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Member Practice Update

15 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. H&W CCG Clinical Chair 
  2. World Antibiotics Awareness Week
  3. Sharing Intelligence Between Agencies 
  4. Update on Direct Access Echocardiography and Heart Failure Services 
  5. EMIS Update
  6. Demonstration of Chain SMS
  7. Respiratory Email Advice and Guidance Service 
  8. NHS App
  9. St Richard's Launches Living Well Centre 
  10. Integrated Urgent Care Health Professional Feedback Form 
  11. GMS Contractual Reminder
  12. National Cancer Diagnosis Audit 
  13. Prescribing Top Tip
  14. Beginners Guide to Lynch Syndrome 
  15. Women's Preconception Health
  16. Further MJOG Training Dates Available
  17. Domestic Abuse Training in Worcestershire 

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire news

  • No Wyre Forest news

H&W CCG Clinical Chair 

Closing Date For Applications 24th November 2019

As previously communicated, Herefordshire and Worcestershire CCG clinicians are advised that the Clinical Chair position remains open for applications until 24th November 2019, 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

World Antibiotics Awareness Week

Latest data from Public Health England shows there were an estimated 61,000 antibiotic resistant infections in 2018 – that’s 165 a day.

Taking antibiotics encourages harmful bacteria that live inside you to become resistant. This means that antibiotics may not work when you really need them. Infections such as Urinary Tract Infections (UTIs) or skin infections that don’t respond to an antibiotic, have the potential to cause serious complications, including bloodstream infections and hospitalisation.

Antibiotics are essential to treat serious bacterial infections such as pneumonia, meningitis and sepsis. They also help to protect people that are vulnerable to infections from other health conditions, helping ward off infections during chemotherapy, caesarean sections and other surgeries. However, they are frequently being used to treat illnesses like coughs, earache and sore throats that can get better by themselves.

The ‘Keep Antibiotics Working’ campaign returns to alert the public to the risks of antibiotic resistance, urging them to always take their doctor, nurse or healthcare professional’s advice on antibiotics. The campaign also provides effective self-care advice to help individuals and their families feel better if they are not prescribed antibiotics. For further information on antibiotic resistance visit Antibiotic Resistance.  

World Antibiotics Awareness week 2019 - 18 – 24 November 2019

Each November, World Antibiotic Awareness Week (WAAW) aims to increase global awareness of antibiotic resistance and to encourage best practices among the general public, health workers and policy makers to avoid the further emergence and spread of antibiotic resistance.

To help raise awareness there are resources available:

Infographics, posters can be downloaded here.

Sharing Intelligence Between Agencies 

Information Intelligence Sharing/Modern Slavery/Human Trafficking

Please find a form that can be used by professionals that wish to report information/intelligence that is not an immediate safeguarding issue. A query arose through health about individuals attending Evesham local hospital for treatment but few details given from the person and not known on any systems. The concern of staff is that they are being sent away to get proof of ID before treatment and never returning. They could potentially be victims of modern slavery etc. This form would be an ideal way of gathering of intel to build a large picture of the concerns.

The form is then to be emailed to Protect-West Mercia

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.

EMIS Update

As per the letter that you will have received from the Royal Wolverhampton hospital, changes are being made to the organisation who will be providing your hPV cervical screening testing as of 18th November. From this date, the tests should be sent to the new provider and your EMIS system will need to be configured so that you can then receive the test results back from the screening tests. If you do not set this up as requested, you will not be able to receive screening results for your patients back into EMIS.

Royal Wolverhampton have agreed to send an engineer out to you to set up the necessary configuration within EMIS to ensure that this is set up correctly. You should all now have had contact from Royal Wolverhampton to arrange this visit. This engineer will be configuring the trade partners in EMIS as below. Should you wish to set this up yourselves, you are welcome to do so using this information but you will need to let the Royal Wolverhampton know your practice.

  • NATS Codes
  • EDI
  • DTS

Email this information to Sally Green.

EMIS Configuration to be set up

Current Connection - TD

Trading Partner Name

Wolverhampton New Cross Hospital

DTS Mailbox


Main Contact

Pathology IT









Trading Partner Cipher



New LIMS Connection - WPE

Trading Partner Name

Wolverhampton New Cross Hospital BCPS

DTS Mailbox


Main Contact

Pathology IT









Trading Partner Cipher



HPV Connection

Trading Partner Name

West Midlands Cytology Service BCPS

DTS Mailbox


Main Contact

Pathology IT









Trading Partner Cipher



If you have not had contact from Royal Wolverhampton to arrange your visit, or have not allowed the visit to date, please either configure your own system as above and return the information required (outlined above) to Sally Green, or contact to arrange an appointment for their engineer to visit.

