DDLMC WEEKLY UPDATE ISSUE 7/23
CQC IN GENERAL PRACTICE DROP IN AND MASTERCLASSES
Topics discussed in last month’s CQC in General Practice chat were:
- Update the CQC Myth Busters including Infection Prevention and Control, Care of LD Patients, Caring for Carers and Caring for Veterans and their families.
- What each practice should have in place with the PCN if they are employing First Contact Practitioners
- Hot Topics from current CQC inspections including safeguarding, consent to care, negative feedback online and patient survey and feedback results.
- How to get started with effective communications when using social media.
Our next CQC in General Practice Chat is due to take place on Thursday 23 February 9.00-9.30am, please make sure to book your place.
*Please note a Teams/Zoom link will be sent out on Wednesday 22 February as a meeting invite and you cannot access this chat via Eventbrite*
CQC Masterclasses 2023
CQC Inspection Masterclass
Are you expecting a CQC visit?
Then our CQC Inspection Masterclass on Tuesday 28th February 2023 at 13.00 is for you and covers:
• Overview of what to expect before, during and after a CQC inspection.
• Before – CQC interviews, request for evidence and clinical searches.
• During – CQC interviews, evidence gathering and questions you may be asked.
• Afterwards – what to expect from the inspectors and how to respond if things don’t go your way.
CQC KLOE – Safe Masterclass
Fancy a deep dive into the Safe Key Line of Enquiry and want to know more about how to evidence:
- Learning Culture
- Safe systems, pathways and transition
- Safeguarding
- Involving people to manage risk
- Safe environment
- Safe and effective staffing
- Infection prevention and control
- Medicines Management (light touch as our Pharmacist Partners can provide an in-depth workshop on this)
Then this Masterclass is for you which is being held on Wednesday 8 March at 13.00! Book Your Seat.
DKJ Quick Q’s
Got a quick question about your upcoming CQC visit but not sure who to ask? You don’t have to wait until our next CQC Chat, ask us via our Live Chat over at www.dkjsupportservices.co.uk and get an answer the same day. Look for the
icon!
CQC MONTHLY FOCUS - LEARNING WHEN THINGS GO WRONG
GP mythbuster 21: Statutory Notifications to CQC - Care Quality Commission
GP practices are legally obliged to notify CQC about certain changes, events and incidents that affect their service or the people who use it.
We consider whether providers have the systems and processes in place to correctly notify us under the safe and well-led key questions. The relevant key lines of enquiry (KLOEs) are:
S6.1 Do staff understand their responsibilities to raise concerns, to record safety incidents, concerns and near misses, and to report them internally and externally, where appropriate?
W6.6 Are there effective arrangements to ensure that data or notifications are submitted to external bodies as required?
S6. Are lessons learned and improvements made when things go wrong?
S6.1 Do staff understand their responsibilities to raise concerns, to record safety incidents, concerns and near misses, and to report them internally and externally, where appropriate?
S6.2 What are the arrangements for reviewing and investigating safety and safeguarding incidents and events when things go wrong? Are all relevant staff, services, partner organisations and people who use services involved in reviews and investigations?
S6.3 How are lessons learned and themes identified, and is action taken as a result of investigations when things go wrong?
S6.4 How well is the learning from lessons shared to make sure that action is taken to improve safety? Do staff participate in and learn from reviews and investigations by other services and organisations?
S6.5 How effective are the arrangements to respond to relevant external safety alerts, recalls, inquiries, investigations or reviews?
THE NEUROLOGY ENHANCED TRIAGE VIRTUAL CLINIC
After a successful roll out of the Neurology Enhanced Triage Virtual Clinic across South Yorkshire, the Sheffield Teaching Hospital Neurology department are launching this service for patients referred from DDICB.
All referrals sent to the Neurology service at Chesterfield will be reviewed and triaged by a Consultant Neurologist. For a small number of patients, the Neurology team are able to provide specialist advice directly to the referrer without the need for the patient to attend an appointment. This delivers timelier care for patients with more immediate access to diagnostic tests. Any investigations required will be arranged by the Neurology Department and both referrer and patient will receive written advice with regards to the clinical management.
Referrals should still be sent via the eRS Referral Assessment Service (RAS) for General Neurology at Chesterfield. If the management strategy is not acceptable to the referrer or patient, or if it is felt that the concerns have not been addressed, onward referral to the neurology clinic will still be considered.
CHANGES TO SHARED CARE PATHOLOGY
- The new prolactin guideline has gone on the website today - have a look and do comment and let us know, as always, if there are any changes you think might be helpful to you. It has been developed with endocrinology consultants and the mental health pharmacy team.
- You might also have noticed that the HbA1c requesting on ICE has been updated. There are two options for requesting HbA1c on ICE which are linked to different reference ranges when reported from the lab (20-48 mmol/mol for monitoring known diabetics or 20-41 mmol/mol for diagnosis of diabetes). Please take care to request the correct test.
Penny and Helen, Shared Care Pathology
DUPLICATE HOSPITAL RESULTS
Dr Penny Blackwell has been working with the pathology team at UHBD regarding duplicate hospital results being copied in to GPs. UHDB are going ahead with disabling the option to 'copy results to GPs' in Lorenzo on 15th Feb.
This should reduce the number of results GPs are receiving from UHDB that have not been requested (especially blood cultures).
