our challenges – Worcestershire good practice and initiatives
  • 4.30pm CLOSE

GlaxoSmithKline plc and Chiesi Ltd are supporting this event and will be present with promotional stands. Neither company have been involved in the organisation or content.

Autism Engagement Event  

Worcestershire County Council are working to refresh Worcestershire's Autism Strategy.  Please come along to their engagement event on
Monday 19 November, 1:30 – 4pm, in the Council Chamber at County Hall.

There will be presentations 1:30 – 3pm about the National Autism Strategy, local strategy – what has been achieved so far and looking to the future.From 3 – 4pm people can drop in to input to the strategy and look at information stands.

WCC also have a low stimulation room within County Hall from 1:3-4pm where people can come and input to the strategy who may not want to come to the main meeting.

If you would like to attend or have a stand at the meeting please contact autismgroups@worcestershire.gov.uk

WCC are planning an evening event for people unable to attend during the day and some other day time drop in sessions. Please let us know if you would like more information on one of these.

Please share with anyone you think would like to attend.

DeMontfort Medical Centre Vacancy  

An exciting opportunity has arisen to join a friendly, dynamic and forward thinking team at the newly extended building of DeMontfort Medical Centre. The surgery is easily accessible and has on-site parking for staff.

We are looking for an ambitious GP committed to high quality care, team working and continuous professional development. We initially require a GP 4 sessions per week with a view to partnership.

You will work with a strong multidisciplinary team of GP’s and allied professionals consisting of ANP’s, Nurse Practitioners, Practice Nurses, HCA’s and a Pharmacist.

We are keen to support our new GP with ongoing career development, specialisation, leadership training and opportunities to become a GP trainer. The surgery has good QOF achievement and was rated ‘good’ in its last CQC report, with no recommendations being made by the inspection team.

If you are interested in the position, please contact the Practice Manager Christine Colls on 01386 443333. If you would like to have an informal clinical chat, please contact Dr Saleem. To apply please send your cv to Christine.colls@nhs.net.