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Member Practice Update

20 February 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 & Bromsgrove news
  • No specific South Worcestershire news
  • No specific Wyre Forest news

GPFV Update

Resilience event success

On 13 February 2019, the CCGs held a half-day resilience session led by Dr Pamela Smith and Dr Lindsay Pickerell. A local resilience session was talked about at the 2017 Primary Care Development day and a taster session was offered at the 2018 Primary Care Development day in November. According to the feedback received, it is fair to say the event was hailed a success. 27 GPs and Practice Managers attended the session, which was a free event looking at strategies and tools to help organisations and their staff to adapt and stay motivated. 

A huge thank you to Pam and Lindsay for all of their hard work over the past 12 months and for executing such an outstanding session. The GP support team will look to plan and host similar events in the future. 

Service Concerns reported via Datix for Q3 2018/19

The Service Concerns process, reported via the Datix system, is used by the CCG Quality Team to gather intelligence on single events of concern or trends of any emerging issues for commissioned providers. The system was established following learning identified from the Mid Staffordshire Enquiry, where local intelligence and feedback from primary care could have identified the extent of concerning practice sooner. Information reported through this process is used to inform commissioning and provider initiatives that make measurable improvements in the quality and safety of care. 

The Quality Team review Datix notifications on a daily basis. All notifications are logged and the details reviewed against serious incident and safeguarding thresholds: 

  1. Where a trend becomes apparent the Quality Team will contact the provider directly and agree rectification, through appropriate Clinical Quality Review Meetings.
  2. Where there has been a known impact on patient care the Quality Team will contact the Provider to request that they investigate. This may require the Provider to contact the GP Practice Directly for any further information.
  3. If the Service Concern content is assessed as meeting the criteria of a reportable Serious Incident or safeguarding concern the Quality Team will follow up directly with provider, ensuring that a robust investigation is undertaken and action to mitigate any identified gaps in care are agreed.

Currently the DATIX System does not generate an automated response to reporters. Due to the number of concerns received from 66 GP Practices and the level of resource available to support the Service Concern system, it is not possible to acknowledge every reported concern and so Practices will only be directly contacted if the concern falls under categories 2 or 3 listed above.

GP Practices are encouraged to actively contact the provider prior to reporting Service Concerns to the CCG so as not to delay any required response to ensure patient safety.

Find out more here

Prescribing Top Tip

Prescribing of Generic Modified Release Tramadol

If tramadol is clinically indicated then a standard, immediate-release preparation should be prescribed in the first instance.

If a modified release tramadol preparation is appropriate, then the preferred brand in Worcestershire is Marol®. This is available as 100mg, 150mg and 200mg modified release (MR) tablets. It is important to ensure that prescriptions for MR tramadol tablets are written as the Marol® brand and not as the generic.

Marol® MR tablets are more affordable than the equivalent listed Drug Tariff prices for tramadol MR capsules. Note also that tramadol MR tablets are NOT listed in the Drug Tariff, which means that pharmacies are able to claim and be reimbursed for the full acquisition cost of any MR tramadol tablet brand that they can source. 

Based on prescribing over 12 months to November 2018, the following savings could be made if prescriptions for both tramadol MR capsules and tramadol MR tablets were written as Marol® 

(100mg, 150mg & 200mg strengths only):


Total spend generic MR Tramadol preparations

Total spend if 100% as Marol

Saving if 100% prescribed as Marol

Redditch & Bromsgrove CCG




South Worcestershire CCG




Wyre Forest CCG








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

NHS Long Term Plan and GP Contract - Reminder

A reminder of the two important documents recently published relating to how primary care (and the wider NHS system) will begin to operate, starting this year. 

If you haven't already, we strongly advise practice staff read both documents, the links to which are below. There are also numerous summaries of both which can be found online.  


Worcestershire Cancer Support Groups' Networking Event   

A free to attend Worcestershire Cancer Support Groups’ Networking Event will take place on 2 April at the Droitwich Methodist Church from 10am - 3.45pm.

Health professionals are welcome to come along, as are all those affected by cancer, members of cancer support groups and anyone considering starting a group.

The Agenda includes: The latest in cancer treatment, Immunotherapy with Helen Grist, Clinical Nurse Specialist; Patients about the importance of support groups; Buddying schemes – advantages and challenges 

A range of workshops and a marketplace of groups and organisations will also be available on the day.

Find out more here

Please note that the telephone number on posters sent to GP Practices is incorrect and should be 01562 513273 and the email is nicola.perks@nhs.net  

New Road Surgery - Salaried GP Required

New Road Surgery, Bromsgrove is looking for salaried GP to work 6-8 sessions a week.

Find out more here.