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Joint communication to support our local City and Hackney practitioners


Thursday 9th September 2021 

 
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In this bulletin:

  • Information for GPs

  • Service Updates

  • Updates for all Practitioners

Introducing The Launch Of The New CHSPC Website 
 
 
 
 
The CHSCP Website

The CHSCP website has been updated over the summer with the intention to make it easier to navigate to the key guidance to support your practice.  Over the next few weeks, we will also be launching our revised written arrangements, a refreshed plan and will continue to populate our new A-Z listing of Practice Guidance.   
 
 
 
Hackney Child Wellbeing Framework

In July 2021, the CHSCP announced the launch of a refreshed version of The Hackney Child Wellbeing Framework (HWBF).  The HWBF is designed to equip professionals working across the safeguarding partnership to know how to respond when they have a concern about a child in Hackney.  It is an essential tool for all safeguarding practitioners.  The launch will be followed up with some Q&A webinars that will be publicised in the coming weeks. Find out more about the HWBF HERE.
 
 
 
With thanks to Elena from Hackney's Children in Care Council, the CHSCP has launched guidance on seeking consent from parents / carers when making a request for support for a child and what to do when you have concerns about significant harm. Watch the short video HERE.
 
 
 
Responding to one of the recommendations from the Child C SCR, the CHSCP strategy discussion agenda template has been updated to require professionals to share any risk grading or category that has assigned to the child(ren).  This is intended to help professionals improve their shared understanding of risk and the action that either has been taken or will be taken as a result.  Find out More about Strategy Discussions HERE.  
 
 
 
'Get vaccinated’ appeal to 16 and 17-year-olds in north east London

North East London Clinical Commissioning Group have issued a press release urging 16 and 17-year-olds to come forward for their free Covid-19 jab as new vaccination sites open across north east London.  Find out more HERE including the locations of 'Grab a Jab' walk in centres.
 
 
 
Following a number of injuries and sad deaths of children falling from windows in the East London area over the last two years, Hackney's Resident Safety Team have produced a leaflet advising Hackney residents about ensuring that children are kept safe around windows and balconies. It offers advice and for council tenants, contact details of repairs teams if there are faults with safety catches and closing mechanisms. It is hoped that this reaches as many households as possible in order to prevent any further tragedies.  Find the leaflet HERE.
 
 
 
CHSCP Training 

CHSCP training courses are now bookable via our new online learning management system.  In order to use the system, you will need to complete a simple registration form and set up an account.  The new system allows you to manage your own bookings, access your evaluation forms, course certificates and have all of your CPD training logged in one place.

Current events and courses are available to book HEREIf you have any questions, or need assistance with bookings please contact chscp@hackney.gov.uk.
 
 
 
Private Fostering App
 
Download the CHSCP Private Fostering app to better understand this important safeguarding issue.  Easy to access & simple to understand, the Private Fostering app is the go-to guide that fits right in your pocket. To download the app and for more information, click HERE.

A Private Fostering poster can also be downloaded from the CHSCP website, click HERE.
 
 
 
Safer Schools App
 
All professionals and volunteers are being encouraged by the CHSCP to download either the Hackney Safer Schools App or The City of London Safer Schools App.  Whilst originally created for teachers and school staff, this App is relevant for all.  It will make you better equipped to protect children & young people, improve your knowledge and give you access to a range of CPD accredited courses.  

To download the App for you, click on either the Hackney or the City of London image below and follow the instructions. 
 
 
 
Bariatric Post-Operative Referral


Bariatric

Please can you ensure that the attached referral template is added when making a Post-Operative Bariatric request/appointment via e-RS.
 
For more information on the Bariatric Service we offer and to access alternative Bariatric referral forms, please visit the below link:

https://www.homerton.nhs.uk/obesity-surgery-bariatrics
 
 
Foot Health

The Foot Health service has undergone some changes, and has now been built as a RAS service:
 
RAS Foot Health (Podiatric Medicine) - STLH - RQX20
 
The team will be triaging their referrals prior to an appointment being booked. Therefore, please can you ensure a referral is attached at the time of making your request via e-RS.
 
