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Member Practice Update

6 March 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 South Worcestershire news

GP Forward View  

Digital General Practice Workshop - 1 May

Please note the change in date which has occurred because of a clash with the NHS Pensions event running in Birmingham on 3rd April which practices have said they are also keen to attend. The agenda is still being finalised, but will include updates on EMIS, Clarity TeamNet, Primary Care Digital Plan, Online Consultations, Telephony, HSCN and Mjog Smart.  A definite agenda and details of venue will be published in due course.

The aim of this workshop is to support GPs and practice staff in working smarter through greater use of IT.  We’ve used the feedback from the Development Day to develop the agenda which will include the opportunity for practices to showcase how they are responding to increasing workload.  We also want to use this time to talk about some of the digital requirement set out in the new GP Contract Framework. Agenda will follow shortly, hope you can make it.

GP and Hospital/Healthcare provider Portfolio Working opportunity – EoI sought

Further to the below portfolio role opportunities that were shared in the MPU last week, we are pleased to share two further opportunities with you on behalf of Worcestershire Acute Hospitals NHS Trust. The closing date for expressions of interest for these additional roles will be Wednesday 13th March 2019.

Additional roles offered by Providers
A detailed Job Plan for each of the opportunities can be found here. Please review and complete the Expression of Interest form indicating which role you are interested in.

  • Stroke, Worcestershire Acute Hospitals NHS Trust
  • Diabetes, Worcestershire Acute Hospitals NHS Trust

We are working to finalise one further opportunity, which we hope to advertise next week. Unfortunately Wye Valley NHS Trust in Herefordshire are unable to participate in the GP Portfolio role project at this time therefore there is no role advertised in Herefordshire currently.

If you have any questions regarding the roles or would like to submit an expression of interest, please e-mail the Herefordshire and Worcestershire Primary Care Workforce Team on sowoccg.workforce@nhs.net. Interviews and appointment to the roles will take place towards the end of March 2019 directly by the Providers.

EMIS Diabetes Structured Education referral form – New Version available  

Concerns have been raised regarding the amount of patient data detailed in the EMIS Worcestershire Diabetes Structured Education referral form.  Following a discussion with the Acute Trust, the merge fields for problems and medication has been removed and replaced with a free textbox. This will give practices more control over the level of data included.  A copy of the updated form can be found here and practices are advised to archive the old version and replace with new form asap.

Consultant Connect – Feedback  

A few GPs have contacted Worcestershire CCGs to express disappointment that Consultant Connect will be discontinued from the end of April, consequently the CCGs are sharing more details of the evaluation undertaken to reach this decision. The CCGs also listened to feedback from PCE Leads which can be summarised as "it is good when it works but is not always reliable". Several GPs have said that they had taken to phoning the relevant hospital department direct rather than using Consultant Connect.

The focus is still on improving the interface between primary and secondary care clinicians but in a more effective way. The CCGs are looking at examples from other CCGs in the West Midlands and elsewhere which hopefully will improve communication at a much lower cost.

The Consultant Connect scheme has cost £270,720 up to the end of January 2019 and costs were set to increase if more specialties were added. Between May 2017 and the end of January 2019,  3734 calls have been made with 1919 connected. This represents a cost of £141 per connected call. GPs recorded outcomes for less than half of calls.

Hopfully this indicates to practices that based on the data, the money could be used to better effect.

The CCGs will keep you updated on developments in improving communications between primary and secondary care.

Raising awareness of healthcare transport options in Worcestershire  

Health and social care organisations have been working together to produce easily accessible information and advice for people needing to access healthcare locations across the county.

Leaflets and posters have been developed for display in your practice to ensure people are aware of their transport options when attending a healthcare appointment. These will be arriving at your practice soon.

Dedicated webpages have also been developed and these can be accessed here.

If you would like electronic versions of the leaflets and posters, please email worcs.comms@nhs.net

Prescribing Top Tip 

Hay Fever Self Care

In line with the CCGs Commissioning Self-Care Policy hay fever is a minor condition suitable for self-care that can be managed by patients themselves as described on NHS website: www.nhs.uk/conditions/hay-fever/

As the hay fever season starts the CCGs expect GPs not to prescribe products for hay fever that are available over the counter and in line with over the counter product licenses. A list of products and licensing restrictions can be found here: Restrictions to OTC supply by Community Pharmacies.

To support practices in delivering this change in practice the CCG has developed a leaflet and poster which are available on the patient facing  CCG website. There is also template letter available which practices can use to write to patients.

