DDLMC WEEKLY UPDATE ISSUE 4/23
REMINDER: ACCESS TO RECORDS UPDATE FOR TPP PRACTICES – ACTION REUQIRED BY 27.01.2023
As you will be aware, practices who sent in template letters asking their system suppliers not to enable the accelerated access programme are not currently part of this programme. Practices who didn't send in letters (or equivalent) will have the accelerated access programme provisioned in due course. TPP is planning to activate the programme's provisions on 1st February 2023 and affected practices should have been informed via a SystmOne Task earlier this month that this is the case. EMIS practices are being informed prior to going live when this will happen.
It is not too late to ask the system suppliers not to enact this change, assuming it hasn't yet happened. TPP has asked that practices make them aware via recordaccess@tpp-uk.com (please include a clear instruction, your practice name, address and ODS code), ideally by tomorrow (27th January). This date should have been communicated to you earlier in the year. The equivalent address for EMIS is aapostpone@emishealth.com. We have no oversight of how their rollout is progressing.
It has also come to light that some practices have added 104 codes in bulk ("Enhanced review indicated before granting access to your own health record") but have not sent in template letters. This is sending a mixed message as the accelerated access programme will be provisioned, yet might have limited effect. If the code hasn't been applied to 15-year-olds, for example, as they turn 16 they will get access automatically.
Some practices who have bulk added 104 codes to large parts of their population have had communications from their commissioners asking them for plans on how access is going to be given moving forward. We would suggest a national approach is needed and the BMA is working with NHS England to achieve this. We advise practices do not need to take any action on this issue or any commissioner requests of you at the present time.
bma-template-letter-for-system-suppliers-oct-2022.docx
DIGITAL FIREARMS MARKER FLAG
The digital firearms flag will soon be relaunched on SystmOne and EMIS Web systems towards the end of January. The digital marker and flag have been tested and brought before the Joint GP IT Committee since being taken down in July 2022. GPs should add the appropriate Snomed code to a patient's record when they receive notification of a firearms certificate application or when a certificate is granted. This will automatically add a marker to the patient’s record. If a potentially relevant condition of concern is added to their medical record during the application process or after a certificate has been issued, an alert will pop up. Further information will be announced in due course via the BMA and NHS Digital.
OPEL REPORTING UPDATED FOR PRACTICES
We have attached the updated slides which explain the changes to OPEL reporting, however we know how busy practices are so we have arranged two drop in webinars, please find details below.
The recording of this week’s webinar can be viewed 
here.
We are holding a second meeting on Tuesday 31st January 2023 17.00-17.45 Join on your computer, mobile app or room device Click here to join the meeting if you have any questions you would like to raise.
If you have any questions please email ddicb.lcsf@nhs.net
LMC BUYING GROUP
All Derby & Derbyshire levy paying practice can sign up to the LMC Buying group.
Buying Group membership is completely free and there is no compulsion to use all our suppliers. We do the hard work associated with finding the most competitive suppliers in cost and customer service, so we save you time as well as money on your purchasing!
Although the Buying Group was originally set up to help GP practices save money on the products and services they regularly buy, membership is now also open to GP Federations, Primary Care Networks, Dental Practices, independent pharmacies and other health and social care providers in the UK.
You can click on the boxes below to see an overview of what is available to your sector through the Buying Group. Once registered and logged in you’ll be able to see the sector specific information and offers on the individual supplier pages. Trusted to Save Healthcare Providers Time & Money | LMC Buying Group (lmcbuyinggroups.co.uk)
PRACTICE LIAISON OFFICER BI-WEEKLY DROP IN SESSION
Please note the next drop in session will be on Tuesday 31st January 2023 at 13.30. To Join the Zoom Meeting click here.
In last week’s drop in session we discussed:-
- GP Payments
- PPGs
- Wound care and the need for practices to claim
- Pushback on secondary care referrals
Please don’t hesitate to contact us at ddlmc.office@nhs.net if you need Practice Liaison, Pastoral or contractual support.