Note – The Foot Health team will not see your request in their worklist if a referral has not been attached.

Upcoming Education Events

CCG education webinars can be viewed on the education calendar here. You can start registering for these events now - more will be added in due course. Our next education event is this Friday, an accredited session on ADHD Training For Primary Care Webinar. 

Friday 10th September -ADHD Training For Primary Care Webinar (Accredited)
Friday 17th September - Suicide Prevention Webinar (Accredited)
Friday 24th September - Perinatal Education Webinar (Accredited)

Information for Patients: Hackney's Health and Wellbeing Resident engagement 


Hackney's  Health and Wellbeing Strategy resident engagement (peer research and a wider resident survey) and stakeholder engagement has now started. This engagement phase will run from now until 14th September 2021. We will be delivering a series of workshops with stakeholders over the next 6 weeks and our peer researchers have already started going out to speak to their friends, families and neighbors about what they feel our strategy priorities should be.

Survey for those who live, study or work in Hackney: https://consultation.hackney.gov.uk/public-health/health-and-wellbeing-in-hackney/ 
Commissioning a shared care plan for London: Procurement Update
 
 
Colleagues
 
The contract for digitally sharing urgent care and end of life care plans, currently provided across London by Coordinate My Care (CMC), ends on 31 March 2022.
 
It is a legal requirement to conduct a procurement exercise for a new contract, to start from April 2022 onwards. This commissioning process is led by NHS South West London CCG, but directed by the pan-London collaborative commissioning forum with representatives from all London CCGs, Clinical Networks, the Healthy London Partnership and OneLondon.
 
As the lead commissioner, NHS South West London CCG, is leading on this procurement and under the direction of the collaborative commissioning forum is procuring a bespoke, digital urgent and end of life shared care planning solution and commissioning a programme to support the implementation and clinical use of the digital solution.  
 
Please note that the procurement and contract is for the digital solution. From a patient perspective, existing records will not need to be created again as the information currently held in CMC will be migrated to the new system, so our patients will continue to receive the right care for them at the right time.
 
 
Benefits of this procurement
 
In preparation for this, the lead commissioner has engaged with a wide range of stakeholders, including GPs, Consultants, nurses, paramedics, commissioners and clinical leads across London, including a number of clinicians from north east London to create a specification that will better meet their needs going forward.    
 
Key benefits of the new specification are that the new solution will enable shared care plans to be integrated into the OneLondon programme resulting in:
  • Reduced duplication: Care plans will be pre-populated with relevant information from the patient’s care record.
     
  • Improved accessibility:  Plans will continue to be universally accessible by all clinicians involved in a patient’s care.  However, greater interoperability with existing primary and secondary care systems will remove the need for separate log-ins to access care plans. Plans will continue to be accessible to the London Ambulance Service so that more care can be managed in the community.
     
  • Increased functionality: We will be able to create and edit the care plan templates making it possible to support a greater variety of clinical pathways, including, but not limited to End of Life Care.
 
Expected timescales
 
We expect to be able to announce the new service provider by October and we will update you on progress regularly over the coming months as the new service is developed.
 
The new London service will be launched on 1 April 2022 and existing CMC care plans will be migrated onto the new system by end March 2022.
 
We would like to encourage clinicians to continue documenting End of Life care plans on CMC until the end of March 2022.  The implementation plan for the new contract includes migration of care plans documented on CMC and user testing of the solution prior to go-live. 
 
 
Coordinate My Care (CMC)
 
A lot of hard work has gone into engaging with CMC, our current providers, during this time. They have been informed about the procurement process from the beginning and encouraged to submit a response.
 
You may have read in recent correspondence that, unfortunately, CMC will not be bidding for the new contract.
 
We recognize that our teams in north east London have done a huge amount of excellent work to increase the number of urgent care and end of life care records documented on CMC for our patients.
 
