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GP News - 08 December 2017

NHS England Winter messages

NHS England are launching a winter campaign (starting on Monday 11 December) to promote GP appointments over Christmas (see attached poster which will be used as part of the campaign). The campaign includes paid for advertising in the national press and on the radio.

Locally, this additional access will be delivered through a number of routes, including Out of Hours, MIUs, Walk in Centres, and GP practices. 

As you will be aware, we wrote to practices last week to ask for Expressions of Interest for providing extended hours over the winter period. Expressions of Interest are still welcome, and we are working through the responses to confirm where additional cover in evenings and weekends will be provided from across our locality.

We will be able to provide you with further information on this, as well as an updated winter toolkit, early next week. 

If you do get any enquiries, then the simplest message to give to patients is ‘There will be additional urgent appointments over the winter, you can find out what is available by calling NHS 111’. 

Primary care team changes

To ensure the primary care team remains responsive to practices’ needs during Alice Benton’s maternity leave, and to meet the challenges associated with delivery of our Primary Care Strategy, the CCG has implemented a new primary care team structure that aligns the team members to support delivery of both the transformation agenda of the GPFV and the CCG’s statutory duties under Delegated Commissioning.

You can contact the Primary Care team directly on capccg.primarycare@nhs.net or on the contacts attached.

Monthly Dementia Update Bulletin - November 2017

Dear Friends and Colleagues

Once again many thanks for your efforts on the Older People's Mental Health front in general, and on dementia in particular.

Our latest CCG dementia diagnosis figure currently stands at 65.8%, which is now only 1.2% under the national ambition of 67% - so close! 

In order to assist in the objective of closing the existing gap between present dementia diagnosis performance and the target, I wanted to highlight the following issues this month:

If practices have been using the DQT Dementia Diagnosis Tool, or have conducted dementia harmonisation exercises in the last six months (checking dementia registers and ensuring no patients with dementia are "missed") then please let me know. I'd be interested to establish how useful you have found these.

As you may know, we are lucky to have such an active research facility on our doorstep, and Dr Price, Consultant Psychiatrist for Older People's Mental Health at Addenbrooke’s Hospital in Cambridge wishes to draw your attention to a particular project she is currently undertaking called "Symbad". The study is a randomised control trial of mirtazapine vs carbamazepine vs placebo for agitation in Alzheimer’s dementia. Dr Price would like to focus on patients in primary care who are struggling with agitation as we know that this is a significant issue for patients and their families, and a frequent reason for referral to secondary care. 

If you are interested in further details or in participating in the trial, do feel free to contact Dr Price directly by either phoning 01223 216167, or via her e-mail address: annabel.price@cpft.nhs.uk. Alternatively, Julie Philps (e-mail: julie.philps@cpft.nhs.uk) is the Research Nurse working with Dr Price. 

I've also been looking at data on people with dementia and emergency admissions. I know we are all working hard in this area, and hopefully, our Dementia Intensive Support Teams, which are part of our successful business case with the CCG will have an impact too.

For your reference, the East of England Mental Health Clinical Network has produced the above attached summary infographics profile containing information and data about dementia in the East of England with one page for each CCG in the region. 

The aim of the infographics pack is to inform future planning and support the development of strategies to transform local dementia services. Another objective of the pack is to give CCGs and STPs insight into indicators on the dementia pathway with comparisons drawn from both the East of England and England. The introductory pages show variation of rates across the East of England for population predictions of people over 90 years of age (who have a higher dementia prevalence) and mortality rates of people with a dementia diagnosis.

The indicators are presented as a pathway on a page and data and metadata are available online. (https://fingertips.phe.org.uk/profile-group/mental-health/profile/dementia). All the data shown in the packs has been taken from the PHE Fingertips tool, produced by the Dementia Intelligence Network (DIN). The latest data available through this tool has been used at all times. 

Once again many thanks for your time and ongoing support. 

Dr Malav Bhimpuria

MB BS BSc (HONS) FRCGP DCH DRCOG PCMedEd
GP Principal
Clinical Lead, Older People's Mental Health, Cambridgeshire and Peterborough Clinical Commissioning Group.

COPD Patient Self-management Workshops

The STP and Cambridgeshire and Peterborough CCG are currently working with the British Lung Foundation (BLF) to deliver a series of public lung health awareness events and workshops across the CCG.

