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Wednesday, 21 December 2022

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YOUR bulletin this week is packed with:

• Information for GP Practice Staff
• Service Updates
• Updates for all Practitioners

Industrial action on 21 and 28 December by ambulance staff

message was sent last week on the arrangements or measures that could be put into place at practice, PCN and Federation level in preparation for the forthcoming industrial action by ambulance staff on 21 December and the 28 December 2022.  With London Ambulance Service (LAS) staff on strike today (21 December) please see another communication with some additional advice.

These arrangements are intended to act as a guide as preparation is still needed to work through challenging situations and support the overall management of patient care across the system before and after the strike actions days.

Group A Step guide

Homerton Hospital has organised a clinical guide for recognising and treating Group A Streptococcus infections. It is a very helpful guide that brings together all of the current information, as well as explaining when swabbing the throat is useful.  Please do circulate this amongst your teams.

Lines on LAIV and risk of iGAS

Latest evidence indicates children’s nasal flu vaccine may help reduce cases of invasive group A streptococcus (iGAS).  Analysis by the UK Health Security Agency suggests a nasal spray vaccine that offers protection to children against flu may also help reduce the rate of Group A Streptococcus infections.
The live attenuated influenza vaccine (LAIV) is a nasal spray offered each season to most two-and-three year olds and school-aged children to help protect them against flu.

NEL's campaign on NHS services over the winter period

NHS North East London is running a communications campaign to help encourage residents to access the right NHS services over the winter period, including accessing pharmacy and GP first.  The materials in this toolkit can be used on your social media channels, websites, on digital screens and the printed leaflets can be shared in any public locations.

Homerton Hospital paediatrics course for GPs 

Homerton Hospital will host a General Practitioner's Paediatrics Simulation course on Thursday 27 March 2023.  This course aims to provide GP staff with more confidence in clinical, communication and safeguarding challenges in paediatrics. 

For booking and more information please contact

AccuRX video capability - now through consultation provider

The AccuRX video functionality is continuing, but not as a standalone service.  Going forward, the video capability will be through the online consultation provider. So practices who select AccuRx as their online consultation provider will continue to receive video functionality through AccuRx.  If eConsult or Klinik were selected, then they have their own video tools that practices can use.
It is being investigated if there can be additional video functionality through MS Teams as a backup option.
Any other queries, please contact

Urgent Care Plan Programme - December 2022 newsletter

The Urgent Care Plan Programme has released its December 2022 newsletter. 

Covid-19 treatments for highest risk community patients

A community-based, Covid-19 treatment is accessible for NEL patients, provided by the NEL local COVID-19 Medicine Delivery Unit (CMDU) at Barts Health.

Serious Shortage Protocols – Phenoxymethylpenicillin medicines

Serious Shortage Protocols (SSPs) have been issued for phenoxymethylpenicillin medicines.

The SSPs will enable community pharmacists to supply patients with alternative forms of phenoxymethylpenicillin. The SSPs and the alternatives that can be supplied in accordance with them are shown in the table below. The SSPs are now available to view on the NHS Business Service Authority (BSA)’s dedicated SSP web page, along with supporting guidance.
The SSPs came into effect on 15 December 2022 and are currently due to expire on 31 January 2023. Should this change, the SSPs will be updated accordingly and published on the BSA web page.

For any questions regarding the SSPs, please contact the NHS Prescription Service:
Telephone: 0300 330 1349
Textphone: 18001 0300 330 1349


Practice issues with language interpretation

There have been some complaints concerning language shop. This service is a sub contract to the Bilingual Advocacy Service provided by Homerton Health and any issues practices are having need to be escalated to the service manager in the first instance.
Please contact Jane Welch at Homerton to discuss any issue or complaint via email or telephone 020 8510 7709.  For service interpretation requests, please email:  or call 020 7683 4024.
For any unresolved issue, please email Tendy Kwaramba at the NEL ICB.


Advocacy Project & NHS Complaints service

Independent Health Complaints Advocacy (IHCA) is a free service that helps improve the NHS for everyone by supporting people to speak up if they’ve had an experience with an NHS service that did not go well.

For anyone that has had a difficult experience with any NHS service – such as hospitals, GPs and pharmacists, dentists, opticians or NHS-funded care homes – IHCA's information pack can support in making a complaint. The Advocacy Project can offer additional support to those living in Hackney or Hammersmith & Fulham.

Cancer videos for the Turkish community

NEL Cancer Alliance has the following videos on cancer screening in Turkish:
It would be great please if these could be shared with your contacts within the Turkish community.
The English versions are here:

C&H Health Inequalities Summit - Wednesday 11 January 2023

The City and Hackney Inequalities Summit will take place on Wednesday 11 January 2023, 6-8.30 pm at St Joseph’s Hospice (Mare Street, E8 4SA).

The aim of the summit is to bring together delegates working on inequalities and with grassroots and frontline practitioners to showcase work being done to tackle health inequalities in health and wellbeing across City and Hackney. In addition to showcasing this work, the summit will uncover gaps, identify opportunities for better alignment or increased impact(s) and continue to foster unified and enthusiastic working across our local system.
Please visit Eventbrite by Wednesday 28 December 2022 to reserve your place.  For any questions, please contact the C&H Communications Team.
City and Hackney Safeguarding Children Partnership (CHSCP) has shared its December 2022 and January 2023 training bulletin, which showcases places offered by the London Safeguarding Children Partnership (LSCP) on sessions surrounding gaming and gambling harms.  The remainder of the bulletin covers courses between now and 31 January 2023.

In addition, please view CHSCP's Things You Should Know (TUSK) briefing.

Dragon Café in the City events on Wednesday 21 December 2022

Dragon Café in the City is hosting its Winter Warmer event on Wednesday 21 December 2022 from 12pm that will include slow stretch, word games, readings and chats. 

Please see the full schedule of events here.

C&H Medicines Management December 2022 Prescribing Matters newsletter

City and Hackney Medicines Management has released its December 2022 Prescribing Matters newsletter.  This month’s edition contains information on the following:
  • London Pharmacy Opening Christmas and New Year 2022/23
  • TRAINING prescribing of edoxaban and other DOACs in AF
  • Group A streptococcal infections Antibiotics Choice and Supply
  • Molnupiravir NOT for primary care prescribing
  • Learning and Sharing – Inadvertent administration of LAIV to a child
  • London Controlled Drugs Team Update
  • MHRA Drug Safety Update December 2022

Hackney Council's Poverty Reduction and Cost of Living newsletter

Hackney Council has released its latest newsletter on poverty reduction and cost of living.  Feel free to share with your network. 

Quit smoking with us this New Year

Smokefree City & Hackney is launching its annual campaign, New Year New You, on 28 December 2022 until 31 January 2023.  Please find the key messages and suggested copy here.
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