Important: Supply Disruption: Epipen and Epipen Junior (Adrenaline Auto-Injector Devices)
Please see the alert below which provides an update to the previous alert from 28 September 2018 regarding the supply of adrenaline auto-injector devices. Whilst all the information on this alert should be reviewed and actioned as appropriate, the changes from the 28 September alert are highlighted in red text.
Please note that the alert contains an embedded attachment (under 'Action' point 7) which is also attached as a separate document (SDA-2018-001(U)-Letter). This is a parent/carer facing letter giving advice about the EpiPen Junior shortage. This alert is requesting GP practices to identify registered patients (children) prescribed EpiPen Junior and make contact with their parents/carers in the next five working days to share details of these national contingency arrangements.
NHS England say:
Protocol for issuing EpiPen during disruption of supply
There is currently a disruption in the supply EpiPen® and EpiPen Junior® adrenaline auto-injectors (AAIs). We have now reached the point where supplies are critical and are implementing controls on the supply of 150 microgram AAI’s. This means restricting the issue of new devices until further notice, and as a result some patients may only receive one device even if two have been prescribed.
Pharmacies and dispensing practices have received advice on this. In this situation patients may present for an additional prescription which can be dispensed at a later date once the supply situation has eased. Please see the guidance developed especially for pharmacies and dispensing GPs, for when a patient asks for a 150mcg adrenaline auto injector. There is also an accompanying Q&A. Please can CCGs cascade to GPs, nurse practitioners and practice nurses.
Resources to help beat meningitis and sepsis
The Meningitis Research Foundation (MRF) has launched a resource hub highlighting the importance of providing safety netting information for patients. It is important that any patient with suspected infection who is sent home has information about spotting the symptoms of meningitis and sepsis and other serious infections.
MRF has launched a newly updated GP handbook which includes a section on safety netting and can be downloaded or ordered free from the website. Doctors can direct patients to this, or download documents for patients to take home so that they know what to do if symptoms progress.
HEE Innovation Fund - bids invited for Sepsis Innovation Fund
Reducing mortality from sepsis related deaths remains high on the national agenda. HEE have set up a Sepsis Innovation Fund to encourage and support initiatives that will contribute to workforce development in this area, through education and training, particularly around behaviour change with evidence of outcomes.
Suitably qualified applicants are invited to bid. Please follow this link for further information.
For your awareness - a separate HEE AMR Innovation Fund was launched last week.
General Practice bulletin:
The latest edition is now available. Please sign up here: https://www.england.nhs.uk/email-bulletins/general-practice-bulletin/
- 2017-19 NHS standard contract provisions
- GP access to new prescribing indicators for adults with a learning disability and/or autism
- The Independent Medicines and Medical Devices Safety (IMMDS) Review
- Resources to help beat meningitis and sepsis
- Flu vaccinations: Campaign
- Flu vaccinations: Supplies of aTIV
- NHS England’s Winter Indemnity Scheme
- Child health video: Thinking differently about the health and wellbeing of children and young people
- How are you managing demand?
- General Practice Awards 2018 – shortlist published
- GP Career Support Pack now available
- Improving the NHS website
- Your NHS data matters.
PGD 8 IMInfluenza Addendum
A Patient Group Addendum for IMInfluenza has just been uploaded to the CCG website here
All current PGDs are available in the Health Professionals section of the CCG website here
Peterborough City Council (PCC)
Proposed changes to Sexual Health and Contraception services in Peterborough
Peterborough City Council is seeking your views on the proposed service reconfiguration of sexual health services in Peterborough.
Please find attached the survey which, once completed, should be returned to Chalene.Elliott@peterborough.gov.uk
Royal College of General Practitioners Research and Surveillance Centre (RCGP RSC)
Please find attached information on joining the Royal College of General Practitioners Research and Surveillance Centre (RCGP RSC), which has been involved in National surveillance of flu and other infectious diseases for over 50 years. You can find more information about their work and principal outputs here.
