General Practice Bulletin Issue 195 – 19 May 2022
For official purposes only
In today’s briefing:
- 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
- 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.
NHSE Primary Care Bulletin – 12 May 2002
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:
- Providers to ensure that they have appropriate PPE for the assessment and treatment of patients presenting with possible monkeypox virus.
- Services should consider a differential diagnosis of monkeypox virus in any patient who meets the possible case definition in the attachment.
- 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
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.
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 belowfor 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.
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
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.
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.
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.
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:
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
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
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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.