General Practice Bulletin Issue 195 – 19 May 2022

General Practice Bulletin Issue 195 – 19 May 2022

For official purposes only     

In today’s briefing:   

Updates 

  • Primary Care Bulletin

Clinical hot topics and service updates 

  • CAS alert - Monkeypox Virus
  • UKHSA Briefing Note - Identification Poliovirus (PV2)
  • Covid Vaccination Allergy Clinics
  • Learning Disability and Consent for Covid Vaccinations
  • Covid Vaccination Fact Cards
  • Local Pharmacy Opening Times during June Bank Holiday
  • NHS Remote Monitoring Service Offers Support for People with Dementia
  • BSPS- Booking of Blood Tests
  • Frimley ICS Referral Management e-RS and DXS Forum 24.05.2022
  • Frimley Health EPIC Patient Record Launch
  • INR Sample Acceptance Criteria Frimley North Only
  • BSPS Important configuration change-Information and guidance for Berkshire and Bucks GPs
  • BSPS - Important configuration change- Radiology Link – Information and Guidance for Frimley Facing GPs
  • Thames Valley Hospice Update
  • Raising Awareness of the Importance of Good Health Pre-surgery 

Operational

  • Primary Medical Care – Policy and Guidance Manual (PGM) (V4) and Summary of Changes Document

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     

Updates 

NHSE Primary Care Bulletin – 12 May 2002 Click here.

 

Clinical hot topics and service updates  

 

CAS alert - Monkeypox Virus

Please see link to the latest CAS alert in relation to the monkeypox virus- apologies if you have received via other routes  CAS-ViewAlert (mhra.gov.uk)

Click here to view the letter.
This safety message contains immediate actions for the NHS following seven confirmed cases of monkeypox virus. The actions are:

  1. Providers to ensure that they have appropriate PPE for the assessment and treatment of patients presenting with possible monkeypox virus. 
  2. Services should consider a differential diagnosis of monkeypox virus in any patient who meets the possible case definition in the attachment.
  3. Inform local IPC teams and infectious disease/microbiology/virology consultants if a diagnosis of monkeypox virus is being considered so that appropriate testing and infection control measures can be implemented.

UKHSA Briefing Note – Identification Poliovirus (PV2)

Genetically-related PV2 isolates have been identified in three sewage samples collected from London Beckton over a period of 77 days, which is a concern and has prompted the need to investigate if any level of indigenous poliovirus transmission is occurring. Please see attached for further guidance: Identification of PV2

COVID Vaccination Allergy Clinics

A reminder that we have an agreed pathway for GPs to refer patients whom they think need a COVID vaccination in a hospital setting due to allergies.

This enables GPs to refer candidate patients to FHFT Immunology for triage, and if the decision is that they need the allergy clinic, the referral is sent on by Immunology to East Berkshire Primary Care Out of Hours (EBPC), who run the clinics at Wexham Park Hospital.

EBPC will then contact the patient to offer them a date. Please be aware that the hospital-based allergy clinics only run periodically (usually once a month depending on demand) so the earlier the referral is made the better, to ensure that patients approved for the service via triage get a timely vaccination. Patients should be reminded that if they are accepted for these clinics, they should prioritise the date offered due to the relative infrequency of the clinic sessions.

The next scheduled clinic will be on 28th May 2022 at Wexham Park Hospital.  Please see attached referral: Referral Form and Clinic flow chart

Learning Disability & Consent for Covid Vaccinations

There is an evergreen offer for people with a learning disability and/or autism to receive any of the first 3 doses of the COVID vaccination that have not yet been received. For those who lack capacity to make a decision around receipt of the vaccinations, professionals are advised to make use of the Mental Capacity Act and Best Interest approach to support decision making on an individual basis.

There have been a number of cases where vaccination agreement could not be reached by the family and these cases have resulted in a Court of Protection decision.

Whilst on occasion this may be an appropriate course of action, the Court of Protection processes are only required where an agreement around treatment (vaccination) cannot be reached in a person’s best interest. In all other cases a Best Interest decision can be reached and followed.

NHS England and NHS Improvement Safeguarding Team London Region have produced a flow chart which can be used and shared with colleagues.

Additional information can be found here: Consent within the Vaccination Process and Mental Capacity Act

COVID-19 Vaccine Fact Cards

Fact cards featuring trusted health experts addressing common topics of concern about COVID-19 vaccines are available to support the promotion of vaccination and engagement with Black African and Black African Caribbean communities. Download the vaccination fact pack on the COVID-19 Vaccine Equalities Connect and Exchange Hub on FutureNHS, or email This email address is being protected from spambots. You need JavaScript enabled to view it..

Local pharmacy opening times during June Bank Holiday – 2 and 3 June

Details of local pharmacy opening times can be found here.

There is also an interactive map you can share directly with your patients, click here.

In next week’s bulletin we will share a communications toolkit for practices to use for the long weekend.

NHS Remote Monitoring Service Offers Support for People with Dementia

An NHS service that uses award-winning technology to remotely monitor the health of people with dementia and their carers is now available across North East Hampshire and Farnham and East Berkshire.

The free of charge TIHM (Technology Integrated Health Management) Monitoring Service, which currently supports 500 people and their carers in Surrey is being offered by local NHS provider, Surrey and Borders Partnership NHS Foundation Trust, smart home monitoring provider, Howz Partnership and Frimley Health and Care Integrated Care System.

GPs can invite eligible people to use the service by sending them a template letter/email and information leaflet.

For North East Hampshire and Farnham patient letter click here.

For East Berkshire patient letter click here.

The leaflet can be shared with patients across North East Hampshire and Farnham and East Berkshire, click here.

Professionals can also make referrals to the service via the service website www.sabp.nhs.uk/tihm here more information can also be found about the service.

BSPS- Booking of Blood Tests

We have recently seen patients coming for a blood test without an appointment.  A reminder to all that the phlebotomy services at below sites is via appointment only and not a walk-in service.  Please remind all patients that they must book online: https://www.fhft.nhs.uk/bloodtestbooking. GP Letter - Bloods

Frimley ICS Referral Management e-RS and DXS Forum - 24.05.2022

Back due to popular demand, please see below details for the next referral management/admin session for all GP practices across the Frimley ICS. Please see attached below for the agenda showing the topics that will be covered along with time allocated for a general Q&A session.  Invites have been sent out to everyone that attended in November 2021 however, can you please let all of your teams know that you feel may benefit from this session.

Date 24.05.2022

Time:  13:30 am to 14:30 Duration: 1 hour

Virtual/Online via Microsoft Teams

Facilitators: CSU Trainers, FHFT Acute Staff (e-RS Manager and Primary Care Engagement), CCG Referral Management Lead

If you have not received an invite and would like one, please e-mail This email address is being protected from spambots. You need JavaScript enabled to view it.  For more information: Frimley ICS referral - Management and DXS

Frimley Health EPIC Patient Record Launch

REMINDER - Frimley Health Epic Electronic Patient Record launches 11 June 2022. It is time to request your EpicCare Link account- PLEASE REGISTER BY THE 20 MAY FOR A LOG IN FOR GO LIVE!

EpicCare Link is our new and secure online portal giving GPs real-time clinical information about patients they have referred to Frimley Health. Its introduction is part of the launch of Epic EPR, our new electronic patient record system. GPs can use EpicCare Link to drill into clinical visits that occur at the Trust to view discharge summaries, medication changes, notes, results and more.

To request an account, visit the Frimley Health GP Centre webpage and read our signing up instructions and PDF guide to getting started: Epic EPR at Frimley Health | NHS Frimley Health Foundation Trust (fhft.nhs.uk) please see attached for more information: EPIC

INR Sample Acceptance Criteria – Frimley North Only

GP practices of FRIMLEY NORTH (Wexham Park facing GPs) RE: INR sample acceptance and test requesting pathway.

Following recent incidents, we would like to remind our teams of the acceptance criteria for INR samples and the test requesting pathway, please attached for more details: INR Sample Acceptance

BSPS Important configuration change-Information and guidance for Berkshire and Bucks GPs

Please see the instructions for a simple configuration change to be made in your EMIS system.

This change will need to be completed before June 10, 2022.

If you experience any issues with this, then send a mail to This email address is being protected from spambots. You need JavaScript enabled to view it. with a direct telephone number and we will get straight back to you and assist.

This is to enable the new EPIC Radiant Radiology system in the Trust to send reports back to you.

BSPS - Important configuration change- Radiology Link – Information and Guidance for - Frimley Facing GPs

Please See the instructions attached for a simple configuration change to be made in your EMIS system.

This change will need to be completed before June 10 2022.

If you experience any issues with this, then send a mail to This email address is being protected from spambots. You need JavaScript enabled to view it. with a direct telephone number and we will get straight back to you and assist.

This is to enable the new EPIC Radiant Radiology system in the Trust to send reports back to you.

