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GP News 31 January 2020

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Hot Off The Press

Putting Patient Activation Measures to work in Diabetes
  • Tuesday 3 March 09:30-12:30 at Wood Green. For further information please click here.

Diabetes Spring Meeting
  • Tuesday 3 March 13:00-15:00 at Wood Green. Please click here to book.
Appraisal and Revalidation
  • Thursday 12 March 19:00-22:00 at Wood Green. Top tips and your questions answered for First 5 and early career GPs. For further information please click here

There is an opportunity for people new to SystmOne or Emis to attend a workshop at Huntingdon Racecourse delivered by CCG IT Team, please click here to book.

There are still places left on Effective Chaperoning for Cambridge on 26th Feb, please click here to book.

Coronavirus - updated advice

This alert updates the advice sent on 23rd January 2020. Changes from the previous version are high-lighted in blue font. Key changes are to the case definition. These include the expansion of geography for clinical case definition from Wuhan to all of mainland China; and the inclusion of fever and removal of sore throat from the clinical case definition.

A flow chart is also attached.

NHSEI/PHE are in the process of preparing updated materials, such as posters for healthcare settings, and we will share these once available.

Outcome of call for nominations to the CCG Governing Body

The CCG has completed its call for nominations to fill the two GP Member vacancies which will occur at the end of March 2020.  Following this process, the CCG received two nominations:

Dr Mark Brookes

Dr Adnan Tariq

As there are only two nominations for two vacancies on the Governing Body, there is no requirement for an election process as both candidates are eligible for these roles in line with the CCG’s Constitution.  The Governing Body will be asked to formally ratify their appointment to the Governing Body for three-year terms from 1 April 2020 to 31 March 2023.  This will take place on Tuesday 4 February 2020 at our next meeting in public.

I would like to thank the Cambridgeshire Local Medical Committee for their support in facilitating the process.

Dr Gary Howsam

Clinical Chair, NHS Cambridgeshire and Peterborough CCG

Have your say - Big Conversation with Primary Care

We have launched the Big Conversation with Primary Care to find out how the CCG can support and help improve Primary Care for the future. We’re keen to hear your feedback and there are a number of ways you can do this. 

All practice members, including receptionists and other administrative staff, are encouraged to complete our short online survey that is available at https://www.surveymonkey.co.uk/r/CCG-BCwPC.

We will also be holding events over the coming weeks that will provide the opportunity to have a face to face decisions about what you’d like from the CCG and how we can work together better in the future (exact locations to be confirmed ASAP where they are not listed as yet): 

  • Cambridge - Monday 3 February – 15:30, Fawcett Room at Cambridge Professional Development Centre
  • Wisbech - Wednesday 5 February – 14:00, North Brink Practice
  • Huntingdon - Friday 7 February – 15:30, Oak Tree Centre
  • Royston – Tuesday 11 February – 18:00, Royston Town Hall
  • Peterborough – Friday 14 February – 12:30, Thistlemoor Surgery 
  • March – Tuesday 18 February – 18:00, Riverside Practice
  • Ely – Wednesday 19 February – 15:00, Conference Room at Prince of Wales Hospital
  • St Neots – Friday 21 February – 13:30, Priory Centre

Events are open to all practice staff and will last an hour and a half.  To reserve a place at any of the above please email CAPCCG.AO@nhs.net. Please share this information with your colleagues in administrative roles at your practice - we are keen to get their feedback and input too.

Your feedback via the survey and our events will help to shape our local vision for Primary Care going forward and ensure that we – at the CCG – are providing you with the right support at the right time. We will be reporting your feedback and our proposed actions back at our next Members Event taking place on Thursday 27 February.

Nightingale Medical Centre opens its doors to patients

This week saw the new Nightingale Medical Centre, Peterborough, successfully open to patients. 

The new purpose built surgery located on Damson Drive, Peterborough will provide local residents with a first class health facility for the community to benefit from now and in the future. 

Nightingale Medical Centre is part of the ongoing development of local services which sees Welland Medical Centre moving to the new site and changing its name.  All Welland patients have been automatically transferred to Nightingale and the Welland premises on Eye Road are now closed.  The practice manager for Nightingale Medical Centre is Dawn Lyons dlyons@nhs.net

The opening also coincides with the closure of Dogsthorpe Medical Centre which will officially close on Friday 31 January.  All patients registered at Dogsthorpe have been advised to register with another practice of their choice, including Nightingale Medical Centre. This closure will take the total number of GP practices in Cambridgeshire and Peterborough to 87.

