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Member Practice Update

27 September 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. Governing Body GP Locality Leads – Nominations and Election Update
  2. Closure of the Urgent Treatment Centre at The Alexandra Hospital – 30 September 2019
  3. Transfer of Clinical Pharmacists to PCNs- Deadline 30 September
  4. Action Required - Coding for Seasonal Flu 2019/20
  5. Practice Development 
  6. Early Help Pathway
  7. Patient Choice – Resources and Materials
  8. Flu Antivirals in Care Homes
  9. HR HPV Conversion - Hereford & Worcestershire
  10. Prescribing Top Tip
  11. LMC UPDATE - September 2019
  12. CIG - 10th October
  13. Colour Code Your Stress ½ Day Workshop- Booking Now Open
  14. Worcestershire Research Symposium 2019
  15. Practice Nurses Attending Queens Nursing Institute Conference on 23rd September 2019
  16. Signs of Safety
  17. Safeguarding Level 3 Dates Provided by Worcester Acute Trust for Primary Care
  18. AF Impulse Workshops
  19. MSK Survey
  20. Diabetes Survey
  21. Library and Knowledge Service - Web Page Survey
  22. Health Education England (HEE) Population Health Fellowships
  23. Frailty/Community Hospital GP Portfolio role
  24. Severn Valley Medical Practice - Vacancy
  25. Herefordshire and Worcestershire Training Hub Manager role
  26. GP and Hospital/Healthcare provider Portfolio Working opportunities – Expressions of interest sought

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No Wyre Forest News 


Governing Body GP Locality Leads – Nominations and Election Update

The nominations period for the 4x Herefordshire and Worcestershire Governing Body GP Locality Lead roles concluded on Friday 20th September, 5pm.

A single nomination was received for each of the following posts and will therefore be direct slot-ins, subject to the CCG merger application and authorisation process

Redditch and Bromsgrove GB GP Locality Lead – Dr Richard Davies
South Worcestershire GB GP Locality Lead – Dr George Henry
Wyre Forest GB GP Locality Lead – Dr Louise Bramble

Two nominations were received for the Herefordshire position from Dr Ian Tait and Dr Ian Roper. Consequently, a ballot was initiated on Wednesday 25th September and will run till Wednesday 9th October, 5pm.

Closure of the Urgent Treatment Centre at The Alexandra Hospital – 30 September 2019

Worcestershire Clinical Executive Joint Committee have endorsed the decision to end the pilot of the Urgent Treatment Centre (UTC) at The Alexandra Hospital on 30 September.

A number of operating models were trialed during the pilot since opening in December 2018, however attendances remained consistently below expectations (averaging 9 pts per day), making the service not financially viable. Patients that would have been previously triaged into the UTC will be absorbed back into the Emergency Department at the Alexandra Hospital.

If you have any queries regarding the Urgent Treatment Centre, please contact Urgent Care Transformation Lead or telephone 07710 761928.

Transfer of Clinical Pharmacists to PCNs- Deadline 30 September

As a gentle reminder, should you wish to transfer any of your clinical pharmacists that were appointed under the clinical pharmacist in general practice programme, the deadline for transferring to a PCN is by no later than the 30th September 2019

If you have not already done so, where you wish to transfer your clinical pharmacist(s), you will need to complete and return a ‘Confirmation of Transition’ form, which should be sent back to Mark Tully as per the instructions below copying in the CCG.

From April 2020, each PCN will be allocated a single combined maximum Additional Roles Reimbursement Sum based on weighted capitation. Any clinical pharmacists transferred from either the Clinical Pharmacist in General Practice Scheme and Medicines Optimisation in Care Homes Scheme will need to be accounted for within this sum. Further information on the Additional Roles Reimbursement Sum can be found in the recently issued ‘Additional Roles Reimbursement Scheme Guidance’. 

Action Required - Coding for Seasonal Flu 2019/20

It was agreed in the new five year framework for GP contract reform (published Jan 2019) that the recommended Childhood and Seasonal Flu vaccines should be used for the relevant age groups to achieve payment.

The business rules and coding have therefore been adapted to take account of this agreement and were published on 9th September 2019. NHSE wish to remind practices of this as they will need to use the correct codes to be paid.

The key changes are:

  • There have been some slight changes to clusters, some generic codes have been removed  - most notably SNOMED code 822851000000102 aka 65ED. in Read has been removed. The reason this code was removed was because the recommended vaccines should be used for patients within age and at risk groups and 65ED. is a generic code and therefore not specific to any of these requirements.
  • Where the count stipulates either the first or the second vaccination, there are specific codes which should be used. These codes have been used in the business rules for a number of years as they are more specific. For payment purposes only the appropriate vaccinations as set out in the business rules should be used. Below is a summary of the SNOMED/Read codes that have been removed and those that should be used from 1st September 2019.