Could you also check that you can connect to the Wexham ICE system using the below links in your internet browser please (check this as soon as possible as we may have to adjust our Trust firewall) https://ice.hwph-tr.nhs.uk/icedesktop/

Thames Valley Hospice Update

Due to exceptionally high demand, Thames Hospice is not able to offer respite care on its Inpatient Unit for the foreseeable future. GP Comms update

Raising Awareness of the Importance of Good Health Pre-surgery 

Following a recent pilot in NEHF,  we’re now asking all GP practices across the Frimley Integrated Health and Care system to use AccuRx text messages to direct any of their patients waiting for surgery to a web page on the Frimley Health and Care ICS website: Preparing for treatment | Frimley Health and Care 

With this site we will be encouraging all those waiting to do what they can to improve their health and wellbeing ahead of their operation, in order to give themselves the best chance of a swift and successful recovery. The earlier people start working to improve their health the better, so we are keen to get the message out to people as soon as possible. 

It is important for patients to understand that a) there is support available, and b) that while they may need medical intervention for a particular issue, for most people their health and wellbeing is still very much in their hands.  

Practices will be sent patient lists and all supporting information (including a set of FAQs) via email.

 

Operational

Primary Medical Care – Policy and Guidance Manual (PGM) (V4) and Summary of Changes Document

Click for: B1420 PCM Policy and Guidance Manual and B1420 PMC - changes

 

Updates and Training

GP Vacancy – North Hampshire Urgent Care

Please see attached for further information:

GP Advert

NHUC

Vacancy - Post Covid GPwSI

Please see link for more information:

https://careers.fhft.nhs.uk/our-vacancies/#!/job/v4138531

Introduction to Flash Glucose Monitoring

When: Tuesday, July 5, 2022

Where: Tuesday 17 May 2022 - fully booked

Timing: Registration 8.50am | Start 9.30am | Close 1.00pm

Public Sector Price: Free to attend for NHS professionals. Cancel your place at any time with no charge. Failure to attend without written cancellation will result in £100 charge.

Please see link for more information: Diabetes - Introduction to Flash Glucose Monitoring (diabetes-nnf.co.uk)

South East Personalised Care Collaborative

The Network Contract DES Specification provides reimbursement for three personalised care roles based in PCNs:– Social Prescribing Link Worker (SPLW), Health & Wellbeing Coach (HWBc) and Care Coordinator (CC). These roles are intended to become an integral part of the core general practice embedding personalised care within PCNs and supporting all professionals to take a personalised approach, promoting equalities, and reducing health inequalities through a more targeted approach. For more information and joining instructions please see attached: South East Care Collaborative

Young Carers Champion Training - Tues 21 June 9.45 - 3pm

Maidenhead Project Centre, Reform Road, SL6 8BY

Become a Young Carers Champion within your workplace and join 25 other services and education providers who have trained for this scheme in RBWM. This course, written in partnership by the Department for Health and Social Care and Carers Trust, is for professionals working in Children or Adult services in Healthcare, Education, Statutory Services and Community Support Agencies. We recommend that services nominate up to 2 members of their team to become Young Carer Champions to attend this training. Please see attached for more information: Train the Trainer

Thames Valley Hospice – Clinical Colleagues Rendezvous

21 June 6pm – 8pm. CEO presentation and facilities tour – see attached: TVH flyer

National Centre for Domestic Violence Training Opportunity

The National Centre for Domestic Violence (NCDV) is a Community Interest Company offering an emergency injunction service to survivors of domestic abuse and violence regardless of financial circumstances, race, gender, and sexual orientation: NCDV Training Flyer

Training Opportunity around Self Harm and Suicide Prevention

We have lots of course dates upcoming with training delivered by Harmless, the Centre for Excellence for Self-Harm and Suicide Prevention. All information on what courses are available to you is below and attached. For bookings, you can contact Wafaa Nawaz (This email address is being protected from spambots. You need JavaScript enabled to view it.).  To work out which course is best suited to you, please read the audience criteria below.

Level 2 Self Harm/Suicide Prevention training: relevant for any/all staff working in non-acute roles with those who are self-harming or at risk of self-harm/suicide Dates available are in the attachment labelled “Level 2 Self Harm 2022” Level 2 is recommended for GP’s and Primary Care staff.  Level 2

Level 3 Self Harm/Suicide Prevention training: relevant for staff working primarily in inpatient/acute settings, and those working more specifically with people who do self-harm and/or are in suicidal crisis. Dates available are in the attachment labelled “Level 3 Self Harm 2022”. Level 3

CVD webinars - Two events @ 1 June and 8 June @ 7pm

CVD education opportunities - the CardioMetabology team are running two training events in the management of Chronic Kidney Disease and Hypertension optimisation.

The CardioMetabology team are running a further two events:

1) The modern management of Chronic Kidney Disease    

2) Hypertension optimisation and management in primary care

Please see attached for more information: CKD Training

CDOP – Child Death Overview Panel Newsletter – Safeguarding

Please see attached: Newsletter

Please would you provide your content for the GP Bulletin in the following format:  

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Please note that all GP Bulletins can be found here. 

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

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General Practice Bulletin Issue 194 – 12 May 2022

General Practice Bulletin Issue 194 – 12 May 2022

For official purposes only      

In today’s briefing:    

Updates  

  • Primary Care Bulletin 
  • IPC bulletin for General Practice staff 

 

Clinical hot topics and service updates  

  • HRT availability 
  • Guidance for pregnant frontline workers – RCM 
  • FHFT - Request: refer any urgent USS Dopplers to exclude a DVT, to our Ambulatory Emergency Care Unit (AECU) and not direct to USS 
  • Frimley Health Epic Electronic Patient Record launches 11 June 2022 – please register 
  • New GP referral form for the NHS Digital Weight Management Programme 
  • Learning Disability ‘My Care Passports’ 
  • Surrey Heath only – Coronavirus vaccination minivan timetable 

 

Operational 

  • Reminder: patients do not need proof of address or identification to register in general practice    
  • Become an Active Practice 
  • Kickstart Your Health Survey: Primary Care responses requested – RBWM Only 

 

Updates & Training 

  • Becoming a UK visa sponsoring practice – webinar 
  • Emotional Health & Wellbeing Webinar and Resources Programme Offer - East Berkshire   

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      


Updates  

NHSE Primary Care Bulletin – 5 May 2022 Click here

IPC bulletin for General Practice staff – April 2022. Click here to view.  


Clinical hot topics and service updates   

HRT availability  

There have been some enquiries about the availability of HRT products locally. Due to the reported national shortage, it may be difficult to obtain some formulary HRT products and so alternatives may need to be used instead. 

The British Menopause Society (BMS) has produced a document providing information regarding equivalent HRT preparations, which may be useful for supply issues. Click here to view.  

 

Guidance for pregnant frontline workers - RCM 

Click here for guidance for pregnant frontline workers. 

 

FHFT - Request: refer any urgent USS Dopplers to exclude a DVT, to our Ambulatory Emergency Care Unit (AECU) and not direct to USS 

Please be reminded that any patients requiring urgent USS Dopplers to exclude a DVT, should be referred via our Ambulatory Emergency Care Unit (AECU) service for assessment and exclusion of DVT, and not via a direct request to our Ultrasound department.  

To refer to AECU, or any of our SDEC service, please find the phone numbers and inclusion / exclusion criteria within the following link https://www.fhft.nhs.uk/gps/gp-centre/sdec-including-ambulatory-care/ (or via the Urgent & Emergency Care page on DXS).  

Click here for extract for WPH AECU details.  

 

Frimley Health Epic Electronic Patient Record launches 11 June 2022 – please register 

Sign up here, to get your Log in for your EpicCare Link account. EpicCare Link is a new and secure online portal giving GPs real-time clinical information about patients they have referred to Frimley Health.  

GP Practices that register an interest by Friday 20 May will receive their account login on Saturday 11 June. Requests received after 20 May will be actioned after 11 June and could take a little while to process, so we recommend registering early to take advantage of this great new system as soon as it’s available.  

To request an account, visit the Frimley Health GP Centre webpage and read our signing up instructions and PDF guide to getting started: Epic EPR at Frimley Health | NHS Frimley Health Foundation Trust (fhft.nhs.uk).

 

New GP referral form for the NHS Digital Weight Management Programme 

A new version of the referral template is available on DXS. The new form will improve the referral process by:   

  • Ensuring more of the patient’s information auto-populates;  
  • Simplified layout and  
  • Clearer instructions on the form for inputting information  

To find the new service on e-RS, the name and search has changed. You must now search using ST4 4LX postcode to find the service “NHS Digital Weight Management Programme –NHS England Version 2”. Click here for more information. 

 

Learning Disability ‘My Care Passports’ 

It is important that people with LD have an up to date care passport to reduce adverse health outcomes. The care passports are also a part of the annual health check process. The preferred template can be found here (and edited online): https://www.fhft.nhs.uk/media/5087/my-care-passport.pdf  

 

Surrey Heath only – Coronavirus vaccination minivan timetable 

Click here to view the timetable and share via your channels.  


Operational  

Reminder: patients do not need proof of address or identification to register in general practice    

There are still some misunderstandings that documents have to be produced to register with a GP practice e.g. requesting to see photographic ID, such as a bus pass, driving licence or passport, and/or proof of address. 