We are committed to a smooth transition and want to assure you that all this hard work will continue to be put to good use and our patients will continue to receive the right care for them at the right time.
 
 
 
Supporting the process in north east London
 
In addition to the End of Life Care program group which is shaping our strategy for end of life care across north east London, there is a dedicated NEL Care Coordination planning group to support local stakeholders on the transition. This group consists of providers and commissioner across north east London who are currently using CMC.
 
In this group, the South West London commissioning lead attended the first meeting to give additional information on the procurement and there will be ongoing updates and discussions in this group to help ensure a smooth transition.

Further information
 
Download the latest Frequently Asked Questions about the procurement.
 
Further information will be added to the South West London Health and Care Partnership web pages.
 
If you have any further questions, please email Toyin Ajidele (Programme Manager): t.ajidele@nhs.net or Dr Phil Koczan: phil.koczan@nhs.net
 
Please note that Dr Koczan is a local GP and involved with the procurement at a London level but does not have a formal role within NEL CCG.
 
Seasonal Flu  2021-2022 and Childhood Flu 2021-2022 Service offered out 
  
The following services are now available and have been offered out to practices for participation: 
 
  • Seasonal Flu 2021-2022 Service
  • Childhood Flu 2021-2022 Service
 
Please can practices accept these offers at their earliest opportunity to ensure that data is extracted when the scheduled extraction window opens on the 10 October 2021.  To ensure that your practice data is collected when the extraction window opens the offer will need to be accepted by 30th September 2021 at the very latest.
Please can we remind practices to check their data for accuracy once the extraction has completed each month and to raise a claim in the event of any anomalies so that we can amend CQRS.  Do not declare incorrect data until it has been amended.  All declarations and claims need to be made within the six month deadline but we encourage early action to ensure that the data is easier to verify and also to avoid delays in payments being made.
Further information in respect of 21/22 Seasonal Flu will be published by NHS England and NHS Improvement shortly.
 Information and guidance documents for each of the available services can be found here:
  https://welcome.cqrs.nhs.uk/serviceinfo.html
 
Information about the contract changes can be found on the NHS England website:
 
https://www.england.nhs.uk/gp/gpfv/investment/gp-contract/ 
 
Details of these services, including the live collections timetable can be found on the GP Collections website: 
 
https://digital.nhs.uk/GP-collections 
 
Please contact us at england.londonimms@nhs.net for any queries or claims.

Talk Changes launches a digital CBT for IBS

Talk Changes launches a digital CBT for IBS treatment evaluation in partnership with Mahana Therapeutics and the Health Psychology Section at Guys Hospital.

Talk Changes, the IAPT Service for City and Hackney launches an evaluation-in-practice of Digital Cognitive Behavioural Therapy (CBT) for Irritable Bowel Syndrome (IBS) in partnership with Mahana Therapeutics and the Health Psychology section at Guys Hospital.

Read: Press release

Download: Flyer | Patient Information Leaflet

UCLH Emergency Department discharge summaries - further improvements 

We are further improving the process of sharing Emergency Department discharge summaries with GPs.

Emergency Department discharge summaries will usually be sent to the GP as soon as the patient is discharged from the department.  If for any reason a summary does not get shared with the GP practice on the day of discharge from the Emergency Department, our electronic health record will send it out automatically at 72 hours after discharge. The summary will clearly state at the top that it has been automatically generated and will include key information such as time and reason of the visit, any investigations, results and details of any planned follow-up.

As we start to implement this new function, you may receive some Emergency Department discharge summaries from earlier in the year. You will not receive any duplicate summaries, only those that have not been shared previously.

