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Member Practice Update

4 October 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. STP Mental Health Strategy - Opportunity to give your view 
  2. Cervical Cancer Screening Programme 
  3. West Midlands Familial Hypercholesterolaemia Service – How and Who to Refer

  4. Exciting Opportunity - NHSE End of Life Care Pilot Project

  5. Pathology GP User Meeting

  6. Prescribing Top Tip

  7. Fluoxetine Capsule 10mg, 30mg and 40mg Availability – Serious Shortage Protocol Introduced

  8. Primary Care IG Newsletter- September Edition

  9. Insight Solutions Newsletter

  10. End of Life Workshop – 22 October 2019 at the Bank House, Bransford

  11. Antimicrobial Resistance

  12. West Midlands Diabetes Foot Care Network Event

  13. Medical Terminology Presentation

  14. Newly Qualified GP Appraisal Workshop Worcestershire

  15. First 5 Leaders Day- Saturday 23rd November 2019

  16. Quality Improvement for Newly Qualified Doctors – Derby- January 2020

  17. Maternity Cover - Severn Valley Medical Practice 

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire news


STP Mental Health Strategy - Opportunity to give your view  

Worcestershire CCG’s, on behalf of the Herefordshire and Worcestershire Sustainability Transformation Partnership (STP) is interested to hear your opinions on mental health, so they can ensure local strategy better meets the needs of Herefordshire and Worcestershire patients, public, staff, partners and local organisations. The feedback received will help to shape the development of a new Mental Health Strategy.

Background: Across Herefordshire and Worcestershire all local health and care organisations are committed to providing the best mental health care possible. We want mental health and wellbeing to be high on our local agenda, to ensure members of our communities are aware of mental health and are able to recognise issues in individuals, and to be able to support or signpost appropriately. When things get harder or more serious we want our specialist services to be equipped to provide support as early as possible, with a focus and commitment to recovery.

Organisations across our two counties are working together in partnership to provide services which are safe, effective and sustainable. We think it is important for people to be able to get help and support as early as possible and to live healthy and independently for as long as they can. When more support is needed, we want people to be able to access services quickly, in the right place at the right time.

The three Clinical Commissioning Groups (CCGs) in Worcestershire are working on behalf of the Herefordshire and Worcestershire Sustainability Transformation Partnership (STP) to set out a Herefordshire and Worcestershire Mental Health Strategy. We are interested to speak with local people, staff and partners to better understand your views on mental health, so that we can ensure the new strategy meets the needs of local people. We are hoping to gain a greater understanding of what you think works well and where we need to make improvements.

Your views will build upon previous engagement work that has been carried out, but will provide us with an opportunity to work with patients, stakeholders and the wider community to understand what more we need to consider. This is an opportunity to work together to shape our mental health strategy over the next few years, to ensure mental health awareness is embedded across our communities, and to develop new and existing services so that people can get the help they need to support them in their recovery. We plan to undertake more specific engagement exercises in the near future, allowing us to work together to coproduce solutions.

Give your views: There are various ways you can be involved and give your views.

Listening Events – Staff & Partners

Worcestershire - Wednesday 23 October 2019, 10am – 12pm. To book a place, please use this link

Herefordshire - Friday 25 October 2019, 10.30am – 12.30pm. To book a place, please use this link.  

The aim of the listening event is to explore what staff, partners and organisations think is working well for people with a mental health condition in Herefordshire and Worcestershire (this could be a service, a team, how to access information or help, or anything else that you think works well). We will also be listening to what you think does not work so well or anything else that you think that needs improvement. We will be asking to hear your views on what you think the Mental Health Strategy should focus on.

Please be aware that this listening event is aimed at opening the conversation about the STP Mental Health Strategy and to identify any gaps in the system, across the two counties. Specific engagement and coproduction exercises are planned in the new year.

There are also listening events for patients, carers and members of the public. If you would like more information about these, please email the Engagement Team or call 01905 681978.


If you would prefer to give your views online, please complete our survey. Open from Tuesday 1 October 2019 until 12.00pm, (midday) Tuesday 12 November 2019.

