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DDLMC weekly update 20/07/2022


DDLMC WEEKLY UPDATE 20/07/22

DDLMC INFORMATION

Please note: there will be no weekly update issued next week. The next weekly update will be issued w/c 01.08.2022.

If you need any help or support please email the office at ddlmc.office@nhs.net


Derbyshire Health and Care System Critical Incident Declaration

The Derbyshire system declared a Critical incident on Wednesday evening and continues to see very significant pressure within the system. Please see the staff update ​pdf icon FINAL JUCD Critical Incident Staff Brief 210722.pdf

This has come about due to the impact of the hot weather against the background of significant pressures that were already in the system. In the absence of available social care provision some patients are having to be discharged from our acute hospitals without the desired care in place at the time of discharge so please be aware of this. Families and carers are being encouraged (and in some cases recompensed) to support discharges in these situations to try and maintain flow and allow for the ongoing admissions.

We know that hot weather increases health care demand and one of the groups most at risk of admission are those with chronic respiratory conditions. As highlighted in the update patients and their carers have been encouraged to ensure they have the correct medication and knowledge of how to use it. Please could you try wherever possible to proactively communicate with this cohort to ensure they are given the best possible chance of avoiding an admission. ARRS staff (in particular Pharmacists, Pharmacy Technicians and Care Coordinators) are particularly well placed to be able to do this so please enable them to focus on this work in the short term wherever possible.

We fully appreciate the pressure that still exists within General Practice as well and are grateful to everyone for their efforts and the fantastic service you continue to provide despite all the recent challenges.


DRRB Pay Rise BMA Update

We are aware of the latest press announcements of a 4.5% pay rise for NHS staff, we were only aware of this as the news broke.

Many of your employees will have heard the news and will be asking questions about the pay rise. As GMS/PMS providers you are independent contractors & businesses and the decision to award a pay rise will be based on your individual practice finances. There are many considerations to make when considering pay rises. How it will affect pension, NI and tax contributions, aligned with staff wellbeing and retention.

As independent contractors you are not bound by the Terms and conditions of Agenda for change, we do strongly urge you to check your Employment contract terms and conditions surrounding pay rises for your employees.

Over one million staff under the Agenda for Change contract, including nurses, paramedics and midwives, will benefit from a pay rise of at least £1,400 this year backdated to April 2022. This is on top of the 3% pay rise they received last year, despite a wider public sector pay pause.

The BMA & GPC have released this statement ‘Brutal pay cut will come as a bitter blow to doctors’, says BMA - BMA media centre - BMA

 
 

 

CQC Remote Searches Update July 2022

The CQC have released an update in preparation for potential future CQC inspections. There is an updated CQC YouTube presentation on the remote searches carried out by CQC during a practice inspection. https://www.youtube.com/watch?v=yGshX-w98yU

We have attached the update in PDF format above and also linked here CQC GP remote searches update July 2022.pdf. Within this document it contains video links to TPP, EMIS and Vison clinical systems.

Our friends at DKJ Consulting run a FREE monthly CQC webinar for PMs, our July CQC in General Practice Chat has been cancelled as we are on holiday therefore the next one will take place on Thursday 25 August at 9.00am. Please make sure to book your place here https://www.eventbrite.co.uk/e/cqc-in-general-practice-chat-tickets-352475893887. Please note that on booking you will receive a Teams link, you cannot access the Chat via Eventbrite.

 

 

 

COVID-19 Autumn Booster and Flu Vaccine Programme Expansion

​pdf icon C1674_COVID-19 Autumn booster and flu vaccine programme expansion_150722.pdf

We have raised our concerns and questions at DDLMC with the BMA/GPC. We have attached here ​pdf icon DHSC Announcement 2022-23 flu seasonandCovid booster0718.pdf a link to a letter that Surrey & Sussex LMCs have sent to their practices. We at DDLMC agree contents with the letter and are sharing with our practices.

The Seasonal Flu Immunisation Enhanced Service has not yet been published, although is awaited, but is unlikely to include any major changes in terms of logistics, delivery and vaccine administration. We will circulate this Enhanced Service as soon as it is available and the LMC.

The current LMC understanding is: There is no central stock ordering supply planned for this year and therefore practices will need to order via the suppliers listed in this document: B1868_Reimbursable-vaccines-and-eligible-cohorts-for-the-2022-23-NHS-Seasonal-Influenza-flu-Vaccination-Progra.pdf (england.nhs.uk)

The additional groups set to be offered the free flu vaccine in England will be:

  • all adults aged 50 to 64 years
  • secondary school children in years 7, 8 and 9, who will be offered the vaccine in order of school year (starting with the youngest first)

The NHS will announce in due course when and how eligible groups will be able to book an appointment for their COVID-19 autumn booster, and when people aged 50 to 64 years old who are not in a clinical risk group will be able to get their free flu jab.

People in these groups are asked not to come forward until further information is announced.