Following on from the successful ‘Love Your Lungs’ public screening events, held in the Autumn, the BLF will be holding a series of COPD Self-management patient workshops across Cambridgeshire and Peterborough in the New Year which will be starting in February and will run until November 2018.

Each workshop will be suitable for newly diagnosed COPD patients and also those patients with an existing diagnosis but who are struggling to manage their symptoms.  Each workshop will be for approximately 15 patients in total and we are hoping to identify GP practices from across the CCG that would like able to provide the BLF with a venue to hold the event in.

For more information please refer to the BLF information sheets which are attached.

Please contact me (adrian.mclean-tooke@nhs.net) if your practice would like to hold a BLF COPD Self-management workshop or if you would like to find out more details.

Health Care Support Workers Conference – thanks

This year’s Conference was on the theme of personal development and resilience. The event was opened by Kathy Bonney, HR and OD Director at the CCG. Over 90 attendees joined us from a variety of roles including Health Care Assistant, Operating Room Assistant, Secretary, Business Administrator and Youth Worker. Feedback from the conference is available here.

Thank you to all those delegates and speakers that attended. What a great day! 

Reminder: Clinical Policies Website (CAMBSPHN) closing

Please note:  the Clinical Policies Website (CAMBSPHN) has.

All documentation and policies relevant to the Joint Prescribing Group and Clinical Policies Forum is now available on the CCG web site:    https://www.cambridgeshireandpeterboroughccg.nhs.uk/

We would be most grateful if you could advise if you notice any discrepancies in the documents (i.e. incorrect versions) in order that this transition goes as smoothly as possible.

UK Policy Framework for Health and Social Care Research

A new UK wide framework for health and social care research, which sets out principles of good practice in the management and conduct of health and social care research, and the responsibilities of the parties involved. Please select thelink to see a summary of key information for GPs.  

CCG Research Updates

Please see below the latest developments from the world of healthcare Research and Innovation

Partner News

Alerts and recalls for drugs and medical devices

Class 4 Medicines Defect Information: BUCCOLAM (midazolam) Oromuscosal Solution Pre-filled Syringes

Caution in Use: Distribute to Pharmacy, Hospital, GP, Ward and Clinic Level

Update: First published.

For further information on this published alert.

JET update from CPFT

Please find attached the latest update on developments to the JET service following an extra £3.5 million investment into the service which has enabled the recruitment of an additional 20 JET practitioners, an expanded triage team and 40 integrated care workers to look after people at home. 

  • To refer call 0300 123 996  
  • 7am-9pm, Monday to Friday
  • 7am-6.30pm Saturday and Sunday.

Health Education England

Request for Expressions of Interest: Physician Associate Ambassadors 2017-18

As part of Health Education England’s commitment to supporting the implementation of Physician Associate roles across primary, secondary and mental health care we have been able to secure funding for 12 part-time Physician Associate Ambassadors across Midlands & East (three per local office).

We are looking for experienced Physician Associates who could be released for half of their time to undertake these roles from January to December 2018 (will attract 50% backfill from HEE at Band 8a).

The post-holders will be expected to work across primary and secondary care and mental health to act as champions and support the introduction and development of this new role and workforce transformation.

Across the East, we have already been able to fill two posts as part of the first round (one from Norfolk and one from Suffolk) and are hoping to fill the third post as part of this round.

For further information, I have attached a letter from your HEE Local Office Director and expression of interest/background information.

If you know of a Physician Associate within your organisation or general practice who would be interested in this role or if you are about to appoint one, please complete and submit the attached form to matthew.aiello@hee.nhs.uk  by 12pm on Friday 15 December 2017.

NHS England

Primary Care Orthodontics - Patient Survey

NHS England is planning to procure primary care orthodontic services across the East of England and is currently seeking views from patients on what the services should look like.

Orthodontic treatment (usually with braces) is most often used to improve the appearance and alignment of crooked, protruding or crowded teeth, and, to correct problems with the bite of the teeth.  Patients are typically aged between 12 and 18 years old.

An online survey www.engage.england.nhs.uk/survey/685bb5af/ is now live and runs until Wednesday 3 January 2018. Any support would be greatly appreciated!

Government consultation launched on children and young people’s mental health    

The Government has published a green paper on children and young people’s mental health. This is now out to consultation, which will run until midday on Friday 02 March, 2018. You can read the full green paper here and respond to the consultation here. The DH and DfE are finalising a number of consultation events for early 2018, including for children and young people, and details of those will be published in due course. Please feel free to share this information with your contacts and networks.

