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Member Practice Update

6 September 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. H&W CCG Governing Body GP Locality Leads 
  2. Two week wait referrals for suspected breast cancer and symptomatic breast

  3. H&W CCGs GP Communications and Engagement Survey
  4. Dr Nikki Kanani appointed as England's top family doctor 
  5. Primary Care Brief - Service Concerns
  6. Primary Care Quality and Risk Sub-Committee: Infection Prevent and Control
  7. Prescribing Top Tip
  8. Primary Care Training - Information Governance 
  9. Time for Care Quality Improvement Training for Practice Nurses - courses in the Midlands region
  10. End of Life Workshop - date confirmed
  11. Stanmore House Surgery: Partner/Salaried GP
  12. Practice Nurse Stourport Health Centre - 30 hours per week
  13. Salaried GP at Kidderminster Medical Centre - 4-8 sessions per week  
  14. Merstow Green Medical Practice 

Find out about local and national events and training here

  • No Redditch & Bromsgrove news 
  • No South Worcestershire News 

  • No Wyre Forest news 

H&W CCG Governing Body GP Locality Leads 

Open for Nominations on Monday 9th September

To confirm, the nominations period for the following roles will be opening on Monday 9th September till Friday 20th September, 5pm.

  • 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


Role specific job descriptions outlining the requirements of the role and nomination forms will be circulated via the relevant practice distribution lists, as well as via Teamnet in Herefordshire.

Two week wait referrals for suspected breast cancer and symptomatic breast

In recent weeks the Trust has been facing a challenge with regard to waiting times for two week wait breast referrals. The challenge is largely around workforce pressures that have led to capacity issues for what is a very busy service.

The Trust are working hard to address the challenges and have implemented temporary service redesign changes to mitigate against radiography shortfalls, introduction of a new two week wait referral form to aid this service design, employed a locum to increase capacity, arranged extra evening and weekend capacity when possible, and substantively appointed a replacement Breast Surgeon to start in October.

Please be advised that whilst the Trust is not currently meeting the 14 day waiting time for the majority of patients, the longest wait for the service is currently 21 days.

If you have significant concerns regarding a patient, in the first instance please contact Tom Potts, Directorate Manager for Breast Surgery who will be able to direct you to the appropriate member of the Breast Team. Tel: 01905 763333 (ext 39705) Mobile: 07501 250102 Email: thomas.potts@nhs.net  

H&W CCGs GP Communications and Engagement Survey

Herefordshire and Worcestershire CCGs are reviewing our approach to Primary Care communication and we are asking if you would please complete this short online questionnaire

As Worcestershire colleagues will be aware, the Worcestershire CCGs have previously conducted an annual survey on general practice communications and engagement. In Herefordshire the CCG has previously received feedback through the annual Ipsos Mori 360 stakeholder survey. 

The Herefordshire and Worcestershire CCGs would now like to conduct a single survey across both counties to ensure we provide practices with an opportunity to feedback on the CCGs approach to communications and engagement, and in order for us to review and improve our processes. Your feedback would be greatly appreciated. Please note the survey will close on Friday 20th September. 

Dr Nikki Kanani appointed as England’s top family doctor

GP, Dr Nikki Kanani, was confirmed as the Medical Director for Primary Care for the NHS in England at the Expo event this week. She said: 

“I am delighted to have been appointed as Medical Director for Primary Care at NHS England and NHS Improvement. This is one of the most central roles in the NHS for delivering even better treatment and services for our patients and I would like to thank friends and colleagues across the NHS who have been so supportive over the past year since I took on the role in an interim capacity. 

It has certainly been a sharp learning curve, but over that year we have achieved so much – including publishing the NHS Long Term Plan with a core focus on Primary Care, agreeing an historic five-year GP contract, and building new relationships across the profession."

Primary Care Brief – Service Concerns

Q1 2019/20

This report provides a summary of all service concerns reported during Q1 2019/20 and a highlight of the Top 3 Service concerns recorded for this period.

Primary Care Quality and Risk Sub-Committee: Infection Prevention and Control 

The summary below has been taken from the recent report submitted to Primary Care Quality and Risk Sub-Committee (July 2019). Infection Prevention and Control (IPC) in General practice is supported by an SLA between Worcestershire CCG’s and the Health and Care Trust IPC Team. The team offer advice and support on request to General Practices, undertake reviews of IPC both planned and requested by practices, provide study days and update sessions and complete mandatory surveillance of Clostridioides difficile (formerly Clostridium difficile) and various blood stream infections diagnosed in primary care or during the first 48 hours of a hospital stay. Resources for practices can also be accessed directly from the team or via www.worcestershirehealth.nhs.uk.

