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Member Practice Update

18 October 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. Network Contract DES 
  2. GP Connect and 111 Direct Booking
  3. Flu vaccine messaging this winter
  4. Message from Coroner 
  5. New Strong and Steady Exercise Classes to reduce falls in Worcestershire
  6. Prescribing Top Tip
  7. Worcestershire Meeting Dates 2019/20
  8. Community MSK Service - Information Sheet
  9. MSK Survey
  10. Diabetes Survey
  11. Primary Care Networks - Next Steps for Practice Managers Conference
  12. First 5 GP Digital event
  13. Leadership event in Birmingham for First 5 Leaders
  14. General Practice Support Team
  15. Job Vacancy - The Ridgeway Surgery 
  16. Job Vacancy - Church Street Surgery
  17. Job Vacancy - Elbury Moor Medical Centre

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire news

  • No Wyre Forest news

Network Contract DES 

Extension to transition deadline for clinical pharmacists

Sent on behalf of Soyuz Shresth, Regional PCN Development Support Lead

'Dear All

Please find below a communication from the Primary Care Strategy and NHS Contracts Team regarding an extension to the clinical pharmacist transition deadline in the Network Contract DES.

“The Network Contract Directed Enhanced Service (DES) allowed for clinical pharmacists employed under the Clinical Pharmacist in General Practice Scheme to transition to working across primary care networks (PCNs) under the Additional Roles Reimbursement Scheme as part of the Network Contract DES, providing the transition occurred by 30 September 2019. Transition in this context required that the clinical pharmacist is actually working as part of the PCN team delivering the duties outlined in the Network Contract DES Specification, by 30 September. This is irrespective of the detail of the agreed employment arrangements (i.e. they may not be actually employed by the PCN but engaged to work under the terms of the Network Contract DES across the PCN).

NHS England and Improvement has been made aware of a number of scenarios in which the 30 September deadline was not met.

Given the importance of this workforce as part of a multi-disciplinary PCN team and the more generous reimbursable arrangements for practices/PCNs, commissioners may, in exceptional circumstances, allow an extension to the transition by no later than 30 November 2019. This extension is to allow people more time to finalise the arrangements where a transition has been or was being agreed, rather than to allow further time to decide whether or not to transition. After this date, any clinical pharmacists who have not transitioned to work as part of the PCN workforce delivering the duties outlined in the Network Contract DES will no longer be eligible to do so. They will not be counted as an exception to the baseline, meaning that under the additionality rules the FTE equivalent for these clinical pharmacists will need to be maintained by PCN member practices in order to claim reimbursement for PCN clinical pharmacists. Please note that no further extensions to the 30 November deadline will be given.

The Network Contract DES Guidance and Additional Roles Reimbursement Guidance will be updated to incorporate this extension.”

Best wishes,

Soyuz Shrestha
Regional PCN Development Support Lead I
NHS England and NHS Improvement I Midlands I Primary Care Commissioning I
Birch House I Ransomwood Business Estate I
Southwell Road West I Rainworth I Nottinghamshire I
NG21 0HJ I

Mob: 0773-037-5292 I
e mail: Soyuz.Shrestha1@nhs.net'

GP Connect and 111 Direct Booking

Robert Connor and James Harley have produced a resource webpage for the 111 Direct Bookings process as part of the new GP contract. The webpage details the entire end-to-end process for direct booking, how it will work with EMIS and what Practices need to do to enable GP Connect in their instances of EMIS. It is envisaged that once the final testing has been completed, the service can be used from 5th November 2019. The password is - D1g1tal2019

Flu vaccine messaging this winter

With winter all but upon us, we’re anticipating that we’ll soon start to see more activity around areas such as the flu vaccine across the country. With that in mind, please be reminded that it’s important all messaging around the availability of the vaccine is consistent and appropriate. This year there is more vaccine than ever before across the NHS, with no supply issues anticipated nationally other than the small delays we’re already aware of. Any local issues will likely be down to how teams have planned their supply and deliveries, so please be mindful of this if you are approached by the media or are doing proactive work in your area. We would appreciate a heads up on any flu or winter-related media interest in your area – please email to let us know.

Key messages:

  • There is more vaccine than ever before available across the country
  • You can visit your GP or a local pharmacy to get your jab
  • The flu vaccine is routinely given for free to:
    • Adults 65 and over
    • People with certain medical conditions
    • Pregnant women
    • Children aged 2 and 3 on 31 August 2019
    • Children in primary school
    • Frontline health or social care workers
  • Flu can often lead to much more serious complications for vulnerable people
  • You don’t have to have flu symptoms to pass the bug on
  • The flu vaccine is the best protection we have against the virus
  • You can find out more about the flu vaccination on the NHS website
  • Public Health England recently launched its annual public awareness campaign


Message from Coroner 

Sent on behalf of Mr DDW Reid, Senior Coroner for the County of Worcestershire

'Dear Doctor

You will no doubt be aware of the changes in legislation relating to the notification of deaths due to come into force on the 1st October 2019.

I attach, for your information the guidance from the Ministry of Justice.

In short:

(i) From 1.10.19, referrals to the Coroner must now follow the principles set down in the new Regulations; and

(ii) Any previous local instructions will no longer apply. This refers to Coroners who have historically required certain causes of death or certain circumstances to be reported.

I can confirm that I no longer require anything that falls outside of the new guidance reported to me.

