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Member Practice Update

17 May 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.

Please Note: Following feedback from GP’s this update will now come out on Fridays rather than Wednesdays.

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. Accountable Officer Update

  2. Primary Care Commissioning Committees - Wednesday 22nd May 2019 1:00pm

  3. Wyre Forest Governing Body Chair – Appointment of Dr Louise Bramble  

  4. General Practice Forward View – 3000 Therapists in Primary Care nationally 

  5. Primary Care Digital Transformation forum – digital leaders in primary care

  6. Mumps outbreak - Hagley School 

  7. PCN FAQs

  8. Nurses day 12th May 2019

  9. Prescribing Top Tip 

  10. VACANCY - Director of Primary Care and Networks Strategy 

  11. Meet the BCH Brain Injury Specialist Clinic Team

  12. CPD Open Evening - 5 June 

  13. Books On Prescription Mental Health Awareness week 2019 

  14. Worcestershire Safeguarding Children Board invites you to Safe

  15. Doctors Rangan Chatterjee and Zoe Williams encourage GPs to pledge to parkrun

  16. Interpreter Services - Human Trafficking Risk 

Find out about local and national events and training here.

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

Accountable Officer Update

Please note the appointment of Dr Louise Bramble as the Chair and Clinical lead of NHS Wyre Forest CCG, and note the other contents of this report; proposed CCG merger, contracting and system wide financial issues, Sustainability and Transformation Partnership (STP) Operating Model, General Practice Funding View Transformation Funding for 2018/2019, GP Provider Board (GPPB), Mental Health Investment Standard, Discharge to Assess pathway three procurement, stroke services quality summit and Clinical Senate review, Cancer transformation monies, Winter evaluation, Review of Minor Injuries Units, Review of NHS access standards, Health and Social Care - Business Rates Retention Pilot, EU Exit Preparations Update, CCGs 2018/19 annual assurance meeting and the Organisational Away Day, 

Please find the Accountable Officer Update attached


Primary Care Commissioning Committees - Wednesday 22nd May 2019 1:00pm

The upcoming meeting will include; Financial Update, Primary Care Strategy, General Practice Transformation Board, PCN Initial Registration Submission and the General Practice Forward View. 

Also for approval, information and note; Farrier House Surgery, Crabbs Cross Surgery – Premises change, Application for increase in GMS space – Bromyard Surgery, Application for boundary change – New Road Surgery Rubery, Contract Variations, Board Assurance Framework, Open Forum/Public and Report Planner 2019. 

Please find the Agenda and Papers attached. 

Wyre Forest Governing Body Chair – Appointment of Dr Louise Bramble

Due to ill health, the chair of the Wyre Forest Governing Body, Dr Clare Marley, submitted her resignation on 1st March 2019.

An election process has since taken place within Wyre Forest for a Governing Body Chair, for the period 1 June 2019 – 31 March 2020. This resulted in a single nomination being received from Dr Louise Bramble, who will be slotted in to this post, which has been endorsed by the Wyre Forest GP Association and NHSE. Dr Bramble is currently undertaking this role on an interim basis until 31st May and will therefore formally assume this position on 1st June 2019.

General Practice Forward View – 3000 Therapists in Primary Care nationally

The GP Forward View published in 2016 committed to invest in an extra 3000 therapists nationally in primary care by 2020. These therapists are required to be IAPT-qualified staff to support increased access to IAPT (Worcestershire healthy Minds) as per the Five Year Forward View for Mental Health, published in 2016. Work is already underway and increased investment agreed for the IAPT services to achieve this aim, with over 2,400 patients accessing IAPT services from January to March 2019, achieving national targets.

Co-location of therapists in primary care provides the opportunity for closer working between mental and physical health professionals, facilitating mutual learning, supporting good practice, and ensuring an integrated and patient-centred approach to the delivery of care. Integration has also been shown in some areas to reduce GP appointments by as much as 48% for patients with co-morbid mental and physical health conditions.

In Worcestershire there are currently 11.6 WTE therapists located in practices around the county (Wyre Forest 2.2 WTE, Redditch & Bromsgrove 1.4 WTE, South Worcestershire 8 WTE), currently running sessions at:

  • Aylmer Lodge Surgery
  • Bewdley Medical Centre
  • York House Medical Centre
  • Droitwich Medical Centre
  • Kidderminster Medical Centre
  • Hollywood Medical Centre
  • New Road Surgery
  • Haresfield Surgery
  • Malvern Health Centre
  • Upton Surgery
  • Pershore Medical Practice
  • Stanmore House Surgery
  • Lyppard Grange Medical Centre
  • Corbett Medical Centre

A workforce plan is in place to continue to expand IAPT therapist capacity within Worcestershire to meet increasing demand, and the aspiration is that more of these therapists will work closely with, and be based in, primary care networks in future.  Co-location of mental health therapists supports the drive to strengthen the primary care workforce by offering a broader range of integrated services for patients in their communities. The Healthy Minds team would be very happy to discuss this with any practices who wish to accommodate therapists within their premises.

