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Joint communication to support our local City and Hackney practitioners


Friday 24th September 2021 

 
Avoid messages going into your junk folder by adding nelondon.cahcomms@nhs.net to your outlook contacts

In this bulletin:

  • Information for GPs

  • Service Updates

  • Updates for all Practitioners

You can find the agenda here.

Please RSVP and send any questions by Friday 24 September to nelondon.nelcommunications@nhs.net

All staff are welcome to attend and we hope to see you online.

Dermatology and Teledermatology Update


Dermatology services continue to be under pressure and there are much longer waits experienced by patients for routine conditions than normally at the Homerton. 2ww wait targets are being met but there is constant pressure on the service to manage these in time.
We therefore streamlining the service to help ease the situation:
All routine referrals should be sent via Teledermatology wherever possible, unless they are an exclusion as follows:
  • Patients whose dermatological condition is causing extreme psychological distress.
  • Patients with widespread rashes or severe inflammatory conditions with systemic symptoms or of an urgent nature, these patients should continue to be referred to the urgent clinics at Barts.
  • Patients with a rash or skin condition e.g. widespread , where it is not appropriate or practical to take images.
  • Patients with 2 or more lesions for assessment
Further guidance from the Homerton is as follows:
  1. GP sees a patient FACE TO FACE and examines a skin lesion that meets 2WW criteria / they are suspicious of cancer
    1. Refer patient using 2WW form, traditional route to clinic
  2. GP sees a patient FACE TO FACE  and examines a skin lesion that doesn’t meet 2WW criteria, but they are not sure of the diagnosis  and so cant reassure the patient
 
  1. Refer via Teledermatology (e-RS RAS and using proformo)
 
  1. GP reviews a patient via VIRTUAL CONSULTATION (eg. over the phone or video) and the patients sends photos to the GP of their mole or skin lesion, for review.
    1. If pictures are poor/unclear arrange FACE TO FACE examination and then follow 2ww wait or Teledermatology referral pathway as appropriate. Guidance on patients taking photos – something like :
http://www.uhbristol.nhs.uk/media/1839224/telederm_photos.pdf
https://www.pcds.org.uk/clinical-guidance/photography-for-the-patient-how-to-take-a-good-photograph-of-a-skin-condition
  1. If pictures are good quality and clear then follow 2ww wait or Teledermatology referral pathway as appropriate.
In summary, if a mole or lesion meets the criteria for 2ww then refer to clinic on a 2ww wait referral form but if you are not able to diagnose and need a second opinion to then use Teledermatology whenever possible.

Advice and Guidance is also available for advice on diagnosis, medications and treatments – this service does not include photos so please do not send. Dermatology A&G can be found on e-RS.
You should also consider referral to the minor surgery service for routine biopsies, minor skin surgery if clinically indicated.
If you have any clinical queries please contact: Chris Carvalho chris.carvalho@nhs.net or if you have service issues then contact River Calveley rcalveley@nhs.net  .
 

Digital Weight Management Programme: Primary Care Support


London Primary Care professionals, Local Authority and ICS leads are being invited to a webinar led by NHS England & NHS Improvement on Friday 8th October 12-1pm, introducing the NHS Digital Weight Management Programme (DWMP), a run through of the referral process and answering common questions regarding the referral process. 

The webinar agenda is as follows: 
  • Introduction to the NHS DWMP and eligibility criteria 
  • A review of the referral process  
  • FAQ on referral timelines and common technical issues 
  • Opportunity for feedback from primary care referrers on their experiences of the referral process 
The link for the webinar is below – this will be a great opportunity to learn more about the service and to have questions regarding the service highlighted. The webinar will also be recorded and made available online at a later date. 

Please email onik.chowdhury@nhs.net if you have any further questions regarding the event. 
 
https://teams.microsoft.com/l/meetup-join/19%3ameeting_YjQxN2ZmZGItZjFmZi00ZGY2LWJlMDQtODcyYzdlZGZhNzg3%40thread.v2/0?context=%7b%22Tid%22%3a%2237c354b2-85b0-47f5-b222-07b48d774ee3%22%2c%22Oid%22%3a%22ab8a25a0-3323-4e61-8e23-5928e0bd1e0f%22%7d
 

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 Suicide Prevention Webinar. 

Wednesday 29th September - Safe & Together Education Webinar (Level 3 Safeguarding Training)
Friday 8th October - Cancer: Head & neck lumps, QOF cancer changes, improving cancer care reviews

WELC Child death statutory procedures for GPs and Practice managers



Child Death Review (CDR) awareness session for GPs
Wednesday 30th Sept, 1230 - 1300
Registration link: https://www.eventbrite.co.uk/e/child-death-review-cdr-awareness-session-for-gps-and-practice-managers-tickets-171138709487
 
The Child Death Review process is a statutory requirement for all child deaths who are resident in England, regardless of where they die. The review provides an opportunity to reflect in detail on the history of the involvement of the different agencies across all sectors with every child and family and to consider whether there are any lessons to be learnt or opportunities for service improvement in order to prevent further unnecessary child deaths. This session will provide a 10-minute overview for GPs has been organised for Thursday 30th September 12.30-13.00 hours, incorporating time for questions.
 
