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Wednesday, 9 November 2022

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YOUR bulletin this week is packed with:

• Intro from Dr. Stephanie Coughlin
• Information for GP Practice Staff
• Service Updates
• Updates for all Practitioners

A word from Dr. Stephanie Coughlin
City & Hackney System Clinical Lead
The current cost of living crisis is having a significant impact on our patients, residents and workforce. Hackney Council has put together a very helpful Poverty Reduction and Cost of Living Newsletter, which you can find here.  There is also a help-at-hand guide for Hackney residents during the cost of living crisis, which can be found here. Some national resources have also been put together with NHS Confederation’s new Cost-of-Living Hubthat puts a spotlight on NHS initiatives which address the effects of rising costs for communities and good employment practice. So far, sections on fuel poverty and food insecurity are live. 
We have had lots of applications for the clinical and care professional leadership roles which is great.  Interviews are taking place this month. We have extended the application deadline for a small of number of roles including End of Life, Learning Disability & Autism, Vaccinations & Immunisations, Workforce & Training Hub and Long Term Conditions Clinical Pathways. Please visit the recruitment page for more information about these roles. Applications for these roles will be accepted until Wednesday 23 November 2022. Please do contact me directly if you have any questions at
Winter is right around the corner. I know that GP practices and community teams are very busy on the ground. Please do take care of yourself and your teams as we head into the busiest time of the year.

Update on vaccinations: polio, Covid-19 booster and flu

Please an update on the polio vaccination programme that was issued on Friday 4 November 2022.  Also, a reminder about the national algorithm on who should be vaccinated and when.  Finally, the list of sites where children can receive their vaccination is listed here.

Covid-19 autumn booster & flu
Known as the winter vaccination campaign, promotions for the Covid-19 autumn booster and flu jab are underway.   Please see the website, which contains details on how to access the vaccine, book appointments and FAQs.

Polio, Covid-19 autumn booster & flu
There is also a City&Hackney-specific flyer that provides details on where to get vaccinated for all three. 

Education events: asthma & in-person safeguarding

On Friday 11 November 2022, 1-2pm, there will be an online training event on children's asthma that will cover:
  • Changes to weaning plans given by secondary care
  • Diagnosing asthma in children
  • When to refer
  • Use of steroids and Montelukast
This event is for GPs, nurses, pharmacists and all those involved in children's asthma work at your practice. 

Also, on Wednesday 23 November 2022 from 1-2.30pm at West Reservoir, there will be an in-person Adult Safeguarding Level 3 session.  

Register for both using the respective links above.

Improving patient triage communications workshops

The schedule for the Improving Patient Triage Communications (IPTC) workshops have now been released, with the first date being on Friday 11 November 2022.  The workshops are 1.5 hours and run virtually on MS Teams.  

The training is split into two Parts, A & B, covering a variety of real-life scenarios. Staff can pick whichever session they find most relevant and only need to attend one session to have completed the training.  Please see the schedule for more information.

Educational session for Homerton Allergy service

In last week's bulletin, there was a reminder sent that referral to Homerton Allergy service is via Advice and Refer (A&R) option only on eRS.  To gain more knowledge on this, Homerton Hospital will be holding a GP educational session on Friday 9 December 2022 at 1pm via Zoom that will cover:
  • Referring into the Homerton Adult Allergy service (Advice & Refer) 
  • Conditions we can help with 
  • Conditions we do not see
  • Advice on common conditions
  • Case studies
  • Q&A

Patient access to medical records

Please see a letter from Chief Medical Officer Paul Gilluley regarding patient medical records.  Additionally, please see the British Medical Association position that highlighted a few options for GP practices to ensure that they, as data controllers, are in control of what happens to their data.

Type 2 diabetes information event for Turkish speakers

Hackney Cypriot Association is holding an information session on type-2 diabetes for Turkish speakers. The session will be delivered in Turkish by Homerton Diabetes Centre and is aimed at anyone who is at risk of type-2 diabetes or who already has diabetes. The event will include information about diabetes risk factors, the diabetes care processes, diet, exercise, complications, annual review, an opportunity to test glucose levels, explore referral routes for diagnosis/support and engage in Q&A with a specialist diabetes educator.

Please help to promote this event to your patients:
  • Poster in English & Turkish here.
  • Text message invitation in Turkish here.

Cancer pathway support guide

North Central London Cancer Alliance has been developing an online and PDF/paper tool for helping people through their cancer diagnosis, treatment and follow-on care. 
Patient experience of cancer care differs across London. Research highlights patients feeling overwhelmed as well as experiencing anxiety and fear and has indicated what they would find useful at the different stages of the pathway. 

Long Covid referral information packs sent to C&H GPs

City and Hackney GP practices will be receiving Long Covid referral information packs from Monday 7 November 2022. The packs contain:
  1. A patient-facing poster and flyer on Long Covid symptoms and signposting
  2. Information on the OneContact referral system to support the referral process to the post-Covid pathway 
  3. Referral criteria
  4. Long Covid training and resources details
  5. FAQs on accessing the City & Hackney Post Covid services
  6. Primary Care Post Covid Syndrome pathway for adults (from National Commissioning Guidance for post-Covid services)
  7. Flowchart of the referral pathway to the City & Hackney Covid Rehab (CoRe) Service

Primary care delegation of dentistry, optometry and pharmacy services (DOPs)

As part of the work to support the delegation of dentistry, optometry and pharmacy services (DOPs) commissioning from NHS England to ICBs, NHS England London will be running a series of masterclasses to support the education of ICB teams in this area. The purpose of the masterclasses will be to provide a foundation understanding of the commissioning of DOPs and the impact of these services on patient outcomes.

