The Practice Bulletin
The CCG sends a regular bulletin of useful updates and information to all practice colleagues.
Archived editions of the Practice Bulletin from the past year can be found below. For editions older than a year, please contact us.
If you have any questions about the Bulletin, please contact the Bulletin team.
Back to Primary Care
Primary Care Bulletin 12 December 2018
For Action/Support to Practices
Easing winter pressures on practices and other parts of the NHS
As you are aware the pressures on the NHS increase dramatically over the winter and holiday period and we have compiled a list below of suggestions/actions you may wish to consider to ease the burden on practices and other parts of the NHS.
- Consider undertaking a ward round, or telephone round of nursing/care homes on Christmas Eve
- Ensure you invite everyone who is eligible for flu vaccination to the surgery – consider the use of iPLATO/other messaging to target at risk groups
- Consider vulnerable patients at your practice and whether there is anything that the practice can do to prevent the possibility of an admission. This might include a home visit just before
- Christmas and/or checking patient’s rescue packs. (Patients receiving palliative care, with COPD, or end stage heart failure/cancer might benefit from this approach)
- Print a reminder at the top of prescriptions to order repeat prescriptions in time before the holidays
- Prescriptions could also carry a message saying how to access out of hours GPs by calling 111
- Use iPLATO or other messaging to remind patients about ordering repeat prescriptions before the holidays
- Display posters in the surgery/on TV screens advising patients to order repeat prescriptions before the holidays (national posters are being sent to practices on an Alliance wide basis)
- Publicise the Improved Access service
- Messages about keeping well over winter
Capacity Alerts on NHS e-Referral
As you are aware, Brighton and Sussex University Hospital NHS Trust (BSUH) has capacity constraints in certain specialties, which have created a backlog of patients on waiting lists.
NHS England have created a tool within the NHS e-Referral Service (e-RS) to help referrers identify which specialties are under the most pressure and, identify nearby alternative providers where patients can be seen and treated more quickly.
BSUH have been working closely with the Central Sussex and East Surrey Commissioning Alliance on this initiative and have identified general gynaecology and urogynaecology as the services that red capacity will be applied to.
To apply a red capacity alert to a service, an alternative provider with available and appropriate capacity at reasonable travel distance must also be available via e-RS. Surrey and Sussex Healthcare NHS Trust (SaSH) have been identified as an alternative ‘green’ provider for both general gynaecology and urogynaecology.
The use of capacity alerts in e-RS will allow you to have a choice conversation with the patient based on current wait/treatment times and the travel distance. It is important that patients are aware that once they have attended their first appointment, subsequent follow-up appointments and tests will also be arranged by/at that hospital. This will ensure that patients are able to make an informed decision about where they receive their care and treatment.
Please note that capacity alerts will be going live on e-RS on 18 December 2018.
If you have any questions about this initiative or, would like to provide us with feedback please contact Katherine.email@example.com
Salmonella Paratyphi B in Fairlight Primary School, Brighton
Please find attached a letter from Public Health England following Salmonella Paratyphi B in Fairlight Primary School, Brighton.
The administration of Salbutamol in general practice
Please follow the link for two new PGDs for the administration of Salbutamol and Nebulised Salbutomol in general practice.
Apprentices in Primary Care Information Pack
The Apprenticeships in Primary Care Information Pack outlines the benefits of apprenticeship qualifications in primary care support roles and showcases the impact of apprentices within the work environment. There are a broad range of profiles covering medical administration, business administration, customer service, healthcare and team leading. https://www.gp.brightonandhoveccg.nhs.uk/primary-care/workforce-resources-gp-practices
Webinar on the wider use of DiADeM Tool
As you are aware, a national webinar is being run by Yorkshire & Humber Clinical Network on the wider use of DiADeM Tool.
This will be held on Wednesday 19th December 2018, 12.00pm to 1.30pm.
Yorkshire & Humber Clinical Network has had several approaches requesting that they explore the potential to widen the use of the DiADeM tool. Originally the tool was developed for use in care home settings only and to date that is how it has been used. An initial teleconference was held on 7th November with the originators of the tool involved and colleagues from YH Clinical Network, London Clinical Network and South East clinical network. The discussion was very positive and a number of pros and cons were discussed and noted. It was agreed on that call to gather wider feedback and one suggestion was to organise a webinar in order to reach a wider audience and gather more feedback/ideas/suggestions before making any decisions about widening the use of the tool.
If you would like to join in the discussion/debate please do – we will run this as a webinar and share a few slides to begin with, and then open up a discussion.
Joining details for the webinar:
Participant passcode = 86151202
You will also be able to join by telephone:
0800 917 1950
Passcode = 8615 1202 followed by the #
For more information contact:
Quality Improvement Lead (Dementia and Older People’s Mental Health)
Changes to gluten-free products available on prescription
Following the recent Department of Health and Social Care consultation on gluten-free prescribing, the products available on prescription have changed. These changes come into effect from 1/12/18. The local prescribing guidelines and joint formulary have been updated. The updated prescribing guideline is available here: Gluten free prescribing guideline Nov 2018
CCG pharmacy technicians are working with GP practices to identify patients currently being prescribed gluten-free products and update their prescriptions. Please find the GP guidance outlining this process attached.
