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GP New - 23 June 2017

CCG News  

Reminder - Future Clinical Commissioning Leaders

The CCG is continuing to recruit GP Clinical Leaders so please see advert attached. We are also wishing to bring to your attention the opportunity to plan for the future and attend a programme that the NHS Leadership Academy are running for aspiring GP Governing Body Members. If you are interested in attending please can you get in touch with the NHS Leadership Academy directly, by following the link below. Also, can you let us know by replying to this email so that we can make you part of our CCG  Governing Body talent pipeline.

If you have any questions please do not hesitate and get in touch.

Kathy Bonney
Associate Director of Corporate Affairs (OD&HR)
kathybonney@nhs.net    

The outcomes for children and young people in Cambridgeshire with special educational needs or disabilities (SEND) are improving, says Ofsted

– and strong leadership from organisations such as Cambridgeshire and Peterborough CCG is making a difference.

The full report has been published by Ofsted  and a summary of the main findings is on our website.

New GP Hub provides evening and weekend appointments to patients across Greater Peterborough

Patients registered with a GP in Greater Peterborough now have access to evening and weekend GP and nurse appointments at the GP Hub, based at Boroughbury Medical Centre, Craig Street, Peterborough.

Open seven days a week, the GP Hub is a new GP-led evening and weekend service where local GPs and nurses offer a range of services.

Appointments are available to book between 18:30 and 20:30 Monday to Friday and from 09:00 to 17:00 at weekends and on Bank Holidays. To book an appointment, patients simply need to phone their own practice as they would do normally and they will be advised of which appointments are available at the GP Hub.

The GP Hub, which is run by a group of local GP surgeries called the Greater Peterborough Network (GPN), also provides specialist clinics such as cervical smears, wound care and blood tests as well as Healthy Lifestyle Coaches offering advice on diet, exercise and smoking.

For further information patients should speak to their GP practice’s reception to find out more about booking appointments, they can also visit www.greaterpeterboroughgps.nhs.uk, or find Peterborough GP Hub on Facebook.

Once again, thanks for all your hard work on dementia. As a CCG, we are actively looking at ways to not only improve diagnosis but also the post diagnostic support that is available.

Monthly Dementia Update - June 2017

Our latest dementia diagnosis rate for May 2017 is 64.9%, which has slightly decreased from the previous month. We have a national target of achieving 67% diagnosis rate by this September. I remain grateful for all your efforts thus far, and would encourage you to continue to case find these patients.

In the past, we have looked at reconciling registers from CPFT, and if you need further help on this, then please do not hesitate to ask.

We will be looking more carefully at care homes, and I hope to make an announcement on this soon. However, in the meantime, I would like to draw your attention to the newly published care homes LES within which, there is also a dementia element.

As we move into July, our national contract mentions "frailty" as a new priority. You will no doubt be aware that many patients with frailty may also have dementia, and it might be worthwhile opportunistically screening those who are frail elderly for memory issues.

Regarding post diagnostic support, I would like to highlight to you the Dementia Intensive Support Team, a service provided by CPFT that is helpful in moments of crisis for our patients with dementia. Referrals can be made via the single point of contact (CPFT Advice and Referral Centre – ARC) from mental health teams, the JET team, GPs, out of hours doctors, or ambulance staff.

Looking forward, I am working on our longer term Dementia Strategy. An integral part of that is our carers and in relation to this, I was wondering if I could request your help please?  

I aim to establish how many carers we have across our CCG. We have an idea, but if surgeries are aware (and are willing to share just the total number of carers and the total number of patients) you have, that would be really beneficial to me as I work on our strategy. They do not necessarily have to be carers for dementia, as I realise that obtaining specific information such as this will be slightly more time consuming for practices.

And finally … just to let you know that Fiona Wynde, a new local Dementia Friendly Communities Officer commenced in post at the beginning of this month. Therefore, if you would be interested in participating in our Dementia Action Alliances within Cambridgeshire, or in receiving “Dementia Friends” training, then I’m sure that Fiona would be keen to hear from you. She can be contacted on her e-mail address of: fiona.wynde@alzheimers.org.uk, as can her colleague Hilary Shepherd on hilary.shepherd@alzheimers.org.uk

Additionally, I have attached above for your information and wider circulation a presentation on becoming a Dementia Friendly Practice.

Please get in touch with either Fiona or Hilary for further assistance.

Love your admin - 25th- 29th September

We love our admin, the unspoken heros of the NHS! We have over 1000 admin staff in GP Practices and the CCG and we are collaborating with Cambridge Community Services 25-29th September to celebrate administration staff and the value they bring.

Any GP Practices wanting to join the CCG to celebrate this event, or be involved in CCG Admin activities, please email sallyann.woodthorpe@nhs.net

Watch this space for activities!  

Learning Disabilities Mortality Review (LeDeR) Programme

The national Learning Disabilities Mortality Review (LeDeR) Programme has been established as a result of one of the key recommendations of the confidential enquiry into the premature deaths of people with learning disabilities (CIPOLD).

All deaths of people with learning disabilities (aged 4 to 74 years inclusive) will be notified to the LeDeR programme. Anyone can notify us of a death via the confidential online notification form https://www.bris.ac.uk/sps/leder/notification-system/ or via the programme telephone number 03007774774 from 9am to 4.30pm (confidential line).