Hayley Scott
Practice Liaison Officer DDLMC
ECG’s IN PRIMARY CARE WEBINAR RECORDINGS
We have been asked to share the two recording below. How to perform a ECG in Primary Care and ECG interpretation. Please see the links below.
ECG interpretation-20221215_130239-Meeting Recording.mp4
How to perform ECG in primary care-20221215_123122-Meeting Recording.mp4
SHARED ON BEHALF OF THE LEADERSHIP AND TALENT WORKSTREAM FOR JOINED UP CARE DERBYSHIRE
We would like you to take a few minutes to tell us about your personal career, training and leadership development aspirations.
Locally here in Joined Up Care Derbyshire, would like to support more people from ethnic minority groups to successfully progress their career and be represented in leadership positions. We know from our local NHS staff survey data that significantly fewer ethnic minority people believe their organisation acts fairly with regard to career progression / promotion, regardless of ethnic background, gender, religion, sexual orientation, disability or age. We have national and local leadership development opportunities available and recognise that some people may face barriers to joining and attending.
Please complete this short survey so we can develop our understanding further and create development opportunities for 2023 and beyond that will support you and enable effective career and leadership progression. This survey will close on Friday 10th February 2023.
Please take a few minutes to share your thoughts by clicking here or scanning the QR code below or enter the #2759394 code in to slido.com
CULTURAL INTELLIGENCE FACILITATOR PROGRAMME
JUCD have 10 spaces on this programme and we’re really keen to fill all of these spaces. There is an ‘expressions of interest’ process (outlined in the attached pack).
Our aim is to identify a selection of people from across JUCD who will individually and collectively become a force for change. We will develop a cadre of experts who will challenge the status quo, who can spread learning and knowledge in teams, who will train others and who will use their new expertise to address inequalities in systems, processes, training and policy
EXPRESSION OF INTEREST - MEDICAL EXAMINER POSITIONS X2
Following the successful implementation of the Medical Examiner (ME) service, the Trust is entering the next phase of delivering a ME service within Staffordshire and Derbyshire. We are looking for additional enthusiastic GPs to join our experienced and dedicated team of MEs from both primary and secondary care. The focus of the service is to give a voice to the bereaved and to interact with them in a sympathetic manner. The ME service will ensure the accuracy of death certification and drive improvements in patient care.
Please see attached job advert & JD for further information.
MESSAGE FROM GMAST - NHS ENGLAND AND NHS IMPROVEMENT – MIDLANDS REGION
CQRS has received practices’ QOF information as of January 1st. Practices now have the opportunity to review their clinical system information against this information for accuracy, preferably before the end of the month due to data changing.
CQRS has two reports that can help verify numbers for Contractor Registered Population (CRP) and Quality Outcomes Framework (QOF) Achievement.
Please see the attached guide, which will help you to validate your practice’s QOF data in CQRS.
CHILDHOOD IMMUNISATIONS EXCEPTION REPORTING
We know the inability to be able to exception report for child immunisations is a big issue for practices, especially those working in deprived areas.
We are asking for support in collating evidence to take forward in her discussions with NHSEI. If you have any data/case studies you would like GPC to be aware of, please email us at ddlmc.office@nhs.net
FOR INFORMATION: NEW CYBER SECURITY RESOURCES
NHS digital have developed some new materials about ransomware as part of our Keep I.T Confidential toolkit.
You can download the digital resources, which include social media graphics, digital banners, a sticky note, screensaver and animation.
COMMUNICATION BETWEEN DWP AND GP PRACTICES
To support the NHS move away from use of fax as a method of communication and in response to the removal of fax machines from GP surgeries, the Department for Work and Pensions (DWP) has been working with Centre for Health and Disability Assessments (CHDA), to respond to this change.
From 30 January 2023 CHDA will be using email in place of existing fax processes for some communications with GP surgeries across England, Scotland and Wales. The email from CHDA will be in the format firstname.lastname@chda.dwp.gov.uk or location.furtherevidence@chda.dwp.gov.uk. GPs should reply to the indicated location.furtherevidence@chda.dwp.gov.uk email address.
