Primary Care Updates

Training for sample takers to encourage cervical screening in people with learning disabilities

We are running these training sessions to help practices encourage people with learning disabilities to have cervical screening.  Dates and booking form attached.

pdf CS54581 WCA LD Cervical Screening Training A4 poster PRF1 (1.05 MB)

Menopause pathway

We have been working with the Gynaecological team at Portsmouth Hospitals NHS Trust plus representatives from primary care over the last 6 months to review the Menopause Service Provision and develop a standard pathway, in line with the BMS Vison for menopause care in the UK published 2020.   Details are attached.

document Menopause Comms to GPs final 021122 (71 KB)

Free Hypertension Course & Education Material

Sharing the information below for free course and learning material relating to Hypertension

document Free Hypertension Course & Education Material (80 KB)

Learning from the lives and deaths of people with a learning disability and autistic people (LeDeR) Annual Report 2021/22#

The Hampshire & Isle of Wight LeDeR annual report is now available online. The attached is a summary of the Portsmouth data and includes covid deaths to date.

document Portsmouth 21 22 LeDeR Summary & Covid to date (235 KB)

Hampshire and Isle of Wight Integrated Care Board (ICB) LeDeR Annual Report 2021/22

 

Urgent Treatment Centre leaflet

Leaflet on “which health service you should use” with updated x-ray information.  Please display in practice or upload to your website.

pdf Urgent Treatment Centre flier 22 05600 Oct 2022 (58 KB)

 

Upper GI Surgical Services

Following some feedback from the Gastroenterology team at PHU,  there appears to be some navigation  issues with practices finding the Upper GI Surgical service on ERS as this appear to be being submitted via the Gastro team which is leading  to redirection and delays in the patient`s care.

Unfortunately, Upper GI Surgical is not a named speciality and is combined with General Surgery and is listed under the speciality Surgery-Not Otherwise Specified.

For any e-Referral service queries contact This email address is being protected from spambots. You need JavaScript enabled to view it. or 023 9268 1712.

Virtual HSCP – Suicide Prevention Awareness Training

Wednesday 14 December 2022 (09.30 – 11.00)

The focus of this course is suicide prevention.  It covers ways in which staff working with children, young people and families can support and respond to those in possible crisis.  This interactive session will enable participants to gain a greater understanding of ways to identify when someone may be in crisis (including self-harm) and to learn about evidence-based approaches to manage suicidal conversations.  The session will also include details of further support and training available in Hampshire to enable you to feel more confident working with children, young people and adults in potential crisis. The session will be delivered by a range of multi-agency partners and led by public health.

Book now

Virtual HSCP – Supporting Children of Substance Misusing Parents

Wednesday 7 December 2022 (13.30 – 15.00)

Delivered by Inclusion22, this session will give an insight into the impact of parental substance use on children and young people. The webinar allows professionals to explore these impacts and how to respond and support children of different ages who are affected by parental substance use.

Book now

Virtual HSCP – Lunchtime Learning – An Introduction to Emotionally Unstable Personality Disorder

Wednesday 16 November 2022 (12.00 – 13.00)

An introduction to how EUPD is defined, how it presents and how it might affect children, young people and families. The webinar includes useful ways that Hampshire professionals can support families living with EUPD.

Book now

HIOW ICB Safeguarding newsletter - November 2022

Please find attached the latest issue of the ‘Safeguarding Chronicle’, our Hampshire and Isle of Wight ICB Safeguarding newsletter.

pdf H&IOW ICB safeguarding chronicle (1.04 MB)

Virtual HSCP – Lunchtime Learning – An Introduction to Economic Abuse

Wednesday 7 December 2022 12.00 – 13.00

Financial and economic abuse within the context of domestic abuse is not often seen as presenting a risk to a victim. This workshop aims to provide information about what constitutes economic abuse and the complexities around it, together with an awareness of the limitations imposed on the victim of that abuse.

Book now

Virtual HSCP – Coercive Control Awareness Training

Friday 25 November 2022 09.30 – 11.00

As professionals it can sometimes be hard to understand the levels to which perpetrators of domestic abuse will go in order to control their victims. This course will develop professionals’ confidence in recognising and responding to this controlling behaviour.

Book now

Virtual HSCP – An Introduction to the Impact of Domestic Abuse on Children Under 10

Wednesday 23 November 2022 09.30 – 11.00

This training provides an overview of the impact of domestic abuse with a specific focus on children under 10 years old. Delegates will gain understanding of the ways that children can be affected by domestic abuse and violence and make links between domestic abuse and child abuse. The course is designed to support professionals in recognising the difficulties for parents experiencing domestic abuse and how these impact on their ability to parent, as well as exploring the difficulties for victims of domestic abuse in forming attachments with their children. Delegates will develop knowledge of support available to children and how to refer/signpost

Book now

Primary Care IPC changes

Summary:

COVID-19 precautions and advise is regularly reviewed by the ICB IPC Team. The advice takes into account the current prevalence of COVID-19 in the community, the emergence of new variants, antibody levels across age groups and IPC guidelines in acute and community providers.

Key changes to advice:

• Changes to requirements to wear face masks (slide 4) – removal of masks for non clinical staff and non COVID-19/respiratory consultations
• Changes to asymptomatic staff testing (slide 5) – pause in asymptomatic testing for all staff
• Changes to management of household contacts (slide 6) – requirement for a local risk assessment (rather than daily LFTs).

 

For further advice, please contact your Place-based IPC practitioner or the 7 day IPC service:

• Southampton – Sue Kingsbridge This email address is being protected from spambots. You need JavaScript enabled to view it.
• IOW – Lesley Barclay This email address is being protected from spambots. You need JavaScript enabled to view it.
• North and Mid Hampshire – Becky Cave This email address is being protected from spambots. You need JavaScript enabled to view it.
• South West Hampshire – Natalie Hallowell This email address is being protected from spambots. You need JavaScript enabled to view it.
• South East Hampshire – Charmaine Donnelly This email address is being protected from spambots. You need JavaScript enabled to view it.
• Portsmouth – Solent NHS Trust IPC Team This email address is being protected from spambots. You need JavaScript enabled to view it.

This email address is being protected from spambots. You need JavaScript enabled to view it. or call 08703156601

document PC IPC phased approach September 2022 reminder (4.11 MB)

 

 

Welcome Places

As we move into the Autumn/ Winter HIVE Portsmouth and Portsmouth City Council are working with statutory services and the community voluntary sector to look at warm, welcoming spaces in the city for residents who may struggle to keep their homes warm as energy prices increase.

Attached is an expression of interest form for your organisation. If you are able to be involved as a host organisation, please complete and return this form as soon as possible so that we can plan how best to support vulnerable residents in the coming months.

Katy Walsh

Voluntary & Community Engagement

Portsmouth HIVE

document Welcome Places questions (39 KB)

Updated Primary Care Network Contract Directed Enhanced Service Documents

Please see attached Updated Primary Care Network Contract Directed Enhanced Service documents.

pdf B1963 vii Updated Primary Care Network Contract Directed Enhanced Service cover note (151 KB)

pdf B1963 vi Network Contract IIF one page summary for primary care teams September 2022 (150 KB)

pdf B1963 v Network Contract Personalised Care Guidance September 2022 (281 KB)

pdf B1963 iv Network Contract DES FAQs September 2022 (377 KB)

pdf B1963 iii Network Contract IIF Implementation Guidance September 2022 (1.36 MB)

pdf B1963 ii Network Contract DES Guidance September 2022 (704 KB)

pdf B1963 i Network Contract DES Specification September 2022 (1.36 MB)

Handling difficult situations with compassion – training programme

NHS England have extended the training programme – ‘Handling difficult situations – Caring for yourself and others with compassion’.

This training course is being offered to all frontline, patient facing NHS staff and aims to teach the skills and techniques to handle difficult situations with compassion, including using appropriate communication techniques and active listening skills, whilst focussing on how to keep yourself safe and seek support if you feel affected by a situation.

The training will be held virtually using MS Teams, and will take 3 hours

NHS England » Handling difficult situations with compassion – training programme

 

Recent increase in cases of diphtheria in the UK and WHO European Region amongst asylum seekers and refugees

This briefing note aims to raise awareness of clinicians, laboratories, Health Protection Teams (HPTs) and Local Authorities, particularly those responsible for the health of asylum seekers, migrants and refugees, of the potential for cutaneous and respiratory diphtheria in those who arrive from countries endemic for the infection.

pdf Recent diphtheria in the uk and who european region 2022 082 (380 KB)

 

Supporting General Practice, Primary Care Networks & their teams through winter and beyond letter and B1605 - Primary care system development funding (SDF) & GPIT funding guidance; Analysis of programmes & funding in

Please read the attached comms. 

pdf B1998 Supporting general practice primary care networks and their teams through winter and beyond September 2022 (315 KB)

pdf B1605 Primary care system development funding (SDF) and GPIT funding guidance Analysis of programmes and funding in 2022 23 September 2022 (897 KB)

 

 

Enhanced Service Specification; Seasonal influenza vaccination programme 2022/23 – Version 2 and B1995 - Seasonal Influenza Vaccination Programme Enhanced Service 2022/23; Additional guidance

Please see the attached version 2 seasonal influenza ES guidance and additional guidance attached.

pdf B1995 Seasonal Influenza Vaccinaton Programme Additional Guidance 260922 (376 KB)

pdf B1984 Seasonal influenza vaccination 2022 23 ESS for GPs 260922 (488 KB)

 

Update to management of laboratory confirmed Monkeypox infections

Please see the attached version 2 seasonal influenza ES guidance and additional guidance attached.

pdf B1989 Management of laboratory confirmed monkeypox infections version 4 20220922 (132 KB)

Domestic Abuse training available - 19 & 20 Oct

Do you work with children and families, or soon-to-be-parents?  

We have some Safe & Together domestic abuse training coming up on 19 & 20 October (1-4pm both days).  The Safe & Together model is new in Southampton and there will be a series of training events available.  This awareness session, running on both afternoons online, is for multi-agency front line practitioners (including Children’s Services) and will give you an: 

• Overview of the principles and components of the Safe & Together model
• Understanding what it means to be ‘domestic abuse informed’
• Understanding of how being ‘domestic abuse informed’ can improve outcomes for children & families

To find out more and book please click here.

 

Suicide Prevention Awareness Training

Suicide Prevention Awareness Training provides professionals working with children, young people and their families with ways in which they can support and respond to those in possible crisis. This interactive session will enable participants to gain a greater understanding of ways to identify when someone may be in crisis (including self-harm) and to learn about evidence-based approaches to manage suicidal conversations. The session will also include details of further support and training available in Hampshire to enable professionals to feel more confident working with children, young people and adults in potential crisis.

This new webinar will launch on 28 September 2022, 13.30 – 15.00. Places are available on a first come, first served basis, so be quick to secure your free place. Click here to book now.

 

ICON Week - Webinar changes 

Please find attached the new schedule of webinars as there has been a change of start time and speaker on Friday

pdf ICON Week Webinar Programme (208 KB)

Rapid Insight Events on Primary and Community Care in Wessex

The Wessex AHSN will be holding three Rapid Insight Events in October specifically focused on Primary and Community Care in Wessex. The links to register for these events have been added below with further information regarding each event available on each registration page.

They would greatly appreciate you attending so that you can share your opinion and they can gather your valuable insight and experience surrounding each key area.

 Optimisation of Current Technology - Tuesday 4^th October – 14:30-15:30

• Interconnectivity and Communication - Tuesday 11^th October – 14:00-15:00
• Resources and Support - Tuesday 18^th October – 14:00-15:00

The Wessex Team would also greatly appreciate you passing the links on to your colleagues that work in Primary and Community Care in Wessex. The more colleagues from Primary and Community Care arena that attend these events, the greater the opportunity to highlight specific areas where Wessex AHSN can best focus their efforts to support you in the hard work that you deliver on a daily basis.

If you have any questions or queries regarding the events, please contact the Wessex AHSN Primary Care Team at the following address; This email address is being protected from spambots. You need JavaScript enabled to view it..

Blood Pressure webinar for non-clinical staff in practices

A CVD Prevention webinar (https://vimeo.com/749105218) has been developed by the members of the cardiovascular disease prevention team at the HIOW ICS to promote 'Blood Pressure' and is intended for use in training Practice non-clinical support staff in the following:

1. The importance of measuring Blood Pressure. 
2. How non-clinical support staff can support Patients and Practices in managing Blood Pressure
3. Making Every Contact Count (MECC).

Training from Solent NHS Trust Sexual Health

Details of Sexual Health upcoming training and webinars
⏩Virtual Clinical Conference 14 Sept 2022
letstalkaboutit.nhs.uk/network-traini…

⏩Assessment Half Day (AHD) 2nd November 2022
letstalkaboutit.nhs.uk/network-traini…
Webinars 👇
letstalkaboutit.nhs.uk/network-traini… pic.twitter.com/lqxwrXHIpw

Safeguarding Webinars - lunch and learn series Please find the flyer attached for a trio of webinars hosted by the regional safeguarding team. 

Kindly share with your teams and networks.

These sessions are pitched at level 3 of the Intercollegiate Documents and are useful for revalidation.  

Simply click on the links in the flyer to join your chosen topic.

August session - Click here to join the meeting

September session - Click here to join the meeting

October session - Click here to join the meeting

pdf Addressing Violence lunch and learn series Aug, Sep, Oct 22 (265 KB)

 

Guidance for Anticoagulation for non-valvular atrial fibrillation (NVAF) 

National guidance on Anticoagulation for non-valvular atrial fibrillation (NVAF) following NHSE DOAC commissioning recommendations is now available (published July 2022) through the Primary Care Cardiovascular Society (and endorsed by all the major professional bodies). The guidance concentrates on:

1. Initiating DOAC for NVAF following NHSE DOAC commissioning guidance
2. Tips on switching appropriate patients from warfarin
3. Information on switching from another DOAC to edoxaban, including patients in whom a switch to edoxaban may be less suitable.

https://evessio.s3.amazonaws.com/customer/8603be9c-b8c3-49ef-86d2-e4ccb958c5d1/event/9ea04726-5981-493a-871e-91a7eba91159/media/General_Content/2b4b1529-node_FINAL_Guidance_on_prescribing_anticoagulation_in_NVAF_July_22_v2.pdf

See link for data on Percentage DOACs items not prescribed as edoxaban by practices in Portsmouth.

https://openprescribing.net/ccg/10R/edoxaban/

Hot Weather and Specimens - Non-Patient Courier Contract (CitySprint)

Please see attached poster for display/info.

pdf PHU Hot weather and specimens poster 11 08 2022 (183 KB)

 

SCAS lowers REAP Level to 3 – major pressure

In June, South Central Ambulance Service (SCAS) moved to Resource Escalation Action Plan (REAP) Level 4 (Extreme Pressure) due to increasing demand and staffing challenges. 