Events and Training    

Nursing Degree Apprenticeship – Level 6 (previously Flexible Nursing Pathway)

HCAs that started the FdSc in Nursing in September 2016, will now be considering their next route. 

The top-up course starts in April 2018 and costs £15,000. Practices, as small businesses pay £1,500 through the co-investment model, assuming that learners qualify to APL over. 

Course information is as follows:

For further questions please contact: jo.brown@anglia.ac.uk or Clare.Fazackerley@anglia.ac.uk

The closing date to apply for the course and top-up is 18 December 2017.

Applications invited for Diploma in Advanced Primary Care Management

Applications for February starters are being accepted for the National Association of Primary Care’s (NAPC) Diploma in Advanced Primary Care Management, run in partnership with the Healthcare Financial Management Association and Capsticks.

Set up with NHS England funding, this qualification is tailor-made for the new landscape in primary care and designed to equip managers with the legal, financial, business and leadership skills to run larger scale services. These include NAPC’s primary care homes, new care model vanguards, GP super practices and GP or other primary care federations. It offers students practical and flexible online learning with minimal time away from the workplace. The course has been developed with funding from the General Practice Forward View and fees are subsidised.

GP Cancer Masterclasses - reminder

The next GP Cancer Masterclasses are as follows:

  • Cambridge 
    Tuesday 23 January 2018 / Education Centre, Arthur Rank House / 6.30pm supper / talks start 7.00pm
    The educational evenings will begin at 6:30 pm with supper, and the talks commencing at 7pm. 
    Places are limited, and we are currently restricting the events to GPs only. We look forward to meeting you at the events.
    For further information and to register a place at a Cambridge Masterclass please go to: https://www.eventbrite.co.uk/e/gp-masterclasses-cambridge-tickets-37059239182
  • Peterborough 
    Tuesday 30 January 2018 / Thorpe Hall  / 6.30pm drinks & snack / talks start 7.00pm
    The educational evenings will begin at 6:30 pm with drinks and a snack, and the talks commencing at 7pm. Places are limited, and we are currently restricting the events to GPs only. We look forward to meeting you at the events.
    For further information and to register a place at a Peterborough Masterclass please go to: https://www.eventbrite.co.uk/e/gp-masterclasses-peterborough-tickets-37692988744

Adult Safeguarding Training

This free training for GPs, Practice Nurses and Practice Managers is available following a successful joint funding bid to NHS England by the Safeguarding Adults’ Teams of Suffolk, Cambridgeshire and Peterborough and Norfolk CCGs.

Target delegates: GP’s, Practice Nurses, allied qualified health staff and Practice Managers  

We will be running half-day workshops across the three counties in January, February and March 2018.

 Date County   Venue  Time

18 Jan 2018

Suffolk/Norfolk

14 Riverside Centre, Lowestoft, NR33 0TQ

 1.00 - 5.00pm

22 Jan 2018

Suffolk/Norfolk/
Cambridgeshire

West Suffolk House, Weston Way, 
Bury St Edmunds, IP33 3SP

 1.00 - 5.00pm

26 Jan 2018

Cambridgeshire/
Peterborough/Suffolk

Holiday Inn, Impington, Cambridge, CB24 9PH

 1.00 - 5.00pm

30 Jan 2018

Cambridgeshire/Peterborough

Holiday Inn, Thorpe Wood, Peterborough, PE3 6SG

 1.00 - 5.00pm

05 Feb 2018

Cambridgeshire/Peterborough/
 Norfolk

No 2 Exchange Tower, Post Office Lane,
Wisbech, PE13 1HG

 1.00 - 5.00pm

16 Mar 2018

Norfolk

The Willow Centre, Cringleford, Norwich NR4 7JJ

 1.30 - 5.00pm

To book a place enter this enter this URL into your browser (may not work in internet explorer) https://www.events.england.nhs.uk/p/16079/adult-safeguarding-training

The inclusion of external courses and events within GP News does not imply endorsement by NHS Cambridgeshire and Peterborough CCG or any association with their operators. 

Disclaimer: Whilst every effort has been made to check external links are from a reliable source please be mindful when requested to input personal information into third party links.

17/04/2018