Visits include reviews linked to standard infection prevention and control practices (hand hygiene, use of PPE, cleaning of the environment and also equipment, waste and sharps management including consideration of safer sharps where indicated), antimicrobial stewardship, collection of samples, cold chain management, minor surgery, wound care, water quality and systems in place within the practice linked to IPC training and assurance. On review it is clear that there are many good practices in place and knowledge of IPC key standards and requirement is evident, areas that have been highlighted have included:

  • Further promoting standard items that are required in all rooms to ensure ease of access e.g. hand hygiene products, personal protective equipment and wipes for decontamination of surfaces.
  • Considering practices linked to waste and sharps segregation and management from point of use through to disposal.
  • Promotion of current Antibiotic Prescribing Guidance for Primary Care (sixth edition updated June 2019).
  • Reviewing cleaning schedules for both the environment and equipment to ensure appropriate and achievable.  Enhancing ease of effective cleaning by appropriate storage of items and equipment is also an important consideration.
  • Promoting the need for an IPC audit programme led by the practice lead for IPC to provide ongoing assurance of standards within the practice.
  • Awareness raising linked to multi resistant gram negative infection such as CPE and the impact of these on primary care practices, usually practices will be informed of CPE positive isolates as the IPC Team are made aware to ensure appropriate EMIS tag can be used.
  • Further enhancing the already demonstrable levels of compliance by considering any additional assurance for example including IPC as a standing agenda item on a scheduled basis at practice meetings.

If you want to request a teaching session, visit or require further information on IPC please contact 01386 502552.

Prescribing Top Tip

This week's Prescribing Top Tip is regarding Citalopram Drops

Primary Care Training - Information Governance  

The Information Governance Team at Midlands and Lancashire CSU have been commissioned to provide IG services to Primary Care within your CCGs, as part of this service this incudes IG Primary Care Training. We have arranged a number of training sessions across the West Midlands areas, the first one being 17 September 2019.

Please find the ‘Training Times’ newsletter that we have developed to be circulated to all GP practices within your CCG areas, this newsletter gives an overview of the training, available dates and booking details.  

The training is aimed at more Senior members of the practice, for example, Practice Managers, SIROs and Caldicott Guardians.

Any queries, please contact:

Liz Griffiths
Information Governance Business Partner – Primary Care
Information Governance Service
Contact: (01782) 872648
E-mail: mlcsu.ig@nhs.net

Time for Care Quality Improvement Training for Practice Nurses – courses in the Midlands region

Please see the 2 flyers for the Time for Care Quality Improvement programme for GPNs. For clarification: as part of the offer the cost of accommodation is included. However, travel costs and food costs are not. Details of how to apply and further information can be found in the flyers.

End of Life Workshop – date confirmed

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. 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: sowoccg.worcestershireprimarycare@nhs.net if you would like to attend.  A venue is not yet confirmed but a central venue to accommodate both H&W locations will be sought.  

Stanmore House Surgery: Partner/Salaried GP

Stanmore House are a friendly, supportive and forward-thinking practice looking for enthusiastic, motivated and committed doctor to join their team. 

See full details

Practice Nurse Stourport Health Centre – 30 hours per week

Do you want the best of both Worlds? Working in an individual practice but with the knowledge, support, drive and passion of a large partnership? Wyre Forest Health Partnership (WFHP) is looking to recruit a new Practice Nurse.

The role will be based at our Stourport Health Centre where you will be able to join our friendly forward-thinking, high-achieving and innovative partnership, where the team take genuine pride in making work stimulating, challenging and rewarding. We are looking for a keen and enthusiastic team player who can demonstrate commitment and flexibility with the drive to deliver a high standard of patient centric medicine whilst maximising primary care business opportunities. We are seeking a Practice Nurse who shares our passion and who can assist the partnership to become the best it can be in a modern NHS.

The role is a part time role of 30 hours. Flexibility can be given if more or less hours are required. The working days will be Monday, Tuesday, Wednesday and Friday. Whilst general practice experience is desirable, we will be pleased to hear from nurse colleagues from across the nursing sector.

For an informal chat, please contact stacy.kirby1@nhs.net


Salaried GP at Kidderminster Medical Centre – 4-8 sessions per week

Do you want the best of both Worlds? Working in an individual practice but with the knowledge, support, drive and passion of a large partnership. 

If this sounds like you – then you may be what we are looking for! Kidderminster Medical Centre is appointing a Salaried GP (min. 4 sessions per week).

As part of a larger partnership of six practices, the team takes genuine pride in making work stimulating, challenging and rewarding. We are seeking an entrepreneurial candidate who shares our passion and can assist us and WFHP in becoming the best it can be. We are passionate about the development and retention of our staff. Partnership opportunities are available for G.P.s who feel they would like the opportunity to own and contribute to their own business.

If you would like to speak to someone in confidence, please contact Amanda Williams, Site Manager at amandawilliams3@nhs.net or Dr. Emma Cull, GP Lead Partner at emmacull@nhs.net

Merstow Green Medical Practice 

Merstow Green Medical Practice is looking to recruit a Salaried GP to join our friendly, semi-rural, part-dispensing Practice comprising:

  • 4 Partners and 2 Salaried Doctors
  • 3 Advanced Nurse Practitioners and experienced nursing team
  • Practice Pharmacist
  • Part-dispensing

See full details 

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.