This is not the case, practices are encouraged to consider how their registration process is accessible to all. Click here to view a toolkit, produced by the Doctors of the World, which advises on how general practices can take steps to improve access to their services.  

 

Become an Active Practice 

Recent draft NICE guidelines recommending physical activity for osteoarthritis reminds us that promoting movement in primary care matters. When we walk the walk as well as talk the talk, we support our own health and inspire patients to make positive changes themselves. Join a network of surgeries proud to call themselves Active Practices by signing up to the RCGP Active Practice Charter – a simple way to improve wellbeing for staff and patients. The physical activity hub has everything you need to join in.  

 

Kickstart Your Health Survey: Primary Care responses requested – RBWM Only 

The RBWM Public Health Team are inviting responses to this short survey for health professionals. The aim of the survey is to understand how we can better help people to improve their health. Findings will inform the design of local services supporting people to quit smoking, lower alcohol intake, improve diet and take more exercise.  

Complete the survey using this link: https://rbwmtogether.rbwm.gov.uk/healthy-behaviours-survey. The survey remains open until midnight on 31 May 2022.  


Updates & Training 


If your practice is due to employ any newly qualified GPs this year you may need to consider applying to become a UK visa sponsoring practice. Almost half of GPs completing their training this year are international medical graduates.  

The visa sponsorship process is straightforward and can be completed online. To support practices considering visa sponsorship, we are running an hour-long webinar about the process at 6pm on Monday 23 May which includes first-hand experience of the process from a practice manager. 

 

Emotional Health & Wellbeing Webinar and Resources Programme Offer - East Berkshire   

Throughout May and June, as part of the CAMHS offer for early intervention there will be a number of resources and webinars as part of the Summer Programme 2022 for education settings and wider partners in East Berkshire including the primary care.  

The themes are: ADHD, Attachment, The Healthy Child Programme & Zones of Emotional Regulation. 

Click here for more.  

 

Please would you provide your content for the GP Bulletin in the following format:   

  • A heading for your submission  
  • A brief overview of the content ie; 1-2 lines description  
  • Provide your content in an attachment – pdf or word  

Many thanks in advance 

Please note that all GP Bulletins can be found here.  

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.       

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.  

General Practice Bulletin Issue 193 – 5 May 2022

General Practice Bulletin Issue 193 – 5 May 2022

 For official purposes only     

 

In today’s briefing:   

Updates 

  • Primary Care Bulletin

 

Clinical hot topics and service updates 

  • UKHSA - New VZV prophylaxis guidance
  • Deaths from COVID19 reviewed as part of the National LeDeR Programme
  • Paediatric Services North & South NHS e-Referrals- Speciality Change
  • Update- New Maternity Advice Line for HCPs
  • May Measurement Month – support the campaign
  • Surgery Fit Walks for Health
  • Learning Difficulty or Learning Disability? RBWM Only

 

Operational

  • Minor Improvement Grant (MIG) Scheme 2022/23
  • Innovation Project – RBWM Only

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

NHSE Primary Care Bulletin - 28 April 2022 Click here.


Clinical hot topics and service updates  

UKHSA - New VZV Prophylaxis Guidance

Message from Dr Matthew Donati:  I am keen to ensure colleagues are aware of the recent publication of new chickenpox prophylaxis guidance – please see link for further information.

https://www.gov.uk/government/publications/post-exposure-prophylaxis-for-chickenpox-and-shingles

 

Deaths from COVID19 reviewed as part of the National LeDeR Programme

A review of 50 deaths conducted by the University of Bristol – cases from the earlier part of the pandemic: Summary of findings 50 LeDeR reviews of deaths related to COVID19.pdf (bristol.ac.uk)

 

Paediatric Services North & South NHS e-Referrals- Speciality Change

Speciality Changes for FHFT Paediatric Services NHS eRS from the 10/05/2022

We are writing to inform you that from the 10/05/2022 the below Services Speciality will change from Children & Adolescent Services to the relevant Specialty please see below changes. You will need to be mindful of this when searching on eRS ensure that the main specialty is chosen rather than Children & Adolescents.

The services can be accessed by selecting the relevant speciality and service below on eRS.

Please ensure you are referring to the correct eRS service and have checked the eRS Directory of Services (DoS). Please see attached for more information: Paediatric Services

 

Update - New Maternity Advice Line for HCPs

This is an update on previous launch information. Just to confirm – we are now live with MAMAS line at Wexham Park.

HCPS to contact the new phone line with any maternity related queries they have (regardless of location). If you could also cascade the information that women and families under the care of Wexham Park can call 0300 013 2004 to speak to a trained midwife 24/7 about any concerns they have about their pregnancy, recent birth, or newborn baby.

We are expecting the MAMAS service at Frimley Park to go live within the next 3 weeks for which a further update will be communicated. Please see attached external facing social graphics and posters that can be used/ displayed by partners if they wish. Poster and Mamas line graphic.

 

May Measurement Month – support the campaign

Throughout the month of May across Frimley ICS we will be supporting May Measurement Month, an international campaign around the dangers of hypertension (high blood pressure).

Helping people to tackle the hidden danger of high blood pressure is part of Frimley Health and Care’s ‘Living Well’ ambition, which is a programme aimed at supporting all people to have the opportunity to live healthier lives, no matter where they live or what their circumstances are. The ambition is for everyone to have more years of healthy life, with more opportunities in education, work, accommodation, with healthier lifestyle choices and increased wellbeing.

We have developed a number of resources to support this campaign, including:

  • three new videos of Dr Nithya Nanda (Clinical lead for CVD and Diabetes across Frimley ICS) discussing the importance of knowing your numbers, how to take your blood pressure at home and how lifestyle changes can help lower blood pressure
  • a press release
  • newsletter and website copy
  • social media messages and assets to support
  • updated the blood pressure page on the ICS website which is a useful page housing all relevant information

The campaign materials are available to download from the Resources page on the Frimley ICS website.

 

Surgery Fit Walks for Health

Surgery Fit Walks for Health is a brand new pilot guided walks series. Led by Surrey Heath health and wellbeing experts, it will help improve your health and fitness and provide useful and practical information sessions and topics including nutrition, exercise and stopping smoking. Please see flyer for further information: Surgery Fit Walks

 

Learning difficulty or learning disability? RBWM Only

The LD registers are due to be updated in the near future. The terms ‘learning difficulty’ and ‘learning disability (LD)’ cannot be used interchangeably. A learning disability is:

‘A significantly reduced ability to understand new or complex information, to learn new skills (significantly impaired intelligence/IQ)

AND A reduced ability to cope independently, (impaired social / adaptive functioning)

AND Which started before adulthood (onset before aged 18) with a lasting effect on development.’

Specific learning difficulties such as dyslexia and neurodevelopmental disabilities (e.g. autism or ADHD) are not learning disabilities in their own right, although they are often co-morbid. Learning disabilities can be ‘mild’ and are still considered learning disabilities if they meet the definition above.

For more information, please go to: https://www.mencap.org.uk/learning-disability-explained

 


Operational

Minor Improvement Grant (MIG) Scheme 2022/23

This is a reminder that the deadline for Minor Improvement Grant applications is 13th May. The application form will have been sent to you by your Primary Care Lead.

The CCG Board will review all schemes submitted and prioritise those that support PCN and ARRs roles.

If you require any further information, or would like to discuss eligibility criteria, please contact Kath Calnan This email address is being protected from spambots. You need JavaScript enabled to view it.  or your Primary Care Lead.

 

Innovation Project – RBWM Only

RBWM are delighted to promote an exciting local innovation project to bring together RBWM communities and partners.  The project is open to individuals or groups of any age, who live or work in the RBWM, to look at how to improve health and wellness within the community.  All ideas will be looked at no matter how big or small. One-off funding (maximum of up to £5,000 per idea) will be provided to kick start initiatives and ideas must focus on one of the 4 areas below in line with the RBWM Health and Wellbeing Strategy 2021-2025.

  • Improving access to services to better people’s health
  • Health prevention to reduce risk factors
  • Tackling social isolation and loneliness
  • Reducing mental or physical health inequalities

Successful applicants will be asked to provide a case study post funding to show how they have made a difference. Support will be provided with this. Ideas can be uploaded via the RBWM Together website Health & Wellness Ideas | RBWM Together or by popping them into a suggestion box at Maidenhead/Ascot/Windsor libraries who will provide lots of help. 

RBWM Community and Wellness Flyer

For more information contact Nicky Smith Transformation Manager – Population and Communities This email address is being protected from spambots. You need JavaScript enabled to view it.


Updates & Training

Forced Marriage Training

Please find attached details of a FREE Forced Marriage Unit training session at 10am on Wednesday 18th May 2022 open to all practitioners. Tickets are via Eventbrite. FMU Workshop flyer

 

Training Opportunity around Self Harm and Suicide Prevention

We have lots of course dates upcoming with training delivered by Harmless, the Centre for Excellence for Self-Harm and Suicide Prevention. All information on what courses are available to you is below and attached. For bookings, you can contact Wafaa Nawaz (This email address is being protected from spambots. You need JavaScript enabled to view it.).  To work out which course is best suited to you, please read the audience criteria below.