Any interested practices can contact Julie.Waterhouse1@nhs.net.

Job Opportunity - GPFV Workforce Clinical Lead - Fixed Term appointment 12 months 

Herefordshire and Worcestershire CCGs have been allocated funding from NHS England to appoint a General Practice Forward View Workforce Clinical Lead for 2-3 sessions a week (0.4WTE) for the next 12 months. 

We are looking for a GP who is passionate about General Practice and can support the delivery of the Primary Care Workforce Plan across Herefordshire and Worcestershire. For the role to be successful, credibility with peers will be essential. The post holder will preferably be a practising GP with experience in leading change, excellent interpersonal skills and passionate about improvement.

Over the past 12 months, we have built firm foundations across many workforce projects to recruit and retain our workforce locally and have exciting plans to build upon these foundations in the next 12 months. 

The role of the GPFV Workforce Clinical Lead will include: 

  • To better understand the Primary Care workforce needs in Herefordshire and Worcestershire, including where this could be mitigated by different working practices and priority areas to increase GPs and other roles (e.g. multi-disciplinary roles)
  • To increase the general practice (e.g. not GPs only) workforce in Herefordshire and Worcestershire (based on need and set target); including initiatives to attract, recruit and retain GPs and other clinical staff

For more information, access the Job Description. To apply, please express an interest using this form and e-mail your application to sowoccg.workforce@nhs.net by 31st May. If you would like to have an informal discussion about the role, please contact holliehastings@nhs.net 

Closing date for applications – 31st May.
Interviews will take place the morning of Friday 7th June. 

Primary Care Digital Transformation forum – digital leaders in primary care

A new online forum for digital leaders in primary care will be launching soon (formed by NHS England’s Primary Care Digital Transformation team). The aim is to build a national network of Chief Clinical Information Officers, Clinical Information Officers, Chief Nursing Information Officers and clinicians with a digital/IT portfolio within their CCG role. The forum will be used to communicate key messages from NHS England’s digital programmes including the GP IT Operating Model, receive feedback, create discussion forums, promote events, workshops, training and briefing sessions for its members and share local successes and examples of good practice.

Register your interest by emailing england.digitalleaders@nhs.net.

Mumps outbreak - Hagley School

Over the last six months you may be aware of mumps cases which have been reported nationally in educational establishments in England, currently a cluster of possible mumps cases is being investigated by Public Health England (PHE) in a Worcestershire high school. This school takes pupils from across the whole of Worcestershire and also neighbouring counties, PHE in conjunction with the school are writing out to parents of pupils at this school and as part of this work to promote MMR vaccination uptake will be undertaken.

Please note, parents may therefore approach practice staff about MMR vaccination in unvaccinated children. A formal briefing note from PHE to the CCG is awaited. 

If you have any queries/concerns relating to immunisation or possible cases please call PHE on 0344 225 3560 and then option 2


A series of FAQs around Primary Care Networks is now available.

Download FAQs.

Nurses day 12th May 2019

Message from Nina Lealan, Practice Nurse Lead for Worcestershire:

I would like to wish all our nursing teams across the County a Happy Nurses Day which was 12th May this year. We aim to celebrate this special day this year at the Worcestershire Nurse rum on the 21/5/19.
I would really like to hear of any special events you are holding or have held as part of the nurses day celebration  but also I wanted to ask you to send me any professional achievements/qualifications that you are undertaking currently or have obtained in the last 12 months.
It would be really good to celebrate and share with one another the professionalism and hard work from our ANPs/GPNs and HCAs who are undertaking change/projects/diploma's/courses for the benefit of general practice across Worcestershire and Herefordshire on our special recognised day.

This is something which is very topical in General Practice in our current climate but is something that we all do as nurses which needs to be celebrated.

Get in contact with Nina via nlealan@nhs.net

Prescribing Top Tip

This week’s prescribing tip is the usual quarterly summary of prescribing messages.

Download summary.

VACANCY - Director of Primary Care and Networks Strategy 


Full time  permanent/secondments welcome

Salary: VSM

In Herefordshire we are developing primary care networks across four localities that will enable professionals to work together to plan, design and deliver services to meet the health and care needs of their local population. The Director of Primary Care Networks and Strategy will lead a programme of service transformation in primary and community services across Herefordshire, to develop locality networks and lead general practice to deliver the Primary Care networks contract. Our vision is for our networks to be a vehicle for effective collaborative working that delivers the goal of One Herefordshire and aligns with the Quadruple Aim – improving experience, improving health, containing cost and enhancing meaning and joy in work.

To succeed in this role you will need to have an excellent understanding of the current health and care landscape and its implications for service delivery, including the NHS plan, GP contract and integration agenda. You are likely to have well-honed leadership, coaching and quality improvement skills and be able to demonstrate your ability to deliver meaningful change with and through others, including in primary care and community teams.

Previous experience of working with general practice and community teams is an advantage, and wider public sector experience is highly desirable.

