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Member Practice Update

8 November 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. Flu Vaccine Messaging this Winter
  2. Impulse AF Workshops
  3. Reminder Digital GP event: Using Technology in General Practice
  4. Prescribing of Generic Modified Release Tramadol
  5. NHS Armed Forces Community Healthcare brief
  6. eSCR Update
  7. General Practice Nurse Engagement Evening - open to Herefordshire and Worcestershire Nurses
  8. Worcestershire Medico-Legal Society meeting
  9. "You Only Know What You Know - Making a Difference" - Domestic Abuse Training


Find out about local and national events and training here

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  • No Redditch & Bromsgrove news 
SW-3collumnheader
  • No South Worcestershire news

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  • No Wyre Forest news




Flu Vaccine Messaging this Winter  

With winter all but upon us, we’re anticipating that we’ll soon start to see more activity around areas such as the flu vaccine across the country.

With that in mind, please be reminded that it’s important all messaging around the availability of the vaccine is consistent and appropriate. This year there is more vaccine than ever before across the NHS, with no supply issues anticipated nationally other than the small delays we’re already aware of. Any local issues will likely be down to how teams have planned their supply and deliveries, so please be mindful of this if you are approached by the media or are doing proactive work in your area.

We would appreciate a heads up on any flu or winter-related media interest in your area – please email england.memedia@nhs.net to let us know.




Impulse AF Workshops  

Herefordshire and Worcestershire CCGs, in collaboration with West Midlands Academic Health Science Network (WMAHSN) welcome you to the Impulse AF Workshop, supporting practices to achieve the PCCF Standard 6: Cardiovascular disease.

The aim of these workshops is to highlight the role that primary care professionals can play in reducing the complications associated with a long-term condition such as atrial fibrillation (AF). Undiagnosed AF can lead to potentially devastating, debilitating and often fatal strokes, which are preventable in two-thirds of patients if they are appropriately anticoagulated. Poorly managed AF, in terms of anticoagulation, symptom control, and co-morbidities can lead to poor outcomes in the longer term.

This workshop will highlight how all sectors of the primary care workforce (GPs, nurses and pharmacists) can contribute to the detection and management of AF.

We have been lucky enough to secure 3 of these sessions which will take place in Worcester and Malvern at no cost to the attendees. If you would like to attend one of these sessions please sign up at one of the following links:

 
3 CPD points can be attributed to your GP PDP Portfolio for attendance at this Workshop and if you complete this pre-course work prior to attending you will receive 1 additional CPD point. You will need to register to participate. The whole session takes 15-20 minutes at most and you can always dip in and out of any session at any time until completed. It comprises:

  • Cardiology Learning Needs Assessment Questionnaire (please complete before the Course)
  • Cardiology Learning Needs Assessment Course (consisting of subject areas designed specifically for you dependent on the responses you give to the Learning Needs Assessment Questionnaire)
  • A short Quiz at the end of the course

 
At the end of the Quiz a Certificate of Attendance and review are provided with model answers to the Quiz and supporting references.
 
If you have any questions about the session please contact us at: sowoccg.workforce@nhs.net



OPEN TO ALL GPS! Reminder Digital GP event: Using Technology in General Practice  

Save the Date 13th: November 7pm-9pm

All GPs are invited to join our first evening of a series of First 5 CPD events on 13th November 2019

  • 18:30 - Food
  • 19:00 - 21:00 - Speakers

We will have Dr Gandalf (from eGPlearning) as our guest speaker, plus local speakers on the digital strategy for Herefordshire and Worcestershire (Mike Emery & Dr Roy Williams).

All GPs are welcome to attend this evening.

View the confirmed speakers here, to book your place please email the Workforce team including any dietary requirements sowoccg.workforce@nhs.net



Prescribing of Generic Modified Release Tramadol   

If tramadol is clinically indicated then a standard, immediate-release preparation should be prescribed in the first instance. If a modified release tramadol preparation is appropriate, then the preferred brand in Worcestershire is Marol® . This is available as 100mg, 150mg and 200mg modified release (MR) tablets.

It is important to ensure that prescriptions for MR tramadol tablets are written as the Marol® brand and not as the generic since Tramadol MR tablets 100mg, 150mg & 200mg  are NOT listed in the Drug Tariff, which means that the NHS can be charged the full acquisition cost of any  dispensed MR tramadol tablet product available at these strengths - there is no way of controlling the potential spend. Prices for these products can be as high as £499 for 60 x 100mg MR tablets; by comparison, the cost of 60 x 100mg Marol tablets, (Mims, Nov 19) is £6.94.