Extraordinary Members' Event: 12 December
Please save the date for a special member practice event focussed on antimicrobial prescribing. Antimicrobial Resistance is a national and worldwide threat and high priority within the CCG as we are one of the highest prescribers of broad spectrum antimicrobials in the country.
We are lucky enough to have a national speaker attending, so please ensure a clinician from your practice attends. Please find a flyer attached for further information.
- Elizabeth Beech. NHS Improvement National Project Lead: Health Care Acquired Infections and Antimicrobial Resistance
- Dr Nick Brown. Consultant Medical Microbiologist, CUHFT.
Please RSVP to capccg.Gateway@nhs.net
The meeting will be 12.30-3.00pm on 12 December at Huntingdon Racecourse, Brampton, Huntingdon PE28 4NL. Directions are here: http://huntingdon.thejockeyclub.co.uk/plan-your-race-day/visitor-information/directions-parking
Healthcare National Framework Training
Due to the high number of requests received we are running further training sessions!
The revised National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care came into force on the 01 October 2018. The CCG is now only accepting the revised documentation.
The CCG's CHC team invites all practitioners across the Cambridgeshire and Peterborough system to attend training on the revised framework.
The next session will be held on:
- Thursday 25 October 2018 (9.30am to 4pm)
- Conference Room, City Care Centre, Thorpe Road, Peterborough, PE3 6DB Book
Further dates to be announced shortly. To book a session please click here.
Reminder: Cambridgeshire and Peterborough Next Generation GP - applications close on 28 October
Please see the attached flyer for the Cambridgeshire and Peterborough Next Generation GP event. The sessions will be held on:
- Thursday 29 November
- Thursday 13 December
- Monday 21 January
- Friday 15 February
- Thursday 21 March
Applicants are invited to submit a brief expression of interest outlining their motivation. The person specification can be found here and the application form can be found here. Participants must commit to attending at least 4 out of 5 of the sessions to ensure maximum benefit from the programme.
Applications close on Sunday 28 October. If you have any questions please email: email@example.com or see our FAQs at http://bit.ly/NExtGGP
New information for recruiting overseas GPs, including Tier 2 Licence application advice
Please find attached a form which allows GP Practices to claim some additional funding, where an overseas GP has been recruited directly by an individual practice.
NHS England will reimburse the following costs directly to the practice:
- Relocation costs for the sponsored GP and immediate family up to £5,000
- Tier 2 visa application costs for the sponsored GP and their family.
- Application costs for a Tier 2 Sponsorship Licence
- The first 2 years of the Immigration Skills Charge for any GP employed and sponsored on a Tier 2 Visa.
Practices may only claim for any GPs recruited after the 01 June 2018. This scheme remains in place for the next 18 months. Any claims made must be submitted before 31 January 2020.
Any claim should be sent to: firstname.lastname@example.org and copied to email@example.com
International Infection Prevention Week
This week was International Infection Prevention Week (14-20 October). Please find attached '10 ways to protect your patients'.
Diabetes UK slides for waiting rooms
Please find attached some slides from Diabetes UK (DUK) that you may find useful to display in your waiting rooms.
