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DAILY COVID-19 BRIEFING DDLMC - 08.04.2020

LOCAL UPDATES

Easter Bank Holidays HR and Finance. The CCG have provided a very useful flowchart (attached) to give practices an indication of how AfC contracts deal with overtime and Bank holidays. For staff on non AfC contracts this is for information and individual practices may choose whether to use this or not.

Non-CCG locally Commissioned Services. While the CCG have provided assurance over the protection of practice income for the services they commission, we are waiting to hear back from other commissioners (e.g. Councils) about non-CCG commissioned services.

Managing Symptomatic Patients. EMAS have provided the attached copy of the Clinical guide to managing the patient with a cough and a temperature during the coronavirus pandemic, which they are now using to assess/manage patients. This may be useful for GPs managing these patients in Red hubs.

Testing. We published the process for staff testing yesterday and Dr Penny Blackwell, Lead GP for Shared Care Pathology, has kindly produced the attached one-page summary which practices may find useful in answering staff questions.

PPE. The latest PPE guidance states

  • “For primary care, ambulatory care and other non-emergency outpatient settings (including red hubs) plastic aprons, FRSMs, eye protection and gloves should be used for any direct care of possible and confirmed cases. Such PPE may be indicated for work in such settings regardless of case status, subject to local risk assessment.” In Derbyshire we have conducted a risk assessment and concluded that this level of PPE is appropriate for the direct care of all patients.
  • The guidance adds “For health and social care workers working in reception and communal areas but not involved in direct patient care, every effort should be made to maintain social distancing of 2 metres. Where this is not practical use of FRSM is recommended.”
  • If there are any scenarios where a GP may find themselves conducting an Aerosol Generating Procedure then the higher level of PPE should be worn (gloves, disposable fluid resistant gown/coverall, FFP3 and eye/face protection) should be worn. These cases are likely to be very rare in general practice.

The collective view of the LMC/GPTF/GP Alliance and the CCG is that this provides an adequate level of protection and practices are recommended to stick to these guidelines, which are best summarised in this table . In the current landscape of a limited supply chain, any additional use potentially risks the system running out, a situation which we need to try and avoid.

OTHER UPDATES

Scams. Unfortunately, there are people out there seeking to benefit from the current crisis and practices are urged to remain alert to any potential scams. A good example was the text message sent to many patients over the last few days which was a scam. The CCG are putting out some patient facing comms to alert people of the possible risks and asking people to remain vigilant.

IT. NECS and the CCG IT teams have provided the following:

  • Microsoft Teams. This instant messaging, voice and video calling application is available to all staff with an NHSmail email account via free mobile, desktop and web apps. Staff can download the App from the NHS Mail home page portal (not Outlook), or the NECS Self Service Portal (GPN migrated practices only) using their existing NHSMail username and password (new account not required). Further detail is available on the NECs SupportWorks portal and NECS and the CCG are working on increasing functionality in the near future.
  • TPP Consent override - COVID-19. TPP has reinstated the consent override facility in S1 to support direct care, prevention, diagnosis and treatment of those with, or considered to be at risk of, COVID-19 where it is not possible to gain consent. This followed consultation with the National Data Guardian, ICO and NHSX and is in line with the general notice under the Health Service (Control of Patient Information Regulations) 2002 requiring healthcare organisations to share data to support the response to COVID-19. Further information can be obtained for the CCG Digital Team.
  • Away from my Desk. The CCG have confirmed that they will cover the licencing costs. Work continues with NECs and the supplier to resolve the roll out issues mentioned yesterday.

FREE Health Education England e-Learning for Healthcare. HEE have created an e-learning programme in response to COVID-19 that is free to access for all UK health and social care staff and includes key materials to help the health and care workforce respond to COVID-19.

Clinical Updates:

HR Update on Staff Sick Pay. Further to the Webinar today (copy of meeting here ) Liz Willetts from Kraft HR provided an update on the various combinations of sick pay in relation to staff absence due to Coronavirus. I will provide a summary tomorrow.

KEY MESSAGES FOR THE PUBLIC

Public Health England have updated the Campaign Resource Centre with additional materials that you may wish to use to publicise the latest campaign: Act Like You’ve Got It, Anyone Can Spread It

And the existing campaigns for: Stay Home, Save Lives and Home Isolation

AND FINALLY…

What have the Romans ever done for us:

When you arise in the morning, think of what a precious privilege it is to be alive, to breathe, to think, to enjoy, to love!

Marcus Aurelius, Roman Emperor (b.26 April 121 – d.17 March 180)

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