If you have any queries about the change in service, please contact the Royal Wolverhampton

In relation to Data Sharing with the new organisation, Royal Wolverhampton have provided the DPIA for your information. For any further enquiries in relation to information governance and data protection, please consult your practice Data Protection Officer.

EMIS Champions Needed

It is recognised that there is a need to develop and support at risk practices to work more effectively within the scope of their clinical system, therefore, the CCG is looking for EMIS Champions to assist other practices with the development of EMIS processes, tools and resources to enhance administrative efficiencies across Hereford and Worcestershire.

Initially the intention is to pull together a small group of both clinical and non-clinical EMIS users that are able to offer support, training and advice on an adhoc basis to practices that are finding this a real challenge.

Funding is available at the following hourly rate:

GP - £100 
Nurse/ Practice Manager- £50 
Practice Administration - £25

Building upon the above, the aim is to then set up a small working group that will focus on the development of standardised EMIS tools/templates to promote best practice, improve data quality and to ensure wherever possible administrative processes are streamlined. It is imperative that we have users that are confident in discussing new ways of working with other practices across the estate, and also recognise the importance of developing resources that can be adopted across all Hereford and Worcestershire STP practices.

If you are interested, feel you have the relevant knowledge and are keen to work with colleagues to improve and maximise the capabilities of EMIS, please contact Clare Gibbs by email or 07501226350. 

Updated St Richard's Hospice EMIS referral form

St Richard's Hospice referral form has been altered to accommodate the new ReSPECT documents, along with a re-branding of our day hospice now being called 'The Living Well Centre '. Please can this referral form be used for all referrals forthwith. A copy of the EMIS form can be found here. Please import in to EMIS and archive the previous version.

Demonstration of Chain SMS

Please find:

accuRx Herefordshire and Worcestershire STP

Data Protection Agreement 

Data Protection Impact Assessment Information 

Respiratory Email Advice and Guidance Service

This is a service that the respiratory physicians of Worcestershire Royal Hospital and the Alexandra Hospital are providing to the General Practitioners of patients in their respective catchment areas.

The service will commence on 18/11/2019. The existing system of advice and guidance by ERS will cease from 17/11/2019 onwards.

  • We give advice about adult patients with respiratory problems, whether previously known to our service or not
  • We are unable to advise about allergy, anaphylaxis or immunology via this service
  • Full patient details including address must be included in advice requests as both the query and advice is filed in our electronic notes system
  • We cannot accept referrals for clinic appointments via this system (in this case, please make an ERS referral)
  • Our response target is 48 hours Monday-Friday (there is no service on bank holidays or weekends)
  • In order to maintain a timely response we are only able to give advice to General Practitioners (excludes nurse practitioners, pharmacists community hospitals and hospital consultants)
  • Email advice is covered by a rota and cannot be used to contact a specific consultant (please use the usual channels for queries relating to the ongoing care of patients well known to a specific consultant)


We hope you will find this service useful.

For GP practices in the South Worcestershire and Wyre Forest catchments.

For GP practices in the Redditch and Bromsgrove catchments

NHS App 

Support for GP Practices on the NHS App and NHS Login

Staff at GP practices across England can now attend a webinar and access a range of support materials to help them learn about the NHS App and NHS login and how they can make the most of them.

An information campaign launched recently which encourages NHS and civil service staff to download the NHS App and see what it can do.

96% of patients in England are now able to download and use all features of the NHS App. All TPP and EMIS practices are connected. Vision and Microtest systems will be connected soon, and CCGs and practices will be contacted when connection dates are being planned in.

The NHS App implementation team has set up a number of webinars for practice staff between November 2019 and January 2020. The webinar will last a maximum of one hour, is free to attend for GP practice staff and will provide an opportunity to ask questions. To book your place please go to this webpage

A toolkit has been developed with guidance for GP practice staff to help you give your patients the best possible user experience. This is available at this webpage

Downloading and trying the NHS App as a patient is the best way to learn about what the NHS App does. Setting up a test patient is the easiest way to understand what patients at your practice will see.

Guidance on setting up a test patient is available in the toolkit here. Your test patient needs to be aged 16 or over and have an NHS number and account in your clinical system, with patient online services activated. To obtain details of a test patient that has a valid NHS number you can contact the NHS App team

St Richard’s Launches Living Well Centre

St Richard’s Hospice is widening access to patients and their loved ones living with a serious progressive illness with the launch of a new Living Well Centre at its base in Wildwood Drive, Worcester.