Level 2 Self Harm/Suicide Prevention training: relevant for any/all staff working in non-acute roles with those who are self-harming or at risk of self-harm/suicide Dates available are in the attachment labelled “Level 2 Self Harm 2022” Level 2 is recommended for GP’s and Primary Care staff.  Level 2

Level 3 Self Harm/Suicide Prevention training: relevant for staff working primarily in inpatient/acute settings, and those working more specifically with people who do self-harm and/or are in suicidal crisis. Dates available are in the attachment labelled “Level 3 Self Harm 2022”. Level 3


Please would you provide your content for the GP Bulletin in the following format:  

  • A heading for your submission 
  • A brief overview of the content ie; 1-2 lines description 
  • Provide your content in an attachment – pdf or word 

Many thanks in advance

 

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.

General Practice Bulletin Issue 192 – 28 April 2022

General Practice Bulletin Issue 192 – 28 April 2022

 For official purposes only     

In today’s briefing:   

Updates 

  • Primary Care Bulletin
  • IIUT GP Bulletin

Clinical hot topics and service updates 

  • Covid-19 Vaccination during the Perinatal Period and for Women of Child Bearing Age guide
  • Scarlet Fever and Chicken Pox Briefing Note
  • 111 – Know Where to Go
  • Frimley Health Epic Electronic Patient Record launch
  • Changes to End-of-Life Domiciliary Care – RBWM Only
  • Pathology consumables and New Website
  • Cardiovascular Disease (CVD) Toolkit

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

NHSE Primary Care Bulletin  21 April 2022 Click here.

  • NHS Cervical Screening Updates

 

IIUT GP Bulletin April 2022

  • Ukrainian Refugee Vaccination

Clinical hot topics and service updates  

COVID-19 vaccination during the perinatal period and for women of child-bearing age guide

Data continues to show variations in COVID-19 vaccination uptake among women of child-bearing age and during the perinatal period. Uptake is lowest among women in Black African, and Black African Caribbean, Bangladeshi and Pakistani communities, and those living in the country’s most deprived areas.

This guide produced by the COVID-19 Vaccination Programme Equalities team, aligns with our Core20PLUS5 approach to reducing healthcare inequalities and is aimed at helping staff to provide COVID-19 vaccination as part of a cross-system approach to ensure all mothers and babies receive safe, high-quality care and can be viewed in the attachment below.

Please see for further information: C-19 vaccination

 

Scarlet Fever and Chicken Pox Briefing Note

There has been an increase in scarlet fever notifications in line with the usual seasonal pattern, which has also been reflected in increases in weekly GP consultations. Scarlet fever notifications had been very low since March 2020, reflecting the impact of control measures to curb transmission of SARS-CoV-2. Link to full briefing document: Briefing note

 

111 - Know Where to Go

Bank holiday messaging – NHS 111 First

Thank you to all GP practices who updated their websites and phone systems over the Easter period with specific information about 111 online. As we are heading into another Bank Holiday, please could practices continue to feature these messages. As a reminder, the attached graphic can be added to sites, or the below wording can be used. 111 Know Where to Go  Thank you.

Web Copy

Please use www.111.nhs.uk/ if you have an urgent medical problem and your GP practice is closed. You will be supported to access the most appropriate healthcare for your needs. If you call NHS 111, please be patient.

Phone Message

NHS 111 can help if you have an urgent medical problem, you’re not sure what to do and your GP practice is closed. Visit www.111.nhs.uk and you will be supported to access the most appropriate care. If you call NHS 111, please be patient.

 

Frimley Health Epic Electronic Patient Record launches 11 June 2022 It's time to request your EpicCare Link account

EpicCare Link is our new and secure online portal giving GPs real-time clinical information about patients they have referred to Frimley Health. Its introduction is part of the launch of Epic EPR, our new electronic patient record system. GPs can use EpicCare Link to drill into clinical visits that occur at the Trust to view discharge summaries, medication changes, notes, results and more.

To request an account, visit the Frimley Health GP Centre webpage and read our signing up instructions and PDF guide to getting started: Epic EPR at Frimley Health | NHS Frimley Health Foundation Trust (fhft.nhs.uk) 

 

Changes to End-of-Life Domiciliary Care – RBWM Only

From May 3rd all End of Life Domiciliary care for RBWM will be provided by the Thames Care@ Home Team at Thames Hospice. Historically this was provided by our Short-Term Support & Reablement Team (STS&R) but this change will enable the focus on reablement.

Thames Care @ Home is a new domiciliary care service, providing compassionate support and personal care to local people who have a palliative diagnosis and need urgent help at home. With one-to-one personal attention, from perhaps a weekly visit and up to several visits a day, the care is built person centred by a team of highly skilled carers, who can support with:

  • Domestic help
  • Washing and dressing
  • Support with medication
  • Assistance with meals
  • Shopping
  • Companionship

To make a referral please email: This email address is being protected from spambots. You need JavaScript enabled to view it. or call on 01628560871. More information can be found here.

 

Pathology consumables and New Website

We have experienced disruption from many of our suppliers due to raw material shortage, European production issues and staff shortages due to covid. Our sincerest apologies for any issues in obtaining stock. Please see attached for information: Stock and Website and Automation Comms

 

Cardiovascular Disease (CVD) Toolkit

This HEE CVD toolkit includes resources and provides learners with the appropriate level of knowledge, skills and experience to deliver effective CVD prevention and care.


Updates & Training

N365 Programme Update

Office 2010 Upgrade to N365 Deadline - 1st May 2022 reminder – see attached for more information: Update

 

Frimley Health Webinar for GPs and Optometrists

We are delighted to announce that as part of the new Heatherwood hospital development, we will be offering a new High Volume Low Complexity (HVLC) Cataract Surgery Hub at Heatherwood hospital which caters for 100 patients per week. Please see attached: Webinar Ophthalmology Heatherwood

 

NHS England launches second open call competition for innovations in cancer care – deadline for applications is 24 May

 The NHS Cancer Programme has launched its second Open Call for Innovation in cancer care. The call aims to identify the most promising innovations targeting earlier diagnosis of cancer and accelerate them into practice. The call will support the ambitions in the NHS Long Term Plan (LTP), to diagnose three quarters of cancers at stages one and two, with 55,000 more people each year surviving their cancer for at least five years after diagnosis.  

Up to £15million of funding will be available to test and evaluate innovations in real-world settings. Applications are welcomed for new and innovative ideas, such as behavioural interventions, new models of care, medical devices, digital health and equipment.  
The contracts awarded through the competition will be for a maximum of 18 months and for up to £5million per application (incl. VAT). Further information can be found on the website, including the challenge brief. A list of the innovations that were funded in the first competition can be found here. The deadline for applications is 24 May 2022.  

 

South East Lipids Webinar – Implementing the NICE approved Lipid Management Pathway – a clinical perspective

Date: 5th May 2022 at 10am to 1pm

On Teams - open to all MDT Health Care Professionals / Clinicians and Programme Managers – please do share this invite with colleagues across your networks Register on Eventbrite to attend through this link: https://www.eventbrite.com/e/implementing-the-latest-nice-approved-lipid-management-pathway-tickets-299045732837

 

Free PHE Physical Activity in Clinical Care Training

The next free PHE Physical Activity in Clinical Care Trainings for Thames Valley are scheduled for Tuesday 24th May and Thursday 26th May 2022 @ 1-2pm.

This online training is available for all registered healthcare professionals in Buckinghamshire & Milton Keynes, Oxfordshire, and Berkshire. For further information and to book a place go to the Oxfordshire Training Hub Events Calendar (a flyer is also attached).   Please could this CPD opportunity be cascaded to your teams/through your communication channels where this would be relevant.

This training has been delivered to more than 500 health and social care roles across Thames Valley since Sept 2020. We’ve attached an infographic showing the impact of the training delivered locally during this time.

  • “I feel better informed to advise patients and colleagues - better self-care too! I will try to avoid sitting still working” – GP
  • "I will be able to talk about physical activity more confidently and in depth. I feel more aware of guidelines and support in the community” – Nurse
  • “My approach to patients will improve, I'll try to listen more” – Physiotherapist

If you have any questions or would like more support around physical activity in your role/team please get in touch with your local Active Partnership lead. Please see links for access and further information  BOB Physical Activity  and  PHE Physical Activity

 

Frimley ICS Primary Care Protected Learning Times

Wed 11th May 1.30 – 5pm– STEPS (Slough)

Tuesday 17th May 1.30 – 5pm – BASE (Bracknell)

Wed 25th May 1.30 – 5pm – EPIC (WAM)

Please save the above dates for your PLT on Prevention & Lifestyle Medicine.

Initially this will be a joint session with our non-clinical/admin staff, who will then break out into their own PLT for a slightly different agenda.

