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Wednesday, 6 July 2022

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YOUR bulletin this week is packed with:

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

A word from Dr. Stephanie Coughlin
City & Hackney System Clinical Lead
Hope you are all keeping safe and well. It’s clear we are at the start of another wave of COVID infections. Duty Doctor on Monday morning felt like we were back in March with lots of COVID presentations across multiple age groups. Referrals to the door stop assessment service (DAS) have more than tripled in the space of a week, with 23 referrals coming in last week. FFP3 mask FIT testing at the Homerton has been available for all those working in primary care settings since the start of the year and FFP3 masks are available to order. If you haven’t already had your FIT testing please do contact the FIT testing team at the Homerton to arrange your appointment.
NHS North East London – our new Integrated Care Board (ICB), launched last Friday (1st July). It replaces the North East London Clinical Commissioning Group (CCG). NHS North East London will be responsible for planning and commissioning health services across North East London. It’s early days for the new ICB and we will keep you updated on work that is happening across North East London as it emerges.
Please do take a look at the bulletin below for some more information on the recent detection of polio.
It looks like we’re expecting some good and hot weather over the coming week. Hope that you all manage to find time to enjoy the weather. Thanks for all you continue to do to care for the patients and residents of City & Hackney.


Message from the Comms Team

We are adding this message again as a reminder that our Communications email address has changed from Friday, 1 July 2022.

Please ensure you are emailing us at 
to ensure information needed for the bulletin is included.

Introduction to the ICB from Zina Etheridge

I am delighted to inform you that NHS North East London – our new Integrated Care Board – formally launched today (Friday 1 July), replacing North East London Clinical Commissioning Group as part of the changes brought about by the Health and Care Act 2022.
This is a really exciting time as we cement the strong partnership working we have already developed with other organisations across our local health and care system, as part of the North East London Health and Care Partnership – our Integrated Care System.
We and all our partners are committed to working together to achieve our collective ambition of working with and for all the people of north east London to create meaningful improvements in health, wellbeing and equity.
Below is an overview of the role, ambition and leadership structure for our new organisation, including an update on the clinical leadership and the appointment of Dr Jagan John and Dr Mark Rickets to the Board of NHS North East London. They and all of you will continue to be a really important part of the heath and care system in north east London as we know that your clinical expertise, knowledge and experience is essential to enabling us to provide the high standard of services that our population deserves.
If you want to find out more about the work of NHS North East London, please do visit our newly launched website –
I look forward to continuing to work together with our partners and all the people of north east London to ensure our local population are healthy and thriving.


NEL Primary Care Updates 

The Community Pharmacy Consultation Service (CPCS) team have created a short survey to understand more about the experiences of practice staff referring patients via the CPCS. This survey should be completed by the person in your practice who looks after CPCS referrals. To access the survey, click here

NHS North East London has secured some additional capacity to help practices across North East London with the deployment of Advanced Telephony. Please complete this questionnaire so that we can gain a greater understanding 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.

London Urgent Care Plan goes live on Wednesday, 27 July


The technical developments for the London Urgent Care Plan have been completed and tested.  The UCP Programme Board has approved the recommendation that the current care planning application cuts over to the solution on Wednesday, 27 July 2022. Find out what to expect.


Polio Update 

Residents may be concerned with the recent news reports of polio being found during a routine sewage inspection at Beckton Sewage Works. The Council is working closely with the UK Health Security Agency, but residents should be reassured that the risk of infection is extremely low.
Polio is a very rare disease nowadays due to successful vaccination programmes around the world and there have been no cases in the UK for many years.
Polio is one of the diseases that children are routinely vaccinated against, so if you and your child/children have had the full course of vaccines, you will have life-long protection against Polio.
Unfortunately, Hackney has one of the lowest immunisation rates in the UK and therefore it is really important to be up to date with your immunisations. If you’re unsure please check with your GP if you and your family are up to date with your vaccinations. 
We know that some children missed out on vaccinations during the COVID-19 pandemic but it’s not too late to get your children vaccinated.
Find out more here:

IIF indicator and Familial Hypercholesterolaemia referrals

Re: CVD 04- Percentage of patients aged 29 and under with a total cholesterol greater than 7.5 OR aged 30 and over with a total cholesterol greater than 9.0 who have been referred for assessment for familial hypercholesterolaemia

Last week across NEL we have seen a number of practices running a search to identify patients for this indicator and, as it says, have referred all of the patients they have found into the cardiologists. This has resulted in 92 referrals for A&G being received 2 days.  If every practice in City and Hackney did this, it could result in 1200 referrals. Obviously, not ideal, especially at a time when we are looking to reduce referral numbers.

