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Wednesday, 29 June 2022

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YOUR bulletin this week is packed with:

• Intro from Dr. Stephanie Coughlin
• Message from the Comms Team
• Updates from Your Peers
• Information for GP Practices
• Service Updates
• Updates for all Practitioners

A word from Dr. Stephanie Coughlin
City & Hackney System Clinical Lead
As some of you will be aware, Mark Rickets, our CCG Chair for City & Hackney, will be finishing in this role at the end of June. On behalf of the City & Hackney community, I want to thank Mark for all he has done for our residents, patients and teams. Mark has been a champion for City & Hackney.
Mark was involved in the setting up of ELIC in the days before the CCG, has had a leading role in primary care across City & Hackney and, most recently, lead as CCG Chair for City & Hackney. He is compassionate, collaborative and always keeps the residents and patients at the heart of what we do. Whilst Mark will be finishing in his City & Hackney roles, we are fortunate that he has been successful in becoming one of the North East London ICS Board members as a primary care representative. I’m sure Mark will take with him the City & Hackney way of doing things to drive some of the work across the ICS.
Mark, and his wife Rebecca, are raising money for the Alzheimer’s Society by trekking across the Peak District with friends. The charity does great work in supporting patients, their carers and families and drives research into this important area. Mark would be very grateful if anyone wishing to make a contribution could visit his Just Giving page.
See more information in the 'Updates From Your Peers' column below.
Please don’t forget we have the practitioner forum tomorrow, Thursday, 30 June 2022, from 1-2pm. Please see the agenda.  We will also be hearing form the panel as usual, including an update on Monkey pox from our public health team. Join via MS Teams.

Message from the Comms Team

Due to our transition to an ICS on Friday, 1 July 2022, we will have a new email address:  Please make a note of this in your address book.  You can start sending emails here immediately.

And a reminder to please send all requests for this bulletin by Tuesdays at 6pm.

Mark Rickets treks for Alzheimer's in fundraising event

As you just read above, Dr. Mark Rickets will be stepping down from his CCG Chair role in a couple of days, BUT he will continue to be a part of our lives - and millions he does not even know - with his commitment to walking...very far! 

Mark will take part in Alzheimer's Society's Trek26 Peak District challenge, which will see participants walk up to 26 miles on Saturday, 13 August 2022. He is embarking on this journey due to his personal connection with the illness.

"My mother-in-law died of complications arising from early onset dementia and my mum (now aged 92!) has recently been diagnosed as having Alzheimer’s. Fortunately, her illness is following a much slower course compared with my mother-in-law, who was rapidly consumed by the disease. We know about the great work the Alzheimer’s Society undertakes in supporting patients, their carers and families, and in supporting research."
You can support Mark's efforts by visiting his JustGiving
page and sharing it with your family and friends.


Poliovirus detected in London

The poliovirus has been found in sewage samples collected from London Beckton Sewage Treatment Works.  There will be further information on the planned roll out.  The polio vaccine is part of the NHS routine childhood vaccination schedule

Primary care colleagues are reminded to check that newly-registered children and adults are up to date with their routine immunisations, especially new migrants, asylum seekers and refugees. 

The polio vaccines is given when a child is:

All of these vaccinations are needed to be considered fully vaccinated against polio.

Monkeypox NEL pathways and UKHSA contact tracing form

Please note the two communications regarding monkeypox:
  1. NEL has provided the latest version of the monkeypox pathway.
  2. UKHSA have developed a form to support contact tracing of health care workers in relation to monkeypox cases.  

    If your organisation has previously or continues to provide care for a confirmed monkeypox case, please ensure that details of staff who are identified as contacts are submitted using the form. Read more.

NHS Diabetic Eye Screening Programme Coding Issue

The NHS Diabetic Eye Screening (DES) programme has identified a coding issue which is affecting the identification of eligible individuals for diabetic eye screening. Clinical Effectiveness Group (CEG) has run searches to quantify the potentially affected patients. Across City and Hackney, this relates to 355 patients that need to be reviewed and validated to ensure that medical records are updated with a diagnostic code for diabetes, if appropriate, to ensure individuals are referred to and receive diabetic eye screening.

Please see this page for all of the information and how to run the searches using the CEG search ‘Diabetic Coding Issue v1’; this review and validation process needs to have been completed by Monday, 11 July 2022.

Targeted 6 Month Postnatal Health & Wellbeing Check


Early Years 2022/23 Contract – New Element from July 2022

NEL CCG City & Hackney has commissioned the GP Confederation to pilot targeted postnatal health and wellbeing checks for a cohort of women identified as most at risk of poorer outcomes in the perinatal period.

Women within the following cohorts, who have had a baby in the previous five months, should be contacted by the practice administrators to book an appointment with their GP for a six-month health and wellbeing check.