The masterclasses will be delivered by a range of colleagues from DOPs teams as well as consultants in dental public health and clinical advisers who work in support of these functions.  The first one begins on Tuesday 15 November 2022.

Please find further information on dates, recommended attendees, what each masterclass session is covering and how to join below.

Medicine supply notifications for various products

Please see medicine supply notifications for various products: DHSC and NHSE/I have launched an online Medicines Supply Tool, which provides up to date information about medicine supply issues. The contents of this MSN can now be viewed on the Tool.
The Tool also details any changes to resupply dates and updates to the entries. To access the Tool, please register with the SPS website.  For any queries, please contact:


Spinal advice and guidance

Homerton Health Orthopaedics do not offer spinal surgery and, therefore, are unable to respond to spinal advice and guidance (A&G) requests. Barts Health offer spinal surgery, but do not offer A&G. It is expected referring GPs to have followed the clinical pathway and send routine referrals via the Community Msk services.

It is recommended that GPs follow the local Spinal Pathway or refer to Locomotor (Msk) A&G service on eRS if there is a query.

TIA referral form

Please use the updated referral form in the CEG reference library when making referrals to the TIA clinic.  The form is called RP TIA Referral form version V3. 

Results from the Under 16 Cancer Patient Experience Survey 2021 - join analysation webinar on 8 December 2022

The Under 16 Cancer Patient Experience Survey 2021 results are now available and show the consistently high levels of care young cancer patients receive. Cancer care providers will analyse these results in detail to learn where they could do even better. 
Key results show: 
  • 9.01 out of 10 was the average parent/carer rating of the overall experience of their child’s care  
  • 89% of parents/carers rated the overall experience of their child's care as 8 or more out of 10 
Join a webinar at 1pm on Thursday 8 December 2022 to unpick the results in more detail. This will help NHS teams, providers, charities, commissioners and the public to understand the results and identify areas for action. Book now.  
Read more about the results on the North East London Cancer Alliance’s webpage

Hackney Council Poverty Reduction and Cost of Living Newsletter

Hackney Council held a session on Thursday 3 November 2022 entitled "Poverty reduction: Tools for work with residents who are struggling." A newsletter has been released that includes the recording and additional information.  The next meeting will be held on Thursday 17 November 2022.

Public forum: Patient transport - 15 November 2022

Healthwatch Hackney and Healthwatch City of London are hosting an open forum to get feedback from City & Hackney residents on their experience when being transported to/from a hospital appointment. This patient transport forum will take place on Tuesday 15 November 2022, 12.30-2pm. 

Have your say – help shape the professional strategy for nursing and midwifery

The Chief Nursing Officer for England, Dame Ruth May DBE, is developing a new professional strategy that will set out the direction of travel and ambitions for the professions over the next three to five years.
The strategy will cover both nursing and midwifery and the CNO will be supported in its development by the Chief Midwifery Officer for England.
It is vital that the new strategy is developed with and by the professions to reflect their experiences and aspirations.  All registered nurses, midwives and nursing associates in England, across all sectors, are invited to participate.
Stand By Her training addresses misogyny in the earliest stages and empowers men to become allies to women and challenge harmful behaviour they see.

The in-person training takes place on Wednesday 30 November 2022, 9:30am-12:30pm, at Forest Road Youth Hub (Young Hackney) 29 Forest Road, London E8 3BY.

Register here.

CHSCP: Intra-Familial Child Sexual Abuse - January 2023

City & Hackney Safeguarding Children Partnership (CHSCP) will host a one-day training course entitled, "Intra-familial child sexual abuse," that will improve understanding of child sexual abuse within the family environment and help to better identify signs and indicators and respond effectively to protect children.  Please view the flyer for more details.

The training will take place on Tuesday 24 January 2023, 10am-4.30pm, via Teams.

Places on this external multi-agency course are on a first come, first served basis with spots being offered to several other boroughs simultaneously. Interested parties should either book places on Phew or contact CHSCP directly. 

Medicine Safety Week: 7-13 November 2022

For one week each year, those who regulate the use of medicines and healthcare professionals worldwide encourage the reporting of side effects. This flyer can be shared to understand how to get the best out of your medicines.

Going further for winter: How to implement community-based falls response

Last week, Felgains, an organisation that provides quality care equipment and solutions to the health and care sector, hosted a webinar entitled "Going further for winter: How to implement community-based falls response."  This showcased how to approach and implement the recent NHSE guidance on 'Going further for winter: Community-based falls response.'  Examples were shown of organisations that had levelled up the falls response in their area by implementing the Raizer lifting chair and HelpFall post-falls decision tool. 

Climate fact and tip

FactThe COP 27 summit (6-18 November 2022) continues in Egypt. This is really the last chance that world leaders have to keep global warming to 1.5 above pre-industrial levels and limit the health impacts of climate change globally. 

Tip: Take a look at the talks going on in the health pavilion. Timetable and links to the livestream can be found here.

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