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Member Practice Update

11 January 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:

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

Happy New Year and Long Term Plan Summary

Happy New Year from everyone at the CCGs and thanks for your support and hard work over the past 12 months. As we entered into 2019, we were greeted with news of the national Long Term Plan, detailing what direction the NHS will take and helping to shape what services will look like locally going forward. We will continue to provide regular updates on these plans:

Last summer the Prime Minister committed an extra £20.5 billion a year going into the NHS in England by 2023/4.

That’s why the NHS nationally has written a Long Term Plan, developed in partnership with those who know the NHS best - frontline health and care staff, patients and their families.

The NHS Long Term Plan will make sure the NHS is fit for the future, providing high quality care and better health outcomes for patients and their families, through every stage of life.

Please see the attached summary and over the coming weeks and months we will be encouraging staff, patients, carers and everyone with an interest in the future of health and care to have their say in how together we turn the ambitions in the plan into real service improvements for local people.

By April, we will have developed and published local organisation plans for the new financial year 2019/20, and then going into Autumn 2019 we will develop and publish a five year strategy for our local health system.

We will keep you updated with progress locally and you can also see more information about the national plan at www.longtermplan.nhs.uk

IQSP Event 16 January 2019 

Would practice GPs who have not yet booked their place at the IQSP event on the 16 January please use the link here or in the attached letter from Dr George Henry, to confirm your attendance. Just a reminder that this is a funded IQSP event so a place for a representative from each practice has been booked. Details of the event are in the attached letter from Dr George Henry.

View the agenda here.

Many thanks to all who have already booked.

Launch of Wyre Forest and Redditch and Bromsgrove's MSK Single Point of Access/Advanced Physiotherapy Practitioner Service

This is a reminder to practices, to ensure that all colleagues have sight of the MSK launch letter sent via email on the 2 January to Wyre Forest and Redditch and Bromsgrove Practices. This letter explains the new single point of access for all MSK referrals, be they for physiotherapy, advanced physiotherapy practitioners or secondary care. (The only exceptions are red flags which should be sent direct to secondary care).

Through the Advanced Physiotherapy Practitioner Service (APP), to be provided by Ascenti (formerly TICCS), in Wyre Forest and Worcestershire Health & Care NHS Trust in Redditch and Bromsgrove the service will provide a single point of access for their localities. Once a patient has been accepted by the APP service they will move seamlessly through the tiers, via diagnostics where necessary, until the point of treatment completion.

The existing AQP physiotherapy providers will continue to play a part in delivering general physio therapy services working as part of the integrated service.

Find out more about the key changes and what's next here.

Termination of the Rheumatology GCA fast track clinic

Sadly the Rheumatology GCA Fast Track Clinic has been terminated. This is due to the Vascular Team no longer being able to provide a temporal artery ultrasound service due to resource issues. The GCA fast track referral form will no longer be accepted. We are still happy to see suspected cases of GCA in rheumatology and some dedicated GCA slots will be available. Please e-refer in the normal way.
Patients with visual symptoms should continue to be referred to Ophthalmology.  
Urgent advice continues to be available from the consultant rheumatologist on-call via the rheumatology secretaries, 01905 760454 (available 9am-4:30pm Monday-Friday).

2018/19 Winter Indemnity Scheme for Additional Extended Hours/Out of Hours/Unscheduled Care Sessions 

Once again, NHSE is running a winter indemnity scheme to support GPs who wish to offer additional extended access and/or out of hours sessions over the winter season. This is aimed at off-setting the rising costs of clinical negligence, which may particularly affect GPs who wish to increase their sessional commitments working in out of hours or extended access services. NHS England will cover the cost of professional indemnity for any additional extended or out-of-hours work undertaken by GPs this winter to give GPs freedom to work additional sessions without having to pay additional subscriptions to their medical defence organisation (MDO). The scheme has been developed in partnership with the MDOs and will run until 31 March 2019.

If you are a GP who would be interested in accessing the scheme, please contact your MDO to express your interest.  NHSE advises that you check your current sessional cover, as you may have access to further sessions within your current allocation. NHSE is stressing that this scheme is designed to meet the costs of indemnifying additional extended and out-of-hours work this winter - GPs should not amend their previous levels of indemnity. 

You can find information on how to apply for the scheme via your MDO website at:


The MDOs will need to confirm that membership of the scheme is in place prior to additional session being undertaken. In most circumstances, the MDO will be able to have a rapid response to a request for additional cover. The MDOs do however reserve the right to decline additional cover in certain circumstances.

For further information please contact england.primarycareops@nhs.net

Data Quality Checks on GP patient lists  

The PCSE wrote direct to practices in November regarding requirements to ensure registered patient lists are current and accurate. The CCG is concerned this letter/correspondence, which was sent via email, did not reach all practices and as such, the letter is attached here for completeness.