 For clarity, this means that I no longer require the routine referral of the following categories of patient:

  • Those for whom a proposed cause of death is given as Old Age;
  • Those who have undergone surgery in the year prior to death;
  • Those who have received chemotherapy in the year prior to death.


Deaths of patients falling within those categories whose surgery, chemotherapy or other treatment may more than minimally, negligibly or trivially caused or contributed to death will, of course, still need to be referred to the Coroner.

Should you have any questions or queries please do email the coroner's office.'



New Strong and Steady Exercise Classes to reduce falls in Worcestershire

It is well known that keeping active has no end of health benefits, but as people get older the amount of physical activity they do decreases.

We know that 33 per cent of over 65s who live in the community fall each year, with numbers set to rise.

According to Age UK, falls represent the most frequent and serious type of accident in people aged over 65. Falls destroy confidence, increase social isolation and reduce independence, while also hastening a move in to residential care.

Read more about the new Strong and Stead Exercise Classes in Worcestershire.

Prescribing Top Tip

This week's Prescribing Top Tip is DHSC Advice on Ranitidine

Worcestershire Meeting Dates 2019/20

Please find a list of CCG Meeting Dates, including Alliance Board, Provider Boards and Development Sessions. 

Community MSK Service - Information Sheet

Please find attached the Community MSK Service Information Sheet

MSK Survey

The MSK Collaborative is currently working with partners across Worcestershire to ensure that MSK patients have access to clinical triage, assessment, diagnostics and interventions within the community Advanced Physiotherapy Practitioner service. The purpose of this short survey is to garner views on the service, highlighting areas where we might need to make improvements or refine the service.  All answers are anonymous and it should take you no longer than 5 minutes to complete.

The survey can be found here

Please complete the survey by Friday, 9 November 2019.

Diabetes Survey

We have developed a short diabetes survey which we would like to issue to Worcestershire GP Practices, the link to which is here

Please pass this survey on to the appropriate practice nurses. 

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 GP Development

First 5 GP Digital event

Using Technology in General Practice – save the date 13th November 7pm-9pm

All First 5s are invited to join our first evening of a series of 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)

A flyer with confirmed speakers is attached, to book your place (by 1st November) please email the Workforce team including any dietary requirements.   

Leadership event in Birmingham for First 5 Leaders

GP trainees and First 5 GPs across the Midlands are invited to a leadership evolution event in Birmingham on Saturday 23 November. It is free and will be an all-day event where GPs and trainees will not only hear from senior leaders, but also learn and apply their leader skills using Design Thinking methodology. It is a practical leadership development day. Registration is at this link and a poster is here.

General Practice Support Team

On behalf of NHS Herefordshire and Worcestershire CCGs and LMCs

An Exciting opportunity to join Herefordshire and Worcestershire’s Primary Care Resilience Programme. Event details here with a flyer for your staff notice board.

Job Vacancy - The Ridgeway Surgery 

The Ridgeway Surgery is looking to employ one or two salaried GPs to cover between 2 and 8 sessions. We are a semi-rural dispensing practice situated to the south of Redditch. We are actively involved with our local Primary Care Network and we are also a training practice. Alongside the doctors we have a full time clinical prescribing pharmacist, two practice nurses, two HCA and three dispensary staff. 

Read more

Job Vacancy - Church Street Surgery

Sent on behalf of ally Hookes - Site Manager 

'Do you love coffee, cake, great support and a fabulous working relationship with your colleagues?

Do you want the best of both Worlds? Working in an individual practice but with the knowledge, support, drive and passion of a large partnership? Wyre Forest Health Partnership (WFHP) is looking to recruit a new Salaried GP. The role is based at our Church Street Surgery where you will be able to join our friendly forward-thinking, high-achieving and innovative partnership, where the team take genuine pride in making work stimulating, challenging and rewarding.

We are looking for a keen and enthusiastic team player who can demonstrate commitment and flexibility with the drive to deliver a high standard of patient centric medicine whilst maximising primary care business opportunities. We are seeking Doctors who share our passion and who can assist the partnership to become the best it can be in a modern NHS.

WFHP was formed four years ago and now consists of six surgeries based in the beautiful Wyre Forest area. We have 44 GPs and over 200 staff looking after over 73,000 patients. As a large partnership we offer excellent working environment with the opportunity to pursue your clinical interests and further professional development with exceptional support and a good work/life balance.

More about Us!

At Church Street Surgery we pride ourselves on having a supportive team and are able to support flexible hours and working patterns. We are constantly reviewing our GPs workload to ensure it remains manageable and offer a fair contract in line with the BMA model contract.

We also offer:

  • Weekly team meetings and regular educational meetings
  • Pharmacist and ANP support; significantly reducing your workload
  • Designated Central Management team with superb IT infrastructure and support
  • High QOF achievement
  • Organised workflow and paper light
  • Established EMIS Web Patient System and Docman The Benefits
  • Special Interests supported and developed
  • Excellent financial package
  • Indemnity paid in full
  • NHS pension
  • BMA contract
  • 6 weeks' annual leave
  • Generous Study leave
  • Great development opportunities & career progression

For a confidential chat about the role and the WFHP please contact Sally Hookes - Site Manager on 01562 757201 or by email at s.hookes@nhs.net.

Job Vacancy - Elbury Moor Medical Centre

Can you add to a happy, close-working Practice with a shared leadership ethos? Following the retirement of our Senior Partner, we are recruiting a 5-6 session salaried GP with a start date of 1st January 2020 (but we are willing to wait for the right candidate).

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.