We are continuing to look into other avenues these instances may occur including results from Chesterfield Royal that may be impacting the GPs in the north.
Dr Penelope Blackwell (BSc, BMBS, PhD, DipRCPath, MRCGP)
SERVICE NAME CHANGE IN OPHTHALMOLOGY
Please note that from Wednesday 1 March 2023, the Primary Eye Care Clinic at RDH will be changing its name to Acute Eye Care.
The new email address will be uhdb.acuteeyecare@nhs.net with no other changes to the referral process.
LOCAL EMERGENCY SUPPLY SERVICE
Please see attached communications regarding the future of the local emergency supply service.
Should you have any queries regarding the communications then please email england.eastmidspharmacy@nhs.net
LOCUM GP WORKFORCE PROJECT SURVEY
Shared on behalf of Dr Oluwasola Banke-Thomas, Clinical Fellow, NHS England- Midlands, National Medical Director’s Clinical Fellow Scheme
The aim of this survey is to explore the opinions of locum GPs working in the Midlands on current state of general practice, permanent GP roles and what would encourage them to take up more sessions and/or permanent roles. We want to better understand how we can support locum GPs.
The questionnaire takes about 3 – 5 minutes to complete.
Link to survey:
Also, the second part of the project is in-depth interviews. Could you please inform the locum GPs, that If any locum GPs would be happy to participate in an interview to discuss further the themes in the questionnaire, they should please send me an email on Oluwasola.Banke-Thomas1@nhs.net.
Telephony Baselining Exercise: Survey is still open - Due 17:00 Friday 24 February 2023 – SENT ON BEHALF OF DDICB
We previously sent communications about this survey in November, we are resending this message and asking you to encourage any practices who have not had the opportunity to complete this survey to do soon at their earliest convenience.
Work is ongoing to establish a national procurement framework for advanced (cloud-based) telephony solutions, planned to be live from January 2023. This will support you in the future procurement of a telephony solution, ensuring value for money investment in a fit for purpose solution that meets the national specification. There may also be an opportunity to access additional revenue funding (to be confirmed) to support you with buy-out costs should you wish to exit your existing contract early.
Whilst some information is known on the solutions in use and associated exit costs this does not cover every practice in England. It is critical that the national team have a complete picture of the national telephony estate, and in particular exit costs, to assess the requirement and support access to potential additional funding. The data gathering exercise does therefore include a question related to contract exit costs which we urge you to complete if possible.
Please compete this short baselining questionnaire, although there is no strict deadline for this return, it would be appreciated if you could complete the return by 17:00 Friday 24 February 2023. The questionnaire has been pre-populated with any information you may have provided in the past which should be checked and amended, as necessary.
If you have any further questions regarding the survey or difficulties in making a return, please contact necsu.adtelephony@nhs.net for support. We appreciate your time and thank you in advance for your submissions.
JUCD – TEAM UP VACANCIES SOUTH HARDWICK PCN
Shared on behalf of Julie Caunt Team Up Operational & Transformational Lead
South Hardwick Primary Care Network (PCN) is recruiting to a range of roles to support the Team Up Derbyshire approach of supporting frail patients with care in their homes. Please click the here for further details. If you have any questions, please email: j.caunt@nhs.net
CONFERENCE INFECTION PREVENTION AND CONTROL | 17 MAY
We would like to make practices aware that bookings are now open for the annual Darling Bugs of May Conference – Infection & Prevention Control. This will be held at Trent Vineyard on 17 May. This conference includes numerous speakers from the Infection Prevention and Control Industry.
A wide range of subjects will be covered including IPC and human factors, IPC in mental health settings, community and acute focus.
NHS HEALTH CHECKS STUDY DAY | 28 JUNE
Derbyshire County Adult Social Care and Health are holding an NHS Health Checks Study Day on 28 June. This is for any member of staff who is new to delivering NHS Health Checks OR staff who may not have delivered NHS Health Checks for some time and require a refresher session.
To register for this course please contact Jo Perkins on jo.perkins@derbyshire.gov.uk
For more information see this flyer.
‘Which’ PODCAST – WHY IS IT SO HARD TO GET A GP APPOINTMENT
The BMA media team set up an interview with ‘Which?’ on the topic of GP appointments and access to GPs. They have made this podcast and shared it via Spotify. The link is below for the podcast.
https://open.spotify.com/episode/4PQD8WcrfnmpPGEWJt0a9o?si=0c88f1eb65334cdd
It has also been shared on social media - https://twitter.com/grace_forell/status/1622992048923066369?s=61&t=984GS5rzVHILnsodmOI6hg
NHSE PRIMARY CARE WEBINARS
MAKING GENERAL PRACTICE WEBSITES HIGHLY USABLE AND HIGHLY ACCESSIBLE
Thursday 16 March 2023 from 12:30 to 13:30
Hear about the user research on what patients are seeking from practice websites and how this learning can be used to improve the usability of practice websites to the benefit of patients and practices.
To register click here
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WORKFORCE: MATCHING WORKFORCE TO DEMAND How do you design a role to better match the demand in your general practice / PCN? Where can you start? Join this webinar to know more and hear about practical approaches to building your workforce. Webinar hosts will explore how to use QI tools to design and create new ways of working, guided by workforce redesign principles to ensure they are safe, effective, and sustainable. They will encourage the sharing of experiences, as well as thinking about how we help our workforce become a team. |