GP Practice Data Collection / Data Linkage Service – London

Please see the letter for action by Thursday, 30 June 2022 about signing up to Data Sharing Agreement and Data Protection Impact Assessment (DPIA).

Please contact with any queries.

PCN Directed Enhanced Service payments April to June 2022

Commissioners have recently been made aware that some Primary Care Network (PCN) Directed Enhanced Service (DES) payments for the months of April 2022 to June 2022 have not been paid to PCNs accordingly.

This is due to a technical issue with the CQRS portal. The issue has been raised with CQRS who are looking into a resolution.

As an interim solution, NEL CCG will be making manual payments to PCNs for the affected period in order to avoid any cash flow issues. This may result in a duplicate payment for some PCNs; however, PCNs will be contacted individually if a clawback needs to be initiated,

Once the issue with CQRS has been resolved, another communication will be sent.

NEL Advanced Telephony Survey

Redmoor Health, a change management and coaching company whose team is full of experienced former practice staff, will help practices across north east London with the deployment of Advanced Telephony.

Practices are asked to complete the baseline questionnaire by Friday, 15 July 2022, so a greater understanding can be had of the current primary care landscape in terms of existing telephony systems, as well as capturing the gaps in functionality and ambitions for the future. For any issues with completing the form, please contact

For questions on telephony, please contact Feyi Olawoye.

UPDATE: Guidance for Latent TB Screening for new arrivals from Ukraine

This notification was included in last week's bulletin. Please see an updated document with contact information in the 'Read More' link.

Ukraine is a high TB prevalence country with a TB rate of 77/100,000 population in 2019 which is 10 times higher than TB prevalence in England.  In addition, Ukraine has high rates of drug resistant TB with 22% of all notified TB cases identified with multi-drug resistant TB and 18% of the MDR-TB cases are extensively drug resistant (XDR-TB). 

Prior to the conflict, Ukraine was included in the list of countries for which pre-entry screening for TB is required, for UK visa entry lasting more than 6 months.  As a result of current circumstances, people arriving from the Ukraine will not have been screened for TB prior to arrival.

It is expected there will be around 700 new arrivals in Hackney. To support practices with new patient registrations, please see translated registration form.

Vasectomy Update - New BPAS Service

British Pregnancy Advisory Service (BPAS) has been commissioned to provide a vasectomy service for City & Hackney residents. The BPAS vasectomy clinic is based in Stratford where procedures will take place.

GPs are advised that BPAS do not accept referrals via eRS. GPs can either refer patients to the service or patients can self-refer via calling directly or using the referral form, which is also on EMIS. The patient information leaflet is available.  Further information about the procedure can be found via the BPAS vasectomy page.

MSI vasectomy service is still open to GPs where referrals can be made via eRS. The GP website vasectomy webpage has information on both MSI & BPAS vasectomy services. For any queries, regarding the BPAS vasectomy service, please contact Mohammed Chowdhury.

NEL Long Covid Fellow
Open to all staff groups including GPs, nurses and healthcare professionals
Fixed term: 31 March 2023
Part-time: 4 sessions per week (2 days/week)
Site: Homerton Healthcare NHS Foundation Trust / NEL
Salary: £61,861 - £70,959 p.a. incl pro rata
Closing: Monday, 4 July 2022 at 23.59
Apply at the Homerton website

CHSCP TUSK Special Briefing - June 2022

The City & Hackney Safeguarding Children Partnership (CHSCP) has posted its Things You Should Know (TUSK) special briefing from June 2022.

#AskAboutAsthma - campaign between 12-18 September

#AskAboutAsthma is back this September for its sixth year and you are invited to be part of it. 

For 2022, the #AskAboutAsthma campaign will run from 12-18 September 2022, a week earlier than previous years. This is so everyone can take the learning, resources and key information shared to be even more prepared for week 38. Nationally, week 38 is the week where there is a rise in asthma attacks following the return to school after the summer holidays.

Find out more about the campaigns, ways to control asthma and the webinars, podcasts, blogs, vlogs, social media activity and a one-day virtual conference.


City of London - Climate Action Strategy Survey

City of London Corporation (CoL) has created a Climate Action Strategy where it wants to achieve net zero carbon emissions by 2030 and champion sustainable growth in the UK and globally for the next 20 years. Because London is the third largest city in Europe (by population), it is important that it leads the way in climate action to attract investment that strongly considers the environmental impact.

CoL is looking assistance from residents, businesses and employees to shape its climate initiative. The deadline for the five-minute survey is Wednesday, 6 July 2022.


NHS England and NHS Improvement is launching a new Sickle Cell campaign to increase awareness of the key signs and symptoms of a Sickle Cell crisis, particularly among urgent emergency care staff and those living with the condition and their carers. Learn about the campaign.

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