Over this period we experienced excessive temperatures and worsening acuity of our patients which impacted our ability to get to some patients as quickly as we would like. 

In spite of the challenges the care in services across SCAS has remained exemplary and, thanks to the continued hard work and dedication of our staff and their commitment to patients, as well as the support of our partners, we are now able to lower to REAP Level 3.

However, the operational picture across SCAS, but also the rest of the health care economy, remains one of high intensity, with significant pressures placed on every sector of the NHS.  

As part of our REAP process we will closely monitor demand and staffing levels and will adjust actions as we need.

Thank you for your support. 

August Bank Holiday Posters 2022 detailing which pharmacies will be open on the Bank Holidays across South East England

Please find attached the August Bank Holiday Posters 2022 detailing which pharmacies will be open on Monday 29^th August 2022 across South East of England for your information.

You will see there are individual attachments for the eight areas; within these attachments there are several posters detailing the opening hours.

Pharmacies are only listed on the posters if they have notified NHS England that they will be open.

Also attached is a spreadsheet containing all the information contained within the posters.

A map of the pharmacies that will be open on the Bank Holidays has been created, anybody can access the map via the link below.

August BH 2022 Map: Google Map: Aug BH 2022 pharmacy opening times

The opening times will also be published on our website shortly: https://www.england.nhs.uk/south-east/our-work/pharmacy-opening-hours/

pdf Hampshire Pharmacy Opening Times Aug BH 2022 (164 KB)

spreadsheet Hampshire Pharmacy Opening Times Aug BH 2022 (57 KB)

 

 

Changes to Colorectal services

We would like to let you know that the current e-referral (eRS) service for Colorectal access at Portsmouth Hospital University Trust (PHUT) is changing on 12^th September from a Directly Bookable Service (Appointment) to an Advice and Guidance (A&G) as the only entry point.  At present this will only apply to non-cancer (2 week wait) referrals.

It is clear from the data that many of you have already been using A&G within Colorectal and it is our intention to formalise this service ensuring swift and comprehensive responses from secondary care specialists.  As you may know Colorectal forms part of the twelve specialties measured and incentivised as part of the PCN DES IIF ACC-07 and therefore is recognised as a target for transformation.

If you have any queries, please contact us via  

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

FULLY funded Foundation in general practice nursing course

Please find attached the FLYER for the FREE courses that Health Education England provide via Bournemouth university 

Click on the Wozzad link  Wozzad Online Course Application for Bournemouth University (applycpd.com)  and type in General Practice Nursing Foundations in the search bar which will bring up the course application.

There is still time to join the October course which will be held at St Mary’s in Portsmouth.  Applications close on 25th of August for the course.

There are two further courses (7th Feb 2023, Bournemouth and     6th June 2023 in Portsmouth) 

Please share this information widely as the course provides core competencies in practice nursing and a range of taught skills such as cytology/baby immunisations/Adult injectable medications such as Prostap/ B12 and other clinical skills to include wound care and bloods. 

pdf 11516 HSS CPD Subject Area Leaflets FOUNDATION GENERAL NURSING PRACTICE V3 0 HI RES PRINT (112 KB)

 

Palliative and end of life care guidance

The attached has been developed to support integrated care boards (ICBs) with their duty to commission palliative care services within integrated care systems (ICSs). ICSs have a key role to play in ensuring that people with palliative and end of life care needs can access and receive high quality personalised care and support. The guidance is statutory and ICBs must have regard to it. It also contains links to resources and good practice.

guidance

Water and Window safety video 2022

It is that time of year again! As the weather is getting warmer, can I ask that you cascade this water and window safety video clip across your organisations and beyond.  Most of you have seen the clip and it is still relevant for parents and carers.

The CCG East of Berkshire produced the following short video clip in 2017 and the message remains important today and can be used widely across the health economy and by our partners across all organisations.  Using messages around water safety and window safety, we decided to produce the video in response to increasing concerns about the distractions of mobile phones in particular and how use of electronic devices may impact on risks to supervision of babies and children. We are conscious that many children are at home, the weather is good and water play will increase during Covid.

Could you please consider how you may be able to use the clip across your agencies; feel free to share this widely and use in screens in waiting rooms, surgeries etc ,especially over the spring and summer months.

Summer Water Safety | Royal Life Saving Society UK ( RLSS UK )

https://youtu.be/y4njOkRBK4Q

NHS urges summer safety awareness to keep children out of danger (frimleyccg.nhs.uk)

Neurodiversity Profile Training Aug-Sep-Oct 22

Children and young people who are showing signs of neuro-developmental needs can now access a new tool which can help identify what support a child or young person may need.

From 1 July 2022, the ND Profiling Tool will replace the current referral process to request a ND clinical assessment. Instead, trained professionals will be required to complete the ND Profiling Tool in the first instance.

You can find all the details on how to apply in the flyer.

document ND profiling dates (278 KB)

Portsmouth Breastfeeding Summer Support Offering

Please find attached posters for our summer support offering. 

Please feel free to share however you feel appropriate.

image Wbw 2 summer offering (763 KB)

image Zoom post social media summer offering (124 KB)

image Antenatal image summer offering (129 KB)

image Final summer summer offering (237 KB)

SCAS Chief Executive to step down next year after 17 years in charge

Press release attached for info.

document SCAS Chief Executive to step down next year after 17 years in charge (14 KB)

 

HIOW ICB Safeguarding newsletter - July 2022

Please find attached the latest issue of the ‘Safeguarding Chronicle’, our Hampshire and Isle of Wight ICB Safeguarding newsletter.

pdf HIOW ICB Safeguarding Chronicle Newsletter JULY 2022 (751 KB)

SCAS Governor Elections

Our Governor elections are approaching soon in September.

It would be very helpful if you can circulate the flyers attached across your networks.

pdf SCAS Governor Young person digital Flyer 2022 (667 KB)

pdf SCAS Governor Public digital Flyer 2022 (427 KB)

 

Vulval cancer elearning course launched with RCGPs

We recently worked with the Royal College of General Practitioners and vulval cancer patients to develop an online learning course for GPs on diagnosing vulval cancer.

The course goes through the different risk factors for vulval cancer, how to pick it up and how to support patients who have been diagnosed, using three case studies for learning.

We hope this 15-minute training module will help raise awareness of vulval cancer amongst GPs and will provide a boost in patients getting vulval symptoms investigated, getting referred for a diagnosis at the earliest stage possible.

Details attached.

document Vulval cancer elearning course launched with RCGPs (15 KB)

 

Changes to phlebotomy service for children at Queen Alexandra Hospital**

For the attention of doctors, nurses and support teams across Portsmouth and the surrounding areas, and anyone who would need to send a child for a blood test to Queen Alexandra Hospital (QA).

Due to the continued pressure and an increase in volume, we have decided to change the way we run our blood taking service for children at QA.

From Monday 4 July 2022, the service became appointment only. Walk ins will no longer be accepted.

To book an appointment parents must call 07707296876.

Attached you will find a poster to display in your waiting area and some starter leaflets for you to photocopy and give out to every patient who needs a blood test.

Please contact us on the number below if you have any problems or would like any more information or materials.

We are still asking that one adult attend with the child where possible and wear face coverings. Children under 11 years old do not have to wear a face covering unless they prefer to.

Please note, we will now be asking any child aged 14 and over to access the adult blood taking service. Details about accessing the adult service can be found on the poster and leaflet.

Please ensure blood forms are given to the patient, parent or carer to bring with them to their appointment.

Millie Salkeld

Senior Communications and Engagement Officer

Portsmouth Hospitals University NHS Trust

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Telephone:  023 9228 6000 Ext: 6712

Mobile: 07907575620

 

pdf Changes to blood taking service flyer FINAL (5.15 MB)

pdf Changes to blood taking service poster FINAL (11.82 MB)

Reminder of Mask Wearing in Primary Care

Please see updated guidance.

document Reminder of mask wearing in Primary Care (23 KB)

 

Non Patient Courier Customer Satisfaction Survey (CitySprint)

Please find link to complete a customer satisfaction survey on behalf of the Non Patient Courier service.

If you or your area are currently using the non-patient courier service for the transportation of pathology samples, internal/external mail, pharmaceuticals and medical records then CitySprint would like to hear from you on the service they are/have been providing.  All feedback is valued and the insight gathered will be used to improve the services to you.

This is a really important survey which will help us to understand how well the service is being delivered on behalf of Solent NHS Trust, Southern Health Foundation Trust and the ICB.

https://survey.alchemer.eu/s3/90470321/Southern-Solent-NHS-Trust-Customer-Satisfaction-Survey-July-22

Non-Patient Courier Contract (CitySprint)

A reminder of the guidance on Pathology packing instructions.  All samples/post should be bagged and ready for the driver, if you are unsure of collection times, contact details are below:

CitySprint Helpdesk:

Tel: 0207 264 2500

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

The Non-Patient Courier Helpdesk is available 07:00-19:00 Monday to Friday.

document Pathology Packaging Instructions Updated April 2020 (224 KB)

pdf External Mail IG Incidents Poster (203 KB)

Spirometry Training Funded Places - ARTP Certification

Details of funded places for spirometry training;

• ARTP Full Certificate
• ARTP Foundation Certificate
• ARTP Reporting Certification

The courses will be held on Monday 22^nd - Tuesday 23^rd August 2022 at Royal Hampshire County Hospital, Education Centre or Monday 12th - Tuesday 13th September 2022 at Royal Hampshire County Hospital, Education Centre.

There is funding available to pay fully for this course from the ICS.  If you would like a funded place on the course, please send your name, surgery or trust name and the dates you would like to attend to This email address is being protected from spambots. You need JavaScript enabled to view it.  

For further enquires around the actual course, please contact Dr Harry Griffin (Lead Respiratory Physiologist and Clinical Scientist in Respiratory and Sleep): This email address is being protected from spambots. You need JavaScript enabled to view it.

Getting ready for patients to have access to their future data

This session is for clinicians and managers responsible for safeguarding, domestic violence and abuse, caldicott guardians and managers responsible for information governance in general practice and in CCGs.

The session will focus on risks associated with online records access so that they can be mitigated and inform training plans associated with data entry into clinical systems.  We will describe the planned improvements to support enabling patients for GP online, signpost to good practice and guidance and share the key elements for successful implementation of online records access.

Safeguarding awareness session: Getting ready for patients to have access to their future data | NHS England Events

Mental Capacity Act Conference

Please see attached details of Mental Capacity Act for 16 and 17 year olds conference in October via TEAMS

pdf Application of the Mental Capacity Act for 16 and 17 yr old (396 KB)

4LSAB Policy Update - Framework for Managing Risk and Safeguarding People Moving into Adulthood

The Multi-Agency Framework for Managing Risk and Safeguarding People Moving into Adulthood has been developed as a collaboration between the Local Safeguarding Adult Boards (4LSAB) covering the Hampshire, Isle of Wight, Portsmouth, and Southampton (HIPS) area and is fully supported and endorsed by the Local Safeguarding Children’s Partnerships covering the HIPS area.

The Framework aims to strengthen the safeguarding support available to young adults aged 18 years with pre-existing vulnerability and risk factors as they move into adulthood. It is recognised that safeguarding arrangements for young adults need to take account of their distinct safeguarding needs.

This Framework is designed to enhance and build on existing safeguarding arrangements ensuring these are relevant to safeguarding at risk young people. The Framework it is designed to support effective partnership working and good practice in this complex and challenging area of safeguarding work.

4LSAB Multi-agency framework for managing risk and safeguarding people moving into adulthood (hampshiresab.org.uk)

4LSAB Policy Update - Homelessness Housing Practitioner Briefing

This briefing has been produced within the context of Safeguarding Adults Review (SAR) recommendations which have highlighted the complexities of achieving effective engagement between professionals and people experiencing homelessness, where care and support needs may be present.

It is aimed at raising awareness of the responsibilities of local housing authorities (district housing departments in Hampshire and the housing departments of the Isle of Wight, Portsmouth, and Southampton unitary authorities) and social housing providers (often referred to as housing associations or Registered Providers of Social Housing) in the context of preventing and relieving homelessness.

This briefing focuses on how partnerships can work together to reduce the risks for homeless people with a safeguarding need. This briefing should be used in conjunction with your own organisation’s policies and procedures as well as the 4LSAB Multi-Agency Safeguarding Policy.

4LSAB housing practitioner briefing on Homelessness (hampshiresab.org.uk)

Fraud Safety Webinars

These sessions are designed for anyone, who seeks to enhance their knowledge around fraud and be better protected against the most common crime in the UK. They are approximately 1-hour in duration and are interactive (with Q & A from the audiences at the end).  There is a maximum capacity of 1000 attendees and are not area specific, so anyone from anywhere may benefit from attendance so please feel free to share the link.

Regional Fraud Protect Advisor Events | Eventbrite

 

Updated document - t SEROC-CASC-0624: FOR ACTION- C1674 COVID-19 Autumn booster and flu vaccine programme expansion

Please see attached C1674 COVID-19 Autumn booster and flu vaccine programme expansion.

pdf C1674 COVID 19 Autumn booster and flu vaccine programme expansion 150722 (90 KB)

Sexual Health Needs Assessment

It is part of our duty to ensure that our services are fit for the purpose of our residents and their ever-changing needs.

We want to understand how sexual health services in Portsmouth are used, how they are accessed, what is good about them and, how they might be improved.