The survey can be found here

It should take no longer than 5 minutes to complete. All responses will be anonymous. If you would like a paper copy of the survey or the survey in different format, please email the Engagement Team or call 01905 681978


You can send in your comments to the Engagement Team email


You can call us with your comments at 01905 681978

Cervical Cancer Screening Programme 

South Worcestershire, Redditch and Bromsgrove

The Royal Wolverhampton NHS Trust cervical screening programme will be implementing the change from Liquid Based Cytology (LBC) to High Risk Human Papilloma Virus (hrHPV) as of 21st October 2019. This is in line with NHS England’s Long-Term Plan to implement HPV primary screening for cervical cancer across England by 31st December 2019.

Read more

West Midlands Familial Hypercholesterolaemia Service – How and Who to Refer

Familial Hypercholesterolaemia (FH) is a common genetic condition that causes a high cholesterol concentration leading to an increased risk of premature coronary heart disease and/or early death. Although management of FH with lipid-lowering therapy, e.g. statins, is highly effective, more than 85% of people with FH in the UK are unaware that they have the condition and are therefore untreated. The NHS Long-Term Plan aims to increase the identified prevalence to 25% over the next five years.

Untreated, people aged 20-39 with FH have a 100-fold increased risk of death from heart disease compared to those of a similar age without FH. Early identification of FH is important because if treatment is started early enough, it will give patients a life expectancy similar to the general population. Systematic searching of GP records to find those at high risk of FH is an important method of identifying affected individuals and also allows us to cascade test relatives. Cascade testing is the process of systematically offering DNA testing to the relatives of affected individuals because someone with FH has a 50:50 chance of passing the condition on to their children. The benefits of cascade testing are early treatment and the avoidance of heart disease.

The West Midlands Familial Hypercholesterolaemia Service (WMFHS) was launched in November 2017 and there is a designated FH Specialist Nurse for Worcestershire CCG’s. The service is delivered from multiple GP practices across the area and the pathway agreed by all the CCGs within the West Midlands is that patients with suspected FH are referred to the WMFHS, assessed and tested and then referred to secondary care colleagues if required. 

Patients can be referred opportunistically or following a systematic search of GP records. Referrals should also include patients with clinically diagnosed FH (based on the Simon Broome criteria) who have not had FH genetically confirmed.

Please see the referral criteria and referral form which should be emailed to the West Midlands FH Nurses

For more information, please contact Elaine George, Clinical Programme Manager on 0121 371 8179 or via West Midlands FH Nurses

Exciting Opportunity - NHSE End of Life Care Pilot Project

Sent on behalf of Dr Clare Marley and Louise Parker

Dear PCN Clinical Directors

We are pleased to announce that Herefordshire and Worcestershire Sustainability and Transformation Partnership have successfully been awarded national funding to become one of the national pilot sites to undertake an End of Life Care Project. The aim of this project is to increase the number of patients identified as being in the last year of their life and therefore increase the number of patients receiving appropriate personalised end of life care and support planning.

This pilot will aim to educate and support the clinical workforce across all partner organisations within the locality in the use of the Rockwood frailty Scoring System to identify those patients living with severe frailty. Patients identified as living with severe frailty will then be added to practices end of life registers and healthcare professionals will be supported to undertake personalised end of life care and support planning for this group of patients.

The funding will enable a project manager  to support practices and neighbourhood teams with the agreed interventions along with specific  education sessions to provide the wider clinical workforce with the skills to undertake reviews of these patients, and provide high quality personalised care and support planning, understanding the General Practice workforce challenges currently.

We are aware that many practices are already using the Rockwood scoring system to identify patients living with severe frailty and/or reviewing their existing frailty registers and this project aims to support practices with this and build on existing practice.

The pilot will begin following pilot site agreement, and will run for 12 months, with clear outcomes for monitoring impacts on patients and practices. The specified population size for this pilot is at Primary Care Network Level and we are therefore looking for expressions of interest from Primary Care Networks across Herefordshire and Worcestershire.

If you would like any further information please email:

Dr Clare Marley
Clinical Lead for End Of Life Care Herefordshire and Worcestershire STP

Louise Parker
End of Life Lead Worcestershire Clinical Commissioning Groups

If you would like to express an interest in taking part in this project please email Charlotte Powell by 17:00 on the 11th October 2019.

We look forward to hearing from you.

Pathology GP User Meeting

The details of the Pathology GP User Meeting are: 

Date: Tuesday 8th October
Time: 9:30am
Board Room
Education Centre
Alexandra Hospital  
B98 7UB

Please email the Worcestershire Acute Hospital NHS Trust for further information. 