The following SNOMED/Read codes have been removed:

Read Code

Clinical Term



Seasonal influenza vaccination



Administration of first intranasal influenza vaccination



Administration of second intranasal influenza vaccination


Practices are advised to use the following SNOMED/Read codes to record seasonal flu:

Read Code

Clinical Term



Administration of first inactivated seasonal influenza vaccination



Administration of second inactivated seasonal influenza vaccination



Administration of first intranasal seasonal influenza vaccination



Administration of second intranasal seasonal influenza vaccination



Any practice built protocols will need updating to reflect these changes. 

Correcting previously coded entries from 1st September 2019:

Practices are also advised to run a search for each of the individual codes that have been removed to identify patients who had been vaccinated since 1st September 2019. The patients identified will then need the claimable codes added to their records.

Link to business rules.


Practice Development 

Inaugural First 5 Event a Success

On Saturday 14th September, the Primary Care Workforce Team hosted an inaugural First 5 event for GPs in Herefordshire and Worcestershire. The event, held in central Worcester was well attended and supported by GPs.

Attendees heard from Dr Carl Ellson, Professor Veronica Wilkie, Dr Katharine King, Dr Jodie Blackadder-Weinstein and local Workforce leads Dr Mobeen Ahmed and Dr Meeraj Shah. There was an opportunity to have a mentoring session and help shape future First 5 events. The event evaluated really well and we will be working with interested First 5s across Herefordshire and Worcestershire to design and plan future events.

Thank you to our GP mentors and GP colleagues who attended on the Saturday and made the event such a success.

The next upcoming event for First 5s will be the Next Generation GP programme which starts this month and runs one evening per month until the end of January 2020. If you would like to know more about the Next Generation GP programme, it’s not too late to join, email the Workforce Team to find out more.

Practice Manager Update Session

The second Practice Manager Update session was held on 18 September 2019 at Stanbrook Abbey. The day was very well received with 67 practice managers and deputies attending from 50 practices across Herefordshire and Worcestershire. The day was filled with information provided by a broad array of speakers. Topics/speakers included:

  • Social Media in General Practice
  • Fraud Awareness
  • Significant Events
  • NHS Resolutions attended to speak about indemnity
  • NHS Digital spoke to the group about the NHS App, the new complaints system, eDec, and the National Workforce Reporting System
  • The LMC and what it can do for you
  • PCN and Contract Funding for 2019/20
  • The Training Hub
  • Workplace Wellbeing

It was a full day with an opportunity for practice managers to network with their peers and those that provided the presentations.  Feedback was overwhelmingly positive and the mood was high at the end of the day.  Thank you to everyone who attended and those that supported the day, your continued support is what allows us to put on these types of events. 

The presentations from the day can be found here.

Early Help Pathway

Early help means providing support as soon as a problem appears, to stop it from getting worse. This could be at any point in a child's life, from birth to the teenage years. Early help involves: identification, assessment, planning, providing service(s) and working together to review the plan.

View the full document here

Patient Choice – Resources and Materials

NHS England has produced a number of materials and resources to help CCGs and GPs to encourage patient choice.

These are all available to download below. They can be printed locally or sent to an external designer for professional production, and can also be used digitally on GP or CCG websites.

These materials can be accessed here

Flu Antivirals in Care Homes

Please find this year’s LIS for prophylaxis with antiviral drugs for influenza like illnesses. If you wish to offer this scheme, please sign and return to sowoccg.worcestershireprimarycare@nhs.net.

HR HPV Conversion - Hereford & Worcestershire

Please cascade to all cervical screening sample takers in Herefordshire & Worcestershire:

  • H&W Practices
  • Colposcopy clinics
  • Sexual Health Services


Herefordshire & Worcestershire Cervical Screening Programme Conversion to HPV Primary Screening.

Prescribing Top Tip

This week's Prescribing Top Tip is the Medicines Commissioning News - September 2019

LMC UPDATE - September 2019

The LMC Update includes articles on Prostate Cancer (PSA), Eating Disorders, Promoting Clinical Excellence (PCE), Workforce/First Fives Workshop, Financial Update/FRB, Quality, Governing Body Appointments, Enhanced Services, Resilience and PCN Development. 

