[Skip to content]

Enter search here...
Member Practice Update

1 November 2019

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:

  1. Urgent Care Update
  2. IQSP Study Day Thursday 28 November 2019
  3. Primary Care Networks - Next Steps for Practice Managers Conference
  4. H&W CCG Clinical Chair
  5. Update on Direct Access Echocardiography and Heart Failure Services
  6. Infectious Diseases Email Advice & Guidance Service 
  7. Diabetes in Pregnancy UK Conference 2019 
  8. Communication for Cervical Cancer Screening Programme – H&W
  9. Update on Vasectomy Services 
  10. Make Safeguarding Personal
  11. Rise in patients requesting Additional Information to be added to their SCR (eSCR)

  12. Medicines Commissioning News 
  13. Primary Care IG Newsletter 
  14. General Practice Nurse Engagement Evening
  15. Mid-career GP Engagement Event 
  16. Reminder - First 5 GP Digital Event
  17. Job Vacancy - Northumberland House Surgery
  18. Job Vacancy - Kidderminster Health Centre 

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire news

  • No Wyre Forest news

Urgent Care Update

Sent on behalf of Tristan Brodie, GP - Stourport Health Centre

Dear colleagues,

I'm writing to you as the GP Urgent Care Lead for the Worcestershire CCGs. I’m sure you are all aware of the huge strain that emergency and acute services at the acute trust have been facing over recent months and years; these pressures result in an inefficient patient journey and result in huge financial penalties for our CCGs. This is of course hugely relevant to GPs as we find ourselves doing our utmost to manage increasingly unwell patients within the community at a time when demand for primary care services continue to put us under severe strain. I therefore wanted to update you regarding the work that is going on to support the acute trust at this time.

The GP streaming service (a GP within the ED who will see patients following initial triage) has been extended to cover all seven days of the week. I have been working closely with the ED team to broaden the criteria for GP streaming and to maximise the flow of patients through this service. In a similar vein, work is ongoing to increase the number of patients who are transferred to AEC (Ambulatory Emergency Clinic) from the front door of ED. Patient flow throughout the hospital remains under the CCG spotlight as it is recognised that the assessment areas are overwhelmed with in-patients such that specialties are forced to review new patients in the ED, immediately limiting the potential for the patient to receive same day emergency care.

My aim is to bring together representatives from across the frontline medicine system (primary care, ED, acute medicine, health and care trust) to form a collaborative forum where we can gain a greater understanding of each others’ pressures, identify gaps in the current urgent care system and make suggestions for improvement. I hope that the first such meeting will be held before the end of the year.

In November the 111 contract will be transferred from Care UK to West Midlands Ambulance Service. It is hoped that this will result in a greater proportion of the lower priority ambulance dispositions being validated by a clinician; this will in turn lead to a reduction in the number of patients transported to the ED.

It is well recognised that the cracks in the urgent care system generate a large burden on primary care and the CCGs are grateful for the high-quality support that local GPs offer. Referring acutely unwell patients into specialty teams is cumbersome and time-consuming but please whenever possible do bear with the process and ensure that you do manage to speak to the accepting team and send your patient in with an appropriately addressed letter. This ensures patients are seen promptly by the appropriate team and do not join the throngs waiting for review by the ED doctors. Alternative more efficient referral pathways are being considered including the provision of a single point of access number for all medical referrals (MAU, frailty, AEC, medical hot clinics).

Many thanks for your ongoing support

Tristan Brodie 
GP - Stourport Health Centre 
Wyre Forest Health Partnership

Stourport Health Centre, Worcester Street, Stourport on Severn, DY13 8EH 
01299 827141 

IQSP Study Day Thursday 28 November 2019

The Pear Tree at Smite, Worcester

Please find a draft programme for the event on the 28th. You’ll see the day includes ICT led breakouts in the morning and secondary care breakout sessions in the afternoon. We’re delighted that our 5 secondary care consultant colleagues are able to join us in the afternoon. Details of the day, attendance and booking are included in the flyer. We look forward to seeing you on the 28th November 2019

Link to booking.