PLEASE CONSIDER FREEING UP YOUR ADMIN TEAMS FOR THIS TO ENABLE ATTENDANCE

PCN ARR STAFF ARE ENCOURAGED TO ATTEND AS THE AGENDA IS RELEVANT TO THEM

We look forward to welcoming you to your PLT in May and hope it will prove to be an informative, inspirational and empowering learning opportunity.

We also welcome primary care staff from RBWM, Bracknell, Slough, NEHF and Surrey Health from our ICS.

To receive an invitation to the non-clinical session breakout group can a practice representative email Jacky Hamilton This email address is being protected from spambots. You need JavaScript enabled to view it.  

 

Remote Monitoring in Care Homes Event

Wednesday 11 May 2022 – 11.00 – 13.00.

Open to Care Home Managers and Leads, GP’s and PCN Leads.

Please see attached for more information:  Remote Management Event Flyer

 

Five to Thrive Training Programme

This programme will launch on 25 April 2022. Frontline practitioners working with children aged over 2 years will have the opportunity to attend. Please see attached for more details:

Champions Flyer

 

Training Opportunity around Self Harm and Suicide Prevention

We have lots of course dates upcoming with training delivered by Harmless, the Centre for Excellence for Self-Harm and Suicide Prevention. All information on what courses are available to you is below and attached. For bookings, you can contact Wafaa Nawaz (This email address is being protected from spambots. You need JavaScript enabled to view it.).  To work out which course is best suited to you, please read the audience criteria below.

Level 2 Self Harm/Suicide Prevention training: relevant for any/all staff working in non-acute roles with those who are self-harming or at risk of self-harm/suicide Dates available are in the attachment labelled “Level 2 Self Harm 2022” Level 2 is recommended for GP’s and Primary Care staff.  Level 2

Level 3 Self Harm/Suicide Prevention training: relevant for staff working primarily in inpatient/acute settings, and those working more specifically with people who do self-harm and/or are in suicidal crisis. Dates available are in the attachment labelled “Level 3 Self Harm 2022”. Level 3


Please would you provide your content for the GP Bulletin in the following format:  

  • A heading for your submission 
  • A brief overview of the content ie; 1-2 lines description 
  • Provide your content in an attachment – pdf or word 

Many thanks in advance

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.

General Practice Bulletin Issue 191 – 21 April 2022

General Practice Bulletin Issue 191 – 21 April 2022

For official purposes only     

 

In today’s briefing:   

Updates 

  • Frimley ICB Board appointments
  • Next steps on IPC: Publication of revised UK Infection Prevention and Control (IPC) Guidance and an IPC Manual for England
  • Primary Care Bulletin
  • Healthcare leaders update Tuesday 19 April 2022
  • Covid Medicine Delivery Unit (CMDU) Update – April 2022
  • Mental Health, Learning Disability and Autism Bulletin

 

Clinical hot topics and service updates 

  • Avoiding Hospital Admissions - Frimley Urgent Community Response Update
  • Maternal Mental Health Service
  • All things Frimley Health & Care ICS and DXS in one place
  • Signposting to voluntary / community LD & autism resources

 

Dates for your Diary  

  • PCN Webinar - A focus on MDT roles - Thursday 21st April, 5pm
  • Resources and support offer for running MECC AF and BP Detection Events Webinar
  • Polypharmacy Action Learning Set – Further Dates Available in May and June
  • South East Leadership Academy Development Opportunities April 2022
  • Invitation to webinar: The four-point plan to restoring CVD April 2022

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

Frimley ICB Board appointments

As we continue to prepare for the anticipated transition to Frimley Integrated Care Board (ICB) this July, we're delighted to announce the following important appointments to the ICB's Board

  • Chief Medical Officer (CMO) – Dr Lalitha Iyer
  • Chief Nursing Officer (CNO) – Sarah Bellars
  • Chief Transformation Officer (CTO) – Sam Burrows
  • Chief Financial Officer (CFO) – Richard Chapman 

 

Next steps on IPC: Publication of revised UK Infection Prevention and

Control (IPC) Guidance and an IPC Manual for England can be found here

 

NHSE Primary Care Bulletin - national updates 14 April 2022 click here.

  • UK IPC Guidance
  • National resource to support practice referrals to NHS CPCS

 

Healthcare leaders update - Tuesday 19 April 2022 click here

Covid Medicine Delivery Unit (CMDU) Update – April 2022 can be found here

The latest Mental Health, LD and Autism bulletin can be found here


Clinical hot topics and service updates  

Avoiding Hospital Admissions - Frimley Urgent Community Response Update

The Urgent Community Response (UCR) service can now accept referrals from 8am – 8pm, 7 days a week. Please see the attached document for the referral pathways in your areas.

For further non-clinical information please contact Frimley ICS Ageing Well Programme Team via This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Maternal Mental Health Service

There is a new CCG-wide service, provided by BHFT to support people experiencing mental health problems following a miscarriage or unsuccessful IVF/assisted conception.

The Maternal Mental Health Service – aka ‘Forget Me Not’ – provides early interventions of short-term, goal-focussed psychological therapy to treat various presentations, including grief, anxiety, depression, and fear.

To refer, GPs can access the referral form on the client referral system, DxS. Futher information which can be found here.

 

All things Frimley Health & Care ICS and DXS in one place

DXS is delighted to provide you with your very first information flyer!

Monthly DXS flyers report your ICS activity on DXS solutions for the past month and provide pro user tips, news and much more.

 

Signposting to voluntary / community LD & autism resources

You can signpost your patients to the following resources:

For more information on the benefits of this kind of signposting, you can read this study: Social problems, primary care and pathways to help and support: addressing health inequalities at the individual level. Part I: the GP perspective - PMC (nih.gov)


Dates for your Diary  

PCN Webinar - A focus on MDT roles - Thursday 21st April, 5pm

Click here to register for your place on the NHS webinar on the Additional Roles on Thursday 21st at 5pm

Resources and support offer for running MECC AF and BP Detection Events Webinar

Date: Thursday 28th April, 13:00-14:00

The webinar will be hosted on MS Teams and is available to all MDT Health Care Professionals / Clinicians and Programme Managers – please do share this invite with colleagues across your networks.

To attend, please register on Eventbrite here: Resources To Help Run AF and Blood Pressure Detection Events Tickets, Thu, Apr 28, 2022

 

Polypharmacy Action Learning Set – Further Dates Available in May and June

Run by Wessex ASHN sessions are open to GPs and prescribing pharmacists.  Applications from non-medical prescribers will be considered providing they are involved in multi morbidity medication reviews, elderly care, frailty or EOL and meet our application criteria.

Sessions are facilitated by senior Clinical Pharmacists and Geriatricians. The programme has been developed by GPs and Pharmacists and has been running since 2018. 

Delegates must sign up to be part of one cohort and attend all three dates in that cohort. 

For more information see: Polypharmacy ALS Flyer

To register click here

 

South East Leadership Academy Development Opportunities April 2022

The latest opportunities can be found here with the April offer here

 

Invitation to webinar: The four-point plan to restoring CVD April 2022 

The Clinical Policy Unit of NHS England and NHS Improvement are hosting a series of webinars on CVD prevention restoration, with the first webinar the four-point plan to restoring CVD prevention taking place on the 27th April from 3pm - 4.30pm, chaired by Dr Shahed Ahmad, the National Clinical Director of CVD Prevention and  including other voices from the CVD prevention national team.

If you would like to attend this webinar, please complete the online registration here: https://www.events.england.nhs.uk/events/cvd-prevention-webinar-series-the-restoration-four-point-plan

Further information can be found here


The GP Bulletin is sent on a Thursday. Deadline for content submission is 12.00pm Wednesday – items received after the deadline will go into the next bulletin.  

Please would you provide your content in the following format:  

  • A heading for your submission 
  • A brief overview of the content ie, 1-2 lines description 
  • Provide your content in an attachment – pdf or word 

Many thanks in advance

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.

General Practice Bulletin Issue 190 – 14 April 2022

General Practice Bulletin Issue 190 – 14 April 2022
 For official purposes only     

In today’s briefing:   

Updates 

  • Primary Care Bulletin

 

Clinical hot topics and service updates 

  • UKHSA notice - Scarlett Fever and Chicken Pox
  • UKHSA notice - Severe acute Hepatitis of unknown aetiology in children
  • Know your numbers – Hypertension Diagnosis: Practices to use links on accuRX texts
  • Cancer Referrals into FHFT
  • FHFT Breast Symptomatic 2WW Service on eRS– Changing (North only)
  • Miscarriage Association – GP Information

 

Operational

  • 6 Facet Building Surveys of GP Practice Sites

 

Vacancy

  •  GP - With Specialist Interest In Oncology

 

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     

 


Updates 

NHSE Primary Care Bulletin - national updates 7 April 2022 Click here.

  • Investment and Impact Fund 2022/23
  • PCN Payment Automation

           

Clinical hot topics and service updates  

UKHSA notice – Scarlett Fever and Chicken Pox

We are aware of several nurseries and schools currently experiencing cases of scarlet fever infections which are currently circulating in the community. Chickenpox is also circulating.