We want to hear from all healthcare professionals, Portsmouth residents and, 16–25-year-olds in particular. The survey is entirely anonymous and can take 10-15 minutes depending on the nature of the answers.

Go to or please share this link to help us improve our sexual health services in Portsmouth 

https://www.research.net/r/SHNA

Telecare from Portsmouth City Council

Safe at Home is the go-to choice for patients needing the support of telecare in Portsmouth. It is operated by Portsmouth City Council and backed by a 24/7 response service (not offered by other local providers), or alerts to other nominated carers depending on the type of service the customer has selected.

The council is committed to helping people stay healthy, independent and in their own home for as long as possible, so there's also a month's free trial for anyone who begins using Safe at Home when they are discharged from hospital and referred by their discharge team. You can call Ellie O'Day, the service manager on 02392 306918 for more information.

You can see more about what the council provides at www.wearesafeathome.co.uk

Mask Wearing in Primary Care

This is an update on HIOW ICB IPC guidance for primary care.

As people will be aware, the prevalence of COVID-19 has risen rapidly over the past week. This is due to the emergence of new Omicron subvariants BA.4 and 5.

We are, therefore, advising that Fluid Resistant Surgical Face masks (FRSM’s) be re-introduced into all areas of Primary Care (clinical and non-clinical) with immediate effect for the foreseeable future. Patients should also be advised to wear face coverings when in Primary Care premises. This is to try and offer our workforce the best level of protection. Other standard precautions (good ventilation, cleaning, hand hygiene) should continue.

Background

UKHSA’s latest analysis suggests that Omicron BA.5 is growing 35.1% faster than Omicron BA.2, while Omicron BA.4 is growing approximately 19.1% faster. This suggests that BA.5 is likely to become or already has become the dominant COVID-19 variant in the UK.

In clinical practice, we are seeing more symptomatic patients being admitted to hospitals and clusters of cases across social, community and acute care. Clinical presentation has changed and whilst we are not seeing the severe pneumonitis associated with COVID-19 in earlier waves, we are seeing more significant disease with Omicron BA.4&5, particularly affecting the lower respiratory tract with new oxygen requirement.

Local Trusts and Ambulance services have moved to retain or re-introduce masks into all clinical areas and some have reintroduced masks into non-clinical areas.

Whilst we recognise that the majority of transmission will be occurring within the community rather than healthcare premises, the re-introduction of masks will reduce the risk of acquisition whilst at work and may protect the resilience of the workforce at a critical time. If you will like further advice please contact your local IPC Specialist (Portsmouth this is Solent’s IPC Team This email address is being protected from spambots. You need JavaScript enabled to view it. or 0300 123 6636) or contact the 7-day IPC service at This email address is being protected from spambots. You need JavaScript enabled to view it. or 08703156601.

A day without Adastra at UTC

To help provide more system space for clinical information the majority of Wednesday 13 July 2022 Adastra will be down in the UTC. The UTC team will use paper notes which will be scanned onto the patient’s records and the discharge summary sent later on in the day once the system is up and running, expected to be around 17.00. 

Portchester Crematorium

Portchester Crematorium are receiving increasingly large numbers of incorrectly completed forms.  Please see attached for details.

document July 2022 memo crematorium (90 KB)

SEROC-CASC-0566: FOR ACTION: UKHSA Health Protection Briefing Note 2022/56 Update on the Derogation of Monkeypox HCID status

Please find attached an update from UKHSA on the derogation of Monkeypox HCID status.

pdf 20220705 BN2022 056 Update on the derogation of Monkeypox HCID status V01 00 (67 KB)

 

 

Stronger for Summer

Please see link for information ahead of launch of campaign next week.

#StrongerforSummer - Welcome (southeastclinicalnetworks.nhs.uk)

New Neurodiversity Profiling Tool

Details of a new tool to support a child or young person showing signs of neuro-developmental needs which is being launched in Portsmouth and training sessions to support this.

document New Neurodiversity Profiling Tool (15 KB)

Significant Changes to e-RS Reminder Letters

See attached letter sent direct to practices for response.

document Significant Changes to e RS Reminder Letters (25 KB)

Learning From Patient Safety Events (LFPSE)

LFPSE – a final reminder that all practices should by now be registered and routinely recording events on the LFPSE system now that NRLS has been discontinued.  This is a requirement in this year’s Local Incentive Scheme (LIS).  The expectation is that this is embedded in practice incident management processes and that as more staff become aware of patient safety (through the national training) the number of incidents recorded should increase.  This is being taken forward through practice patient safety leads but of note we have seen no reports via LFPSE since April.

As we move towards becoming an ICS it is very important we ensure we have something in place in Portsmouth where incidents, learning and good practice in primary care are regularly recorded to avoid the introduction of additional systems and requirements. 

More information on the system and how to register are on the link.

document 2022 23 LIS Patient Safety (Mandatory) (141 KB)

https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/primary-care-information/

Easy Read information on cervical screening

Following both Cervical Screening Awareness Week and Learning Disability Week, to help support women and people with a learning disability to get screened, the Eve Appeal have launched an Easy Read guide to cervical screening. 

Our Ask Eve nurse information service is also here to help anyone with any questions or concerns about cervical screening.  It is free and confidential to use.  People can get in touch with Ask Eve on This email address is being protected from spambots. You need JavaScript enabled to view it. or 0808 802 0019.

We would like to get our information on cervical screening out to as many people who could benefit from it as possible and would appreciate any support in sharing the guide.

https://bit.ly/3b9T81b

SARs in Rapid Time 11 July – 12-1 pm

CHIP will be hosting a free Zoom webinar in July on SARs in Rapid Time.  

The Safeguarding Adult Review (SAR) In Rapid Time model was developed by SCIE as Covid increased pressure for a speedy turnaround of learning. Increased volumes of SARs mean the pressure to find effective, proportionate ways of generating learning from case reviews is unabated. This session will outline key features of the approach, including how it is compatible with the refreshed SAR Quality Markers and some key learning points from the original pilots. Two Independent Chairs with experience of commissioning the model will share their reflections. There will be an opportunity for participants to share relevant experiences.

Use link to book.  Should you experience any difficulties with registration or receipt of notifications, please email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

https://lgaevents.local.gov.uk/lga/1515/home

Adult Safeguarding – Learning Disabled People & Homelessness

CHIP will be hosting a free Zoom webinar in July on Adult Safeguarding and Homelessness.  

04 July – 2- 4 pm – Adult Safeguarding – Learning Disabled People & Homelessness

Continuing the sequence of webinars on Adult Safeguarding and Homelessness, this webinar will focus on an often-neglected practice concern, namely people with learning disabilities who experience homelessness. There will be presentations on findings from safeguarding adult reviews, alongside a presentation on resources for working with learning disabled people who experience homelessness. "Learning disability increases the risk of homelessness but can be masked and often goes unrecognised by services.

Use link to book.  Should you experience any difficulties with registration or receipt of notifications, please email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

https://lgaevents.local.gov.uk/lga/1514/home

Working with people who have a Emotionally unstable personality disorder (EUPD) - Face to Face delivery 5th July / 14th July 9.30-4.30 Civic Offices

A one-day course to give an overall understanding of the best approach by staff when working with this client group; what helps

Who should attend?

This course is suitable for any staff working with people with personality disorders

Training objectives

Through an interactive workshop the aim of the course is to provide information about personality disorder, allow opportunities to reflect on your own experiences in a supportive and reflective way and learn some skills to help you support people living with Borderline Personality Disorder (BPD).

Learning outcomes

By the end of the session delegates will be able to

• Define what is meant by personality disorder (PD)
• Name the different types of PD
• Focusing on Borderline PD (BPD), also known as EUPD; discuss the traits of the diagnosis
• Describe the best approach by staff when working with people with BPD
• Develop an awareness of what it’s like to have lived experience of BPD

Bookings can be made through Portsmouth Learning Gateway for those with access, otherwise please contact This email address is being protected from spambots. You need JavaScript enabled to view it. for bookings or further information

Survey monkey to practice admin staff

Following the go live of Gynaecology Department onto A&G, we are seeking to gain some feedback from practice admin staff via a survey monkey on their feedback on the process.

https://www.surveymonkey.co.uk/r/WGFQLKP

WellFest - The Inclusion & Wellbeing Event 4 - 6th July 2022

Details of the opportunity to join us at WellFest, The Inclusion & Wellbeing Event (details on how to register your interest are attached).

Please share so we can ensure we make use of all 200 free tickets allocated to primary care.

document WellFest The Inclusion & Wellbeing Event 4 6th July 2022 (92 KB)

Spirometry testing at PHU

This is a polite reminder that all practices or PCNs should now be offering Spirometry for their patients  as per the British Thoracic Society Restarting Spirometry (1).pdf and CQC guidance GP mythbuster 83: Spirometry in general practice | CQC Public Website.

PHU, Physiology dept is only able to provide complex lung testing including CPET for inpatient and outpatient services.

• Please do not refer patients to secondary care services for spirometry testing (this includes diagnostic spirometry, spirometry testing to assess disease control at annual reviews and spirometry testing to assess the cause of a symptomatic deterioration in patients with known airways disease).
• Please do not routinely refer patients to secondary care services for FeNO testing where this is not available in your surgery (spirometry with bronchodilator reversibility and PEF may be performed followed by a trial of ICS treatment where relevant).

Referrals that do not include details of recent spirometry testing (and PEF testing where relevant) will be rejected

Solent MSK Physiotherapy Service Increase in Waiting Times

The MSK Physiotherapy Service at Solent NHS Trust is currently experiencing an increase in waiting times for routine referrals. Our current routine wait is approximately 10 weeks which is likely to rise further over the summer months.

We would like to assure you that all referrals are clinically triaged upon receipt of referrals and identified as Urgent or Routine; any Urgent referrals are seen within 2 weeks. This is approximately 50% of referrals the service receives, ensuring the clinical risk of waiting is reduced

The long waits are due to an increase in staff vacancies and a shortage in senior level recruitment. The impact of First Contact Practitioner (FCP) roles nationally have made a large MSK workforce within Primary Care supporting MSK care delivery at the front door. The MSK Solent Service, as you are aware, are a large provider of this within Portsmouth City ensuring the patient journey is optimised and efficient which is proving successful. This national initiative though has nationally caused recruitment issues within MSK Services which we are now experiencing. Furthermore, newly qualified physiotherapists graduating after Covid require a significant amount of support due to their undergraduate placements being often remote with very little MSK experience. Therefore, our current junior MSK staff need a significant amount of extra support to ensure they are safe and deliver high quality care.

As an MSK Service like many other clinical services we are also finding the complexity of patients presenting to us are more complex due to delay in seeking care through the pandemic therefore taking more time to manage once within the MSK Service.

We are optimistic that waiting times will improve towards the end of the year with a proactive recruitment programme and allowing our more junior staff to grow and develop in their roles. We are actively looking at Transformation programmes improving Self-referral, reviewing our own internal processes and ensuring we are using our third sector partners effectively alongside enhancing self-help and self-management resources that we can work alongside PCNs to signpost our patients to for those with MSK problems that do not require the MSK service

Next Steps in Infection Prevention and Control

Update on the latest IPC guidance for primary care.

What's changed/been updated

• Guidance: Infection prevention and control for seasonal respiratory infections in health and care settings (including SARS-CoV-2) for winter 2021 to 2022 has now been withdrawn and archived
• New publication: COVID-19 is a notifiable disease
• Changes to requirements to wear face masks (slide 4) – removal of masks for non clinical staff and non COVID-19/respiratory consultations
• No social distancing is required in waiting areas although those with active respiratory symptoms should wear a face mask

Patients with respiratory symptoms should be triaged to establish the risk of COVID-19 or other respiratory infections. Anyone assessed to be a respiratory infection risk should be managed with consideration to either:

• A separate waiting area where achievable (patients do not require a separate entrance/exit or consulting room)
• OR
• Provided with a face mask to wear in a communal waiting area

Patients with respiratory symptoms where a fever is present (>37.8C) or have an active cough should be prioritised for an isolation room whilst waiting or triaged for home visit.

document PC IPC phased approach June 2022 (4.20 MB)

Perinatal Mental Health Communities of Practice Newsletter

The communities of practice includes representatives from universal, primary, secondary and voluntary sector services who work to support families mental health. The aim of the communities of practice is reduce variation and improve both the outcomes and experience of women, babies, and their families in relation to perinatal and infant mental health in Portsmouth.

This newsletter will be disseminated quarterly as a way to share information about perinatal mental health and our local integrated pathways and services. If you would like to know more about the pathways, communities of practice or this newsletter you can email the chair Charlotte Gatehouse (Specialist HV PIMH) via This email address is being protected from spambots. You need JavaScript enabled to view it.

pdf Perinatal Mental Health Communities of Practice Newsletter June 2022 (3.61 MB)

Mental Capacity Act 2005 as it applies to 16 and 17 year olds – virtual conference

Virtual MCA conference for:

• Increase your understanding of the Mental Capacity Act 2005 and its application to 16 and 17 year olds
• Share learning from the North West MCA Project for 16 and 17 year olds
• Develop knowledge and skills around assessment and best interest decision making
• Empower 16 and 17 year olds in their decision making.

Training Level: Level 3

pdf Application of the Mental Capacity Act for 16 and 17 yr old (396 KB)

HIPS Child Exploitation Webinar: “Child Exploitation – As a Health Professional, What Do You Need to Know?”

This webinar is designed specifically for health practitioners and looks to develop understanding and awareness as to the different and evolving types of exploitation that children may experience, as well as seeking to empower health professionals to recognise and respond to any risk factors they may identify.

Date(s): Wednesday 15 June 2022 13:30-15:00 Wednesday 16 November 2022 09:30-11:00

Target audience: All health professionals Intercollegiate Training Level: Level 3

pdf HIPS Child Exploitation Webinar (175 KB)

Modern Slavery Resource for health practitioners

The Royal College of Paediatrics and Child Health has produced national Guidance on Child Modern Slavery and Human Trafficking.  This guidance should help inform and advance the knowledge base, trauma-informed practice and policy decisions and support child health professionals, and anyone working in connection with paediatric and NHS staff.

https://www.rcpch.ac.uk/resources/child-modern-slavery-human-trafficking-guidance

 

Working Together to Effectively Safeguard Obese Children - Learning the Local Lessons

The PSCP have organised a workshop on safeguarding obese children.  Dates and further details are on the attached.