Primary Care Networks - Next Steps for Practice Managers Conference

NHS England and NHS Improvement are holding a series of dedicated regional events this autumn for Practice Managers focussing on:

  • Hearing about the fundamental role of practice managers and the development support available
  • Providing an opportunity to talk to practice managers working within PCNs and understanding how their roles have developed
  • Getting involved in interactive workshops focussing on:
    • PCN leadership: Clinical Directors and Practice Managers
    • Health & Wellbeing: work/life balance and resilience
    • Proactive patient care and collaborative working
    • Creating time and capacity: understanding your demand and future workforce needs


Please register via NHS England events and for further information please contact england.gpdevelopment@nhs.net.

Primary Care Networks Update 

Don’t forget to check out the PCN weekly update which will be uploaded every Friday on to the Clinical Director portal on Teamnet. This will include latest PCN developments locally, nationally and sharing updates such as podcasts. Please log on to Teamnet and visit the page on the STP portal (you can also find under Useful Links). 

H&W CCG Clinical Chair 

Now Open for Applications

Clinicians across the Herefordshire and Worcestershire CCGs footprint are advised that the Clinical Chair position is now open for applications, with the successful applicant assuming this role from 1st April 2020 within the newly formed Herefordshire and Worcestershire CCG.

All information relating to this role and the application process is available on NHS Jobs, via the link below.

View Vacancy

In the first instance, could any enquiries relating to this role please be directed to Nicola Allen, Executive Assistant (01905 681986).  

Update on Direct Access Echocardiography and Heart Failure Services

As you are aware the Echocardiography service at WAHT has for some time been under considerable strain with increasing demand compounded by capacity constraints not helped by the national shortage of cardiac physiologists. In parallel with work on reducing demand within secondary care, a small working group was established, whose aim was to review current Open Access Echo (OAE) and rapid Access heart failure services.

The conclusion of this work was to maintain OAE for newly diagnosed heart failure patients whose NT-Pro BNP is in the range 400-2000 and for GPs to access OAE following advice obtained via the cardiology email A&G service. A new rapid access heart failure service will also be introduced for patient’s whose NT-Pro BNP exceeds 2000. We plan to start this service 18th November 2019. After this date new referrals into these services will only be accepted if the appropriate new referral forms are used, copies of which are attached for your information.

Infectious Diseases Email Advice & Guidance Service 

This is a service that the Worcestershire Royal Hospital Infectious Diseases Consultants provide for patients and is for use by General Practitioners in this region.  

Read more

Diabetes in Pregnancy UK Conference 2019 

Promoting Longer Term Health

21st November 2019

Ashton Gate Stadium  
Ashton Road 

Read more

Diabetes and Endocrinology Email Advice & Guidance Service 

This is a service that the Consultants in Diabetes and Endocrinology provide for the patients and is for use by General Practitioners.  

Read more

Communication for Cervical Cancer Screening Programme – H&W

Following the award of the contract to provide Cervical Cytology Screening services across the West Midlands, The Royal Wolverhampton NHS Trust has been implementing primary HPV testing in the north of the West Midlands region. This is in line with NHS England’s Long-Term Plan to implement HPV primary screening for cervical cancer across England by 31st December 2019.

Update on Vasectomy Services 

Please find a letter of an update to changes with regards to the Vasectomy Service. We have also attached an up to date referral pathway

Make Safeguarding Personal 

Please find the websites for:

Rise in patients requesting Additional Information to be added to their SCR (eSCR)

A Herefordshire and Worcestershire wide campaign has been launched encouraging the public to consent to adding additional information to their Summary Care Records held on EMIS. Please make all staff aware that completed consent forms may be arriving by post or handed in at the reception. Patients may also request consent forms from your practice directly these are available here and an information leaflet is available here. Hardcopies are currently being printed and sent out to all practices.  Once requested, additional Information can be added to a patients record by simply ticking the SCR additional information consent box on their record.

eSCR Protocol now available

An eSCR (Summary Care Record with Additional Information) protocol is now available for all practices here. Once installed, with ‘triggers’ set up, this protocol will create a pop up prompt in the yellow box to encourage clinical staff to ask targeted patients if they would like to add additional information to their Summary Care Record. For it to run practices will need to set up ‘triggers’ a quick guide for how to set these up is available here. The protocol identifies patients who would benefit most including patients living with frailty, long term conditions, dementia or learning disabilities. Adding additional information to your patients records has all sorts of benefits for your practice and the wider system including:

  • Reducing the number of telephone calls to GP surgeries asking for patient information
  • Reducing GP appointments following Out of Hours phone consultations
  • Enabling increased patient care and appropriate treatment to temporary residents and those patients who require immediate registration
  • Fulfils GMS contract to promote the inclusion of additional information in the SCRs of those with severe frailty


Patients can either consent face to face in their appointment or can be giving a consent form and printed leaflet, via the protocol, that the patient can read, sign and hand in at the reception in their own time.