CCG generic ultrasound proforma - update

Back in the summer the CCG published the generic ultrasound form, the form was published on the Clinical Support Tool (CST)  for SystmOne Practices, and the template was forwarded directly to EMIS practices for immediate use.

Other Provider ultrasound request forms remained in place alongside the new CCG generic ultrasound proforma. We continued to share the generic ultrasound proforma at e-RS User Group Meetings and shared your feedback with the diagnostic clinical lead. Your comments have been listened to regarding the removal of other Provider forms and we can confirm that with effect from Friday 7 February at 5.00pm both Addenbrookes Hospital and Hinchingbrooke Hospital ultrasound referral forms will be withdrawn. This follows the withdrawal of Global Diagnostics and Diagnostic Healthcare ultrasound referral forms on 13 January. Please could we ask you to refer for ultrasounds using the CCG Ultrasound form.

Should you wish to discuss further please contact Ros Campbell, Choice, CCG NHS e-Referral (Choose and Book) Manager on roscampbell@nhs.net.

Central Alerting System (CAS)

Class 2 Drug Alert, Action Within 48 Hours, Leo Laboratories Ltd (T/A Leo Pharma), Picato 150mcg/G Gel And Picato 500mcg/G Gel (Ingenol Mebutate)

LEO Laboratories Ltd (T/A LEO Pharma) is recalling all unexpired stock of Picato Gel (ingenol mebutate) from pharmacies and wholesalers as a precautionary measure due to concerns on the possible risk of skin malignancy. The recall is a precautionary measure following the suspension of the marketing authorisation for Picato, while investigations are ongoing.

Full details of the drug alert are included in the attached PDF file. Please forward to listed recipients. This information is also published on the MHRA website https://www.gov.uk/drug-device-alerts.

Class 2 Drug Alert, Wockhardt UK Ltd, Levothyroxine 100mcg/5ml Oral Solution

Wockhardt UK Ltd is recalling specific batches of the Levothyroxine 100micrograms/5ml oral solution from pharmacies and wholesalers as a precautionary measure due to notification of the impurity liothyronine exceeding the specification limit.

Liothyronine is a degradant of levothyroxine and can be used to treat the same conditions but with a faster onset and is considered to be more potent than levothyroxine. The potency difference will result in different pharmacodynamic effects for patients.

Full details of the drug alert are included in the attached PDF file. Please forward to listed recipients. This information is also published on the MHRA website https://www.gov.uk/drug-device-alerts.

Class 4 Drug Alert, For Information, Dr Reddy's Laboratories (Uk) Ltd, Finasteride 5mg Tablets

Dr Reddy's Laboratories (UK) Ltd has informed the MHRA that the Patient Information Leaflet (PIL) for specific batches of Finasteride 5mg Tablets are missing the special warning and precautions identified from post-market experience relating to mood alterations and depressions. This is correctly documented in the Summary of Product Characterisitcs (SmPC). 

Healthcare professionals are asked to ensure that patients are aware of the missing information and the current SmPC should be included when dispensing the the batches listed in this alert, (https://www.medicines.org.uk/emc/product/3493/smpc).

Full details of the drug alert are included in the attached PDF file. Please forward to listed recipients. This information is also published on the MHRA website https://www.gov.uk/drug-device-alerts.

Reporting of Defects and Failures and Disseminating Estates and Facilities Alerts

Reporting estates related incidents affecting the safety of patients and the continuity of services is part of the statutory responsibilities on NHS healthcare providers established by the Care Quality Commission (Registration) Regulations 2009.


This alert provides information on what to report and how, and how to handle Estates and Facilities Alerts which your organisation receives.

Please note: we are not collecting responses from any organisations in response to this alert.

Please see below the latest developments from the world of healthcare Research and Innovation
You can also now follow the R&D team on Twitter: https://twitter.com/CPPrimaryCareR1

Meet the Cambridge professor working with diabetes patients on research to help them achieve remission

New heart disease drug to be made available through ground-breaking clinical trial

Uptake of shingles vaccination is more likely if proactively offered in primary care

The R&D team are located on the 4th floor of Lockton House. If you want to get in touch about our weekly research updates, please contact Sinem White (sinem.white@nhs.net).

Partner news

North West Anglia Foundation Trust

Fracture Liaison Service 

Due to a change in personnel there will be a temporary gap in the running of the Fracture Liaison Service at Peterborough City Hospital. It is anticipated that this will be until mid-May 2020. Please read more in NWAFT's letter on this issue here.

Birth Afterthoughts Service

NWAFT has released a new referral form for women who would like to access the Birth Afterthoughts service at Peterborough City Hospital. Please find this here.