Advice and information for GP practices -Breast Screening

We have been asked to liaise with primary care colleagues working in GP practices to ensure they are aware that women are sent their initial screening invitations sometime between their 50^th and before their 53^rd birthday.  The screening helpdesk continue to receive queries regarding correct age of eligibility and GPs should give the appropriate messages on when screening commences.  An e-learning module on the breast screening programme produced by the British Medical Journal (BMJ) in collaboration with the NHS Breast Screening Programme is available to access for all primary care staff

https://learning.bmj.com/learning/search-result.html?moduleId=5004442.

Infant Feeding Support in Portsmouth Health Visiting Team

I am Laura Dearling: Infant Feeding Lead and I work with a small team consisting of Chris Mckenzie and Michelle Francis Dent (Infant Feeding supporters) who support the families in Portsmouth with breastfeeding and other infant feeding issues.

If you are seeing a mother/parent that requires breastfeeding/infant feeding support, you can task our infant feeding team directly on SystmOne or call our duty health visitor on 0300 123 6629 and we will aim to contact the family within 2 days prioritising those that may need support sooner.

There is Infant feeding information for all to access available on Portsmouth’s Family Assist and we are expanding and updating the information all the time.

I am always happy to discuss any queries/ questions/ training needs you may have - my email is This email address is being protected from spambots. You need JavaScript enabled to view it. (please do not use this email for patient referrals or discussions- use S1 and Duty HV as suggested).

https://solent-family-assist.custhelp.com/

Scarlet Fever and Chicken Pox Briefing Note

We have seen a recent increase in scarlet fever notifications and GP consultations and GP consultations for chicken pox.  Evidence suggests that chicken pox is the most common risk factor for IGAS (invasive group A streptococcal disease) in children.  Whilst IGAS remains below average, important that scarlet fever and other presentations of GAS such as impetigo and sore throat are treated promptly with the appropriate antibiotics to limit spread and avoid complications.

Please see the briefing note for further details.

Health professionals should be reminded of the available guidance and the need to take the following actions if scarlet fever or other GAS presentations are suspected:

• prescribe an appropriate treatment course of antibiotics promptly (and this should not await the results of any swabs taken)
• advise exclusion from nursery/school/work for at least 24 hours after the commencement of appropriate antibiotic treatment
• consider taking a throat swab to assist with differential diagnosis (for example to differentiate scarlet fever from measles or rubella) or if the patient is:

o thought to be part of an outbreak

o allergic to penicillin, GAS can be resistant to non-penicillin options such as macrolides and clindamycin. Determining antimicrobial susceptibility will facilitate an appropriate treatment change if required.

o in regular contact with vulnerable individuals e.g. health and adult social care workers. People who are vulnerable to invasive GAS include those who are immunocompromised, have comorbidities, women in the late stage of pregnancy, or those with skin diseases.

pdf 20220421 BN2022 037 Increase GpA Strep Chickenpox v1 0 (51 KB)

Barnardos Ukraine Support helpline.

This is offering free confidential support and advice for families fleeing the conflict. Available in Ukranian and Russian languages.

document Barnardos Ukraine (76 KB)

Survivor Hub

Please see a link to the new Survivor Hub created by Emily Vaughan and the Human Trafficking Foundation – a place for survivors to find opportunities for work and paid research participation, resources such as those on education, housing support, the NRM and mental health support and includes directories of support providers and legal advisors across the country.

Survivor Hub — Human Trafficking Foundation

Liberty Protection Safeguards - register your interest in lived experience consultation events

As you know, the Department of Health & Social Care are currently holding a consultation on the Liberty Protection Safeguards. As part of this consultation process, it is vital that we hear what people with lived experience think about the new system that we have designed.

However, we understand that not everyone will want to tell us what they think by responding to the Easy Read consultation survey. We are therefore going to be holding a number of online events where people with lived experience of the Deprivation of Liberty Safeguards and the Mental Capacity Act will have the opportunity to tell us what they think about the Liberty Protection Safeguards and what it might mean for them.

We expect that each event will be held online and will be roughly two and half hours long, including half an hour for breaks. The events will be run by the Department of Health and Social Care (DHSC) and led by Hilary Paxton, who has previously led events for people with lived experience about the Liberty Protection Safeguards.  

If you or someone you know would like to attend one of these events, please fill in and submit this online form. Please make sure that a form is submitted for each person who is interested in attending.

It would be greatly appreciated if you could distribute this form within your local networks and communities to ensure that we hear from as many people with lived experience as possible. 

SurveyOptic - Department of Health and Social Care (dhsc.gov.uk)

Health Safeguarding Migrant Refugees and People Seeking Asylum Rapid Read

This rapid read is to support health care workers and partners who may be in contact with refugees and people seeking asylum living in the UK. As with any safeguarding concern, usual referral processes in your area apply and do not differ for any non-citizen of the UK. There are also local processes for unaccompanied minors and children travelling with kinship carers and trusted adults, which must be followed.

pdf Health Safeguarding Migrant Refugees and People Seeking Asylum Rapid Read March 22 one page v0 8 (240 KB)

Helping to safeguard Ukrainian refugees

With Ukrainian refugees slowly starting to arrive into the country, please see link to a Safeguarding Poster that has been translated into the Ukrainian language (also in English) for sharing as appropriate within your organisation.  The poster can be saved for printing by ‘clicking on the poster’ and pressing save.

The poster reads: ‘If you do not feel safe or your host does not make you feel safe, or you are in danger please call 0300 555 1386. If it is an emergency and you need help now please call 999.’

Ukrainian-Poster-v2.pdf (hampshiresab.org.uk) 

Pharmacy First

The ‘Pharmacy First’ minor ailments locally commissioned service from community pharmacies in Portsmouth has been renewed. Some pharmacies did not renew and a new provider has joined the list. Please refer to the published list of Pharmacy First providers which is regularly updated.

All pharmacies, however, continue to offer the nationally commissioned ‘community pharmacy consultation service’ (CPCS) as before.

https://www.portsmouthccg.nhs.uk/your-health/pharmacy-first/

PPG Echo

 This message has gone out previously but the cut off date for dual access routes has been brought forward from 30 June, to 31^st May.

 Practice Plus Group – Access to diagnostics via eRS

We would like to remind you that you are now able to access echocardiogram at Practice Plus Group via eRS.

Clinic titles as follows:

Echocardiogram – Practice Plus Group Diagnostics, Gosport War Memorial

Echocardiogram – Practice Plus Group Diagnostics, St Marys

Echocardiogram - Practice Plus Group Diagnostics, Havant

Emailed referrals for echocardiograms will continue to be accepted until 31^st May (a month earlier than originally stated), after this date access will be via eRS only.

Practice Plus Group are also working to expand eRS access to X-Rays and Ultrasound, we will keep you updated on the progress.

INSULIN SAFETY WEEK is next week: 2^nd - 8^th May 2022

As usual CDEP is involved in this important national #ISW campaign.

CDEP has 2 award-winning insulin safety topics for staff working in an acute or non-acute setting:

1. Safe use of Insulin in the Community
2. Safe use of insulin in the Hospital

The training can be done in ‘bite-sized’ chunks on a computer, mobile or tablet

It can take as little as 30 minutes to finish

Each topic completed generates a certificate, reflection document and CDEP rewards!

Sign up here: www.cdep.org.uk

It would be amazing if we could encourage as many healthcare staff as possible to brush up on their Insulin Safety Skills next week.

Please would you kindly circulate the attached flyer to staff.

pdf CDEP ISW 2022 (3.11 MB)

Accelerated Patient Online Access – Safeguarding Considerations Webinar Thursday 14th April 1-2pm.

As many of you are aware, patients were due to have access to their electronic records from the 1^st April, whilst this data has been pushed back, our named GPs across Hampshire are holding a webinar to support GPs in understanding what this means for practice.  Please find the link below to the webinar –

Accelerated Patient Online Access – Safeguarding Considerations Webinar that we are holding on Thursday 14^th April 1-2pm.

If you are unable to make the session yourself then please do share the link with one of your colleagues who can attend in your place. The session is relevant to all clinicians and practice managers.

Click here to join the meeting

 

Understanding of Transition in Primary Care

The PSCP, along with the Safeguarding Adults Board, are currently doing a deep dive to understand how effectively transition arrangements are working for young people with complex health needs and/or disabilities.

We would like to understand the current awareness of the transition process for young people in Portsmouth and if our GPs have any views on how well the process is working for their patients.

Please email returns to This email address is being protected from spambots. You need JavaScript enabled to view it. by the 28^th April 2022.

document Transition Deep Dive GP specific (17 KB)

 

Information from the Miscarriage Association

Notification from the Miscarriage Association, the UK charity that offers support and information to anyone affected by miscarriage, ectopic or molar pregnancy.  The aim of the communication is to extend our reach to GPs, by providing details of the services we are able to offer to any patients in need of further help, support and assistance.

Please see attached letter which details the charity and the services they offer.

document Letter to CCGs (296 KB)

 

The Launch of Targeted Lung Health Check (TLHC) programme in Portsmouth April 2022

As you will be aware from the Primary Care Bulletin 3 February 2022 the Targeted Lung Health Check (TLHC) programme in Portsmouth is being launched this month with the first roll-out taking place this week with East Shore Practice followed by the rest of Brunel Health Network PCN.  Practice Managers have been emailed directly and each Practice will be contacted approximately 1 to 2 months before their start date.

The Customer Operations Team from InHealth Intelligence will contact each practice to arrange a convenient time to conduct the one-off data export for the Targeted Lung Health Check.  The data export will involve a member of the Customer Operations team dialling on remotely to your Practice clinical system, setting the script to run the searches and collecting the results to transfer over HSCN to InHealth Intelligence’s secure data centre.  This process is exactly the same as the Diabetic Eye Screening exports that Practices took part in a few years ago.  Can you please nominate a colleague to oversee the process and email Blanka Wood as soon as possible at  This email address is being protected from spambots. You need JavaScript enabled to view it..  Blanka will co-ordinate this list on behalf of practices/PCNs, she will be your CCG point of contact and will keep the nominated person updated on the progress of the programme.  

We have attached a GP pack which includes all the programme information, the roll-out schedule, along with a copy of the patient leaflet and Poster, a set of posters for display will be sent to each practice by PHU a few weeks before the start of your project.

If you have any concerns or queries please contact Denise This email address is being protected from spambots. You need JavaScript enabled to view it.  or Blanka  This email address is being protected from spambots. You need JavaScript enabled to view it. and we will do our best to help.

pdf Portsmouth TLHC booklet (2.11 MB)

pdf TLHC Portsmouth posters (528 KB)

document GP Pack Targeted Lung Health Check Portsmouth (1.02 MB)

 

Treetops SARC service

Treetops SARC is a sexual assault referral centre that covers Hampshire and IOW.  We will accept referrals from the police or self- referrals.

We get a lot of people signposted to our service for counselling which we do not provide and often when we say that we are unable to provide that service but can signpost/refer on, they become distressed because they feel like they are being passed from pilar to post which is really distressing for them, especially after a rape or sexual assault. 

Please see attached summary and service leaflets for Treetops SARC.

document Treetops SARC (729 KB)

 

Violence Against Women & Girls – A Call For Evidence

The views and feedback received via this call for evidence will help to develop a problem profile for a VAWG Task Group. This will provide a clearer picture of the scale and impact of these crimes across Hampshire and the Isle of Wight (including Portsmouth) and the actions that need to be taken to prevent these crimes and better support victims.

Through this call for evidence we specifically want to:

• Better understand the lived experiences of people when accessing support and the criminal justice system
• Hear from practitioners and professionals who work with victims, survivors and perpetrators; those involved in preventative activity and those involved in providing support service
• Identify examples of best practice and what is working well locally
• Learn about the current challenges in tackling VAWG and what requirements are necessary to improve
• Better understand how cyber VAWG is impacting the lives of young people across HIOW and how we can better protect and support young people within our communities.

Please can I ask you to take the time to complete the call for evidence and to share it with partners, clients and across your own communications channels where your feel appropriate.

Take part in the VAWG Task Group call for evidence by completing the most relevant online survey for you:

Local residents : http://s.alchemer.eu/s3/Public-VAWG-Survey-2022

Young people: http://s.alchemer.eu/s3/Young-People-s-VAWG-Survey

Professionals and practitioners: http://s.alchemer.eu/s3/VAWG-Practitioner-Survey-2022

This call for evidence is open for 6 weeks, from 8^th March 2022 until 18^th April 18th 2022 11.59pm

pdf Call for Evidence 2022 (346 KB)

Update to HIPS Bruising and Other Injuries Protocol - Feb 2022

Please find attached a briefing which highlights the changes to the HIPS Bruising and Other Injuries Protocol that were made last month.

Please circulate as appropriate.

document Update to HIPS Bruising and Other Injuries Protocol and Guidelines March 2022 (13 KB)

Develop your Skills & Knowledge in Having Healthy Conversations about Alcohol

See attached the latest flyer advertising the Alcohol Brief Advice in Primary Care training sessions that we are offering free of charge to Primary Care staff, volunteers & social prescribers from Southampton, Isle of Wight, Portsmouth and Hampshire.  This training is subsidised by Health Education Wessex.

This is a three-hour online practical course designed to encourage and support participants to deliver Identification & Brief Advice (IBA) or Very Brief Advice (VBA) on alcohol.

The key link to find out more information and book onto the training is https://www.eventbrite.co.uk/e/alcohol-brief-advice-in-primary-care-tickets-187508973387

There are a number of sessions scheduled with more being added all the time (always the same link).

document MECC Alcohol IBA Flyer2 (500 KB)

Suicide First Aid (Lite): Subsidised training to identify and assist people at risk: live-online, booking via link: https://www.eventbrite.co.uk/e/141271130755 (more dates will be added).

