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Member Practice Update

6 February 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 South Worcestershire news
  • No specific Wyre Forest news

Five Year Framework for GP Contract Reform to implement The NHS Long Term Plan  

The BMA GPC and NHSE have agreed a new contract framework which marks some of the biggest general practice contract changes in over a decade. These are radical, transformational and practices may find some requirements hard to take. The certainty around funding for five years should ensure the return of viable general practice albeit working as part of a Primary Care Network. Read more about the key features here.

Download our full comments here.

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.

Prescribing Top Tips  

Routine Prescribing of Items Available OTC

Practices will be aware of our local self-care prescribing policy which now mirrors the March 2018 national NHSE  document: Guidance on conditions for which over the counter items should not routinely be prescribed in primary care.

Concerns have been raised as to whether the scenario of not issuing an NHS prescription in response to a clinical presentation is a breach of the GMS contract. A letter from Professor Stephen Powis (NHSE National Medical Director) addresses this issue and provides reassurance.

The key point highlighted in the communication is that specific regulations associated with both the GMS and PMS contracts state that contractors must have regard to all “relevant guidance” issued by NHS England. The OTC guidance is considered by NHSE to be an example of such “relevant guidance”.
Clinicians should therefore be assured that they can follow the guidance and exercise clinical judgement about when it is (and is not) appropriate to prescribe OTC items, without any risk that they will be in breach of their contract.

If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net

Winter Update 

The bi-monthly Winter Comms Update for Worcestershire is now available.

Download the update.

Please email the Communications Team to be added to the distribution list.


Fertility referral Webinars 

There will be fertility referral webinars run by Dr Justin Chu (Sub-Speciality Trainee in Reproductive Medicine) from Birmingham Women's Hospital. Justin will run through the fertility referral pathway so that your patients can be seen at the Birmingham Women's Hospital in a timely fashion. You will also have the opportunity to ask him any questions that you may have regarding infertility.

Logging in to the webinars is easy:

  1. Search for the ZOOM app on your app store on your smartphone and download.
  2. Open the ZOOM app and click join meeting
  3. Type in the meeting ID number: 775-604-187

The webinars will be running every Friday for 6 weeks at 17:30 for half an hour each. The dates for the webinars are as follows:

  • 8th Feb
  • 15th Feb
  • 22nd Feb
  • 1st March
  • 8th March
  • 15th March


Domestic Abuse Training in Worcestershire 

Worcestershire County Council have just commissioned free multi-agency domestic abuse training in conjunction with Sarah Wigley Associates. This training seeks to raise awareness and equip professionals with a better understanding of the dynamics of abuse, including coercive control and to better identify, signpost and support victims.

There three modules of training available:

  • Understanding Domestic Abuse and How to Respond
  • Working with those who are or maybe experiencing Domestic Abuse
  • Understanding and working with Perpetrators

Full details of the modules and the learning outcomes can be found at: https://bit.ly/2S5fBS5

How to apply

Apply for a place on the above courses by emailing: bookings@sarahwigleyassociates.co.uk

there are only 20 places per course. Book now to avoid disappointment. Download a promotional poster here.

Repeat Domestic Abuse Cases Briefing 

This briefing paper has just been released by SafeLives which focus's around the definition of "Repeat" in respect of Marac referrals. SafeLives’ definition of Marac has not been reviewed since Maracs were implemented in 2007. It can be reasoned that the original definition did not clearly reflect how coercive control is used by perpetrators to continue to abuse victims, particularly post separation. It has been contended that the original definition, possibly because of the use of the words “incident” and “crime” only spoke to Police and was often overlooked as a threshold to refer to Marac by other practitioners.

Books On Prescription Dementia and Carers Collection 

Books on Prescription aims to help people and carers by using books which provide information and step-by-step self-help techniques. These are available free from any library. Clients can be recommended books and/or self refer  or staff can prescribe. The Dementia collection includes books on information and advice (inc activities and picture books) , support for relatives and carers and personal stories.The books have been recommended by people who have used it previously, and found it helpful, and also by clinicians. Evidence from the National Institute for Health and Care Excellence (NICE) confirms that self-help books can help people understand and manage common conditions.

Books availabe include:

  • First Steps to Living with Dementia
  • And still the Music Plays: Stories of People with Dementia
  • Seeing Beyond Dementia: A Handbook for Carers with English as a Second Language
  • Past Caring
  • An introduction to coping with depression for carers
  • Being Mortal: Illness, Medicine and What Matters in the End

If you would like to be part of the BOP steering group/ have any recommendations or wish to order any prescription pads please contact:

For further details and full book lists see here.

Primary Care Talks Podcast 

The Eastern Academic Health Science Network has released its latest #PrimaryCareTalks podcast. Episode 7 features Sir Sam Everington, a GP, Chair of the award-winning Tower Hamlets CCG in East London, Trustee of the King's Fund, council member of the British Medical Association, a long term campaigner and activist. Sam tells us a bit about his colourful career, plus his views on social prescribing, a way of working with patients that he feels is both essential to improving long term health, and vital to the future success of the NHS.

Download the podcast here. Subscribe to all episodes on iTunes or Spotify.

Wellbeing in Partnership Newsletter 

The February 2019 Wellbeing in Partnership Newsletter is now available to download.

The next newsletter will be published on 1st March 2019.  If you would like to submit anything to be included in next month or future editions of the newsletter please email it to partnership@bromsgroveandredditch.gov.uk by 28th Feb at the latest.