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Member Practice Update

30 January 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:

Find out about local and national events and training here.

  • No specific Redditch and Bromsgrove news
  • No specific Wyre Forest news

Primary Care Commissioning update

Enhanced Services 19/20

Today’s Primary Care Commissioning Committee considered a paper on enhanced services and have agreed that the following services will continue to be commissioned in 2019/20:

Enhanced Service Scheme

Treatment Room

Diabetes monitoring, insulin initiation, shared care insulin initiation, GLP-1

Ear Canal Clearance (group basis)

Inter practice minor surgery

24 hour ECGs

Managing Menorrhagia


Work in still underway to review the remaining local enhanced services and this will be completed in time for a decision at the March Primary Care Commissioning Committee.

The NHS Long Term Plan includes an expectation that a network contract will be in place which may include enhanced services, and the CCG will need to take this into account in future work.

IQSP Study Day presentations

We’d like to thank everyone who attended the CCG/IQSP Study Day on the 16 January.  Follow this link to access the presentations from the morning and afternoon sessions. The four presentations from the breakout sessions include the commentary from Mr Steven Thrush, Mr Angus Thomson, Dr Paul Watson and Jane Newport. 

GPFV Update

Resilience in General Practice Event

There are still a few places available on the free half day Resilience in General Practice Event will take place on 13 February at The Crown and Sandys.

The event is open to GPs and practice staff looking at strategies and tools to help organisations and their staff to adapt and stay motivated.

You can book your place by emailing SOWOCCG.worcestershireprimarycare@nhs.net

Find out more here.

Practice Manager Update Session

On 24 January a Practice Manager Update Session was held at Stanbrook Abbey. The focus of the day was to provide practice managers across the STP with updates and information on a variety of topics that will support the day to day job of practice management. The day was well attended by 71 PMs and deputies from 59 practices across both Herefordshire and Worcestershire. 

The day kicked off with an outstanding presentation on Maximising Profit in Practice provided by Tina Condie of Insight Solutions, followed by Employment Law from Gemma Cawthray representing VWV, an update from Danielle Adair and Jackie Thompson from NHS Pensions, a Q&A/Update session from CQC Inspector Linda Hunter-Choat, Kate Brown from Baldwins discussed how to navigate through PCSE and the day finished off with a very humorous and equally informative session on SIRO requirements and the IG toolkit with Paul Couldrey.

Some of the comments from practice managers who attended were:

“I found all the sessions very beneficial, but was most impressed with the CQC Update. I am new to practice management and felt the information was valuable and it was a good opportunity to speak with the other PMs.” 

“All very useful, more than expected. Good to hear from other practices outside our own area. Would like to do more work together.” 

“Thought it was beneficial for the PMs from Herefordshire and Worcestershire to network between each other.” 

“Best education day I have ever been on.”

“Lots of excellent tips and guidance to take back to the surgery.”

In response to this positive feedback the Practice Manager Development Team will work to provide these sessions at least annually in the future. A substantial number of topics, themes and formats were received in the feedback to help form the next session. The development team will meet and agree the next session after the end of the financial year, anyone wishing to be involved in shaping future events can contact Denise Horton at dhorton@nhs.net.

Thank you to those who attended and a particularly big thank you to the team that worked to develop the agenda, source the speakers and put the day on, Julie Burgess, Cantilupe Surgery, Helen Garfield, Northumberland House Surgery, Amy Louvaine, Spring Gardens Medical Group, Fiona Mason, Barnt Green Surgery, Helen Perry, Abbottswood Medical Centre, and Michele Petrie, Woebley and Stanton Surgery. 

The presentations from the day can be found here.

PCE service specification feedback

In last week's Member Practice Update, we promoted a survey on Survey Monkey to provide feedback about the PCE 19/20 service specification to be completed no later than 1 March 2019.

Please be aware that we have had some difficulties with this survey, but it is now fixed and ready for your feedback.

MSK Service

Following launch of the new MSK Single Point of Access / Advanced Physiotherapy Practitioner Service in Wyre Forest and Redditch and Bromsgrove some practices have asked for clarify on some elements of the pathway. Hopefully the following information addresses most practice queries:

Physiotherapy Referrals
In line with the new MSK pathway, physiotherapy referrals should be made using the standard MSK referral template and sent to the locality’s Single Point of Access. For physiotherapy conditions which do not fit the standard MSK pathway, e.g. respiratory, gynaecological, please refer direct to the Acute Trust.

Management of under 16s MSK patients
Noting that the new MSK Single Point of Access excludes under 16s please do not direct these patients to the Acute Back Pain clinic as the service does not accept these referrals. Under 16s should be referred directly to an Orthopaedic provider e.g. ROH.

