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GP News - 03 November 2017

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SOS (Stop or Switch) prescribing list

Patient information leaflet available

As part of a national NHS review of medicine available on prescription the CCG has developed a local SOS (Stop Or Switch) prescribing list. This list includes medicines we have recommended GPs should no longer prescribe to patients. These items have been included because they are one of the following:    

  • Not clinically effective - medicines where there is little evidence to support their use, or which are recognised as having limited medical benefit or significant safety concerns.    
  • Available without a prescription - medicines that you can buy easily over the counter at local pharmacies or shops, often at lower cost than to the NHS.   
  • Not cost effective – medicines that do not offer good value for money and alternative medicines may be available.

To support GPs the CCG has developed a patient leaflet that all practices should receive copies of shortly.  Please make these available in consulting rooms and waiting areas. Patients can also view the full policy, leaflet and FAQs online at www.cambridgeshireandpeterboroughccg.nhs.uk 

The CCG Medicines Optimisation Team and Patient Experience Team will also be on hand to support practices to manage any complaints should they arise.  

Diabetes UK Public Engagement Events

Could you please help publicise two diabetes public engagement events we are organising with Diabetes UK?

The details are on the attached posters – The event in Cambridge is on 23 November and event in Peterborough is on 29 November.

Cambridge poster

Peterborough poster

If you could promote these with your patient groups, on your website, noticeboards or through your social media channels that would be much appreciated.

Improving Community Respiratory Services

The community specialist Chronic Obstructive Pulmonary Disease (COPD) service is one of a number of service areas that has been allocated funding for improving services for patients. The funding has come from the national Sustainability and Transformation Programme. The planned improvements mean that patients will be seen closer to home, receive earlier diagnosis, and earlier intervention and support (advice and information.)

Locally, Cambridgeshire and Peterborough has a higher emergency admission rate for patients with COPD than other areas. A number of these admissions to hospital could be avoided if we work with the existing specialist respiratory service in the community, to improve access to these specialist services, before the patient needs hospital care. Please find attached a briefing to explain improvements being made to this service.

Pregabalin and gabapentin: 

Proposal to schedule under the Misuse of Drugs Regulations 2001 

The Home Office has launched the public consultation on scheduling of pregabalin and gabapentin under the Misuse of Drugs Regulations 2001.

All documentation is available on the Government website:

https://www.gov.uk/government/consultations/pregabalin-and-gabapentin-proposal-to-schedule-under-the-misuse-of-drugs-regulations-2001 

There are three options:

  1. Place pregabalin and gabapentin in Schedule 3 to the 2001 Regulations, apply provisions under the Misuse of Drugs (Safe Custody) Regulations 1973
  2. Place pregabalin and gabapentin in Schedule 3 to the 2001 Regulations, (but exclude application of the safe custody requirements)
  3. Place pregabalin and gabapentin in Part 1 of Schedule 4 to the 2001 Regulations

The consultation closes at 11:45pm on 22 January 2018 

The Medicines Optimisation Team (MOT) are happy to answer any questions capccg.prescribingpartnership@nhs.net 

Think Medicines! Prescribing 

Issue 40 - now available

Prescribing Issue 40: Xaggitin XL® tablets: Methylphenidate prolonged release tablets for the treatment of attention deficit hyperactivity disorder (ADHD)

In this issue:  

  • Cambridgeshire and Peterborough CCG recommendations
  • Medikinet XL® and Equasym . XL® prolonged release capsules 
  • Why Xaggitin XL®? 
  • How?
  • Link to Newsletter 
All Think Medicines newsletters are on the website here: https://www.cambridgeshireandpeterboroughccg.nhs.uk/health-professionals/prescribing-information/think-medicines-newsletters/

CCG Research Updates

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

  • Not 'Just a GP' Dr John Benson and Dr Richard Darnton are delighted to announce that Professor David Haslam, Chair, National Institute for Clinical Excellence, will be giving the 2018 GP Lecture Not 'Just a GP' and we hope very much you’ll be able to attend. You’ll have the opportunity to meet students who are exploring GP and academic primary care as a career, as well as GP trainees and those who work with us to deliver the primary care curriculum. The event held at University of Cambridge on Tuesday 6th March 2018, 5pm to 7.30pm, is free but please register using the link.  
  • NIHR hosted grants: Cambridgeshire and Peterborough CCG is currently hosting four NIHR project grants. Please see our website for more details.  
  • Knowing how non-communicable diseases are caused does not mean we can prevent them: A new paper published by Professor Mike Kelly explains that the mechanisms which cause disease and the mechanisms of effective prevention are often very different. Public health interventions focused on individual behaviour and its associated risks do seem to offer easy solutions, especially to policymakers in the grip of short-term political cycles; but they drive attention away from the broader factors at work. 
  • Do you need help and support for that idea? The Medtech Accelerator has been set up to facilitate the early stage development of innovations in the broad area of medical technology (devices, diagnostics, software and eHealth) that meet unmet clinical needs within the NHS. £1.5m is available for Medtech & Software innovations... deadline Friday 1st December 2017.  

Partner News

Peterborough Pharmaceutical Needs Assessment   

The Peterborough Health and Wellbeing Board (HWB) are looking at whether there are enough providers of pharmaceutical services for the population of Peterborough. A Pharmaceutical Needs Assessment consultation is running from 23 October until 23 December 2017 for you to have your say on how easy it is for you to get and use medicines or medical equipment safely and access the services you need or want from pharmacies. Please could you share this with your colleagues and publicise on your public facing website.

