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Wednesday, 20 July 2022

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YOUR bulletin this week includes:

• Information for GP Practices
• Service Updates
• Updates for all Practitioners

Phlebotomy Samples in the Hot Weather

Please see a message from the Phlebotomy Partnership

In this very hot weather, storage of samples and their transport to the laboratory is challenging.

Ideally, we would advise postponing non-urgent phlebotomy until after the heatwave, but appreciate that this is not practical.

Whilst awaiting transportation, biochemistry and haematology samples normally stored at room temperature should be stored in the coolest available space (eg in the shadiest spot close to a fan), but should NOT be placed in the fridge.

The effect of hot weather on samples may result in artefactual hypokalaemia, so be aware when checking results that unexpected, marginally low potassium concentrations may well be spurious. 

Cancer Education Session - 29 July 2022

Join this cancer education session on Friday, 29 July 2022, 1-2PM, to discover updates to the Upper GI 2ww pathway, which involves a one-stop service. In addition, learn about the Planned Direct Access MRI prostate and further updates about cancer. Registration is open.

NHS Shingles Immunisations Programme - Shingrix 2nd dose

Sent on behalf of NHSE London Immunisation Team

An inconsistency has been noticed in the Shingrix vaccination schedule for immunosuppressed people, between the national patient group direction (PGD) for Shingrix and the business rules underpinning the General Practice Extraction Service (GPES).  The Shingrix PGD states that the second dose should be administered eight weeks after the first dose, but the GPES payment extract counts the second dose of the vaccine given two months later as a minimum gap between the two doses, in line with the Green Book.  

GPES will, therefore, not always pick up second doses of Shingrix if delivered as per the PGD, and this could affect payment claims submitted by general practices for 2nd doses administered between 56 and 62 days after the first dose (depending on the month given). This is unlikely to affect many patients as Shingrix is only given to the immunosuppressed cohort currently.

Please read this document that explains how practices can submit a claim in instances where CQRS does pick up the Shingrix 2nd dose given.

Accurate Coding of Diabetic Patients Issue

If you have been unable to download the patient data for your practice with regards to the "Accurate Coding of Diabetic Patients issue" Important Safety Action request, please find the guidance.  If an individual does have diabetes, please determine which type of diabetes they have (i.e. Type 1 or Type 2) and add the individual SNOMED code appropriately.

The deadline has been extended to Monday, 25 July 2022.

Medicine Supply Notifications for two products

Please find Medicine Supply Notifications for the following that includes the summary and actions required:


Training Hub offering - Mental Health First Aider

North East London Health and Care Partnership in collaboration with the Training Hub have added new dates for the Mental Health First Aider - Adult and Youth sessions.  Both sessions will be delivered over four bitesize sessions online. All four sessions must be attended to be certified.



Primary & Community Liaison Practitioner: Adults with LD & Autism

Homerton Healthcare NHS Foundation Trust is looking for a Primary & Community Liaison Practitioner to work with people with learning disabilities and/or autism.

This is a post which will help support the set up and further embed processes for ensuring that patients with learning disabilities receive appropriate support from primary and community care services and support such services to be accessible. The person will ensure that there are effective links between primary care and the Integrated Learning Disability service.  

Please see the job advert with further information. Applications close on Sunday, 24 July 2022.

Salaried GP

The Heron Practice is a very well-established, high-achieving and dynamic five-partner GP practice, located close to Manor House underground station and is looking to recruit a salaried GP. This is a permanent post, where six clinical sessions per week is expected (though, this is negotiable).  Salary/session rate negotiable, dependent on experience, on a standard BMA contract.

Please view the job advert for further information, including how to submit interest for this position. The deadline is Wednesday, 31 August 2022.


Hoxton Health Charity - toenail cutting service

There has been an unprecedented demand for toenail cutting services provided by Hoxton Health Charity resulting in the service struggling to meet demand. Consequently, patients will be encouraged to pay the £30 fee for clinic appointments, if they are in a position to do. Home visits will no longer be provided. 

There is a Community Foot Health/Podiatry Service available that provides care, assessment, diagnosis and advice for all conditions with a medical need, including developmental problems affecting the foot and lower limb. A walk-in clinic is based at St Leonard’s for urgent foot problems such as spreading infections and new/ deteriorating diabetic foot ulcers, etc. 

GPs should routinely refer via e-RS using the referral assessment service (RAS).   This will be the only way to refer non-urgent patients to the service and a referral must be attached to complete the process on e-RS.


Targeted Lung Health Check Programme

Residents who are aged between 55 and 74, who are current smokers or who have ever smoked, are being invited to take advantage of a new, free opportunity to have their lungs checked as part of a national NHS pilot called the Targeted Lung Health Check Programme.

This programme is being delivered by the North East London Cancer Alliance, working in partnership with Barts Health NHS Trust, Barking, Havering and Redbridge University Hospitals NHS Trust, Homerton Healthcare NHS Foundation Trust, our local GPs, and InHealth, who are providing the scanner trucks, as well as resources to support the whole process for patients.

Lung checks are by invite only and letters are currently being sent out to those who are eligible. It is really important for people to follow the instructions in the letter and keep their appointment.

This evening (Wednesday, 20 July 2022) the survey - to get patients' views on the types of services that should be offered, and when, where and how they are delivered locally - closes! There is still time to share with those who use primary care services in north east London. 

This survey is to assist PCNs that have to submit their plans for their Enhanced Access service by 31 July. As part of those plans, all PCNs need to be able to demonstrate how they have engaged with and considered the views of their patients on the services being provided.

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