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GP News 26 July 2018

Reminder: Primary Care at Scale Programme

The dedicated webpage for the Primary Care at Scale Programme can be found in the Health Professionals section of the website under 'Resources and Guidance' here. An FAQ document has also been produced which can be found here

If you have any queries please contact the project team directly, details are on the website here.

Merger between Fenland Group Practice and Rainbow Surgery

Fenland Group Practice (D81611) and Rainbow Surgery (D81087) have now merged. The new practice code is D81611.

This means Cambridgeshire and Peterborough CCG now has 101 member practices.

CQC:The safer management of controlled drugs

Annual update 2017

The CQC have published their annual review of CD management.

They recommend:

  1. Prescribers should ask patients about their existing prescriptions and current medicines when prescribing controlled drugs. Where possible, prescribers should also inform the patient’s GP to make them aware of treatment to minimise the risk of overprescribing that could lead to harm.
  2. Commissioners of health and care services should include the governance and reporting of concerns around controlled drugs as part of the commissioning and contracting arrangements so that these are not overlooked.
  3. Healthcare professionals should keep their personal identification badges and passwords secure and report any losses as soon as possible to enable organisations to take the necessary action.
  4. Health and care staff should consider regular monitoring and auditing arrangements for controlled drugs in the lower schedules, such as Schedules 4 and 5, to identify and take swift action on diversion.

Read the full report at: https://www.cqc.org.uk/sites/default/files/20180718_controlleddrugs2017_report.pdf

Reminder: GP Nurse Educators / Nurse Tutors - job opportunity

Applications are via NHS Jobs where you can view the job description and person specification. Closing date for the return of completed applications is noon on Friday 10 August 2018. Further details can also be found on our website here

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

  • Life after liver transplant: how dietitian Lynsey Spillman aims to improve the quality of life for people who have a new liver Lynsey Spillman is a clinical Dietitian at Addenbrooke’s hospital in Cambridge, working with liver transplant patients. Lynsey has just been awarded a National Institute for Health Research (NIHR) Doctoral Research Fellowship and will begin her doctoral research on the diet-related health issues of liver transplant patients in Autumn 2018.
  • Why we just can’t stop eating: the complex truth behind obesity Britain has seen a dramatic transformation in recent years in its attitude towards food. But alongside this is the arrival of a growing understanding of the impact that our diet has on our bodies – not only on our waistlines, but also on conditions such as diabetes, heart disease, cancer, and even dementia. This relationship between our diet and our weight is simple: you eat too much, you get fat. Hence, some would argue, the solution should be equally simple: you eat less, you lose weight. If only it were this easy.
  • Getting results: why NHS clinical trials are the envy of the world From cancer to dementia, UK patients are benefiting from a democratised system of research. Article from the Guardian.
  • ‘I thought it was just me’: mutual benefit from public involvement in research Teenage and young adults with cancer have inspired and steered a novel research study to develop a treatment for cancer-related fatigue in young people. The Vice-Chancellor’s Public Engagement with Research Awards were set up to recognise and reward those at the University of Cambridge who undertake quality public engagement with research. In 2018, Dr Anna Spathis and Dr Stephen Barclay were one of four winners for their piece of work with teenagers and young people with cancer-related fatigue. In this blog, Dr Spathis and Dr Barclay explain how their approach to public engagement developed and changed as the work progressed.

The R&D team are located on the 4th floor of Lockton House. If you want to get in touch about our weekly research updates, please contact Sarah Hider (sarah.hider@nhs.net).

You can also now follow the R&D team on Twitter: https://twitter.com/CPPrimaryCareR1

Case management pilot

A decision has been made by the Cambridgeshire and Peterborough system partners to discontinue the case management pilot due to the lack of finances available to roll out this pilot. 

The pilot was focussed around four Neighbourhood Team areas primarily,  including St Ives, Wisbech, Cambridge (City North) and Peterborough (City 1), and gave us the opportunity to try something different. The pilot has delivered substantial benefits in terms of multi-disciplinary working and information governance and sharing which will continue across Cambridgeshire and Peterborough. Clinical care was not a factor in this decision. We have had to make this difficult decision in light of system finances.

From now, no new patients will be accepted on the case management caseload via case finding. However, referrals into the multi-disciplinary teams will continue as per the current procedure and pathway. 

The voluntary sector component of the service that is delivered across the whole area will continue.

We would like to thank all the staff involved in the pilot, for their hard work and commitment to providing high quality care for patients. The community staff who were employed to run the pilot will be redeployed elsewhere in the service as we are keen to retain talent within the local system.

We will continue to look at innovative measures around long-term preventative care. 

Healthwatch

New way of working for local health commissioners

At a recent AGM for  Cambridgeshire and Peterborough Healthwatch Jan Thomas, CCG Chief Officer said: "the CCG needs to do a ‘Much better job of catering for people’s individual needs. Everyone is different. We have to make it really easy to access and use services. We have to get best use of the money. And we should be using technology appropriately." You can read the full news story here 

Will's story

At Healthwatch Cambridgeshire and Peterborough's recent AGM they featured Will's story as part of their 'It starts with me' campaign. South Cambridgeshire resident Will lost too much weight and became unwell with untreated Crohn’s disease after struggling to communicate with health professionals. Will is Deaf and uses British Sign Language. You can read his story here.

NHS England

NHS England consults public about Evidence-Based Interventions

People are being asked for their views about plans to stop offering treatments that are clinically ineffective.   

