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DDLMC WEEKLY UPDATE 8th OCTOBER 2020

NATIONAL UPDATES

Flu Vaccines. The vaccinations season is now in full swing and the predicted shortage of vaccines is starting to bite for some practices. The JCVI have now published a priority list, which is not mandatory but practices may wish to use to inform their decision making. In addition RCGP and the Royal Pharmaceutical Society have published a paper on collaborative working between GPs and Pharmacists. We have still yet to see any updates on how practices will be able to access additional stocks of vaccines.

Priadel Update. The Priadel discontinuation has been PAUSED by the Competition and Markets Authority (Attachment A). Kate Needham at Meds Management has advised “practices pause any switching that has been underway, and maintain patients on their current treatment”.

LOCAL UPDATES

NHS Contact Tracing App. We would like to remind those of you who have downloaded the NHS Covid-19 app of the need to ‘pause’ the app whilst you are wearing the correct PPE, keeping your phone in a locker or working behind a Perspex screen. You can find full details of when to pause the app here and the formal guidance for practice staff is at Attachment B. Failure to pause the app might lead you to being identified as a contact despite being appropriately protected and, as we understand it, the notification will not tell you when the contact occurred so you may not be able to determine whether or not you were protected at that time. Obviously, this may result in unnecessary self-isolation, so please encourage staff to pause the App at the appropriate times.

CCG membership engagement sessions for October. The CCG have asked us to share the following: “Further to the engagement sessions that the CCG ran in September there are two more sessions planned for 14 and 21 October between 2.00pm and 2.30pm to coincide with your protected learning time. These will again be facilitated by Chris Clayton, Accountable Officer and CEO for the CCG, Dr Avi Bhatia, the CCG Chair and GP members of the CCG Governing Body.

There were around 100 colleagues attending the September sessions and the CCG really do want to hear your views so please do forward the Zoom links below or send them as calendar invitations to your GPs and other practice colleagues:

14 October link and details: 2pm - 2.30pm Click here to join Zoom meeting Meeting ID: 854 9451 0217 Passcode: 821277
21 October link and details: 2pm - 2.30pm Click here to join Zoom meeting Meeting ID: 868 5993 1088 Passcode: 079780

If you have any issues that you want to raise as an agenda item for discussion please email them to ddccg.communications@nhs.net

GP TASK FORCE DERBYSHIRE

Upcoming Events. There are a significant number of events programmed in over the next few weeks so we thought we would provide a summary:

LMC/GPTF Webinar. Our next regular webinar will feature a short session on the changes to the GMS/PMS contract which came into force on 1st October followed by an open forum Q and A session. It will be on Wednesday 14th October at 11:00.

Join Zoom Meeting https://us02web.zoom.us/j/84112497263 Meeting ID: 841 1249 7263

Burnout Webinar for GPs and Practice staff. We are delighted to announce that the webinar will be delivered by Dr Rachel Morris, a GP and expert coach with a specialist interest in resilience at work.

Date: Monday 2nd November 2020

Time: 19:30 – 20:30

If you are interested in this webinar please book a place here

**Attention for all Practice Management Staff – On behalf of Claire Leggett**

Some of you will recall that we advertised out for a face-to-face in April for our Shapes Toolkit workshops and these were cancelled due to COVID. We have now made the decision to move these online. Rather than role over the existing booking because commitments, staff and dates have changed, we are opening up booking again for all. There are 40 places only, one place per practice please and Practice Managers take priority. (If you are accessing the GPTF Shapes Set sessions or Shapes training, please don’t book on this to ensure others can attend).

The session will be delivered by Dr Rachel Morris, a GP and expert coach with a specialist interest in resilience at work and supported by some of our own GPTF facilitators who have been trained in the Shapes models as Shapes Ambassadors. The workshop will provide powerful and practical tools to use for yourself and your practice teams. We would recommend that where possible, you access these live courses from home if possible as it will be fully interactive and might be difficult is you are disturbed or wearing face masks for your break out group discussions. This is a session that needs full engagement and is a time out for you! Having completed the Shapes training courses, I can advocate that they are fantastic resource and have sparked a real interest and use for us across our team. It is also the reason why we’ve established Shapes Sets to peer coach others.

