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Member Practice Update

21 June 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. PCE 19\20 – Feedback from Practices 
  2. Frailty Specialty Criteria 
  3. General Practice Improvement Leads programme – applications open for Midlands and East of England regional cohorts
  4. Multi-Agency briefing GET SAFE
  5. Prescribing Top Tip
  6. ReSPECT Newsletter - May 2019
  7. Worcestershire CCG MacMillan GP- Update
  8. In Alliance Newsletter 
  9. Domestic Abuse Training in Worcestershire
  10. Safeguarding Sub-Bulletin

  11. READY Paramedics: A survey on the deployment of paramedics in primary care
  12. Merger Update

Find out about local and national events and training here

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

PCE 19\20 – Feedback from Practices 

Sent on behalf of Lynda Dando, Director of Primary Care  

'Thank you for providing us and the LMC with feedback on the proposed changes to the PCE 19\20 draft specification. The majority of comments came from practices in R&B and these were both constructive and really helpful in making us think again about some of the wording used.  

Two main areas of concern were raised as follows:

2.1b       At least weekly review of prospective referral


5.2.3      Peer Review of emergency admissions

We have reflected on each of these and our comments are as follows:

2.1b       The requirement to review prospective referrals (not all) has always been a requirement of former PCE contracts including the 18\19 specification which we rolled forward.  What we’ve stipulated in the 19\20 proposal is the frequency of these reviews ie “at least weekly” because of the clinical risks associated in delaying referrals unnecessarily.  The comments from one practice highlight that they undertake this task on a daily basis. Others “skim read” and both are absolutely acceptable.  Regular review of prospective referrals (not all of them) reflects best practice nationally and locally.  The feedback does highlight some misunderstanding in respects of how the review is undertaken. Practices are not required to do this piece of work as part of a formal meeting.  We know that many conversations take place in the staff room for example very informally and this will continue to meet the 2.1b requirement.  Some really helpful suggestions and ideas featured in the feedback as to how this area could be improved upon and we’ve incorporated these  (see page 8 of revised and final specification)    

5.2.3      We clearly need to articulate more clearly what the requirement is in relation to the bi-monthly (not weekly) review of emergency admissions and hope that this reduces the very valid concerns that have been raised.  This element has now been reworded to make clear that a sample of emergency admissions are to be reviewed based on what local data is highlighting and where the greatest difference can be made – not ignoring, however, the evidence from recent audits which identifies these as being the 4 areas set out in the contract (see page 25) 

The only other question\point raised through the engagement process was how will a  “light touch” for high performing groups be enacted.  This continues to be a really important principle governing our approach to supporting groups in delivery and will be a separate conversation between the CCG and relevant Clinical lead.

The proposed specification will now be shared for approval with the Primary Care Commissioning Committees ‘meeting in common’ on 25 June ahead of the Practice Engagement event at Sixways.

Thank you to all those who commented and especially to the PCE Clinical Advisors (Drs Pam Smith, Gemma Moore and Roy Williams), Alliance Board Chairs and the LMC who have guided the direction of travel to take – and not to take!'  


Frailty Specialty Criteria 

A reminder of the Frailty Specialty Criteria

General Practice Improvement Leads programme – applications open for Midlands and East of England regional cohorts

Applications are open for the Midlands (starting with an introductory webinar on 3 September and the first module on 17 and 18 September 2019) for the Midlands regional cohort of the General Practice Improvement Leads programme. The programme is designed for GPs, practice managers, nurses, reception managers and senior administrators. It incorporates interactive training workshops, personal reading and reflection, and action learning as participants lead a change project in their own workplace. Participants gain new perspectives, skills and confidence in using improvement science in general practice, and leading colleagues and teams through change.

For more information and details on how to register visit https://www.england.nhs.uk/gp/gpfv/redesign/gpdp/capability/

Multi-Agency briefing GET SAFE

'GET SAFE' is the Worcestershire name for Worcestershire Health Economies multi-agency support and protection for children and young people at risk of Criminal Exploitation.

This brings together and identifies the following criminal exploitation risks that children and young people face today across the UK:

Gang-related activity, Sexual Exploitation, Trafficking, Modern day Slavery, Absent and Missing, Forced Marriage, Honour Based Violence and Female Genital Mutilation, and Criminal Exploitation.

The GET SAFE Partnership is committed to tackling Child Exploitation and supporting victims and their families who experience this.

Our Worcestershire partnership includes: West Mercia Police, Children’s services, Health, Education, Youth Justice, Early help services and our voluntary sector all working together alongside other agencies and existing forums within Worcestershire. This brings a joined-up focus and approach across agencies in the community in the identification and tackling of Criminal exploitation of children and young people.

Further information about GET SAFE in Worcestershire and sign posting to agencies for help and support is available on the Worcestershire council website:www.worcestershire.gov.uk/getsafe


Prescribing Top Tip 

This week's Top Tip is on Diabetic Medical Devices in Airports

ReSPECT Newsletter - May 2019

The ReSPECT May 2019 Newsletter


Worcestershire CCG MacMillan GP- Update 

The 2ww referral forms and associated leaflet are being relaunched and sent out to practices. Please read the update for more details. 

In Alliance Newsletter 

Welcome to the third edition of ‘In Alliance’, a newsletter about the work and activity of the three Worcestershire Alliance Boards (Redditch and Bromsgrove, South Worcestershire and Wyre Forest).

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.

Safeguarding Sub-Bulletin

Please read the Safeguarding Sub-Bulletin for further information, including upcoming events. 

READY Paramedics: A survey on the deployment of paramedics in primary care

The READY Paramedics Study Team are carrying out a web-based survey designed to understand how paramedics are deployed in primary care services. Ideally, the survey would be completed by a practice manager or GP or paramedic from each practice or surgery. The READY Paramedics Study Team are also distributing the survey to paramedics via other channels.

The study is being conducted by Dr Sarah Voss of the University of West of England, Bristol and Dr Matthew Booker of The University of Bristol. It has been approved by the University of West of England Research Ethics Committee.

Participation in the study typically takes less than 10 minutes and is strictly anonymous. Participants will need to answer a few of questions about their experiences or perceptions of paramedics working in primary care services. All responses are entirely confidential, the team will not collect any personally identifiable information and in no case will responses from individual participants be identified.

For more information and advice, you may contact Dr Sarah Voss by phone (0117 328 8906), e-mail (sarah.voss@uwe.ac.uk) or post: Centre for Health and Clinical Research, University of the West of England, Bristol Glenside Campus (1H14), Blackberry Hill, Bristol, BS16 1DD. Alternatively you can contact Dr Matthew Booker (matthew.booker@bristol.ac.uk).

Survey link: Survey (paramedics working in primary care)

Merger Update

We have now launched the public consultation on proposals for the four Herefordshire and Worcestershire CCGs to merge. Further information and details on how to respond to the consultation can be found within the consultation document

As many of you know, we are planning to ask you for your support at the Quarterly Commissioning meeting on 25 June, however, some of the feedback we’ve had has indicated that member practices would like to understand in advance what exactly they are being asked to vote on so they can have a practice level discussion first. We have therefore attached some FAQs following practice feedback to date which should supplement the information already provided.

We also understand that some practices would prefer to cast a vote collectively in advance of the meeting rather than via their practice representative. Where practices prefer to do this and are ready to express their view, we’d like to encourage them to complete the form and return it to us electronically ahead of next Tuesday’s meeting.

In the meantime, the CCG Chairs are more than happy to answer any questions or concerns you have in relation to this proposal and their contact details are included on the voting form.