Individuals can now be referred to the Living Well Centre one day a week on a 4 to 12 week therapeutic programme (previously Day Hospice); to attend an Out-patient Clinic or to take part in one of many Living Well courses, social groups and information sessions.

The changes reflect the move to a rehabilitative model of care based on a stepped approach which will see a natural progression as physical and emotional needs increase.

The Living Well Centre is in a new extension built as Stage 1 of the hospice’s Build 2020 appeal and the redeveloped former day hospice rooms. It is light, modern and spacious, enabling a greater number of therapeutic sessions and activities.

You can find out more about the Living Well Centre, or contact our Gateway team on 01905 763963. Referrals to the Living Well Centre can be made through the referral form, available online.

Integrated Urgent Care Health Professional Feedback Form

WMAS welcome feedback from Health and Social Care Professionals to learn and continually improve the NHS 111 service. Please use this form to record any feedback you wish to provide. This form is not suitable to register Complaints or Incidents. 

GMS Contractual Reminder 

To support improvements in the registration of individuals leaving the secure residential estate

The NHS England Standard GMS Contract 2017/18 (page 64) sets out information for GPs on registering individuals prior to their release from the secure residential estate (such as prisons, young offender institutions, immigration removal centres and secure training centres). This has now been implemented and is intended to help these individuals maintain continuity of care, avoid unplanned emergency admissions to hospital, and support their rehabilitation. Such individuals can also be initially reluctant to register with their GP practice post-release. To support with registering patients prior to their release, practices are asked to update their procedures and follow this improved process.  Visit here for further information. 

National Cancer Diagnosis Audit

The National Cancer Diagnosis Audit is in its second round and collects data from primary care and combines it with secondary care data to understand cancer pathways. It is a partnership project led by Cancer Research UK and GPs are asked to provide Public Health England with information on patients that have been diagnosed with cancer. It collects data for a full 12 month period. 

It has the potential to provide a rich source of information and Cancer Research UK provide tailored feedback reports to GP practices, Primary Care Networks and CCGs which should be particularly useful for Primary Care Networks when the Primary Care Network Directed Enhanced Service Supporting Earlier Cancer Diagnosis Service Specification comes in next year. 

At present only around 15.5% of practices in the West Midlands are registered for the audit. 

The link for GP practices to register

Prescribing Top Tip

This week's Prescribing Top Tip is regarding Self-Care Week

Beginners Guide to Lynch Syndrome 

Lynch syndrome is an inherited condition, which causes an increased risk of certain cancers. It is caused by a mutation (a genetic change) in one of five different genes.

Read more

Women's Preconception Health 

Women’s preconception health sets the foundation for a successful pregnancy and the subsequent lifelong health of the baby. Good preconception health encompasses two main concepts: planning pregnancy and fit for pregnancy. Giving every child the best start in life is a key priority in Worcestershire.

In partnership, Worcestershire County Council and the NHS would like to identify actions to increase access and uptake of contraception, sexual health provision and pre-conception care. To do this, we need your support in identifying current practice and provision of preconception care.

Please could you spare 10-15 minutes to complete the survey to inform our ongoing work.

The survey will close 29th November 2019.

Many thanks for your co-operation and support. 

Further MJOG Training Dates Available

Following positive feedback from previous training sessions, the CSU are offering further MJOG training sessions on the following dates:

Date: Thursday 5th December
Location: Turnpike House Worcester, 37 Newtown Road, Worcester, WR5 1EZ
2 sessions available
Morning 10-12
Afternoon 1-3

Date: Tuesday 3rd December
Location: New Road Surgery Bromsgrove, 46 New Road, Bromsgrove, Worcestershire, B60 2JS
2 sessions available
Morning 10-12
Afternoon 1-3

To book a place please contact Steve Morgan Project Co-ordinator | Midland and Lancashire CSU, Office : 01562 513029 

Domestic Abuse Training in Worcestershire 

We have commissioned “Free” multi-agency domestic abuse training in conjunction with Sarah Wigley Associates. This training seeks to raise awareness and increase understanding of the dynamics of abuse, including coercive control. The training supports professionals to better identify, signpost and support victims as well as considering safe ways of responding to perpetrators. During the initial rollout 219/221 professionals agreed they would recommend the training to a colleague.

See 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 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).