Connect 5: five ways to mental wellbeing: Free training available to help support community to look after their own, colleagues and clients mental wellbeing: live-online, booking via link: Connect 5 (Ports, IOW, Soton) – Havant & East Hants Mind

Debt and Mental Health Training for front line workers and volunteers: Free via link Debt and Mental Health training for frontline public, community & voluntary sector staff and volunteers. This training will improve your understanding of the connections between debt and mental health services and will help to reduce the suicide risk as a result of debt.

Information and resources on suicide prevention can be found on the Portsmouth City Council page, here Mental wellbeing - Portsmouth City Council.

Information on mental health and wellbeing can be found on : Adult mental health support - Portsmouth City Council

Counselling Aid: Management options for heavy menstrual bleeding & Survey

The Primary Care Womens Health Forum have produced this Counselling Aid: Management options for heavy menstrual bleeding to support you in effectively counselling patients with HMB using a ‘personalised care’ approach. It can be used with your patients to guide them in understanding the treatment they need. It is recommended only for use in women with no anticipated or proven pathology.

At the PCWHF, we are committed to creating the educational resources that will enhance the care that you provide to women in your clinics every day. We’re currently running a survey where you can have your say and help to shape our 2022 Educational Programme. We’d be grateful if you would let us know your ideas and views.
 
Once again – huge thanks to everyone who spares time to share their expertise to answer members queries on the PCWHF Facebook group – if you haven’t joined our wonderful community yet, join us today.
 
Let’s all make a difference this International Women’s Day

Update HPV PGD

Please find attached the recently revised HPV PGD which has been authorised for use by NHS E.

The HPV PGD amendments include:

• update dose and frequency section to reflect updated recommendations that, from 1 April 2022, those commencing vaccination from 15 years of age should commence a 2-dose schedule with a minimum 6-month interval
• refer to Chapter 2 of the Green Book for further information on consent
• update off-label section to reflect the revised schedule
• reflect updated storage details for Gardasil 9
• update organisation from PHE to the UKHSA
• include minor rewording, layout and formatting changes for clarity and consistency with other UKHSA PGDs

Individual practitioners must be authorised by name, under the current version of this PGD before working according to it. Practitioners and organisations must check that they are using the current version of the PGD. Amendments may become necessary prior to the published expiry date.

The PGD will be available to download from the following link:

NHS England and NHS Improvement South East » Hampshire, Isle of Wight, Buckinghamshire, Oxfordshire and Berkshire PGD downloads

pdf 20220304UKHSAPGDHPVv05 00 (305 KB)

 

Electronic Referrals into Portsmouth City Council Adult Social Care:Occupational Therapy/Community Connector Service/Portsmouth Carers Centre

From Monday 4^th April, there will be an updated Occupational Therapy referral form available via Ardens.  From this date the SystmOne electronic referral will be directed to PCC Adult Social Care, there is no change to the actual service. 

Aa a reminder, the aim of the Community Occupational Therapy service in Portsmouth is to restore, maximise or prevent deterioration in physical, psychological and social functioning through a defined, person centred rehabilitation and reablement programme.  We also focus on preventative work and consider the long term needs of the client.  This may include the recommendation of equipment, home adaptations, coping strategies and rehousing.  Clients must be over 18 and a resident in Portsmouth and must have consented to the referral (or via consent of their advocate) and be willing to engage with the service.

There will also be new referral forms for the Community Connectors service and for referring into the Portsmouth Carers Centre. 

Please see the attached for further information about these services. 

Both will be available to refer into via SystmOne electronic referrals to PCC Adult Social Care

document Outline of Community Connector Service (243 KB)

pdf Portsmouth Carers Centre Poster (599 KB)

 

Easter & May Bank Holiday Posters 2022

Please find attached the Easter & May Bank Holiday Posters 2022 detailing which pharmacies will be open on the Bank Holidays across the South East of England for information.  Portsmouth pharmacies are listed on the first page.  Pharmacies are only listed on the posters if they are open on one or more of the dates within the poster.

Also attached is a spreadsheet containing all the information contained within the posters.

A map of the pharmacies that will be open on the Bank Holidays has been created. Anybody can access the map via the links below.

Easter BH Map: View Easter BH 2022 Map here

2^nd May BH Map: View May BH 2022 Map here

For information:

• 2^nd & 3^rd June BH posters (Spring BH & Platinum Jubilee BH) will be circulated on 16^th May 2022
• 28^th August BH posters (Summer BH) will be circulated on 5^th August 2022#

pdf Hampshire Pharmacy Opening Times Easter & May 2022 (178 KB)

spreadsheet Easter & May BH info for posters (77 KB)

SEROC-CASC-0285 FOR ACTION Updated dietary advice for smoked fish

Please see attached a letter from UKHSA in relation to updated dietary advice for smoked fish.  NHS.UK has been updated with the information for pregnant and vulnerable individuals to reflect the risk of listeriosis from smoked fish by amending the ‘foods to avoid in pregnancy’ webpage, as well as the webpage on ‘listeriosis’, which also includes details on specific actions people can take when handling, storing and preparing foods to reduce their risk of listeriosis.

pdf 2022 04 04 Letter to the NHS v2 0 FINAL (76 KB)

 

Request for GP practice space for funded youth counselling service

Off the Record have received funding to provide a free at point of access young person’s counselling service in Portsmouth as there is a growing need for in-person services to be delivered locally.

Off the Record have a successful outpost already operating at an Emsworth GP Practice, where the GP’s recognise the benefits to their patients of having a counsellor on site every week.

Kate Glasby CEO of Off the Record would like the opportunity to discuss this proposition with practices to see if this is something they would like to be involved with. Off the Record will require space each week within the practice for delivery of their service. This would be expected to take place after school hours and early evening.

If your practice is interested in participating, please contact Kate direct at: This email address is being protected from spambots. You need JavaScript enabled to view it.

pdf Portsmouth Surgeries flyer March 22 (2) (267 KB)

SEROC-CASC-0275: FOR ACTION National PPE Acute and Primary Care Customer Insight Newsletter - 31 March 2022

Please see link to the latest National PPE Acute and Primary Care Customer Insight Newsletter (31 March 2022).

National PPE Acute and Primary Customer Insight newsletter – March 2022

HIOW SIT 5 Minute Update April 2022 Edition

Please find attached the April 2022 Edition of the HIOW Screening and Immunisation Team’s 5 Minute Update.  Please share with your practice staff members as appropriate.

We hope you find it useful and if you have any comments or queries then please let us know. 

pdf NHS England HIOW Screening and Immunisation 5 minute update issue 38 (363 KB)

My Planned Care Patient Platform

My Planned Care is a national workstream as part of the Elective Recovery Programme focused on empowering patients while they are on the elective pathway.  The web based My Planned Care Patient Platform has been developed at pace to create the opportunity to provide patients with:

• information specific to a range of conditions to enable a better understanding of supporting their own health while on the waiting list
• waiting list information to enable people to better understand how long they may be waiting.

For Portsmouth University Hospital NHS Trust please signpost patients to; Portsmouth Hospitals University NHS Trust – My Planned Care NHS

For University Hospital Southampton NHS Trust please signpost patents to; University Hospital Southampton NHS Foundation Trust – My Planned Care NHS

My Planned Care NHS

Incident Recording Survey

The NHSE Primary Care Patient Safety Discovery Group (PCPSDG) are running a survey to support the development of patient safety recording in primary care. If you would like to feed into this process, please complete the survey (see link).  It takes 10-15 minutes and the closing date is 22/04/22.

https://forms.office.com/Pages/ResponsePage.aspx?id=kp4VA8ZyI0umSq9Q55Ctv0BxcPkbe9tNik4c0HI2StJUQkM0N1o5OUYxQTVaWTk1UzZROFYwQUMyUy4u

Ukrainian Refugees

Under the UK Government's 'Homes for Ukraine' scheme, we are aware of 39 host families in the city who have volunteered to welcome Ukrainian refugees in the coming days and weeks under phase one of the scheme. Currently we are anticipating 91 refugees via this route (52 adults and 39 children). 

Further details and resources available are attached.

document Ukrainian Refugees info for GP's (14 KB)

Home and Well 'Customer Vulnerability' Award

Home & Well wins the Customer Vulnerability Award at the (delayed) 2021 Utility Week Awards.

Home & Well is a countrywide partnership project launched in March 2020 which provides a wrap-around support service for vulnerable people with health needs.  

pdf Home and Well Customer Vulnerability Award Press Release March 2022 (175 KB)

Electronic Referrals into Portsmouth City Council Adult Social Care: Occupational Therapy/Community Connector Service/Portsmouth Carers Centre

From Monday 4^th April, there will be an updated Occupational Therapy referral form available via Ardens.  From this date the SystmOne electronic referral will be directed to PCC Adult Social Care, there is no change to the actual service. 

Aa a reminder, the aim of the Community Occupational Therapy service in Portsmouth is to restore, maximise or prevent deterioration in physical, psychological and social functioning through a defined, person centred rehabilitation and reablement programme.  We also focus on preventative work and consider the long term needs of the client. This may include the recommendation of equipment, home adaptations, coping strategies and rehousing.  Clients must be over 18 and a resident in Portsmouth and must have consented to the referral (or via consent of their advocate) and be willing to engage with the service.

There will also be new referral forms for the Community Connectors service and for referring into the Portsmouth Carers Centre. 

Please see the attached for further information about these services. 

Both will be available to refer into via SystmOne electronic referrals to PCC Adult Social Care.

document Outline of Community Connector Service (243 KB)

pdf Portsmouth Carers Centre Poster (599 KB)

 

#LookCloser

#LookCloser is a partnership campaign between The Childrens Society, the National County Lines Co-ordination Centre and the British Transport Police aiming to raise awareness of child exploitation and abuse, with a particular focus on public spaces.  The campaign also seeks to challenge stereotypes of victimhood, highlighting that child exploitation can happen anywhere, and any young person can be a victim.

In advance of the upcoming awareness weeks, #LookCloser are pleased to share their updated digital resources ready for use from the 7^th March 2022.  These include specific resources for people working with children, businesses and members of the public. The resources are now hosted via the #LookCloser webpage (see attached link).  If you have engaged with the campaign before, please do check out the page - there are brand new resources available including specific resources for professionals on child financial exploitation and online harms.

pdf #LookCloser programme of learning for partners (3.26 MB)

Changes to the claiming process for pneumococcal vaccines from 1st April 2022

See attached, re, changes to the claiming process for pneumococcal vaccines from 1st April 2022.

document Changes to the claiming process for pneumococcal vaccines from 1st April 2022 (14 KB)

 

Violence against Women & Girls Survey

The OPCC are currently surveying communities and partners regarding the police approach to violence against women and girls.

They wish to hear from those who work with victims, survivors, and perpetrators.

Please could you complete this short survey.

http://s.alchemer.eu/s3/VAWG-Practitioner-Survey-2022

 

Home and Well Service - Citizens Advice Hampshire Project

Home and Well is a unique collaboration by organisations working together to support residents of Hampshire and the Isle of Wight return home as quickly and as easily as possible after a hospital stay and, importantly, ensure they have the comfortable home environment that will help them continue to recover rather than relapsing.

The countrywide projects scheme aims to address the detrimental impact that cold homes, reduced water usage and anxiety due to utility bills can have on people returning home from hospital.  By addressing these issues, the partners hope to speed recovery and reduce need for re-admission.

Specially trained Citizens Advice advisers will review patients’ utility bills to ensure they are on the best possible deals and maximising the benefits that utilities have to offer.  The advisers will also help patients apply to be on the Priority Services register – meaning that they will receive additional support should they experience a power cut or water shortage.

For further information please see the attached flyer, and Home and Well.

pdf Home Well Referral Flyer Sep 21 (FINAL) (376 KB)

Weight Management Referral Claims

Reminder on the referral criteria for the Weight Management Service.

Please read the attached comms.

document Weight Management Referral Claims comms (158 KB)

Please do get in touch with the Primary Care Team This email address is being protected from spambots. You need JavaScript enabled to view it. should you need further clarification or support on the process.

document PCCG116a ICOS referral pathway Feb 2019 v 1 (99 KB)

pdf 5 4 NHS DWMP GP Toolkit Final (3.59 MB)

 

Nurses and GPs may be interested in the free online training

Management of Acne and PCOS

28 March | 19:00–20:00 | Online | FREE

Ahead of the upcoming joint conference, ‘Where Women’s Health Meets Dermatology’ this webinar provides a taster into the crossover between two disciplines: acne and polycystic ovary syndrome.

Join our expert speakers Dr Julie Oliver, Dr Anne Connolly MBE and Dr Angelika Razzaque for an informative webinar and live Q&A.

Suitable for all primary care healthcare professionals, this webinar offers the opportunity to gain CPD and improve patient lives.

To register, please follow the link below:

https://pcwhf.co.uk/pcwhf-events/webinar-management-of-acne-and-pcos/?mc_cid=34768a2be0&mc_eid=7c16699d77

 

NHS e-Referral Service - Survey into advice and referral channels

The NHS e-Referral Service (e-RS) would like to hear users’ feedback on the three different advice and referral routes in e-RS: Advice and Guidance, Referral Assessment Services (RAS) and Bookable Services. 

This survey is designed to help the NHS Digital/e-RS programme understand how the different channels are being used, what works well and what could be better. Your responses will help us make ongoing improvements to e-RS according to your needs.

Please complete this survey by clicking https://feedback.digital.nhs.uk/jfe/form/SV_29oSzU8gaOsqJSK

Eating Disorder Week

Please see the attached comms about Eating Disorder Week and various dates for your diary.

document Newsflash Eating Disorder Week (19 KB)

 

 

 

NHS Jobs - Medical Examiner, Portsmouth Hospital University NHS Trust

If you are interested in the role of ME, Portsmouth are currently recruiting through NHS jobs. This is the link.

https://www.jobs.nhs.uk/xi/vacancy/917026520

Closing date for applications is 18/03/22

Supporting people on waitlists – My Planned Care public platform now live

We know that people waiting for elective care want to feel adequately informed and supported during this time and may contact their GP team for an update. In response, and as part of the Elective Recovery Plan, we have recently launched the first phase of the My Planned Care Patient Digital Platform.

