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Member Practice Update

28 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. Expansion in Number of Training Practices
  2. ReSPECT Implementation Packs
  3. General Practice Sustainability & Resilience: Outline Primary Care Strategy 
  4. The Royal Wolverhampton Wins Bid for HPV Testing 
  5. Counter modern slavery 
  6. Equal treatment for people with a learning disability
  7. Friends and Family Test - Monthly Data
  8. WNHS End User Escalation Process - How Contact IT
  9. Prescribing Top Tip
  10. Safeguarding Sub-Bulletin
  11. The NHS App – A Reminder
  12. Salaried GP Vacancy
  13. 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 


Expansion in Number of Training Practices 

GP recruitment has increased, which is good for the long term prospective for General Practice. However, in the short term it means that we have potentially more trainees than we have places. We do not want to send trainees away because if they come to our area, they are more likely to stay post qualification. Please can you help?


ReSPECT Implementation Packs

ReSPECT is a process where the healthcare team and the patient talk together and work out a personalised plan for potential future emergency treatment, including a resuscitation decision.

  1. Focus on ReSPECT
  2. Worcestershire Guidance for Clinical Staff - May 2019
  4. ReSPECT Clinicians Guide/Poster
  5. ReSPECT Patient Leaflet/Poster 
  6. National ReSPECT Patient Guide 
  7. National ReSPECT Parent Guide 
  8. ReSPECT Patient Poster 


General Practice Sustainability & Resilience: Outline Primary Care Strategy 

The re-establishment of strong general practice as the cornerstone of the wider NHS system is the key driver of our outline Primary Care Strategy. Engagement on this plus our proposed priorities began at the Quarterly Practice Engagement event on Tuesday. Here they are again for those who missed it.  

The Royal Wolverhampton Wins Bid for HPV Testing 

The Royal Wolverhampton NHS Trust (RWT) recently won the bid for HPV testing for West Midlands region.

From Monday 1 st July the Trust will be responsible for the HPV testing service. The first area to ‘go-live’ will be Birmingham and Solihull in September and then it will be phased by area with the full implementation completed by December 2019.  The Trust is working with commissioners and current providers to support this phased implementation plan:

  • Birmingham and Solihull – go live September
  • Stoke, Staffordshire and Shropshire – go live September
  • Coventry and Warwickshire – go live October
  • Herefordshire and Worcestershire – go live December

We will be working with sample takers prior to the go live dates to provide advice and training on the changes.

All GPs are required, as an interim measure, to revert to paper requests/results until IT links have been established for results and requests.  We apologise to any practices using e-requesting. It is anticipated all requests will be electronic by December 2020, however results will be earlier.

  • Paper requesting of cervical tests is required, please continue to complete form HMR101 available on the Open Exeter and print and return with the sample.
  • You may be contacted by The Royal Wolverhampton IT department to confirm IT requirements for electronic requesting and results, in order for work to begin in arranging links back to your IT systems. 
  • Ordering of stock to be requested via the attached order from and emailed to rwh-tr.pathologyorders@nhs.net  and transport will pick/pack and deliver at the next visit.

If you require any further information, please contact Michelle Harris, Programme Manager via email:- rwh-tr.hpvscreening@nhs.net

Counter modern slavery  

Do you know the signs of modern slavery? The Home Office estimates that there are about 10-13,000 victims of modern slavery in the UK, trapped in situations such as forced labour, domestic servitude or sex exploitation. In reality, the number could be far higher. To tackle the issue the government has launched a campaign to raise awareness of the signs of modern slavery and how to raise a concern. For health professionals, three of the most common signs are:  

  • Vague medical history
  • Unexplained/untreated injuries 
  • A controlling exploiter, posing as a relative or translator, who speaks for the patient.  


For more information about the signs to look for download the Unseen app and visit the modern slavery helpline website. The website also has details of reporting something you may think of as being suspicious. 

Equal treatment for people with a learning disability

Professor Stephen Powis, National Medical Director at NHS England and NHS Improvement has written a letter addressed to the medical leadership of health organisations to highlight guidance to support appropriate decision making for the completion of DNACPR forms and cause of death certification for people with a learning disability. The letter coincided with the publication of the third annual report of the Learning Disability Mortality programme (LeDeR) . The report provides an analysis of the findings of reviews completed during 2018. One of the main issues identified within the analysis concerns the use of the term ‘learning disability’ or a related term being detailed as the rationale for DNACPR forms or listed as a cause of death.

Whilst we may too often observe premature death for people with a learning disability (the report highlights that compared with the general population men with a learning disability die 23 years earlier and women die 27 years earlier) having a learning disability is not in itself a life- limiting condition and cannot be used as a rationale for limiting access to intervention. 

LeDeR is in its second year of implementation across Worcestershire. The Worcestershire LeDeR Steering Group have been very encouraged by the support and contribution of General Practice to the notification and mortality review process. We will soon be able to regularly share trend analysis and themes of learning following the completion of reviews. Our inaugural newsletter can be found here.

Friends and Family Test - Monthly Data

The latest Friends and Family Test (F&FT) report for April 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 on CQRS 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 

WNHS End User Escalation Process - How Contact IT 

An update has been provided regarding how to Contact IT and escalate IT support. 

Prescribing Top Tip

This week's Prescribing Top Tip is to read the Medicines Commissioning News Letter 2019


Safeguarding Sub-Bulletin 

The Safeguarding Sub Bulletin contains information on Serious Case Review, Upcoming Events, Training Dates and more. 

The NHS App – A Reminder

The NHS App programme aims to connect all 7,171 GP practices in England to the app by 1 July 2019. The app was released to Google Play and the Apple app store at the end of December 2018 and patients can download it for free now but can only use the core functions once their GP practice has been connected to it. If their practice is not connected, patients can leave an email address and will be notified when it is.

Salaried GP Vacancy 

Abbey Medical Practice
(Based in Evesham, Worcestershire, on the edge of the Cotswolds)


We are an expanding, semi-rural dispensing Practice of approximately 9,600 patients based in the historic market town of Evesham, on the edge of the Cotswolds. We have excellent transport links to Cheltenham, Stratford-upon-Avon, Birmingham, Oxford and London. We pride ourselves on promoting a traditional ethos of General Practice within a modern healthcare environment.

Further Information

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

If you haven’t cast your vote, please using the form and return it to us electronically. 

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.