Clinicians should be mindful of a potential increase in invasive Group A streptococcus (iGAS) infection which can follow an increase in scarlet fever cases which are usual at this time of year. Please see letter for further information: UKHSA - SC and CP

 

UKHSA notice - Severe Acute Hepatitis of Unknown Aetiology in Children

UKHSA has received reports of unusually high numbers of acute hepatitis cases without detection of hepatitis viruses (A-E) in children from England, Scotland and Wales in the past few weeks. There is no known association with travel. Letter attached: UKHSA - Hepatitis

 

Know your numbers – Hypertension Diagnosis: Practices to use links on accuRX texts

Following on from the successful Frimley ICS CVD Prevention workshop last Thursday, please find attached useful links outlining why it is so important to know your numbers.

One of the key actions from the morning was Lalitha’s suggestion for Primary Care colleagues to text their patient’s links to the ‘know your numbers’ page and booklet in an effort to heighten awareness and self-care. These are included below in addition to other relevant resources to support Frimley residents.

Frimley ICS BP page:  https://www.frimleyhealthandcare.org.uk/bloodpressure

Booklet:  https://www.frimleyhealthandcare.org.uk/media/3366/cs53468-blood-pressure-a5-leaflet_final.pdf

Poster:  https://www.frimleyhealthandcare.org.uk/media/3365/cs53468-blood-pressure-a3-poster_final.pdf

Frimley ICS Weight Management page:  https://www.frimleyhealthandcare.org.uk/weightmanagement

Frimley ICS Smoking page:  Visit our quitting smoking page for details of local support available via https://www.frimleyhealthandcare.org.uk/living-here/helping-you-to-stay-well/quitting

 

Cancer Referrals into FHFT

Following a recent ICS Cancer Steering Group I have been asked to provide some information for GPs regarding the current position regarding cancer referrals and performance into FHFT.

The attached paper is a general briefing for GPs to meet this request. It shows the current position for 2ww referrals and 62-day pathway performance nationally (and FHFT performance), along with the increase in referral numbers since the start of the pandemic.

The information is further broken down to show the increase in size of PTL, particularly for the two specialities that together account for circa 40% of 2ww referrals into FHFT.  Please see attached: Cancer Referrals into FHFT

 

FHFT Breast Symptomatic 2WW Service on eRS– Changing (Frimley North only)

FHFT Breast Symptomatic 2WW Service on eRS– Changing from a DBS (Directly Bookable Service) to a RAS on eRS from the 28.03. 2022 (North Only) - Please see attached for full details: Frimley North  Breast Service moving

 

Miscarriage Association – GP Information

UK charity that offers support and information to anyone affected by miscarriage, ectopic or molar pregnancy. Please see letter for more information: Miscarriage - GP information


 Operational

6 Facet Building Surveys of GP Practice Sites

This is a reminder that we will be commencing a programme of 6 Facet Building Surveys of GP practice sites across the Frimley area. The programme is fully funded by a combination of national programme and CCG funding.

Practice Managers can expect to be contacted by the surveying company, Oakleaf, from 4 April onwards, to arrange a suitable time for the surveyor to visit the premises.

We have also commissioned Disability Access Audits (DDA) for all sites being surveyed as well as CAD drawings for sites which don’t already have them. We anticipate that the surveyor will need up to three hours onsite, but we suggest practice managers set aside half a day for this as they will need to accompany the surveyor around the premises. Additional time and access required for the DDA can be discussed with Oakleaf when they schedule the appointment.

The outcomes of these surveys will help greatly to support your PCN estates plans and enable access to further PCN estates support during 22/23. For further information about the programme and any queries please contact the Primary care Estates Team at This email address is being protected from spambots. You need JavaScript enabled to view it.  or the national programme via This email address is being protected from spambots. You need JavaScript enabled to view it.


Vacancy

GP - With Specialist Interest In Oncology

Surrey and Sussex Healthcare Trust is looking for a GP with a specialist interest in oncology to work in its new abdomino-pelvic Rapid Investigation Service (RIS). Job Advert (jobs.nhs.uk) The deadline for applications is being extended for a further week.

 


The GP Bulletin is sent on a Thursday. Deadline for content submission is 12.00pm Wednesday – items received after the deadline will go into the next bulletin.  

 Please would you provide your content in the following format:  

  • A heading for your submission 
  • A brief overview of the content ie, 1-2 lines description 
  • Provide your content in an attachment – pdf or word 

Many thanks in advance

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.

General Practice Bulletin Issue 189 – 7 April 2022

General Practice Bulletin Issue 189 – 7 April 2022

For official purposes only     

In today’s briefing:   

Updates 

  • Primary Care Bulletin
  • IIUT GP Bulletin
  • National PPE Acute & Primary Customer Insight Newsletter

Clinical hot topics and service updates 

  •  5-11 year olds - Covid Vaccinations
  • The Mental Capacity Act
  • Easy Read Newsletter for People with a Learning Disability
  • Easy Read information availability for patients with LD’s
  • Updated Dietary Advice – Smoked Fish for Pregnant & Vulnerable
  • FGM – The role of the GP
  • Update - New maternity advice line for HCPs
  • Updated Forced Marriage Guidance for Healthcare Practitioners

Dates for your diary  

  • Intervention Training on Alcohol related cancers - Bracknell
  • Additional Pulse Oximeter Training in April
  • Mediation Skills Programme and Espresso

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

NHSE Primary Care Bulletin - national updates 1 April 2022 Click here.

  • Covid-19 Vaccination Ramadan Toolkit
  • Ukraine Crisis Updates

 

IIUT GP Bulletin – Click here

  • MMR National Catch-up Campaign

 

National PPE Acute & Primary Customer Insight newsletter March 2022

Navigation Tool for above PPE newsletter   Click here


Clinical hot topics and service updates  

5–11 year olds – Covid Vaccinations

The NHS is offering coronavirus (COVID-19) vaccines to children aged 5 to 11 years. Experts have advised that parents of all children aged 5 to 11 years should be offered the chance to have their child vaccinated. Further information is available at A guide for parents of children aged 5 to 11 years - GOV.UK (www.gov.uk)

Invitations will be coming out nationally to invite vaccination bookings to be made via the National Booking System (NBS) - Book or manage a coronavirus (COVID-19) vaccination - NHS (www.nhs.uk). You can choose a convenient site and date when booking. Please note, however, that not all vaccination sites use the NBS and a substantial part of the offer is being made by General Practice who will use their own local booking systems to invite 5-11 year-olds in for vaccination at one of their local sites. So if you are unable to find a suitable appointment on the National Booking System please be assured that you will in any case receive an invitation from your GP – this will happen throughout April and May. Please bear with us as we will work to ensure demand is met over the course of this period; you should not need to contact your GP surgery directly – they will send out an invitation in due course.

Some sites will also offer ‘walk-in’ slots, with no prior booking required. To view available sites offering walk-ins please refer to Search - Find a walk-in coronavirus (COVID-19) vaccination site (www.nhs.uk)

 

The Mental Capacity Act

There are resources available for discussions about mental capacity with patients and carers. The attached resource pack is a useful leaflet to give to carers and the ‘making choices’ easy read leaflet can help people with learning disabilities understand consent and capacity. You may also wish to refresh your own knowledge with the attached code of practice. Please see attached for resource guides and information:

Code of Practice

Resource Pack 1

Consent - Easy Read

 

Easy Read Newsletter for People with a Learning Disability

This new issue of the easy read newsletter is about encouraging people to use health services and not being scared because of coronavirus. It has articles about: 

Where to go if you are feeling poorly or something has changed in your body  

  • Is it time to go to the dentist?  
  • Getting your eyes and ears checked out  
  • Getting help with your thoughts and feelings (your mental health)  
  • Going to screening appointments  
  • What to do if you have a problem with a local health service  

 

Easy Read Information Available

There is a wide selection of ‘easy read’ accessible material available on https://www.easyhealth.org.uk/ which might be helpful for some of your patients with LD. You do have to sign up to gain access, but it is free of charge and contains a variety of useful patient leaflets.

 

Updated Dietary Advice – Smoked Fish for Pregnant & Vulnerable

Please see attached a letter from UKHSA in relation to updated dietary advice for smoked fish. NHS.UK has been updated with the information for pregnant and vulnerable individuals to reflect the risk of listeriosis from smoked fish by amending the ‘foods to avoid in pregnancy’ webpage, as well as the webpage on ‘listeriosis’, which also includes details on specific actions people can take when handling, storing and preparing foods to reduce their risk of listeriosis. See link for more information: Letter

 

FGM – The role of the GP

Talking about FGM. This is advice from women with FGM for GPs to consider when caring for them. Please see attached: Talking about FGM

 

New maternity advice line for HCPs

Please note that the service go live date has been deferred to end of April the new date will be announced shortly.