Medicines Commissioning News 

Please find the Medicines Commissioning News October 2019

Primary Care IG Newsletter 

October 2019 

The Digital Innovation Team at the MLCSU have been working hard developing a new Primary Care Services Portal, which will house all key documents across a wide range of services. The Information Governance Team will have its own section on this portal, which will house a suite of documents and templates for practice use, store useful information such as the newsletters and DSPT evidence. It will combine the most advanced technology to provide a tailored solution for practices.

Read more

General Practice Nurse Engagement Evening

Open to Herefordshire and Worcestershire Nurses

Tuesday 3rd December 2019 
The Bank House Hotel

Join us for a brilliant evening of networking and discussions on various GPN related topics, including:

  • Celebrating Achievements
  • GPN retention and recruitment
  • GPN strategy
  • An update on the GPN 10 Point Plan

Read more

Mid-career GP Engagement Event 

Join us at our FREE Mid-Career GP Event!

Wednesday 4th December 2019 
6:30pm - 9:15pm
The Fownes Hotel
City Walls Rd

Are you feeling fulfilled in your career? Wondering what’s next or thinking about a change?

We recognise that GPs will have different needs throughout their career, and we are working on designing a programme that supports GPs throughout their career and encourages them to stay working in our area. 

What is involved:

  • The opportunity to take some time out with colleagues to explore what you want from the next phase of your career
  • Find out about portfolio roles, and opportunities to become involved in medical education
  • Chance to hear from Dr Amanda Webb, founder of the Phoenix GP programme
  • Help us design an offer for mid-career GPs that supports you and other GPs to have a fulfilling career locally in Herefordshire and Worcestershire


Book Your Place Now

Reminder - First 5 GP Digital Event

Using Technology in General Practice – Save the Date 13th November 7pm-9pm

All GPs are invited to join our first evening of a series of First 5 CPD events on 13th November 2019 6.30- food 7pm-9pm. We will have Dr Gandalf (from eGPlearning) as our guest speaker, plus local speakers on the digital strategy for Herefordshire and Worcestershire (Mike Emery & Dr Roy Williams). All GPs are welcome to attend this evening.

Please find a flyer with confirmed speakers. To book your place by 1st November please email the Workforce team including any dietary requirements.   

Job Vacancy - Northumberland House Surgery

We are looking for an enthusiastic salaried GP to join our friendly, happy hardworking practice, on either a salaried or Partnership basis.

Read more

Job Vacancy - Kidderminster Health Centre 

WFHP was formed four years ago and due to our rapid expansion, we are looking for a SALARIED GP to join our Kidderminster Medical Centre (4–8 sessions per week). Based in the heart of the beautiful Wyre Forest, with great schools and close proximity to Birmingham and Worcester we are a friendly and forward-thinking practice.

Read more

Job Vacancies - Please visit– https://www.primarycaretraininghub.co.uk/vacancies

GP Mentoring –  The service can be used by any GP who would like to explore ways to develop themselves. This could be personally, professionally or within their career. The aim is to provide mentors to support GPs in fulfilling their potential, whether this is in practice or in other leadership positions. If you’d like a mentor, please email the Workforce Team on sowoccg.workforce@nhs.net

GP Support Team –The CCGs and LMC have a well established GP Support Team in place, whose main focus is to respond to, and empower practices to make operational and team changes that directly and indirectly address challenges they are facing in the short to medium term. The GP Support Team can be accessed via the LMC or Sally Everton sally.everton@nhs.net at the CCGs. 

Primary Care Networks UpdateDon’t forget to check out the PCN weekly update which will be uploaded every Friday on to the Clinical Director portal on Teamnet. This will include latest PCN developments locally, nationally and sharing updates such as podcasts. Please log on to Teamnet and visit the page on the STP portal (you can also find under Useful Links).