DDLMC WEEKLY UPDATE 25/11/21
LMC INFORMATION
Introducing Our New Medical Director
We are delighted to announce that Dr Ben Milton will be officially joining DDLMC as our new Medical Director. Ben will have a gradual induction to the team and hence you might meet him in meetings/events over the next few months before he starts in earnest in February.
Ben is a dedicated clinician with a wealth of experience in commissioning and system leadership as well as being a true advocate for general practice. We’re delighted he will be bringing that experience to the LMC as we support general practice in navigating through the challenges of working in an ICS.
Workload and Duplication of Email Communications
Following Practice Manager meetings across the county, we are hearing that Practice Managers are being overrun with multiple requests for information at short notice; frequently with no context to the information being requested and often in duplicate. Please could PMs email over any examples of inappropriate requests, those with short notice deadlines and those duplicated or with no context for the benefit to the practice or the system. Please email these to ddlmc.office@nhs.net, preferably with a subject of ‘Evidence for email workload’. We appreciate you are extremely busy, however, this evidence will be immensely helpful to demonstrate the magnitude of the problem and work with CCG on a solution.
Access to Records
We wanted to update you on the status of “Access to Records” programme that was due to affect SystmOne practices from 1st December 2021.
As you are aware NHSE had failed to provide the necessary redaction software which had been set out in the regulations.
Yesterday GPC have confirmed that following their letter to NHSX highlighting concerns about the programme launch for December 2021, they have been officially notified that the programme has been paused until April 2022.
GPC will now take this forward with an expert panel and NHSX to look at the entire programme in detail, to ensure its safety and workload implications on general practice.
2022/2023 Flu Vaccination Ordering Recommendations
During the regional LMC meeting, we have been advised by the national team to hold on the ordering of 22/23 flu vaccine stock ordering until the letter on recommended vaccines is realised, which will be sent out in the next couple of weeks.
GPTF Derbyshire - Wraparound Support for Derbyshire General Practice
Midlands Regional Webinar on NHS Digital Weight Management Programme (DWMP)
This session will cover everything you need to know about the NHS DWMP, so please join us and also forward this invite to relevant colleagues within your systems and across the region.
Event Link: Click here to join the Webinar
Date & Time: Tuesday 30th Nov 2021; 12:00-13:00
Who should attend?: GP’s, GP Staff, PCNs, Pharmacist, and anyone that may refer in to the DWMP within a GP Practice. Including system partners who are involved with the delivery of the programme ICS Prevention Leads, CCG Primary Care Leads, PCN Leads etc.
If you are interested and would like to find out more information, please click here.
'Hot Topics' GP Update Live Webinar - Wednesday 19th January 2022
The General Practice Task Force and Health Education Derbyshire are delighted to offer ALL Derbyshire GPs access to a virtual, fully interactive, Hot Topics GP Update course webinar on Wednesday 19th January 2022. To ensure no one misses out, anyone unable to attend the event can still register in order to access NB’s online presentations and online course book for 12 months from the date of the course.
To find out more about the webinar and how to register on this 
flier.
Having Safe and Effective Wellbeing Conversations
The NHS People Plan sets out the ambition that every member of the NHS should have a health and wellbeing conversation with their line manager or a peer, and that as part of this conversation, line managers will be expected to discuss an individual’s health and wellbeing, and any flexible working requirements, as well as equality, diversity and inclusion.
December and January dates are available. To book, please use the link below.
NHS England » Having safe and effective wellbeing conversations
Thrive Wellbeing Webinar Sessions
THRIVE are hosting a series of webinar sessions exclusively for their partners focusing on looking after your mental wellbeing.
Stress Webinar for National Stress Awareness Day - Wednesday 3rd November at 10:00 am: hosted by Elissa Makris
How to Recognise and Combat Burnout - Wednesday 24th November at 3:00 pm: hosted by Johanna Scheutzow
Practical Ways to Cope with Winter Blues and SAD - Tuesday 7th December at 12:00 pm: hosted by Elissa Makris
Financial Wellbeing - Thursday 9th December at 4:00 pm: hosted by Johanna Scheutzow joined by an expert guest panel to be announced!
Click on the link to book your spot Thrive: Our Latest Webinar Series Tickets, Multiple Dates | Eventbrite
New for Derbyshire GP Leaders
Are you a GP leader or emerging GP leader in Derbyshire?
Would you like to be part of a brief focus group study to inform the development of leadership support in Derbyshire? If so contact Dr Catherine Cowley at Catherine.cowley@nhs.net by 30.11.21.