There are many reasons why a patient would have a high cholesterol and there are other criteria which determines whether a patient may have FH. FH is a life threatening condition for the patient and their family. A referral can cause significant anxiety.

We are working locally on a pathway to ensure the right people are being referred, This means doing the necessary work up, and determining the information to make a decision on whether it is likely that the individual is at high risk and needs a consultant opinion. In addition, we are looking at additional resource to support the clinics.

The aim of the approach is to ensure the right patients get seen and correct diagnosis of FH are made, without increasing the burden on primary or secondary care.

We ask that you kindly do not batch refer patients to secondary care as the indicator suggests but hold until we have developed the necessary guidance and resources which we anticipate will be with you by mid July 2022

PCN Des Payments April to June 2022

Following the communication sent last Friday 24 June, we are now writing to update you that the issues with CQRS have now been resolved. Payments for quarter 1 (Apr 22 – Jun 2022) have been processed on CQRS and PCNs should be receiving payment shortly.
Payments via CQRS should be resuming as normal from July

Supply issue with eletriptan (Relpax®) 20mg tablets

Medicine Supply notification for Eletriptan (Relpax®) 20mg tablets here

DHSC and NHSE/I have now launched an online Medicines Supply Tool, which provides up to date information about medicine supply issues. The contents of these MSNs 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 you will be required to register with the SPS website.
Please be aware this communication is also being circulated separately to all community pharmacies in England.
Please note that for supply issues that have been categorised as tier 1 or 2, DHSC and the MSRG have requested that the NHSE&I commissioning routes are used to reach community pharmacy and GP practices. More serious supply issues are communicated via the Central Alerting System for action.
If you have any queries please contact:



As you know all PCNS need to submit 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.
To support PCNs with this task, the CCG has today launched a survey with patients across north east London to get their views on the types of services that should be offered, and when, where and how they are delivered locally.

Job Vacancies 

Clinical Lead for Accurate Diagnosis 

NHS London Clinical Networks are recruiting an Accurate Diagnosis Clinical Lead Respiratory Programme 
Please view the expression of interest and job description which includes information of how to apply. The deadline is Friday 8th July

Clinical Lead for Medicine Optimisation 

NHS London Clinical Networks are recruiting a Medicine Optimisation Clinical Lead Respiratory Programme 
Please view the expression of interest and job description which includes information of how to apply. The deadline is Friday 8th July

Diabetes & Polycystic Ovary Syndrome virtual discussion

Diabetes UK will be hosting an online event on diabetes and polycystic ovary syndrome on Thursday, 14 July 2022, from 5-6pm.  The free session will be hosted by expert speakers who will cover:
  • Diagnostics of PCO
  • Relationship with type 1, type 2 and Gestational Diabetes Mellitus
  • Presentation/incidence/evidence
  • Dietary/lifestyle management
  • Medications management
The talk will also be followed by a Q&A and is open to medical professionals and the general public. Those with diabetes and their families are encouraged to attend.

Please register on Eventbrite. Feel free to share the flyer.

Children and Young People's Emotional Health and Wellbeing Strategy

The first iteration of City and Hackney's integrated Children's and Young People's Emotional Health and Wellbeing Strategy (2021-26) has been released.

The strategy represents a positive step in demonstrating how committed we are as a system to prioritising the emotional health and wellbeing of our children, young people and families and working towards further integration with our local partners.

The summary and strategy announcement  are available.

Early Help & Hackney Child Wellbeing Framework Webinars

CHSCP will be hosting a couple of online events on Tuesday 19th July 4:00-6:00 and Wednesday 20th July 4:00-5:30, the webinar will cover:
  • Operational changes to Early Help in Hackney
  • Understanding the Hackney Child Wellbeing Framework
  • How to make a good request for support
  • Obtaining consent from families and young people 
For more information click here .
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