Lost to T&O Follow Up
If a patient is lost to T&O follow up the hospital should be contacted directly to provide an appointment.  If a new referral is required this should be directed to the MSK Single Point of Access.

Patients with a history of cancer
If a patient has a cancer history such as prostate cancer and now new back pain but no other red flags (no signs of spinal cord compression), these patients should be urgently referred to the MSCC Co-ordinator as per the details in the Musculoskeletal Surgery and Therapeutic Interventions Commissioning Policy. Such cases should NOT be referred to the MSK Single Point of Access.

Patients presenting with injuries such as torn anterior cruciate ligament should be referred direct to trauma clinic and not the Advanced Physiotherapy Service.
Please direct any queries relating to the new community MSK pathway to Chris Emerson, MSK Transformation Lead – Christina.Emerson@nhs.net (Mobile No: 07918738525).

Medicines Commissioning News

The latest edition of Medicines Commissioning News is now available to read.

Access it here.

Feedback from Pathology GP User Meeting

Following the Pathology GP user meeting that took place on 22 January a couple of points were raised for communication to practices across the county.

From Care UK:

Please could all patient contact details (including telephone number) be provided with sample requests

If a repeat sample is requested for an abnormal result that may be phoned by the laboratory (e.g. TropT), please could these be sent to the laboratory in orange bags so they can be processed quickly and, if possible, checked before the surgery closes. If not possible please could the patient be informed that they may get a call from out of hours, if results are confirmed
From Haematology:

Receiving INR's for dosing (ID request) late in the day has been flagged as high risk. Anticoagulant nurses finish their shift at 18.00, however, many of the samples do not arrive until the late delivery and therefore do not get dosed that day and the patient will continue on their current dose. Abnormal results have to be forwarded to the Consultant/OOH GP team for action which is usually complex because the patient will have already taken their medication at that time in the day.

Anticoagulant patients need to be bled in the morning to catch the morning transport; this does not guarantee the samples will arrive during lab routine hours but is often the case.

Renal Medicine education event  

The Renal Medicine team from Worcestershire Acute Hospitals NHS Trust are holding a special Renal Medicine educational event for all Worcestershire GPs on Tuesday 12 March 2019 at the Pear Tree Inn and Country Hotel in Worcester.

The event will involve a seminar for an update in renal medicine, covering topics including; acute kidney injury, chronic kidney disease, polycystic kidney disease and cardio-renal syndromes. There will also be opportunities for you to discuss any topics in renal medicine with the expert team.
The seminar is eligible for four CPD credits, and will be an excellent opportunity to engage with renal physicians and GPs from across the county. A small buffet lunch as well as tea, coffee and snacks will be provided.

To register, please send your completed registration form to racheal.hariman-smith@nhs.net or wengchin.oh1@nhs.net, no later than Friday 1 March 2019.

The registration fee for this event is £20.

Pear Tree Inn and Country Hotel,
WR3 8SY.

Date: Tuesday 12 March 2019
Time: 12:30pm – 6pm

Schedule for the day:

12.30 - 1.15pm, Buffet lunch
1.15 - 1.30pm, Welcome and Introduction - Dr Weng Oh
1.30 - 2.15pm, AKI in the community - Dr Martin Ferring
2.15 - 3pm, CKD in Primary Care - Dr Hana See Tho
3 - 3.30pm, Coffee break
3.30 - 4.15pm, APKD and Worcester tolvaptan service - Dr Weng Oh and Sister Racheal Hariman-Smith4.
4.15 - 5pm, Cardio-renal syndrome - Dr Sagar Jujjavarapu
5 - 5.30pm, Open forum

Safeguarding and Prevent training - Reminder

Further dates have been added for anyone needing to complete level 3 Safeguarding Adults, Safeguarding Children or Prevent training over the next few months.

Places are filling up for Prevent training, but there are plenty of spaces available for the session on 21 February at Kidderminster Health Centre.

Access all the dates, alongside a document detailing your safeguarding training requirements here.

Locality Updates:

South Worcestershire

Fernhill House Care Home - GP Practice Cover

The CCG is seeking expressions of interest from South Worcestershire Practices in offering core GMS services, subject to patient choice, and the associated Care Home Enhanced service to Fernhill House Care Home from 1 April 2019. Thorneloe Lodge Surgery will continue to provide the service until 31 March.

The home currently has 50 beds for residential, nursing, and dementia care but has plans to expand to 66 beds in the near future. The home manager Mike Dearn, 01905 679300, will be happy to speak to practices about the home. The CCG will consider the care being shared by two, or more, practices.

Please email caroline.salmon@nhs.net by Thursday 14 February 2019 if your practice is wishes to express an interest in providing this service.