‘Keep Antibiotics Working’ campaign
The ‘Keep Antibiotics Working’ campaign will relaunch on Tuesday 23 October. All GP practices should of received campaign materials as part of the NHSE ‘Help us Help You’ campaign. There are also a range of resources such as website copy, posters, images and social media content available HERE that you use within your practice. If you would like any further information or support on using the materials please contact firstname.lastname@example.org
Please see below the latest developments from the world of healthcare Research and Innovation:
- Patient and public involvement in research: progress and challenges Centre for Health Services Research Annual Lecture. It is undisputed that patient and public involvement in research (PPI) is a good thing. The UK, and particularly the National Institute for Health Research (NIHR), has led the world in driving change in order to make PPI a normal part of contemporary research. Real progress has been made, and worthwhile impacts have been documented. But all is not well in the land of researcher-patient partnerships. Professor Trish Greenhalgh covers three deeply ironic problems that have emerged as unintended consequences of what must still count as progress. Tuesday 20 November, 18:00– 20:00, Li Ka Shing Centre Cambridge
- Online Support for people living with hearing loss People living with hearing loss will be able to access online support with the launch of a new addition to Cambridgeshire Hearing Help’s website next month. The HealthUnlocked programme ‘your hearing matters’ has been designed for people in the Cambridgeshire and Peterborough area who cannot attend the charity’s regular Living With Hearing Loss workshops. It will include the same advice on a range of communication techniques and technology and tips on how to get the best out of their audiology appointment. It provides an excellent addition to the already popular face-to-face workshops.
- Helping GPs recognise the early stages of psychosis In a new National Institute for Health Research School of Primary Care Research funded study, at the University of Bristol's Centre for Academic Primary Care (CAPC), researchers are developing a tool to help GPs recognise the early signs of psychosis using primary care consultation data. The study, Improving the Accuracy of Psychosis Prediction (MAPPED), will provide a risk score for patients which is drawn from their primary care consultation history. When a score threshold is reached or exceeded the GP will receive a computer-generated recommendation for a referral to mental health services for an assessment.
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 Sarah Hider (email@example.com).
You can also now follow the R&D team on Twitter: https://twitter.com/CPPrimaryCareR1
Diabetes Study Days 2019!
Following the success of the Hunts Diabetes Study Days, we are pleased to be in a position to offer FREE spaces at Study Days being organised in Cambridge and Peterborough by the diabetes specialist teams. There are 50 spaces available at each event, so we would encourage you to book as soon as possible.
- The Peterborough Diabetes Study Day will take place on Wednesday 30 January 2019, The Fleet, Fletton, Peterborough.
- The Cambridge Diabetes Study Day will take place on Wednesday 06 February, Cambridge Professional Development Centre, Trumpington.
We thought it would be helpful to share the dates with you now, and further details will follow shortly. Attendance at the events will help to support practices achievement of the Diabetes LES. To book a space please contact Emma Sheldon, Diabetes Project Support Officer firstname.lastname@example.org.
Healthy Conversation Skills: FREE Behaviour Change training for GPs, Practice Nurses, Health Care Assistants & Receptionists
Are you fed up with talking to patients who never make lifestyle changes?
Would you like to feel more confident in supporting people to make lifestyle changes?
The Making Every Contact Count (MECC): Healthy Conversation Skills training will give you the skills you are looking for to help build the confidence of frontline staff to seek opportunities and hold brief health conversations and is free!
The Diabetes LES asks for evidence that practice staff engage in training on motivational interviewing and health coaching.
For further information or to book a place, dependant on practice location please contact:
Cambridgeshire - Everyone Health at:
Peterborough - Helen Reed at:
Peterborough City Hospital: Medical lectures
Tuesday 30 October
- Mesh for Female Incontinence and Prolapse: the Past, the present and the (uncertain) future
- Mr C Siozos, Consultant O & G, Peterborough City Hospital
Tuesday 27 November
- Dr Karen Sheares, Papworth PAH Unit will be speaking – the title is yet to be confirmed.
RCGP Substance Misuse and Associated Health
Course Cost: £170
As from 01 of October 2018, RCGP Substance Misuse and Associated Health (SMAH) courses are now offered through a new provider, Spectrum Learn & Develop (SLD). This has started with three courses for November and December.
Book now for the RCGP Management of Drug Misuse Re-Certification in November and December 2018. The course covers
- Changing drugs trends,
- Novel psychoactive substances,
- Reducing drug-related deaths,
- Management of co-morbidities (mental health, trauma-informed care and pain) and service organisation and delivery.
See the information attached to find out more. You can book through the SLD website: sld.spectrumhealth.org.uk
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.
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