As the post forms a central part of our transformation work, we anticipate that the role will change and develop in line with the emerging needs of the networks, localities and their populations.

The post includes a commitment to the Taurus on-call senior managers’ rota.

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focussed on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patient’s home, whilst ensuring that patients who do require “in hospital” services are seen as quickly and effectively as possible.

For an informal discussion with DR Mike Hearne please contact Daisy Edwards to arrange: daisy.edwards@taurusheathcare.co.uk

Please send your CV and supporting statement to Daisy Edwards daisy.edwards@taurushealthcare.co.uk 

Closing date 20th May

Job Description

Meet the BCH Brain Injury Specialist Clinic Team


Back left to right:
Louise Lorenc (Psychologist), Nick Cox (Speech & Language Therapist), Vicky Betts (Occupational Therapist)

Front left to right:
Tracey Turner-Smith (Physiotherapist), Julkiflakhan Tadvi (Consultant in Rehabilitation Medicine), Jane Grimshaw (Clinical Lead)

The Brain Injury Specialist Clinic team want to share information about their service. To make a referral to the service, or for further details, please click here to visit the webpage where the up to date referral form will be held.

The clinic is a consultant led, interdisciplinary team service which aims to provide assessment, advice, brief treatment and referral on to other services for adults with an Acquired Brain Injury.  The BISC team will work with people with physical, cognitive, communication and emotional difficulties, who are looking to regain their previous activities such as returning to work or education. For adults of working age requiring longer term interventions to achieve their goals, we can refer on to our sister service, the Moor Green out-patient brain injury programme.

It is common for people to struggle after a brain injury, even though they might seem to have made a full recovery.  People will often approach their GP to say that things aren’t right, and they need help to deal with the life changing consequences of their injury.  It is important to do more than just survive  -  they also need to see that they can still live a meaningful life.  To make the adjustment to this new life can be a long and difficult process – we are there to help people make that journey. 

If you require any further information please contact Jane Grimshaw on 0121 466 6070.

CPD Open Evening - 5 June

Please download this flyer for details on the University of Worcester's CPD Open Evening which will be held on 5 June 2019. Programmes represented at the evening will be:

Advanced Clinical Practice (MSc) * Subject to validation
Advanced Clinical Practice MSc is a multidisciplinary programme that is open to experienced healthcare professionals seeking to develop knowledge and skills in their specialist area to Masters level.

Nursing Studies BSc (Hons)
This course gives you the opportunity to top-up your registered nurse qualification to a full honours degree in one year of study (one-year full time and up to four years part-time).

Public Health (MSc)

This is a postgraduate programme for health practitioners and professionals from the wider workforce who impact on public health.


Books On Prescription Mental Health Awareness week 2019

The theme this year for Mental Health awareness week is Body Image – how we think and feel about our bodies. BOP has a range of books freely available on this topic and other mental health issues. Books on Prescription aims to help people and carers by using books which provide information and step-by-step self-help techniques.  These are available free from any library. Clients can be recommended books and/or self refer  or staff can prescribe.

Useful links and resources:

If you would like to be part of the BOP steering group/ have any recommendations or wish to order any prescription pads please contact:

Worcestershire Safeguarding Children Board invites you to Safe

Safe is a dynamic theatre performance specially devised by Geese Theatre Company for WSCB. It follows the stories of two families where
children are potentially at risk, and the agencies working with them.

Using some of the key findings from recent Serious Case Reviews in Worcestershire as a starting point, the piece asks the audience to consider how professionals can work, individually and with others, to more effectively safeguard children.

Artrix Centre, Bromsgrove
Thursday 27th June 2019

Find out more.

Doctors Rangan Chatterjee and Zoe Williams encourage GPs to pledge to parkrun

TV personality Dr Zoe Williams will be among more than 1,000 GPs and practice staff expected to take part in a special parkrun UK event on Saturday 1 June 2019, which will celebrate the first birthday of the hugely successful parkrun practice initiative. The special event is also being supported by author, GP and star of BBC One's Dr in the House, Dr Rangan Chatterjee, and Chair of the RCGP, Professor Helen Stokes-Lampard.

Read the full article here.

Interpreter Services - Human Trafficking Risk

There are reports that gangs may be recruiting interpreters for the purpose of retrafficking victims during face to face appointments. A situation has occurred with one victim in London and hence would like to alert all relevant networks to be vigilant when using interpreters in case this is not a one off issue.

Below are some hints and tips on how to be observant when using interpreters: 

  • Never leave the interpreter alone with a victim, especially in waiting rooms or reception areas.
  • This includes not just visually but also within earshot to ensure no subtle communication is taking place.
  • Please ensure victims leave at different times to an interpreter.
  • Be wary of any interpreting activity that seems out of the norm or not in keeping with what is being asked to be interpreted.
  • If a victim looks distressed in the presence of an interpreter, cease the session immediately. 
  • Unfortunately, even interpreters with full references, qualifications and DBS checks may still be involved in trafficking gangs, so if you have any doubts or hesitation about the quality of an interpreter, please tell your language service provider immediately.