This site provides people waiting for a hospital appointment, operation or treatment (excluding cancer) direct access to the latest wait-time information and support for all acute trusts across England. The platform is easy to access and navigate and is designed for patients who are on an NHS wait list, as well as their relatives, carers and supporting healthcare teams, including their primary care team.

The site will also be expanded to include the latest clinical guidance and details about locally available support to help people look after their health and well-being whilst they wait. There will be a wider ‘public’ launch in a few months’ time once the majority of trusts have had the opportunity to add their supporting details. A communications toolkit has been produced primarily for trusts to promote this service to patients, which includes a script for patient queries which GP teams may find useful.

Death certification and cremation forms after the Coronavirus Act expires

The Coronavirus Act 2020, which introduced easements to death certification processes and cremation forms, expires at midnight on 24 March 2022. Some changes have been retained on a permanent basis through other measures, and other processes revert to previous practice.

The following provisions are continuing after 24 March 2022:

• The period before death within which a doctor completing a Medical Certificate of Cause of Death (MCCD) must have seen a deceased patient will remain 28 days (prior to the coronavirus pandemic, the limit was 14 days).
• It will still be acceptable for medical practitioners to send MCCDs to registrars electronically.
• The government’s intention is that the form Cremation 5 will not be re-introduced after the Coronavirus Act expires.

The following emergency provisions are changing with the expiry of the Act:

• The provision temporarily allowing any medical practitioner to complete the MCCD, introduced as a temporary measure by the Coronavirus Act, will be discontinued.
• Informants will have to register deaths in person, not remotely.

Notification of unplanned closure: Tesco Pharmacy Portsmouth FJE83

We have been informed by Tesco Pharmacy (Clement Attlee Way) of recent unforeseen closure (from 21/02/22 17:30 until further notice). The closure is as a result of last minute cancellation of locum pharmacist cover and unsuccessful attempt for replacement pharmacist cover. There is signage to inform customers of this sudden and unforeseen closure.

We will inform you when we receive any update from Tesco Pharmacy.

Planned Maintenance: Portsmouth Hospitals University NHS Trust - IT Datacentre - Power Supply Improvements

Please read the attached comms regarding some work that will be carried out in the PHU Sub Level A Datacentre at QAH on Saturday 5^th March between 06:00 and 21:30.

document Planned Maintenance on 05 03 22 (34 KB)

 

Free Personalised Care Webinars

Hampshire and Isle of Wight ICS are supporting a series of short, bite sized webinars to introduce you to the Personalised Care Operating Model and how this is relevant and useful in different settings

We are called WASP (Wessex Activation, Self-Management and Personalisation) and for several years, we have been working with clinical teams in Wessex to help them embed personalised care into their services, to help people better manage own their health and care.  We are passionate about what we do and want to share our experience through these free 1 hour webinars.

Our Introduction to Personalised Care webinars are broken down into four NHS clinical areas, Acute, Mental Health and Learning Disabilities, Primary Care and Outpatient.

Booking details attached.

document WASP webinar (221 KB)

Violence and Aggression - Provider Sharing and Learning Network

See attached poster for how to access this virtual training opportunity.  Please share with your colleagues.

image Prevention of violence and aggression workshop poster Feb 22 (A4 Document) (1) (621 KB)

 

Data migration to new Cervical Screening sample taker register

Communication from BSPS regarding cervical screening sample taker database.

document Communication from BSPS regarding the cervical sample taker database (97 KB)

National Cervical Screening Campaign Briefing 14 February to 14 March 2022

Dear Colleagues/Practice Managers

Please find attached a briefing from the Office for Health Improvement and Disparities (OHID) regarding their forthcoming national cervical screening campaign.

The campaign will run from 14 February 2022 to 14 March 2022.  The aim of the campaign is to encourage those eligible for cervical screening, women and people with a cervix aged 25-64, not to ignore their invitation and to book an appointment, even if they missed their last appointment or did not take up their last invitation. The campaign will also provide reassurance and address misconceptions around cervical screening and HPV primary screening. 

It will feature TV and radio advertising and social media, as well as national and regional PR activity, which includes targeted activity within ethnic minority and LGBTQ+ groups.

You will be able to access communications resources so you can support the campaign through the Campaign Resource Centre: https://campaignresources.phe.gov.uk, which you can sign up for if you don’t have access already.

We would be extremely grateful for your support in this campaign and the attached briefing provides examples of how you can do this.

pdf Cervical Screening Campaign 2022 Partner Brief FINAL (384 KB)

Update: Vaccination as a condition of deployment (VCOD) for all healthcare workers letter and FAQ

Please see that attached update regarding the vaccination as a condition of deployment (VCOD) for all healthcare workers (letter and FAQ).  You may have already received this information directly from NHSE

pdf C1584 Update Vaccination as a condition of deployment (VCOD) for all healthcare workers letter 080222 (112 KB)

pdf C1584 Vaccination as a condition of deployment (VCOD) for healthcare workers FAQ 080222 (79 KB)

 

Covid Vaccination Prompts and Resources for Supported Decision Making

Please find the Covid Vaccination resource produced and shared by London colleagues to support decision making and which may be helpful to your System.

pdf NHS E I London SG Prompts and Resources to support Covid Vaccination Decision Making (242 KB)

Oral Vitamin K Prescribing for High INRs in Adults in Primary Care

Following a recent incident where an over-anticoagulated patient, with an INR of 11.9 was unable to receive treatment in a timely manner; we will like to remind practices of the updated 'Oral Vitamin K Prescribing for High INRs in Adults in Primary Care' leaflet (see attached). Oral phytomenadione is not always readily stocked in community pharmacies and GP practices are encouraged to keep stock as  

Konakion® MM Paediatric 2 mg/0.2 ml. (Shelf Life= 3 years) (Drug Tariff Price 95p each) to enable timely treatment

pdf Vitamin K for high INRs Leaflet for Primary Care November 2021 (103 KB)

 

County Lines Pathfinder

Please see documents for registering on training sessions focusing on issues around county lines.  Please disseminate to your wider workforce, as the workshops (on average) are only 2 hours in duration and can be counted towards level three safeguarding training.

pdf County Lines Pathfinder Showcase (227 KB)

pdf County Lines Pathfinder Dissemination Workshops (314 KB)

Change to the Pharmaceutical List – Lalys Pharmacy

The CCG has been informed by PCSE that with effect from 01/02/2022 the pharmacy at 8E Fratton Way PO4 8TA will be operated as a Lalys Pharmacy. Please see attached memo for details.

pdf Memo pharma change Lalys (118 KB)

Free Training for Social prescribing teams

Energise Me have notified us of a date for the next training course - Supporting others to be physically active training.

This training is run in partnership with the University of Kent and London Sport and is being fully funded by Energise Me. Details of the course can be found on the attached flyer. This particular training is aimed at Social prescribers/health and wellbeing coaches and associated roles.

The Training is made up of 3 sessions, dates below.  Anyone wishing to register must be able to attend all sessions in order to take part in this training offer.

Training dates are:

Session 1 –23^rd March 2022 10am-1pm

Session 2 –6^th April 2022 10am-1pm

Follow up session –18^th May 2022 10am-1pm

Places are limited to allow for the best learning environment.

Anyone wishing to register please contact Emily Khural, details below:

Emily Khural

Project officer - Long term health conditions

This email address is being protected from spambots. You need JavaScript enabled to view it.

Website: www.energiseme.org

pdf Supporting others to be physically active full programme LS (2.01 MB)

Change to the Pharmaceutical List –Rowlands Pharmacy

PCSE have informed the CCG that Rowlands Pharmacy 15 Albert Road will close from the 31/01/2022 and the contract will consolidate with Rowlands Pharmacy at the Festing Buildings, Highland road. Please see attached memo for details.

pdf Pharmacuetical Change Memo 31 1 22 (111 KB)

Enhanced support to care homes - for PCNs Newsletter

Second edition of newsletter for PCN’s to provide updates on the enhanced service to care homes. In this issue, we will review what the service has achieved since our last issue in June and introduce colleagues and their role in the enhanced service to care homes.

pdf 78 282 Enhanced Support to Care Homes update (issue two)WEB (475 KB)

OCMS additional information for sharing

Please see attached details regarding the Oral Contraceptive Management Service (OCMS) community pharmacy pilot and details of messages for patients and SystmOne information.

document OCMS info SMS wording for people due OC repeat (14 KB)

Long COVID: National Landscape Webinar - Wednesday 16th February (15:00-17:00)

CRN North Thames will be hosting this first national Long COVID webinar. The idea behind this national webinar is to bring together research on Long COVID and enable a platform whereby prominent multi-centre studies can be discussed with any preliminary data shared if appropriate. The CI's of several national Long COVID studies have kindly agreed to speak at this event. There will also be a community perspective and a guest international speaker. This will allow for a great environment of like collaboration, encouraging recruitment where possible, discussing current work, and perhaps outlining future research strategies with regards to Long COVID. 

The webinar is open to all clinicians and staff involved in the care of Long COVID patients, including staff from NHS Trusts, Community Clinics and GPs.

The event will be over MS Teams, and participants will need to register for the event on EventBrite (Free). Please sign up to the event using the following link: https://bit.ly/LongCOVIDevent

pdf Long COVID webinar Agenda (176 KB)

Free Image Library from Centre for Ageing Better

The first free library showing ‘positive and realistic’ images of older people in a bid to challenge negative and stereotypical views of later life. The images show a more realistic depiction of ageing and old age – to provide alternatives to the commonly used pictures of ‘wrinkly hands’ or walking sticks. The library, which contains over 400 images and will be regularly updated, offers organisations a wide selection of images that avoid stereotypes associated with older people. Age-positive image library launched to tackle negative stereotypes of later life | Centre for Ageing Better (ageing-better.org.uk)

Update to PRRT referral form on SystmOne

The existing Rehab & Reablement referral form has been updated and renamed to ‘PRRT Urgent Community Response’ to reflect national terminology and service offer

The PRRT service provides:

1. A crisis response within 2 hours, to optimally manage patient crisis needs at home and avoid unnecessary admissions. The service is provided by a multi-disciplinary team to people in their usual place of residence with an urgent care need to prevent a hospital admission and involves an assessment (within 2-hours of referral, where appropriate) and short-term intervention

A reablement response within 48 hours to adults who have a health or social care need, including needs arising from dementia, offering short term stabilisation, rehabilitation, and reablement to maximise independence, and involves an assessment and short-term intervention in the patient’s usual place of residence to achieve goals set with the individual

 

Update on antiviral/neutralising MABs for vulnerable patients

Update on the new COVID-19 treatments available for patients in the highest risk categories in our community following briefing shared in December.

Referral form is available on Ardens.

document Update on antiviral neutralising MABs for vulnerable patients (220 KB)

New Portsmouth SEMH guidance for children and young people

Details of new guidance for children and young people's social, emotional and mental health (SEMH).  This has been produced for a range of areas of concern and is tailored for children aged 5-11 and young people aged 11-16. It describes the different criteria for SEMH support services and the self-help resources available both locally and nationally.  There are also details of webinars in the coming weeks that will give an overview and walk through of the SEMH guidance. 

Hard copies are available, please contact the service direct -Stuart McDowell, Commissioning Project Manager, Integrated Children's Commissioning Team, PCCG & PCC

T:023 92688711

This email address is being protected from spambots. You need JavaScript enabled to view it.

document New Portsmouth SEMH guidance for children and young people (407 KB)

Audiology Referrals for Hearing Aid Fitting 

We have been made aware that a number of recent audiology referrals have had to be rejected due to impacted ear wax.

To help us manage this, please could we ask practices to advise patients, at the point of referral, that they will not be able to have their hearing aid fitted unless their ears are clear of wax.  Please provide patients with advice on how they can manage this themselves.  (Recommendation to a patient is to purchase olive oil ear drops or sodium bicarbonate 5% ear drops.  If symptoms persist, consider ear irrigation using an electronic irrigator providing that there are no contraindications).  Please see attached “Removal of Ear Wax Pathway” for further details.

Also attached is a patient information leaflet, which you might want to give the patient to support these discussions.  The leaflet was co-produced with Portsmouth Hospitals but applies to all audiology services within our patch.

We will also be asking the provider to make contact with the patient, ahead of their appointment, to ensure they have followed this advice.

Thank you for your continued support.

pdf PHU managing ear wax (354 KB)

document Removal of Ear Wax Pathway (61 KB)

Changes to the process of tasking GPs - Immedicare

Please note a small change to the process of tasking GPs for immedicare.

Any queries please contact the service direct, details below:

Annabelle Smith, Contract Performance Manager

07740 175452

This email address is being protected from spambots. You need JavaScript enabled to view it.

document Changes to the process of tasking GPs Immedicare (46 KB)

Parenting Offer and Triple P Discussion Group Posters

Please find attached the parenting offer and discussion group posters for this upcoming term.

document Parenting Offer January 2022 (7.29 MB)

PMA Webinars | Join us and Wesleyan on 10th February at 19:00 for a free update on the NHS Pension Scheme and Pension Age Discrimination

In conjunction with your local Wesleyan Financial Services Consultant, we would like to invite you to a free- to-attend webinar on Thursday 10th February at 19:00.

This webinar is designed for medical professionals to improve your understanding of the NHS Pension Scheme and Pension Age Discrimination (sometimes referred to as the McCloud judgement) and how this could impact your future. It will be hosted by Wesleyan Financial Services Consultants.

document PMA Webinars, Join us and Wesleyan on 10th February at 1900 for a free update on the NHS Pension Scheme and Pension Age Discrimination (83 KB)

Free Training on Adverse Childhood Experiences

An offer of free training on Adverse Childhood Experiences (ACEs) and how it can result in trauma which can negatively impact a person throughout their whole life.  The training explains how to support patients in a trauma informed way, for more positive outcomes.

Police and Crime Commissioner, Donna Jones, has been awarded Home Office funding to deliver a Trauma Informed Training Programme until March 2022.  This programme includes the offer of free on-line training (via zoom) designed exclusively for GPs and GP Practice Staff.  The training is 3.5hrs long and provided by WAVE Trust, a credible, trauma informed training provider. Staff from the same GP practice do not need to attend the same session.  

