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Member Practice Update

9 May 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.

Treatments of Limited Clinical Benefit Prior Approval Phase 8 – 4 May 2018
Practices are requested to note the latest release of new commissioning policy and changes to existing policy detailed in this document.

The update includes the below new/updated commissioning policies:

MSK Policy
Tonsillectomy Policy

Also included in the update are links to the Carpel Tunnel Syndrome referral form and the Tonsillectomy referral form.

Multi-Disciplinary Foot Care Team

Diabetes prevalence is increasing. There are currently 35,000 people with diabetes in Worcestershire, with 2000 new diagnosis of diabetes made each year.

In December 2016 NHS England announced that additional money would be made available to improve diabetes care. A collaborative bid with Worcestershire Health and Care NHS Trust and Worcester Acute Hospitals NHS Trust was successful. One of the key recommendations was to implement a Multi-Disciplinary Foot Care Team (MDFT) to meet NICE recommendations for the prevention and management of diabetic foot problems and this service is now live.

The MDFT launched in January 2018. The aim of the Service is to provide improved access to services around the County, reduce admissions and length of stay in hospitals and reduce the number of minor and major amputations carried out for diabetes foot disease.

The MDFT is managed by a team of specialist Podiatrists employed by Worcestershire Health and Care Trust, working in partnership with wider members of the MDFT Team in Acute Services.

Clinics are available at various locations throughout the county and will be available for patients who are diabetic and showing signs of:

  • Acute ulceration
  • Spreading infection
  • Critical ischaemia or gangrene
  • Unexpected red, hot or swollen foot.
  • Acute Charcot
  • Severe neuropathic pain 

It is imperative that those patients with a foot ulcer, suspected infection or Charcot that requires urgent medical attention are seen and treated with a rapid response within 24 hours by a member of the MDFT, both inpatient or outpatient.

The MDFT is available Monday to Friday 8.30am to 5.00pm and weekends/bank holidays from 9:00am to 12:30pm. If you need to speak to a member of the Team or would like further information please contact the dedicated MDFT telephone - 0300 123 3659 or e-mail whcnhs.worcestershiremdft@nhs.net

A member of the team is also happy to come out to practices to discuss the service in more detail.

New 2ww EMIS referral form for suspected lung cancer

Please find enclosed an EMIS version of the new lung cancer two week wait referral form, which is available for use with immediate effect, please also find attached a supporting letter from Dr Paula Wilson Consultant in Clinical Oncology and lead for the cross county lung MDT.

PCE: Outpatient Follow Ups

Members will be aware of the new component of the 2018/19 PCE contract which is to support the initiative to reduce follow up attendances by 10%. Worcestershire Acute Trust is currently producing an out-patient follow up waiting list extract for each practice for your review. Complying with information governance the Trust will send the relevant waiting list extract to each Practice Manager from 10 May 2018
In addition, each Practice will receive the template to be completed and a letter detailing the requirements, timescale and contacts.

Should you have any queries in the meantime, please contact Tracey Martin: tracey.martin10@nhs.net

Ordering Depo-Provera supplies

Pfizer have recently changed the way Depo-Provera is distributed and practices are now required to set up an account with Alliance Healthcare to obtain supplies.
Information about how to open an account with Alliance can be found here:
For queries regarding stock or product availability the Pfizer Customer Contact Centre number is 0845 608 8866, however we  have been informed that there are no stock shortages.

Sourcing the product through this channel should enable practices to resume their Depo-Provera administration service, where applicable.

Prescribing Top Tip

Discontinuation of Zafirlukast

The manufacturer of zafirlukast (Accolate®) has discontinued this product with effect from the end of March 2018. No further supplies are being made and it is predicted that minimal supplies will be available within the supply chain. Zafirlukast is a leukotriene receptor antagonist, licensed for the treatment of asthma for patients 12 years and over.

Commercial reasons are cited for this decision and it is stressed that there were no safety concerns with this medicine.

Practices are advised to identify and review patients currently receiving this product. The closest available alternative is montelukast; this may not however be suitable for all patients. Note also that montelukast 10mg tablets are only licensed for patients 15 years and over; patients considered suitable for a switch from zafirlukast to montelukast who are aged between 12 and 15 should therefore be prescribed montelukast 5mg chewable tablets.

A search is available on EMIS to identify patients with current courses of zafirlukast and can be found at: Worcestershire PCT Search & Reports – Medicines Management Countywide – Top Tip Searches. The search has identified prescribing for 31 patients throughout 25 Worcestershire practices.

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

GP online consultations

NHS England is seeking views from GPs and practice teams on what they think about the idea of online consultations, so NHS England can improve the service and increase the availability and use.

Online consultations are a way for patients to contact their GP practice without having to wait on the phone or take time out to come into the practice.

The survey is open until Friday 15 June and can be accessed here.

Safeguarding Adults, Prevent and Domestic Abuse training

More dates are now available to attend Prevent/Domestic Abuse and Safeguarding Adults training:

Prevent and Domestic Abuse

  • Thursday 16 August, POWCH, Bromsgrove, 1-5pm

More information

Safeguarding Adults

  • Thursday 7 June, Barnsley Hall, Bromsgrove, 1-5pm
  • Wednesday 1 August, The Coach House, Worcester, 1-5pm

More information

If you would like to book on to any of these sessions, email Jess Bryant at rbccg.centralbusinesssupport@nhs.net

GP Online Services

NHS England has developed a marketing guide (9 quick wins) to help promote GP Online Services.

Access the guide here.


The Glebelands Surgery is currently on the look out for a salaried GP.

View the job advert here.