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Member Practice Update

24 April 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. REMINDER: PRIMARY CARE NETWORKS - Initial PCN Network Agreement – Submission Process
  2. Extended Access - NHSE Clarification
  3. REMINDER: Acute Frailty Specialty – Alexandra Hospital
  4. GP Trainer Support Scheme - Herefordshire and Worcestershire (12 months supported by NHSE funding)
  5. Training Hub
  6. Friends and Family Test - monthly data
  7. Medicines Commissioning News - April 2019
  8. Worcestershire Dementia Wellbeing Service
  9. Non-Therapeutic Circumcision
  10. Cellular Pathology Paper reports
  11. Adverse Childhood Experiences (ACEs) Survey
  12. Now We're Talking - Screens

Find out about local and national events and training here.

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


REMINDER: PRIMARY CARE NETWORKS - Initial PCN Network Agreement – Submission Process 

The Primary Care Network DES will commence on 1 July 2019 and remain in place, evolving annually, until at least 31 March 2024. The first year of this DES is a development year with the majority of service requirements being introduced from April 2020 onwards. The success of a PCN will depend on the strengths of its relationships, and in particular the bonds of affiliations between its members and the wider health and social care community who care for the population. Non-gp providers are essential in supporting delivery.

"Investment and Evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan" and the Network Contract Directed Enhanced Service require PCNs to submit an initial Network Agreement to the CCG by 15 May 2019 and that the CCG confirm that the registration requirements have been met by no later than Friday 31 May 2019 . 

Could you please send this to us by Friday, 10 May. This will provide time for the Primary Care Commissioning Team to review, identify any gaps either in information or population and geographic coverage and make sure that all PCNs meet the registration requirements.  

The Registration Forms will be considered by a Panel whose membership will be made up from both Hereford & Worcester LMC, Governing Body GPs and the CCG. The Panel is expected to meet on 16 May with final confirmation taking place at the Primary Care Commissioning Committees ‘meeting in common’ on 22 May 2019.

A word version of the Registration Form is available here, Please also complete page 3 of the Mandatory Network Agreement as well as schedule 1 and return to the Primary Care generic email account: sowoccg.worcestershireprimarycare@nhs.net by 10 May. Let us know if you have any concerns or want any help.

The CCG has an important role to play with others in supporting PCNS. We have realigned a number of staff as points of contact. Please do not hesitate to contact your   Primary Care or Neighbourhood Team lead for support either directly or via the Primary Care generic email account shown below.  

A lot of questions have been asked at these meetings regarding roles and responsibilities of the Clinical Director, existing structures and how these may change reflecting the creation of PCNs. There’s a lot of work to be done nationally and locally to ensure that PCNS flourish and we recognise that this needs to be articulated over the next few months and shared with all practices. 

Further Network Agreements need to be completed and returned by 30 June. Please let us know if you need any support with this task. 

Extended Access - NHSE Clarification  

We have received a reply from NHSE requesting clarity on the requirement for PCNs  to ensure extended access provision (previously the extended hours DES) for 100% of their practice populations by 1 July 2019.  The Network Contract DES, as stated in Guidance and Service Specification, outlines what is required for extended access (DES) and also future plans for the Improved Access Service (CCG commissioned service).  As NHSE use virtually the same terminology for both services, together with similar requirements this has caused some confusion!

NHSE has now confirmed that the requirements for extended hours access in the Network Contract DES are the same as those in the practice level extended hours access (DES). PCNs will be required to provide additional clinical (but not necessarily  gp) sessions outside of their core contracted hours and at times that take account of patient’s preferences (as outlined in 4.6.2 of the service specification). The reference in 4.6.2.b is taken from the practice level extended hours access DES and essentially means that PCNs should provide them at times that suit patients ie mornings, evenings or weekends. 

Payments for the provision of the extended hours access appointments are set out in the Network Contract DES Service Specification (5.3.4.).   The £1.099 quoted is equivalent to 9 months’ funding, which is £1.45 per annum.   In addition to the payment of £1.45 per registered patient through the Network Contract DES, practices will receive within their global sum, payments around £0.50p per patient to cover the expansion in delivery to 100% of patients. Taken together, the two amounts would total a payment of approximately £1.95 per registered patient per year.

Still confused or need advice? Please contact Denise Goddard or your Primary Care team  PCN lead.

REMINDER: Acute Frailty Specialty – Alexandra Hospital    

Referral contact number – 07525 922215 (Frailty Assessment Unit)

Frailty Services at the Alexandra Hospital have recently been reconfigured and the Acute Frailty Specialty is now recognised in line with all other specialties within the Acute Trust. The “front door” Acute Frailty Team (FAU) will review all patients who are referred and identified with frailty and acute conditions which do not require another specialty to manage.
Exclusions are:

  • Stroke Pathway
  • Gastroenterology Pathway
  • Cardiology – PCI Pathway
  • Surgical Emergency pathway

Accepted patients could be navigated to any part of the Acute Frailty Specialty (Frailty Assessment Unit, Frailty Decisions Unit, Ward 11 or 12), depending upon the patient’s individual clinical need. Patients aged 65 and over will be screened for frailty using the Rockwood Clinical Frailty Score (CFS). Rockwood CFS is being adopted and used by services across the system and is the CCG nominated tool to deliver GMS frailty assessments. Communicating a patients Rockwood Score based on their stable state (i.e. prior to this deterioration) will enable a quick and efficient response on referral.