Please find attached the link to register and the expected learning outcomes.

Six dates are offered between February and March 2022.

This training is free as it is already funded by the Home Office through the Police and Crime Commissioner’s Violence Reduction Unit (VRU).

When you register, please note the section explaining how personal data will be used.   

We believe that embedding trauma informed practice across public services will help people live happier, healthier, crime-free lives, and in the longer term also reduce demand across public services.

Group 6: Trauma-informed Training for GPs and staff Tickets, Multiple Dates | Eventbrite

Safeguarding Children & Covid 19

Please see attached letter from the Department of Education, seeking the support of health to ensure that as a safeguarding partner, we are collaborating with colleagues to develop plans that respond to the vulnerabilities facing children who have disengaged from education or who do not return after the school holidays.

The detail in the letter reflects much of the work implemented during the initial COVID phase when schools worked with other relevant agencies, including health visitors, school nurses, GPs and midwives to share intelligence and information so that support was targeted to the right children and families.

pdf Letter from Indra Morris Keeping children and young people safe this winter (165 KB)

Thrombocytopaenia in patients with ITP after COVID vaccination

Please could you bring the attached to the attention of all practice staff who might receive requests from patients to arrange urgent blood tests..  The COVID vaccination service will be attempting to identify relevant patients when they attend and advise them to contact their practice to make the necessary arrangements.

document Thrombocytopaenia in patients with ITP after COVID vaccination (13 KB)

Changes to the Gastroenterology Pathway – PHU Trust

After a short period of trialling, all referrals to Gastro via Referral Assessment Service, the department has taken the decision to change back to Advice and Guidance for routine gastro appointments.

The department will continue to book patients into upper and lower GI clinics without sending back to GP’s – which was the benefit of the RAS – but the advice and guidance feature which was lost with the change to RAS will now be made available to GPs again.  The 2ww/IDA pathway will remain a referral assessment service.

Both services can be found on eRS as follows:

• Medical Gastroenterology Advice and Guidance-PHU-RHU                                                     
• 2WW Medical Gastroenterology RAS (Upper GI and IDA Proforma)-PHU-RHU       

This change will come in place on Monday 10^th January 2022

Healthier Together app - live and being rolled out across HIOW

Details have been circulated to practice leads direct.

document Healthier Together app (16 KB)

document Healthier Together app PCN offer HIOW Dec 2021 (5.61 MB)

 

Every Action Counts

A quick reminder of the Every Action Counts resources available at Coronavirus » Every action counts (england.nhs.uk)  to support good practice in COVID-19 infection prevention and control.  There is a particularly useful primary and community care risk assessment tool (24 Dec 2021) that practices can use to review their current set up and practice.

Victim Support's Safe Spaces Service

Details of a new support service for adult victims of church abuse, both historic and recent, launched by the Church of England and the Catholic Church of England and Wales. 

document Victim Support safe spaces service (1017 KB)

 

HSAB Financial Abuse Awareness Session - 19 Jan 22

You will be aware that the HSAB provides a fully funded training programme which is open to all colleagues from multiagency partners and organisations across Hampshire.  This programme, training materials and the link to make a booking can all be accessed from this page: 

Our next virtual session is on Financial Abuse Awareness.  This session aims to raise awareness of different types of financial abuse, including cybercrime, fraud, and scams. It includes the following:  

• Fraud and cybercrime – Hampshire Police
• ‘Loansharks’ – The Illegal Money Lending Team
• What Banks can do to help – Barclays Bank

This session is a repeat of one that was delivered in June 2021. 

HSAB Learning Zone | Hampshire Safeguarding Adults Board (hampshiresab.org.uk)

Social Prescribing Link Worker Webinar Series: Reducing Health Inequalities, 19 January 2022 1:30pm – 2:30pm

FAO PCN Directors and Social Prescribers, please forward as necessary

For this webinar we are delighted to have a range of speakers from social prescribing, sharing examples of the valuable work link workers (SPLW’s) are engaged with, in their local communities, to tackle health inequalities and the social causes of poor health at the individual level.

We will also be joined by a member of the NHS England and Improvement Health Inequalities Team to share with us the Core20PLUS5 – A national NHS England and NHS Improvement approach to support the reduction of health inequalities at both national and system level. The approach defines a target population cohort – the ‘Core20PLUS’ – and identifies ‘5’ focus clinical areas requiring accelerated improvement.

Social Prescribing Link Worker Webinar Series: Reducing Health Inequalities (england.nhs.uk)

pdf Core20plus5 a4 infographic 1 61c49270a3085 (335 KB)

Learning Together Week - 17th January

The National Safeguarding team have devised a week of online safeguarding sessions for the week commencing 17^th January.

Please see attached, to book on any of the available one hour lunchtime learning sessions. 

pdf Learning together week v1 2docx (115 KB)

Promotion of HEE Knowledge and Library Hub - a new, free platform for the NHS in England

The new Health Education England funded NHS Knowledge and Library Hub is a ‘one-stop’ gateway which, for the first time nationally, connects NHS staff and learners seamlessly to a significant range of free, high-quality knowledge and evidence resources, services, tools and databases, all in one place.

Content of the easy-to-use platform includes over 7,000 journals, e-books - including OUP handbooks, clinical decision support tools - such as BMJ Best Practice, NICE pathways and guidelines and clinical and medical databases.

Accessed via OpenAthens, users will be able to tap into the same system wherever their career takes them.

document HEE Knowldge and Library Hub (82 KB)

Tackling Serious Violence - County Lines & Coercive Internal Concealment Rapid Reads

Please see attached two linked rapid reads on ‘County Lines’ that have been produced by the Tackling Serious Violence Clinical Reference Group (TSV CRG).  Please share the attached resources as appropriate to raise awareness of county lines as we prepare for the upcoming festivities, as there is a risk that county lines activity may rise during this holiday period.

pdf Coercive Internal Concealment RR (98 KB)

pdf County Lines Intro RR (002) (98 KB)

 

Trauma Informed Training Dates

Please find attached new dates released between Jan and March 2022 for free ACE/Trauma Training for professionals aged 18 plus across Hampshire, Isle of Wight, Portsmouth and Southampton.  This also includes the link to register and learning outcomes.  Training will be provided by WAVE Trust, a credible, trauma informed training provider.  A variety of dates are offered and we hope you can find a date and time that suits you (please click on the Eventbrite link and ‘select a date’). 

We suggest registering as soon as possible to avoid disappointment.   To cater for different levels of understanding of being ‘Trauma Informed’, WAVE Trust are offering each person registering the choice of a foundation course or a more advanced course, relevant to their sector.   Please feel free to register for both the foundation and advanced course if you wish.  We have found that many people who do the first session are keen to go on to the second level.  All courses will be accessed through ZOOM and are 3.5hrs long.

spreadsheet WAVE Trust training dates and details Groups 1 4 (Jan Mar 2022) (10 KB)

Helping NHS colleagues stay healthy and well in work

A new online resource aimed at helping NHS and Primary Care colleagues in Hampshire and Isle of Wight support their wellbeing is now available.

The Hampshire and Isle of Wight (HIOW) Health & Wellbeing programme team has launched The People Portal – an online resource with free health and wellbeing advice, tips and local services: www.hiowpeople.nhs.uk/ccc/hiow.

And if NHS colleagues need support with issues such as stress, physical health, nutrition or exercise, from 1 January 2022 they can also call local expert advisors through its Health & Wellbeing Support Service on 0300 772 7099, the phone line is open 9am-4.30pm Monday to Friday or email: This email address is being protected from spambots. You need JavaScript enabled to view it. for more details.

www.hiowpeople.nhs.uk/ccc/hiow

 

Omicron Response: Screening & Immunisations in Primary Care

In light of the recent guidance in relation to the Omicron response both in terms of the vaccination programme and the wider system readiness, I wanted to draw your attention to a number of points, in order to avert any potential confusion:

1. The Impact and Investment fund points in relation to flu remain in place, and the expectation is that practices will continue to deliver the flu programme alongside the covid-19 vaccination programme.
2. The ‘C1487 - Preparing the NHS for the potential impact of the Omicron Variant and other winter pressures letter’ says, on page 9, Cancer: local systems should stress test their plans to confirm that the elements that helped to sustain cancer services in previous waves are in place, and to ensure that: • rapid access, including tests and checks for patients with suspected cancer, as well as screening services, are maintained.   That includes taking cervical samples in primary care.

The QOF points for cervical screening and routine childhood immunisation programmes remain in place to reinforce the expectation that the programmes should continue to be delivered.

Portsmouth CCG Safeguarding Newsletter

Please find attached the December newsletter.

document Dec2021 newsletter (994 KB)

 

Christmas & New Year Bank Holiday Posters 2021/22

Community pharmacy opening hours over the festive bank holidays in Portsmouth attached.  Up to date information is maintained at https://www.england.nhs.uk/south-east/our-work/pharmacy-opening-hours/

pdf Hampshire Pharmacy Opening Times Dec 21 Jan 22 (453 KB)

Medical Examiner system to be extended to all UK deaths

The Health and Care Bill 2021-22 is currently passing through Parliament which, in 2022, will introduce a statutory Medical Examiner system within the NHS in England, for the purpose of scrutinising all deaths which do not involve a coroner. In anticipation of this change in the law, the Medical Examiner (ME) office hosted in QAH is recruiting MEs and rolling out the system from the Acute Trust into the wider community. Deaths from the Rowans Hospice are already reviewed as will those inpatient deaths from Solent NHS Trust in December. A pilot with a Portsmouth GP Practice is being planned for early 2022. We would welcome contact with any more Practices interested in taking part in the roll out.

https://www.rcpath.org/profession/medical-examiners.html

 

Community Pharmacy - Oral Contraception Management Service (OCMS) Pilot and the Hypertension Case Finding Service (HCFS)

Please see the attached information regarding the Oral Contraception Management Service (OCMS) in Community Pharmacy pilot and the Community Pharmacy Hypertension Case Finding Service (HCFS), you will also find links to a number of resources available via the attached document.

Please share this information with the relevant staff within your practice i.e. workflow clerks, clinicians and care navigators etc.

document OCMS HCFS Primary care comms (22 KB)

 

Referral pathway for suspected Iron Deficiency Anaemia (IDA)

Following recent feedback from primary care around delays to the IDA pathway it has come to light that an old referral form called “Portsmouth Iron Deficiency Clinic Referral Form” is still in circulation. We have asked Ardens to archive the form but please be mindful that it may still appear in the practice recently used forms section which will need manual removal by each practice.

The correct form to use is the attached 2WW Upper GI referral form. The launch of the Gastroenterology Referral Assessment Service should also help with ensuring the correct service is chosen at the point of referral. As a reminder, the referral options with immediate effect are:

• Medical Gastroenterology RAS-PHU-RHU                                                             
• 2WW Medical Gastroenterology RAS (Upper GI and IDA Proforma)-PHU-RHU       

document Portsmouth Iron Deficiency Clinic Referral Form updated 071020 OLD FORM DO NOT USE 30 11 21 (43 KB)

document Upper GI 2WW Referral (65 KB)

 

FSRH Clinical Effectiveness Unit statement on extended use of LARC - November 2021

As a result of the COVID-19 vaccination programme, the risk/benefit balance for LARC procedures has now shifted and routine extended use of LARC is not recommended. Individuals should be advised to attend for LARC removal/replacement at 3 years (Nexplanon), 5 years (Mirena), 6 years (Levosert – note the licence for Levosert has been extended to 6 years), and 10 years (10-year copper IUDs).

https://www.fsrh.org/documents/fsrh-ceu-statement-extended-use-of-long-acting-reversible/

A SystmOne Tasks SOP & SystmOne Task Recipient User Group Updated Documents - for action

s agreed and signed off at the TPP User Group last week please see attached the updated SystmOne Tasks SOP and SystmOne Task Recipient User Group document.

The SOP outlines the procedure for when sending tasks between organisations and ensuring tasks are not sent to individually named people but agreed user groups.  All practices need to ensure they have an internal process for managing tasks and for those which have been unassigned or sent to individuals.  In these instances for any Solent tasks incorrectly sent there is a process outlined in the SOP where a preset message for replying to the sender has been agreed, along with sending a separate task to the senders organisation admin group, you can set up a task template for this (instructions attached).    

The SystmOne Task Recipient User Group document lists all of the agreed user groups, you need to ensure you have these set up within your practice.

Please share this with all staff within your practice who deals with SystmOne tasks.

document SystmOne Tasks SOP v5 updated December 2021 (30 KB)

document SystmOne Task Recipient User Groups v3 updated December 2021 (18 KB)

document Task Template instructions (57 KB)

Access to record data - Additional webinars available

Additional webinars are now available to book for getting patients ready to have access to their future data.  Please follow the link set out below.

The webinars are aimed for GP operational staff and Primary care commissioners.

https://www.events.england.nhs.uk/getting-ready-for-all-patients-to-have-access-to-their-future-data

Community Pharmacy - Change of Ownership

From the 1^st of December 2021, the pharmacy at 67 Milton Road, PO3 6AN will change ownership from Lloyds Pharmacy ODS: FAQ52 to Lalys Pharmacy ODS: FNH78.

The opening hours remain the same.

The SystmOne CCG Contacts address book has been updated.

Urgent Community Response (UCR)

The Portsmouth Rehabilitation & Reablement Team (PRRT) have enhanced their existing offer of an Urgent Community Response (UCR) within two-hours to keep people safe in their own home and prevent hospital admissions. Please read the attached service information sheet and poster for full details of the UCR offer including referral criteria and contact information.

pdf UCR Service Info Sheet (241 KB)

image Urgent Community Response Poster (508 KB)

Publication of Safeguarding Adults Review 'YL'

The Portsmouth Safeguarding Adults Board has published a Safeguarding Adults Review of the case of 'YL' last week.  

The review report and a summary for professionals is available on the PSAB website here.

The chair of Portsmouth Safeguarding Adults Board, David Goosey, said:

"This review was commissioned following the tragic death of YL, a daughter, granddaughter and a mother to a young child.

"It concludes that, although the death was not linked to abuse or neglect, there are lessons to be learned, including how services in the city can work together more effectively to support adults with complex mental health conditions and their families.