DWP has confirmed that this process meets information governance standards and is covered by existing data sharing agreements. Please note, as per the current arrangement, for all urgent information CHDA will call the GP surgery by telephone. For further information, please contact hdas.digitalchange@dwp.gov.uk
CORE SKILLS – NEW BITESIZE TRAINING SESSIONS FOR MANAGERS AND THEIR TEAMS
Free training sessions have been developed by NHS England for practice and PCN managers and their teams throughout February and March 2023. They will equip managers and their teams with the tools, resources and knowledge to become effective leaders and to develop strong resilience to thrive in their roles. Please take a look at the sessions and share with your teams:
- ‘Transition to Leadership’ highlights the challenges of leadership in the context of primary care and supports new or aspiring leaders to achieve their leadership ambitions.
- ‘Recharge and Recover’ teaches life skills and self-awareness that are valuable in enabling learners to recover from intense work periods.
FEEDBACK: GRANTING ONLINE PROXY ACCESS
Online proxy access enables a parent, family member or carer to access NHS services on behalf of someone else. We invite you to complete a survey (closes 5 February) and take part in further research to help us to improve the service.
PCSE UPDATES
JANUARY 2023 PCSE UPDATE
GP Practice monthly update - January 2023 (pcsengland.co.uk)
Support for submitting End of Year certificates
We wanted to make you aware that if you are a member of the NHS Pension scheme and employed by NHS England, the 2021/22 Type 1 and Type 2 End of Year pensions certificates will be available to complete from Friday 27 January and you will have until Tuesday 28 February to submit them.
We're hosting a number of webinars to help GPs and non GP Partners complete their End of Year forms on PCSE Online. These sessions will cover how to submit Type 1 Annual Certificates and Type 2 Self Assessments, including a live Q&A opportunity on this subject. To read more and book on to a session, click here.
We have also created an easy-to-follow Type 1 and Type 2 Step by Step Guide to help you complete the end of year process successfully. You can find this guide here.
You can find key information in the guide including what happens if contributions have been under or over paid as a result of the Pension Scheme Member’s actual income being higher or lower than the practice stated on the 2021/22 estimate.
To find out more and other information about the End of Year process, please read our special bulletin here.
Alternative to GMS1 forms - Register with a GP surgery service
The Register with a GP surgery service provides all practices in England with an online option for their patients to register with them, helping reduce the administrative burden for general practice as well as making GP registration more accessible to the public.
This service is a paper-free, online alternative to using GMS1 forms.
For more information about the Register with a GP surgery service, click here to be taken to the NHS Digital website or email: england.register-gp-surgery.support@nhs.net.
Patient Registrations tips
Registering a gender reassignment
Patients may request to change gender on their patient record at any time and do not need to have undergone any form of gender reassignment treatment in order to do so.
It's important that practices are aware of the steps that need to be taken when a patient changes gender. Following the process will ensure continued patient care and ensure there isn’t an impact on your practice payments.
Click here for further information on the process for registering a gender reassignment.
If you need to submit a query regarding Adoption or Gender reassignment, please use our dedicated, secure Adoptions and Gender Reassignment online form here.
Patient removals/FP69 notification
When PCSE receives notification that a letter has been returned, indicating the addressee is no longer at the address, an FP69 flag is raised on the NHAIS system. This will update the patient’s record in the GP practice’s clinical system.
Practices need to check the address directly with the patient and update the address on the clinical system or send confirmation to PCSE that the current address is correct by sending an amendment through GP links.
Please note: if the letter is returned to us as ‘moved abroad’ or ‘deceased’ the appropriate action would be taken to deduct the patient from NHAIS.
If you have any further queries about Patient Removals, please see our FAQs here. If you cannot find the answer to your query you can email the PCSE Registrations team at pcse.registrations-preston@nhs.net.