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WEEKLY PRACTITIONER BULLETIN

Wednesday, 31 August 2022

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BROUGHT TO YOU BY THE
CITY AND HACKNEY PLACED-BASED PARTNERSHIP

YOUR bulletin this week is packed with:
 

• Information for GP Practices
• Updates for all Practitioners

A message from Dr. Paul Gilluley, Chief Medical Officer, NHS NEL

Please see a message from Dr. Paul Gilluley, Chief Medical Officer, NHS North East London urging colleagues to look after their mental following the death of Dr. Gail Milligan, a GP in Berkshire.

For those of you who have yet to meet me, I am Dr. Paul Gilluley and I am the new Chief Medical Officer at NHS North East London. Many of you may have met me virtually or heard from me during the pandemic, as I was clinical lead for the roll out of the Covid-19 vaccination programme across north east London. My clinical background is as a Consultant Forensic Psychiatrist and prior to coming to NHS North East London, I was Chief Medical officer at ELFT. 
 
The pressure everyone has been under the last two years, both personally and professionally, has been unprecedented. I am aware of the particular pressures within primary care and the demands this has put on practices and individuals. 
 
I was extremely saddened to hear in the news of the death of Dr. Gail Milligan, a GP in Berkshire who was found dead in the woods after being reporting missing from her home. Following her death, her husband posted an emotional tribute where he highlighted the unprecedented pressure Dr. Milligan was under at work. 

Can I make a personal plea to make sure you take care of yourself at this time. It is important to ensure that we provide high quality of care to our local residents, but to do so we must ensure we look after our own physical and mental health first. Keep an eye out for colleagues who may be starting to show the signs of pressure and encourage them to take some time and space to rest and recover. 
  
Please see resources here. Please take care and look after yourself and your families. 

Join the Practitioner Forum tomorrow (Thurs, 1 Sept @ 1pm)

The Practitioner Forum returns tomorrow - Thursday, 1 September 2022, 1-2pm. On the agenda is an update on clinical leadership, polio vaccinations and mental health.

JOIN THE MEETING

Polio booster SNOMED codes & campaign resources

Please find the agreed guidance on SNOMED Vaccination Drug codes for additional/supplementary doses of IPV.

In addition, updated polio booster campaign resources can be found on the UK Health Security Agency (UKHSA) website.  This includes translated materials for parents (including in Yiddish).

Workforce support for polio rollout

To support the rollout of the polio vaccination campaign, additional workforce support from your system Lead Employer can be requested. The Lead Employer contact details can be found here.

The use of a Patient Specific Direction (PSD) has been approved for the polio campaign and this can be used in large vaccination sites and primary care and community pharmacies for children aged 1-9 when a prescriber is on site. It is strongly recommend that the PSD model is used as it enables sites to use the unregistered vaccination workforce of which we have a large pool available. All unregistered vaccinators will be experienced vaccinators from the Covid-19 programme who have completed the required training.

The PSD workforce toolkit includes the proposed PSD model for use in large vaccination sites which can be adapted for use in Primary Care and Community Pharmacies.

Adastra outage - update from Thursday, 25 August 2022

On Thursday 4 August 2022, the Adastra system used by some NHS unscheduled care settings – including NHS 111 – was taken offline to contain a cyber security incident at the service provider Advanced. Following on from the communication sent on Friday Friday, 19 August 2022, the Adastra system used by 111 and other services hosted by Advanced, continues to suffer from significant technical issues; however, there has been partial restoration of service to London.   

From Friday 26 August 2022 at 09.30, most of the 111 providers in London restarted direct booking into general practice and hub slots via GP Connect in the usual way. To facilitate this, all GP practices and GP hubs have been asked to ensure GP Connect is updated with appointments or worklist slots (this is the preferred referral solution) available from Friday, 26 August 2022, 09.30 onwards and that these are made visible to 111.  Please see instructions on how to set up GP Connect and how to create a worklist.

READ MORE

REMINDER: Telephony Webinar for Primary Care starts Wed, 7 September

North East London and Redmoor Health will host an Advanced Telephony programme.  As a result of the recent telephony questionnaire that was conducted, webinars have been organised on the topic: ‘What is advanced telephony and how can it benefit my patients and practice.' This webinar will help increase awareness and knowledge of advanced telephony.

The same webinar will take place on three dates.  Please use the respective links to register for your preferred date:
 
Wednesday, 7 September 2022: Registration Link
Tuesday, 20 September 2022: Registration Link
Thursday, 6 October 2022: Registration Link
 
For any problems registering, please contact hello@redmoorhealth.co.uk.

Webinar on less carbon intensive inhalers - Thurs, 22 September

On Thursday, 22 September 2022, 1.30-4.30pm, London Respiratory Clinical Network will host a webinar entitled "Symbiosis of better clinical care and sustainability in airway disease."  This online event will provide information on clinically appropriate patient choice to less carbon intensive inhalers.  

All primary care clinicians involved in the care of patients with respiratory disease are welcomed to attend.  Please register at Eventbrite.

Managing adult ADHD referral requests

Please see a reminder on how to manage adults ADHD referral requests.

SEE THE REMINDER

Compensated workshops informing UEC transformation

An exciting piece of work in partnership with Imperial College Health Partners and Ipsos is taking place to gain insights that will inform the approach to Urgent and Emergency Care (UEC) transformation in London. Work will be taken in partnership with staff, as well as with patients and the public, to shape local policy and plans to meet Londoners’ urgent care needs as part of the national ambition to undertake radical transformation in UEC.