Prescribing Top Tip

Please find this week's Prescribing Top Tip regarding Semglee

Fluoxetine Capsule 10mg, 30mg and 40mg Availability – Serious Shortage Protocol Introduced

In last week’s Medicines Commissioning News the availability problems were communicated to clinicians on behalf of the Department of Health and Social Care (DHSC). The DHSC announced on 3rd October the introduction of the first serious shortage protocol (SSP) with immediate effect which allows pharmacists to supply alternative strengths or pharmaceutical forms of fluoxetine without having to consult a patient’s prescriber. 

Primary Care IG Newsletter- September Edition

Please find the latest Primary Care Information Governance Newsletter.

Insight Solutions Newsletter

Please click here to access a copy of Insight Solutions Newsletter. This month useful topics include SNOMED, Flu and Claims Tracker. This newsletter is free, therefore we would strongly recommend all practices sign up to receive a copy.

End of Life Workshop – 22 October 2019 at the Bank House, Bransford

As part of the 2019-20 QOF Framework there are two QI modules – one of which is in relation to End of Life Care.

Practices may have experience in QI methodology and hence have a plan and have begun to implement changes. Others may have less experience and may value some support in developing a QI module that suits the practice and has quantifiable impact for patients.

A half-day workshop to support practices to develop their ideas, give some hints and tips on QI implementation and some thoughts on areas of focus, will be held on Tuesday, 22 October at the Bank House Hotel, Bransford, WR6 5JD.

The workshop starting at 1:30pm (with lunch available from 12:30), will be run by:

  • Dr Maggie Keeble, Care Home GP & ICOPE (Integrated Care for Older people) Clinical Lead; and
  • Dr Clare Marley, Clinical Lead & Joint Senior Responsible Officer for End of Life Care for Herefordshire & Worcestershire STP

Please email the Primary Care generic mailbox if you would like to attend.  

Antimicrobial Resistance

As you know NHSE and NHSI are keen that fewer antibiotics are prescribed and when they are that patients finish their course as directed. The Midlands is hosting a conference for healthcare professionals in November, the same month the national campaign Keep antibiotics working launches. The campaign materials are available on the PHE campaign resource centre. Marketing packs will be delivered to pharmacies and GP practices.

West Midlands Diabetes Foot Care Network Event

The next event for all healthcare professionals working within diabetes foot care will be held on Tuesday 12th November at Walsall Football Club. 

It is a half day event starting at 9am and its aim is to facilitate joint working, share good practice and reduce amputations. It will be chaired by Dr Narasimha Murthy, Consultant Physician in Diabetes and Endocrine at University Hospitals Coventry and Warwickshire, Sarah Hart, Principal Lead Podiatrist, Diabetes and Tissue Viability at South Warwickshire NHS Foundation Trust and Pete Shorrick, Head of Midlands and East Diabetes UK. 

For further information contact Shaneela Khakh. To book: Diabetes Footcare event - West Midlands.

Medical Terminology Presentation

WFNIP’s used some of their transformation funding for their staff to complete the level 2 medical terminology training and they’ve now achieved their certificates successfully.

Newly Qualified GP Appraisal Workshop Worcestershire

Details of the Event: 

Date: Tuesday 15th October 2019 
Time: 10:00am - 3.30pm  
University of Worcester
Severn Campus

Please register your interest by emailing Mohammed Khan.

Read more


First 5 Leaders Day- Saturday 23rd November 2019

We are pleased to share details of the following free Leadership event with you, hosted by NHS England on:

Date: Saturday 24th November 2019 
Time: 10am-5pm      
Jury’s Inn
B1 2HQ

For further details click here. To book your place click here.


Quality Improvement for Newly Qualified Doctors – Derby - January 2020

This programme is designed for all early career GPs (from ST3 to first 5) working in general practice across the Midlands. It is one of a series being held across England as part of the Time for Care support available through the General Practice Forward View. To request a place please complete the online booking form by 22 December 2019

Maternity Cover - Severn Valley Medical Practice 

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.

Read more

Wyre Forest - Ascenti Patient Leaflet 

Please find the Community MSK Service Information Sheet for MSK referrals in Wyre Forest. 

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.