LOCAL UPDATES

Chloe Turner, Primary Care Librarian for Derbyshire: June Update

The average doctor generates morethan 10 questions per day but is only able to pursue half of them.

Is this preventable? What are the risks? What outcome can be expected? Should I recommend this? Where can I get more information? What impact does the medical history have? Are there other treatments available? How common is this? How concerned should I be? What information is there about that new treatment? What other options do I have? Is this the most ethical way?

Let Chloe Turner, the new Primary Care Knowledge Specialist Librarian for Derbyshire save you time by requesting an evidence search. Find out more here: https://www.uhdblibrary.co.uk/primary-care

Evidence searches requested in June:

  • Primary Care in south Nigeria
  • Intersectionality framework research in healthcare
  • Overview on adult ADHD
  • Evidence for using pyridoxine for alcoholic peripheral neuropathy
  • Should obesity moderate the antibiotic prescribing threshold in primary care populations presenting with infective respiratory symptoms?

JUST GET IN TOUCH chloe.turner26@nhs.net


Expression of Interest - GPTF Training and Development Non-Clinical, Reception, Admin & Practice Management Trainers

We are inviting Expressions of Interest to join a small team of individuals that can design, develop and deliver training for our General Practice workforce. This will include non-clinical roles such as admin, reception and management.

GPTF already has an excellent track record delivering our Practice Management Induction and Step-Up Practice Management programmes. We hope this provides an exciting opportunity to expand to other admin and non-clinical workforce roles which adds to our portfolio of clinical education and training.

We’d love to hear from you if this is something you are interested in, whether you have limited capacity or infinite hours, please complete the attached EOI and return back to me by Thursday 21st July.


Polite reminder: Patients booking a UHDB blood tests

Since last year, the option has been available for UHDB patients to book themselves in for a blood test (opens in new window) > online, via the Switftqueue booking system. UHDB patients will be able to book an appointment at our blood clinics listed on our Swiftqueue homepage. However, please note that the service provided at both Samuel Johnson and Sir Robert Peel Community Hospitals is only for patients who have had their bloods ordered by secondary care - patients referred by their GP will not be seen.

Patients should be using the Swiftqueue system in the first instance and should only contact the Patient Access Team (adults appointments only) or Paediatric Reception Team (children appointments only) if there is a booking system error. These teams only have capacity to manage exceptional circumstances and should not be treated as the default service.

For further queries, please contact: jasmine.wheatley@nhs.net

 

Team Up Derbyshire Bulletin July 22

Please find attached the Team Up Derbyshire Bulletin for July, please disseminate to your colleagues and members of the Place Alliances. Apologies if you receive this more than once. ​pdf icon TeamUpDerbyshirebulletin July 2022_992982855.pdf

NATIONAL UPDATES

Vaccine certificates to be available from the 21st July for those under 16 who don't have the app or NHS logins

We've heard from NHS X (Transformation directorate) that a new service is due to start on 21st July that enables children to be issued with electronic copies of their covid vaccinations via the web. Up until now those 13 and older could have used the NHS login process and/or the NHS app to get them and those 12 and older could have requested paper copies to have been posted out to them.

The new system will rely on there being a mobile number and/or an e-mail address associated with the child's PDS record.

To get a pass, the name/DOB/mobile must be matched and a short code will be sent (proving the phone is in the possession of the user) and then an e-mail address can be entered to which the pass will be sent.

For anyone with an e-mail contact detail only but no mobile, the pass will be e-mailed to that address once the name/DOB/e-mail address match has occurred.

People can still ring 119 (or go online) to ask for paper copies to be posted out.

We've not had the direct web link yet but suspect it'll be found around this area:

https://www.nhs.uk/conditions/coronavirus-covid-19/nhs-covid-pass/get-an-nhs-covid-pass/

The only potential work for GPs would be in updating mobile numbers on patients' records if the numbers were out of date.


Phishing Attempts

This week, we have witnessed a significant increase of phishing attempts to healthcare organisations. The 'themes' relate to Office 365 (SharePoint) and NHSmail. See examples below:

The notifications are sent from several 'compromised' NHSmail accounts to appear legitimate.

Do not reply or click on any links.

Our intelligence services also indicate that threat actors are currently targeting finance departments/financially responsible leads.

Please do not be afraid to report any incidents or malicious activity that you have either clicked on or shared credentials with.


GPAD PCN Dashboard

We wanted to make the PCNs in your region aware that a new GP Appointment Data dashboard which is available to them.

To gain access to the dashboard, PCN staff will need to fill out this form which will be processed by our onboarding team: https://digital.nhs.uk/dashboards/pcn-appointments-data-dashboard/access-request-form

Once their application is successfully processed, users will be able to access the dashboard using their smartcard via this link: https://www.cis.dashboards.data.digital.nhs.uk/#/views/PCNAppointmentsDashboard/Home

Could I respectfully ask you to make your PCNs aware of this new dashboard and if they have any queries, for them to contact england.gpad@nhs.net.

GPTF DERBYSHIRE – Wraparound Support for Derbyshire General Practice

Practices do You Have a Newly Qualified GP Working in Your Practice?