If you have any comments about this improvement to our service, please contact us through GP Liaison email: UCLH.GPqueries@nhs.net

New Hackney walks from Hackney Walking Together Announced


Walkingtogether is a program of walks run by health walk leaders and first aiders from different locations across the London Borough of Hackney. Walking is an excellent activity to participate in, it’s a safe activity which helps to improve health as well as:
  • Making you feel good
  • Increases bone density
  • Giving you more energy
  • Reducing stress
  • Helping to manage weight
  • Helping you to sleep better
  • Helping to reduce blood pressure
The ‘walkingtogether’ program offers a range of walks which take place in parks within the London Borough of Hackney. The group walks are a great way to socialise, meet new people, and reap the health and wellbeing benefits of being outdoors and active. The health walks are suitable for all ages and vary in difficulty. We would encourage our GPs to share this opportunity with patients and other residents, and of course if you live locally you may be interested in attending yourself!

For more information:
Walking Together Poster
Hackney Wellbeing Walks
Bookings For Blood Test 
What is changing?

From September 2021, Homerton University Hospital will be offering the adult blood test service by appointment only.. Your patient will now need to book an appointment for an adult blood test if they need to attend the Blood Clinics at Homerton Hospital or John Scott Health Centre. The service will still provide a limited walk-in service who are unable to book through the above channels
Please advise your patience with the following information below:
 
How can Patients book a blood test?

They can book your blood test online from September 2021. This is a free booking service. Please follow the steps below to book your test online.
1. Go to: https://www.homerton.nhs.uk/phlebotomy and click on the link under ‘Book Appointment’
2. Select your appointment type.
3. Choose what time you would like to come in.
4. Enter your details (please note that they will only have to do this the first time they  book a blood test. They can use the same log-in details if needed to book another test later)
For more information about the blood test service at Homerton University Hospital, please visit our website at www.homerton.nhs.uk/phlebotomy or  by call 07342068763 (Mon – Fri, 8am-5pm)
Coronavirus Response Fund Now Open

Coronavirus Response Fund, Equitable Vaccine Uptake
Round 2

Is your organization a voluntary and community sector (VCSE) group working with people most affected by the coronavirus pandemic in Hackney and/or the City of London?

We want to fund VCSE organizations to provide information and practical support to communities in order to increase COVID-19 vaccination uptake.

Grants of up to £10,000 are available for single organizations or up to £20,000 for organizations delivering in partnership. Please read the guidance (link below) fully before completing the application form.

Application deadline: 11am on 23 September 2021. 

Purpose of the grant: This is a second round of funding to support the increased uptake of COVID-19 vaccines in City and Hackney.

Download the full guidance

Download the application form


A plain text version of the application form compatible with screen readers is available upon request to Sarah Watson: sarah@hackneygiving.org.uk

Hackney Giving is holding workshops covering how to apply for the Coronavirus Response Fund, Equitable Vaccine Uptake Round 2 program. 

Sign up for workshop on 10 September, 2pm to 3pm
 
 
IVF Policy Age Limit Change -  Extension
 
Please note that the age limit for IVF treatment that was raised to 42 due to the pandemic has now been extended to the 31st March 2022.
 
ICP Previous Eligibility Criteria Temporary Eligibility Criteria
City and Hackney
IVF is offered to women aged under 42 years old. Women should be referred so that they can commence a treatment cycle before their 42nd birthday.
Women aged 40-41 will only be offered treatment if they have never previously had IVF treatment (however funded)
Women aged 40-41 shall be eligible only for one full cycle of IVF including the implantation of fresh and frozen embryos/ blastocysts from a single course of ovarian stimulation


IVF is offered to women aged under 43 years old. Women should be referred so that they can commence a treatment cycle before their 43rd birthday.
Women aged 40-42 will only be offered treatment if they have never previously had IVF treatment (however funded)
Women aged 40-42 shall be eligible only for one full cycle of IVF including the implantation of fresh and frozen embryos/ blastocysts from a single course of ovarian stimulation
 
It is important to note that all other policy criteria and sections remain valid and must be checked alongside the age criteria before a treatment commences or a referral for treatment is accepted.

Respiratory Illnesses in Children

We have made resources and support available on the ELHCP website for parents and health and care professionals. The webpage includes leaflets on where to access local emergency services for children and young people, how to manage bronchitis and how to check for serious symptoms in babies.