EU exit operational readiness  

The Department of Health and Social Care has issued operational readiness guidance summarising the Government’s contingency plans and covers actions that all health and social care organisations should take in preparation for EU Exit.

Find out more here.

Prescribing Top Tip 

Discontinuation of Cilest®     

The manufacturer of Cilest® (norgestimate /ethinylestradiol) has written to healthcare professionals advising that this product will be discontinued with effect from July 2019.

The letter states that this was a commercial decision to exit the oral hormonal contraceptive market and it is stressed that there are no safety, efficacy or quality issues with the product. Current supplies are expected to last until mid-July 2019.

There are two alternative products that are currently available in the UK with the same active ingredients - Cilique® and Lizinna®. The current preferred brand in Worcestershire is Cilique®.

Practices will need to identify any patients who are currently prescribed this product to allow a review, and arrangements made to switch them to a suitable alternative. An EMIS search can be found at: Worcestershire PCT Search & Reports – Medicines Management Countywide – Top Tip Searches & is entitled “Cilest & generic – switch to Cilique; Cilest soon to be discontinued”.

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

West Midlands Familial Hypercholesterolaemia Service celebrates first anniversary  

The ground-breaking NHS England service, launched in collaboration with the British Heart Foundation, screens individuals for FH – a potentially life-threatening condition. The team are calling for more referrals from GPs and consultants across the West Midlands. Find out more about the service on the NHS website and please see attached for referral information.

NHS England hosted webinars  

NHS England is hosting a series of webinars for anyone working within primary care and the wider NHS, focusing on the benefits, impacts and development of PCNs, plus some specific ones as detailed below. Please promote these webinars to your colleagues networks:

Sharing the learning: These webinars will provide an update from the national primary care network programme, share examples of work already in progress across the country, and offer a chance to ask questions and find out more about next steps in relation to the development of primary care networks. A full list of dates, which run up to March, can be found on NHS England's website.

PCN support and development: NHS England will share details on initial proposals for PCN support and development package at two webinars which will take place on:

Practice manager webinars: NHS England is hosting a webinar specifically for practice managers, focusing on the benefits, impacts and development of primary care networks. The webinar will provide an overview of what a primary care network is and an update on the support packaged that has been developed so far. Attendees will have the opportunity to ask questions of the national team and contribute to the content of this offer. The date for the webinar is below and there is no need to register in advance. Simply click on the link below at the start time.

For further information, or to put forward any questions in advance, please contact england.PCN@nhs.net.

2019 GP Patient Survey

NHS England has launched the 2019 GP Patient Survey (GPPS). The survey provides unique information about patients’ experiences, and is used alongside other important data sources to better understand the performance of the primary care system in England.

Promotional posters for display in your practice can be downloaded here.

Help shape a prevention and early intervention service for children and young people aged 0-19 and their families 

Message sent on behalf of Public Health

We want all children and young people in Worcestershire to live healthy, happy and fun filled lives and to reach their full potential. We also want to improve outcomes and reduce the demand for more specialist services. To achieve this we need our services for children, young people and families to help prevent problems occurring in the first place and to identify problems early or as they emerge so they don’t get any worse.

We are commissioning a prevention and early intervention service for children and young people aged 0-19 and their families. The new service will provide a single joined up service to include:

  • Health Visitor services: who carry out child development checks for pre-school children and additional support when needed
  • School Health services: who work with children and young people aged 5-19 and additional support when needed
  • Parent and family information and advice
  • Groups, activities and support within community settings
  • Parenting support

We are asking for your views to help shape the new 0-19 prevention service. We want to hear from parents, children and young people as well as professionals and practitioners working with children, young people & families.

Please complete our on-line survey by 25 January and promote and circulate widely amongst your organisation/service. www.worcestershire.gov.uk/0to19servicesurvey

WSAB Safeguarding Adults Reviews Annual Learning Event

The event will take place on 17 January and will include presentations and Case Study Workshops around Domestic Abuse and Coercive and Controlling behaviour.
Please register for a ticket using the link below.


Worcestershire Medico-Legal Society - Next meeting

The next meeting of the Worcestershire Medico-Legal Society will take place on Tuesday 15 January, The Courtroom, School of Law, Jenny Lind Building, Worcester from 7.30pm.

The focus of the meeting this month is 'The role of the prison governor - medical and legal challenges of managing men in custody'.

If you're interested in attending, see this poster for more information.

Sexual Health Training

Worcestershire Health and Care NHS Trust now has a range of sexual health training courses available to book onto.

See what’s available here.

ReSPECT Newsletter

The latest newsletter is available here.