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Wednesday, 24 August 2022

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YOUR bulletin this week is packed with:

• Updates from your Peers
• Information for GP Practices
• Updates for all Practitioners

Dr. Mark Rickets, Non-executive Director at Homerton Healthcare NHS Foundation Trust, successfully crossed the finish line of the Alzheimer's Society Trek26 Peak District challenge, where he walked 13 miles. He decided to embark on this journey due to his personal connection with the illness. See more in the 29 June 2022 issue of the Practitioner Bulletin where Mark explained more.

Mark would like to thanks those who supported him throughout this journey:

"I managed to complete 13-mile sponsored walk to raise money for the Alzheimer’s Society; a charity close to my heart and many other families. The walk was in the beautiful Peak District, but, unfortunately, on one of the hottest days of the year. I know there are greater challenges… but it did for me!

I know people support lots of equally good causes, so again very many thanks to all those who sponsored me, including to those who remained anonymous on my Just Giving page!"

Food & fuel vouchers for GPs/pharmacies to distribute

Hackney Council is reminding residents to sign up for the UK government's £150 cash payment to support with energy bills.  Those on lowest incomes are eligible to receive an additional £75.  Low income pensioners could also qualify for pension credit, which is worth £3,000 per year.  Residents must claim by Wednesday, 31 August 2022.

Equally as important, food and fuel vouchers left over can be given to GP surgeries or community pharmacies to distribute to low income pensioners as appropriate.

Please share the following, including the one-page leaflet that can be placed in GP practices and pharmacies:

To receive the paper vouchers, please contact Ross Hatfull.  Please note these will not be available until mid-September.

JCVI statements: Updates to Childhood schedule and HPV

Please see information from the UK Health Security Agency in relation to the Childhood schedule and HPV.

Childhood schedule statement
Updates to the childhood immunisations schedule as a result of the discontinuation of Hib/MenC, advises to give an additional dose of multivalent Hib-containing vaccine at 12 or 18 months, bringing forwards the second dose of MMR to 18 months and removal of MenC containing vaccine in early childhood (due to the success of the adolescent MenACWY programme and resulting herd protection and reduction of cases).

HPV statement
Final advice on moving to a one dose HPV vaccine schedule for the routine adolescent programme and MSM programme before age 25, two dose schedule from age of 25 in MSM programme and three dose schedule for individuals who are immunosuppressed and those known to be HIV-positive.

Please contact with any queries.

Polio - please see two postings about the campaign

Polio Vaccination Campaign Template Letter to Parents

On Monday, 22 August 2022, Child Health Information Service (CHIS) started sending letters and text messages to parents of children aged 1 year to 9 years 364 days about a polio vaccine campaign. 

These letters may result in some parents and guardians contacting GPs directly to book appointments for the vaccines offered as part of the campaign. A script has been prepared to support practice staff with these queries.
"Supplementary Polio vaccines are being offered via GP hubs and vaccinations centres. These services will contact you directly with details of how to book an appointment within the next few weeks. If you need any more information, please refer to the links provided in your letter.
Practices can continue to book children for routine childhood immunisations. Across each borough, the supplementary polio vaccine will be offered from a range of sites including general practice and vaccine hubs. These providers will contact parents to offer children an appointment.  Details of these sites will be shared shortly and information will be made available about how patients can access these services.
Updated polio intranet page

Please note there is a dedicated page for polio updates on the NEL GP intranet.

poster has been organised by the UK Health Security Agency (UKHSA), which summarises IPV booster eligibility by age.

Adastra restored with limited functionality from 22 August

As of Monday, 22 August 2022, Adastra was restored with some limited functionality.  111 will not yet be booking patients directly into GP practices. Please monitor receiving systems as normal for any cases that are booked through providers who still have Adastra access.
GP practices may experience patients informing they have been advised by 111 to contact their GP Practice directly.


NEL Primary Care Knowledge Specialist training sessions 

NEL Primary Care Knowledge Specialist will be running some training sessions August through to December. 
All sessions and dates have been added to the GP events page.

Each can booked by emailing

NEL Suicide Prevention Week Workshops

North East London (NEL) Suicide prevention Group will host a number of webinars designed to inform and raise awareness about suicide and self-harm. The webinar topics build on the year-round conversation about prevention and align with the NEL suicide prevention work.  This year’s theme is “Creating Hope Through Action."

Serious Shortage Protocol – Combisal® 

Due to ongoing supply issues, the Serious Shortage Protocol (SSP) currently in effect for Combisal® (Fluticasone 125microgram / Salmeterol 25microgram) pressurised metered dose inhaler (pMDI) (SSP034) is being varied to extend the end date, which was previously Friday, 19 August 2022.
The end date for SSP034 will now be Wednesday 28 September 2022.

For any questions regarding the SSP, please contact the NHS Prescription Service:

Telephone: 0300 330 1349
Textphone: 18001 0300 330 1349

Community Navigation Webinar - 9 September

Neighbourhoods, Shoreditch Park and City PCN, Family Action and Shoreditch Trust will host a Community Navigation Webinar on Thursday, 9 September 2022, 1-2pm, on Zoom. 

The event will have three local community navigators currently working in City & Hackney - a Social Prescriber, Health & Wellbeing Coach and Care Coordinator - who will provide information on the work they do with residents to support GPs in making strong referrals to these positions under the Additional Roles Reimbursement Scheme (ARRS).

This webinar has been designed to be suitable for both residents and practitioners, so feel free to advertise this flyer with your patients so that they understand the offer available to them. Please register here.

Contract Variation Process for GP Practices

An aide memoire has been shared with all practices to assist in making sure the right organisation(s) are contacted when making changes that affect your contract. Failure to follow the correct process can lead to financial loss and inaccuracies in such things as superannuation calculations. Many of the processes also have contractually binding notice periods, so early discussion will prevent problems for all concerned later.

Therefore, please remember to contact the NEL Central Primary Care Team for all issues and changes that may affect your contract.


LAIV Nasal Spray guidance for those with serious needle phobia

Please see the clinical guidelines for healthcare practitioners for the use of LAIV nasal spray in adults with exceptional circumstances, such as serious needle phobia. This population will likely include adults with learning disabilities who experience significant barriers to vaccination or those in a clinical at-risk group who would otherwise go unimmunised if they refuse to have the injected inactivated vaccine.

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