Death certificates for community patients out of hours for urgent burials
 

Over the past year St Joseph's Hospice doctors have been completing death certificates for community patients under the new rules of the Coronavirus Act 2020. This allowed our doctors who had not seen the patient whilst alive to complete a death certificate and state the name, GMC number and date they were last seen by another doctor. This has enabled us to complete certificates for many Muslim patients and some Jewish patients who require burial within 24 hours and this has been of real benefit to many families.
 
Unfortunately, this has never been a smooth process and is often very time consuming. Increasingly there have been more  issues that puts my doctors at risk which means we are now no longer going to be able to complete certificates. We had always requested that all the information required to complete the certificate was gained in advance and that families were then told it may be possible for us to do a certificate. This information was supposed to include what the proposed cause of death was.
 
We have situations where GP’s are promising families that we will do the certificate but not providing the information. We have been asked to do certificates when the GP has not seen the patient in the past 28 days and unfortunately we have erroneously completed one of these that has now been refused by the Registrars but the patient has been buried. This weekend a GP gave the proposed cause of death as 1a sepsis. I said this was not sufficient to do the certificate. The family then spoke to the hospital and I subsequently spoke with the consultant who had known the patient and was told this did not accurately represent the patients history.  They agreed to do the certificate instead.
 
Therefore to protect my doctors and the organization, with immediate effect we can no longer provide death certificates for community patients when we have not seen them. I am sorry if this causes distress for any families. An alternative system needs to be found for our Muslim and Jewish patients.
 
 
                                     
 
Hypo Awareness Week is upcoming – 13th to 19th September.
 
The Cambridge Diabetes Education Program are offering training topics on Hypos for FREE from the 13th - 19th September 2021. Use this link to access: https://www.cdep.org.uk/hospital-hypos.html
 
                                Planning on participating in Hypo Awareness Week 2021? 
Printed flyers, online resources and t-shirts available when you register your #HAW2021 campaign.
Register Your #HAW2021 Campaign Here
Hypos can be common in people living with insulin- or sulphonylurea-treated diabetes.
They are a nuisance at best, but are often unpleasant or frightening to experience and can even be dangerous, if left untreated.

 
Why not refresh your Hypo knowledge?
 
Hypos at Home: Training for healthcare staff working in an outpatient, community or care setting.

Hospital Hypos: Training for healthcare staff working in an acute hospital ward setting.

These topics are FREE from the 13th - 19th September 2021. 

After that point a small payment may be required to access CDEP. 
± 40% of NHS staff in England, a small proportion in Scotland and all Welsh staff are eligible for free access to CDEP.  Check your eligibility in our FAQs.
Suicide Prevention Services Launch: Safe Connections
 
New services are being launched across each borough in north east London to help prevent suicide and to provide additional support to local residents.
 
These services are being delivered together as Safe Connections and are in addition to existing crisis lines and local mental health support services. There are five elements:
 
  • Safe Connections App: providing a safe, quick and efficient way to access vital support information for local residents, downloadable via QR code or hyperlink
  • Community hub: supporting people who are experiencing suicidal thoughts to access the right service at the right time.
  • Community Protectors: training local residents to support their communities and offer near-by support for people feeling suicidal
  • Bereavement: offering specialist support for those bereaved following a suicide
  • Training for professionals: delivering a tailored programme for health and care professionals to help them provide timely suicide interventions

The services are being provided by a range of partners working collaboratively across north east London, including:
  • Mind
  • Res Consortium (have developed an app)
  • CPEN Tower Hamlets (to provide professional training for GPs)
  • ELFT
  • NELFT
The services are accessible for people over the age of 18 years living in the following areas in north east London: City and Hackney; Newham, Tower Hamlets, Waltham Forest, Barking and Dagenham, Havering and Redbridge.
 
Anyone outside of these criteria who tried to access the services will be directed to the relevant services as appropriate.

Key messages
  • Getting local people to right service at the right time
     
  • It is an additional support service outside of the existing mental health crisis lines, local adult mental health services and national services (e.g. the Samaritans)
    .
  • You are not alone. We are here to help and offer a safe space for people to talk about their feelings and concerns.