GP online services: staff survey

NHS England  

NHS England (Midlands and East) wants to understand how much you know about GP online services and would love to hear from you. Whether you’ve heard of GP online services or not, they would really appreciate it if you could take a few minutes out of your day to complete this short survey.  Your answers will be used to help plan communications about the programme.

Don’t worry about your answers as they won’t be shared or published anywhere – so be as honest as you like. Link to survey is here: https://www.engage.england.nhs.uk/survey/2f14f0cb/consultation/

General Practice Forward View: Online consultations fund launched    

NHS England

Full details have now been published of the £45 million fund to stimulate the use of online consultations announced in the General Practice Forward View. Every GP practice in England is eligible to access the support from this national funding which will be allocated at CCG level. The operational guidance and how to apply for the funding in your region is available. During autumn/winter 2017, a series of webinars will provide opportunities for practices and commissioners to learn more and ask questions. If you have any queries, please contact the team at england.onlineconsultation@nhs.net.

What does becoming a multispecialty community provider (MCP) mean for GPs?

NHS England  

As part of the GP Forward View to sustain and transform primary care, NHS England has produced a series of short films to help GPs learn more about what it is like to be part of a developing MCP. Three of the five films feature GPs from Midlands and East region – Dudley (West Midlands), Erewash (Derbyshire) and Rushcliffe (Nottinghamshire) – plus Gosport (Hampshire) and Greater Manchester, talking about their own experiences of being a multispecialty community provider in their areas.  

The videos focus on a number of key themes – My Patients, My Team, My Career, My Contract and My Practice – in line with the themes identified in NHS England’s GP participation in an MCP document. There is also an overview video featuring Dr Arvind Madan, national director primary care, talking about the national picture. The videos can be found on NHS England’s website.

Personalised care animation for GPs and patients

NHS England  

Self-care and social prescribing are two of the 10 High Impact Actions which will release capacity within general practice. A Personalised Care Approach for People with Long Term Conditions: a Changing GP Approach is a new animation from NHS England that shows how supporting someone to develop confidence in self-management and linking them into community activities, can improve wellbeing both for patient and GP.

Overall Patient Experience Scores: 2017 Community Mental Health Survey update

NHS England  

NHS England has published the latest statistical information on patients’ experience of mental health services in the NHS. This is an update to include results from the 2017 Community Mental Health Survey.

The 2017 survey included 57 NHS trusts in England, including combined mental health and social care trusts, Foundation Trusts and community healthcare social enterprises that provide mental health services. One trust was excluded, so the survey results represent 56 NHS trusts in England. Click here for further information.

National Diabetes Audit Care Processes and Treatment Targets 2016-17

Local level data now available!

The National Diabetes Audit Care Processes and Treatment Targets 2016-17 local level data was published on 10 November 2017. View your CCG, LHB, and GP practice data here 

Global Atrial Fibrillation (AF) Awareness Week 20 – 26th November

To support Global Atrial Fibrillation (AF) Awareness Week the West Midlands Cardiovascular (CVD) Clinical Network has launched a campaign to reduce the number of undiagnosed people with Atrial Fibrillation (AF). The campaign aims to improve the detection and management of AF in primary care.  

Dr Indira Natarajan, Clinical Lead for Stroke for the West Midlands Clinical Network and a consultant at University Hospitals of North Midlands NHS Trust, talks about the importance of AF detection and management in this video. 

A poster for Global Atrial Fibrillation (AF) Awareness Week is also attached.

Events and Training

GP Masterclasses

Cambridge

The Cambridge Masterclass will be held at the Education Centre Arthur Rank House.  To register please click:
https://www.eventbrite.co.uk/e/gp-masterclasses-cambridge-tickets-37059239182 
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.

  • Thursday 16th November 2017    
  • Tuesday 23rd January 2018  
  • Wednesday 21st February 2018   
  • Tuesday 6th March 2018

Peterborough 

The Peterborough Masterclass will be held at the Thorpe Hall.  To register please click:
https://www.eventbrite.co.uk/e/gp-masterclasses-peterborough-tickets-37692988744 
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.  

  • Wednesday 29th November 2017
  • Tuesday 30th January 2018
  • Wednesday 28th February 2018
  • Tuesday 27th March 2018

Understanding Diabetes Workshop - 28 and 29 November - Peterborough Campus ARU 

You may be aware the CCG has 10 commissioned places for the Understanding Diabetes workshop at ARU. This will take place on 28 and 29 November 2017 from 9am – 4pm in Peterborough – we have attached the flyer for ease of reference. The workshop provides 6.5 hours of CPD.

We thought it would be helpful to let you know there are still spaces available so you are welcome to forward this to colleagues. If anyone is interested please contact Sallyann Woodthorpe: sallyann.woodthorpe@nhs.net and copy in the CPD inbox: capccg.cpdprimarycare@nhs.net  by COP on Monday 20 November.

PHE: Cardiovascular disease prevention webinar 

Please find attached a flyer for an upcoming CVD webinar hosted by PHE East of England for all NHS, CCG, LA, and STP colleagues. Taking place from midday to 1.15pm on Tuesday 21 November, the webinar will provide a national overview of CVD prevention in England followed by regional and local examples of at-scale interventions in practice. The webinar will be held via Skype, but for those unable to join via Skype there will be an alternative phone number that can be used to join, and slide sets will be sent to participants in advance of the meeting. To register for the webinar please email victoria.wells@phe.gov.uk

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.

02/03/2018