Please delete any previous criteria which you may hold for Frailty Services.  If you have any questions regarding the services, please contact Jane Gordijn – Urgent Care Lead 07710 761928 or email jane.gordijn1@nhs.net

GP Trainer Support Scheme - Herefordshire and Worcestershire (12 months supported by NHSE funding)  

Collaboration scheme between HEE, Herefordshire and Worcestershire CCGs and the Primary Care Training Hub to recruit 5 experienced GP Trainers to offer 20 sessions each over 12 months.

Taurus Healthcare are looking for retired GP trainers or those looking for portfolio careers to create a resource for, local GP trainers in practices who are struggling to sustain their training capacity through workforce challenges or increased learner supervision requirements or for Trainees who in turn need extra support.

£400 per session, option for salaried or sessional arrangement
Closing date: Mid-day Friday 3rd May 2019
Interview date: 10th May AM

Please contact Conor Price for further information: conor.price@taurushealthcare.co.uk or call 01432 262659

Training Hub  

The Primary Care Training Hub have produced a HCA and Nurse Training Schedule for practices. The Training Hub have sourced high quality training at a reduced costs for practices when booking via the Training Hub. For more information please see their schedule or visit the Training section on the Primary Care Training Hub website for details on how to book:


Friends and Family Test - monthly data 

This link will take you to the latest Friends and Family Test (FFT) report for Feb 2019.

Please be aware that the FFT is a contractual requirement (Clause 16.7a of the GMS contract) and becomes a contractual issue if your survey data isn’t submitted for a period of 3 months or more. Practices are strongly encouraged to ask their patients to take part in the survey and to submit their data every month. Submissions need to be made by the twelfth working day after month end, so to ensure your survey data is included, please make sure your data is submitted before then.

Further details are below:

We have been advised that due to the near real time nature of the FFT, NHSE are unable to accept submissions once the deadline has passed. After the submission deadline has passed, the data is extracted and sent for processing ready for national publication on a monthly basis. There is no alternative way in which to submit responses nationally, nor can NHSE submit data on behalf of practices. Results should still be published locally in your practice (website/poster etc.) as per the guidance. All data submitted within the submission deadlines will be published here - www.england.nhs.uk/ourwork/pe/fft/friends-and-family-test-data/.

If you miss the deadline - NHSE cannot accept late submissions in the national publication for that month, however, in exceptional circumstances, providers can decide to include the missing figures in the next monthly submission. That way all of the provider’s responses are reflected in the published data and a clearer picture of the total number of times patients are using the FFT to provide feedback.

As such, if you have missed a submission deadline for a month, please combine the missing figures with the figures collected for the next reporting month and submit them together as one submission.

CQRS Helpdesk Tel: 0800 440 2777
Email: support@cqrs.co.uk

Medicines Commissioning News - April 2019  

This month's issue of Medicines Commissioning News is now available here.

Worcestershire Dementia Wellbeing Service 

Worcestershire Dementia Wellbeing Service is launching at The Hive on Tuesday 21st May, which also falls during Dementia Action Week 2019.

The drop-in event will run from 11:00am - 2:00pm in the fantastic Level 0 space at The Hive. As well as informal presentations about the service and the chance to meet the new teams from Age UK H&W and Onside, there will be partners joining from across the county who provide support and services for people living with Dementia.

Health care professionals, support service organisations and wider referrals partners are all invited so please do feel free to share this date with your networks and colleagues.

Book a place via the Eventbrite link here. You can drop into the Hive anytime between 11am and 2.00pm.

Non-Therapeutic Circumcision  

There has been a series of cases where male babies/children have under gone non-therapeutic circumcisions which have resulted in significant harm. This matter is being investigated.
Therefore, please can clinicians who become aware of any harm following a non-therapeutic circumcision report this matter through their normal safeguarding channels (talk to your organisations named safeguarding professionals, liaise with social care teams)
A more detailed briefing is being sent by Jo Harrison to Designated Professionals. If you’d like to discuss this please contact Jo. (07876 859941) 

Cellular Pathology Paper reports  

Following the switch to ICE ordering for all cellular pathology tests we are now moving toward ending paper reports.

From the 1st of May 2019 Worcestershire Acute Hospitals NHS Trust will cease to issue paper copies of reports.

All reports are immediately available on ICE once they have been authorised and are therefore viewable before any paper copy is issued.

Worcestershire Acute Cellular Pathology Team appreciate that there may be some slight changes to any paper based workflows that you have in place but as electronic reports have been available for some time and all other pathology specialties have previously ceased paper reporting, the impact of this change should be negligible.

Any concerns or questions can be directed to the Cellular Pathology Department at the following email address; cellpathology.requests@nhs.net

Adverse Childhood Experiences (ACEs) Survey 

Public Health, Worcestershire County Council are conducting a survey on ACEs and would like to hear from you. You will need 10-15 minutes to complete this survey.

Worcestershire Health and Well-being Board have identified tackling Adverse Childhood Experiences (ACEs) as a priority and that a joint systems approach is required. A broad action plan has been developed following an ACE event last year. A priority action is to map and scope current practice, programmes and services. The main objective of this survey is to identify and explore awareness, activities and opportunities around preventing and tackling ACEs for Worcestershire.

Please click here to access the survey.

All responses will remain anonymous and the analyses will be used to further progress our ACE action planning. All responses will be treated in strict confidence and will be kept securely.

Please distribute this survey to your colleagues and kindly respond by 1st May 2019.

Now We're Talking - Screens  

WHACT have produced some images to be used on GP screens around their 'Now We're Talking' Mental health campaign.

Download the images here.

More information and resources are available via their website.