Read more

CIG - 10th October

A reminder that the next CIG Meeting is:

10th October 
Board Room
Barnsley Hall
B61 0TX

Colour Code Your Stress ½ Day Workshop- Booking Now Open

As part of the Resilience support team and building on the Resilience half day held earlier on in the year, we’re pleased to share another half day resilience session opportunity. The Colour Code your Stress Workshop present a simple tool to help you analyse your own life and stress and offers strategies and explanations for change;

  • Improve your insight into stress
  • Communicate easily about stress
  • Learn to manage stress effectively


Suitable for GPs, Practice Managers, Practice Nurses and the wider practice team.

There are two dates on offer.

Workshop Dates:

Tuesday 22nd October 2019 1.30-4.30pm
Venue TBC- Worcestershire


Thursday 14th November 2019 1.30-4.30pm
Venue TBC – Worcestershire

Please book your place by 11th October by emailing sowoccg.workforce@nhs.net.

See flyer

Worcestershire Research Symposium 2019

Clinical Research Network West Midland South

Date: 16th October 2019
Time: 12.30 – 2pm 

(Refreshments and a light lunch will be provided; the event is free)


Board Room, Haresfield House Surgery  
Turnpike House Medical Centre 
37 Newtown Road 
WR5 1HG   

The event is organised by the CRN West Midlands South Worcestershire Team and all GPs involved in clinical research and a member of the practice staff are welcome to attend. Please let Sue Wright (02476575919) know by Wednesday 9th October if you are able to attend and thank you to those who have already replied.

Practice Nurses Attending Queens Nursing Institute Conference on 23rd September 2019

Nina Lealan, Practice Nurse Lead accompanied by Sarah Weaver and Katie Cottrill, General Practice Nurse Mentors attended the Queens Nursing Institute conference in London on 23rd September 2019 to present a poster about the challenges and changes that are happening for our Practice Nurses across the Herefordshire and Worcestershire.  

Signs of Safety

Signs of Safety is a strengths and relationship based Practice Model. This is Worcestershire Children’s First chosen practice model and approach to Social Work and Targeted Family Support. We have been implementing this approach across our services since 2017.

Ofsted said “The use of a strengths-based system of assessing risk is now embedded and used effectively to help professionals and families discuss risk to children and measure progress in reducing that risk” during our 2019 ILACs inspection.

Since this time we have been promoting and raising awareness of the approach across the partnership, this has included a 1 day training course offered to partners. Currently 266 partners have attended the 1 day course.

Two further training days for partners are planned on 30/09/2019 and 15/10/2019, to book a place please follow the link: Signs of Safety Partnership Training.

Safeguarding Level 3 Dates Provided by Worcester Acute Trust for Primary Care

Please find enclosed the SGC L3 dates for you for dissemination. These are level 3 safeguarding Events provided by Worcestershire Acute trusts.

Please use this link in order to book a place.

AF Impulse Workshops

Herefordshire and Worcestershire CCGs, in collaboration with West Midlands Academic Health Science Network (WMAHSN) welcome you to the Impulse AF Workshop, supporting practices to achieve the PCCF Standard 6: Cardiovascular disease.

The aim of these workshops is to highlight the role that primary care professionals can play in reducing the complications associated with a long-term condition such as atrial fibrillation (AF). Undiagnosed AF can lead to potentially devastating, debilitating and often fatal strokes, which are preventable in two-thirds of patients if they are appropriately anticoagulated. Poorly managed AF, in terms of anticoagulation, symptom control, and co-morbidities can lead to poor outcomes in the longer term.

This workshop will highlight how all sectors of the primary care workforce (GPs, nurses and pharmacists) can contribute to the detection and management of AF.

We have been lucky enough to secure 3 of these sessions which will take place in Bromsgrove, Worcester and Malvern at no cost to the attendees.  If you would like to attend one of these sessions please sign up at one of the following links:


3 CPD points can be attributed to your GP PDP Portfolio for attendance at this Workshop and if you complete this pre-course work prior to attending you will receive 1 additional CPD point. You will need to register to participate. The whole session takes 15-20 minutes at most and you can always dip in and out of any session at any time until completed. It comprises:

  • Cardiology Learning Needs Assessment Questionnaire (please complete before the Course)
  • Cardiology Learning Needs Assessment Course (consisting of subject areas designed specifically for you dependent on the responses you give to the Learning Needs Assessment Questionnaire)
  • A short Quiz at the end of the course 


At the end of the Quiz a Certificate of Attendance and review are provided with model answers to the Quiz and supporting references.
If you have any questions about the session please contact us at sowoccg.workforce@nhs.net


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, 11 October 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