Child Death Review (CDR) awareness session for Practice Managers
Tuesday 5th October 2pm- 3.30pm
Registration link: https://www.eventbrite.co.uk/e/child-death-review-cdr-awareness-session-for-practice-managers-tickets-171142260107
 
A virtual awareness session has been organised for practice managers on Tuesday 5th October 2pm- 3.30pm to receive an in-depth hands-on understanding of the system and how it works to support your involvement under Chapter 5 of "Working Together 2018" in conjunction with the NHSE operations and guidance 2019.
 

As we recover from the pandemic, some people may feel they are coping and then be hit by unmanageable waves of grief some considerable time after their loss. If you or colleagues are supporting those who are bereaved or in a frontline or community role, you may find it hard to find the right words or know what to say.  Following feedback from previous sessions, Thrive LDN is working in partnership with Cruse Bereavement Care UK to deliver a further four one-hour webinars on Bereavement and Loss Awareness during September and October 2021.

By joining one of the webinars, you can better understand how bereavement impacts individuals, families, organisations and communities – and the support available.  The webinars are free-to-attend and have been designed to boost the knowledge and confidence of people who encounter bereaved people in the course of their jobs or voluntary roles.

Dates
Tuesday 28th September, 11.00am
Wednesday 6th October, 11.00am 
Wednesday 13th October, 2.00pm [this session will have live British Sign  Language  Interpretation]
 
Register for the free webinars via Thrive LDN’s  website: www.thriveldn.co.uk/resources/bereavement-webinars/

Blood bottle supply update: normal testing in primary and community care can resume


NHS England wrote to you last week to confirm that the situation with the supply of blood testing tubes has improved, with more stocks coming from the US and production in the UK increasing.
 
Testing in primary and community care can now resume. You can start to order tests as normal, but we ask that you work through any backlog over a period of a few weeks (8 at most), prioritising as required, to spread the demand for tubes.
 
NHS England also issued some best practice guidance for primary care on optimising blood testing that you can apply to day-to day.
 
The situation is not completely resolved, with secondary care still having to reduce demand, and we expect a further update by 8 October.
 
For more information visit NEL CCG GP intranet http://coronavirus.wel.nhs.sitekit.net/
 

Now accepting Talking Therapy referrals for LGBTQI+ patients in Hackney


Rainbow Mind IAPT service is now accepting referrals for short term one to one Talking therapy and Mindfulness based group interventions for clients who identify as LGBTQI+ in Hackney.
 
Our diverse and dynamic team of LGBTQI+ practitioners offers both low and high intensity interventions for clients experiencing low mood, stress, anxiety and depression; difficulties do not need to be directly related to sexuality or gender diversity.
 
The referral process is simple; GPs and clients can self-refer through our website click the link here or send us an email; rainbowmind@mindchwf.org.uk and will arrange a screening.
 
If you have any questions about the service, we would be happy to hear from you.
 
 
Fawzia Bakht

E: fawzia.bakht@nhs.net
 

Call out for staff for We Are The NHS advert


The national team are looking for colleagues to take part in a We Are The NHS advert which will be filmed at the Whittington Hospital from 23 September to 25 September, (participants will be given a time on one of those days).

Roles required include: nurses (adult, mental health, sonography, community, children’s LD, cardiac) radiographers, midwife, maternity support worker and prosthetists.

Please contact: f.warren1@nhs.net for more details.

NEL LeDeR Conference Tuesday 19th October


NELFT Medical education department are delighted to invite you to this full day conference which is a collaboration between NELFT and ELFT.
                                                                                                                                                              
The aim of this programme is to help raise awareness regarding the outcomes from Learning Disability mortality reviews and to ensure the learnings lead to changes in practice.

Topics:
  • Why Learn from LeDeR
  • National perspective and findings
  • NEL findings
  • Academic future of LeDeR
  • LeDeR findings for clients from BAME background
  • ELFT and NELFT action plan
Workshops
  • Annual health checks
Eol and acute care pathway

Audience: Primary Care, Mental Health and Acute Care Staff
 
Register via: https://www.eventbrite.co.uk/e/nel-leder-conference-tickets-166781829943
 

The latest from Xyla Health & Wellbeing

 
As World Diabetes Day fast approaches on the 14th November 2021, Xyla Health & Wellbeing will be hosting two events delivered by members of our clinical multi-disciplinary team with guest external speakers.

 Event 1 - Xyla Health & Wellbeing roundtable discussion: Low calorie diets – the new treatment for Type 2 Diabetes.
As a proud provider of the NHS Low Calorie Diet Programme and the North West London Diabetes REWIND programme (Reducing Weight with Intensive Dietary Support), we want to invite you to a free roundtable discussion. It will be an opportunity for you to meet the clinical team, learn more about low calorie diets and the evidence behind them and gain an insight into our programmes and their outcomes. This will be followed by a roundtable discussion with an opportunity to get your questions answered.
The webinar will take place on 13th October 2021 at 1pm and will be 1-hour long.
 
Should you wish to attend this event please click below to register your details by the 5th October and we will send an invite to confirm your attendance:
Register Now
Event 2 - Xyla Health & Wellbeing webinar: The latest from the NHS Healthier You Diabetes Prevention Programme
As the largest and proud provider of the NHS Healthier You: Diabetes Prevention Programme (NDPP), we want to invite you to a free event. It will be an opportunity for you to meet the clinical team, learn more about our latest updates and gain an insight into the NDPP and our outcomes.
The webinar will take place on 15th November 2021 at 12pm and will be 1-hour long.
 
Should you wish to attend this event please click below to register your details by the 5th November and we will send an invite to confirm your attendance:
Register Now
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