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Member Practice Update

30 August 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. Herefordshire and Worcestershire CCG Nominations and Election Process - Governing Body GP Locality Leads
  2. Update - Issues with uploading the Severe Mental Illness Physical Health Checks template in EMIS
  3. Herefordshire & Worcestershire STP Primary Care Estates Sub Group
  4. UTI Toolkit 
  5. Prescribing Top Tip
  6. 2019 GP Patient Survey 
  7. Save the Date 
  8. Salaried GP Required 


Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire News 

  • No Wyre Forest news 


Herefordshire and Worcestershire CCG Nominations and Election Process – Governing Body GP Locality Leads

In anticipation of the proposed merger being approved and a new NHS Herefordshire and Worcestershire CCG being created on 1st April 2020, member practices are advised that an election process for GP Leads will be taking place during September and October. This will comprise of four roles as follows:

  • 1 x Herefordshire Governing Body GP Locality Lead
  • 1 x Redditch and Bromsgrove Governing Body GP Locality Lead
  • 1 x South Worcestershire Governing Body GP Locality Lead
  • 1 x Wyre Forest Governing Body GP Locality Lead

Information relating to the nominations and election process is accessible here, along with the planned timeline to complete the process for these roles. As is usually the case, the results of this election process will be independently overseen by the Local Medical Committee.

Full job descriptions outlining the requirements of the role and nomination forms will be circulated to the relevant practices on Monday 2nd September, in line with the planned timeline.

If you have any immediate questions or comments at this stage, please contact Tony Ciriello, Corporate Governance Manager, in the first instance.

Tony Ciriello | Corporate Governance Manager 
NHS Redditch and Bromsgrove CCG | NHS South Worcestershire CCG | NHS Wyre Forest CCG 
The Coach House, John Comyn Drive, Perdiswell, Worcester, WR3 7NS 
01905 681999 | Tony.Ciriello@nhs.net

Update – Issues with uploading the Severe Mental Illness Physical Health Checks template in EMIS

Many practices have contacted the CCG to say that they are unable to upload the revised SMI Physical Health Checks template in EMIS. Following discussions with the EMIS helpdesk, it appears that the EMIS Library concepts embedded within the template have now been converted to SNOMED CT meaning it will not work until practices have migrated. The CCG are working to try and rectify this issue and an update will be sent to practices in due course. 

Herefordshire & Worcestershire STP Primary Care Estates Sub Group

Please find the latest Herefordshire & Worcestershire STP Primary Care Estates Strategy which has been approved by the CCGs’ Primary Care Commissioning Committee and forms part of the STP Estates Strategy submitted to NHS England in July and awaiting final approval during September. 

The Primary Care Estates Strategy will need to be updated on a regular basis as projects progress and strategies evolve, and this will be one of the responsibilities of the CCGs’ re-formed Primary Care Estates Sub Group. The Group will report to the General Practice Transformation Board and will also:

  • Consider applications from practices wishing to bring additional space into GMS use
  • Review draft Business Plans for the development of new practice premises
  • Consider applications for practices wishing to enter into a sale and leaseback arrangement
  • Consider applications from practices wishing to move premises
  • Consider and prioritise bids for capital funding as and when it becomes available
  • Consider other primary care estates related matters as they arise

The Group will comprise

  • CCG Associate Director of Primary Care
  • CCG Deputy Chief Finance Officer
  • CCG Primary Care Commissioning Manager
  • NHSE Primary Care Premises Lead (West Midlands)
  • LMC representative
  • GP
  • Practice Manager

We are looking for a GP and a Practice Manager to join the Group – if you are interested please contact Jo Hall, Primary Care Commissioning Manger, either by email at jo.hall@nhs.net or on phone number 01905 681967.  It is anticipated that this will be a quarterly commitment.

UTI Toolkit

The UTI Toolkit - A Guide for Care Homes, is an extension of a previously approved document ‘Urinalysis in Care Homes’.

The UTI Toolkit has been developed to support a simple and effective approach to prevention, diagnosis and management of urinary tract infections. This guide has been reviewed following the publication of Public Health England’s (PHE) ‘Diagnosis of urinary tract infections (UTI) ’released November 2018 and NICE guideline (NG 109), UTI: antimicrobial prescribing published October 2018. One of the biggest changes to this guidance was the removal of dipsticking urine of adults over 65 years of age as part routine diagnosis for a UTI.

This toolkit builds on the previous document to support better urine sampling and includes a number of best practice guidelines for collecting a urine sample. The document introduces an assessment tool that has been designed Nationally as part of the to dip or not to dip project and supports staff to assess symptoms that may indicate a resident has a UTI/CAUTI and then records actions taken. The Toolkit includes a number of the resources developed locally to support UTI prevention and hydration messages. The Toolkit introduces a poster designed to be displayed where the dipsticks are kept so that staff are reminded of when they are not appropriate to be used and also provides some key messages around antibiotic stewardship.

Prescribing Top Tip 

The list of preferred Worcestershire brands has been updated and can be found on the Prescribing resources for clinicians section of the APC website.

2019 GP Patient Survey

Please follow this link to access the results of the 2019 GP Patient Survey. The report has been updated to include all Herefordshire and Worcestershire practices.

You will see from the results, a number of our practices continue to exceed national figures. This is a significant achievement in such a demanding environment – congratulations to all the teams involved.  

The results of the survey will impact on a number of areas. They can demonstrate how positive access and services are when we’re planning for future developments and play a key part in discussions with service providers and other organisations. As you know CCGs and the individual practice results are monitored very closely by NHSE/I, CQC and of course the local press. Across both counties there is a significant variation between the lowest and highest survey results and this will continue to be an area of focus for the H&W Primary Care Quality and Risk Sub-Committee.

The survey was conducted between January 2019 and March 2019. Survey details can be accessed via the website.  

Save the Date

Herefordshire and Worcestershire Tier 2 Sponsorship Workshop 6th November 1.30pm

Venue: Main Meeting Room 1, Wildwood, Ground Floor, West Wing, Wildwood Drive, Worcester WR5 2LG

NHS England would like to invite Practices to an afternoon workshop regarding Tier 2 Visa Sponsorship. A flyer outlining further details will be shared soon, however as a brief outline;

This workshop will support Practices learn the process to become a Tier 2 Visa Sponsorship licence holder. The workshop is for all interested in becoming licence holders and for STP/CCG workforce leads (or their representatives):

  1. Senior Partners and Practice Managers
  2. CCG workforce leads
  3. STP workforce leads
  4. PCN CDs and leads
  5. Federation/at-scale provider leads


Practices can register to attend via email: Mohammed.khan34@nhs.net

Salaried GP Required 

Exciting opportunity to join a friendly, non-hierarchical and supportive team comprising:

  • 6 Partners and 2 salaried doctors
  • Advanced nurse practitioner and experienced nursing team
  • Community nurse for elderly housebound patients
  • 2 Practice pharmacists


The practice covers a population of 8,760 patients across 2 sites. We pride ourselves on providing excellent quality of care alongside maintaining a healthy work-life balance with a focus on developing modern, forward-thinking ways of working.

Click here for more information 

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.