NHS England and NHS Improvement

2020/21 seasonal flu vaccination practice

In response to a number of queries received from practices regarding which vaccines to order for the 2020/21 seasonal flu vaccination practice, NHSE has produced a letter to advise. Please find this here.

MMR vaccination campaign

Every GP practice in the country should have recently received, or will be receiving shortly, posters and reception counter cards to support the NHS ‘Measles, Mumps and Rubella (MMR) – Help Us Help You, Get Protected’ campaign.

This is one of six campaigns agreed as part of this year’s GP contract and the materials have been developed to support you in encouraging your patients to get protected.

A digital pack including these and further downloadable materials including social media content and digital screens will also be available via the Campaign Resource Centre. These materials are designed to complement other materials which are available to download/order here: healthpublications.gov.uk/Home.html

If you have any queries please contact England.ea-phsi@nhs.net

Last call for applications for Primary Care Collaboratives

The deadline for applications for Primary Care Collaboratives is 3 February 2020. NHSE have recirculated the flyer and application form for Cohort 6. Please do consider applying if you are interested.

Public Health England

PHE would like to draw your attention to the latest issue of Microbe, PHE's newsletter from their microbiology laboratories in the east of England.

Cambridgeshire County Council - MRSA

The number of MRSA and IGAS infections have increased nationally and Cambridgeshire County Council have identified cases locally in the Cambridge City area.  In order for Cambridgeshire County Council to provide an effective response to prevent further local MRSA infections, they need your help to get clear messages out to our most ‘at risk’ patient group.  Locally Cambridgeshire County Council have identified injecting drug users and those who are homeless as our largest risk group.

Can you please

  • Advise drug users (injecting drug users are the group most at risk) in respect of MRSA/iGAS infections and remain vigilant in respect to potential symptoms. 
  • Reiterate the importance of good hygiene both in terms of hand washing and ensuring that antiseptic wipes are used to clean injecting sites.  Wipes are included in all pharmacy needle/syringe packs and available at the CGL office based at  Mill House, Brookfields Hospital Site, Cambridge.

For further information, please see the following resources:

 

Local training opportunities

Local events are now being collated on the Training Hub website, we recommend you check this link for the latest training available for practices in Cambridgeshire and Peterborough https://cptraininghub.nhs.uk


Book now: pre-CQC inspection workshops

In response to practice feedback, we have partnered with PCC-CIC to deliver a series of free workshops highlighting top tips to prepare for a CQC inspection.

These CQC workshops will be facilitated by an experienced trainer who has a background in practice management and is an associate with the RCGP. 

The half day workshop will cover a range of subjects, including regulations and responsibilities, Key Lines of Enquiry (KLOEs), evidence requirements and the annual phone call.

Our goal is to have all attendees leave the workshop with a better understanding of how to meet the Health and Social Care Regulations which providers are inspected on.  You will also be provided with a toolkit to plot evidence and track this against the regulations at the workshop.

Workshops will be held across the patch with two spaces available per practice– for a Practice Manager and clinician with leadership responsibilities.  Please see details below –

DATE

VENUE

Name & Role

26 FEBRUARY 2020             13:00-16:00

12:45 Refreshments and Registration

Allia Future Business Centre

Peterborough United Football Ground

London Road

Peterborough

PE28AL

 

4 MARCH 2020                   10:00-13:00

9:45 Refreshments and Registration

Granta Medical Practice

London Road

Sawston

Cambridge

CB22 3HU

 

11 MARCH 2020      

10:00-13:00

9:45 Refreshments and Registration

Riverside Practice

23 Marylebone Road

March

Cambridgeshire PE15 8BG

 

7 APRIL 2020                 

10:00-13:00

9:45 Refreshments and Registration

The Fleet

Fleet Way High Street

Fletton

Peterborough PE2 8DL

 

16 APRIL 2020                         13:00-16:00

12:45 Refreshments and Registration 

Wood Green The Animals Charity

Kings Bush Farm

London Road

Godmanchester

PE29 2NH

 

21 APRIL 2020                      13:00-16:00

12:45 Refreshments and Registration

Nuffield Road Medical Centre

10 Pippin Drive

Cambridge

CB4 1GL

 


If you or a member of your practice team are interested in signing up then please complete the above table and return this email the Primary Care team at capccg.primarycare@nhs.net by 7February 2020.

The inclusion of external courses and events within GP News does not imply endorsement by NHS Cambridgeshire and Peterborough CCG or any association with their operators.

Disclaimer: Whilst every effort has been made to check external links are from a reliable source please be mindful when requested to input personal information into third party links.
GP News 31 January 2020