Shapes Productivity Toolkit – full 3.5 sessions.

Choose one of the identical sessions below;

Date: Tuesday 10th November 2020

Time: 13:00 – 16:30

To book your free place click here

Date: Thursday 12th November 2020

Time: 9:30 – 13:00

To book your free place click here

DEN SESSIONS: We are running a virtual Derbyshire Education Network (DEN) session (via Microsoft Teams) on Wednesday 18th November 2020 covering the topic of Mental Health, Impact of COVID and Management of Dementia in Primary Care. This is a free event. There will be a short drug rep presentation prior to the meeting.

  • Mental Health, Impact of COVID and Management of Dementia in Primary Care: Wednesday 18th November 2020 1:20 – 15:30 Click here to book.

Once booked on the session, you will be sent details of how to join the Teams meeting on Monday 16th November 2020 via email.

Speakers: Professor Subodh Dave, Hayley Turner, Joanne Wombwell, Dr Antony Prakash

1: Professor Subodh Dave, Consultant Psychiatrist and Deputy Director of Undergraduate Medical Education, Derbyshire Healthcare Foundation Trust:

Learning Objective:

  • Impact of COVID on anxiety and psychosis

2: What makes a good referral to older adult mental health services? Hayley Turner, Acting Service Line Manager for Older adults community services

Learning objectives :

  • Structure of older adult services including specialist teams
  • The relevance of social history
  • Interaction between physical health and acute exacerbation of mental health

3: Joanne Wombwell - Clinical Nurse Specialist for Dementia and Memory Services: Management of dementia in primary care

Learning objectives:

  • Monitoring choline esterase inhibitors in primary care
  • NICE update on Memantine initiation in primary care
  • Role of social care and dementia support services

Dr Antony Prakash, Consultant in Old Age Psychiatry: Question and Answers

This will be a merged event for Derbyshire and Chesterfield.

Sponsored by Daiichi Sankyo UK Ltd.

OTHER UPDATES

New e-Newsletter for Derbyshire GPs produced by Derbyshire Community Health Services – “DCHS GP Voice” DCHS have asked us to share: Following a survey over the summer with General Practices in Derbyshire, we’ve launched a new monthly e-Newsletter as a way of communicating with Practices – please see the first edition here for a flavour of the types of news that we’re sharing. Let us know if have any suggestions of what to include in future editions or any feedback on the e-Newsletter in general. Also, if you didn’t receive the e-Newsletter direct from the DCHS Communications Team on Monday 5 October, but would like to be included on the email circulation, please email us dchst.GPvoice@nhs.net

Staff Self Isolating. Judy Derricott at the CCG asked us to share the following which practices might find useful.

If the member of staff has had symptoms or has had a positive test

Self-isolate for at least 10 days if:

  • you have symptoms of coronavirus and you tested positive, had an unclear result or did not have a test (If you have symptoms, the 10 days starts from when they started.)
  • you tested positive but have not had symptoms (If you have not had symptoms, the 10 days starts from when you had the test.)

But if you get symptoms after your test, self-isolate for a further 10 days from when your symptoms start.

Stop self-isolating after 10 days if you feel OK and:

  • you do not have any symptoms
  • you just have a cough or changes to your sense of smell or taste – these can last for weeks after the infection has gone

If you live with someone who has symptoms or tested positive

Self-isolate for 14 days if you live with (or are in a support bubble with) someone who:

  • has symptoms of coronavirus and tested positive, had an unclear result or did not have a test
  • tested positive but has not had symptoms

This is because it can take 14 days for symptoms to appear. The 14 days starts from:

  • when the first person in your home or support bubble started having symptoms
  • the day they were tested, if they have not had symptoms – but if they get symptoms after they were tested, self-isolate for a further 14 days from when their symptoms start

Stop self-isolating after 14 days if you do not get symptoms

Keep self-isolating and get a test if you get symptoms

Derbyshire LPC. Attachment A is the latest LPC weekly update.

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