Cambridgeshire and Peterborough CCG are coordinating the local LeDeR Programme and have identified a number of reviewers to carry out mortality reviews. The reviewers may need to contact general practice to access healthcare records as part of their work. Locally across Cambridgeshire and Peterborough the expected deaths trajectory is less than 35 deaths a year for people with learning disabilities so we hope that the impact of this important initiative will not cause notable inconvenience or additional work to practices, and we thank you for your support.

Should you wish to know more about the local LeDeR programme please contact Mark Hall, Local Area Contact (LeDeR) mark.hall14@nhs.net

Research round-up

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

Partner News

Patient Group Directives - PHE

The rotavirus PGD has been changed to reflect the new presentation of the vaccine, which is due to change from an oral syringe to a tube in the near future. It has also been updated in regard to advice regarding adverse reactions and removal of the requirement for respiratory monitoring of pre-terms. This replaces the current Rotavirus PGD due to expire at the end of June.

The PGD for PCV is a new PGD.  It includes in the  inclusion criteria for those at risk of pneumococcal disease requiring additional PCV13 and it also reflects in the dose section the revised Green Book chapter 25 and clarifies when you would provide PCV13 to previously unvaccinated or partially vaccinated individuals.

The Men ACWY PGD is due to expire at the end of this month.  This replacement has removed any specific information on individual catch-up cohorts, taken away the section on preferred vaccine choice and updated the off-label section following changes to the Nimenrix® licence.

CPFT mental health crisis service gets £3m further funding

A pioneering mental health crisis service run by Cambridgeshire and    Peterborough NHS Foundation Trust is to continue after being awarded    more than £3 million.

More than 10,700 calls have   been received by the First Response Service in the first eight months   since it was launched – resulting in a fall of 21 per cent in the number   of people visiting local accident and emergency departments… more here

Join an Inpatient Psychiatric Team for a Session a Week

We would love a GP to join our team for a session a week. My name is Julia Deakin and I am a Consultant Psychiatrist working with adults on a general adult psychiatric inpatient unit along with Dr Sepehr Hafizi.

What We Do & Why We Want You

There are 16 beds on Mulberry 2 and 12 on Mulberry 3. The patients all have a serious mental illness, mostly schizophrenia or mania and less frequently depression.  We would love a GP on  the team as may of the patients have complex medical needs in addition to their mental illness.

Resources for you

You would be joining a team with three junior doctors as well as registrar across the two wards.

The ward also has access to psychology, occupational therapy, dieticians, activities co-ordinator, arts therapies, chaplaincy, peer support.

We have an excellent IT team who can help tailor things to get the information you need in the way that you want. See leaflet for more information.

What would you like to do?

This is a new post so there is a lot of scope for deciding how things should run.

There is the option to prioritise reviews, education, quality improvement or junior doctor supervision depending on how you like to work.

There might be scope to expand this role in due course.

Type 2 diabetes prevention programme

To mark Diabetes Week, NHS England has produced a short animation, following a fictional character’s journey on discovering he was at risk of developing type 2 diabetes

Cambridgeshire Community Services - Health Visiting Duty Desk in Cambourne

On 3 July 2017 CCS are launching the Health Visiting Duty Desk in Cambourne for the Cambridge City North Area.

A document containing more information, including contact details, is available to download from the website and a poster can also be downloaded here.

Transforming Care funding announced for people with learning disabilities

NHS    England has today announced an investment of more than £10 million to    help patients with a learning disability and/or autism to lead more    independent lives closer to their friends and family. In the Midlands    & East region, this includes funding over the next two years for    local Transforming Care Partnerships in Nottinghamshire (£675,000),    Norfolk (£156,000), Cambridgeshire & Peterborough (£336,000), Essex (£445,000), Shropshire & Staffordshire (£332,000), and Derbyshire (£200,000). Full details are provided here in the NHS England press release.

New application registration card (ARC) for Asylum Seekers

The Home Office is rolling out a new Application Registration Card (ARC) for Asylum Seekers from 22June.  The ARC is used by Asylum Seekers to prove that they have applied for asylum and have a claim being processed.  The new ARC will be given to all new applicants from 22 June and existing ARCs will be replaced from 17 August.  The current version of the ARC will stop being issued from July 2017, but cards will continue to be valid until 2019.  A communications pack and FAQs are attached.

NHS CD Newsletter - Faye's story

Please find attached a recent newsletter shared by our colleagues at NHS England South West controlled drugs team.

I think it speaks for itself.

Please share this newsletter with the practice team.

Further information is available on http://www.fpm.ac.uk/faculty-of-pain-medicine/opioids-aware

If you would like to discuss the prescriptions of any patients registered at your practice please contact capccg.prescribingpartnership@nhs.net

Learning disability awareness week (19 – 25 June)

Today is the start of learning disability awareness week, which is supported by Mencap.  Over the week, NHS England will be promoting some of the good work happening to ensure that people get the best treatment and their experience is improving.   Case studies, blogs and vlogs of recent success stories showing how we are improving care for people with learning disabilities is on the NHS England website.

Throughout the week there will be a daily focus on different subjects:   

  • Monday – #CareTransformed
  • Tuesday – better health, better lives 2017
  • Wednesday – employment
  • Thursday – STOMP
  • Friday – annual health checks

External Training and Events

Hypertension training day at Addenbrookes on 30 June

Event details and registration at http://bhsoc.org/

  • Full programme attached
  • Cost is £60 for the full day including lunch and refreshments. 
  • Any queries to Karen Miles, Hypertension / Research Sister at Addenbrookes: e-mail is km474@medschl.cam.ac.uk

Practice Nurse Education Event

SK Nurses are running a "Self-Management from a Patient Perspective" course.

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.   

17/08/2017