NHS England is proposing that the following interventions should no longer be routinely commissioned by CCGs because they are ineffective or have been superseded by a safer alternative:

  • Snoring Surgery (in the absence of Obstructive Sleep Apnoea)
  • Dilatation and curettage for heavy menstrual bleeding in women
  • Knee arthroscopy for patients with osteoarthritis
  • Injections for nonspecific low back pain without sciatica

They are also recommending that thirteen other interventions should only be performed in specific circumstances where they have been proved to be clinically effective.

For more information and to respond, please visit: https://www.engage.england.nhs.uk/consultation/evidence-based-interventions/. The deadline for responding is Friday 28 September 2018.

Public Health England

PHE hot weather alert

The Met Office yesterday issued a level 3 alert, with temperatures remaining high until Friday:

https://www.metoffice.gov.uk/public/weather/heat-health/#?tab=heatHealth

Dr Thomas Waite, Consultant in Health Protection at Public Health England, said:“Temperatures are likely be high in parts of England this week, which may leave older people, young children and those with long-term conditions, including heart and lung diseases, struggling to adapt to the heat. So keep an eye on friends and family who may be at risk.

“To beat the heat, try to keep out the sun from 11am to 3pm, walk in the shade if you can, apply sunscreen and wear a hat if you have to go out in the heat. Also try to carry water with you when travelling.”

PHE have just published a blog on Public Health Matters which explains how heat causes health effects.
https://publichealthmatters.blog.gov.uk/2018/07/23/why-some-people-suffer-during-heatwaves/

Be Clear on Cancer - Blood in Pee campaign

Public Health England are re-running the Be Clear on Cancer Blood in Pee’ campaign (19 July - 23 September 2018). The aim is to raise public awareness of visible haematuria – a key symptom of bladder and kidney cancer – and encourage those who notice this symptom to see their GP without delay.

HIV Innovation Fund

For the fourth year running, the HIV Innovation Fund is opening applications for funding to local HIV prevention projects. The HIV Innovation Fund supports new approaches to prevention that focuses on engaging with at-risk or under-served communities. It is open to voluntary sector organisations whose proposals have the endorsement of their local authority, and is funded by an allocation from the Department of Health to PHE for HIV prevention and sexual health promotion.  The HIV Prevention Innovation Fund supported seven projects in 2015/16; 13 in 2016/17; and 13 in 2017/18. This year PHE will award a total of up to £600,000 to projects and are on hand to provide advice, resources and best practice to applicants across the country. The Fund is accepting bids until 4th September, and will grant successful projects anywhere between £25,000 and £100,000. You can find out more and apply here: www.phe-events.org.uk/hivif18

East Anglia RCGP

A message and plea for all the Members in the East Anglia Faculty.  Please opt in to receive information about news and events from your local faculty.  Here is the link for managing your preferences:  https://r1.dotmailer-surveys.com/m/b649lxf0-4a2s3sd9-72JTEXH7E

Eastern Academic Health Science Network (EAHSN)

Working with Cambridgeshire Hearing Loss on a community project aimed at supporting people with hearing loss. A series of FREE educational workshops have been developed with Cambridge University Hospital's Audiology team, which health professionals can offer to their patients. Feedback from the first workshop was positive and next workshop is due to take place on Saturday 11 August, the Abbey Room, Christ Church, Cambridge CB1 1HT. People are welcome to bring someone with them for support. For more information please visit the Cambridgeshire Hearing Help website here.

YMCA

Break4Change

The YMCA are pleased to announce that the Break4Change Holding Programme will be running in Cambridge City in September.

Below are some of the characteristics of child/adolescent to parent violence to help you recognise some of the signs:

A young person (10 – 17 yrs) could be:

  • Controlling in the home environment where parents are having to modify their own behaviour through fear of consequences
  • Being violent or aggressive towards the parent/carer, using weapons
  • Putting the parent or carer down/name calling
  • Missing from home as a use of control/not attending school
  • Making threats/unreasonable demands with consequences
  • Hurting siblings either physically or emotionally
  • Demanding/stealing money
  • Any behaviour used by a young person to control, dominate or coerce parents/carers.  It is intended to threaten and intimidate and puts family safety at risk 

Some families experience violence at a high level, some low and some where there is no physical violence however there is a high level of coercive control.  Some young people have diagnosis for ADHD, ASD, ODD, however YMCA can still work with them as long as they are able to comprehend choice.

The next 6 week programme starts on 13 September at the YMCA Queen Anne House, Cambridge, it is for all families across Cambridgeshire to join. Young people and parents/carers groups work in parallel, however in separate rooms.

Once referrals have been submitted, the YMCA team will make home visits and carry out assessments, professionals will be kept in the loop. Please share with your teams so that we can support as many families and young people as possible. Referral form is attached here.

Reminder: Twilight Dementia Awareness 

Training Sessions for Primary Care

Please see attached flyer by way of reminder about the availability of dementia awareness twilight training sessions for Primary Care staff across Cambridgeshire and Peterborough CCG.

In order to secure your booking on your chosen course, you will need to send an e-mail to Jo Pugh, Project Support Manager for Dementia at: jo.pugh1@nhs.net

You will then receive confirmation of your place electronically (usually within a week of the date of your request).

Training for October and November is currently being planned, so an indication (to Jo Pugh, details above) of those who would be interested in attending would also be really appreciated.

Should you have any further queries, please get in touch, and Jo would be happy to assist you.

  • Jo Pugh, Project Support Manager
  • 01733 847335 / 07940506372 / 
  • jo.pugh1@nhs.net 

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.
GP News 26 July 2018