 

Updated Forced Marriage Guidance for Healthcare Practitioners

The Government have issued new multi-agency statutory guidance and practice guidelines on forced marriage for agencies in England and Wales. It highlights the importance of treating forced marriage cases as a child protection issue, the need for early identification of risks children could face and awareness of the potential harm to the child when involving the family (see p.62 for Healthcare professionals’ guidelines).

Visit the webpage: Forced marriage: access guidance and training
Download the guidance: HM Government multi-agency practice guidelines: handling cases (PDF)


Dates for your Diary  

Intervention Training on Alcohol related cancers - Bracknell

The courses run from April to June to identify those who may be at risk of adverse health conditions due to their drinking, Please see links for more information: Alcohol briefing advice and Screensaver

 

Additional pulse oximeter training in April

RAD-G – handheld oximetry device training dates: Training information and dates

 

Mediation Skills Programme & Espresso

Supporting you with meaningful mediation skills (for those working in HR)

Please see attached for training sessions from July to September: Training

 

 

The GP Bulletin is sent on a Thursday. Deadline for content submission is 12.00pm Wednesday – items received after the deadline will go into the next bulletin.  

Please would you provide your content in the following format:  

  • A heading for your submission 
  • A brief overview of the content ie, 1-2 lines description 
  • Provide your content in an attachment – pdf or word 

 Many thanks in advance

 

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it.

General Practice Bulletin Issue 188 – 31 March 2022

General Practice Bulletin Issue 188 – 31 March 2022

 For official purposes only     

Dear Colleagues,

Previously we contacted GP practices (11/03/2022) in response to the demand experienced by both Wexham Park and Frimley Park hospitals. Thank you for your support in sharing the key system messages and through your own efforts to meet the unprecedented demand that the NHS is currently facing. The data shows that the collective effort of all partners did make a difference during that weekend with lower-than-expected attendances to both EDs.

Despite our collective efforts, ED at Frimley Park in particular is continuing to experience unprecedented pressure and as such we are asking for your support in sharing some further messages with your patients.

The pressures we are experiencing are compounded by rising impact of Covid on staff across all sectors and within all in-patient units. We are seeing particularly high levels of risk associated with these pressures being felt within our Emergency Departments, a situation which is not sustainable. For information from data of the 29 March for the 24-hour period, the EDs across both sites has had over 800 attendances, 160 ambulances and an average wait time for non-urgent patients of in excess of five hours with some patients waiting over 12 hours.

We have a number of communication resources available for your use including website content, videos and social media resources. These can be adapted and tailored to meet the individual needs of your practice and patient base.

Thank you once again for your support and determination in meeting and addressing the continued demand across our system.

Kind regards,

Lalitha Iyer

Executive Medical Director


In today’s briefing:   

Updates 

·         Primary Care Bulletin

 

Clinical hot topics and service updates 

·         Living with C-19 Testing Update

·         New Frimley Cataract Surgery Hub – Heatherwood Hospital

·         Soft Launch - Heathlands in Bracknell

·         Adult Community Speech and Language Therapy – NEHF & Surrey

·         Population Screening – Reducing Inequalities for People with Learning Disabilities

·         PPE Surplus

 

Operational Updates 

·         Apprenticeship Salary Incentive

 

Dates for your diary  

·         Polypharmacy Action Learning Set

·         SESE Wellbeing Sessions – Suicide Focus & Greener NHS

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

NHSE Primary Care Bulletin - national updates 24 March 2022 Click here.

 

Clinical hot topics and service updates  

Living with Covid 19 Testing Update

With the pressure from COVID-19 continuing, we will be setting out in the coming weeks a way forward on a number of areas where guidance has evolved throughout the pandemic; adapting the way that the NHS operates with COVID-19 in general circulation and with the virus likely to remain endemic for some time to come. This first letter sets out our approach to delivering the UK Health Security Agency’s (UKHSA) advice in relation to staff and patient testing. We will keep these arrangements under review along with our partners at UKHSA.

Please see attached letter: C1621 Living with C-19 testing update

 

Introducing the new Frimley Cataract Surgery Hub at Heatherwood Hospital

We are delighted to announce that as part of the new Heatherwood hospital development, we will be offering a new High Volume Low Complexity Cataract Surgery Hub at Heatherwood hospital which caters for 100 patients per week. The biggest focus of the cataract hub is to ensure equity of access to care with patients being seen as early as possible and preventing long delays.

This is a state-of-the-art equipped streamlined service with the whole pathway being completed in 60 minutes. We are offering surgery for both eyes at the same time for eligible patients avoiding multiple visits to the unit. Recent cataract audits at our current main site (Frimley Park Hospital) have been excellent. This will not only improve the patient experience but create a unique and upskilling environment for the multi-disciplinary team.

Please note, as part of our integrated service model, Ophthalmology services will continue to also be delivered at the Frimley Park site as well as our other out-reach clinics. To access the service please continue to refer via your current referral pathways

 

Soft launch of Heathlands in Bracknell this week

Heathlands is a partnership programme, with Bracknell Forest Council and the CCG which provides an exciting opportunity for health and care colleagues to work together to enable more of our residents to use the nursing home and to access intermediate care within the borough.

The intermediate care is operated by Frimley Health Foundation Trust and this week, they open their doors to their first patients. The facility will start providing important specialist rehabilitation support to patients at a time in their life when they perhaps are feeling most vulnerable after a period of illness or injury. This is a soft launch, whilst our partner Frimley Health Foundation Trust, gradually work it up to its full capacity of 20 beds later this month. Once fully open, skilled intermediate care staff will provide local, tailored support to help patients avoid a hospital admission or transition from hospital back to their home.  

Windsar Care is supporting the facility with hotel services and plan to open the residential dementia service within a couple of months.

 

Adult Community Speech and Language Therapy service - NEHF and Surrey Heath localities

Please be aware that the company ‘The Speech Therapy Clinic’ has been commissioned to temporarily support the speech and language provision within Surrey adult community services.  This arrangement has been put in place by HCRG Care Group, with the support of the Frimley Clinical Commissioning Group, due to national recruitment challenges with the Speech and Language workforce within the service. It is expected that the temporary service will be utilised for approximately 6 months whilst recruitment to vacancies is pursued, and colleagues return from planned leave. The situation will be reviewed at regular intervals by the CCG and provider and any further changes will be communicated.

Please see attached for further information: Speech and Language - NEHF and Surrey


Population Screening - Reducing Inequalities for People with a Learning Disability

Reducing inequalities for people with a learning disability, autism or both”. This is mainly directed at commissioners and providers of the national screening programmes but includes some useful guidance for GPs on supporting people with LD and / or Autism to take up the offer of screening.

Please see attached for more information: Population Screening

 

PPE Surplus

As you know from an earlier Bulletin, we have surplus PPE at KEVII which includes the following items:

  • Hand gel

  • Hand wash

  • Aprons

  • Gloves

  • Goggles

  • Masks 

  • Plastic face coverings. 

We’re planning to distribute according to the requests received so if you require any of this PPE, please email Deborah Maynard (This email address is being protected from spambots. You need JavaScript enabled to view it. ) by Monday 4th April 2022.   


Operational Updates 

Apprenticeship Salary Incentive

We are pleased to announce an apprenticeship salary incentive for Practices and PCNs across the Frimley ICS area. This is a one-off, £5,000 payment available to support the creation of a new apprenticeship post or to support backfill to develop an existing employee. Help will be available with implementing the apprenticeships as well as support to source apprenticeship levy funding. The salary incentive is limited so will be allocated based on an expression of interest application process.

For more information please click here

To apply click here using the password: APS0342

Closing date: Friday 6th May 2022

For enquiries, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.


Dates for your Diary  

 

South East Staff Experience Wellbeing Sessions: Suicide Focus and Our Greener NHS
Tuesday 12 April 2022 - 9.50am - 12 noon. 

The SE Staff Experience team will be hosting two sessions, the first focused on exploring the impact of suicide and wellbeing support with an opportunity for discussion. 

The second session will focus on Greener NHS and how this links to staff wellbeing in the workplace. 

Owing to the increasing requests to attend/room capacity, we are now asking you to confirm your attendance by way of registration. Please see the attached link for session information and link to register: SESE Wellbeing Sessions

 

Polypharmacy Action Learning Set – New Cohort April 2022 (Cohort 13)
Wednesday 27 April - 09.30am - 12 noon.

Run by Wessex ASHN this session is open to GPs and prescribing pharmacists. 

Applications from non-medical prescribers will be considered providing they are involved in multi morbidity medication reviews, elderly care, frailty or EOL and meet the AHSN application criteria.

The ASHN are inviting clinicians from Wessex, The South West, West of England and Thames Valley.

Sessions are facilitated by senior Clinical Pharmacists and Geriatricians. The programme has been developed by GPs and Pharmacists and has been running since 2018. 

For more information see. April Polypharmacy ALS Flyer

Or you can sign-up here. Register via Eventbrite

 

The GP Bulletin is sent on a Thursday. Deadline for content submission is 12.00pm Wednesday – items received after the deadline will go into the next bulletin.  