 
We want to launch Safe Connections to health and care professionals through a soft on 10 September, with promotion of the services to local residents starting from 10 October and ongoing throughout the year.

Soft Launch Date for Health and Care Professionals
 
This is planned for Friday 10 September, which is World Suicide Prevention Day. For more information click below:
Click Here
Safe Connections are being provided by a range of partners working collaboratively across north east London, including: Mind, Res Consortium, CPEN Tower Hamlets East London Foundation Trust, North East London Foundation Trust, and NEL CCG.
 
We would like to invite you to join us for an introduction to these services, as part of the launch of North East London Foundation Trust’s Suicide Prevention Strategy on World Suicide Prevention Day. Click below to sign up. 
Sign Up
Vaccine clinics - August/Sept leaflets and pop up clinics

Download: Posters to display in your waiting areas
  • August clinic information (where and when clinics are open)
  • Pop up clinics over August and September
  • OJ community pop up clinic on 18 and 19 August on Clapton Common
Launch of Community Health & Wellbeing Worker apprenticeship standard
 
Public Health England (PHE) has been working with a Trailblazer group of employers to develop a Community Health and Wellbeing Worker apprenticeship at Level 3.  The standard and funding band have been approved, the end-point assessment is nearing approval and we are now in the process of developing an implementation toolkit.
 
PHE and Health Education England (HEE) are co-hosting a free, online information event for employers to find out more on Wednesday 15 September 2021 (1.30-3pm).  More information is provided in the flyer attached.  The link to register for a place is: https://forms.office.com/r/XK4LqdVrrX.  Registration closes on 13 September (at the end of the day).
 
Please help us to raise awareness of this information opportunity with relevant colleagues at your organisation, with employers in your area and via your networks.
 
If you have any queries about this event or the apprenticeship, please contact: sp-phskf@phe.gov.uk

 

#AskAboutAsthma 2021 

As part of #AskAboutAsthma 2021 Healthy London Partnership are hosting daily webinars from 20 – 24th September focused on children and young people’s asthma care. These events are designed for stakeholders across the spectrum of CYP asthma systems in London. Details of these sessions and how to register can be found below.

Ask The Expert CYP and Families webinar (Monday 20 September 12.30 – 13.30)
This webinar is primarily for patients, families and carers as well as health care professionals and will focus on responding to children and young people's asthma questions.
https://www.eventbrite.co.uk/e/askaboutasthma-2021-ask-the-expert-webinar-tickets-165143371269

Nursing webinar (Tuesday 21 September: 12.30–13.30)
The webinar for London stakeholders will highlight best practice and innovation within CYP asthma (individual and organisational), with a specific focus on nursing.
https://www.eventbrite.co.uk/e/askaboutasthma-2021-nursing-webinar-tickets-165136775541

Pharmacy webinar (Tuesday 21 September 19:30 –20:30)
This webinar for London stakeholders is primarily for system leaders, community teams, pharmacists and colleagues who work in a pharmacy setting and highlights best practice and innovation within CYP asthma (individual and organisational), with a specific focus on pharmacy.
https://www.eventbrite.co.uk/e/askaboutasthma-2021-pharmacy-webinar-tickets-165126286167

Air quality and asthma webinar (Wednesday 22 September: 14.00–15.00)
This webinar for London stakeholders will draw attention to the impact of air quality on asthma and lung health more widely, triggers and strategies to mitigate the risk.
https://www.eventbrite.co.uk/e/askaboutasthma-2021-air-quality-and-asthma-webinar-tickets-165132013297

Primary care webinar (Friday 24 September: 12.30–13.30)
This webinar for London stakeholders will highlight best practice within CYP asthma, with a specific focus on primary care. 
https://www.eventbrite.co.uk/e/askaboutasthma-2021-primary-care-webinar-tickets-165127694379

Please register here for the main virtual conference on Thursday 23rd September.

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