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

Children’s Safeguarding Training  

Some extra dates have been added for staff needing to complete level three safeguarding children training.

  • Monday 15 April - New Road Surgery B60 2JS
  • Monday 17 June - Bewdley Medical Centre DY12 2EF
  • Monday 19 August - Coach House Worcester  WR3 7NS
  • Tuesday 15 October - Barnsley Hall Bromsgrove B61 0TX

To view further dates and for booking information, visit the events and training page.

Reducing Parental Conflict Conference    

Worcestershire County Council are pleased to welcome Honor Rhodes, OBE, Director of Strategy at Tavistock Relationships, as guest speaker at a conference on Reducing Parental Conflict to be held on Friday 12th April 2019 from 09.00 – 16.30 in the Council Chamber, County Hall, Spetchley Road, Worcester, WR5 2NP.
The conference is intended to help understanding of parental conflict and support working collaboratively with families to lower the impact on children's physical and emotional wellbeing.

Register for your free ticket here

Saving Babies’ Lives - Information Sharing Events  

Tuesday 26th March 2019, 9:00am - Worcester
Hindlip Suite, Sixways Stadium, Warriors Way, Worcester WR3 8ZE
9:00am - registration/tea and coffee, 1:45pm including lunch

Wednesday 27th March 2019, 12:15pm - Hereford
Worcester Suite, Three Counties Hotel, Belmont Road, Hereford HR2 7BP
12:15pm - registration/lunch, 5:00pm

GUEST SPEAKERS TO INCLUDE: Perinatal Institute, Public Heath and the Maternity Clinical Network.

These sessions are open to all obstetric, anaesthetic,and paediatric medical staff involved in maternity and newborn care, midwives, midwifery support workers, student midwives, health visitors, sonographers, public health and perinatal mental health workers.

Please email lynn.miles-price@nhs.net by 11th March 2019.

Paula McGowan Visit  

Oliver Mcgowan, a 19 year old young man with learning disability, sadly died in an acute hospital in Bristol during 2016. Paula Mcgowan, mother of Oliver Mcgowan, has campaigned since this time to raise awareness of critical learning identified and we are privileged to confirm that Paula will be visiting Worcester Royal Hospital on April 11th to share her experience.

Paula has campaigned for training in Learning Disability /Autism to be mandatory for all clinical staff following Oliver’s death. A petition organised by Paula gained over 50,000 signatures and was discussed in parliament in October 2018. Paula has been asked by Ruth May, Chief Nursing Officer for NHS England / NHS Improvement, to visit hospitals and universities across the country to tell Oliver’s story.

All clinical staff are being encouraged to attend.

Oliver’s story will be delivered by Paula Mcgowan on 11th April,11:30 -13:00 in Charles Hastings Education Centre on Worcester Royal Hosptial site.

Places must be booked by contacting wah-tr.CHEC-TrainingTeam@nhs.net

Locality Updates:

Redditch and Bromsgrove Locality:

Free Womens Health GP Education Day - Wednesday 22nd May 2019  

Find out more

Newson Health
Menopause & wellbeing centre
Stratford Upon Avon

For more information or to book a place on this free event please call or email: Sarah.baker@newsonhealth.co.uk / 01789 595004

Wyre Forest Locality:

CCG Chair announces decision to stand down  

The Clinical Chair of NHS Wyre Forest Clinical Commissioning Group (CCG) is stepping down this month.

Dr Clare Marley has announced that she will be standing down for physical health reasons following nearly three years in the role.

Dr Marley was elected as Chair in 2016 after holding a number of important and high profile roles within the CCG, including being appointed as their Quality Lead in 2012 and being elected to the Governing Body in 2015. More recently she was appointed as the End of Life GP Lead for the three Worcestershire CCGs as well as for the Herefordshire and Worcestershire Sustainability and Transformation Partnership (STP).

Dr Clare Marley said: “It is with great sadness that I must stand down as the Wyre Forest CCG Chair. I have really enjoyed my time in this role and it has been so rewarding to be able to make improvements to the way that local health and care services are delivered.

“I’m really grateful for the support I have received from colleagues and hope to be well enough in the future to return in a role where I can continue to help to make a difference to patients.”

A local election process will now take place across GP member practices in Wyre Forest to appoint a new Clinical Chair. In the meantime Dr Louise Bramble, a GP Governing Body Member, has been appointed as Interim Clinical Chair for Wyre Forest CCG until a substantive replacement is elected.