Please would you provide your content in the following format:  

  • A heading for your submission 

  • A brief overview of the content ie, 1-2 lines description 

  • Provide your content in an attachment – pdf or word 

Many thanks in advance

 

Please note that all GP Bulletins can be found here

   Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it. 

General Practice Bulletin Issue 187 – 25 March 2022

General Practice Bulletin Issue 187 – 25 March 2022

 For official purposes only     

In today’s briefing:   

Updates 

 ·        Primary Care Bulletin

·         Update from IIUT  

 

Clinical hot topics and service updates 

·         Access to LFDs via the Government Portal

·         New Maternity Advice Line for HCPs

·         New Heatherwood Hospital Opening 28 March 2022

·         Changes to Heatherwood Hospital Services

·         New Primary and Community Care MSK Toolkit

·         Asthma Mentorship Programme

·         Update – Death Certification and Registration Easements

 

Operational Updates 

·         Primary Care Data Gathering Programme - Surveys

·         Notice – re Offers to Upgrade to Window 11

 

Dates for your diary  

*Due to updates with NHS mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.     


Updates 

NHSE Primary Care Bulletin - national updates 24 March 2022 Click here.

Update from IIUT - staff changes:  IIUT Bulletin


Clinical hot topics and service updates  

Access to LFDs via the Government Portal

It is acknowledged that there is increased demand for LFDs on the government portal/home ordering service. The solution for this is that there will be a ‘NHS & Keyworker gateway’ implemented imminently with a ring-fenced amount of LFD kits available for NHS staff. The level of kits available has been set higher than any current demand patterns seen.

 

The expected policy guidance following the White Paper re NHS Testing.

Although this was expected last week the final details are still being ‘thrashed out’ and this is expected this week.

 

Ordering for current use cases

You can still order LFDs for those identified use cases via the normal link here:

 If however, you are finding it difficult to access LFDs through this route then please contact the ICC directly who may be able to support via local mutual aid arrangements

 We understand the Secretary for State will be releasing the NHS Testing Guidance on 28th March

 

New Maternity Advice Line for HCPs

Frimley Health, in partnership with SCAS, will be launching a brand-new maternity advice line (MAMAS line) for patients on 7 April (WPH and surrounding area) and about a month later (FPH and surrounding area). This phone line will be staffed 24/7 by midwives and will act as a single point of contact for women and families who have any questions or concerns about pregnancy, labour and up to 4 weeks postnatal.

See attached the poster that will be displayed in community midwifery hubs and our sites. Please could you cascade this information to community HCPs who come into contact with pregnant women to ensure they refer them to the right telephone number going forward.

As part of this project there will also be a separate advice line staffed by the same midwives for health care professionals. All community and acute colleagues from 30 March will be able to call 03000 132005 to access 24hr support and evidence-based advice from trained midwives. This new advice line will maximise use of clinical expertise to ensure seamless and consistent patient care. 

 

New Heatherwood Hospital opening on Monday 28 March 2022

We are pleased to announce that the new Heatherwood Hospital will open on Monday (28 March). Our plans to replace the outdated 100-year-old Heatherwood Hospital have incorporated considerable thought and input from patients, staff and clinicians.

The new state-of-the-art £100 million Heatherwood Hospital will be one of the best planned care facilities in the NHS, serving residents across the ICS and beyond. It will be a centre of excellence for elective care with its new diagnostic facilities (including mammography), six operating theatres and wards, fantastic day surgery facilities, an additional endoscopy suite, specialist outpatient areas, and operating procedure rooms.

Most services will transfer from the old hospital to the new hospital on Monday 28 March and phone numbers will be diverted. However, the following services will remain in the old hospital for a few more weeks: 

Paediatrics
Physiotherapy
ENT
Oral Maxillofacial Surgery (OMFS)
Orthodontics

Travel
The new hospital has its own patient car park and a dedicated bus stop, the address for the new hospital is:

Heatherwood Hospital
Brook Avenue
Ascot
Berkshire

SL5 7GB

There will be a staged opening of the hospital as follows:

Day 1: Monday 28th March

07.00 - Theatres, Day Surgery Unit inc. procedure room (Day cases only, no inpatients)

08.00 - Treetops Inpatient Unit to include Inpatient admissions

08.00 - Endoscopy

09.00 - Radiology, lithotripsy

10.00 - Phlebotomy, Outpatients, Pre-assessment

 

Day 2: Tuesday 29th March

07.00 - Theatres, Treetops Inpatient Unit, Day Surgery Unit inc. procedure room

08.00 - Endoscopy, Radiology, lithotripsy

09.00 - Phlebotomy, Outpatients, Pre-assessment

 

Day 3: Wednesday 30th March onwards

Normal working hours for all departments

 

Changes to Heatherwood Hospital services

Our new Heatherwood Hospital, which opens on Monday (28 March) will provide many exciting opportunities for us to meet increased demand and improve the patient experience and the quality and safety of our care. We have been reviewing our plans and taking into account:

The ongoing impact of Covid
The need to provide specialist elective activity in a Covid secure environment and our elective care recovery plan
The availability of more operating procedure rooms
The national focus on orthopaedics and ophthalmology
Opportunities to develop more ‘one stop’ services providing as much diagnostic and treatment services in one visit as possible.

As a result of our review, we are making some changes to where some patient services will be provided. Some services currently provided at Frimley Park or Wexham Park will move to Heatherwood, some services currently provided at Heatherwood may see increases in service provision, and some services previously delivered from Heatherwood will now need to be provided in a more appropriate setting. This could be one of our other hospital sites, or within our local community.

For most services, Heatherwood will not be the only hospital from which they are provided, patients will still have a wide range of choice.

Hospital appointments will be offered at the site which is the best for each patient’s needs. This might not be their nearest site, but we will offer a choice of location whenever possible.

We will provide a separate briefing with specific details about the changes shortly.

The impact of any changes made will be monitored over the next 12 months and reviewed once the longer-term impact of Covid on our hospitals is clearer.

 

New Primary and Community Care MSK Toolkit

A new toolkit is now available which provides best practice clinical guidance and evidenced based resources to support musculoskeletal (MSK) recovery and transformation opportunities across the MSK pathway for patients with hip and knee osteoarthritis, spinal pain and sciatica and shoulder pain in primary and community care. Developed with external organisations and lived experience partners, the toolkit is aimed at clinical, and commissioning leads as well as clinical services, to help support MSK service improvements.

 

Asthma Mentorship Programme

Click here to watch a recording of Jennifer Gibbs from Teva and Sam Adams from the NSHI talking about the asthma mentorship programme and benefits of enrolling. This presentation is aiming to encourage GP practices to engage with experienced respiratory nurses to help improve the knowledge and confidence of practice staff undertaking asthma reviews

 

 

Update - Death Certification and Registration Easements

Please note there has been an update to the Death Certification and registration easements listed in last week’s bulletin – please see attached latest version: Death Certification and Registration Easements from 25 March 2022


Operational Updates  

Primary Care Data Gathering Programme - Surveys

Frimley CCG have been involved in a national programme to learn more about GP practice premises to support local delivery and strategy planning. This programme is being managed by Community Health Partnerships (CHP) on behalf of NHS England. The programme is intended to bring the information held on general practice premises in England up to a consistent baseline standard. Frimley CCG is supportive of the programme.

Please follow links for further information:

Frimley Draft Comms
Facet Surveys

 

Offers to upgrade your laptop to windows 11

It has been reported that some laptop users are receiving ‘pop-ups’ offering an upgrade to Windows 11. Windows 11 is not currently supported on NHS laptops so please inform all of your staff not to accept any of these offers.


Dates for your Diary 

South East Lipids Webinar - Implementing the NICE approved Lipid Management Pathway – a clinical perspective

This webinar has been organised by the South East Academic Health Science Networks (KSS, Wessex and Oxford) and is the first in a series of Cardiovascular Disease education sessions that will be delivered across the South East region throughout 2022/23. The inaugural webinar on the 5 May, 10:00 to 13:00 aims to support the introduction of the new NICE approved lipid management pathway across the six South East Integrated Care Systems (ICSs). – including the education, raising awareness and implementation of Inclisiran and all novel therapies into the lipid management pathway.

The meeting will be hosted on Teams and is open to all MDT Health Care Professionals / Clinicians and Programme Managers. Register on Eventbrite to attend through this link: https://www.eventbrite.com/e/implementing-the-latest-nice-approved-lipid-management-pathway-tickets-299045732837

 

The GP Bulletin is sent on a Thursday. Deadline for content submission is 12.00pm Wednesday – items received after the deadline will go into the next bulletin.  

 

Please would you provide your content in the following format:  

·         A heading for your submission 

·         A brief overview of the content ie, 1-2 lines description 

·         Provide your content in an attachment – pdf or word 

 

Many thanks in advance 

Please note that all GP Bulletins can be found here

Due to updates with NHSE mail some of the hyperlinks may not show in a different colour, however the attachment will be there to access.      

 If you have any questions relating to any of the material in this email or have any suggestions for how we could improve this, email This email address is being protected from spambots. You need JavaScript enabled to view it. 

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