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DDLMC WEEKLY UPDATE 19th NOVEMBER 2020

NATIONAL UPDATES

Flu Vaccine Programme. A number of updates:

  • We have received a number of queries about the 50-64 year-old cohort of patients, since the original aspiration was for NHSE to provide further information at the start of November. At this stage there has been no further guidance although we understand an announcement is imminent and all we can advise practices to do is to wait (much as we know how frustrating this is as you want to plan).
  • The updated DES Specification has been published which is the formal documentation that contains the previously released updates, including access to the DHSC supplied vaccine supply.
  • NHSD Apology. Letters were erroneously sent to patients who have suffered from glandular fever in the past. NHSD have now apologised for the error (Attachment A) and written to patients explaining that they are not in fact entitled to a free jab (Attachment B), notwithstanding any other qualifying conditions.

ARRS Funding. We understand from the NHSE Regional Team that the amount of claims being made for ARRS funding is much lower than expected. A reminder to PCNs and practices to ensure you are claiming for this funding. On the same subject, please ensure your NWRS workforce surveys are updated as this will help to provide accurate feedback on workforce (and it is also a contractual requirement)

LOCAL UPDATES

NHS111 Direct Bookings. We met with the CCG and DHU this week and there is some further work to do to clarify some issues before we publish an update. We hope to get this to you early next week.

Private to NHS Provider Referrals. In March 2019, after discussion between the LMC, CCG, UHDB and Appletree Medical Centre (who had raised the issue initially), the CCG published an updated policy on Private to NHS Provider Referrals (Attachment C). An issue came to light recently, concerning an Orthopaedic referral, which required clarification and UHDB have undertaken to ensure their clinicians and administrators are aware of the process. In this scenario, the Consultant, who had seen the patient in a private capacity, asked the GP to re-refer the patient into UHDB (where the consultant would see him in an NHS capacity) via MSK, rather than referring directly into the MSK Service himself. This has now been resolved (although I suspect there may be a further internal UHDB/CCG conversation about a consultant’s analysis of a referral being “checked” by MSK) and practices are reminded that if they receive any such requests for re-referral in the future they should quote the CCG policy and where appropriate advise that a GP referral is not required.

CRH Outpatient Clinical Letters. Chesterfield Royal Hospital NHS Foundation Trust (CRHFT) have announced that they are at last (their words!) able to send out-patient clinical letters for GP’s via the MESH electronic data transfer mechanism into GP practice patient systems. (Attachment D)

GP Triage SOP As part of the continuing discussions between the Trust and general practice, UHDB have bow produced an Acute Medicine Telephone Triage SOP document for GPs (Attachment E). This is designed to help GPs make decisions about Acute referrals and will hopefully reduce the administrative burden on both GPs and UHDB.

GP TASK FORCE DERBYSHIRE

Please join us for the launch of ‘GP Pause’! GP Pause is a new, innovative programme to support both GP Practices and GPs who are off for an extended period of time, for any reason. Most GPs will have a ‘Pause’ at some point in their career, either planned or unexpected and we want to ensure you have the tools to help you! So, join us - if are a GP or part of Practice Management. (See Attachment F)

We have a Keynote speaker: Dr Rachel Morris who is talking on ’How to design a life you’re going to love’

7:30pm on Thursday the 3rd of December 2020

Join our Zoom Meeting:

https://us02web.zoom.us/j/89971419038?pwd=dVBkdDNVVi9NNDFOU2JGb3pCd0Qzdz09

Meeting ID: 899 7141 9038

Passcode: 150346

DEN Session - COVID-19 and Post COVID-19 Syndrome – 10the December 2020. We are running a virtual DEN COVID - 19 and Post COVID - 19 Syndrome (Via ZOOM) on Thursday 10th December 2020 19:00. This is a free event. There will be a short drug rep presentation prior to the meeting (Sponsored by Daiichi Sankyo UK Ltd).

Speaker: Dr Gail Allsopp

Description: In September 2020, 67% of members who responded to a RCGP survey said they were looking after patients with symptoms from COVID-19 lasting longer than 12 weeks, many of whom were never admitted to hospital and were never tested for COVID 19.

NICE/SIGN and the RCGP are developing a national guidance that defines this disease as acute COVID-19 (0-4 weeks), ongoing symptomatic COVID-19 (4-12 weeks) and Post COVID-19 syndrome from 12 weeks onwards.

This webinar will look at the patient perspective, discuss the definition, the presentation in primary care and the investigation and treatment pathway we should consider in general practice to ensure these patients are cared for in the best possible way.

This will be a merged event for Derbyshire and Chesterfield.

Register in advance for this meeting:

https://us02web.zoom.us/meeting/register/tZYld-Gorj4tH9BwruzToDRpVNweYT5DaxLz

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

LMC Webinar 25th November The Positive Power of No. Please join us as I reflect on my time at the LMC and how I believe we can all make a really positive contribution to our own and our teams wellbeing. We will also introduce Mike Smith who started at the LMC this week. Please register here.

Join Zoom Meeting:
https://us02web.zoom.us/j/83252209077?pwd=MW05SEFkQ1pnSzB1dEhVOE9JRGIxZz09

Meeting ID: 832 5220 9077
Passcode: 387186

OTHER UPDATES

BMA Parental leave webinar and workshop. The BMA have published guidance for GPs on parental leave and will be hosting a webinar and workshop for more in depth guidance on these issues:

2 December: 12.30 – 2.00pm – Webinar - 'GP Maternity and Parental leave Guide: launch and introduction to the guide’. Register here

9 December from 12.30pm – 2.30pm – Workshop - ‘GP maternity’. Register here here

If you would like to submit questions in advance, please contact Christopher Scott via cscott@bma.org.uk

AND FINALLY…

Did you know that Yoda has a last name?

Layheehoo.

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