The following practices have at least one patient receiving a current course of a generically written tramadol MR tablet 100mg, 150mg or 200mg presentation:

ABBOTTSWOOD MEDICAL CENTRE

NEW ROAD SURGERY

AYLMER LODGE COOKLEY PARTNERSHIP

NORTHUMBERLAND HOUSE SURGERY

BARN CLOSE SURGERY

OMBERSLEY MEDICAL CENTRE

BEWDLEY MEDICAL CENTRE

PERSHORE MEDICAL PRACTICE

CHURCHFIELDS SURGERY

RIVERSIDE SURGERY

CORBETT MEDICAL PRACTICE

SEVERN VALLEY MEDICAL PRACTICE

DEMONTFORT MEDICAL CENTRE

SPRING GARDENS GROUP MEDICAL PRACTICE

ELBURY MOOR MEDICAL CENTRE

ST JOHNS HOUSE SURGERY

ELGAR HOUSE

ST. JOHNS SURGERY

FARRIER HOUSE SURGERY

TENBURY SURGERY

HAGLEY SURGERY

THE BRIDGE SURGERY

HARESFIELD HOUSE SURGERY

THE GLEBELAND SURGERY

HILLVIEW MEDICAL CENTRE

THORNELOE LODGE SURGERY

HOLLYWOOD MEDICAL CENTRE

WHITEACRES MEDICAL CENTRE

MAPLE VIEW MEDICAL PRACTICE

WINYATES HEALTH CENTRE

NEW COURT SURGERY

YORK HOUSE MEDICAL CTR.


These presentations were associated with a total spend in August 2019 of £22,278.23.

A search to identify patients with a current course of generic tramadol MR tablets 100mg, 150mg or 200mg is available on EMIS entitled “Tramadol MR tablets – prescribe by brand”. The search can be found at Medicines Management Countywide – Top Tip Searches.

Note that it is not currently possible to implement an OptimiseRx message to flag this issue.
                                         
If you have any suggestions for inclusion in the 'Top Tips' then please send them to akingham@nhs.net




NHS Armed Forces Community Healthcare brief  

The updated one page NHS Armed Forces community healthcare brief is now available.

We recommend that clinical leads and practice staff read as part of the knowledge update on veterans’ healthcare.




eSCR Update   

Rise in patients requesting Additional Information to be added to their SCR (eSCR)

A Herefordshire and Worcestershire wide campaign has been launched encouraging the public to consent to adding additional information to their Summary Care Records held on EMIS. Please make all staff aware that completed consent forms may be arriving by post or handed in at the reception. Patients may also request consent forms from your practice directly and an information leaflet is also available. Hardcopies are currently being printed and sent out to all practices. Once requested, additional Information can be added to a patients record by simply ticking the SCR additional information consent box on their record.


eSCR Protocol now available

An eSCR (Summary Care Record with Additional Information) protocol is now available for all practices here. Once installed, with ‘triggers’ set up, this protocol will create a pop up prompt in the yellow box to encourage clinical staff to ask targeted patients if they would like to add additional information to their Summary Care Record. For it to run practices will need to set up ‘triggers’ a quick guide for how to set these up is available here.

The protocol identifies patients who would benefit most including patients living with frailty, long term conditions, dementia or learning disabilities. Adding additional information to your patients records has all sorts of benefits for your practice and the wider system including:

  • Reducing the number of telephone calls to GP surgeries asking for patient information
  • Reducing GP appointments following Out of Hours phone consultations
  • Enabling increased patient care and appropriate treatment to temporary residents and those patients who require immediate registration
  • Fulfils GMS contract to promote the inclusion of additional information in the SCRs of those with severe frailty


Patients can either consent face to face in their appointment or can be giving a consent form and printed leaflet, via the protocol, that the patient can read, sign and hand in at the reception in their own time.




General Practice Nurse Engagement Evening  

Join us for a brilliant evening of networking and discussions on various GPN related topics, including:

  • Celebrating Achievements
  • GPN retention and recruitment
  • GPN strategy
  • An update on the GPN 10 Point Plan

Tuesday 3rd December 2019 / 18:30 - 21:15

The Bank House Hotel, Bransford, Worcester, WR6 5JD

Find out more.




Worcestershire Medico-Legal Society  

What is a disability? Is that a legal, medical or political question?’

Mr Stephen Hurley, Senior Lecturer in Employment and Equality Law, School of Law, University of Worcester
Tuesday 19th November 2019 at 19:30
The Courtroom, School of Law, Jenny Lind Building, Farrier Street, Worcester, WR1 3BZ
Tea/coffee, biscuits and fruit available

For any further information, please contact Dr. Lesley Ann Smallman: lasmallman@btinternet.com

Non-members: Professionals - £10; UOW students - FREE



"You Only Know What You Know - Making a Difference" - Domestic Abuse Training  

The CCG and Worcestershire Acute Hospital NHS Trust are pleased to announce some innovative and impactive training around domestic abuse as part of the International White Ribbon Campaign to ensure that professionals feel empowered and informed to identify and support victims suffering abuse.

This interactive and thought-provoking day seeks to develop professional’s knowledge around the devastating impact of domestic abuse on adults and children. It will challenge the myths and stereotypes around abuse. Including Two Survivors sharing their powerful stories.

10:00 - 16:00 Monday 25th November
Charles Hastings Education Centre
Worcester Royal Hospital
WR5 1DD

To Book a FREE place please contact kaia.harris1@nhs.net.



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. 

Primary Care Networks Update

Don’t forget to check out the PCN weekly update which will be uploaded every Friday on to the Clinical Director portal on Teamnet. This will include latest PCN developments locally, nationally and sharing updates such as podcasts. Please log on to Teamnet and visit the page on the STP portal (you can also find under Useful Links).