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Member Practice Update

12 July 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. First Five update
  2. New 2ww Referral Forms 
  3. Flu Update 
  4. Community/Practice Nurse pilot - revised opportunity 
  5. Prescribing Top Tip 
  6. Practice Manage Working at Scale Workshops 
  7. Healthwatch Worcestershire's Annual Report 2018/19
  8. Social Prescribing Webinar 

Find out about local and national events and training here

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

First Five update

First 5 Network Co-design event Saturday 14th September 2019

Are you a First 5/Newly Qualified GP or GP trainee working in the Herefordshire & Worcestershire area & looking to develop your career, learn more about our local healthcare system or find out about CPD opportunities & mentorship? If yes, then this free event is for you!

We are planning to develop a First 5 Network that responds to the needs of early career GPs & we need your help!

Herefordshire & Worcestershire CCGs in collaboration with the RCGP Midland Faculty invite you to this co-design event to help shape, design & develop the local First 5 Network.

Details of the Event: 9.30am-1.30pm / Saturday 14th September 2019

To book your place, please e-mail the Workforce team; sowoccg.workforce@nhs.net  including any dietary requirements

Next Generation GP programme bookings open

Following on from the initial expression of interest request in June, we are really pleased to announce that the Next Generation GP programme is coming to Herefordshire and Worcestershire from September 2019. The programme consists of one evening session per month for five months.  More information is detailed in the attached letter including speakers. The ‘Next Generation GP’ is a programme for emerging leaders in general practice designed by, and for, a group of early-career GPs and trainees. Our aim is to inspire GP trainees and newly qualified GPs to be informed leaders as well as excellent clinicians, with the insight and connections they need to change and improve the system in which we work. 

To apply for the Next Generation GP Programme, please read the guidance and apply via this link - https://bit.ly/2Se25JA

New 2ww Referral Forms

New 2ww referrals forms are due to be released next Friday (19th July 2019) for the following cancer specialties: Breast, Colorectal, Gynaecology, Haematology, Head and Neck, Lung, Skin, Upper GI and Urology. The new forms have received approval through CCG and Acute Trust governance structures. In addition to this, a new Patient Information Leaflet will be issued, which should be given to all patients referred through a 2ww referral pathway.

Once the new forms and Patient Information Leaflet have been circulated, there will be a 6-week implementation period to allow the forms to be uploaded on to EMIS and systems put in place that will ensure patients are given the Patient Information Leaflet. Previous copies of 2ww referral forms will need to be deleted, archived or marked as ‘Do Not Use’ to ensure they are withdrawn from circulation. The CCG will work with practices during this time to provide support to ensure successful rollout. After this 6-week period, referrals made using old 2ww referral forms will not be accepted by Worcestershire Acute Hospitals NHS Trust.

A separate email will also be sent to Practice Managers and Practice IT Administrators outlining the actions to be taken. Further information on this is available from Anita Roberts (anitaroberts@nhs.net). 


Flu Update 

Further to the vaccines update released by Public Health England earlier this year, we would like to remind Practices that, due to a significantly higher list price, the high-dose trivalent vaccine (TIV-HD) will not be commissioned by NHS England or reimbursed for use in the NHS Influenza vaccination programme in 2019/20. Should any Practices choose to use this vaccine as part of the programme, the CCG will look to recover the costs from the Practice.

Providers should order currently licensed vaccines, aTIV, QIVe and QIVc for the 2019/20 season for their populations in eligible groups.

These three recommended vaccines will be eligible for reimbursement by NHS England.

Many thanks for your co-operation.

Update on vaccines for 2019/20 seasonal flu vaccination programme

Community/Practice Nurse pilot – revised opportunity

Practices may recall an opportunity for a Community and Practice Nurse pilot project that was previously advertised in the MPU. The project scope has been adjusted based on feedback from practices with regards to the rotation element between the Practice and Community. This revision should make it easier to initiate the project into both Primary and Community care with minimal interruption to practice operations. The project is similar to a preceptorship type model to help build and create interdisciplinary skilled nurses. The collaborative aspect between the two settings is still encompassed but it is now included as part of the funded development/educational day held once a week. The revised plan will make it easier to incorporate both part time and full time nurses and aids in upskilling nurses within general practice and the community, allowing a degree of collaborative working to enable competency sign offs, which is organised for the nurses participating in the project.

Therefore we are looking for expressions of interest for up to 4 Practice Nurses to participate in the pilot. HEE will pay practices 7.5 hours nurse time per week for 12 months to cover the educational commitment. We would encourage interested practices to have an informal discussion with Chelsea Elcocks, Project Manager Chelsea.elcocks@nhs.net

Please see the revised EOI for interested practices to complete, and an example working structure. The deadline for expressions of interest is 31st July 2019, with the pilot commencing in September 2019.

Prescribing Top Tip

This week's prescribing Top Tip is regarding Topical Combination Products

Practice Manager Working at Scale Workshops

On 12,18 and 19 June, Working at Scale workshops were held across the STP to support practice managers as our neighbourhood and primary care home teams evolve into Primary Care Networks (PCNs). The funding for these sessions was provided through the GPFV Practice Manager Development Programme and was facilitated by Inspired Leadership Support.   

25 practices were represented at these sessions. Kingfisher’s practice managers attended as a whole PCN. Throughout the sessions there was some very good discussion and initial planning for how each PCN wanted to work as a team. The activity which the groups seemed to enjoy most focused on breaking into groups and appointing a clinical director, they then began to work through how they wanted to function as a PCN. There was a great deal of positive energy at each event, which was reflected in the feedback after the sessions. 

A large number of those in attendance have expressed a desire to come back together in 6-8 months to hear what is going on within other PCNs, share their learning so far and learn some more about change management.

Thank you to all who attended, your enthusiasm and creativity on the day was both inspiring and energising. Information about further workshops will be sent out as it is available. The slides from the session can be accessed here.

Healthwatch Worcestershire’s Annual Report 2018 / 2019

The Report is also available on:

Healthwatch Worcestershire Annual Report 2018 / 2019

Social Prescribing Webinar 

Welcome to social prescribing link workers in PCNs

Colleagues involved in social prescribing link worker schemes are invited to a welcome webinar on Thursday 18 July at 10am. Joining details are here. Pre-registering is not needed. The webinar is especially relevant to PCN link workers, practice managers and interested PCN directors. Content will include context and information about  future learning and support offer. For a personal view of the potential for social prescribing in PCNs, read Dr Marie Anne Essam’s blog