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Member Practice Update

26 July 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. Flu Vaccine Supplies
  2. Revised 2-week wait Referral Forms for Worcestershire Acute Hospitals NHS Trust 
  3. MSK Pathway - Update/Further Information 
  4. Prescribing Top Tip
  5. GP Retention Toolkit 
  6. Enhanced Service Claims Q1
  7. Midwives and GPs needed for digital pilot 
  8. Promoting Sepsis Awareness within Nursing and Residential Care Home settings across Herefordshire
  9. Blazing Britain boosts heat-related NHS website visits

Find out about local and national events and training here

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

Flu Vaccine Supplies

Please find attached a letter regarding the supply of flu vaccines for the forthcoming 2019/ 20 season for your information. This letter was circulated to all GPs and Community Pharmacies. We have been informed that the manufacturers of the flu vaccines will also be contacting their customers directly to discuss potential phasing of deliveries

Revised 2-week wait Referral Forms for Worcestershire Acute Hospitals NHS Trust

Over the last few months, Worcestershire CCGs and Worcestershire Acute Hospitals NHS Trust have been working along with local GP representatives to revise the 2-week wait referral forms for all cancer specialties and develop a new generic 2ww Patient Information Leaflet (Please note, there is a specific 2ww Patient Information Leaflet for the Colorectal pathway). The review has been undertaken to ensure consistency in the format of the forms and to clearly identify the essential fields for completion to enable the referral to be progressed, ensure the patient has been informed they are on a 2-week wait pathway and aware of the importance of attending all appointments/tests/investigations.

Some of the 2-week wait forms remain unchanged with the exception of formatting, whilst other forms now have clearly defined mandatory fields (marked with an asterisk). All forms have been converted so they can be easily uploaded on to EMIS. Practices will need to ensure the revised forms are uploaded and all previous versions of the 2-week wait forms deactivated and the old forms moved from their current location into an archive folder within EMIS. There will be a 6-week implementation period from Monday 29th July 2019 during which the CCG and the Trust will work with practices to ensure successful rollout of the revised referral forms. After this time, Worcestershire Acute Hospitals NHS Trust will only accept referrals made using the revised form(s).

Please see attached letter for further information, and copies of the revised referral forms and Patient Information Leaflets.  


MSK Pathway – Update/Further Information

As its six months since we introduced the community based MSK service in R&B and Wyre Forest, now is a good time to provide practices with an update and advise on a number of emerging issues.  We are pleased to report that with the introduction of advanced practitioners, referrals to secondary care are reducing, there is less utilization of MR imaging and much speedier access to diagnostics. There is much work still to do in terms of creating one MSK point of access for the county, introducing self-referral, improving access to services and generally building on the service model. You will be kept abreast of these developments as they are progressed.

(1)    Availability of Advice and Guidance

Practices are advised that the MSK service now provides Advice and Guidance from an advanced physiotherapy/podiatrist and will endeavour to respond within 2 working days. This service is accessed via eRS.

(2)    MSK Referral Form

Key reminders to consider please when completing the referral form:

  • Complete the patient’s choice of AQP physiotherapy provider on the form. Provider addresses can be found here
  • Attach the patients Oxford Hip and Knee score (where appropriate)
  • The advanced practitioner will use clinical judgement on whether MR imaging is necessary. Please avoid raising patients’ expectations in this regard.
  • For patients presenting with multiple MSK problems use separate referral forms, ie foot and ankle referral to advanced podiatrist, back pain to advanced physiotherapist.

(3)   Waiting Times

Many GPs will be aware that the waits to see an advanced physiotherapist have increased in the past few weeks. This has materialised for several reasons: sickness, retirement and growing demand for the service. Commissioners are working with Worcestershire Health and Care Trust to rectify this situation and we are pleased to confirm that the Trust is currently out to recruitment for a minimum of 4 new advanced physiotherapists.

(4)   Functional Restoration Service 

Through previous communique R&B and Wyre Forest practices will be aware of the Functional Restoration Service (FRS) which is also now available to their patients.  GPs are requested to note that they can refer direct into the FRS service by indicating this on the generic MSK referral form where it will be swiftly signposted to the provider - Healthcare rm.  Details of the FRS service previously provided when the service was launched, can be found here. 

Simon Ahmed the lead clinician from healthhcare rm has offered to visit practices to explain the new service. Any practice wishing to accept this invitation should ring 0800 222 9993 

Prescribing Top Tip

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


GP Retention Toolkit  

As part of its ongoing commitment to make general practice a great place to work, NHS England and Improvement have provided £12 million to support local efforts to encourage GPs to stay working in the profession and stem the flow of those leaving. This is supported by a toolkit, which sets out the key learning from NHS England’s retention programme and includes recommended approaches and key areas to focus on. There is also a video about the lessons learnt from intensive support sites which NHSE/I funded, featuring The Black Country from the Midlands region alongside two other STPs.

You can access the toolkit and video via NHS England’s website at https://www.england.nhs.uk/gp/gpfv/workforce/retaining-the-current-medical-workforce/making-general-practice-a-better-place-to-work/

Enhanced Service Claims Q1

Sent on behalf of Caroline Salmon  

'The CCG has reviewed the first quarter’s Enhanced Services claims against the mandated EMIS codes included within the sign up process. This has been a really useful exercise, although as anticipated, has revealed some teething problems.