A key upcoming part of this work will be a series of dialogue and deliberation workshops with staff this October and December, and there is a need to recruit staff from the mental health crisis teams as well as mental health staff in the community to attend these workshops and provide their thoughts and insight from a mental health perspective.

A draft letter has been prepared to send to staff.
 There is also a financial incentive for participants.  The deadline to express interest is Friday, 2 September 2022.

For any questions, please contact england.londonmentalhealth@nhs.net and copy (cc) Emma Jopling.

REMINDER: General Practice Assistant Programme 

A new and exciting opportunity is being offered across the London region to support GP practices in training and developing their existing non-clinical staff to become General Practice Assistant (GPA). 

The GPA role supports doctors in the smooth running of their surgery by handling routine administration tasks and some basic clinical duties.

Find out the key information and the assessment criteria. For those interested, please submit the Expression of Interest form (found in the GPA link above) by Friday, 2 September 2022.

Seasonal influenza service level agreements (SLAs)

NHS England will be offering three service level agreements (SLAs) to providers wishing to sign up this flu season.

  • Unregistered SLA will enable GPs to provide unregistered populations (including children) with the seasonal flu vaccination and for eligible adults, shingles vaccination and PPV.
  • GP Confederation SLA will enable GP Confederation/PCNs to provide the flu vaccination to all eligible cohorts – again to provide additional capacity.
  • Housebound SLA will enable District Nurse Services/GP Confederations/PCNs to deliver seasonal flu, shingles and PPV vaccinations to housebound patients.  
GPs/Providers can sign up to the SLAs here by Friday, 16 September 2022.
SEE THE TABLE
VIEW THE APPENDICES

Update from London Covid-19 Vaccine Clinical Reference Group

Please see an update from the London Covid-19 Vaccine Clinical Reference Group from the week ending on Friday, 26 August 2022.  This includes misadministration of vaccine involving children and setting up data loggers to prevent temperature excursions.

Network DES payment for August 2022 

Due to a technical issue on CQRS, there has been a delay in processing Network DES payments for the month of August. As a result, PCNs will receive payment in the September payment run.
 
Please note not all PCNs have been affected by this. Apologies for any inconvenience caused.
 
For any queries, please contact: nelondon.nel-primarycare@nhs.net 

City & Hackney is hosting a webinar on Tuesday, 13 September 2022, 4-5.30pm, to develop a questionnaire around high cholesterol. This event is only open to City & Hackney residents.

Local GP Dr Chris Carvalho, North East London Cardiovascular Disease Clinical Lead, in partnership with City and Hackney Public Engagement Team, will lead the conversation. It is aimed at developing a set of questions that will be used by health professionals across City and Hackney to identify and support local people who may be at risk of developing health complications related to high cholesterol.

If you or your family have high cholesterol, then join this online event.
Participants will receive a £20 store voucher.

Please register via Eventbrite.
In addition, please share the flyer to those who may be interested.

C&H Medicines Management August 2022 Prescribing Matters newsletter 

City and Hackney Medicines Management has released its August 2022 Prescribing Matters Newsletter.  This month’s edition contains information on the following:

This month’s edition contains information on the following:

  • August Bank Holiday Community Pharmacy Rota
  • London IPV Booster Campaign JCVI Advice
  • Learning and Sharing Melatonin Liquid care when prescribing
  • City and Hackney Paediatric Vitamin D guidance update
  • MMT Checklist for CQC inspections
  • PrescQipp Clinical Webinars and Resources
  • MHRA Drug Safety Update August 2022 
READ MORE

NHS NEL Green Plan - Fact & Tip
 

Fact: The NHS accounts for 4% for the UK's carbon footprint. It is the first health service in the world to have a plan to meet net zero.
 
Tip: The NHS North East London 'Green Plan' has a target to hit an 80% carbon reduction by 2028.  In order to do this, everyone working in the NHS locally must play their part. 

New Age Games Programme - free activities for 50+ in Hackney

New Age Games is a free physical activity programme for Hackney residents aged 50 and over.  The autumn timetable has been released. It will run from from Monday, 12 September 2022 to Saturday, 18 March 2023 (no sessions held from 11 December - 15 January).

Some changes have been made to certain locations due to repairs or closures.  Please view the website for the most updated information, as well as to register.

Free cooking courses - online or in-person in Upper Clapton

Made in Hackney is hosting two, free six-week cooking classes: one to run in-person and another online. 

1. Cooking on a budget (live community course for Hackney residents only). Learn how to shop for and make some healthy, low cost and delicious plant based recipes with cookery teacher and caterer, Amandeep Verdding, from Biba Kitchen.  

Dates: Tuesdays 5.30-7.30pm (13 September -18 October 2022)
Location: Liberty Hall, 128 Clapton Common, Spring Hill, London, E5 9AA.

Book online or call 020 8442 4266.

2. Eat well, be well: Cooking to improve your health (online course for Hackney residents only).  Join Dr Sunni Patel, an expert in culinary medicine, for fun online sessions learning how to cook a range of dishes using healthy ingredients and smart cooking techniques. Each session will focus on supporting a different aspect of your body's health: brain, gut, joint, immune, skin and heart.

Thursdays 6-8pm (15 September - Thursday 20 Oct 2022)
Beginners and children welcome.  Sign up to collect vegetable ingredients from the cookery school in Upper Clapton, including some extras, all supplied by local surplus organisation Streetbox!

Book online or call 020 8442 4266.


Finally, there is a free community class open to everyone regardless of residency location.
 

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