You may be eligible to join the New to Practice Scheme please visit our website for more information.


Join Our Team

GP Colleagues,

  • Are you looking for a new challenge to complement your clinical work?
  • Would you like to help support your fellow colleagues in Derbyshire general practice?
  • Would you be interested in informing and improving the work of GPTF?

GPTF are looking for enthusiastic and skilled GPs to join our team in delivering general practice support across Derbyshire.

We'd love to hear from you, whether you have limited capacity or infinite hours, for a variety of projects and programmes.

Please read the accompanying documents for further information and to indicate your interest.

​pdf icon Join the Team - GPTF Retention.pdf ​docx icon Expressions of interest EDI fellows _ network leads.docx


BOOK NOW: DEN Sessions

We have a new Derbyshire Education Network (DEN) session available to book. This is a free event, held virtually via Zoom. See further details below.

Topic: Children’s Safeguarding Training

Date and Time: Wednesday 10th August 2022 13:30 – 16:30

Speakers: Dr Ruth Bentley, Dr Sandra Ives, Dr Jeremy Gibson

Session Objectives:

  • Legislation and guidance (national and local)
  • Effective interagency working
  • GP practice environment
  • Personal qualities
  • Think family and vulnerability
  • Identify abuse and neglect
  • Respond appropriately
  • Clinical vignettes

Register in advance for this meeting:

https://us02web.zoom.us/meeting/register/tZIpcOChpzoqGNTN4SEiSd1Bm1-oQzpO9b3Z

After registering, you will receive a confirmation email containing information about joining the meeting.


Have you Completed Britain's Healthiest Workplace survey?

We hope you agree that it is particularly important to think about our mental and physical wellbeing at this time, given the amount of change that we are all experiencing.

That’s why we, alongside our colleagues across Joined Up Care Derbyshire have signed up to take part in Britain’s Healthiest Workplace, the UK’s largest workplace-wellbeing survey powered by Vitality. We’re encouraging all employees to take part to understand, maintain and improve your health and wellbeing, and to help us understand how we can better support you in doing so. The information you provide will be vital to help us identify priorities over the next year and beyond.

You can access the survey here Survey (medallia.eu)

 

Who is your Wellbeing Champion?

One of the ambitions set out in the NHS People plan is to encourage all organisations to roll out a network of Wellbeing Champions. There are many benefits to your organisation including improving employee morale, reducing absence rates and supports in building a healthier and more inclusive culture within practice.

We would like to support you with the implementation of this role and have attached a ​pdf icon simple handout to inform and guide you on finding and implementing your Wellbeing Champion.


Health Improvement Advisor

Bookable appointments with our Health Improvement Advisor are available for every primary care site with a health improvement advisor to visit in person or virtually.

They will be able to distribute specialist knowledge, raise awareness and promote local and national initiatives to improve wellbeing within your teams.

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EVENTS

Free CPD – follow the links to find out more and book your spot!

Derbyshire General Practice Nursing Conference 2022 – GP Task Force Derbyshire 28th September 2022 08:30 – 16:30

Basic and Paediatric Life Support 19th October 2022 13:00 – 16:00

Basic Life Support – Including AED 19th October 2022 09:30 – 11:30

Mindfulness for Primary Care 26th July 2022 19:00 – 20:00

Wellbeing Champion Drop – in Session 28th July 13:00 – 14:00


PM Webinars 2022

   

Webinar 2 – September 13th 13.00-14.00 NHS Complaints process update

Click here to register Derby & Derbyshire LMC: Event details: PM WEBINAR: NHS Complaints Process Update

The NHS complaints process has recently been updated and our Committee PM – Kerry Martin will be talking us through the changes.

If you would like to share some complaint examples to discuss during the session please let us know by emailing ddlmc.office@nhs.net please ensure the examples are non-identifiable.

Webinar 3 – Tuesday 8th November 13.00-14.00 Maximising dispensing income and PA process

Click here to register Derby & Derbyshire LMC: Event details: PM WEBINAR: November Maximining Dispensing Income and PA Process

This webinar will cover

  • How to ensure you are maximising your Dispensing and PA income
  • Hints and tips that will help you maximise your practice income.

This webinar will be presented by two of our Committee PMs – Tor Siddall and Julie Chaplin.

 

REBUILD GENERAL PRACTICE CAMPAIGN

Rebuild General Practice: 3 ways to show your support

Help us build awareness of the crisis facing general practice. Your support to amplify the message will help make the campaign a success. Here are three ways to get involved.

  1. Sign the ‘Letter to my patients’

Hundreds of GPs have already signed an open letter to our patients - showing them that GPs are on their side. To add your signature, simply email hello@rebuildgp.co.uk with your full name.

  1. Use #RebuildGP

Follow and share content, news, and updates on the campaign Twitter page

  1. Access campaign materials

Contact your LMC for more information and to access campaign materials.

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RECRUITMENT

To see all vacancies available, please click here.

 

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