Library and Knowledge Service - Web Page Survey 

The Library and Knowledge Service are re-designing their webpage and content and would value your opinion - please take a minute to fill in the survey


Health Education England (HEE) Population Health Fellowships

Health Education England is launching a one-year pilot in population health, targeted at healthcare workers in the NHS. The pilot aims to develop and grow a workforce of professionals who will incorporate population health into their everyday jobs and will ultimately add to the ever-growing group of population health workforce from multiple disciplines. Population health skills are highly sought after, the Fellows will be part of a group of professions that will encourage and support the development of Public Health approaches within the NHS and wider community. There are 14 fellowships available for all NHS clinical staff (AFC Band 6 and above/Post Foundation Training) including doctors, nurses, allied health professionals, dentists, healthcare scientists, pharmacists and others, to develop skills in population health.

Please click here for more information and contact details.

Frailty/Community Hospital GP Portfolio role

Includes the HWGP Workforce Team £9700 educational bursary and supervision incentive (for more details contact the HWGP Workforce team)

This is a job advert for work in a Community hospital for Worcestershire Health and Care Trust.  This is a great opportunity for a GP who ​would like to experience working in frailty and be part of a team of Geriatricians, ANPs, pharmacists, OTS and physiotherapists. We would support the GP to complete the Diploma of geriatric medicine or other relevant qualification and also would like a GP who is interested in education, we would support attendance to training the trainers course so you could become a GMC registered clinical supervisor as we now have GP trainees.

We would also support flexible working. The post may well be longer than 12 months as other opportunities may arise.

This is an exciting time to be a member of the team of GPs and GP trainees in the community hospitals. There also will be the opportunity to engage in leadership activities.

Any questions about this role and what it is like to work in the community hospitals do not hesitate to get in touch with:

Dr K Protherough
Clinical Director of Community Hospitals

Severn Valley Medical Practice - Vacancy 

Severn Valley Medical Practice is looking for a GP to cover a six month period of maternity leave maternity leave, starting in as soon as possible.

See full details

Herefordshire and Worcestershire Training Hub Manager role

On behalf of Nikki Marriot, Primary Care Training Hub:

Herefordshire and Worcestershire Training Hub is hosted by Taurus Healthcare, Herefordshire’s GP federation. Programmes to support training of our current and future workforce need to grow to help retain and develop staff and recruit into new roles. The training hub needs to grow rapidly to meet workforce needs by developing and embedding training programmes to support our primary care workforce pipeline. If you are a registered nurse with teaching experience, a recognised NMC supervisor/assessor and passion for education this exciting post might be for you. You will need to be happy working in a changing and challenging environment, have strong leadership skills with a can do attitude. Closing date 6th October.

Link to advert and application form


GP and Hospital/Healthcare provider Portfolio Working opportunities – Expressions of interest sought

We are pleased to share some Portfolio role opportunities with you on behalf of Worcestershire Acute Hospitals NHS Trust & Worcestershire Health and Care Trust. The closing date for expressions of interest for these roles will be Friday 11th October.   

The roles are offered on a flexible basis, you will be employed by the Provider and paid for the sessions you work. In addition, you will receive an educational bursary payment from the CCG to undertake further education and training over the course of a 12 month period.

A detailed Job Plan for the opportunities can be found here. Please review and complete the Expression of Interest form if you are interested in applying.

  • Stroke, Worcestershire Acute Hospitals NHS Trust
  • Elderly Care, Worcestershire Health and Care Trust
  • Breast Surgery, Worcestershire Acute Hospitals NHS Trust


If you have any questions regarding the roles or would like to submit an expression of interest, please e-mail the Herefordshire and Worcestershire Primary Care Workforce Team. The roles have been developed with the Lead Consultants for each specialty and they are happy to speak to any interested candidates about the role. Interview and appointment to the role will take place towards the end of October 2019 directly by the Providers. 

Worcester Only - Dermatology – Teledermatology (for patients presenting with rashes)

The Teledermatology pilot is now live for 10 GP practices in Worcester City. It is a 3 month pilot, ending in December.

Patient and user surveys will be circulated and incorporated into the final evaluation. The CCG want to understand and assess both the impact and success of the pilot, in advance of further roll out to the remainder of the GP practices in Worcestershire.

As a reminder for the 10 GP practices in Worcester:

  • The app is DMCTelederm and can be downloaded onto both Apple and Android phones.
  • The app provides referring clinicians the opportunity to send images to a Consultant Dermatologist for review.
  • A response will be returned to primary care within 3 working days, and will include a treatment and management plan.

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.