We are preparing a spreadsheet for each CCG  detailing the differences between practice Q1 claims and the EMIS searches for each service, except anti-coagulation and NPT which are part of Safe Prescribing from Q2. In the spirit of openness and transparency, and as previously agreed by Practice Managers, we will be distributing the information for all practices within each CCG to the practice managers within the next 2 weeks.

We would be grateful for practice comments on the differences, which we understand will reflect the newness of the process rather than deliberate errors. A particular theme is the coding of menorrhagia where using code K5920 (Menorrhagia) and 9kA0 (IUCD fitting– ES administration) is essential to avoid duplication of claims with the equivalent contraception service commissioned by Public Health.

To help with your comparison a further copy of the EMIS searches and mandated codes are included below: 

RB Validation Codes
RB ES Searches
SW Validation Codes 
SW ES Searches
WF Validation Codes
WF ES Searches 

Understanding the reasons for the differences between the 2 systems will ensure that the process is robust from Q2 onwards and can stand up to audit scrutiny.

If you have any queries concerning this please do not hesitate to contact carolinesalmon@nhs.net . Caroline will respond after she returns from leave on 9 August'

Midwives and GPs needed for digital pilot

Sent on behalf of Helen O'Leary, Difital and Social media Officer

'My name’s Helen and I work in the Communications and Marketing team for the NHS Business Services Authority. I’m just getting in touch as we are currently running a campaign to raise awareness of our digital maternity exemption certificate for mothers. Our aim is to get as many midwives and GP’s signing up to the digital service as we can.

A little background:

We currently receive approximately 460,000 Maternity Exemption applications a year. 90% of these are submitted manually using the FW8 paper application form and 10% are received through a new digital application route.

The digital service makes it quicker for mothers to get their exemption and entitlement to free dental care and prescriptions. It saves the midwife/GP time from filling out a postal FW8, which can also take a few weeks to get back to the parent. On the digital scheme, exemption is instant!

There are a few other benefits too which we explain in our social media posts.

How to sign up

Midwives and GPs can sign up via our website through the link here. They just need to provide their name, NMC/GMC number and their nhs.net email address.

Spreading the word

We wondered if you could spread the word to your networks and through your organisation’s comms channels and relevant newsletters, especially if you work closely with midwives, GPs, expectant mothers, and new mothers. 

We have put together a tool-kit to help you do this which includes images, a press release, and social media posts. Of course, you can compose your own social media posts if you wish, but you can also use our pre-written ones to save you the work! 

If there was any further information that you needed, please don’t hesitate to contact me. If you are able to share this for us, we’d be grateful to know of the channels you have just so we can record this as part of our campaign measurement.

Thank you in advance for your help.

Kind regards,

Helen O’Leary

Digital and Social Media Officer

Communications and Marketing'

Promoting Sepsis Awareness within Nursing and Residential Care Home settings across Herefordshire

Sent on behalf of Elaine Thompson, Care Homes Clinical Practitioner. Integrated Care Homes Team, Herefordshire 


Please find a couple of photos regarding some recent work that has been undertaken by the Nurses within the Integrated Care Homes Team, based at Plough Lane, to raise the awareness of sepsis within Nursing and Residential Care Homes across Herefordshire.

Within this project Beth Walton, Care Homes Clinical Practitioner has worked very closely with Lynn Carpenter Sepsis Lead Nurse at Wye Valley to develop a 30 min sepsis awareness training session aimed at Care Home staff. As part of this training Beth and Lynn are also working to recruit Sepsis Stars, who are staff working within Homes who will be given additional training and support to underpin best practice regarding Sepsis in Homes.

To date the figures are as follows:

  • The sepsis awareness training has reached 20 Homes
  • The training has been delivered to a total of 170 staff working in those Homes
  • In addition there have been a total of 7 NHS/Council staff trained
  • There is also now a total of 20 Sepsis Stars who have been created

The 2nd photo shows Beth in the atrium at Plough lane, last week where we had the Sepsis Awareness display. This was a really useful opportunity for staff working within the Council to get a better understanding of Sepsis and how to spot it.

Happy to supply more information if needed'


Blazing Britain boosts heat-related NHS website visits 

Soaring temperatures across the UK this week has seen a boom in the number of visits to the NHS website for heat-related illness.

There were more than 22,000 visits to the heat exhaustion and heatstroke page of the NHS website, compared to an average of 4,242 visits to the same page throughout the rest of the month.

The Met Office has forecast that temperatures could peak as high as 38 degrees on Thursday.  

The news follows figures released by NHS Digital this week that show the number of heat-related hospital admissions hit 690 between April and August 2018, compared to 420 in the same period the year previously.

The South West (110 admissions) and South East (115 admissions) saw the highest number of heat-related admissions last summer, closely followed by the North West which saw 100 admissions as the mercury shot up.

For more advice on heat-related illnesses, visit the following nhs.uk pages:

Heat exhaustion and heatstroke

Prickly heat