"Many improvements have already been made and an action plan is being put in place to address other lessons identified.

"We offer our deepest sympathies to the family of YL and others who knew her."

Please share the information about the review with your colleagues and encourage staff to read the summary and consider how they can incorporate the learning into their future practice.

Important Update - to Accelerated Records Access Programme

Please note that GP practice clinical systems will not go live in December 2021 with system changes to provide all patients with access to their future data.

This change will now occur in April 2022 and will apply to all practices using TPP and EMIS systems. Arrangements with practices that use Vision as the clinical system are under discussion.

This is in response to issues raised by general practices that further time is needed to prepare staff for the changes and to provide training on ensuring sensitive information is hidden from patient view as it’s entered on systems.

We also aim to enable patients to request their historic coded records from 2022 through the NHS App.

Further information can be found here:  https://digital.nhs.uk/services/nhs-app/nhs-app-guidance-for-gp-practices/accelerating-patient-access-to-their-record

 

Looked after Children week 6th December

Colleagues across South East Region Designated Health Professionals for Looked after Children and Care Leavers are delighted to invite you to a series of webinars focusing on what makes a difference to the children and young people in our care.  These sessions are open to all health and social care staff, so please share this email with your colleagues.

Please find attached a programme containing joining instructions. We look forward to you joining us for an exciting and informative week.

document Programme Looked After Children and Care Leavers Week Commencing 6th Dec with links (125 KB)

 

The Harbour - Peer Led Crisis Support Service

Please find attached the electronic poster for this new service.

The Harbour is an out of hours mental health service for anyone over the age of 18 in Portsmouth, Fareham, Gosport, Havant & East Hampshire. The service is also available to carers and loved ones.

The Harbour provides short term support for people struggling with their mental health and can introduce service users to other support services for ongoing recovery if required.  The team comprises of those who have experienced mental health challenges themselves and have accessed our local health services.

Please share with your teams and patients.

pdf The Harbour A5 flyer Final 14Sep2021 (3.32 MB)

e-RS Release 11.2 - Friday 3 December 2021 (subject to final testing)

Details of an upcoming e-RS release and the plans to change the date shown to patients on RAS/ASI letters.  Please consider this date change in the context of keeping patients informed of their referral and make any changes to your business processes, if required.

document E RS Release 11 2 Friday 3 December 2021 (subject to final testing) (13 KB)

 

 

5 Min Update - Cancer Screening Updates SE Locality

5 minute updates and information leaflets that SE locality have produced and shared with their practices.

document Cervical Screening 5 min updates (175 KB)

document Bowel screening 5 min update (68 KB)

 

PGD and National Protocol updates - Pfizer / Comirnaty Covid 19 vaccines

Links to the updated PGD/ Protocols for Pfizer and Cominarty which have just been published     

https://www.england.nhs.uk/coronavirus/publication/patient-group-direction-for-comirnaty-pfizer-biontech/

https://www.england.nhs.uk/coronavirus/publication/patient-group-direction-for-covid-19-mrna-vaccine-bnt162b2-pfizer-biontech/

https://www.gov.uk/government/publications/national-protocol-for-covid-19-mrna-vaccine-bnt162b2-pfizerbiontech

https://www.gov.uk/government/publications/national-protocol-for-comirnaty-covid-19-mrna-vaccine

Learning From Patient Safety Events

LFPSE – a reminder that all practices should be registered and recording events on this system now that NRLS has been discontinued.

As we move towards becoming an ICS it is really important we ensure we have something in place in Portsmouth where incidents and good practice in primary care are regularly recorded to avoid the introduction of additional local systems and requirements.  LFPSE will also be used in the future for the management of serious incidents.

https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/primary-care-information/

Quasar Update

Quasar Healthcare Professionals Feedback

Monthly Update - October 2021

pdf AI08 PCCG Quasar HCP Feedback Monthly Datapack 2021 09 Circulation (672 KB)

For Action: Updated PGD : 20211013InactivatedInfluenzaPGDv10.00

Please find attached the following updated vaccine PGD:

• 00 (Gateway number: GOV-10167).  This is to replace the PGD 20210723InactivatedInfluenzaPGDv09.00 (GOV-9226) on 15 October 2021

These PGD templates require organisational authorisation in line with HMR2012 before they are legally valid PGDs. Authorising organisations must not alter, amend or add to the clinical content of these documents (sections 4, 5 and 6); such action will invalidate the clinical sign-off with which it is provided. In addition authorising organisations must not alter section 3 ‘Characteristics of staff’. Only sections 2 and 7 can be completed within the editable fields.

Please could you ensure that these documents are made available to all staff who require them.

They will be available to download from the following link within the next few days:

NHS England and NHS Improvement South East » Hampshire, Isle of Wight, Buckinghamshire, Oxfordshire and Berkshire PGD downloads

The national protocol will be available to view/download via:

Guidance overview: National protocol for inactivated influenza vaccine - GOV.UK (www.gov.uk)

pdf 20211013InactivatedInfluenzaPGDv10 00 (344 KB)

Language Code

Please find up to date version of Prestige language codes for interpreter services.

pdf Prestigte Network TI Language Codes (522 KB)

Webinar - IPC in the Community & Practice Nursing

Details of webinar to be held on Thursday 25^th November at 1pm.  Promoting Multi-Morbidity reviews using a risk stratification framework and looking at the benefits of a holistic approach to long term condition management whilst utilising every member of the Multi-disciplinary team and reducing the frequency of appointments.

document Webinar IPC in the Community & Practice Nursing (162 KB)

Breastfeeding Network Support Groups

Updated poster for display with updated details of local groups.

document Breastfeeding Network Support Groups (302 KB)

Flyer - Looked After Children and Care Leavers Week - Commencing 6th December

The South East Region Designated Health Professionals for Looked after Children and Care Leavers are delighted to invite you to a series of webinars focusing on what makes a difference to the children and young people in our care.

The events are open to all health and social care colleagues, so please feel free to share amongst your colleagues.  Please find attached a flyer with details of daily events.

Joining instructions: Links to the webinars will be distributed shortly.

document Flyer Looked After Children and Care Leavers Week Commencing 6th December (26 KB)

NICE - COVID-19 Rapid Guideline: Managing the Long-Term Effects of COVID-19

This guideline covers identifying, assessing and managing the long-term effects of COVID-19, often described as ‘long COVID’.  It makes recommendations about care in all healthcare settings for adults, children and young people who have new or ongoing symptoms 4 weeks or more after the start of acute COVID-19.  It also includes advice on organising services for long COVID.

This guideline has been developed jointly by NICE, the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of General Practitioners (RCGP).

On 11 November, we made new recommendations and updated existing recommendations on identification; planning care; multidisciplinary rehabilitation; follow up, monitoring and discharge; and service organisation.  We also updated the list of common symptoms, emphasising that these may be different for children.”

See link for further details.

https://www.nice.org.uk/guidance/ng188

Notification of Unplanned Temporary Suspension of Services: Tesco Pharmacy Portsmouth FJE83

We have received the notification below from Tesco Pharmacy North Harbour:

‘We are having to restrict our opening hours to 9am until 6pm, from 16/11/2021 until 27/11/2021.

This is because of severe staff shortages due to several colleagues being absent with Covid-19 illness…

We have notified local pharmacies and have returned all acute prescriptions back to the NHS spine.’

Referral of Diabetic Men for Vasectomy in Solent

Updated guidance and referral forms.

document PCCG287b Referrals of men with diabetes for vasectomies Nov 2021 (50 KB)

Carers Centre & You: How can we help?

Information for Carers Rights Day (25^th November 2021) - new video resource launch.  Aiming to reach all unpaid carers in PO1-PO6.

It would be beneficial if surgeries were able to send a text to patients with the information - templates have been included.  If any surgeries would like to work directly with the Carers Centre this would be welcomed, contact details below;

Laura Pryde-Jarman (Project Officer).

Carers Centre, 117 OrchardRoad, Southsea, PO4 0AN.

Tel: 02392 851864

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

image Carers Centre and You launch flyer (97 KB)

document Carers Centre GP Patient Contact Text Templates (12 KB)

UK Threat Level raised to SEVERE

You will have seen details of the incident outside Liverpool Women’s Hospital which occurred on Sunday, 14^th November.  This event has been declared a terrorist incident.  Officers from Counter Terrorism North West are leading the investigation supported by Merseyside Police.  Three males have been arrested in Liverpool under the Terrorism Act. 

The Home Secretary following a meeting of JTAC (Joint Terrorism Analysis Centre: see link ) has announced that the threat level has been raised to SEVERE, meaning an attack is highly likely. 

This means there will be a visible increase in police activity at transport hubs and other areas where mass gathering may occur.  The priority at this time is to provide reassurance to the public and emphasise that people should remain vigilant and report any suspicious activity.   

We would ask you to please inform your relevant colleagues that they should be alert but not alarmed and report any suspicious activity to police using the 999 service, call the Anti-Terrorist Hotline 0800 789 321

You can continue to make Prevent referrals in the standard way using the National Referral Form. Community members can contact the Prevent advice line if they are concerned that someone may be vulnerable to being radicalised on 0800 011 3764.

PCN Online event for Cardiovascular Disease Prevention

Tuesday 30^th November 9.30am-1pm.

Please see attached for details on the PCN Online event for Cardiovascular Disease Prevention.

We encourage that every PCN is represented at the event with CVD lead or other key person if possible please.

Register for the event on Eventbrite link: https://www.eventbrite.com/e/virtual-hypertension-learning-event-2021-tickets-205542903357  

document 2021 11 09 PCN Online event for Cardiovascular Disease Prevention (16 KB)

Parenting Offer November/December

Details of services & workshops available to parents for November/December.

document Parenting Offer November 2021 (28 KB)

pdf Triple P DG Poster November December 2021 (294 KB)

pdf Teen DG poster November December 2021 (416 KB)

Fast Access Chest Pain Clinic, Portsmouth Hospitals NHS Trust – Pathway Reminder

As you know the pressure in Primary and Secondary care is increasing with more patients attending ED and their GP practices with chest pain.  We wanted to take this opportunity to remind you of this service.  The Fast Access Chest Pain Clinic is available for patients with new onset, stable, exertional chest pain.  Please refer appropriate patients meeting these criteria via e-Referral, completing the essential information requested on the up-to-date referral proforma.  Patients who meet the referral criteria will be assessed within 14 days.  Inappropriate referrals may be rejected or redirected to other Cardiology OP services.

HIOW SIT 5 Minute Update November 2021 Edition

Please find attached the November 2021 Edition of the HIOW Screening and Immunisation Team’s 5 Minute Update.  Please share with your practice staff members as appropriate. 

We hope you find it useful and if you have any comments or queries then please let us know. Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

www.england.nhs.uk

pdf NHS England HIOW Screening and Immunisation 5 Minute Update Issue 36 (217 KB)

4LSAB Safeguarding Concerns Guidance - Essential Points

The purpose of this multi-agency framework is to support the decision making and reporting of adult safeguarding concerns, in order to impact positively on outcomes for people with a need for care and support, who are at risk of or experiencing abuse or neglect.  We have condensed the 41 page framework into this guidance, focusing on the essential points.

This guidance is useful for any health and social care professional who visits patients in their own homes.

document 4LSAB Safeguarding Concerns Guidance Essential points (345 KB)

Intelligence from HSI CCG CQC inspections

This document contains useful themes (for shared-learning) from recent CQC inspection within West Hampshire.  The theme includes accessing medical records during inspections, PGD processes, governance, HR processes, medicines management and infection prevention & control.

Please note - QC will now undertake a number of searches remotely; it is therefore important that you are aware of these searches and undertake a review of these prior to a CQC inspection to identify gaps and undertake the actions required.  In many cases these searches will need to be repeated regularly to identify new patients meeting the criteria and there have been cases where practices have been given written warning notices when found not to be undertaking these searches regularly.

The full list of searches can be found here:  https://www.cqc.org.uk/guidance-providers/gps/gp-mythbuster-12-accessing-medical-records-during-inspections

document Current CQC intelligence Updated Oct 2021 (49 KB)

Interested in becoming a Community Champion?

Information for Practices on the Community Champion scheme to help the NHS and Council to increase uptake of the COVID-19 vaccination.

document Interested in becoming a Community Champion (566 KB)

Develop your Skills & Knowledge in Having Healthy Conversations about Alcohol

Details of three-hour online training sessions which are designed to encourage and support the philosophy behind Making Every Contact Count (MECC) to deliver Alcohol Identification & Brief Advice (IBA) or Very Brief Advice (VBA).

Dates available during November.

pdf MECC Alcohol IBA Flyer Final (152 KB)

Birth Reflections Service

Attached are details of a pilot service which has been running since April 2021 which practices may not be aware of.  This is for women who have either delivered within Portsmouth or who are currently pregnant, who feel they have unresolved questions around their previous birth experience.  Further details and how to refer are attached.

document Birth Reflections Service (13 KB)

Autism/ADHD Referrals

Portsmouth CCG commission a service from Surrey and Borders Partnership Trust (SABP) for autism and ADHD diagnosis.  If there is a concern about waiting times or choice then please be aware that we have commissioned additional capacity from a company called Solutions4Health to provide digital diagnostic assessments.  The referral process for both services is being managed via SABP and therefore referrals need to go to the Surrey service which will then offer a choice of provider.  Both of these services have undergone due diligence to ensure they provide safe, effective and value for money services.  This initiative offers choice and ensures waiting times for assessments will reduce significantly over the coming months.

We are currently acknowledging that some individuals wish to be referred to other providers under the choice legislation and the CCG will support this if the GP is satisfied that the individual is eligible under the choice guidance (ie, it will be their first consultant episode) and that the provider has a contract for diagnostic assessments with a CCG elsewhere in England.

 Any problems/queries please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Surviving Winter 2021-22 Fund -  Guidelines for Partners

The Surviving Winter Fund has been created to help older persons (60+ years) in Hampshire & the Isle of Wight who cannot afford to heat their home and maintain a reasonable standard of living during the winter.  Details attached. 

document Partner Guidelines Surviving Winter Fund 2021 2022 (1) (684 KB)