New for Derbyshire GP leaders or a GP wanting to develop leadership skills, GPTF is developing a pilot set of workshops to support leadership development. The workshops will use innovative coaching skills to grow your self-awareness as a leader and develop your leadership style. You will learn tools and approaches to leading your teams. If you would like to participate in these pilot workshops please contact Dr Catherine Cowley at Catherine.cowley@nhs.net by 30.11.21.
GPTF Fellowships
Express your interest for 2021 Fellowships
Over the past 2 years GPTF have been running flexible fellowships that have retained GPs in the county by developing leadership skills, project management experience and additional clinical / managerial skills. Our fellowships have led to additional job opportunities, national academic presentations and helped shape support for GPs and practices throughout the county.
As opportunities for new GPs and First5 GPs have increased with the offer of New to Practice and ‘Trailblazer’ Fellowships, we are keen to ensure that GPs in their mid / later career can also access a portfolio career development scheme. We have therefore taken the decision to offer these fellowships to GPs at least 5 years post CCT. If you have previously been a GPTF fellow, you are also more than welcome to apply.
Please read about the scheme in more detail and by 20th December 2021 express your interest.
GPTF Southern Derbyshire 2021-2022 GP/Consultant Workplace Exchange
Don't forget it's not too late to register your interest for the Southern Derbyshire 2021-2022 GP/Consultant Workplace Exchange
You'll be paired with a UHDB consultant and spend a half-day shadowing each other in your respective workplaces. Understand what it's like to work as a UHDB consultant these days, and in return, show them the challenges and difficulties facing us in general practice.
Please see the attached flier for more details and to register your expression of interest.
If you have any questions regarding the exchange please contact GP Lead Dr Ruth Dils ruthdils@nhs.net
COVID UPDATES
NHSE & NHSI COVID-19 and Flu Vaccination Support Bulletin – Issue 22
The aim of the information enclosed in the bulletin is to summarise the key requirements in line with national policy and guidance and provide latest information.
LOCAL UPDATES
New Respiratory Clinical Advice Service (CAS) Now in Place at Royal Derby Hospital From 15th November 2021
Having successfully implemented a Clinical Assessment Service (or CAS) for the lung cancer service within Respiratory, the opportunities were recognised in having a similar process for the wider Respiratory out-patient service at Royal Derby Hospital.
For patients, the CAS means that a senior clinician will immediately review the details of the case and can provide rapid guidance back to the primary care team, potentially avoiding an unnecessary consultation, or alternatively direct the patient into the most appropriate clinical service which will not necessarily be an outpatient appointment with a consultant at the Royal Derby Hospital. This approach offers the opportunity to improve respiratory's outpatient capacity at RDH and shorten the time to treatment.
Furthermore, the CAS allows the clinician to request diagnostic tests for a patient, and potentially to carry out a second review of the case once these test results are available rather than bringing the patient into the outpatient setting first. Once again, this approach allows the respiratory team to make a more informed decision on the care that the patient needs and ensure they get to the right service in the most timely way.
The hospital wanted the CAS process for reviewing results to be as automated and streamlined as possible and the opportunity was identified to use an alert within Lorenzo and a data warehouse report to do this. The report informs the respiratory clinician immediately when test results are available to review, and the clinicians will access this daily to make an informed decision on the appropriate clinical management required for those patients.
By streamlining processes, the hospital will reduce delays for patients from referral to diagnosis to treatment. Other benefits include educating GPs on appropriate management options for patients that do not need to be seen by secondary care, ensuring that patients are seen by the right clinician at the right time and a reduction of manual paper processes by using a completely electronic triaging approach.
OTHER UPDATES
The Big GP Consultation Webinar Series
Are you an early career GP/GP Trainee with an interest in the future of general practice? If so, join us at the #BigGPConsultation - a space to hear expert insight, and to discuss peer-to-peer what the future of general practice could look like.
Applications to take part in The Big Consultation, and be a participant in the six webinars Jan - June 2022, open on 22nd November 2021 and close on 10th December 2021 at 5pm. Link to application form which has more details: https://bit.ly/TheBigGPConsultation
The Importance of Hypertension in Primary Care: Case Finding and Best Management
Health Education Derbyshire has been working alongside the CCG to develop a Hypertension masterclass. This masterclass will cover the important of hypertension, making a diagnosis, management in primary care and when to refer and case finding and support with CVD PCN DES. This event will provide one hour presentation followed by an open Q & A session.
Please use this link on how to book a place for this event.
RECRUITMENT
To see all vacancies available, please click here.