Annual GP Practice Contract Visits
The CCG will soon introduce Annual GP Practice Contract Visits for its local practices. These visits already take place in High Weald, Lewes and Havens CCG and replicating these in Brighton and Hove is part of a drive to harmonise processes across the Alliance.
These visits will help us:
- Ensure that GMS contract requirements are being met
- Confirm the CCG is holding correct information on the practice
- Provide an opportunity to offer on-site support
- Listen and help us better understand the challenges facing colleagues in general practice
These visits are expected to take around an hour, and the CCG will supply a pro-forma, pre-populated with information about the practices to minimise any paperwork burden on practice staff. It is expected that the practice manager and at least one partner would be in attendance during these meetings. The visits will take place one per year for all our local GP practices.
Practices will be contacted by letter in advance to arrange these contract visits.
MMR Catch Up in Primary Care
All GP practices have been sent an MMR LES Sign Up sheet from NHSE for the MMR catch up programme commissioned by NHSE England. We would urge all practices to identify their unvaccinated or partially vaccinated cohort and invite them for their MMR vaccination as we still seeing cases of measles and it is imperative for children and young adults to be receive 2 doses of the MMR vaccine to be adequately protected. There is no upper age limit to offering MMR vaccine and practices should maximise opportunities to ensure patients who are not protected are fully vaccinated.
Sexual health needs survey
The Social Marketing Gateway (SMG) has been commissioned by East Sussex County Council to conduct research to understand the sexual health needs, gaps, assets and priorities of four targeted communities in East Sussex. The targeted communities involved are:
- Men and women aged over 50
- Under-18-year-old conceptions
- Men who identify as gay
- Behaviourally bisexual men
Please take time to complete the suvery on the link provided, as your views are key, as you are working with these groups on a daily basis: https://www.smartsurvey.co.uk/s/EastSussexSH/.
Sussex University Crowborough War Memorial Hospital - 24 Hour ECG GP Referrals
Please note that the fax system of referrals for 24 hour ECGs to Crowborough has been phased out to meet information governance requirements.
Please arrange for new referrals to be sent via the dedicated email address: firstname.lastname@example.org
If you have any questions please contact:
East Sussex Healthcare NHS
Out patients Sister
Crowborough War Memorial Hospital
01892-652284 Ext 226239
Step Up Bed Admissions
To support practices in making referrals for step up admissions to intermediate care beds in HWLH, the attached guidance note has been produced by SCFT. The note contains inclusion and exclusion criteria, along with contact details for wards and escalation.
Carer Awareness Training
Care for the Carers are providing a programme of free Carer Awareness Training as part of our Building Carer Friendly Communities initiative:
- Monday 7th January 2019 1.30pm – 4.00pm
- 25a Boardroom, HWLH CCG, 36-38 Friars Walk, Lewes. BN7 2PB
More details attached.
Workforce Return to be completed - deadline 31/12/2018
Please use the role descriptors guide when completing the next workforce return (attached).
The data you input into the workforce Minimum Data Set (wMDS) helps the CCG to secure funding so that you can upskill your workforce (e.g. Apprenticeships for HCAs, Advanced Nurse Practitioner courses, and backfill). It is also reviewed by NHS England to highlight your workforce challenges, influencing their decisions on allocating workforce funding.
Please help us to improve the quality and accuracy of this data by using the role description guide to ensure role titles are interpreted and recorded in a standardised way across all our practices. This guide is also being used by other practices across Sussex.
When using the KSS GP Tool we would be grateful if you can agree to share your data with the CCG so we can provide useful reports to you, to inform your workforce planning discussions at cluster level and city-wide.
Deadline for the next workforce return is: 31st December 2018.
Any queries please contact: email@example.com
Winter messaging Powerpoint for GP screens
Please find attached a Powerpoint for GP screens with winter messaging – including promoting NHS111 and Pharmacies.
Training and Development
GP Educational Evening Events
The clinical programme for GPs is currently being planned for remainder of 2018 and all of 2019. To include topics such as Community Geriatrics, Woman’s Health and Menopause, Respiratory update, Palliative care, Chronic pain, Opthamology, Headaches, Community Paediatrics, Renal Update and Back pain.
A reminder that you can also access guidance, specifications, forms, templates, links and contact details all from the HWLH CCG Intranet Primary Care area The nursing training grid, details of our PM and PN Forums, and GP education evening eventscan all also easily available here. This is available to all CCG practice staff and can be found by clicking on Primary Care on the top of the front page of the intranet.To be added or add a colleague to this mailing list, or for more information, please contact firstname.lastname@example.org .